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Iowa’s MCH Data Capacity Assessment Breana Lipscomb Lucia Dhooge Debbie Kane
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Session Objectives To describe: –The history & context of the MCH Data Capacity Assessment –The survey development –How to conduct an assessment –The results and how to use the results
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This Presentation We’ll be conversational You can ask questions at any time You’ll learn about our results and insights You’ll learn how to do the assessment in your state
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Evolution of Iowa’s MCH Data Capacity Assessment How it beganHow it began How it evolvedHow it evolved urrent statusCurrent status
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Key Question to be Answered What is “capacity” of data systems? Our Question: Do Iowa’s data systems furnish state and local MCH entities with needed data?
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The Connection with Iowa SSDI SSDI Objectives Data Integration Steering Committee (DISC) MCH Data Integration Team
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Iowa’s Results
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Results 2005 Assessment –Sample size of 15 –Response rate 93% 2007 Assessment –Sample size of 14 –Response rate 100%
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Assessment Results 2005 – 2007 Improvements to database access –Organization has access to data 70% to 80% –Defined parameter use 80% to 100%
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Assessment Results 2005 – 2007 Improvements to data dissemination –Local presentations 40% to 50% –National or regional presentations 20% to 40%
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Assessment Results (2005-2007) Improvements to data use Billing –0% to 30% Surveillance –77.8% to 80% Program planning –87.5% to 100% Program evaluation –87.5% to 90%
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Assessment Results (2005 – 2007) Learning need addressed GIS learning needs –Skill needed remained the same –Increased staff –Staff capability adequate SSDI –Link programs to trained staff –Training
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Assessment Results (2005-2007) Identified learning needs Survey design –Need doubled –Less staff –Staff at least adequate Surveillance –Need increased by 60% –Staff has limited availability –Yes, but…
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Assessment Results (2005-2007) Identified learning needs Linking data –Increased need –Staff has limited availability –Staff at least adequate
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Results (2007) Data Linkage How many 8 of 14 data sets linked Link with 1-3 new data sets –What comprised the linkages? Medicaid claims data Vital records
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Results (2007) Data Linkage Linkage trigger –Majority are routine Linkage frequency –Wide variation Method –Deterministic
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Results (2007) Data Linkage Linkage process –Wide variation Elements gained by linkage –Demographics –Maternal behaviors during pregnancy –Infant outcomes
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Here’s How You Can Do It!
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Step One: Develop Survey Tool MCH EPI Team adapted the CSTE Assessment and Monitoring Tool for MCH Epidemiology and Data Capacity 2005 - Iowa “personalized” MCH EPI tool 2007 – Iowa revised tool based on 2005 lessons learned
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Survey development Expanded Data Linkage section –Frequency –Method –Data Gained –Overall Benefit
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Survey development Removed Staff Retention section Removed Population section Added Potential Use section
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Survey development Separated Program and Policy Use sections Clarified Key Terms and Concepts –Linkage –Deterministic/Probabilistic
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Step Two: Select Databases Which databases are relevant to MCH? Which databases do you want information about? Which persons are most knowledgeable about the databases?
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Step Three: Determine Data Collection Method Interview or Written Response Points to Consider –Number of databases –Time to collect data –Relationship building –Learning aspect
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Step Four: Request Interviews Release preliminary announcement Schedule interview Prepare assessment tool
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Step Five: Conduct Interviews Explain purpose of the assessment Allow adequate time Probe for more detail Permit interviewee to speak freely
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Step Six: Review Responses Transcribed interview into electronic format –Each interview was saved as separate file Follow up on any discrepancies or missing information
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Step Seven: Crunch the Numbers Determine best method for counting responses –Tallying –Using a statistical program –Using Excel
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Crunch the Numbers Statistical Software: SPSS –Create code book Provides special abbreviated name for each question in the tool Enter codes/abbreviations into SPSS –Enter quantitative interview responses –Run frequency tests
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Step Eight: So What? Strengthen areas of weakness Build capacity of all participants
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Strengthen Areas of Weakness 1.Look at number crunches 2.Decide on area(s) of focus 3.Make a plan/timeline 4.Follow through
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Building Participant Capacity They learn as they ask/answer questions They learn as they receive feedback They learn as they plan follow-through They learn!
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You Can Do It!
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Questions?
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Questions Later? Lucia Dhooge ldhooge@idph.state.ia.us
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…and we are making a difference.
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