Public Health Conference on Records and Statistics (July 19-21, … · The NCHS is the Federal Government’s principal health statistics agency. NCHS’S data systems address the

aad 7/z/73

public Health Conferenceon Records and Statistics

Toward the year

Refining the measures

Mayflower Hotel ● Washington D.C.

July 19-21,1993

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health Service

Centers for Disease Control and Prevention CDCNational Center for Health Statistics CE~RS FOR DISUSE CONTROL

AND PREVEtMON

public Health Conferenceon Records and Statistics

Refining the measures

Mayflower Hotel ● Washington D.C.

July 19-21, 1993

U.S, DEPARTMENT OF HEALTH AND HUMAN SERVICESPubllc Health Setvlce

Centers for Disease Control and PreventionNational Center far Health Statistics

1993 PUBLIC HEALTH CONFERENCE ONRECORDS AND STATISTICS PROGRAMCOMMITTEE

Manning Feinleib, M.D., Dr.P.H.DirectorNational Center for Health Statistics

CHAIRPERSON

Jack R. AndersonActing Deputy DirectorNational Center for Health Statistics

MEMBERS

Lester R, CurtinPeter L. HurleySandra S. Smith.Tames A. WeedP. Douglas WilliamsRonald W. Wilson

STAFF

Nancy G, HamiltonBarbara W. Hetzler

iii

PUBLIC HEALTH CONFERENCE ONRECORDS AND STATISTICS STAFF

Jacquelyn L. AdlerRobin T. BarnesBarbara P. ButlerElizabeth T. DarlingDon R. DeRochaNancy G. HamiltonBarbara W. HetzlerThomas S. VissmanBrenda L. Wolfrey

EXHIBITS AND PUBLICATIONS SUPPORT STAFF

Joan D. BurtonAnnette F. GaidurgisSarah M. HinklePatricia E. Keaton-WilliamsSabra F. LloydStephen L. Sloan

CONTENTS

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19

21

22

1993PHCRS Program Committee

PHCRS Staff and Exhibits and Publications Support Staff

For Your Information

Hotel Room Map

Conference Week at a Glance

Conference Sessions

Where to Find It

First Plenary Session

Concurrent Session A

Concurrent Session B

Concurrent Session C

Concurrent Session D

Concurrent Session E

Concurrent Session F

Concurrent Session G

Concurrent Session H

All Conference Mixer

Second Plenary Session

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—

—

—

—

—

—

—

—

—

Conference headquarters, registration,conference mixer, exhibits, message board andlost and found, and conference proceedings

Increasing Span of Healthy Life

Years of Healthy Life

Infant Mortality

Children and Youth

Mental Health Indicators – From Epidemiologyto Service Delivery

Family and Health

Nutrition

Injuries and Violence

Measuring the Health and Disability of OlderAmericans

Measuring Health Disparities

23

24

25

27

28

29

30

31

32

33

35

36

38

39

40

41

42

43

44

vi

Concurrent Session I – What’s News in Health Statistics?

Concurrent Session J – Race-Ethnicity Classification

Concurrent Session K – People with Disabilities

Concurrent Session L – Health Statistics from Record Systems

Concurrent Session M – Numerator-Denominator Linkage

Concurrent Session N – International Comparisons

Concurrent Session O – Issues in Confidentiality

Concurrent Session P – Methodological Issues for National MinorityData

Concurrent Session Q – Socioeconomic Indicators

Concurrent Session R – Minority Health Research

Concurrent Session S – Intercensal Population Estimates

Concurrent Session T – Special Focus Surveys

Third Plenary Session – Assessing Preventive and Primary HealthServices

Concurrent Session U – Cost-Benefit Analyses

Concurrent Session V – Comparable Methods and Data

Concurrent Session W – Medical Effectiveness Outcomes Research

Concurrent Session X – Health Data for Program Management

Concurrent Session Y – Data Support for Medical Care Policy

Concurrent Session Z – Prevention Effectiveness

45 Concurrent Session AA – Barriers to Care

46 Concurrent Session BB – CDC’S Recommendations on Public HealthSurveillance Systems

47 Program Session Organizers

49 Program Session Chairpersons

51 Program Session Speakers

vii

FOR YOUR INFORMATION

About the Con ference . . .

Since 1958 the National Center for Health Statistics (NCHS) has sponsored thePublic Health Conference on Records and Statistics (PHCRS) as a biennial nationalmeeting. This 24th PHCRS, with the theme “Toward the year 2000 – Refining themeasures,” provides a forum for Federal, State, and local government representa-tives as well as universities and professional associations to share their statisticalknowledge and experience. This diverse gathering lends a rich variety of perspec-tives on current issues concerning health information in the United States.Technical and philosophical issues are brought to light during each conferencesession, and the published proceedings serve as a valuable reference in addressingcurrent issues.

About the National Center for Health Statistics . . .

The NCHS is the Federal Government’s principal health statistics agency. NCHS’Sdata systems address the full spectrum of concerns in the health field from birth todeath, This includes overall health status, lifestyle, exposure to unhealthy influences,the onset and diagnosis of illness and disability, and the use of health care. NCHSmaintains over a dozen surveys that collect health information through personalinterviews; physical examinations and laboratory testing; review of hospital, nursinghome, and physician records; and other means. These data systems and thesubsequent analyses and reports are designed to provide information useful to avariety of policymakers and researchers.

About the Topic . . .

HealtlayPeople 2000 is a national initiative to improve the health of all Americansthrough prevention. It is driven by 300 specific national health promotion anddisease prevention objectives targeted for achievement by the year 2000. Central tothis process, and underlying all efforts to improve health and health care, is areliance on data to identi~ problems, point to solutions, and measure progress. Apublic health initiative of the magnitude of Healthy People 2000 also requiresinitiatives of comparable scope and dimension to provide the data required. By theyear 2000, the Nation seeks to increase the span of healthy life, reduce healthdisparities in the population, and provide access to preventive services for allAmericans. Conceptual and methodological issues must be addressed to provide thestatistical support to achieve those goals. The 24th PHCRS seeks to refine themeasures as the Nation moves toward the year 2000.

1

FIRST FLOOR MEETING ROOMS

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STATE ROOMI

EAST ROOM SENATE ROOM CABINET ROOM

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RESTAURANT GRAND BALLROOM IiIi

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LOWER LEVEL MEE~G ROOM

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STAGE

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COLONIAL ROOM

UP

UP UP

TERRACE

ENTRY

b

ELEVATORS

-1 UP

ConferenceWeekat aGlance

TOWARD THE YEAR 2000Mondav. Julv 19 Tuesday,

9:00 a.m.to10:00 a.m.

10:30 a.m.1012:00 p.m.

12:00 p.m.toI :30 p.m.

I :30 p.m.to3:00 p.m.

3:30 p.m.to5:00 p.m.

5:30 p.m.to7:00 p.m.

-?.

)pening Ceremony

First Plenary SessionIncreasing Span of Healthy Life

.unch

4.(ears of

+eaithy

fie

E.Family

and

Health

3.nfant

blortalily

F.Nutrtion

All Conference Mixer

.a.

2hildren and

(outh

G,Injuries

and

Violence

D.Mental Health

lndicators—

From

Epidemiology

to Service

Delivety

H.Measuring the

Health and

Disabil~

of Older

Americana

SecondMeasuring

7

1.What’s New

in Heatth

Statistics?

Lunch

M.Wumerator-

)enominator

.inkage

Q.S=io-

economic

Indicators

-- REFINING THE MEASURESJuly 20 Wednesday,

Plenary SessionHealth Disparities

IJ,

Race-

N,InternationalComparisons

R,MinoriiHealthResearch

K.People withDisabilities

0,IssuesinConfidentiality

s.IntercensalPopulationEstimates

L.HealthStatisticsfromRecordSystems

P,Methodologi-cal IssuesforNationalMinor”@Data

T.SpecialFocussuNeys

July 21.-

Fhird Plenary Session4ssessing Preventive and Primary+ealth Services

J.:ost-

3enefii

\nalyses

.unch

v. w. x.Comparable Medical Health Data

Methods Effectiveness for Programand Data Outcomes Management

Research

)ata Suppolor Medical

2are Policy

Prevention Barriers CDC’SRecom-Effectiveneasto Care mendationson

PublicHealthSurveillanceSystems

Demonstrations and Exhibitsthroughout the 3-day conference

5

CONFERENCE SESSIONS

The Public Health Conference on Records and Statistics

.

Toward the Year 2000 –Refining the Measures

Monday, July 19

OPENING CEREMONY9:00-10:00 a.m.

FIRST PLENARY SESSION10:30 a.m.–l2:OO p.m.

Increasing Span of Healthy Life

Lunch Break 12:00–1:30 p.m.

CONCURRENTAFTERNOONSESSIONS 1:30–3:00 p.m.

A Years of Healthy Life

B Infant Mortali~

C Children and Youth

D Mental Health Indicators –FromEpidemiology to Service Delivery

CONCURRENTAFTERNOONSESSIONS 3:30–5:00 p.m.

E

F

G

H

Family and Health

Nutrition

Injuries and Violence

Measuring the Health andDisability of Older Americans

Tuesday, July 20

SECOND PLENARY SESSION9:00–10:00 a.m.

Measuring Health Disparities

CONCURRENT MORh?INGSESSIONS 10:30 a.m,-12:00 p,m,

I What’s News in Health Statistics?

J Race-Ethnicity Classification

K People with Disabilities

L Health Statistics from RecordSystems

Lunch Break 12:00-1:30p,m.

CONCURRENT AFTERNOONSESSIONS 1:30-3:00 p.m.

M

N

o

P

Numerator-Denominator Linkage

International Comparisons

Issues in Confidentiality

Methodological Issues for NationalMinority Data

ALL CONFERENCE MIXER5:30–%00 p.m.

6

CONCURRENTAFTERNOONSESSIONS ~ 3:30-5:00 p.m.

Q Socioeconomic Indicators

R Minority Health Research

S Intercensal Population Estimates

T Special Focus Surveys

Wednesday, July 21

THIW PLENMY SESSION9:00-10:00 a.m.

Assessing Preventive and PrimaryHealth Services

CONCURRENT MOMINGSESSIONS 10:30 a.m.-l2:OO p.m.

U Cost-Benefit Analyses

V Comparable Methods and Data

W Medical Effectiveness OutcomesResearch ~

CONCURRENTAFTERNOONSESSIONS 1:30-3:00 p.m.

Y Data Support for Medical CarePolicy

Z Prevention Effectiveness

AA Barriers to Care

BB CDC’S Recommendations onPublic Health Surveillance Systems

X Health Data for ProgramManagement

Lunch Break 12:00-1:30 p.m.

