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  1. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Webinar 1Nursing Databases 101:From Inception to Analysis Andrea Baumann RN, PhD JaspreetAhuja, MSc. Nursing Health Services Research Unit (NHSRU) McMaster University Date: Thursday October 18, 2012 Time: Noon- 1:00PM (EST)

  2. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Introduction • Target audience • Overview of webinar series • Types of data • Discussion of a database • Example from the Pan American Health Organization

  3. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Types of Data Primary data - collected to answer a specific research question. Secondary data– collected by some other user. Administrative data –secondary data collected for non-research purposes but may used to answer specific research questions. Source:Wunsch, H., Harrison, D., Rowan, K. (2005). Health Services Research in critical care using administrative data. Journal of Critical Care, 20: 264-269.

  4. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Primary Databases • Result from individual research projects • Include many variables and/or themes • Can be standardized for use by other investigators to ask different questions

  5. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Secondary Databases • Housed at the provincial, national and international level • Include data from a variety of administrative databases • Agreement on general indicators

  6. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Indicators “…standardized measures by which to compare health status and health system performance and characteristics among different jurisdictions in Canada…through quality comparative information.” Source: Canadian Institute for Health Information (CIHI). (2012). Health Indicators Interactive Tool. Retrieved: http://www.cihi.ca/CIHI-ext-portal/internet/EN/SubTheme/health+system+performance/indicators/cihi010653

  7. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Health Administrative Databases • Housed in healthcare organizations • Include data such as human resources, finances, payroll, illness and long term disability • Stored in a “data warehouse” • Uploaded to the Ministry of Health and Long-Term Care as part of an accountability agreement (varies from province to province)

  8. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Challenges in Database Development • Standardizing data • Compatible versions of software • De-identifying personal information • Access and transferability Source: Data, Data Everywhere: Access and Accountability? (2011). ed. C. M. Flood. Montreal and Kingston: Queen’s Policy Study Series.

  9. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Provincial Databases • Institute for Clinical Evaluative Sciences (ICES)* • Health services data; Population and demographic data; Disease cohort/registry data; Care provider, facility, geography, coding and other data • Ministry of Health and Long-Term Care • Health Professions Database; Management Information Systems (MIS) • College of Nurses of Ontario • Provincial nursing regulatory database *Source: Institute for Clinical Evaluative Sciences (ICES). 2012. Retrieved from: http://www.ices.on.ca/webpage.cfm?site_id=1&org_id=26&morg_id=0&gsec_id=5314&item_id=5322

  10. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series National Databases • Canadian Institute for Health Information • Statistics Canada • Canadian Association of Schools of Nursing and Canadian Nurses Association

  11. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series International Databases • Organization for Economic Development and Development (OECD) • International Labour Organization (ILO) • World Health Organization (WHO) • Pan American Health Organization (PAHO)

  12. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series PAHO • What does PAHO have in HHR? • How do they develop databases ? • What does PAHO want to create ? Two examples: • An international database developed using national databases • The creation of a schools of nursing directory database Source: Pan American Health Organization/World Health Organization (2012). Retrieved from: http://new.paho.org/hq/index.php?option=com_content&view=article&id=91&Itemid=220&lang=en

  13. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series PAHO- Example 1 Migration of Nurses from Latin America and the Caribbean countries to Canada: - Nursing education acquired from source country - Focus on numbers of those practicing in Canada - Using existing data/literature

  14. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Using CIHI Database • CIHI Nursing Database • Data on 3 regulated nursing professions in Canada: • Registered Nurses (RNs) • Licensed Practical Nurses (LPNs) • Registered Psychiatric Nurses (RPNs) • What does this database contain? Source: Canadian Institute for Health Information (CIHI). (2012). Spending and Health Workforce. http://www.cihi.ca/CIHI-ext-portal/internet/EN/TabbedContent/spending+and+health+workforce/workforce/nurses/cihi010673

  15. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Data Methodology • How is this data collected? • Methodology • Primary or Secondary ? • Data Dictionary • Challenge: Details of data collected were not necessarily available in reports • “Canadian” vs ”Foreign” Source: Canadian Institute for Health Information (CIHI). (2012). Spending and Health Workforce. http://www.cihi.ca/CIHI-ext-portal/internet/EN/TabbedContent/spending+and+health+workforce/workforce/nurses/cihi010673

  16. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series What to do ? • Coping with challenges and making decisions • 2 options • Data Request from CIHI • Use available data till 2006 • Consider time vs. how recent is the data ?

  17. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series ILO Report: Canadian Context • ILO – International Labor Organization • Report on Mobility of Health Professionals • Compiles CIHI data to demonstrate trends and patterns in migration • Primary or Secondary data ? Source: Emmott, M., Pittman, M. (2012). Canada Mobility of Health Professionals. Public Health Institute.

  18. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series PAHO Example 2 2). Schools of Nursing Directory -primary data collection • Questionnaire • Identification • Contact Information • Undergraduate and/or Graduate Program • Scientific Journal • Research Groups

  19. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Challenges & Limitations • Accuracy • Up to date data • Dependent on time availability • Cost

  20. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Challenges & Limitations • Data indicators; no common agreement • Among provinces • Even bigger challenge when comparing project comparing countries • Terms: RPN’s, LPNs & RNs are not consistent • Need for a common nursing data dictionary ?

  21. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Main Messages • Different types of data • Development of provincial and national databases are on-going • Need for data is increasing • Many challenges including a common understanding

  22. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Questions?

  23. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Upcoming Webinar Sessions Webinar 2: How to Access and Use Secondary Databases (Nov 19, 2012) Webinar 3: Collecting and Storing Your Data (Dec 12, 2012) Webinar 4: Development of a New Graduate Nurse Employment Database (Jan 21, 2013) Webinar 5: Applications and Analysis of a Secondary Database (Feb 20, 2013) Webinar 6: Understanding How to Work with HOBIC (March 2013) Webinar 7: Development of a Longitudinal Qualitative Database (March 2013)

  24. Leveraging Data to Make Better Decisions - An Overview of Databases Webinar Series Contact Information Andrea Baumann, PhD Scientific Director Nursing Health Services Research Unit McMaster University Michael DeGroote Centre for Learning MDCL 3500 (905) 525-9140 ext. 22581 baumanna@mcmaster.ca