Introduction to Health Data using Online Resources:

AskCHIS Introduction Online TrainingHealth Data. Advocacy. Training. Assistance.

I. Introduction to AskCHIS

II. Overview: Understanding Data and Developing & Answering Data Questions

III. Modules 1-4 Available Resources and Accessing Data from the AskCHIS Online Data Query System

IV. Practice with AskCHIS - 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 introduction to 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 univariate 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

More than 50,000 Californians - including adults, teenagers and children - are surveyed continuously by Center researchers

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

Distinguish between different data types

Identify the type of data CHIS provides

Review how to evaluate data sources

Review benefits and limitations of CHIS data

Develop and Answer Data Questions

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

Data Types

Quantitative data Numerical- # of healthcare facilities in a city

Qualitative data Textual/words, often descriptions- An individual’s account of

her experience at a healthcare facility

Primary data Collected and analyzed directly by individuals, communities

and researchers

Secondary data Collected and provided by a third party such as a non-profit,

university or government agencyIntroduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion

Evaluating Data

Credibility

Specificity

GeneralizabilityReliability

Timeliness

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 (Level 2)

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

Identify a question that can be answered using data Consider the population, location and pervasiveness of a

specific community health issue when developing a data question

Identify appropriate data types and sources Quantitative vs. Qualitative; Primary vs. Secondary

Identify stakeholders that can help answer the data question Connect with stakeholders that work with community of

interest

Present the Data Present data in a simple and consistent manner- tables,

charts and graphs are very helpful

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

Develop and Answer Data Questions

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

AskCHIS: www.chis.ucla.edu

1. Log-in to AskCHIS (or register)

2. Select a Geographic Area

3. Select a Main Topic

4. Select a Compare By Group

5. Select a Population for your Results

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

Please join us for a Level 2 training to review the “Compare By” tab.

Developing a Data Question

Step 1: What question are you trying to answer? What is the percentage of children (ages 0-12) in Los Angeles

County by Medi-Cal?

Step 2: Review the Topic Sources Main topic: Health Insurance; Search by “Medi-Cal”

Step 3: Identify the health topic you are interested in and corresponding CHIS Variable “Covered by Medi-Cal”- Data available for children, adolescents

and adults through 2009

Step 4: Identify a Population to be included in your results Specify age range: 0-12

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.

Interpretation is very important!

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

Additional Features Save query in Library – coming soon!!

Compare to State

Change time period Compare 2 years Show Trend Line:

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

Join us for the Level 2 AskCHIS Training!

“Compare by” Tool: 2-way data table that provides answer to a data

query that focuses on the distribution of one variable across the levels of a second variable, aka Bivariate table i.e. the distribution of children covered by Medi-Cal

across poverty levels

Additional Features: Exporting Data to Excel

Using Excel for advanced data analysis, building larger queries, tables and graphs

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

Evaluation and Conclusion

Please complete the workshop evaluation before you leave today: https://www.surveymonkey.com/s/AskCHISonline2013

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