7

WHERE TO FIND IT

Conference Headquarters-All 1993 conference sessions will be held at theMaflower Hotel, located at 1127 Connecticut Avenue, NW., Washington, D,C.20036. Metro RED Line, Farragut North Stop, “L” Street Exit. Telephone: (202)347-3000.

Registration –The registration desk located ifi the promenade will be open thefollowing hours:

Sunday, July 18 1:00 to 6:00 p.m.Monday, July 19 8:00 a.m. to 5:00 p.m.Tuesday, July 20 8:00 a.m. to 5:00 p.m.Wednesday, July 21 8:00 am, to 3:00 p.m.

Conference Mixer-All conference participants are invited to the mixer on Mondayfrom 5:30 to 7:30 p.m in the Colonial Room. Don’t miss this occasion to greetdistinguished guests, meet new acquaintances, and rejoin old friends.

Exhibits – Conference exhibits can be viewed on Monday and Tuesday from 9:00a.m. to 5:00 p.m., and on Wednesday from 9:00 a.m. to 12:00 p.m. in the Cabinetroom.

Message Board and Lost and Found–A bulletin board near the PHCRS registra-tion desk will be used to noti$ conference participants of messages. This messagecenter will also serve as the conference lost and found.

Conference Proceedings –All who register will receive automatically, withoutcharge, a copy of the conference proceedings pending publication, (Anticipatedtimeframe of 6 months for final publication.)

Monday, Ju419

FIRST PLENARY SESSION9:00 a.m. –l2:OO p.m.

OPENING CEREMONY

9:00 a.m. Welcome and IntroductionsManning Feinleib, M.D., Dr.P.H.DirectorNational Center for Health Statistics

Greetings and Opening RemarksWalter R. Dowdle, Ph,D,Deputy DirectorCenters for Disease Control and Prevention

INCREASING SPAN OF HEALTHY LIFE

The means for producing longer, quality lives for all Americans is a challenge formedical care, health promotion, and statistical measurement,

Chairperson:

10:50 a.m.

11:20 a.m.

SessionOrganizer:

J. Michael McGinnis, M.D.Deputy Assistant Secretary for HealthOffice of Disease Prevention and Health Promotion

Valuing Lives, Valuing HealthDonald L. Patrick, Ph.D., M.S,P,H.Professor and Director, Social and Behavioral SciencesDepartment of Health ServicesUniversity of Washington

Tough Decfiion.s:TradeoffsInvolving Years of Healthy LyeJane E. Sisk, Ph.D.ProfessorDivision of Health Policy and ManagementColumbia University School of Public Health

Peter L. Hurley

9

Monday, Ju& 19

CONCURRENT SESSION A1:30–3:00 p.m.

YEARS OF HEALTHY LIFE

Progress towards the Healthy People 2000 goal to increase the span of healthy lifefor Americans can be tracked by measuring years of healthy life. This session willaddress research on and applications of measures of years of healthy life.

Chairperson:

1:35 p.m.

2:00 p.m.

2:25 p.m.

2:50 p.m.

SessionOrganizer:

Jacob J. Feldman, Ph.D.Associate DirectorOffice of Analysis and EpidemiologyNational Center for Health Statistics

Calculating Years of Healthy Lye for Healthy People 2000Pennifer Erickson*Chief, Clearinghouse on Health IndexesDivision of Epidemiology and Health PromotionNational Center for Health Statistics

The Calculation of Health-Adjusted Lye @ectancy in CanadaUsing a Multi-Attribute UtilityFunction

Roger Roberge, M.A.*Analyst, Health Analysis and Modeling GroupStatistics Canada

Accounting for Deaths %en Measuring Health StatusOver Time

Paula Diehr, Ph.D.*Professor of Biostatistics and Health ServicesDepartment of BiostatisticsUniversity of Washington

Discussion

Pennifer Erickson

*Speaker of coauthored paper.

10

Monday, Ju~ 19

CONCURRENT SESSION B1:30-3:00 p.m.

INFANT MORTALITY

Innovative approaches to epidemiological analysis of perinatal and infantmortality, measurement of gestational age and prenatal care, and classification ofcause of death and time of death will be discussed.

Chairperson:

1:30 p.m.

1:45 p.m.

2:00 p.m.

2:15 p.m.

John L. Kiely, Ph.D.Visiting ScientistDivision of AnalysisOffice of Analysis and EpidemiologyNational Center for Health Statistics

Underlying Causes bfFetal Death: Effect of an Additional Panel ofCheck Boxes on the Wisconsin 1989 Revked Fetal Death ReportForm

Russell S. Kirby, Ph.D., M. S.*Assistant ProfessorDepartment of PediatricsUniversity of Arkansas for Medical Sciences

Measuring the Link Between Improved Maternal Referral andImproved Neonatal Mortality

Sherry Allison-Cooke, M.A.Senior Research AssociateNational Perinatal Information Center

A Methodological Approach to Improving Pregnancy Outcomes inAfrican-American Women

Cecile H. Edwards, Ph.D.*Graduate ProfessorCollege of Allied Health SciencesDepartment of Nutritional SciencesHoward University

Intermediate Variables as Determinants of Adverse PregnancyOutcome in High-Risk Inner City Populations

Ravi K. Sharma, Ph.D.*Assistant ProfessorDepartment of Health Services AdministrationUniversi~ of Pittsburgh


11

Monday, Ju~ 19

CONCURRENT SESSION B1:30–3:00 p.m.

2:30 p.m. Discussant:Michelle A. WiIliams, SC,D.Assistant Professor of EpidemiologySchool of Public Health and Community MedicineUniversity of Washington

SessionOrganizeC John L. Kiely, Ph.D.

12

Monday, Ju~ 19

CONCURRENT SESSION C1:30-3:00 p.m.

CH~DREN AND YOUTH

This session will address the measurement of factors related to the health ofchildren and youth (ages 1 to 24), with a special focus on health behaviorsimpacting immediate health status as well as future health, for example, years ofhealthy life.

Chairperson: James G. Ross, M,S.Vice PresidentMacro International, Inc.

1:35 p,m. The “Bright Smiles, Bright Futures” Curriculum Evaluation:Designing Health Education Evaluations With Address theMethodological Challenges of Collecting Data From YoungChildren

Robert S. Gold, Ph.D.*Senior Science AdvisorMacro International, Inc.

1:55 porn. Implications of the Interaction Effect of Maternal Education andAccess to Medical Care on Ana&sk of Injury Risk According toPatterns of Child Care

Mary D. OverPeck, Dr.P.H.*Epidemiologist, Epidemiology BranchNational Institute of Child Health

2:15 p.m. Drug and Alcohol Findings: New York State Students in Fijith andShth Grades

Blanche Frank, Ph.D.*Chief, Bureau of Applied StudiesNew York State Office of Alcoholism and Substance AbuseServices

2:35 p.m. Homeless’ Street Youth: Strategies and Obstacles to GatheringRepresentative, Reliable, and Valid Data

Therese Van Houten, D.S.W.Evaluation DirectorMacro International, Inc.

2:55 p.m. Discussion

SessionOrganizefi Laura Kann, Ph.D.


13

Monday, Ju@ 19

CONCURRENT SESSION D1:30-3:00 p.m.

MENTAL HEALTH INDICATORS –FROM EPIDEMIOLOGYTO SERVICE DELIVERY

Mental health epidemiological and service use data will be explored as well asnew evolving conceptualization for how such data might be collected.

Chairperson: Ronald W. Manderscheid, Ph.D.Acting DirectorDivision of State and Community Systems DevelopmentCenter for Mental Health ServicesSubstance Abuse and Mental Health Services Administration

1:30 p.m. The Social Costs of Anxiety DisordersAndrew C. Leon, Ph.D.*Assistant Professor of Biostatistics in PsychiatUDepartment of PsychiatryCornell Universi~ Medical College

2:00 p.m. Reflections on Appropriate Mental Health Questions for the HealthInterview Survey

James S. Larson, Ph.D.ProfessorInstitute of GovernmentUniversity of Arkansas

2:30 p.m. Specialty Mental Health Service Utilization in the United StatesMarilyn J. Henderson, M.P.A,Assistant ChiefSurvey and Analysis BranchCenter for MentaI Health ServicesSubstance Abuse and Mental Health Services Administration

SessionOrganizeH Ronald W. Manderscheid, Ph.D.


14

Monday, Ju& 19

CONCURRENT SESSION E3:30-5:00 p.m.

FMLY AND HEALTH

The reciprocal effects of family configuration and functioning on individuals’health related habits and health outcomes will be examined.

Chairperson:

3:35 p.m.

3:55 p.m.

415 p.m.

435 p.m.

SessionOrganizeE

Felicia LeC1ere, Ph.D.Health StatisticianDivision of Health Interview StatisticsNational Center for Health Statistics

Parental Factors Influencing Patterns of Prenatal Care UtilizationPeter D’Ascoli, M.D., M.P.H.*Faculty MemberSchool of Public HealthUniversity of Minnesota

Family and Culhlral Factors in Mental and Physical Comorbidityin Children

Jacqueline L. Angel, Ph.D.*LecturerSociology DepartmentUniversity of Texas at Austin

Family Strength and Youth Behavior OutcomesBarbara Sugland, SC.D., M.P.H.*Research AssociateChild Trends, Inc.

Discussants:Martha Riche, Ph.D.Director of Policy StudiesPopulation Reference BureauWashington, D.C.

Karen Smith Thiel, Ph.D.Director, Healthy Start EvacuationHealth Resources and Services Administration

Felicia LeC1ere, Ph.D.


15

Monday, Ju& 19

CONCURRENT SESSION F3:30–5:00 p.m.

NUTRITION

Development and standardization of nutritional status indicators, including diet,anthropometry, and nutrition-related health measures such as blood cholesterol,blood pressure, and nutritional biochemistries, are critical to assessing thenutritional status of population groups and the impact of dietary and healthpractices on the risk of nutrition-related chronic diseases.

Chairperson:

3:30 p.m.

3:50 p.m.

410 p.m.

430 p.m.

Ronette R. Briefel, Dr.P.H., R.D.Coordinator for Nutrition Monitoring and Related ResearchDivision of Health Examination StatisticsNational Center for Health Statistics

Assessing Fruit and Vegetable Intakes: Toward the Year 2000Susan Krebs-Smith, Ph.D.*NutritionistApplied Research BranchNational Cancer Institute

Schools– Where We Are in Meeting the Year 2000 Nutrition GoalsPatricia McKinney, M.S., R.D.*Program AnalystOffice of Analysis and EvaluationFood and Nutrition ServiceDepartment of Agriculture

Monitoring Progress Toward Meeting Year 2000 Objectives:NHANES IIL 1988-91

Clifford Johnson, M. S.P.H.Special Assistant for AnalysisDivision of Health Examination SurveyNational Center for Health Statistics

Monitoring the Nation’s Health: The 1991 Health Survey forEngland-Results and Methodology

Amanda White, B.A.Principal Social Survey OfficerOffice of Population Censuses and SurveysSocial Survey DivisionSt. Catherine’s House


16

Monday, JL{~ 19

CONCURRENT SESSION F3:30–5:00 p.m.


