Introducing HealthStatsIntroducing HealthStats

Eleanor Howell, MSEleanor Howell, MS

Manager, Data Dissemination Manager, Data Dissemination UnitUnit

State Center for Health State Center for Health StatisticsStatistics

February 2, 2012February 2, 2012

SCHS Provides:SCHS Provides:

A source of information for monitoring A source of information for monitoring the health condition of North Carolinians the health condition of North Carolinians

A source for copies of birth and death A source for copies of birth and death certificatescertificates

Analyses of important health issues, Analyses of important health issues, such as birth defects and infant mortalitysuch as birth defects and infant mortality

A central collection site for information A central collection site for information about cancer, birth defects, births, about cancer, birth defects, births, deaths, marriages and divorces deaths, marriages and divorces

SCHS Provides:SCHS Provides:

Accurate and timely information Accurate and timely information for use in setting health policy, for use in setting health policy, planning prevention programs, planning prevention programs, directing resources, and directing resources, and evaluating the effect of health evaluating the effect of health programs and services programs and services

A safe and secure environment A safe and secure environment for its confidential recordsfor its confidential records

SCHS ResponsibilitiesSCHS Responsibilities

Collecting dataCollecting data Producing reportsProducing reports Researching health issuesResearching health issues Maintaining a comprehensive Maintaining a comprehensive

collection of health statistics collection of health statistics

History of SCHSHistory of SCHS

Created as the North Carolina Created as the North Carolina Bureau of Vital Statistics by the Bureau of Vital Statistics by the State Legislature in 1913State Legislature in 1913

The Bureau evolved by 1980 into The Bureau evolved by 1980 into the State Center for Health Statisticsthe State Center for Health Statistics

Part of the Division of Public Health, Part of the Division of Public Health, NC Dept. of Health & Human NC Dept. of Health & Human ServicesServices

SCHS Units and SCHS Units and ProgramsPrograms Birth Defects Monitoring ProgramBirth Defects Monitoring Program Central Cancer RegistryCentral Cancer Registry Data DisseminationData Dissemination Health and Spatial AnalysisHealth and Spatial Analysis OperationsOperations Statistical Services, including Statistical Services, including

Survey Operations, Vital Statistics Survey Operations, Vital Statistics & Health Services Analysis& Health Services Analysis

Vital Records Vital Records

Birth Defects Birth Defects Monitoring Program Monitoring Program (BDMP)(BDMP) Has collected information about Has collected information about

serious birth defects since 1987serious birth defects since 1987 Data are collected by field staff who Data are collected by field staff who

review and abstract medical review and abstract medical recordsrecords

Combined with other information Combined with other information from administrative health from administrative health databases such as hospital databases such as hospital discharge records, birth certificates discharge records, birth certificates and newborn screening recordsand newborn screening records

Central Cancer Central Cancer Registry (CCR)Registry (CCR) Cancer was made a reportable disease Cancer was made a reportable disease

in NC by the legislature in 1947in NC by the legislature in 1947 CCR established in 1986CCR established in 1986 Collects, processes and analyzes data Collects, processes and analyzes data

on all cancer cases diagnosed among on all cancer cases diagnosed among North Carolina residentsNorth Carolina residents

Primary data source is the hospitals of Primary data source is the hospitals of the statethe state

Additional sources include physicians, Additional sources include physicians, death certificates and laboratory death certificates and laboratory reportsreports

Health and Spatial Health and Spatial AnalysisAnalysis Uses Geographic Information Uses Geographic Information

Systems (GIS) and other software Systems (GIS) and other software to describe and analyze the to describe and analyze the spatial and temporal relationships spatial and temporal relationships that exist among diseases, that exist among diseases, mortality, births, environments mortality, births, environments and population characteristics and population characteristics within a public health contextwithin a public health context

Health Services Health Services AnalysisAnalysis Primary data sources are Primary data sources are

administrative health databasesadministrative health databases– Hospital DischargeHospital Discharge– Medicaid DRIVEMedicaid DRIVE– HSIS/HISHSIS/HIS– WICWIC

Survey OperationsSurvey Operations

Behavioral Risk Factor Behavioral Risk Factor Surveillance System (BRFSS)Surveillance System (BRFSS)

Pregnancy Risk Assessment Pregnancy Risk Assessment Monitoring System (PRAMS)Monitoring System (PRAMS)

Child Health Assessment and Child Health Assessment and Monitoring Program (CHAMP)Monitoring Program (CHAMP)

