NYSDOH Health Data Code-a-Thon Webinar


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NYSDOH Health Data Code-a-Thon Webinar

  1. 1. New York State Health Data Code-a-Thon Obesity and Type 2 Diabetes Prevention December 13, 2013
  2. 2. Webinar Housekeeping 1
  3. 3. The Obesity and Type 2 Diabetes Epidemics in NYS NYS Department of Health • Maureen Spence • Susan Millstein 2
  4. 4. Obesity and Type 2 Diabetes Data Sources NYS Department of Health • Ian Brissette • Trang Nguyen • Rachael Ruberto • Lynn Edmunds • George Javitz NYS Office of Parks and Recreation • Sally Drake • Christina Croll 3
  5. 5. Where Are You? 4
  6. 6. Obesity 5
  7. 7. Obesity in NYS Adults • According to self-report survey data, 24.5% of NYS adults are considered obese, and another 35.6% are overweight, impacting 8.5 million residents. • Obesity is significantly more prevalent among non-Hispanic black adults (32.5%) than among Hispanic (26.3%), non-Hispanic white (23.6%) and other non-Hispanic adults (16.3%). 6 6
  8. 8. Obesity in NYS Adults The rate of obesity is also higher among those who earn an annual household income less than $25,000 (26.8%), have less than a college education (27.1%), or are currently living with a disability (34.9%). 7 7
  9. 9. Obesity in Adolescents and Children • In the US: – 31.7% of children and adolescents aged 2-19 are overweight or obese. • In NYS: – 32% of public school students (outside NYC) are overweight or obese. – 40% of NYC public school students ages 6-12 are overweight or obese. – 32% of children ages 2-4 enrolled in the WIC Program are overweight or obese. 8 8
  10. 10. Obesity Prevalence Trends among WIC Children 2-4 Years by Race/Ethnicity New York State, 1990-2010 25 1990-2003 (↑2.7 ) 2003-2010 (↓3.6) Percent (%) 20 1989-2003 (↑3.9) 15 2003-2010 (↓2.8) 10 2003-2010 (↓0.6) 1989-2003 (↑3.4) 5 0 1990 1992 1994 Source: 2010 Pediatric Nutrition Surveillance Report, table 18c 1996 1998 Black 2000 Hispanic 2002 2004 2006 2008 2010 White 9
  11. 11. Why is Obesity a Public Health Problem? • Obesity can: – – – – Shorten lives Reduce quality of life Affect academic and work performance Carry an economic burden • Racial, ethnic and income disparities are significant 10
  12. 12. Diabetes 11
  13. 13. Type 2 Diabetes • When you eat food, the body breaks down all of the sugars and starches into glucose, which is the basic fuel for the cells in the body. • Insulin takes the sugar from the blood into the cells where it can be used for energy • In type 2 diabetes, there is too little insulin, or the insulin that is available is not effective • Glucose/sugar remains in the blood stream at an elevated level (high blood sugar) 12
  14. 14. Risk Factors for Type 2 Diabetes • Advancing age • Obesity • Family history of diabetes • Prior history of gestational diabetes • High Blood Pressure • Physical inactivity • Race/ethnicity 13
  15. 15. Portion Distortion Through the Years 14
  16. 16. Sedentary Lifestyles 15
  17. 17. 16
  18. 18. AUDIENCE POLL 17
  19. 19. Diabetes in New York State Adults • Approximately 1.5 million adult new Yorkers or 10.4% of the population have been diagnosed with diabetes. • Between 1999 and 2011, the prevalence of diagnosed diabetes in adults in New York State (NYS) increased from 5.7% to 10.4%. • During the same years, the prevalence of obesity in adults increased from 17.4% to 24.5%. • Because obesity is a leading risk factor for diabetes, the increase in obesity prevalence translates to nearly one million additional New Yorkers being at higher risk for developing diabetes 18
  20. 20. Why Do We Care? • Diabetes affects many parts of the body and can lead to serious complications such as blindness, kidney damage and lower limb amputations. • The total cost of diabetes in NYS was estimated at $12.9 billion in 2007, including $8.7 billion in diabetes-related medical expenditures and $4.2 billion attributed to lost productivity costs. 19
  21. 21. Type 2 Diabetes in New York State Youth • No registry or other means to accurately account for the number of children with type 2 diabetes. • Based on national studies, we estimate there are approximately 1,100 youths, aged 0-19, with type 2 diabetes in NYS. 20
  22. 22. >1.5 million with diagnosed Diabetes Approximately 750,000 have diabetes but don’t know it 4.5 million with Prediabetes 21
