CHIS Adult Technical Advisory Committee Meeting

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1 CHIS Adult Technical Advisory Committee Meeting March 15, :00-4:30 pm Please call the conference line (888) Enter passcode # 1

2 Welcome and Introductions Linette Scott, MD, MPH Chief Medical Information Officer California Dept. of Health Care Services Ninez Ponce, PhD Professor, UCLA Fielding School of Public Health Department of Health Policy and Management Principal Investigator, California Health Interview Survey 2

3 Navigating Adobe Connect Patricia Gonzales 3

4 Meeting Goals Linette Scott 4

5 Meeting goals overview Continue CHIS participatory planning process One of 4 TAC meetings in March/April (also Child, Teen, and Multicultural) Update TAC members on CHIS project status Stakeholder input on CHIS questionnaire Respondent burden Adult questionnaire content changes 5

6 Meeting goals details CHIS and Updates Disseminating CHIS data and findings New data collection subcontractor RTI Sample design Data collection status Adult questionnaire content changes CHIS Planning Funder and content planning timeline Respondent burden New topics and potential funders 6

7 CHIS and Updates David Grant & Royce Park 7

8 Dissemination update Shift to one-year data files One-year data files: 2013 and 2014 released in August 2015 as separate public use data files re-released as one-year data files in Jan Allows more timely access to data, more flexibility for users Two-year data files available as SURF by request AskCHIS: separate data files 2011, 2012, 2013, 2014 One-year data caution: pooling two + CHIS cycles may be needed to produce stable estimates 8

9 AskCHIS Neighborhood Edition (NE) Public launch on Nov. 14, 2014 Update indicators w/ CHIS data available April 2016 New indicators added Age 0 to 5 ACS indicators for First 5 California (poverty status and race/ethnicity) Life expectancy (in progress) 9

10 AskCHIS Neighborhood Edition (NE) API developed with support of CHCF Several API customers: Healthy City/Advancement Project St. Joseph s Hospital System CDPH Office of Health Equity 10

11 CHIS Vendor and Sample Design 11

12 New vendor for CHIS CHIS data collection contractor determined by competitive bid by UCLA Purchasing Dept. (since 2003) Each round won by Westat until 2015 Three high-quality bids Westat Abt/SRBI RTI International RTI was the winner of the competition Highest points in technical review Lowest cost 12

13 New vendor for CHIS , cont. RTI International: HQ in Research Triangle Park, NC Large firm (3,700+ employees), conduct several major federal, and other, surveys: National Survey of Drug Use and Health National Intimate Partner and Sexual Violence Survey National Survey of Family Growth Ohio Medicaid Assessment Survey 13 13

14 14 New vendor for CHIS , cont. Transition from Westat to RTI has been challenging Contract signed in November 2014 Data collection started in May 2015 (4-5 months late) Major push to interview 20,000 households in CY 2015 goal achieved However, still falling short (to date): Overall yield Child and teen yield Korean and Vietnamese yield RTI committed to getting it right Created a lot of additional effort for CHIS staff to monitor, review, and support decision making Slowly turning things around for the better 14

15 CHIS workgroups CHIS Sample Highlights Same geographic stratification as past CHIS cycles Dramatic increase in cell sample 50% County oversamples Marin (2015: +890 households, maximize yield of Latinos and children) San Diego (2016: + 1,500 households) TCE s Building Healthy Communities (BHC) Initiative Sample of 14 neighborhoods throughout California Target of 400 household interviews per site (n=5,600) Data collection from Oct through April

16 CHIS Data Collection Status Completed interviews as of February 14, 2016 Age Group CHIS 2015 (complete) CHIS 2016 (in progress) Adult 20,986 3,512 Teen Child 2,

17 CHIS Child Sample Yield Per Adult Interview by CHIS cycle 17

18 CHIS Data Production Timeline CHIS 2015 Data collection began: May 2015 End data collection: February 2016 Cleaned/edited data from vendor: mid-march 2016 Preliminary data files: June 2016 (upcoded, imputed) Quality control review complete: July year 2015 PUFs and AskCHIS data release: August 2016 CHIS 2016 Data collection began: January 2016 End data collection: December

19 CHIS Adult Content Changes 19

20 CHIS : deletions from Medical care for asthma, diabetes, heart disease Delayed, did not get prescriptions Delayed, did not get other medical care ER visits, hospital admissions (diabetes, heart disease) Health behaviors Milk, water (2016), sugary drink (2016) consumption Alcohol/binge drinking (2016) 20

21 CHIS : deletions from Demographics Young adult respondent living with parents Media language respondent watches, listens to, reads Confidence in ability to complete applications online 21

