traditional and non-traditional data sources for …...traditional and non-traditional data sources...
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Traditional and Non-Traditional Data Sources for Community Health
Needs AssessmentNeeds Assessment
June 28, 2011June 28, 2011Abbey K. Cofsky
Presenting forBridget Booske, PhD
University of WisconsinUniversity of WisconsinPopulation Health Institute
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Outline
How to Assess Community Health?
Getting Started: County Health RankingsGetting Started: County Health Rankings
Getting to the Details: Other Sources and Types of Data
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Key Ingredients of a CHA
• S: Subjective InformationS: Subjective Information
• O: Objective Information
i i• A: Assessment or Diagnosis
• P: Plan & Intervention
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Subjective: The Stories
• Symptoms/Chief ComplaintPatient CommunitySymptoms/Chief Complaint• What makes it better &
worse
Patient Community• Attitudes
• Beliefs & Values• Timeframe
• What other issues might
Beliefs & Values
• Behaviors
• Political Environmenthave an impact on this situation
• Obtained through patient • Obtained through surveys,
focus groups, observation, qualitative reviewinterview qualitative review
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Objective: The Data
• Vital SignsPatient CommunityVital Signs• Physical Exam
• Laboratory Data
Patient Community• Mortality Data
• Morbidity Datay
• RadiologyMorbidity Data
• Birth Data
• Injury Data
• Socioeconomic Data
• Environmental Data
• Sub‐analysis by Age, Race, Gender, Geography
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Assessment:What’s WrongWhat s Wrong
• MedicationsPatient CommunityMedications• Diagnosis
Patient Community• Needs
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PlanAction StepsAction Steps
• MedicationsPatient CommunityMedications• Surgery
• Therapies
Patient Community• Environmental Changes
• Institutional Policy• Therapies
• Activity Restrictions
Di t Ch
• Institutional Policy Changes
• Mass Media Campaigns• Dietary Changes • Mass Media Campaigns
• Screening Programs
• Public Policy Changes• Public Policy Changes
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Roles
• Local Health Department Led AssessmentLocal Health Department Led Assessment
• Hospital Led Assessment
i d d• United Way Led Assessment
• Integrated Collaborative Approach:– Shared Resource, Independent Assessment
– Shared Governance, Shared Resources, One Agency Primary Responsibility for Work
– Shared Governance, Pooled Resources, Collaborative Employs Staff
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Outline
How to Assess Community Health?
Getting Started: County Health RankingsGetting Started: County Health Rankings
Getting to the Details: Other Sources and Types of Data
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www.countyhealthrankings.org
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Logic Model
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Health OutcomesMortality (length of life): 50%
Morbidity (quality of life): 50%
Diet & exercise
Tobacco use
Health behaviors(30%)
Unsafe sex
Alcohol use
A t
(30%)
Education
Access to care
Quality of care
Clinical care(20%)
Health Factors
Family & social support
Employment
IncomeSocial & economic factors(40%)
Community safety
Environmental qualityPhysical environment(10%)
Programs and P li i Built environment(10%)Policies
County Health Rankings model © 2010 UWPHI
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Outline
How to Assess Community Health?
Getting Started: County Health RankingsGetting Started: County Health Rankings
Getting to the Details: Other Sources and Types of Data
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• Strategic Planning• Dialogue• Systems Thinking• Systems Thinking• Shared Vision• Collaboration &Collaboration &
Partnership
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MAPP Community Health StatusAssessment CategoriesAssessment Categories
• demographic and socioeconomic characteristics;characteristics;
• health resources availability; li f lif• quality of life;
• behavioral risk factors; • environmental health; • social and mental health; ;• maternal and child health; • deaths injuries and illnesses;• deaths, injuries and illnesses; • communicable diseases; and sentinel events. 23
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National Data Sources
http://factfinder2.census.gov
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National Data Sources
http://wonder.cdc.gov/
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http://wonder.cdc.gov/
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National Data Sources
it h lth hh /28
www.communityhealth.hhs.gov/
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National Data Sources
29www.ers.usda.gov/FoodAtlas/
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National Data Sources
30http://datacenter.kidscount.org/
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National Data Sources
www healthindicators gov/31
www.healthindicators.gov/
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State‐Specific Data Sources
• MD Department of Health and Mental HygieneSearchable Health Related SURVEY databases allows– Searchable Health‐Related SURVEY databases allows users to construct county‐level summaries of information contained in MD’s Behavioral Risk Factorinformation contained in MD s Behavioral Risk Factor Surveillance System (BRFSS), Pregnancy Risk Assessment Monitoring System (PRAMS), Maryland Cancer Surveys (MCS), and Maryland Youth Tobacco Surveys (YTS).
– Maryland Assessment Tool for Community Health (MATCH) gives users access to birth, death, population and hospitalization information by countypopulation, and hospitalization information by county.
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Key Points
• County Health Rankings are a good starting point
Oth f tit ti d t il bl• Other sources of quantitative data are available but …
d l l il bl id l l– many data elements only available at state‐wide level, making real time assessment more limited
bilit t bt i t d t b li it d– ability to obtain current data may be limited
• Also should gather qualitative data to get h d kcommunity input on strengths and weaknesses
– Key informant interviews, focus groups and/or surveys ( )(paper, telephone, or online)
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The County Health Rankings Team
• UW Population Health InstituteUW Population Health Institute– Including Patrick Remington, David Kindig, Julie Willems Van Dijk, Jessica Athens, Angela Russell
• Robert Wood Johnson Foundation– Including Brenda Henry, Michelle Larkin, Jim Marks, Joe Marx, Abbey Cofsky
• Our Partners– Including CDC, NCHS, ASTHO, NACCHO, NNPHI, Dartmouth Institute
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For More Information
www countyhealthrankings orgwww.countyhealthrankings.org
id kBridget Booske
University of WI Population Health Institute
Madison, WI
bbooske@wisc [email protected]
608‐263‐1947