1. The VALUE of HEALTH CARE DATA to HIGHWAY SAFETY INFORMATION PROFESSIONALS 2002 International Traffic Records Forum August 5, 2002 Orlando, Florida

2. HIGHWAY SAFETY INFORMATION Measures of Exposure Population Licensed Drivers Roadway Miles Miles Traveled Registered Vehicles Strategic Resources Money Facilities People Information Materiel

3. CDC’s 11 CORE DATA SETS FOR INJURY SURVEILLANCE Pre-hospital/ EMS Emergency Dept ED Hospital Discharge Vital Records Medical Examiner Child Fatality Review Team Uniform Crime Report Source: CDC, STIPDA Fatality Analysis Reporting System National Occupant Protection Use Survey Behavioral Risk Factor Surveillance Youth Risk Behavior Surveillance

4. INFORMATION CONTAINED in HEALTH CARE RECORDS 1. Personal Identifiers and Demo- Personal Descriptors graphics 2. Dates and times of treatment LOS 3. History of Injury Event E-codes 4. Symptoms – Sx andISS and AIS Diagnosis - Dx N-codes 5. Treatment - Tx and Rx 6. Charges - $$

5. USES of HEALTH DATA Program Management and Policy Development Safety Research Special Studies State and Community Reports

6. USES of HEALTH DATA Monitor trends in injury events and outcomes Monitor changes in risk behaviors and practices Develop injury prevention programs Evaluate effectiveness of injury prevention programs

7. USES of HEALTH DATA Compare MV Injury with Other Injuries Compare MV Injury with Other Causes of Death Evaluate Years of Potential Life Lost Study Risk Behaviors, Resulting Outcomes, Costs Study Specific Injury Diagnoses x Other Crash Factors Evaluate Demographic Factors and Injury Outcomes Study Access to Care

8. ISSUES IN USING HEALTH DATA CONFIDENTIALITY CODING MEDICAL EXPERTISE LOCATION

9. ISSUES IN USING HEALTH DATA -HEALTH DATA CAN BE DIFFICULT TO INTERPRET -SPECIALIZED TRAINING AND EXPERTISE IS REQUIRED -SOME CATEGORIES MAY CONTAIN SMALL NUMBERS -CAUSE, LOCATION, and PROTECTIVE DEVICE USE DATA ARE OFTEN MISSING/ INCOMPLETE - HEALTH DATA ARE USUALLY NOT AS TIMELY AS CRASH DATA (18 month delay in Wisconsin)

10. PRESENTATIONS Medical and Financial Outcomes of Bicycle Crashes in Maryland Timothy J. Kerns, National Study Center for Trauma and EMS Motor Vehicle Crash Outcome for Alcohol-Impaired Drivers Aged 14-20 in Nebraska, 1996-1999 Prabhakar Dhungana, NB Health and Human Services Systems Child Passengers Injured in Alcohol-related Crashes in San Diego County Alan Smith, Epidemiologist, San Diego County EMS