SessionOrganizer: Ronette R. Briefel, Dr.P.H., R.D,

17

Monday, Ju~ 19

CONCURRENT SESSION G3:30–5:00 p.m.

INJURIES AND VIOLENCE

Methodological and substantive issues will be examined as they relate to theimpact of intentional and unintentional injuries on heaIthy Iife.

Chairperson

3:30 p.m.

3:45 p.m.

400 p.m.

415 p.m.

SessionOrganizec

Lois A. Fingerhut, M.A.Special Assistant for Injury EpidemiologyOffice of AnaIysis and EpidemiologyNational Center for HeaIth Statistics

Reporting External Cause of Injury and Poisoning Codes inMedicare Hospital Dischaqe Data

Harry L. Savitt, Ph.D.*Deputy Director, Division of Beneficiary StudiesOffice of Research and DemonstrationsHealth Care Financing Administration

Ernergenq Depatiment Weapon-Related Inju~ SurveillanceVictoria Vespe Ozonoff, Ph.D.*Director, Health Resources StatisticsBureau of Health Statistics, Research and EvaluationMassachusetts Department of Public Health

Surveillance for Nonfatal Firearm InjuriesRoberta K. Lee, R.N., Dr.P.H.”Professor, Community Health and GerontologyUniversity of Texas School of Nursing

Surveillance of Central Nervous System InjuriesDavid Thurman, M.D., M.P.H.*Medical Epidemiologist, Program Development

and Implementation BranchNational Center for Injury Prevention and ControlCenters for Disease Control and Prevention

Lois A. Fingerhut, M.A.


18

Monday, Jr.dy19

CONCURRENT SESSION H3:30–5:00 p.m.

MEASURING THE HEALTH AND DISABILITYOF OLDER AMENCANS

What are the appropriate measures to study the concepts of healthy life and ofpostponed disability for older Americans?

Chairperson:

3:35 p.m.

3:50 p.m.

4:05 p.m.

4:20 p.m.

Joan F. Van Nostrand, M.P.A.Coordinator of Data on AgingOffice of Vital and Health Statistics SystemsNational Center for Health Statistics

Health Expectancy: The Canadian ExperienceRussell Wilkins, M.Urb.Senior AnalystCanadian Centre for Health InformationStatistics Canada

Compression of Dkabilip? Results from the National LTC SurveyLarry Corder, Ph.D.*Associate Research ProfessorCenter for Demographic StudiesDuke University

Compression of Disability? Results from the Established Populationfor Epidemiologic Studies of the Elder~

Marcel Edward Salive, M.D., M.P.H.*Epidemiologist, Epidemiology, Demography, and BiometryProgram

National Institute on AgingNational Institutes of Health

Discussant:William ScanIonj Ph.D.Codirector, Center for Health Policy StudiesGeorgetown University


19

Monday, hdy 19

CONCURRENT SESSION H3:30-5:00 p.m.

4:30 p.m. Discussant:Lois M. Verbrugge, Ph.D.Distinguished Research ScientistInstitute of GerontologyUniversity of Michigan

445 p.m. Discussion

SessionOrganizeE Joan F. Van Nostrand, M.P.A,

20

Monday, July 19

all participants and gztests are invited

to the

ALL CONFE~NCE MIXERtobe held in the

Colonial Room

5:30-200 p.m.

21

Tuesday, Ju& 20

SECONDPLENARYSESSION9:00-10:00a.m.

MEASURING HE&TH DISPARITIES

What are the conceptual, technical, and methodological issues related to theavailability and usefulness of information on health disparities amongsocioeconomic, demographic, and geographic groups?

Chairperson Ronald W. WilsonDirector, Division of Epidemiology and Health PromotionNational Center for Health Statistics

9:00 a.m. Using Data on Health Disparities in the Formulation of PublicHealth Policy

Mohammad N. Akhter, M.D., M.P.H.Commissioner of HealthD.C. Department of Health and Human Services

9:30 a.m. Closing Gaps in Health and Health Care: Improved Data for aNew Health System

David Mechanic, Ph.D.Institute for Health,Rutgers University

SessionOrganizeR Ronald W. Wilson

22

Health Care Policy, and Aging Research

Tuesday, Ju@ 20

CONCURRENT SESSION I10:30 a.m. –l2:OOp.m.

WHAT’S NEWS IN HEALTH STATISTICS?

A panel of media representatives will provide advice on what makes news, howthe media covers vital and health statistics, and how data producers andresearchers can work with reporters to improve the understanding and use ofdata,

Chairperson: Sandra S. Smith, M.P.H.Public Mairs OfficerOffice of Data Processing and ServicesNational Center for Health Statistics

Panelists: Victor CohnSenior Writer and ColumnistHealth Section, The Washington Post andAuthor, News and Numbers

Alan L. OttenColumnistWall Street Journal

Rhonda RolandSenior ProducerCable Network News

SessionOrganizer: Sandra S. Smith, M.P.H.

23

Tuesday,Ju& 20

CONCURRENT SESSION J10:30 a.ir2.-l2:OOp.m.

RACE-ETHNICITY CLASSIFICATION

Methodological issues related to the classification of race and ethnicity will bediscussed.

Chairperson:

10:30 a.m.

10:50 a.m.

11:10 a.m.

11:30 a.m.

11:50 a.m.

SessionOrganizec

Roderick HarrisonChief, Racial Statistics BranchPopulation DivisionU.S. Bureau of the Census

American.Indian Infant MortalityReview in Wkconsin: Problemsand Progress.

Raymond D. Nashold, Ph.D.Director and State RegistrarWisconsin Center for Health Statistics

Infant Mortalityj Birthwe@ht, and Race-Ethnicity: 10 Years ofLinked Birth and Infant Deaths in New Muico

Corazon M. Halasan, Ph.D.*Epidemiologist, Office of Vital Records and Health StatisticsPublic Health DivisionNew Mexico Department of Health

Racial Disparities in Birth Outcomes: Race, Ethnici~, or Nativity?T. Joseph Sheehan, Ph.D.*Professor, Division of Epidemiology and BiostatisticsDepartment of Communi~ MedicineUniversity of Connecticut School of Medicine

Underestimation of Racial Minorities in US. Army RecordsClaire C. Gordon, Ph.D.*Senior Anthropologist and Chief, Behavioral Sciences DivisionU.S. Army Aviation and Troop CommandNatick Research, Development, and Engineering Center

Discussion

Harry M. Rosenberg, Ph.D.

‘Speaker of coaLtthoredpaper.

24

Tuesday, Ju& 20

CONCURRENT SESSION K10:30 a.m.–l2:OO p.m.

PEOPLE WITH DISABILITIES

The passage of the Americans with Disabilities Act has served to underscore theneed for data on the impact of disabilities on all aspects of life.

Chairperson: Andrew Batavia, J.D.Executive DirectorNational Council on Disability

10:30 a.m. Contribution of Developmental Disabilities to Childhood Mortali@in the United States: A Multiple Cause-of-Death Analysh

Coleen A. Boyle, Ph.D.*Chief, Surveillance and Epidemiology SectionDevelopmental Disabilities BranchDivision of Birth Defects and Developmental DisabilitiesCenters for Disease Control and Prevention

10:45 a.m. Definitions of Disabili~ and Their Measurement andOperationali.zation in Su~veyData

Barbara M. Altman, Ph.D.Research FellowAgency for Health Care Policy and Research

11:00 a.m. Applications of the CWRZ Craig Handicap Assessment andReporting Technique

Gale G. Whiteneck, Ph.D.Director of ResearchCraig Hospital

11:15 a.m. Applicatioris of the International Classification of Impairments,Dtiabilities, and Handicaps: From Concepts to Taonomy toData Analysis

Scott Campbell Brown, Ph.D.Education Research SpecialistOffice of Special Education ProgramDivision of Innovation and DevelopmentNational Institute for Disability and Rehabilitation ResearchDepartment of Education

.


25

Tl{esday, JLt~20

CONCURRENT SESSION K10:30 a.m.-l2:OOp.m,

11:30a.m. Discussant:Mary Chamie, Ph.D., M.P.H.Statistician, Demographic and Social Statistics BranchStatistical OfficeDepartment of International Economic and Social AffairsUnited Nations

SessionOrganizeE Marcie Cynamon, M.A.

26

Tuesday, .Tu@20

CONCURRENT SESSION L10:30 a.m. –l2:OOp.m.

HEALTH STATISTICS FROM RECORD SYSTEMS

Analytical, methodological, and conceptual issues pertaining to the use of healthstatistics derived from record-based data systems will be discussed.

Chairperson:

10:30 a.m.

10:50 a.m.

11:10 a.m.

11:30 a.m.

SessionOrganizer:

Dorothy S. Harshbarger, M.S.State Registrar and DirectorAlabama Center for Health StatisticsAlabama Department of Public Health

Monitoring Access to Prenatal Care Using Birth Recorh WithInformation on Insurance

Trude Bennett, M.S.W., Dr. P.H.*Assistant ProfessorSchool of Public HealthUniversity of North Carolina at Chapel Hill

Counv-wide Small Area Analyses: Estimation of Denominatorsfor Users of a County Health Care Agency and Their Applicationin Health Statlls Measures

Arthur J. Davidson, M.D., M.S.P.H.*DirectorData ManagementDenver Public Health Department

Measuring Work-Related Health Dkparities for MinoripPopulations

Carol A. Burnett, M. S.*EpidemiologistSurveillance BranchNational Institute for Occupational Safety and Health

Methodological Issues in Improving the Quality of MortalipStattitics

Jared B. Jobe, Ph.D.*PsychologistOffice of Research and MethodologyNational Center for Health Statistics

James A. Weed, Ph.D.


27

Tuesday, Ju& 20

CONCURRENT SESSION M1:30–3:00 p.m.

NUMERATOR-DENOMINATOR LINKAGE

Issues related to the use of numerator and denominator data, such as vitalstatistics data, derived from two different sources will be discussed during thissession.

Chairperson:

L35 p.m.

1:55 p.m.

2:15 p.m.

235 p.m.

