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State Health Department IVP Standards & Indicators - Data and Surveillance
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Standards & Indicators for a Model State Health Department Injury and Violence Prevention Program - Data and Surveillance

The very foundation of public health is data. State Injury and Violence Prevention Programs (IVPP) have always been data-driven when planning and offering programs. With so many types of injuries, often multiple data sources are required to develop a comprehensive and accurate picture of injury and violence trends.

 

Click on the standards below to identify specific indicators measuring progress within the Data & Surveillance Core Component. 

  1. The IVPP has access to and/or collects injury and violence related data
  2. The IVPP strives to assess, understand, and improve data quality
  3. The IVPP conducts data analyses and regularly monitors injury and violence indicators
  4. The IVPP builds data and surveillance capacity by providing training and technical assistance to internal and external stakeholders
  5. The IVPP collaborates with internal and external partners to access, use, improve, and share data
  6. The IVPP collaborates with partners to conduct and/or participate in applied research and evaluation activities
  7. The IVPP regularly disseminates data to internal and external stakeholders

 

Standards and Indicators to Collect, Analyze, and Disseminate

 

Injury and Violence Data

 

D-1. The IVPP has access to and/or collects injury and violence related data

 

Indicators

Example(s)

The IVPP accesses and uses the core data sets identified in the Consensus Recommendations for Injury Surveillance in State Health Departments report and emerging data sets.

Completion of the Core Data Sets Template

Demonstrated access/use of additional data sources beyond core sets (Prescription Drug Monitoring Program, Health exchange data, access to medical records, Emergency Department Syndromic, National Electronic Injury Surveillance System (NEISS)-compliant)

Other (please describe)

The IVPP conducts needs assessments to support effective strategy implementation, including use of existing data sets and/or original data (collected as needed, such as for evaluation purposes).

Data collection instruments

Reports of the findings from needs assessments

Examples of data-based program activities

Performance measures and indicators

Other (please describe)

The IVPP maintains data or information systems about priority injuries.

Variable lists for specific data sets (e.g., motor vehicle injuries, firearm-related injuries, or other priority injuries)

Online query system

Other (please describe)

The IVPP promotes integration of injury surveillance and information systems with general public health surveillance, consistent with the Consensus Recommendations for Injury Surveillance in State Health Departments report.

State surveillance plan that includes injury as an integral component

Reports of data analyses showing that the data office in the state health department routinely analyzes injury data along with their other data

Demonstration that individual data sets (e.g., vital statistics, hospital discharge data, Behavioral Risk Factor Surveillance System(BRFSS) are used for multiple surveillance purposes

Use of linked data sets (National Violent Death Reporting System (NVDRS), Crash Outcome Data Evaluation System (CODES))

Emergency Department Data

Syndromic Surveillance System

Other (please describe)

 

 

D-2. The IVPP strives to assess, understand, and improve data quality

Indicators

Example(s)

The IVPP has assessed the completeness and accuracy of its in-house and/or external data and has documentation from data sources that the data are complete and accurate.

Completion of the Core Data Sets Template

Description of reported cases compared to population represented by the data set

Results of the specific studies or assessment by data set managers

Reports of surveillance system evaluations

Documents describing data limitations, strengths and implications for use

Calculations of e-code completion (using CDC State Injury Indicators Guidance methodology to test accuracy/ completeness of hospitalization and Emergency Department data)

Other (please describe)

The data collected or maintained by the IVPP meet quality standards.

Protocol for protecting data confidentiality and evidence of implementation

Variable definitions that are consistent with research and surveillance data sets used by IVPP

Protocol for eliminating data duplication in other sources

Documentation of adherence to Institutional Review Board (IRB) and other research subject/data protection protocols

Other (please describe)

When reporting on injury incidence rates, the IVPP has assessed whether each injury event was counted only once.

Documentation of use of unique personal identifier in each data set or removal or duplicate cases

Summary of results from specific studies on data quality

Other (please describe)

The IVPP collaborates with other agencies and community groups to establish and periodically reassess the variables, assigned values, and grouping of values in each data set.

List of variables and assigned values that have been used to assess injury outcome disparities and explanation of the selection process

Other (please describe)

The IVPP establishes clear operational definitions of variables such as “race,” “ethnicity,” and “socioeconomic status”, and provides those definitions in all reports that use the terms.

 Definitions of variables used

Other (please describe)

 

 

 

D-3. The IVPP conducts data analyses and regularly monitors injury and violence indicators

Indicators

Example(s)

The IVPP conducts surveillance of the 14 recommended conditions identified in the Consensus Recommendations for Injury Surveillance in State Health Departments report.

Completion of the Injury/Injury Risk Factor Surveillance Template

Data reports/tables that include conditions under surveillance in the state

Other (please describe)

Surveillance data are used to track injury incidence, determine the frequency of different mechanisms of injury, identify groups at highest risk for different mechanisms of injury, and recommend prevention priorities.

Reports of data identifying or tracking leading cause(s) of injury

Documentation of how surveillance data have been used to establish prevention priorities and programs

The IVPP monitors and reports disparities in injury rates among different groups (e.g., age group, gender, race/ethnicity, rural/urban, counties/regions).

