NCHS –Contributions to State and Local Data Virginia S. Cain, Ph.D. NCHS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics National Center for Health Statistics -- Mission The mission of the National Center for Health Statistics is to provide statistical information that will guide actions and policies to improve the health of the American people. Four Major NCHS Data Systems • National Vital Statistics System • National Health Interview Survey • National Health and Nutrition Examination Survey • National Health Care Survey National Health Interview Survey (NHIS) Objective • To provide data for monitoring health status, health care access, and progress toward achieving national health objectives of the U.S. population Data source • Personal interviews in 37,000 households annually – oversample African Americans, Hispanics, Asians Data applications • Extent of illness and disability, injuries, health insurance coverage, health behaviors, use of health services, immunization Data Also Obtained on Social Determinants of Health • Age, sex, color, marital condition, nativity • Usual occupation, employment status, family income and relief status • Rent, number of rooms in the house, and sanitary facilities NHIS State Estimates • Currently 20 states Arizona California Florida Georgia Illinois Indiana Maryland Massachusetts Michigan Missouri New Jersey New York North Carolina Ohio Pennsylvania Tennessee Texas Virginia Washington Wisconsin Possible 2011 NHIS State Estimates • 2011 President’s Budget includes $8M increase for NHIS • Plans to increase sample size in 5 additional states • Alabama, Colorado, Louisiana, Minnesota, South Carolina National Health and Nutrition Examination Survey (NHANES) • Community Health and Nutrition Examination Survey (CHANES) • NCHS provides technical expertise • Supported by community • Studies to date • NYC HANES I - complete • Survey of Health Wisconsin – in field • Oregon Health Study – in field National Health Care Surveys • “Family” of provider-based surveys • Designed to provide information about the organizations and providers that supply health care, the services rendered, and the patients they serve across diverse settings. Possible 2011 NHCS State Estimates • 2011 President’s Budget includes $3.5M increase for National Ambulatory Medical Care Survey (NAMCS) • Funds targeted to increase sample size to get estimates for largest states • Estimates to be available every 2 years