Professional Documents
Culture Documents
Cheryl Wold, MPH Wold and Associates for the National Library of Medicine
Looking Ahead
Module 2 Will explore Community Health Status Indicators (CHSI), an on-line health indicator resource. Module 3 - Case study of librarian involvement in indicators. Module 4 Look in-depth at a few health indicator reports and on-line tools.
Common health indicators and data sources How are health indicators used and compiled?
- Examples of reports and on-line tools - Resources for further reading
Health Indicators, Part I
Background
Presentation draws upon my experience with developing health indicators and data. Review of health indicators conducted for Institute of Medicine Committee for The State of the USA (July 2008). http://www.stateoftheusa.org Showed the range of content and use associated with health indicators.
Health Indicators, Part I
What is Health?
By far, the most accepted definition is that of the World Health Organization:
[Health is] the state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity (WHO, 1948) and the extent to which an individual or group is able to realize aspirations and satisfy needs, and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources as well as physical capabilities (WHO, 1984).
Inform policy and policy makers, and can be used to promote accountability among governmental and non-governmental agencies.
These are robusthigh completeness of reporting, widely available through the National Vital Statistics System, and standardized so as to be are comparable across states and nations. But, also limited.
Health Indicators, Part I
Not smoking Regular physical activity Diet and nutrition Moderate or no drinking, not using drugs. Insurance coverage Regular source of care Avoidable hospitalizations Receipt of preventive services
Health Indicators, Part I
Cost
Total health expenditures Health as share of Gross Domestic Product (GDP) Prescription drug costs Payments to hospitals, facilities Comparisons of resources used per patient between hospitals/areas
Quality of care
Effective care receipt of recommended screenings, treatment, readmission rates. Patient Safety medical error
General Health Indicator (national, state, local, international) Quality of Life--Comprehensive Indicator Systems Health System Performance Universe of health indicators and their attributes Data sources and disaggregation potential Range of practices related to accessing and presenting the indicators. Gaps in data
Health Indicators, Part I
Social indicators
Commission on a Healthier U.S., (Robert Wood Johnson Foundation)
http://www.commissiononhealth.org/WhatDrivesHealth.aspx
Health Indicators, Part I
Source: Wisconsin County Health Rankings (2007), University of Wisconsin, Population Health Institute.
Big Cities (National Association of City and County Health Officials) http://eweb.naccho.org~ State Scorecard on Health System Performance (Commonwealth Fund)
http://www.commonwealthfund.org/Content/Publicatio ns/Fund-Reports/2009/Oct/2009-State-Scorecard.aspx
Health Indicators, Part I
Source: http://www.americashealthrankings.org/glance.aspx
Health Indicators Part 1
Older Americans 2008: Key Indicators of WellBeing (Interagency Forum on Aging-related Statistics)
http://www.agingstats.gov/agingstatsdotnet/main_site/default.aspx
Civic Vitality Cultural Life and the Arts Economy Education Environment & Energy
[sic]
An illustration of trends in the CIW with two domains (Living Average CIW Standards and Healthy Populations) compared with the Median CIW GDP, 1994-2008. [sic]
http://www.ciw.ca/en/TheCanadianIndexOfWellbeing/CompositeIndex.aspx
Conclusion: IOM Framework for Health Indicators Recommended to The State of the USA
http://books.nap.edu/openbook.php?record_id=12534&page=5
Health Indicators, Part 1
THANK YOU!
for more information contact cheryl@cherylwold.com Ione_auston@nlm.nih.gov