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: dacchpr@ucla.edu

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 Workshopsashleyvparks@ucla.edu

Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion