A Lot with A Little (or Bark for our Buck)

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A Lot with A Little(or Bark for our Buck)

• Experiences Reporting on RRFSS at the Brant
  County Health Unit
• RRFSS Workshop
• June 20, 2006

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• Overview
• History of RRFSS and PPEA in BCHU
• Developing Release Schedule of Reports
• Report Production (and Learning RRFSS)
• Selected Findings
• Accessing Final Reports
• Evaluation

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• HISTORY
• Perinatal Funding June 2003 May 2004
• Base Budget January 2005 (starting again)
• Additional 0.25 FTE for DAC/PPEA Nov. 2005
• PPEA Unleashed Jan. 2006
• Developed Schedule of Reports into 2007
• To date - 5 Reports plus 2 Analyses

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• Program Planning and Evaluation Analyst
• Proposed 0.25-0.5 FTE assistance in 2004 and 2005
  to meet increased analytical demands
• DAC started Jan. 2005 at 0.75 FTE
• Accepted topping up to 1 FTE - 0.25 as PPEA
• Focused on RRFSS production of monthly reports
  and taking advantage of the Rapid quality

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• Scheduling Reports
• Examined all data collected over time
• Grouped into Themes
• Identified when we had enough data
• Assessed annual timing of PH events
• Proposed Report release schedule
• Revised with feedback from Management

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Target Date Report Topic
March 1 Influenza Vaccination
March 17 Oral Health
April 13 Mammography (Tables Breastfeeding)
May 26 Tobacco Use and Minors Access (Tables Pesticides)
June 26 Violence (Family Violence and Violence Against Women)
July 24 Shade and Tanning (Tables Health Info / Media / Website)
August 21 Childhood Injuries - Beliefs Mechanisms
October 3 Physical Activity
November 3 Nutrition BMI and General Health
December 11 Reproductive Health and Breastfeeding (Tables FAS)
January 2007 Post Partum Mood Disorder (Tables Booster Seats)
February 2007 Falls and Fall Prevention
March 2007 Miscellaneous Sun Safety, Eat Smart (?)
April 2007 Womens Health Mammography and Pap Smears
May 2007 Tobacco and Alcohol Use
June 2007 Car and Booster Seats
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• Managing Limited Time For Each Report
• PPEA time 5 days total (1.25 days/week)
• Explore variables Propose plan
• Meet with Epidemiologist
• Meet with other relevant Managers and Staff
• Analyze Data (Recoding, Weighting, Auto CI)
• Write Draft Report
• Revisions, revisions, revisions

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• Learning RRFSS
• Extra time for PPEA Jan-March 2006
• Reading MOO
• Learning about Syntax
• Meetings and Networking
• Reviewing Existing RRFSS Reports
• Developing Report Template with Epidemiologist

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• Report Template
• Target Audience - Internal (and External)
• Concise 4 pages 11x17 folded
• Cover introduction, promote RRFSS
• Inside explore by socio-demographics, etc.
• Back trends(?), interpretation and contact

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• MORE INTERPRETATION
• The sample was weighed to reflect household size
  of the respondents, not the population from which
  the sample was drawn.
• The age distribution of the sample was
  representative of the population, and there was
  less than a 5 difference in the gender
  distribution, with the sample having a
  slightly larger proportion of females and smaller
  proportion of males. Therefore, please note that
  estimates may differ from other sources.
• A 95 Confidence Interval indicates that if 100
  samples were drawn randomly, estimates from 95 of
  those samples would fall within this range,
  which implies that this estimate is accurate to
  within this range 19 times out of 20.
• Unstable estimates released with caution had a
  coefficient of variation between 16.6 and 33.3
  and may not be reliable.
• Unreleasable estimates had a coefficient of
  variation greater than 33.3 or a cell count that
  was too small to be reliable.

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• Final Reports
• Announced to MT by Epidemiologist
• Printed in Hard Copy available to staff
• Posted on Internet as .pdf for anyone(www.bchu.or
  g Stats and Reports)

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• Selected Findings

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Estimate unreleasable (see More
Interpretation).
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• Do you have all, most, some, few, or none
• of your natural teeth?

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• Reason for last Mammogram by Age

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• Tobacco Use in the Home by Smoker Status

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• Evaluation
• Still within timeframe of schedule, although some
  reports took a little longer
• Average report length is still 4 pages, although
  one was 8 pages and one was 2
• MT Glad to see products from money invested

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• Our Bark has Bite!

Chief Dental Officer at Health Canada indicated
that he found our Oral Health report interesting
and that he would use our findings as a
sub-sample for comparing local to national
statistics.
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• Thank You !
• Adam Stevens 519-753-4937 Ext.
  219astevens_at_bchu.org
• Jennifer Munro 519-753-4937 Ext.
  319jmunro_at_bchu.org