22 CHIS : additions from Health care access and utilization Used tele-medicine past 12 months, type of health problem Discrimination when receiving medical care Women s health How long provider advised until next mammogram Current contraceptive method (men and women) Health behaviors E-cigarette and hookah 2016 only: extended tobacco use module 22

23 CHIS : additions from Citizenship, visa status Year naturalized, visa type and status Gender identity Medi-Cal (MAGI) and public program eligibility Social services disability determination Six new financial assets questions 23

24 Additions for Specific Subsamples Marin County oversample, 2015 only Alcohol, prescription drug use, disposal of Rx drugs Diagnosed with depressive disorder Attitudes toward mental illness and treatment Homebound, loneliness, social isolation Unpaid care given to family, friends Worried about paying rent, mortgage 24

25 Additions for Specific Subsamples The California Endowment s Building Healthy Communities (14) Recognition of the name among community residents Japanese or Japanese descent (Keiro) Generational status Attitudes toward social and familial relationships Social behaviors (social service seeking) Philanthropic contributions 25

26 CHIS Planning and Timeline Royce Park 26

27 CHIS timeline Content development Technical Advisory Committees March April 2016 Workgroup meetings May June 2016 Content discussion with funders April July 2016 Content deadline July 31, 2016 IRB submission (UCLA + CPHS) August 31,

28 CHIS timeline Questionnaire preparation and testing Pre-testing (paper and pencil) Mid-Oct 2016 CATI programming preparation Oct 2016 CATI programming Nov Dec 2016 IRB submission (Final English) Late Oct 2016 Pilot testing Jan 2017 Begin data collection (English) Jan

29 CHIS Topics: Content Criteria for Inclusion in CHIS Ninez Ponce 29

30 Content Criteria Is it important for public health or health care policy? Emerging PH issues and lack of population-based data Who will need and use the data? Is there another data source for the indicator/measure? Is this a key health indicator? (Health Profiles, LGHC) Has it been in CHIS before? How often does data on it need to be collected? Rapidly changing measure or stable over time? Can it be measured quickly in a telephone interview? Is there a likely or definite funder for the topic? 30

31 Current Content and Emerging Health Issues: CHIS Potential Topics Linette Scott and TAC Members 31

32 Adult questionnaire content by section Sec. A Demographics: 1.1 min (shared) Age, gender, race/ethnicity, marital status Sec. B Health conditions: 2.0 min General health (shared) Asthma (symptoms, dx management) Diabetes (pre, gestational, dx management Hypertension Heart disease Flu shot 32

33 Adult questionnaire content by section Sec. C Health behaviors: 2.9 min Walking for transportation and leisure Dietary intake and fast food Access to fresh fruit and vegetables Cigarette Alcohol use and binge drinking 33

34 Adult questionnaire content by section Sec. D General health, disability, sexual health: 2.9 min Height and weight (shared) Disability Sexual partners HIV testing and status Registered domestic partner Gender identity Sec. E Pregnancy status, mammography: 0.5 min Pregnancy status 34 Mammography

35 Adult questionnaire content by section Sec. F Mental health: 4.5 min Mental health 30-day, 12-month Mental health disability (Sheehan) Access and utilization of mental health services Reasons for not using mental health services Sec. G Demographics Pt. II: 3.3 min Place of birth (self and parents) Language, citizenship and immigration Household structure Educational attainment Employment (self and spouse) 35

36 Adult questionnaire content by section Sec. H Health insurance: 4.8 min Usual source of care and ER use Coverage and coverage type Spouse s coverage and coverage type Managed care and high-deductible plan characteristics Coverage past 12-months Reasons lack coverage Section I Child/Teen insurance: 2.1 min Same content as adult (Sec. H) for selected child and/or teen 36

37 Adult questionnaire content by section Sec. J Access and utilization: 4.4 min Doctor visits, personal doctor, patient-centered care Access to timely appointments Use of tele-medicine Communication with doctor Change in usual source of care Delays in care Internet use Family planning 37

38 Adult questionnaire content by section Sec. DM Discrimination questions: 1.0 min Sec. K Employment, income, food security: 2.6 min Employment Income Number of people supported by income Availability of food in household, hunger Sec. L Public program participation: 1.7 min CalWORKS, CalFresh (SNAP), SSI, and WIC participation Assets, child support, worker s compensation 38

39 Adult questionnaire content by section Sec. M Housing and social cohesion: 2.6 min Housing Social cohesion Safety Civic engagement Sec. S Suicide ideation and attempts: 0.4 min Sec. N Address and closing 39

40 Adult questionnaire Other emerging public health issues or topics? 40

41 Review and Action Steps Linette Scott 41

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