  23. 23. Prediabetes • Blood glucose (sugar) levels that are higher than normal but not yet high enough to be diagnosed as diabetes. • People with pre-diabetes are at increased risk for developing type 2 diabetes and for having heart disease and stroke. • Many people are unaware that they have pre-diabetes, because it usually has no symptoms. 22
  24. 24. Type 2 Diabetes Can be Delayed or Prevented • Weight loss of 5-7% of body weight • Healthier food choices • Physical activity 30 minutes a day, most days of the week 23
  25. 25. NYS Diabetes Prevention Program • Lifestyle change program led by trained coaches in community settings for people at high risk • Goal is to achieve 5-7% weight loss • We have the programs, we need the participants • Health care providers need to diagnose, communicate and refer 24
  26. 26. Consequences of No Action • One out of 3 children born in the U.S. in the year 2000 will develop type 2 diabetes, if this epidemic is left unchecked. • This could be the first generation of children to not outlive their parents. 25
  27. 27. 26 26
  28. 28. How is the NYS Department of Health Addressing the Twin Epidemics? 27
  29. 29. Environmental Approaches Environmental approaches promote health and support and reinforce healthful behaviors in schools and childcare, worksites, and communities. 28
  30. 30. Health Systems Approaches Improve the clinical environment to more effectively deliver quality preventive services and help New Yorkers more effectively use and benefit from those services. 29
  31. 31. Community-Clinical Linkages Ensuring that communities support and healthcare providers refer patients to programs that improve the prevention and management of chronic conditions. 30
  32. 32. Prevention Agenda 2013-2017: New York State's Health Improvement Plan The Prevention Agenda 2013-17 is the blueprint for state and local action to improve the health of New Yorkers in five priority areas and to reduce health disparities for racial, ethnic, disability, socioeconomic and other groups who experience them. 31
  33. 33. Setting the Context for Innovation: Review of Key Data Assets
  34. 34. Outline for Presentation  Defining innovation  Public health practice: epidemiology, public health surveillance and program evaluation  Categories of data assets on Open Data NY and Health Data NY  Demonstrations by Data Owners  Making data Open for use: API Foundry  Your Questions 33
  35. 35. Innovation 34
  36. 36. Defining Innovation Innovate (verb): To introduce something new or different; To renew what exist already; 35
  37. 37. Data With A Purpose: Epidemiology and Public Health Surveillance Public Health Surveillance Epidemiology Data collected as part of public health practice are done so to understand the distribution of disease or factors associated with disease over time, place and person; 36
  38. 38. Variation… over time, place and person 37
  39. 39. Public Health Program Evaluation Evaluation is the systematic investigation of the merit, worth or significance of an organized public health action. • Was the program implemented as planned? • Did the program reach the desired segment of the population? • Do individuals who participate in the program experience a health benefit? • Is program implementation associated with a change in population health? 38
  40. 40. Your Mission… Should You Choose to Accept It Utilize Open Data to develop an innovative concept to help address the twin epidemics of obesity and type 2 diabetes. Our Aim Solution-Focused Use of Data 39
  41. 41. Types of Data Assets on Health Data NY Data assets that define the burden of diabetes, obesity and related conditions • Student Weight Status Category • Community Health Indicators – Diabetes and Obesity • Prevention Agenda County Tracking Indicators 40
  42. 42. Types of Data Assets on Health Data NY Data assets about existing programs to prevent obesity and type 2 diabetes… • Women Infants and Children Program • Child and Adult Care Food Program • Easy Tips to Prevent Type 2 Diabetes 41
  43. 43. Types of Data Assets on Open Data NY Data assets that can be re-envisioned to promote the prevention of obesity and diabetes… • • • • • • Farmers Markets State Park Facility Points Accessible Outdoor Recreation Destinations Regulated Childcare Facilities Transportation: CDTA and MTA Sites Retail Food Establishments 42
