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Using Web-Based Data to Advance Access to Care April 25, 2006 TPCA: Up to the Challenge
Using Web-Based Data to Advance Access to Care Where do you go to find health information in Tennessee?
Where do you go to find health information in Tennessee? • TPCA: County Health Indicators • Graphs & Maps • Pre-selected indicators • HIT: Data Query and County Profiles - User-specified selection of variables • OCS: Office of Cancer Surveillance - Tennessee Cancer Registry - Cancer Incidence & Mortality • Data & Research: Other Sources
TPCA: County Health Indicators Excellent Tutorial http://www.tnpca.org/health/materials/how_website_organized.ppt ComMetrics, Inc. Sandra.email@example.com
What You Will Find Graphs & Maps Definitions Data Explanations Links Healthy People 2010
County Profiles: Graphs & Maps • County level graphs & maps • Except surveys • BRFSS • Substance abuse • Immunization • Three ways to select a county • Drop down menu • Hot map • List
County Profiles: Graphs & Maps • More than 3600 unique graphs • & maps • 214 graphs & maps for each county • 24 additional sub-county maps for 5 counties • Organized by topical areas for ease of use • Files are “small” to reduce load time • PowerPoint & HTML • PowerPoint allows users to save files to a local hard drive to develop customized education programs
Data Definitions • Alphabetical listing • Links to sources • Explanatory notes
Data Tables: Sources Link to source Frequency of update Date accessed
FAQs: Explanations • Who decided what data to collect? • How recent are the data? • How are data presented? • Some county comparison maps do not provide data for every county. Why? • I don’t have Microsoft PowerPoint. Can I still view the PowerPoint presentations? I need the data, not a graph. Where do I get the data? • I’m not sure how to interpret the numbers I’m seeing. Where can I find data definitions? • Some data are not available at the county level. Why? • What does it mean when it says BRFSS data are not weighted for population characteristics? • Why are BRFSS data not reported for Hispanics?
Healthy People 2010 • Links to detailed list of objectives • Links to background document • Links to Excel files with objectives
HIT is Advancing Access to Better Health Information
HIT is pleased to present online access to official State of Tennessee data for: Births Deaths Population Hospitals Nursing Homes FEATURINGDATA QUERY
Several examples of using GIS/Mapping to visualize and demonstrate relationships toward advancing access to care:
Office of Cancer Surveillance • Tennessee Cancer Registry (TCR) • Tennessee Comprehensive Cancer Control Program (TCCCP) Jennifer Murray, Epidemiologist
Tennessee Cancer Registry • Established 1983 • Funded by CDC since 1996 • Reports approx. 24,000 cases/yr • 80% complete • Hospitals • Pathology Laboratories (2005) • Ambulatory Surgery Centers (2005) • Urologists (Pilot Project 2006)
TCR Data Usage • Annual Report – 2006 • Cancer Factsheets – Overall, specific ca’s • Guide TCCCP in their activities • Research Projects • Harvard School of Public Health • Nashville Breast Health Study • Southern Community Cohort Study • 7th Day Adventist Study
Tennessee Comprehensive Cancer Control Coalition • CDC funded 2004 • Group of volunteers (~200), w/ 3 staff • Guide the state in cancer related issues • Active volunteers • Educational events • Increase awareness • Training • Regional Coalitions now forming
TCCCP • The Plan – 2005 • Guide to addressing cancer issues in TN • Workgroups with specific objectives, activities and a work plan • Living document, updated 06/07 • Produce TN Burden of Cancer Document • Special reports / research projects with Coalition
Data and Research • Grant Resources • Block Grant & Collaborative Efforts • Grant & RHIO • Info – exchange & Linkage
Grantsmanship DataNeeds Overview of the State: Tennessee has a population of 5,900,962 (2004 data). Of those reporting only one race, 82% were white, 15% black, 1% Asian, and 1% other. Less than 3% of the people living in the state in 2000 were foreign-born, although the state has experienced a 169% increase from 1990. Approximately 40% are of Latin American origin. 2003 data from the American Community Survey show 135,669 persons identifying themselves as being of Hispanic origin.
Grants • Tennessee is a diverse state geographically, culturally, and economically. The state covers 41,220 square miles and is about 500 miles from east to west and 100 miles from north to south. There are mountains in the east, hills in the middle section, and the western third is relatively flat. The state is divided into 95 counties, each with a health department located in the county seat. Slightly more than a quarter of all Tennesseans live in the four largest cities (Memphis, Nashville, Chattanooga, and Knoxville). Just over 68% of the population lives in the state’s seven metropolitan areas (MSAs), five of which are in the eastern two-thirds of the state. The most sparsely populated counties are primarily in rural middle and west Tennessee.
Grants • U.S. Census data show that 14% of Tennesseans live in poverty compared to 12.5% nationally. According to the 2005 Kids Count Data Book, in 2003 20% of children in Tennessee were living in poverty, and 33% of children were living in single parent households (as compared to U.S. figures of 18% and 30%). Eight percent of children were without health insurance, much better than the national level of 12%. Yet Tennessee’s children are not faring well.