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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downloads
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Monitoring Use of Health, United States Products
80,000 COVID-19
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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