  44. 44. 43
  45. 45. Dataset*: Community Health: Obesity and Diabetes Related Indicators • Data include: county level data for New York State residents: • Childhood and adult obesity prevalence • Individual behaviors related to obesity: breastfeeding, time watching TV, exercise, eating fruit/vegetables. • Diabetes prevalence among adults. • Health burden: diabetes hospitalizations and complications and deaths; cardiovascular disease hospitalizations and deaths. *Dataset is currently on the test site and will be available on Open Data before the Code-a-thon 44
  46. 46. Indicator List 45
  47. 47. 46
  48. 48. 47
  49. 49. 48
  50. 50. 49
  51. 51. How can the data be used? • Obesity and related diseases are among the State’s health priorities, included in the State Health Improvement Plan: Prevention Agenda 2013-2017 (www.health.ny.gov/prevention/prevention_agenda/20132017/ ). These data are used for setting state objectives and monitoring progress. • Local health departments and hospitals use these data in community health needs assessments, planning, monitoring and evaluating public health interventions. • Data can be used in conjunction with other data sources for research, grant applications, community engagement, educational materials, identifying and communicating local priorities for interventions. 50
  52. 52. www.health.ny.gov/statistics/chac/indicators/ 51
  53. 53. 52
  54. 54. 53
  55. 55. Student Weight Status Category Reporting System
  56. 56. Background • Established by amendments to NYS Education Law 903 & 904 in 2007 – Added body mass index (BMI) and weight status category to the school health certificate required at school entry (PreK or K) and in grades 2, 4, 7 & 10 • Mandatory reporting of aggregated data to the NYS Department of Health began during the 2008-09 school year • New York City public schools, BOCES, special act schools (4201 designated schools), charter, and private schools are excluded 55
  57. 57. Student Weight on Health Data NY • Dataset includes separate estimates of the % of students overweight, obese and overweight or obese for all reportable grades within the district, county and/or region and by grade groups • Variables representing the # of students on which the percentages are based are also included • An area identifier code is provided to enable linkage of the district and county-level data with other data sources • Metadata documenting all the variables included within the dataset is provided 56
  58. 58. Area identifier Estimates (counts, percentages) Filter by grade level or area type 57
  59. 59. Statewide… Region…. County…. 58
  60. 60. How is Student Weight Data Used? • Statewide surveillance of childhood obesity in New York State • Monitor progress towards achieving NYS Prevention Agenda objectives • Encourage collaboration/use among local partners to tailor obesity prevention programs • Linkage analyses with economic data from NY State Education Department • Help identify high need communities in NYS 59
  61. 61. Reports & analyses Community needs index Prevention agenda tracking Local-level charts/graphs 60
  62. 62. Student Weight: Geographic Representation 61
  63. 63. Link to Code-a-thon Theme • This data can be used to describe the problem of childhood obesity at the district, county, regional and state level • The data can be used to locate obesity prevention programs in districts or areas with the highest rates of obesity • This data can also be linked with a variety of other data sets available at the federal, state & local level 62
  64. 64. Limitations/Barriers to Innovation • Have not used this data in combination with other data available from DOH and other state/federal agencies, such as: – Food retail stores & restaurant locations – Places to be physically active (parks, trails, etc.) – Adult obesity/diabetes rates at the county level – Rates of obesity among low-income preschoolers – Census data 63
  65. 65. 64
  66. 66. Diabetes Type 2 Prevention Tips
  67. 67. Prevention Tips on Health Data • A set of over 60 quick and easy tips to encourage lifestyle changes that may help prevent type 2 diabetes. • Some tips may also be useful for people who already have type 2 diabetes • Tips were compiled from four National Diabetes Education Program (NDEP) publications. 66