SessionOrganizen

Lester R. Curtin, Ph.D.Chief, Statistical Methods StaffOffice of Research and MethodologyNational Center for Health Statistics

The Relations@ Between Maternal HIV Seroprevalence and theHospitalization of HIV Infected Newborns in Their First Year ofLife

Vito M. Logrillo, M.P.H.*Director, Office of Information Resources ManagementAIDS InstituteNew York State Department of Health

SuW”cal Procedure Rates with Numerators from Hospital Data andDenominators from Several Different “At Risk” Populations

Jane F. Gentleman, Ph.D.*Chiefj HeaIth Status SectionCanadian Centre for Health InformationStatistics Canada

Generalized Linear Models and Simultaneous SurveysWilfred Rosenbaum, M.Math,*Senior Research OfficerDepartment of Computing ScienceComputational Epidemiology LaboratorySimon Fraser University

The Benefits of Probabilistical~ Linked Electronic Patient Recordsfor Highway Safety

William H. Walsh, Jr.DirectorNational Center for Statistics and AnalysisNational Highway Traffic Safety Administration

Lester R. Curtin, Ph.D.


28

Tuesday, Ju~ 20

CONCURRENT SESSION N1:30–3:00 p.m.

INTERNATIONAL COMPARISONS

Understanding methodological and substantive issues related to measuring anddescribing international health disparities is essential to the appropriatecomparison of United States data with that of other countries.

Chairperson

1:35 p.m.

1:55 p.m.

2:15 p.m.

235 p.m.

2:50 p.m.

SessionOrganizeE

Robert A. IsraelAssociate Director for International StatisticsNational Center for Health Statistics

Trends in Mortality in East and West Germany During the3 Decades Before Unification

Karl E. Bergmann, M.D.*Head, Division of Public Health and StatisticsFederal Health OfficeGermany

MoitaliV in the United States and France: Evidence from the~0 Mortality Data Base

Alvan O. Zarate, Ph.D.*Special Assistant to the DirectorOffice of the Center DirectorNational Ce~ter for Health Statistics

The International Rank of the United States in Infant Mortality:Are We Real~ 24th?

Robert B. Hartford, Ph.D.Deputy Director, Office of International StatisticsNational Center for Health Statistics

Health Expectancy of the Elderly.in Xichang, China and Canada:Comparisons Based on Measures of Autonomy in VariousActivities of Daily Living

Edward Ng, Ph.D.*Analyst, Occupational and Environmental Health

Research SectionCanadian Centre for Health InformationStatistics Canada

Discussion

Robert A. Israel


29

Tuesday, Ju& 20

CONCU~NT SESSION O1:30-3:00 p.m.

ISSUES IN CONFIDENTIALITY

Confidentiality issues and the risk of individual identification of subjects will beexplored for data pertaining to demographic and geographic populationsubgroups.

Chairperson:

1:35 p.m.

1:55 p.m.

2:15 p.m.

%35 p.m.

Session

OrganizeR

Mary Moien, M.S.Assistant to the DirectorOffice of the Center DirectorNational Center for Health Statistics

Privacy Policy in an Electronic WorldJoan Turek-Brezina, Ph.D.DirectorDivision of Technical and Computer SupportOffice of the Assistant Secretary for Planning and EvaluationDepartment of Health and Human Services

Toward Compiling Better Health Indicators through Data LinkageBrian Gallagher, M.S.*Program Research SpecialistPerinatal Health UnitNew York State Department of Health

The Unique Record Number (U.): An Alternative to TraditionalPerson Identifiers

Andrew Asher, M.P.P.*

Research AnalystMathematical Policy Research, Inc.

Cal$omia’s Experience: SSN and ConfidentialityEle Meux, Ph.D.Section ChiefPatient Discharge Data SectionCalifornia Office of State-Wide Health Planning andDevelopment

Mary Moien, M.S.


30

Tuesday, Ju& 20

CONCURRENT SESSION P

1:30-3:00 p.m.

METHODOLOGICAL ISSUES FOR NATIONAL MINORITY DATA

The limitations to developing detailed estimates of health characteristics forr minority populations based on large national surveys will be discussed and

possible solutions will be explored.

Chairperson: Signe WetroganStatisticianPopulation DivisionU.S. Bureau of the Census

1:40 p.m. Design of the National Health Interview Survey, 1995–2004James T. Massey, Ph.D.Chief, Survey DesignOffice of Research and MethodologyNational Center for Health Statistics

2:00 p,m. Estimation and Ana&tic Metho& for Minorip Statktics Based onMultiple-source Su?vey Data

Lester R. Curtin, Ph.D.’kChief, Statistical MethodsOffice of Research and MethodologyNational Center for Health Statistics

220 p.m. Use of the Behavioral Risk Factor Surveillance System to MonitorRkk Factors in Minority Populations

Emma L. Frazier, Ph.D.*Chief, Data Management SectionOffice of Surveillance and Analysis

4 Centers for Disease Control and Prevention

2:40 p.m. Obtaining Data for Asian Pacific Americans from National SurveysLarry H. Shinagawa, Ph.D.

+ Senior Research AssociateAsian &erican Health ForumSan Francisco

SessionOrganizeH Patricia M. Golden, B.A., M.P.H.


31

Tuesday, JLdy20

CONCURRENT SESS1ON Q3:30-5:00 p.m.

SOCIOECONOMIC INDICATORS

Methodological issues involved in studying time trends in socioeconomicdifferentials in health will be addressed.

Chairperson

3:30 p.m.

400 p.m.

4:30 p.m.

SessionOrganizer:

Lisa MiIler SchalickOffice of Planning and Extramural ProgramsNational Center for Health Statistics

Measuring Socioeconomic Inequality in Health: An Update onMethodological Issl~es

Elsie Parnuk*Division of NutritionCenters for Disease Control and Prevention

Unemployment and Fertili~: A Transfer Function Analysis WithAdditional Interventions

Andreas Muller, Ph.D.Associate ProfessorDepartment of HeaIth Services AdministrationUniversity of Arkansas at Little Rock

A Comparison of Socioeconomic Status Indicators Across 3Decades

AIan B. Humphrey, Ph.D.*College of Business AdministrationUniversi~ of Rhode Island

Gregory Pappas, M.D., Ph.D.


32

Tuesday, Ju& 20

CONCUWNT SESSION R3:30–5:00 p.m.

MINOWTY HEALTH RESEARCH

Methodological and substantive issues related to collection and analysis of healthdata for minority populations will be addressed, drawing on the experience of thenew NCHS Minority Health Statistics Grants Program.

Chairperson:

3:35 p.m.

3:50 p.m.

4:05 p.m.

420 p.m.

David R. Williams, Ph.D.Associate Research ScientistAssociate Professor of SociologyInstitute for Social ResearchUniversity of Michigan

Using National Health Data Systems to Inform Hispanic Women’sHealth

Hortensia Amaro, Ph.D.Associate ProfessorBoston Universi~ School of Public Health

Cooperative Agreements to Advance the Understanding of theHealth of Asian and Pacific Islander Americans

Dong Sub, M.P.P.Research AssociateAsian American Health Forum

Social Cognition and Responses to Health Survey QuestiomAmong Minority Populations: Preliminary Evidence

Timothy P. Johnson, Ph.D.*Assistant DirectorSurvey Research LaboratoryUniversity of Illinois at Chicago

Health Status and Access to Care Among Rural Minorities: matDo We Know?

Keith J. Mueller, Ph.D.*DirectorNebraska Center for Rural Health ResearchUniversity of Nebraska Medical Center


33

Tuesday, Ju~ 20

CONCURRENT SESSION R

3:30-5:00 p.m.

4:35 p.m. Improving Health Stathtics Among American Indians by DataLinkages with Tribal Enrollment Registries

Jonathan R. Sugarrnan, M.D., M.P.H.*Medical EpidemiologistDivision of Research, Evaluation, and EpidemiologyPortland Area Indian Health Service

450 p.m. Discussants:Ruth Zambrana, Ph.D.ConsultantAgency for Health Care PoIicy and Research

P. Douglas WilIiams, M.S.Chief, State and Academic Research Applications StaffOffice of Planning and Extramural ProgramsNational Center for HeaIth Statistics

SessionOrganize~ Marjorie S. Greenberg, M.A.

34

I

Tuesday, July 20

CONCURRENT SESSION S3:30-5:00 p.m.

INTERCENSAL POPULATION ESTIMATES

Problems and potential solutions related to estimating intercensal populations forminorities and geographic areas to be used as denominators for calculating” healthcharacteristic rates will be discussed.

Chairperson: Michael R. Lavoie, M.A.Chief, Health Statistics and Measurement CenterGeorgia Department of Human Resources

3:30 p.m. Estimating the Population of Rural Communities by Age andGender: A Case Sttldy of the Local Expert Procedure

David A. Swanson, Ph.D., M.A., B.SC.*Senior Demographic SpecialistArkansas Institute for Economic AdvancementUniversity of Arkansas at Little Rock

4:00 p.m. Estimates of the Population of States and Counties by Age, Sa,Race, and Hispanic Origin: 1980 to 1989

Sam DavisStatisticianPopulation DivisionU.S. Bureau of the Census

4:30 p.m. Preparing Population Estimates for the Post-1990 Period: TheCombination of Data from Various Sources

Signe WetroganStatisticianPopulation DivisionU.S. Bureau of the CensusA

SessionOrganizer: Robert L. Heuser

*


35

Tuesday, Jz.dy20

CONCURRENT SESSION T3:30–5:00 p.m.

SPECIAL FOCUS SURWYS

Methodological issues pertaining to assessing health status disparities forsubdomains of the population and at the subnational level will be the focus ofthis session.

Chairperson:

3:30 p.m.

3:45 p.m.

4:00 p.m.

415 p.m.

Trena M. Ezzati-Rice, M.S.Biomedical Mathematical StatisticianOffice of Research and MethodologyNational Center for Health Statistics

Comparing Two Methods of Surveying Sparse Minority PoptdationsJay S. Buechner, Ph.D.*Chief, Office of Health StatisticsRhode Island Department of Health

Reducing Sampling Costs: A Multi-Stage Design Using ReplicatedQuota Sampling to Yield a Sample of Latino and Afiican-Ameriean Households in Los Angeles

Laurie M. Anderson, M.P.H.*Epidemiologist, Division of Cancer Prevention and ControlNational Center for Chronic Disease Prevention and

Health PromotionCenters for Disease Control and Prevention

Issues of Methodolop for Agricultural Health andHazard Surveys

Lorraine L, Cameron, Ph.D.*Epidemiologist, Division of Surveillance Hazards Evaluation

and Field StudiesNational Institute for Occupational Safety and Health

Evaluation of Methods Employed in the Assessment of HealthCare Needs and Access to Care in Dade County, Florida,Following Huwicane Andrew

Nancy D. Barker, M.S.*Mathematical StatisticianEpidemiology Program OfficeCenters for Disease Control and Prevention


36

Tuesday, Ju& 20

CONCURRENT SESSION T3:30–5:00 p.m.

