National Center for Health Statistics

Update from the Division of Analysis and Epidemiology

Irma Arispe Board of Scientific Counselors October 22, 2021

National Center for Health Statistics

Data Linkage •

.ru1JL Healthy People 2030

NCHS Division of Analysis and Epidemiology Major Program Areas

Division of Analysis and Epidemiology

Measures Research and Evaluation

Data Linkage Methodology and

Analysis

Population Health Reporting and Dissemination

Health Promotion Statistics

Goal 1: Expand Relevance, External Engagement Understand user needs Improve awareness and use of products Build and maintain partnerships

NCHS Products Target Different Audiences in Different Ways

Citations of Healthy People 2030 andHealth, United StatesFY2021

Healthy People 2030 Health, United States

1 28%

2 52%

3 20%

1 69%

2 17%

3 14%

2019 report 2017 report &

Data Finder launch 2018

report

views

HUS Homepage views

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Monitoring Use of Health, United States Products

80,000 COVID-19

0

DATA • , ,:. MODERNIZATION I INITIATIVE ."

'Ii &

A Health, United States Query System Informed by Users’ Needs

Health, United States redesign’s systematic approach helped us

understand who was using Health US, what topics and analyses were

most frequently used, and why users selected those data.

Web analytics Web user survey

Literature review

Audience research

Stakeholder interviews

NCHS/Acad myH alth Data Vi ualization Chall ng

A competition to create interactive data

visualizations that address public health issues

using NCHS trend data. Submit an Intent to Apply for the NCHS/AcademyHealth Data Visualization Challenge

Application Dead line: November 1 5,

2021

Submit Intent C➔

DMI DATA , , .:. MODERNIZATION 1 INITIATIVE .°

Collaboration and Engagement Types of Partnerships

• Data partners

• Reviewers

• Subject matter/topic https://academyhealth.org/NCHSData • Methods development

• Technical assistance

• CDC and external agency business partnerships

• Interagency/International analytic or reporting partnerships

• Visionary partnerships

Goal 2: Accelerate Data Capabilities Modernize systems and infrastructure Expand data sources & collection methods Enhance analytic tools and techniques

Addresses

' Add contextual information to

&ta ndard Census ge□c□ded areas

NCHS Survey Data

ffl fflfl Population-based household surveys

~ BIIE National healthca re surveys

{'T"\ Tirr~ing of housing \..:;;J assistance

mlfl ■ R~eipt/t ypeof RllilillW houslngassfstance

Medicare and Medicaid . ~ a l· • ·i Healthcare uUlizatlon

and expenditure$

Mortality

Ca u~e □f death f rom Nationo I Death Index

NCHS Data Linkage Program • Linking data can provide policy-

relevant information in an efficient way

• NCHS links its surveys to administrative data sources using personally identifiable information (PII)

• NCHS also geocodes its surveys to facilitate merging of contextual variables

DATA , , ...

MODERNIZATION INITIATIVE • .. ..

DMI

New Developments in the Data Linkage Program: Partnerships are Key

• New data sources, linkages Department of Veterans Affairs health and benefits data CMS’ Transformed Medicaid Statistical Information System (T-MSIS) Updated linkage with ESRD data

• Methodologies for expanding access while protecting privacy PPRL Synthetic Data files

• Leveraging data to improve administrative data on race and ethnicity

• New partnership with Georgia Tech Research Institute will inform content of publicly available linked data files

National Center for Health Statistics

CDC NCHS Healthy People Healthy People 2020 Healthy People 2020 Final Review

Healthy People 2020 Progress by Population Group

EidWfflfl·tmA mr Race and ethnicity

Data Chart Data Table

Fina l Progress Status for Objectives by Race and et hn icity

• Target met or exceeded • Improved • Little or no d etectabl e change • Got worse

American Indian or Alaska Native 33.3% 66.7%

Asian 33.3% 500%

Native Hawaiian or Other Pacific Islander

Two or more races 20.0% 60.0%

Hispanic or La t ino 33.3% 500%

Black, not Hispanic or Latino 167% 66.7%

White, not Hispanic or Latino 33.3% 66.7%

Ci 0 ~ '9

■ selectall ■ American Indian or Alaska Native

■ A5ian ■ NatrveHawaiianorOtherPacific l..

■ Twoormorerace, ■ Hispanicorlatmo

■ Black,notHisp,micorlatino ■ White. notHispanicorla!lflo

HP2020 Disparities Tool 0 Disparities Overview by Race and Ethn icity Read a u ser's Gulde to Health Dlsparitle -

C-2: Lung cancer death& ja ga-adju&tad , per 100,000 popula tlon) The best/worst Thoo<ftOJl""lllorl.,.,_ol_n,..._,,_Pon...,_,.._,._...,~...,-1

Users ca n view

footnotes beneath

the Overview chart

Footnotes

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groups and values are always

shown in

blue/red,

respectively,

regardless of the desired direct ion

Users can click individual years to drill

down to disparities deta ils

12

Enhancing Analytic Tools for Health Equity

National Center for Health Statistics

CDC NCHS COVID-19 Data from NCHS Hea lth Care Access, Telemedicin,

Functioning and Disability Househo ld Pul se Su rvey

To rapidly monitor recent changes in hea lth status and health care,

the National Center fo r Health Statistics (NCHS) partnered with the

Census Bureau on an experimenta l data system cal led the

Household Pulse Survey. This 20-minute on line survey was des igned

• With disability • Without disability

100%

50%

0%

COVI D Data Tracker

Health Equity Data

Vaccin at ions y Disab ility Stat us

Explore COVI D-19 vaccination rates among people with d isabilities by age and race/ethnicity

I I I I I I

Informing Health Equity Priorities: Ensure Disability Inclusion

• Washington Group Short Set measures in Pulse

• NCHS and CDC web pages feature data

• Disparities in vaccination, mental health, access and utilization

• Anxiety and Depression• Mental Health Care• Health Insurance Coverage• Access to Health Care• Telemedicine Use

Goal 3: Build on Workforce, Operational Excellence Strengthen workforce management Improve professional advancement, development, leadership Improve coordination, collaboration, internal communication

ployCDC

Selected Professional Development and Collaborative Opportunities COVID deployments Cross coverage, cross training, developmental assignments Mentoring programs: NCHS, ICSP, HHS

Health Communication Early Career Certificate Program Data Science Upskilling Program Data Science Certificate Program Long term education

NCHS Data Visualization Group Heath Equity and Disparities Interest Group Invited Presentations

~ An official website of the United States government

USAJOBs·

Statistician (Health) DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

National Center for Health Statistics {NCHS)

Overview Locations Dut ies

Overview Accepting applications

Req uirements

Open & closing dates Duties

(!) 10/07/2021 to 10/27/2021 Summary

Required Documents Benefi ts How to apply

The incumbent funct ions as a senior specialist and expert on a wide ra nge of popu lation healt h iss ues includ ing stat ist ical and

ana lyt ic methods, and populat ion healt h topics such as menta l healt h, hea lth services, aging, and health dispa ri t ies.

Recruiting New Staff: Methodologists

The vacancy number is HHS-CDC-DH-22-11257013 and is open from 10/07/2021 through 10/27/2021. The vacancy announcement can be found at: https://www.usajobs.gov/GetJob/V iewDetails/616727400

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Thank you!