Vital RecordsVital Records

Legally registers all births, deaths, Legally registers all births, deaths, fetal deaths, marriages, and fetal deaths, marriages, and divorces which occur in North divorces which occur in North Carolina Carolina

Codes events for statistical purposesCodes events for statistical purposes Maintains these recordsMaintains these records Provides certified or uncertified Provides certified or uncertified

copies to individuals, researchers, copies to individuals, researchers, and public health programs and public health programs

Vital StatisticsVital Statistics

Produces the annual vital Produces the annual vital statistics files for data analysis statistics files for data analysis and reportingand reporting

Provides data for the national Provides data for the national Vital Statistics Cooperative Vital Statistics Cooperative ProgramProgram

Works with Vital Records on data Works with Vital Records on data quality improvement effortsquality improvement efforts

HealthStats OverviewHealthStats Overview

NC-CATCHNC-CATCH

North Carolina Comprehensive North Carolina Comprehensive Assessment for Tracking Assessment for Tracking Community Health (NC-CATCH)Community Health (NC-CATCH)– Indicator Fact SheetsIndicator Fact Sheets– Query SystemQuery System

Required Internet Explorer Required Internet Explorer Required user accounts for query Required user accounts for query

systemsystem

IBIS-PHIBIS-PH

Multi-state initiativeMulti-state initiative Active Community of PracticeActive Community of Practice Indicator ReportsIndicator Reports Query SystemQuery System Integration with ArcServerIntegration with ArcServer Open source and browser Open source and browser

independentindependent

HealthStatsHealthStats

Phase I (current): Indicator Phase I (current): Indicator ReportsReports

Phase II (later in 2012): Query Phase II (later in 2012): Query SystemSystem

Phase III (2013): MappingPhase III (2013): Mapping

Overview of Overview of HealthStatsHealthStats http://http://

healthstats.publichealth.nc.gov/healthstats.publichealth.nc.gov/

Indicator Reports Indicator Reports ExamplesExamples Mortality: Colorectal Cancer Death Mortality: Colorectal Cancer Death

http://healthstats.publichealth.nc.http://healthstats.publichealth.nc.gov/indicator/view/ColorectalCanDgov/indicator/view/ColorectalCanDth.HNC2020.htmlth.HNC2020.html

Behavioral: Current Smokers Behavioral: Current Smokers http://healthstats.publichealth.nc.http://healthstats.publichealth.nc.gov/indicator/view/TobaccoSmokegov/indicator/view/TobaccoSmokeAdult.HNC2020.html Adult.HNC2020.html

Indicator Reports Indicator Reports Examples (cont.)Examples (cont.) NC Specific: Medicaid-Enrolled Children NC Specific: Medicaid-Enrolled Children

Receiving Dental Services Receiving Dental Services http://healthstats.publichealth.nc.gov/ihttp://healthstats.publichealth.nc.gov/indicator/view/MdcdChildDentalSvc.HNndicator/view/MdcdChildDentalSvc.HNC2020.htmlC2020.html

State only: Reported Illicit Drug UseState only: Reported Illicit Drug Use http://healthstats.publichealth.nc.gov/http://healthstats.publichealth.nc.gov/

indicator/view/indicator/view/IllicitDrugUse.HNC2020.html IllicitDrugUse.HNC2020.html

Preview of Query Preview of Query SystemSystem New Mexico Indicator-Based New Mexico Indicator-Based

Information System (NM-IBIS) Information System (NM-IBIS) http://ibis.health.state.nm.us/http://ibis.health.state.nm.us/

Utah’s IBIS-PH Utah’s IBIS-PH http://ibis.health.utah.gov/http://ibis.health.utah.gov/

New Jersey State Health Assessment New Jersey State Health Assessment Data (NHSHAD) Data (NHSHAD) http://www4.state.nj.us/dhss-shad/hohttp://www4.state.nj.us/dhss-shad/home me

Data available from Data available from SCHSSCHS

Data Available from Data Available from SCHSSCHS BirthsBirths

– Publications from 1913Publications from 1913– Computerized since 1956Computerized since 1956– Public Use File available since 1968Public Use File available since 1968– North Carolina Occurrence Births North Carolina Occurrence Births

and Out-of-State North Carolina and Out-of-State North Carolina ResidentsResidents

Data Available from Data Available from SCHSSCHS Births (cont.)Births (cont.)