430 p.m. Dual-Frame Surveys of State PopulationshMonroe G. Sirken, Ph.D.*Associate DirectorOffice of Research and Methodology

‘ National Center for Health Statistics


SessionOrganizer: Trena M. Ezzati-Rice, M.S.

,

37

Wednesday, Jldy 21

THIRD PLENARY SESSION9:00–10:00 a.m.

ASSESSING PREVENTIVE AND PRIMARY HEALTH SERVICES

Many Americans do not have access to effective preventive services andappropriate medical care. How will health care be reformed to meet their needsand what is the role of health statistics in planning and managing for change inhealth care?

Chairperson:

9:00 a.m.

9:30 a.m.

SessionOrganizeE

Nicholas Zill, Ph.D.Vice PresidentWestat, Inc.

Kenneth E. Thorpe, Ph.D.Deputy Assistant Secretary for Health PolicyDepartment of Health and Human Services

Access to mat and Why? Toward a New Generation of AccessIndicators

Lu Ann Aday, Ph.D.Professor of Behavioral SciencesSchool of Public HealthUniversity of Texas

Sandra S. Smith, M.P.H.

38

Wednesday, Jcdy21.

CONCURRENT SESSION U10:30 a.m.–I2:OOp.m.

. COST-BENEFIT ANALYSESCost-effective approaches for specific prevention strategies, interventions, andrehabilitative services in averting subsequent disease and health care

* expenditures will be described.

Chairperson:

10:30 a.m.

10:45 a.m.

11:00 a.m.

11:15 a.m.

h

11:30 a.m..

SessionOrganizec

Paul J, Placek, Ph.D.StatisticianOffice of Vital and Health Statistics SystemsNational Center for Health Statistics

A Model of Cost-Effectiveness and Injury PreventionDavid P. Hamburger, M.D.*Emergency Trauma ServicesChildren’s National Medical Center

fipansion of Medicaid Eligibilityfor Family Planning Services:A Cost-Benefit Ana&si.s

Douglas R. Murray, M.S,DirectorCenter for Health StatisticsArkansas Center for Health Statistics

The Impact of Dissemination of Smoking CessationMethods onHealth Care CostsAmong PregnantMedicaid Recipients

Richard A. Windsor, Ph.D., M.P.H.*Special Assistant to the DirectorNational Heart, Lung, and Blood Institute

Oregon Medicaid Plan: Prioritizing Health Services Using Data andValues

Barry F. Anderson, Ph.D.Professor of PsychologyPortland State University

Di.scmsion:Ethical Aspects of Rationing Based on Cost-BenefitAnaZyses

Paul T. Menzel, Ph.D.Professor, Department of PhilosophyDean of HumanitiesPacific Lutheran University

Paul J. Placek, Ph.D.


39

Wednesday, Ju~ 21

CONCURRENT SESSION V10:30 a.m.–I2:OO p.m.

COMPARABLE METHODS AND DATA

Mechanisms for developing comparable methods to measure progress toward theyear 2000 health objectives at the National, State, and local levels will bediscussed.

Chairperson:

10:30 a.m.

10:50 a.m.

11:10 a.m.

iii30 a.m.

SessionOrganize~

P. Douglas Williams, M.S.Chief, State and Academic Research Applications StaffOffice of Planning and Extramural ProgramsNational Center for Health Statistics

Monitoring and Prioridzation of the Consensus Set of Health StatusIndicators by State Health Departments in the United States

Sharon L. Zucconi, Ph.D.*Assistant Professor and Policy AnalystSchool of Public HealthUniversity of Pittsburgh

A“Nonlinear Regression Model for the Projection of ExpectedValues for Selected Health Status Indicators in the Year 2000

Chun-Lo Meng, Ph.D.*Director, Statistical Analysis UnitHealth Statistics SectionColorado Department of Health

Computetied Data Base for Strengthening Capaci& for Local AreaNeeds Assessment, Surveillance, and Monitoring of Year 2000Objectives: The Illinok Experience

Menvyn R. Nelson, Ph. D.”Chief, Center for Health StatisticsIllinois Department of Public Health

Development of a Standardized Telephone Survey Ql~estionnaireand Methodolo~ for Local Public Health .Departments

Bruce M. Brock, Ph.D.*PresidentInformation Transfer Systems, Inc.hn Arbor

Mary Anne Freedman, M.A.


40

Wednesday, Ju~ 21

*

,

P

.

CONCURRENT SESSION W10:30 a.rn.-l2:OO p.m.

MEDICAL EFFECTIVENESS OUTCOMES RESEARCH

Innovations in patient outcomes research will be discussed.

Chairperson: J. Michael Fitzmaurice, Ph.D.DirectorOffice of Science and Data DevelopmentAgency for Health Care Policy and Research

10:30 a.m. Integrating Values into Clinical CareDavid B. Pvor, M.D.Associate Professor of MedicineDuke University Medical Center

10:50a.m. Outcomes Research for Effectiveness and Qualiy: The MajorIssues

Sheldon Greenfield, M.D.Senior Scientist for the Health InstituteProfessor of Medicine and Chief, Division of Health Services

ResearchDepartment of MedicineTufts University

11:10 a.m. Effectiveness of the New Jersey State-Wide Healthstart Initiative onPrenatal Care and Pregnancy Outcome iiz New Jersey,1988 to 1992

Maryanne J. Florio, M.Ed.*Research Scientist IMaternal and Child Health Epidemiology and Program PlanningNew Jersey State Department of Health

11:30 a.m. Discussion

SessionOrganizer: J. Michael Fitzmaurice, Ph.D.


41

Wednesday, Ju& 21

CONCURRENT SESSION X10:30 a.m.–l2:OO p.m.

HEALTH DATA FOR PROGRAM MANAGEMENT

An array of data are needed to plan, manage, direct, evaluate, and reform healthcare in the United States. This session will explore the development and use ofdata for health program management.

Chairperson:

10:30 a.m.

10:50 a.m.

11:10 a.m.

11:30a.m.

11:50a.m.

SessionOrganizeC

Edward L. HunterChief, Planning, Budget, and Legislation StaffOffice of Planning and Extramural ProgramsNational Center for Health Statistics

Public Law 99-457 Child Find and Tracking SystemJoyce M. Eatmon, M.P.A.Medical EconomistCenter for Health StatisticsArkansas Center for Health Statistics

~e Competitive Initiatives Program –A New Jersey Response tothe Escalating Costs of Health Care

Marcia M. Sass, SC.D.*Assistant Director, Health Initiatives EvacuationDivision of Health Care Planning, Financing, andInformation Services

New Jersey State Department of Health

Development of a Data System for the Management of aComprehensive Cancer Screening Program

Patricia M. Jamison, M.P.H.*Computer SpecialistDivision of Cancer Prevention and ControlCenters for Disease Control and Prevention

Using Medicare’s End Stage Renal Dkease Program Managementand Medical Information System for Program Moniton”ng andPolicy Development

Joel W. Greer, Ph.D.Economist, Office of Research and DemonstrationsHealth Care Financing Administration

Discussion

Elizabeth A. Lowe


42

.

),

I?

Wednesday, Ju~ 21

CONCURRENT SESSION Y1:30-3:00 p.m.

DATA SUPPORT FOR MEDICAL CARE POLICY

Presentations will cover how data are used to set priorities, manage allocation ofresources and, in effect, ration medical care.

Chairperson:

1:40 p.m.

205 p.m.

2:30 p.m.

SessionOrganizer:.

Elliot Stone, M.V.C.Executive DirectorMassachusetts Health Data Consortium

Data Sources Used in Prioritizing Health Services Under theOregon Health Plan

Darren D. Coffman, B.S., M. S,*Research ManagerOregon Health Services Commission

Using HCFA’s National Claims History Files for Quality of CareAnalysis and Policy Development: The DEMPAQ Project

Stephen T. Parente, M.P.H., M.S.*Project CoordinatorJohns Hopkins Health Services Research and

Development CenterJohns Hopkins School of Public Health

Assessment of Outcomes for CABG Surgely in New York StateHarold Kilburn, M.A.’kProgram Research SpecialistDepartment of Health Policy and ManagementState University of New York, Albany

W. Edward Bacon, Ph.D.

.

‘~Speakerof coauthored paper.

43

Wednesday, Jcdy 21

CONCURRENT SESSION Z1:30–3:00 p.m.

PREVENTION EFFECTIVENESS

Public health requires effective and cost-effective prevention strategies. Thissession will present research and methods for assessing the efficacy, effectiveness,and cost-effectiveness of prevention strategies on reducing adverse healthoutcomes.

Chairperson:

1:40 p.m.

2:00 p.m.

220 p.m.

2:40 p.m. ~

Session

OrganizeE

Anne Haddix, Ph.D.EconomistAtlanta, Georgia

Cost Effectiveness of Worbite Cholesterol ScreeningRobin D. Gorsky, Ph.D.*Associate ProfessorDepartment of Health Management and PolicyUniversity of New Hampshire

An Economic Evaluation of Preventing or Delaying the Onset ofthe Complications of Diabetes

Erik Dasbach, Ph.D.Health Services Researcher, Division of Diabetes TranslationNational Center for Chronic Disease PreventionCenters for Disease ControI and Prevention

Economic Impact of Food-Borne IllnessTanya Roberts, Ph.D.Senior EconomistEconomic Research ServiceDepartment of Agriculture

Discussion

Steven M. Teutsch, M.D’., M.P.H.


44

Wednesday,Jcdy21

CONCURRENT SESSION AA1:30–3:00 p.m.

.BARRIERS TO CARE

Presentations will focus on the use of improved indicators for identifying and●

measuring barriers to appropriate and timely medical care.

Chairperson

1:30 p.m.

1:50 p.m.

2:10 p.m.

2:30 p.m.

.

.SessionOrganizer:

Michael L. Millman, Ph.D.Senior Stti FellowOffice of Planning, Evaluation, and LegislationHealth Resources and Services Administration

Using Hospital Records to Evaluate the Pe~ormance of theOutpatient Delive~ System

John BillingsPrincipal InvestigatorAmbulato~ Care Access ProjectUnited Hospital Fund

Sociocultural Barriers to Appropriate CareSarita L, Karen, Ph.D.*Assistant ScientistCenter for Health Systems Research and AnalysisUniversity of Wisconsin-Madison

Evaluation of Balriers to Prenatal Care: A Model ProjectMary E. Losch, Ph.D.”Program DirectorSocial Science InstituteUniversity of Iowa

Discussant:P. Ellen Parsons, Ph.D.StatisticianDivision of Health Interview StatisticsNational Center for Health Statistics

Trish Royston

*Speakerof coauthoredpaper.

