TPCA: Up to the Challenge

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TPCA Up to the Challenge

• Using Web-Based
• Data to Advance
• Access to Care
• April 25, 2006

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Kiamichi Family Medical Center, Battiest, OK
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Using Web-Based Data to Advance Access to Care

• Where do you go to find health information in
  Tennessee?

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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

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TPCA County Health Indicators

• Excellent Tutorial
• http//www.tnpca.org/health/materials/how_website
  _organized.ppt
• ComMetrics, Inc. Sandra.miller_at_conwaycorp.net

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• How Everything Fits Together

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What You Will Find
Graphs Maps
Definitions
Data
Explanations
Links
Healthy People 2010
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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

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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

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County Profiles Graphs Maps
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Data Definitions

• Alphabetical listing
• Links to sources
• Explanatory notes

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Data Tables Numbers
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Data Tables Sources
Link to source Frequency of update Date accessed
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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 dont have Microsoft PowerPoint. Can I still
  view the PowerPoint presentations? I need the
  data, not a graph. Where do I get the data?
• Im not sure how to interpret the numbers Im
  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?

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Other Resources Links
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Healthy People 2010

• Links to detailed list of objectives
• Links to background document
• Links to Excel files with objectives

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• HIT is Advancing Access to
• Better Health Information

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• HIT is pleased to present online access to
  official State of Tennessee data for
  Births    Deaths    Population         
  Hospitals Nursing Homes
• FEATURING
  DATA QUERY

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• Several examples of using GIS/Mapping to
  visualize and demonstrate relationships toward
  advancing access to care

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OCS and slides that follow
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Office of Cancer Surveillance

• Tennessee Cancer Registry (TCR)
• Tennessee Comprehensive Cancer Control Program
  (TCCCP)

Jennifer Murray, Epidemiologist
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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)

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TCR Data Usage

• Annual Report 2006
• Cancer Factsheets Overall, specific cas
• Guide TCCCP in their activities
• Research Projects
• Harvard School of Public Health
• Nashville Breast Health Study
• Southern Community Cohort Study
• 7th Day Adventist Study

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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

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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

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Data and Research

• Grant Resources
• Block Grant Collaborative Efforts
• Grant RHIO
• Info exchange Linkage

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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.

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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 states 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.

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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
  Tennessees children are not faring well.

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Grants

• Birth Population In 2004 there were 79,572
  births in Tennessee, an increase over the past
  five years, reflecting a growing overall
  population. Of the total births, 78 were white
  (61,899), 20 black (15,787), and 2 other races
  (1,886). These percentages are reflective of the
  racial spread of the population of reproductive
  age women (78 white, 19 black). 2000 census
  data show that females aged 10-44 make up 25.4
  of the total population. Of the total 2004
  births, 12.9 were to women aged 10-19 (10,260).

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Grants

• In 2004, there were 5,848 Hispanic births (7.4
  of total births), an increase of 905 births or
  18 over the number for 2003 (4,943) and
  indicative of the states increasing Latino
  population.

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Common Types of Grants

• New
• Block
• Continuation
• State
• Federal

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Collaborative Interests

• Data Capture
• Data Utilization
• Data Integration
• Data Manipulation
• Data Applied Use in Care/Treatment
• RHIO Regional Health Information Exchange
• Electronic Health Records

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Tennessee Priorities

• Body Mass Index (BMI) Both adult and Child
• Obesity
• Diabetes
• Stroke
• Prevention Strategies
• Disparity Elimination

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Grants

• Tennessee Primary Care Association
  Challenge

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Challenge For TPCA

• Sponsor a grant application for a statewide
  collaboration research initiative to address
  major primary health care needs and barriers to
  care.

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WEBSITES

• http//hit.state.tn.us
• http//www2.state.tn.us/health/CCCP
• http//www2.state.tn.us/health/TCR
• http//www.tnpca.org

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TPCA Up to the Challenge

• Using Web-Based Data to Advance
• Access to Care
  
  THANK YOU!
• Ronald L. Campbell, MSHA, CHE, Health Planner,
  Health Information Tennessee, TDH
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• Ramona Lainhart, PhD, Director, Grants and
  Funded Projects, PPA, TDH
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• Fenyuan Xiao, PhD, Epidemiologist, Health
  Information Tennessee, TDH
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• Jennifer Murray, PhD, Epidemiologist, Office
  of Cancer Surveillance, TDH
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• Fred Croom, MD, Epidemiologist, Surveillance,
  Epidemiology Evaluation