Reports of disparities in injury rates

Documentation of how surveillance data have been used to monitor disparities in injury rates

Other (please describe)

As with other health conditions, a mechanism is in place to alert state and local health officials to injury hazards and injury clusters and risk factors that require timely investigations or field studies.

A protocol for alerting officials about injury hazards, trends, or clusters that require a timely reaction

Examples of health alerts issued

Evidence that such events have been identified and investigated

Posted on Website

Other (please describe)

The IVPP uses the results from behavioral risk surveys (Behavioral Risk Factor Surveillance System(BRFSS), Youth Risk Behavior Surveillance System (YRBSS), child health surveys) to monitor trends in IVP beliefs and practices.

Documentation of how behavioral risk survey results have been used to monitor trends

Documentation of state-added injury questions

Other (please describe)

The IVPP links data sets when it is appropriate and useful to do so.

Identification of common data elements, if any, in the 11 core data sets that enable linkage

Data file utilizing at least two of the data sets (not necessarily among the 11 core data sets)

Other (please describe)

 

 

Training and Technical Assistance Standards/Indicators Related to Data and Surveillance

 

D-4.  The IVPP builds data and surveillance capacity by providing training and technical assistance to internal and external stakeholders

 

Indicators

Example(s)

The IVPP provides technical assistance to other groups and agencies about surveillance systems and data use (either suggesting new systems or improving existing systems).

Reports of technical assistance provided and results of that technical assistance

IVPP epidemiology group serves on advisory boards and groups for data discussions in the state

Other (please describe)

The IVPP provides guidance to students and researchers in IVP epidemiology.

Lecture on injury surveillance in academic courses (e.g., in Injury Epidemiology course, Public Health Surveillance course)

Work force development: Mentor epidemiology public health students in injury (e.g., serve on a injury thesis or dissertation committee)

Other (please describe)

 

Partnership Standards/Indicators Related to Data and Surveillance

 

D-5. The IVPP collaborates with internal and external partners to access, use, improve, and share data

Indicators

Example(s)

The IVPP collaborates with internal offices or other state agencies that have data on specific types or mechanisms of injury by providing input on the development of plans for optimal use of their data, improving the quality of the data, and improving the data’s utility for prevention purposes.

Reports or records of efforts to improve data collection and analysis and indicators of results of those efforts (e.g., work plans or meeting minutes)

Examples of data projects

Memorandums of Understanding/Data Use Agreements

Interagency agreements

Public Health Authority

Other (please describe)

The IVPP collaborates externally to understand data sources and quality assurance (QA) of others’ data sets.

Examples of QA queries/reviews of external data sets.

Participation in meetings that involve discussion of data sources.

Other (please describe)

 

D-6.  The IVPP collaborates with partners to conduct and/or participate in applied research and evaluation activities

 

Indicators

Example(s)

The IVPP collaborates with Injury Control Research Centers and/or academic centers to conduct applied research that is related to IVPP priorities presented in the state injury plan and are supportive of effective strategy implementation and evaluation.

 

Documentation of collaborative research conducted

Documentation that the IVPP has collaborative relationships with other researchers addressing IVP (e.g., researchers at academic institutions and Injury Control Research Centers)

Documentation of collaboration on evaluation

Other (please describe)

Data requirements for applied research and evaluation are established in collaboration with policy and program development staff and other stakeholders.

Documentation of collaboration for research and evaluation design

Other (please describe)

 

 

Communications Standards/Indicators Related to Data and Surveillance

 

D-7. The IVPP regularly disseminates data to internal and external stakeholders

Indicators

Example(s)

The IVPP disseminates reports to relevant coalitions and partners, including appropriate programs within the state health department (e.g., MCH, Health Statistics, Rural/Minority Health), local health departments and public health agencies, hospitals and trauma centers, other state agencies, prevention advocates and practitioners, and all levels of government (state and local), as well as the general public.

Data request log

Examples of data provided

Other (please describe)

 

The IVPP distributes reports on injury disparities and invites feedback from other agencies, organizations, and community groups.

Reports on disparities in injury rates (e.g., printed report, report posted on state’s Website)

List of variables and assigned values that have been used to assess injury outcome disparities and explanation of the selection process

Documents requesting feedback on reports

Summaries of feedback from other agencies, organizations and community groups

Other (please describe)

Program reports (e.g., state publications, peer-reviewed articles, websites, and newsletters) are customized for different target audiences and are readily accessible.

 

 

 

 

Examples of recent publications

Program reports posted on Website

Program reports that have been adapted or formatted for different target audiences (e.g., policy makers, local health departments, media)

Other (please describe)

IVPP staff participates in or make presentations to local, state, and national groups about injury and violence data.

Recent publications

Program reports that have been adapted or formatted for different target audiences (e.g., policy makers, local health departments, media)

Oral reports/presentations

Other (please describe)

Data files or custom data reports are provided to individuals or groups upon request and in a timely fashion, and are consistent with any data protection regulations.

Protocol for obtaining data

Data request log

Other (please describe)

  

 

The development of the standards and indicators was supported by CE13-1307 (Safe States Alliance) from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.


[1] Note:  Subject to updating, if another ISW is convened.

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