45

Wednesday, Ju& 21

CONCURRENT SESSION BB1:30–3:00 p.m.

CDC’S RECOMMENDATIONS ON PUBLIC HEALTHSURVEIL~CE SYSTEMS

CDC faces challenges in surveillance due to changing missions and theopportunity presented by health reform. Current responses include thedevelopment of CDC’S information network for public health officials, a plan forthe future of microcomputers in epidemiology, and a new plan for national publichealth surveillance.

Chairperson: Mary Anne Freedman, M.A.Special Assistant to the DirectorHealthy People 2000 StaffNational Center for Health Statistics

h30 p.m. National Public Health Sumeillance: mere Do We Go FromHere?

Elaine D. Eaker, SC.D.Assistant Director for ScienceDivision of Surveillance and EpidemiologyEpidemiology Program OfficeCenters for Disease Control and Prevention

200 p.m. The Future of Microcomputers in Epidemiolo~Andrew G. Dean, M.D., M.P.H.Chief, Systems Development BranchDivision of Surveillance and EpidemiologyEpidemiology Program OfficeCenters for Disease Control and Prevention

2:30 p.m. CDC Information Network for Public Health OficialsDavid A. Ross, SC.D.Assistant Director for Information and

Communication ServicesPublic Health Practice Program OfficeCenters for Disease Control and Prevention

SessionOrganizex Donna F. Stroup, Ph.D.

46

PROGRAM SESSION ORGANIZERS

Jack R. Anderson** (Opening. Ceremony)

Acting Depu~ DirectorOffice of the Center Director

* W. Edward Bacon, Ph.D.”* (Y)DirectorDivision of Health Care Statistics

Ronette R. Briefel, Dr,P.H., R.D.*”(F)

Coordinator for Nutrition Monitoringand Related Research

Division of Health ExaminationStatistics

Lester R. Curtin, Ph.D.** (M)Chief, Statistical Methods StaffOffice of Research and Methodology

Marcie Cynamon, M.A.$:* (K)Special Assistant to the DirectorDivision of Health Interview Statistics

Pennifer Erickson** (A)Chief, Clearinghouse on HealthIndexes

Division of Epidemiology and HealthPromotion

Trena M. Ezzati-Rice, M.S.** (T)Biomedical Mathematical StatisticianOffice of Research and Methodology

his Fingerhut, M.A.** (G)Special Assistant for InjurybEpidemiology

Office of Analysis and Epidemiology

J. Michael Fitzmaurice, Ph.D. (W). Director, Office of Science and Data

DevelopmentAgency for Health Care Policy and

Research2101 East Jefferson Street, Room 601Rockville, MaryIand 208524908

Mary Anne Freedman, M,A.** (V)Special Assistant to the DirectorHealthy People 2000 StaffOffice of the Center Director

Patricia M. Golden, B.A., M.P.H.**(P)

Special Assistant to the DirectorDivision of Epidemiology and HealthPromotion

Marjorie Greenberg, M.A. “k (R)Evaluation Officer, Office of Planning

and Extramural Programs

Robert L. Heuser** (S)Chief, Natality, Marriage, and DivorceStatistics Branch

Division of Vital Statistics

Peter L. Hurley** (First Plenary)Associate Director, Office of Vital and

Health Statistics Systems

Robert A, Israel** (N)Associate DirectorOffice of International Statistics

Laura Kann, Ph.D. (C)Chief, Surveillance Research SectionDivision of Adolescent and School

HealthCenter for Chronic Disease Prevention

and Health PromotionCenters for Disease Control andPrevention

1600 Clifton Road, NE., MS K-33Atlanta, Georgia 30333

John L. Kiely, Ph.D.** (B)Visiting Scientist, Division of AnalysisOffice of Analysis and Epidemiology

( ) Indicates session.

47

Felicia LeC1ere, Ph.D.** (E)Health StatisticianDivision of Health Interview Statistics

E1izabeth bwe (X)(formerly with NCHS)Foundation for Health Services

Research1350 Connecticut Avenue, NW.,Suite 1100

Washington D.C. 20036

Ronald W. Manderscheid, Ph.D. (D)Acting Director, Division of State and

Community Systems DevelopmentCenter for Mental Health Services5600 Fishers Lane, Suite 501Rockville, Maryland 20857

Mary Moien, M.S.** (0)Assistant to the DirectorOffice of the Center Director

Gregory Pappas, M.D., Ph.D.’:* (Q)Special Assistant to the DirectorOffice of Planning and ExtramuralPrograms

Paul J. Placek, Ph.D.** (U)Statistician, Office of Vital and HealthStatistics Systems

Harry M. Rosenberg, Ph.D.** (J)Chief, Mortality Statistics BranchDivision of Vital Statistics

Sandra S. Smith, M.P.H.** (I andThird Plenary)

Public Mairs OfficerOffice of Data Processing and Services

Donna F. Stroup, Ph.D., M,SC, (BB)Director, Division of Surveillance and

EpidemiologyEpidemiology Program OfficeCenters for Disease Control andPrevention

1600 Clifton Road, NE., MS C-08Atlanta, Georgia 30333

Steven M. Teutsch, M.D., M.P.H. (Z)Director, Division of Surveillance andEpidemiologic Studies

Epidemiology Program OfficeCenters for Disease Control andPrevention


Joan Van Nostrand, M.P,A.** (H)Coordinator of Data on AgingOffice of Vital and Health StatisticsSystems

James A. Weed, Ph.D.** (L)Deputy DirectorDivision of Vital Statistics

Ronald W. Wilson** (Second Plenary)Director, Division of Epidemiology andHealth Promotion

Trish Royston (AA)Deputy Director, Division ofInformation and Analysis

Health Resources and ServicesAdministration

5600 Fishers Lane, Room 14-33Rockville, Maryland 20857

**National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782


48

PROGRAM SESSION CHAIRPERSONS

Andrew Batavia, J.D. (K)9 Executive Director

National Council on Disability800 Independence Avenue, Suite 808Washington, D.C. 20591

.

Ronette R. Briefel, Dr. P.H., R.D.* ‘K(F)

Coordinator for Nutrition Monitoringand Related Research

Division of Health ExaminationStatistics

Lester R. Curtin, Ph.D.”* (M)Chief, Statistical Methods StaffOffice of Research and Methodology

Trena M. Ezzati-Rice, M.S.”* (T)Biomedical Mathematical StatisticianOffice of Research and Methodology

Jacob Feldman, Ph.D.*” (A)Associate DirectorOffice of Analysis and Epjdemiolo~

Lois Fingerhut, M.A.”” (G)Special Assistant for Injury

EpidemiologyOffice of Analysis and Epidemiology

J, Michael Fitzmaurice, Ph.D. (W)Director, Office of Science and Data

* DevelopmentAgency for Health Care Policy and

Research2101 East Jefferson Street, Room 601Rockville, Maryland 20852-4908

Mary Anne Freedman, M.A.:’” (BB)Special Assistant to the DirectorHealthy People 2000 StaffOffice of the Center Director

Anne Haddix, Ph,D, (Z)Economist2537 Circlewood RoadAtlanta, Georgia 30345

Roderick Harrison (J)Chief, Racial Statistics BranchPopulation Division, Room 2318-3U.S. Bureau of the CensusSuitland, Maryland 20233

Dorothy S. Harshbarger, M.S. (L)State Registrar and DirectorAlabama Center for Health StatisticsP,O. BOX 5625Montgomery, Alabama 36103-5625

Edward L. Hunter** (X)Chief, Planning, Budget, andLegislation Staff

Office of Planning and ExtramuralPrograms

Robert A, Israel** (N)Associate DirectorOffice of International Statistics

John L. Kiely, Ph.D.** (B)Visiting ScientistDivision of Analysis

Michael R. Lavoie, M.A. (S)Chief, Health Statistics andMeasurement Center

Georgia Department of HumanResources

47 Trinity Avenue, SW., Room 217-HAtlanta, Georgia 30334

Felicia LeClere, Ph.D.** (E)Health StatisticianDivision of Health Interview Statistics


49

Ronald W. Manderscheid, Ph.D. (D)Acting Director, Division of State and

Community Systems DevelopmentCenter for Mental Health Services5600 Fishers Lane, Suite 501Rockville, Maryland 20857

J. Michael McGinnis, M.D. (FirstPlenary)

Deputy Assistant Secretary for HealthOffice of Disease Prevention andHealth Promotion

Department of Health and HumanServices

330 C Street, SW., Room 2132Washington, D.C. 20201

Michael L. Millman, Ph.D. (AA)Senior Staff Fellow, Office of Planning,Evaluation, and Legislation

Health Resources and ServicesAdministration


Mary Moien, M.S.** (0)Assistant to the DirectorOffice of the Center Director

Paul J. Placek, Ph.D.** (U)Statistician, Office of Vital and Health

Statistics Systems

James G. Ross, M.S. (C)Vice PresidentMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910

Lisa Miller Schalick** (Q)Office of PIanning and ExtramuralPrograms

Sandra S. Smith, M.P.H.** (I)Public Affairs OfficerOffice of Data Processing and Services

Elliot M. Stone, M,V.C, (Y)Executive Director, MassachusettsHealth Data Consortium

400-1 Totten Pond RoadWaltham, Massachusetts 02154

Joan Van Nostrand, M.P.A.** (H)Coordinator of Data on AgingOffice of Vital and Health StatisticsSystems

Signe Wetrogan (P)StatisticianPopulation DivisionU.S. Bureau of the CensusWashington, D.C. 20233

David R. Williams, Ph.D., M.P-H. (R)Associate Research ScientistInstitute for Social ResearchP.O. Box 1248, University of MichiganAnn Arbor, Michigan 48106

P. Douglas Williams, M.S.** (V)Chief, State and Academic ResearchApplications

Office of Planning and ExtramuralPrograms

Ronald W. Wilson** (Second Plenary)Director, Division of Epidemiology andHealth Promotion

Nicholas Zill, Ph.D. (Third Plenary)Vice PresidentWestat, Inc.1650 Research BoulevardRockville, Maryland 20850-3129

**National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782


50

PROGRAM SESSION SPEAKERS

Lu Ann Aday, Ph.D. (Third Plenary)Professor of Behavioral Sciences

* School of Public HealthUniversity of Texas.P.O. Box 20186, RAS East 311Houston, Texas 77225.

