Introduction to Health Data using Online Resources:
AskCHIS Advanced Online TrainingHealth DATA Program:
Data. Advocacy. Training. Assistance.
I. Introduction
II. Overview: AskCHIS in review
III. Modules 1-4: Introduction to AskCHIS through Interpreting and Presenting AskCHIS Data
IV. Practice with AskCHIS and Excel - Explore specific indicators related to health insurance and health services in your area including ACA related indicators
V. Evaluation & Conclusion
Agenda
Introduction - Module 1 - Module 2 - Practice with AskCHIS - Evaluation and Conclusion
Goal: Support development of communities where kids can be healthy, safe and ready to learn
Building Health Communities Initiative: Targeted investment in 14 communities over 10 years where need is great but the potential for transformation is even greater
Support
Goal: Educate policy makers, medical field and communities to improve the health of all populations
Knowledge is power. It’s even more powerful when it’s shared.
Introduction to AskCHIS as a Data Source Today’s training will provide an in depth review on finding,
selecting, and analyzing health insurance and healthcare access related indicators in AskCHIS.
The training walks individuals through participant generated examples, teaching participants how to work with CHIS variables, generate bivariate tables, and export data tables and graphs.
The Affordable Care Act is effective January 1, 2014. AskCHIS can provide you information on health insurance status, access to care, health status, employment, income, demographics and more.
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
California Health Interview Survey CHIS is the nation's largest state health survey
Conducted by the UCLA Center for Health Policy Research, located within the UCLA School of Public Health, in collaboration with the California Department of Public Health and the Department of Health Care Services Center for Health Policy Research’s mission: improve and
maintain the public’s health by advancing health policy research, public service, community partnership and education
Health DATA program exists to make data easy and understandable to a wide range of health advocates through trainings, workshops and technical assistance.
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Overview
Review Resources Available at AskCHIS .com
Develop and Answer Data Questions
Overview of AskCHIS
Advanced AskCHIS Features
Additional Features
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Benefits and Limitations
CHIS CAN: CHIS CANNOT:
Provide data for California counties
Compare information between counties and the state
Compare information across 2nd variable
Compare data over time (2001-2011)
Provide data before 2001
Provide data on non-California households
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Modules
1. Data for Decision Making and Developing and
Answering Data Questions
2. Accessing Data from the AskCHIS Online Query System
3. Executing Queries and Retrieving Data
Focus on compare by function
Exporting data to excel and using advanced excel features
4. Interpreting and Presenting AskCHIS Data
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
AskCHIS
Online data query system that allows you to access specific health information from CHIS
CHIS information can also be accessed via: Data Access Center located at the UCLA Center for
Health Policy Research Email: [email protected]
Public Use Files available on the AskCHIS website
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
1 Topic: One-way table
Table provides answer to a data query that focuses on only ONE health topic or characteristic, aka Univariate table
Univariate tables provide percentages, populations estimates and confidence intervals
See Worksheet 1, B-19 in your workbook for more information
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Indicators Related to Health Insurance and Access to Care There are a number of indicators in AskCHIS that provided data on
health insurance status and access to medical care. Let’s take a look!
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
INDICATORS ADULT TEEN CHILD
Health Insurance Indicators
Current insurance coverage, spouse’s coverage, who pays for coverage X X X
Health plan enrollment, characteristics and assessment of plan X X X
Whether employer offers coverage, respondent/spouse eligibility X
Coverage over past 12 months, reasons for lack of insurance X X X
Difficulty finding private health insurance X
High deductible health plans X X X
Partial scope Medi-Cal X
Access to and Use of Healthcare
Usual source of care, visits to medical doctor X X X
Emergency Room Visits X X X
Delays in getting care (prescriptions and medical care) X X X
Medical home, timely appointments, hospitalizations X X X
Communication problems with doctor X X
Internet use for health information X X
Other Indicators Related to Health Insurance, Access, and Utilization There are also additional indicators which are tied closely to
insurance status and access to care.
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
INDICATORS ADULT TEEN CHILD
Employment
Employment status, Spouse’s employment status X
Hours worked at all jobs X
Income
Respondent’s and spouse’s earnings last month before taxes X
Household income, number of persons supported by household income X
Respondent Characteristics
Race and ethnicity, age, gender, height, weight X X X
Veteran Status X
Marital status, registered domestic partner status (same sex couples) X
Sexual orientation X
Language spoken with peers, language of TV, radio, newspapers, X
Education, English proficiency X
Citizenship, Immigration status, country of birth, length of time in US, language spoken at home X X X
Additional Features Compare to State
Change time period Compare 2 years Show Trend Line:
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Selecting 2 topics creates a 2-way table
Table provides answer to a data query that focuses on the distribution of one variable across the levels of a second variable, aka Bivariate table The distribution of children covered by Medi-Cal
across poverty levels
Interpretation of information is extremely important!
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Interpreting and Presenting Data Switch main variable and compare by
variable: “Transpose topic”
Show in bar graph, pie graph
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Unstable Estimates Given the small size of many California
Counties, data pulled for certain health indicators can yield “statistically unstable” results These are marked by a red asterisk (*) in the
generated tables
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Strategies for Dealing with Unstable Estimates Increase/change the geographic area
Use statewide totals or larger counties
Remove Comparative categories Try not limiting by race/ethnicity, gender or age
Use data from a larger time frame Combine information from a series of years
Use different indicators Look at “Currently Insured” vs. “Type of Health
Insurance Coverage”
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
Evaluation and Conclusion
Please complete the workshop evaluation before you leave today: http://www.surveymonkey.com/s/AskCHISAdvancedo
Review the appendices in the workbook and resources at: www.chis.ucla.edu
Contact information: Ashley V. Parks
Project Manager, AskCHIS Community [email protected]
Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
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