– Demographic information about the Demographic information about the Mother and FatherMother and Father

– Birth Weight of BabyBirth Weight of Baby– Prenatal Care InformationPrenatal Care Information– Weeks of GestationWeeks of Gestation– Medical information related to the Medical information related to the

pregnancy and birthpregnancy and birth

Data Available from Data Available from SCHSSCHS DeathsDeaths

– Publications from 1913Publications from 1913– Computerized since 1956Computerized since 1956– Public Use File available since 1968Public Use File available since 1968– North Carolina Occurrence Deaths North Carolina Occurrence Deaths

and Out-of-State North Carolina and Out-of-State North Carolina ResidentsResidents

Data Available from Data Available from SCHSSCHS Deaths (cont.)Deaths (cont.)

– Demographic information Demographic information – Underlying Cause of DeathUnderlying Cause of Death– Other mentioned causes of deathOther mentioned causes of death

Data Available from Data Available from SCHSSCHS Fetal DeathsFetal Deaths

– Publications from 1913Publications from 1913– Computerized since 1956Computerized since 1956– Public Use File available since 1968Public Use File available since 1968– North Carolina Occurrence Deaths North Carolina Occurrence Deaths

and Out-of-State North Carolina and Out-of-State North Carolina ResidentsResidents

Data Available from Data Available from SCHSSCHS Fetal Deaths (cont.)Fetal Deaths (cont.)

– Birth Certificate InformationBirth Certificate Information– Cause of Fetal DeathCause of Fetal Death

Data Available from Data Available from SCHSSCHS Pregnancy DataPregnancy Data

– Births, Fetal Deaths, AbortionsBirths, Fetal Deaths, Abortions– Maternal attitudes and experiences Maternal attitudes and experiences

prior to, during, and immediately after prior to, during, and immediately after pregnancy from PRAMSpregnancy from PRAMS

Birth DefectsBirth Defects– Collected from existing records such as Collected from existing records such as

birth certificatesbirth certificates– Data abstracted from hospitalsData abstracted from hospitals

Data Available from Data Available from SCHSSCHS Cancer DataCancer Data

– Incidence data collected on all Incidence data collected on all cancers diagnosedcancers diagnosed

– Additional data from death Additional data from death certificatescertificates

Communicable DiseaseCommunicable Disease– Collected by the General Collected by the General

Communicable Disease Control Communicable Disease Control BranchBranch

Data Available from Data Available from SCHSSCHS BRFSSBRFSS

– North Carolina has participated in North Carolina has participated in the BRFSS since 1987the BRFSS since 1987

– A random telephone survey of state A random telephone survey of state residents aged 18 and older in residents aged 18 and older in households with telephones (now households with telephones (now includes cell phones)includes cell phones)

– Interviews are conducted monthly Interviews are conducted monthly and data are analyzed annuallyand data are analyzed annually

Data Available from Data Available from SCHSSCHS BRFSS (cont.)BRFSS (cont.)

– Health StatusHealth Status– Health BehaviorsHealth Behaviors– Chronic DiseaseChronic Disease– Risk FactorsRisk Factors

Data Available from Data Available from SCHSSCHS CHAMPCHAMP

– Annual survey results available from 2005Annual survey results available from 2005– Measures the health characteristics of Measures the health characteristics of

children ages 0 to 17children ages 0 to 17– Topics include breast feeding, early Topics include breast feeding, early

childhood development, access to health childhood development, access to health care, oral health, mental health, physical care, oral health, mental health, physical health, nutrition, physical activity, family health, nutrition, physical activity, family involvement, and parent opinion on topics involvement, and parent opinion on topics such as tobacco and childhood obesitysuch as tobacco and childhood obesity

Questions and Questions and AnswersAnswers

More InformationMore Information

HealthStats website: HealthStats website: http://healthstats.publichealth.nc.http://healthstats.publichealth.nc.gov/gov/

SCHS website: SCHS website: http://www.schs.state.nc.us/SCHShttp://www.schs.state.nc.us/SCHS//

IBIS-PH Community of Practice: IBIS-PH Community of Practice: http://www.ibisph.orghttp://www.ibisph.org

Contact InformationContact Information

Eleanor.Howell@dhhs.nc.govEleanor.Howell@dhhs.nc.gov 1908 Mail Service Center1908 Mail Service Center

Raleigh NC 27699-1908Raleigh NC 27699-1908 Phone: 919-715-7475Phone: 919-715-7475 Fax: 919-733-8485Fax: 919-733-8485