Mohammad N. Akhter, M.D., M.P.H.(Second Plenary)

Commissioner of Health, D.C.Department of Health and Human

Services1660 L Street, NW., Suite 1200Washington, D.C. 20036

Sherry Allison-Cooke (B)Senior Research AssociateNational Perinatal Information CenterOne State Street, Suite 102Providence, Rhode Island 02908-5035

Barbara M. Altman, Ph.D. (K)Research Fellow, Agency for Health

Care Policy and Research2102 East Jefferson Street, Suite 500Rockville, Maryland 20852

Hortensia Amaro, Ph.D. (R)Associate Professor, Boston UniversitySchool of Public Health85 East Newton Street, M-840Boston, Massachusetts 02118

Laurie M. Anderson (T)Epidemiologist, Cancer PreventionCenter for Chronic Disease Preventionv

and Health PromotionCenters for Disease Control andPrevention

- 1600 Clifton Road, NE., K-55Atlanta, Georgia 30333

Barry F. Anderson, Ph.D. (U)Professor of Psycholo~Portland State UniversityP.O. Box 751Portland, Oregon 97207-0751

Jacqueline L. Angel, Ph.D. (E)Sociology DepartmentUniversity of Texas at Austin336 Burdine HallAustin, Texas 78712

Andrew Asher, M.P.P. (0)Research AnalystMathematical Policy Research, Inc.600 Maryland Avenue, SW., Suite 550Washington, D,C, 20024

Nancy D. Barker, M.S. (T)Mathematical Statistician,



Trude Bennett, Dr.P.H., M.S,W. (L)Assistant Professor, Department of

Maternal and Child HealthSchool of Public Health

University of North CarolinaCB 7400, Rosenau HallChapel Hill,North Carolina 27599-7400

Karl E. Bergmann, M.D. (N)Head, Division of Public Health

Statistics, Federal Health Office, D1P,O, Box 330013,Werner-Voss-Damm 62

D-1OOOBerlin 42, Germany

\


51

John Billings (AA)Principal Investigator, Ambulatory

Care Access Project, United HospitalFund

55 Fifth AvenueNew York, New York 10003

Coleen A. Boyle, Ph.D. (K)Division of Birth Defects and

Developmental DisabilitiesCenters for Disease Control andPrevention

4770 Buford Highway, MS F-15Atlanta, Georgia 30341

Bruce M. Brock, Ph.D., M.P.H. (V)PresidentInformation Transfer Systems, Inc,209 East Washington Street, Suite 200Ann Arbor, Michigan 48104-2007

Scott Campbell Brown, Ph.D. (K)Education Research SpecialistNational Institute for Disability and

Rehabilitation Research400 Maryland Avenue, SW.,

Room 3520Washington, D.C. 20202–2641

Jay S. Buechner, Ph.D. (T)Chief, Office of Health StatisticsRhode Island Department of Health3 Capitol Hill, Cannon BuildingProvidence, Rhode Island 02908–5097

Carol A. Burnett, M.S. (L)Epidemiologist, Surveillance BranchNational Institute for Occupational

Safety and Health4676 Columbia ParMay, MS R-18Cincinnati, Ohio 45226

Lorraine L. Cameron, Ph.D. (T)Epidemiologist, Division of

Surveillance Hazards Evaluation andField Studies

National Institute for OccupationalSafety and Health

4676 Columbia Parkway, MS R-18Cincinnati, Ohio 45226

Mary Chamie, Ph.D., M.P,H. (K)Statistician, Demographic and Social

Statistics OfficeUnited NationsPlaza 2, Room 1586New York, New York 10017

Darren D. Coffman, B.S., M.S, (Y)Research ManagerOregon Health Services Commission800 NE. Oregon Street 17, Suite 550Portland, Oregon 97232

Victor Cohn (I)Senior Writer and ColumnistHealth Section, Washington Post1150 15th Street, NW.Washington, D.C, 20071

Larry S. Corder, Ph.D. (H)Associate Research ProfessorCenter for Demographic StudiesDuke University2117 Campus DriveDurham, North Carolina 27706

Lester R. Curtin, Ph.D.** (P)Chief, Statistical Methods StaffOffice of Research and Methodology

Peter D’Ascoli, M.D., M.P.H. (E)Faculty MemberSchool of Public HealthUniversity of Minnesota420 Delaware Street, SE., Box 97Minneapolis, Minnesota 55455

Erik Dasbach, Ph.D. (Z)Health Services Researcher, National

Center for Chronic Disease andPrevention

Centers for Disease Control andPrevention

4770 Buford Highway, NE., MS K-10Chamblee, Georgia 30341-3724


52

Arthur J. Davidson, M.D., M.S.P.H.(L)

Director, Data ManagementDenver Public Health Department605 Bannock StreetDenver, Colorado 80204

Sam Davis (S)StatisticianPopulation DivisionU.S. Bureau of the CensusWashington, D.C. 20233

Andrew G. Dean, M.D., M.P.H. (BB)Chief, Systems Development BranchDivision of Surveillance and

EpidemiologyCenters for Disease Control andPrevention

1600 Clifton Road, NE. ‘Atlanta, Georgia 30333

Paula Diehr, Ph.D. (A)Professor, Biostatistics and Health

ServicesDepartment of Biostatistics, SC-32University of WashingtonSeattle, Washington 98195

Walter R, Dowdle, Ph.D. (FirstPlenary)

Deputy Director, Centers for DiseaseControl and Prevention

1600 Clifton Road, NE., MS D-14Atlanta, Georgia 30333

Elaine D. Eaker, SC.D. (BB)Assistant Director for ScienceDivision of Surveillance andEpidemiology


1600 Clifton Road, NE., MS C-08Atlanta, Georgia, 30333

Joyce M. Eatmon, M,P.A. (X)Medical EconomistCenter for Health StatisticsDepartment of Health4815 West Markham, Slot 19Little Rock, Arkansas 72205–3867

( ) Indicatessession.

Cecile H. Edwards, Ph.D. (B)Graduate Professor, NutritionalSciences

College of Allied Health Sciences2400 Sixth Street, NW,Washington, D.C. 20059

Pennifer Erickson** (A)Chief, Clearinghouse on HealthIndexes

Division of Epidemiology and HealthPromotion

Manning Feinleib, M.D., Dr.P.H.**(First Plena~)

Director

Maryanne J. Florio, M,Ed. (W)Research Scientist, Maternal and ChildHealth Epidemiology and ProgramPlanning

Department of Health363 West State Street, CN 364Trenton, New Jersey 08625

Blanche Frank, Ph.D. (C)Chief, Bureau of Applied StudiesState Office of Alcoholism andSubstance Abuse

55 West 125th StreetNew York, New York 10027

Emma L. Frazier, Ph.D. (P)Chief, Data Management SectionCenter for Chronic Disease Preventionand Health Promotion


1600 Clifton Road, NE., MS K-30Atlanta, Georgia 30333

Brian K, Gallagher, M,S, (0)Program Research Specialist, PerinatalHealth Unit, NYS Department ofHealth

Corning Tower Building, Room 780Albany, New York 12237

53

Jane F. Gentleman, Ph.D. (M)Chief, Health Status SectionCanadian Centre for HealthInformation

Statistics Canada, RHC-18AOttawa, Ontario, Canada KIA 0T6

Robert S. Gold, Ph.D. (C)Senior Science AdvisorMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910

Claire C. Gordon, Ph.D. (J)Senior Anthropologist, U.S. ArmyAviation and Troop Command

Natick Research, Development, andEngineering Center

Natick, Massachusetts 01760-5020

Robin D. Gorsky, Ph.D. (Z)Associate Professor, Health

Management and Policy, University ofNew Hampshire

R.R.1, Box 161D, Harmony GroveRoad

Northwood, New Hampshire 03261

Sheldon Greenfield, M.D. (W)Senior Scientist, Health InstituteDepartment of Medicine, Tufts

University750 Washington Street, 345Boston, Massachusetts 02111

Joel W. Greer, Ph.D. (X).Economist, Research andDemonstrations

Health Care Financing Administration6325 Security Boulevard, OM 2504Baltimore, Maryland 21207

Corazon M. Halasan, Ph.D. (J)Vital Records and Health StatisticsPublic Health Division1190 St. Francis DriveSanta Fe, New Mexico 87502-6110

David P. Hamburger, M.D. (U)Injury Control FellowChildren’s National Medical Center12809 Circle DriveRockville, Maryland 20850

Robert Hartford, Ph.D.** (N)Deputy DirectorOffice of International Statistics

Marilyn J. Henderson, M.P.A. (D)Assistant Chief, Survey and Analysis

BranchCenter for Mental Health Services5600 Fishers Lane, Room 18C-07Rockville, Maryland 20857

Alan B. Humphrey, Ph.D. (Q)Associate Professor, College of

Business AdministrationUniversity of Rhode Island301 Ballantine HallKingston, Rhode Island 02881-0802

Patricia M. Jamison, M.P.H. (X)Computer Specialist, Division ofCancer Prevention and Control


4770 Buford Highway, NE., K-55Atlanta, Georgia 30341-3724

Jared B. Jobe, Ph.D.** (L)Psychologist, Office of Research andMethodology

Timothy P. Johnson, Ph.D. (R)Assistant Director, Survey Research

LaboratoryUniversity of Illinois at Chicago910 West Van Buren, Suite 500Chicago, Illinois 60607

Clifford Johnson, M.S.P.H.** (F)Special Assistant for AnalysisDivision of Health Examination

Statistics


54

Sarita L. Karen, Ph.D. (AA)Assistant Scientist, Center for Health

Systems Research and AnalysisUniversity of Wisconsin610 Walnut Street, Room 1158Madison, Wisconsin 537o5

. Harold Kilbum, M.A. (Y)Program Research Specialist, HealthPolicy and Management

State University of New York*2019 Tower Building, Empire StatePlaza

Albany, New York 12237

Russell S. Kirby, Ph.D. (B)Department of Pediatrics and CAREUniversity of Arkansas MedicalSciences

4301 West Markham Street, Slot 512Little Rock, Arkansas 72205

Susan M. Krebs-Smith, Ph.D. (F)Nutritionist, Applied Research BranchNational Cancer Institute, DC PC9000 Rockville PikeBethesda, Maryland 20892

James S. Larson, Ph.D. (D)Professor, Institute of GovernmentUniversity of Arkansas, PublicAdministration

2801 South UniversityLittle Rock, Arkansas 72204-1099

Roberta K. Lee, R.N., Dr.P.H. (G)Professor, Community HealthUniversity of Texas School of Nursing1100 MechanicGalveston, Texas 77555-1029

bAndrew C. Leon, Ph.D. (D)Assistant Professor of BiostatisticsDepartment of Psychiatry, Cornell

. University525 East 68th StreetNew York, New York 10021

Vito M. Logrillo, M.P.H. (M)Director, Information Resources

ManagementAIDS InstituteNYS Department of HealthEmpire State Plaza, Tower BuildingAlbany, New York 12237–0020

Mary E. bsch, Ph.D. (AA)Program Director, Social Science

Institute, The University of Iowa345 Schaeffer HallIowa City, Iowa 52242–1409

James T. Massey, Ph.D.** (P)Chief, Survey Design StaffOffice of Research and Methodology

Patricia McKinney, MS., R.D. (F)Program Analyst, Analysis andEvaluation

Food and Nutrition ServiceU.S. Department of Agriculture3101 Park Center Drive, 2d FloorAlexandria, Virginia 22302

David Mechanic, Ph.D. (SecondPlenary)

Institute for Health, Health CarePolicy, and Aging Research, RutgersUniversity

30 College AvenueNew Brunswick, New Jersey 08903

Chun-Lo Meng, Ph.D. (V)Director, Statistical Analysis UnitColorado Department of Health4300 Cherry Creek Drive South,HSVRD-HS-A5

Denver, Colorado 80222–1530

Paul T. Menzel, Ph.D. (U)Professor, Department of Philosophy

and Dean of HumanitiesPacific Lutheran UniversityTacoma, Washington 98447

( ) hldicates session.

