Kim Angelon-Gaetz and Edna Hensey, Trainers NC-CATCH Training

Kim Angelon-Gaetz and Edna Hensey, Trainers

NC-CATCH TrainingNC-CATCH Training


What is NC-CATCH?

Data Warehouse• Collection of Datasets

Tool• Compiles and

analyzes county, regional, state data

Requirements• High Speed Internet• Internet Explorer• Adobe Acrobat Player

Sheps

Center

SCHS

BRFSS

CLARITAS

DA

D

DA

D

NCHS

DA

D

DA

D

D

North Carolina Comprehensive Assessment for Tracking Community

Health


What are its benefits & limitations?

Benefits• Data available from many sources• Data easy to organize, manipulate, and present • Tailored information quick and easy• Convenient visual aids (graphs and charts)

Limitations• May need data from other sources• Not all health indicators available in design phase• Dynamic program – expect changes/upgrades


How can youyou use it?

Program Planning and MonitoringCommunity Health AssessmentState-of-the-County’s Health ReportGrant DevelopmentReports to Policy MakersWebsite “facts and figures”Presentations, Articles, News ReleasesResponse to Public Inquiries

Put a link on your desk top for quick access!


What types of data does it have?(Quantitative only, ex: Rates, Number of cases of disease, Percents)

DemographicsPer Capita IncomeUnemploymentFree/Reduced LunchMedicaidUninsuredHigh School Dropout

Rate Mental Health

Morbidity and Mortality Hospital DischargeEmergency Room Visits Behavioral Risk FactorsHealth ProfessionalsMaternal, Infant and

Child Health Dental Services

Data Sources: NC State Center for Health Statistics – BRFSS - Claritas – Cecil B. Sheps Center for Health Services Research, UNC – National Center for Health Statistics- NC DETECT



How does NC-CATCH differ from SCHS?

NC-CATCH also has …

Years Potential Life Lost (YPLL)

Medicaid/WIC Socioeconomic dataEmergency/hospital dataMental healthPatient/healthcare

professional ratio

SCHS website also has …

High risk birthsChildhood obesityChild Health Assessment

and Monitoring Program (CHAMP)

Pregnancy Risk Assessment Monitoring System (PRAMS)

Health Atlas

You may have to go to other sources for additional information.


NC-CATCH Tools

County Health Profile = “Snapshot of county”• New County Health Profile - 10 major categories of

important health statistics for the county organized by population, risk factor, and disease. (Available to the Public)

• Old County Health Profile - 10 major categories organized by data source. (Login Required)

Drilldown Query (Login required)

• Enter through Design Menu

• Allows deeper analysis

• Datasets organized into Cubes


County Health Profile



Click on the county to get the county’s health profile

Green = Better than the state’s rate by more than 15%Yellow = Within +/- 15% of the state’s rateRed = Worse than the state’s rate by more than 15%


Click on the blue link to see all of the indicators listed under categoryClick on the blue title of each health indicator to bring up the

interactive Indicator Fact Sheet



Indicator Fact SheetCounty NameIndicator Category and

TitleNumerator and

Denominator sourceDescription of Health

IndicatorPeer ListCharts and GraphsLink to Selected Cubes

(Login)

• Cancer Registry • Maternal, Infant

Check out raw data for small numbers <20 events – grey shading.


Peer Counties

3-4 Counties similar to yours (based on data from past 5 years)

• % population < 18 years• % population > 64 years• % non-white population• % families with children below poverty level• Total population

Peer indicator rate = weighted average of the rates from all peer counties


Export Fact Sheets

Export to Excel

Copy graphs and charts from Excel into Word or PowerPoint

Check Quick Reference for details.


County Health Profile (Old - Login Required)

Click on County to get the county health profile

Click on “Print” to get the health indicator fact sheet

Check Quick Reference for details.


Statistics Used in NC-CATCH

AverageCount

Rate• Incidence• Prevalence• Age-adjusted vs. age-specific

YPLL


Population at Risk

The total number of people in your population able to get a disease or have a health outcome.A person is not at risk if he or she:• Dies• Has the outcome• Moves out of the population• Does not have the necessary organ or body part to get the health outcome (Ex: Males can not get cervical cancer)

Large populations are in “steady-state,” assuming the same number of people entering and leaving

Image from www.jsaircurtains.com


Type of Rates: Incidence

Incidence Rates in the County Health ProfileCancer morbidity rates

Infectious disease morbidity rates

Incidence Rate =


Types of Rates: Prevalence

Prevalence is a “snapshot” of the disease or health outcome in a population

Usually reported as a percentA percent uses 100 as the standard unit

Prevalence Rate =

Example: If 10,000 residents out of 50,000 have Type 2 diabetes in my county:

(10,000/50,000) *100% = 20% have Type 2 diabetes.


Types of Rates: Standardized vs. Specific

Crude rates set a standard population size

Age-adjusted rates set standard age distributions AND population sizes

Age-specific rates are rates stratified by age group

Compare rates: Use standardized rates relevant to your

health outcomeUse rates for the same time period only

Note: Percents are usually not age-adjusted


Reporting Rates from NC-CATCH

Check out the standard unit in the “Description” If 100: report the

rate as a percent If 1,000, 10,000

or 100,000: report it as a rate


Small Numbers

Work with Small NumbersCombine data into 5-year periods instead of looking at 1

yearCombine data for multiple counties or look at one region

CATCH helps you easily compile data!

•Rates or percents based on less than 20 events are considered statistically unstable.

•Always check the number of events for a rate or percent!


Years Potential Life Lost (YPLL)

A measure of impact of premature death by disease

YPLL75=

NC-CATCH has both YPLL 65 and YPLL 75 (new standard)


HELP = Users Manual


Community Health Assessment FAQs (Frequently Asked Questions)


Example questions that can be answered in NC-CATCH

Are we meeting our county’s mental health needs?

What percent of adults (18-64) in our county are uninsured?

How does our county compare to the state in terms of our premature death rate?

What are some questions you would like to explore?


Trainer’s Contact Information

Kim Angelon-Gaetz - (919) 218-0499 [email protected]

Edna Hensey – (919) 832-2739 [email protected]


Assistance

NC-CATCH Technical Assistance Software Solutions Lab at UNC Charlotte

Email: [email protected] Phone: (704) 687-8642

NC-CATCH Data Questions or CommentsKathleen Jones-Vessey, State Center for Health

Statistics

Email: [email protected] Phone: (919) 715-9692

Documents

Kim Angelon-Gaetz and Edna Hensey, Trainers NC-CATCH Training