ACA and California Health Insurance Trends Data from CHIS-Level 2
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ACA and California Health Insurance Trends Data from CHIS-Level 2

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Advanced workshop presentation on how to use the online data reporting system of the California Health Interview Survey.

Advanced workshop presentation on how to use the online data reporting system of the California Health Interview Survey.

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  • Discuss intended audience and why.
  • In 2010, The California Endowment embarked on a new, 10-year strategic direction: Building Healthy Communities. Our goal is to support the development of communities where kids and youth are healthy, safe and ready to learn.
  • Build capacity to inform Californians about health issues in their neighborhood.
  • Build capacity to inform Californians about health issues in their neighborhood.
  • Show them where these are located on the website:DataAccess Center:Public Use Files:
  • But how much information does this give us? This doesn’t tell us about SES, which is a central component to Medi-Cal services. What we really want to know is if families that are in poverty are increasingly accessing Medi-Cal services. Geographic comparing tab/ compare to state.
  • Distribution across a population- gets at issues of equity and how policies are affecting specific populations differently.
  • Transpose topic, The ”medi-cal” pie vs. the “0-99%” poverty level pie. They are really 2-different research questions. Excel: Allows for more advanced analysis and charts/graphs. Compare multiple topics.
  • Have them do Worksheet 3

Transcript

  • 1. Introduction to Health Data using Online Resources: AskCHIS Advanced Online Training Health DATA Program: Data. Advocacy. Training. Assistance.
  • 2. Agenda I. Introduction II. Overview: AskCHIS in review III. Modules 1-4: Introduction to AskCHIS through Interpreting and Presenting AskCHIS Data IV. Practice with AskCHIS and Excel - Explore specific indicators related to health insurance and health services in your area including ACA related indicators V. Evaluation & Conclusion
  • 3. Support Goal: Support development of communities where kids can be healthy, safe and ready to learn  Building Health Communities Initiative: Targeted investment in 14 communities over 10 years where need is great but the potential for transformation is even greater Goal: Educate policy makers, medical field and communities to improve the health of all populations Knowledge is power. It’s even more powerful when it’s shared. Introduction - Module 1 - Module 2 - Practice with AskCHIS - Evaluation and Conclusion
  • 4. Introduction to AskCHIS as a Data Source  Today’s training will provide an in depth review on finding, selecting, and analyzing health insurance and healthcare access related indicators in AskCHIS.  The training walks individuals through participant generated examples, teaching participants how to work with CHIS variables, generate bivariate tables, and export data tables and graphs.  The Affordable Care Act is effective January 1, 2014. AskCHIS can provide you information on health insurance status, access to care, health status, employment, income, demographics and more. Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 5. California Health Interview Survey  CHIS is the nation's largest state health survey  Conducted by the UCLA Center for Health Policy Research, located within the UCLA School of Public Health, in collaboration with the California Department of Public Health and the Department of Health Care Services   Center for Health Policy Research’s mission: improve and maintain the public’s health by advancing health policy research, public service, community partnership and education Health DATA program exists to make data easy and understandable to a wide range of health advocates through trainings, workshops and technical assistance. Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 6. Overview  Review Resources Available at AskCHIS .com  Develop and Answer Data Questions  Overview of AskCHIS  Advanced AskCHIS Features  Additional Features Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 7. Benefits and Limitations CHIS CAN: CHIS CANNOT:  Provide data for California counties  Provide data before 2001  Compare information between counties and the state  Provide data on nonCalifornia households  Compare information across 2nd variable  Compare data over time (2001-2011) Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 8. Modules Data for Decision Making and Developing and 1. Answering Data Questions Accessing Data from the AskCHIS Online Query 2. System Executing Queries and Retrieving Data 3.  Focus on compare by function  Exporting data to excel and using advanced excel features Introduction - Overview - Modules - Practice AskCHIS Data 4. Interpreting and Presentingwith AskCHIS - Evaluation and Conclusion
  • 9. AskCHIS  Online data query system that allows you to access specific health information from CHIS  CHIS information can also be accessed via:  Data Access Center located at the UCLA Center for Health Policy Research   Email: dacchpr@ucla.edu Public Use Files available on the AskCHIS website Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 10. 1 Topic: One-way table  Table provides answer to a data query that focuses on only ONE health topic or characteristic, aka Univariate table  Univariate tables provide percentages, populations estimates and confidence intervals  See Worksheet 1, B-19 in your workbook for more information Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 11. Indicators Related to Health Insurance and Access to Care  There are a number of indicators in AskCHIS that provided data on health insurance status and access to medical care. Let’s take a look! INDICATORS ADULT TEEN CHILD Current insurance coverage, spouse’s coverage, who pays for coverage X X X Health plan enrollment, characteristics and assessment of plan X X X Whether employer offers coverage, respondent/spouse eligibility X Coverage over past 12 months, reasons for lack of insurance X X X Difficulty finding private health insurance X High deductible health plans X X X Partial scope Medi-Cal X Health Insurance Indicators Access to and Use of Healthcare Usual source of care, visits to medical doctor X X X Emergency Room Visits X X X Delays in getting care (prescriptions and medical care) X X X Medical home, timely appointments, hospitalizations X X X Communication problems with doctor X X Internet use for health information X X Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and
  • 12. Other Indicators Related to Health Insurance, Access, and Utilization  There are also additional indicators which are tied closely to insurance status and access to care. INDICATORS ADULT TEEN CHILD X X Employment Employment status, Spouse’s employment status X Hours worked at all jobs X Income Respondent’s and spouse’s earnings last month before taxes X Household income, number of persons supported by household income X Respondent Characteristics Race and ethnicity, age, gender, height, weight X Veteran Status X Marital status, registered domestic partner status (same sex couples) X Sexual orientation X Language spoken with peers, language of TV, radio, newspapers, X Education, English proficiency X Introduction - Overview - Modules - Practice with Citizenship, Immigration status, country of birth, length of time in US, AskCHIS X - Evaluation and X X
  • 13. Additional Features  Compare to State  Change time period   Compare 2 years Show Trend Line: Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 14. Selecting 2 topics creates a 2-way table  Table provides answer to a data query that focuses on the distribution of one variable across the levels of a second variable, aka Bivariate table   The distribution of children covered by Medi-Cal across poverty levels Interpretation of information is extremely important! Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 15. Interpreting and Presenting Data  Switch main variable and compare by variable:   “Transpose topic” Show in bar graph, pie graph Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 16. Unstable Estimates  Given the small size of many California Counties, data pulled for certain health indicators can yield “statistically unstable” results  These are marked by a red asterisk (*) in the generated tables Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 17. Strategies for Dealing with Unstable Estimates  Increase/change the geographic area   Remove Comparative categories   Try not limiting by race/ethnicity, gender or age Use data from a larger time frame   Use statewide totals or larger counties Combine information from a series of years Use different indicators  Look at “Currently Insured” vs. “Type of Health Insurance Coverage” Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion
  • 18. Evaluation and Conclusion  Please complete the workshop evaluation before you leave today:   Review the appendices in the workbook and resources at:   http://www.surveymonkey.com/s/AskCHISAdvancedo www.chis.ucla.edu Contact information:  Ashley V. Parks Project Manager, AskCHIS Community Workshops ashleyvparks@ucla.edu Introduction - Overview - Modules - Practice with AskCHIS - Evaluation and Conclusion