55

Ele Meux, Ph.D. (0)Section Chief, Patient Discharge DataCalifornia Office of State-Wide HealthPlanning and Development

818 K Street, Room 100Sacramento, California 95814

Keith J. Mueller, Ph.D. (R)Director, Center for RuraI Health

ResearchUniversity of Nebraska Medical Center600 South 42d StreetOmaha, Nebraska 681984350

Andreas Muller, Ph.D. (Q)Associate Professor, Health ServicesUniversity of Arkansas at Little Rock2801 University Avenue, Room 207Little Rock, Arkansas 72204

Douglas R. Murray, M.S. (U)Director, Center for Health StatisticsArkansas Department of Health4815 West Markham Street, Slot 19Little Rock, Arkansas 72205-3867

Raymond D. Nashold, Ph.D. (J)Director, Center for Health StatisticsState Registrar, Division of Health1 West Wilson Street, Room 172Madison, Wisconsin 53702

Merwyn R. Nelson, Ph.D. (V)Chief, Center for Health StatisticsIllinois Department of Public Health535 West JeffersonSpringfield, Illinois 62761

Edward Ng, Ph.D., M.A. (N)Analyst, Occupational and

Environmental Health Research,Statistics Canada

Coats Building, Tunney’s PastureOttawa, Ontario, Canada KIA 0T6

Alan Otten (I)ColumnistWashington Bureau, Wall StreetJournal

1025 Connecticut Avenue, NW.Washington, D.C. 20036

Mary D. Overpeck, Dr.P.H. (C)Epidemiologist, Epidemiology BranchNational Institute of Child Health6100 Executive Boulevard, Room 7B03Bethesda, Maryland 20892

Victoria Vespe Ozonoff, Ph.D. (G)Director, Health Resources StatisticsBureau of Health Statistics, Research

and EvaluationDepartment of Public Health150 Tremont StreetBoston, Massachusetts 02111

Elsie Pamuk (Q)Division of NutritionCenters for Disease Control andPrevention

4770 Buford Highway, NE,Atlanta, Georgia 30341-3724

Stephen T. Parente, M.P.H., M.S. (Y)Project Coordinator, Johns Hopkins .Health Services Research and

Development Center624 North Broadway, Room 600Baltimore, Maryland 21205

P. Ellen Parsons, Ph.D.** (AA)Statistician, Division of HealthInterview Statistics

Donald L. Patrick, Ph,D,, M. S,P,H,(First Plenary)

Director, Social and BehavioralSciences

University of WashingtonDepartment of Health Services, SC-37Seattle, Washington 98195

David B. Pryor, M.D. (W)Associate Professor of MedicineDuke University Medical CenterBox 3531Durham, North Carolina 27710


56

Martha Farnsworth Riche, Ph.D. (E)Director of Policy StudiesPopulation Reference Bureau1875 Connecticut Avenue, NW., “Suite 520

Washington, D.C. 20009. Roger Roberge, M,A. (A)

Analyst, Health Analysis and ModelingGroup

Statistics Canada.Tunney’s Pasture, RHC Building, 24thOttawa, Ontario, Canada KIA 0T6

Tanya Roberts, Ph.D. (Z)Senior Economist, Economic ResearchU.S. Department of Agriculture1301 New York Avenue, NW.Washington, D.C. 20005-4788

Rhonda Roland (I)Senior ProducerCable News Network1 CNN Center, Box 105366Atlanta, Georgia 30348-5366

Wilfred Rosenbaum, M.Math. (M)Department of Computing ScienceComputational EpidemiologyLaboratory

Simon Fraser UniversityBurnaby, British Columbia, CanadaV5A 1S6

David A. Ross, SC.D. (BB)Assistant Director for Information and

Communication ServicesPublic Health Practice Program OfficeCenters for Disease Control andPrevention

~ 1600 Clifton Road, NE.Atlanta, Georgia 30333

Marcel Edward Salive,’M.D., M.P.H.. (H)

Epidemiologist, Epidemiology,Demography, and Biometry Program

National Institute on AgingNational Institutes of Health7201 Wisconsin Avenue, Suite 3C309Bethesda, Maryland 20892

Marcia M. Sass, SC,D. (X)Assistant Director, Health Initiatives

Evaluation, New Jersey Departmentof Health

CN 360, Health and AgricultureBuilding

Trenton, New Jersey 08625-0360

Harry L. Savitt, Ph.D., M.P.H. (G)Deputy Director, Division ofBeneficiary Studies

Office of Research andDemonstrations

Health Care Financing Administration6325 Security Boulevard, Room 2504

OMBaltimore, Maryland 21207

William Scanion (H)Codirector, Center for Health PolicyStudies, Georgetown University

2233 Wisconsin Avenue, NW.,Suite 525

Washington, D.C. 20007

Ravi K. Sharma, Ph.D. (B)Assistant Professor, Department of

Health Services AdministrationUniversity of Pittsburgh130 Desoto Street, 228 Parran HallPittsburgh, Pennsylvania 15261

T. Joseph Sheehan, Ph,D, (J)Professor, Epidemiology andBiostatistics

Department of Community MedicineUniversity of Connecticut School of

MedicineFarmington, Connecticut 06030-1910

Larry H. Shinagawa, PhiD, (P)Senior Research AssociateAsian American Health Forum116 New Montgomery, Suite 531San Francisco, California 94105

( ) Indicatessession,

Monroe Sirken, Ph.D.** (T)Associate DirectorOffice of Research and Methodology

Jane E. Sisk, Ph.D. (First Plenary)Professor, Division of Health Policy

and ManagementColumbia University School of PublicHealth

600 West 168th StreetNew York, New York 10032

Jonathan Reuel Sugarman, M.D.,M.P.H. (R)

Medical Epidemiologist, Division ofResearch, Evaluation, andEpidemiology

Portland Area Indian Health Service2201 Sixth Avenue, Room 300Seattle, Washington 98121

Barbara Sugland, SC.D., M.P.H. (E)Research AssociateChild Trends, Inc.2100 M Street, NW., Suite 610Washington, D.C. 20037

Dong Sub, M.P.P. (R)Research AssociateAsian American Health Forum116 New Montgomery, Suite 531San Francisco, California 94105

David A. Swanson, Ph.D., M.A., (S)Senior Demographic SpecialistArkansas Institute for Economic

AdvancementUniversi~ of Arkansas2801 South University AvenueLittle Rock, Arkansas 72204-1099

Karen Smith Thiel, Ph.D. (E)Director, Healthy Start EvaluationHealth Resources and ServicesAdministration


Kenneth E. Thorpe, Ph.D. (ThirdPlenary)

Deputy Assistant Secreta~ forHealth Policy


200 Independence Avenue, SW.,Room 442E

Washington, D.C. 20201

David Thurman, M.D., M.P.H. (G)Medical Epidemiologist, National

Center for Injury Prevention andControl


4770 Buford Highway, NE., MS F-41Atlanta, Georgia 30341

Joan Turek-Brezina, Ph.D. (0)Director, Technical and Computer

Support DivisionOffice of the Assistant Secretary forPlanning and Evaluation


200 Independence Avenue, SW.Washington, D.C. 20201

Therese Van Houten, DS.W. (C)Evaluation DirectorMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910

Lois M. Verbrugge, Ph.D., M.P.H. (H)Distinguished Research Scientist,

Institute of Gerontology, University ofMichigan

300 North IngallsAnn Arbor, Michigan 48109-2007

William H. Walsh, Jr, (M)Director, National Center for Statistics

and Analysis, New Hampshire TSA400 Seventh Street, SW., Room 6125Washington, D.C. 20590

( ) Indicatessession.

58

Signe Wetrogan (S)StatisticianPopulation DivisionUS. Bureau of the CensusWashington, D.C. 20233

a Arnanda White, B.A. (F)Principal Social Survey OfficerOffice of Population Census andSurveys

. St, Catherine’s House, 10 KingswayLondon WC2B 6JP Great Britain

Gale G. Whiteneck, Ph.D. (K)Director of ResearchCraig Hospital3425 South ClarksonEnglewood, Colorado 80110

Russell Wilkins, M.Urb. (H)Senior AnalystCanadian Centre for HealthInformation

Statistics Canada, RHC-18NOttawa, Ontario, Canada KIA 0T6

Michelle A. Williams, SC.D, (B)Assistant Professor of EpidemiologySchool of Public Health and

Communi& Medicine1124 Columbia Street, MS MP381Seattle, Washington 98104

P. Douglas Williams, M.S’:* (R)Chief, State and Academic ResearchApplications

. Office of Planning and ExtramuralPrograms

Richard A. Windsor, Ph.D., M.P.H.. (u)Special Assistant to the DirectorNational Heart, Lung, and Blood

InstituteNIH, Building 31, Room 5A48Bethesda, Maryland 20892

Ruth Zambrana, Ph.D. (R)Consultant, Agency for Health CarePolicy and Research

2101 East Jefferson StreetRockvilIe, Maryland 20852

Alvan O. Zarate, Ph,D.** (N)Special Assistant to the DirectorOffice of the Center Director

Sharon L. Zucconi, Ph,D, (V)Assistant Professor and Policy AnalystUniversity of PittsburghSchool of Public Health130 DeSoto Street, A655Pittsburgh, Pennsylvania 15261

“*National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782

( ) Indicates session,

59

Documents

Public Health Conference on Records and Statistics (July 19-21, … · The NCHS is the Federal Government’s principal health statistics agency. NCHS’S data systems address the