  68. 68. Prevention Tips on Health Data • The tips are grouped into five broad categories based on each aspect of lifestyle change they address: -Reduce portion sizes -Be physically active -Make healthy food choices -Stress reduction/mental health -Prevention programs 67
  69. 69. 68
  70. 70. How is the Data Used? • Different from our traditional health datasets because it includes resource information • The information itself is displayed in tabular form rather than our typical data which include numerical counts or rates. – This data can be used by individuals at high risk for developing diabetes to identify easy steps that may help prevent or delay the onset of type 2 diabetes. 69
  71. 71. Link to Code-a-thon Theme • This dataset provides information about lifestyle changes that can help prevent type 2 diabetes and even help those with diabetes manage their disease to avoid complications. 70
  72. 72. Limitations/Barriers to Innovation • This information hasn’t been linked to places or resources in the community that could help people adopt some of these behaviors: – These tips could be linked to existing data sources on Health Data NY or Open Data NY – Turning resource information into action 71
  73. 73. Examples Tip: Use calorie labeling information at fast food restaurants and on restaurant menus. Link to data on locations of retail food establishments in NYS Tip: Get off the bus one stop early and walk the rest of the way home or to work if it is safe. Tip: Walking is one of the best ways to increase your activity level. Start slowly by walking 5 minutes more each day. Link to data on locations of parks and trails in NYS Link to data on locations of CDTA bus stops 72
  74. 74. 73
  75. 75. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
  76. 76. About WIC  Mission - To safeguard the health of lowincome women, infants, and children up to age 5 who are at nutrition risk by providing nutritious supplemental foods, breastfeeding support, nutrition education, and referrals to health care and social services.  Vouchers for supplemental foods are used at authorized food stores. 75
  77. 77. Who is Eligible? Must meet each of 4 criteria: 1. Be a: – – – – Pregnant woman; Infant or child up to 5 years; Mother of a baby up to 6 months of age; OR Breastfeeding mother of baby up to 12 months 2. Resident of New York State 3. Meet income eligibility guidelines 4. Be at nutritional risk as determined by a health professional 76
  78. 78. Reach of WIC 500,000 Approximate # participants served monthly 94 Contracting Agencies 210 Permanent Sites 259 Temporary Sites 5 VMAs 77
  79. 79. Open WIC Data  Data sets include:  WIC program eligibility criteria  Income eligibility guidelines  WIC site locations  Benefits of Open WIC data  Assist consumers with assessing potential eligibility  Connecting consumers with local WIC services and vendors  78
  80. 80. Open WIC Data  Data sets include:  WIC program eligibility criteria  Income eligibility guidelines  WIC site locations  Benefits of Open WIC data  Assist consumers with assessing potential eligibility  Connecting consumers with local WIC services and vendors 79
  81. 81. WIC Program Eligibility 80
  82. 82. WIC Income Guidelines 81
  83. 83. WIC Program Site Information 82
  84. 84. WIC Program Site Map 83
  85. 85. WIC Sites Filtered 84
  86. 86. 85
  87. 87. Office of Parks, Recreation and Historic Preservation New York State Office of Parks, Recreation and Historic Preservation Mission Statement The mission of the Office of Parks, Recreation and Historic Preservation is to provide safe and enjoyable recreational and interpretive opportunities for all New York State residents and visitors and to be responsible stewards of our valuable natural, historic, and cultural resources. 86
  88. 88. Office of Parks, Recreation and Historic Preservation 11 State Park Regions, 179 State Parks, 35 Historic Sites, 60 million visitors Allegany: 4 parks Central: 20 parks, 7 historic sites Finger Lakes: 25 parks, 2 historic sites Genesee: 8 parks Long Island: 26 parks, 3 historic sites New York City: 7 parks Niagara: 17 parks 2 historic sites Palisades: 21 parks 6 historic sites Taconic: 13 parks, 6 historic sites Thousand Islands: 26 parks, 1 historic sites Saratoga-Capital District: 12 parks, 8 historic sites 87
