Maryland’s response to the national Healthy People 2010 initiative is promoted by a broad base of stakeholders with representatives of the public, private, provider, and consumer communities at the state and local levels. These preventive health advocates bring a variety of backgrounds and interests to the discussion table. To promote consensus development, on health need areas for priority focus, among this diverse group of participants, a variety of qualitative and quantitative techniques are employed.
Priority identification begins with a quantitative method that summarizes the results of analysis of a set of health indicators. Selected indicators include morbidity, mortality, and behavioral risk factor metrics that possess many of the characteristics recommended by Healthy People 2010, namely multilevel, actionable, measurable, important, and prognostic/predictive. Five year rates and trends for each indicator are compared to similar indices at the local, regional, state, and national levels. Two statistical comparisons, using the Sign Test and Kendall’s Tau, are completed for each indicator. The combined results – which rank each indicator in the better than, same as, or worse categories - are displayed in a matrix that features a “diamond” shaped format.
The presentation will provide an overview of Maryland’s Project 2010, outline key aspects of the quantitative and qualitative priority setting methods used, and depict major outcomes of the project to date. Details of the statistical methods used will be described and examples of their applications for priority identification will be illustrated.
Learning Objectives: Tracking Healthy People 2010: A Multi-Level Approach The final edition of the Healthy People 2010 objectives was published in two volumes in November 2000, with a companion volume, "Tracking Healthy People 2010," containing useful information on data issues, data sources, and the complete operational definition for all HP2010 objectives. The presentations in the session will focus on several aspects related to the data used to the track the Healthy People 2010 objectives. These include general data issues involved in tracking the Healthy People 2010 objectives; overview of the Healthy People 2010 Leading Health Indicators as well as the data and data issues related to the tracking of this set of indicators; the characteristics of a statistic to measure health disparity between subpopulations, their significance in shaping its utility, and the application of disparity measurement to state and local levels; the features and usage of DATA2010, a Web-based system hosted by CDC WONDER to house all the data from the 200 data sources being used to monitor the Healthy People 2010 initiative; development and implementation of tracking at the state level: the Iowa example.
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.