  89. 89. Office of Parks, Recreation and Historic Preservation New York State’s Expansive System of Parks, Historic Sites, Recreational Facilities and Infrastructure Tops the Nation 1st in Operating Facilities; 2nd in Visitation; 5th in Acreage  214 State Parks and Historic Sites  350,000 Acres  60 Million Visitors Annually  5000 Buildings  29 Golf courses  36 Swimming pools  67 Beaches  27 Marinas  40 Boat Launch Sites  18 Nature Centers  3 major concert venues  817 Cabins  8,355 Campsites  2000 Miles of Trails  Hundreds of Miles of Roads 88
  90. 90. Office of Parks, Recreation and Historic Preservation New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation Open Data: Connecting People to Our Parks Datasets posted to data.ny.gov to date include: •State Park Facilities Point Map •Campgrounds by County •State Park Golf Courses •State Historic Sites •State Nature Centers •State Park Boat Launch Sites Roberto Clemente State Park 89
  91. 91. Office of Parks, Recreation and Historic Preservation New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation 90
  92. 92. Office of Parks, Recreation and Historic Preservation New York State Parks: Connecting with our Communities, Providing Safe and Enjoyable Outdoor Recreation 91
  93. 93. Office of Parks, Recreation and Historic Preservation Promoting Outdoor Recreation at State Parks for Healthy Communities Where it Makes the Greatest Impact How: Identify where parks are located in proximity to: • Poverty areas • High incidence of childhood obesity • High incidence of physician-diagnosed adult diabetes What: Use that information to inform park planning, develop a message campaign, and work with state and community partners to identify ways to increase park attendance in those areas. 92
  94. 94. Office of Parks, Recreation and Historic Preservation Data Identification Use publicly available data to identify areas of high obesity among school-aged children near our parks • Poverty Data: US Census Bureau • http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml • Childhood Obesity Data: NYS Department of Health • https://www.health.ny.gov/statistics/chac/indicators/obs.htm • Adult Diabetes: NYS Department of Health • https://www.health.ny.gov/statistics/chac/indicators/dia.htm • Park Location Data: NYS OPRHP GIS Bureau • https://data.ny.gov/Recreation/State-Park-Facility-Points/9uuk-x7vh 93
  95. 95. Office of Parks, Recreation and Historic Preservation 94
  96. 96. Office of Parks, Recreation and Historic Preservation 95
  97. 97. Office of Parks, Recreation and Historic Preservation 96
  98. 98. Office of Parks, Recreation and Historic Preservation 97
  99. 99. Office of Parks, Recreation and Historic Preservation Process • Data was obtained from the various sources outlined • Data sets were joined to geographic data such as census tracts and county boundaries • Result was a map used by staff to inform decision makers about the proximity to parks to areas of interest 98
  100. 100. Office of Parks, Recreation and Historic Preservation 99
  101. 101. Using APIs with HealthDataNY and OpenNY 100
  102. 102. What is an API • An application programming interface (API) specifies how some software components should interact with each other. • In addition to accessing databases or computer hardware, such as hard disk drives or video cards, an API can be used to ease the work of programming graphical user interface components * Wikipedia 101
  103. 103. Socrata’s Open Data APIs * From Socrata.com/open-data-portal 102
  104. 104. Socrata’s Open Data APIs * From Socrata.com/open-data-portal 103
  105. 105. Socrata’s Developer Resources * From dev.socrata.com 104
  106. 106. Socrata Open Data API * From dev.socrata.com 105
  107. 107. Socrata Open Data API * From dev.socrata.com 106
  108. 108. Featured NYS APIs 107
  109. 109. HealthDataNY Featured APIs 108
  110. 110. HealthDataNY Featured APIs 109
  111. 111. HealthDataNY Featured APIs 110
  112. 112. HealthDataNY Featured APIs 111
  113. 113. Example Code First, get dataset identifier 112
  114. 114. Example Code Then use identifier in request URL Use .csv to return CSV file 113
  115. 115. Example Code 114
  116. 116. Thank You! Maureen Spence mms07@health.ny.gov Tel: (518) 408-5142 Ian Brissette ifb01@health.ny.gov Tel: (518) 473-7817 George Javitz HealthDataNY Team nyshealthdatacodo@health.state.ny.us