public health conference on records and statistics (july 19-21, … · the nchs is the federal...
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aad 7/z/73
public Health Conferenceon Records and Statistics
Toward the year
Refining the measures
Mayflower Hotel ● Washington D.C.
July 19-21,1993
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health Service
Centers for Disease Control and Prevention CDCNational Center for Health Statistics CE~RS FOR DISUSE CONTROL
AND PREVEtMON
public Health Conferenceon Records and Statistics
Refining the measures
Mayflower Hotel ● Washington D.C.
July 19-21, 1993
U.S, DEPARTMENT OF HEALTH AND HUMAN SERVICESPubllc Health Setvlce
Centers for Disease Control and PreventionNational Center far Health Statistics
1993 PUBLIC HEALTH CONFERENCE ONRECORDS AND STATISTICS PROGRAMCOMMITTEE
Manning Feinleib, M.D., Dr.P.H.DirectorNational Center for Health Statistics
CHAIRPERSON
Jack R. AndersonActing Deputy DirectorNational Center for Health Statistics
MEMBERS
Lester R, CurtinPeter L. HurleySandra S. Smith.Tames A. WeedP. Douglas WilliamsRonald W. Wilson
STAFF
Nancy G, HamiltonBarbara W. Hetzler
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PUBLIC HEALTH CONFERENCE ONRECORDS AND STATISTICS STAFF
Jacquelyn L. AdlerRobin T. BarnesBarbara P. ButlerElizabeth T. DarlingDon R. DeRochaNancy G. HamiltonBarbara W. HetzlerThomas S. VissmanBrenda L. Wolfrey
EXHIBITS AND PUBLICATIONS SUPPORT STAFF
Joan D. BurtonAnnette F. GaidurgisSarah M. HinklePatricia E. Keaton-WilliamsSabra F. LloydStephen L. Sloan
CONTENTS
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1993PHCRS Program Committee
PHCRS Staff and Exhibits and Publications Support Staff
For Your Information
Hotel Room Map
Conference Week at a Glance
Conference Sessions
Where to Find It
First Plenary Session
Concurrent Session A
Concurrent Session B
Concurrent Session C
Concurrent Session D
Concurrent Session E
Concurrent Session F
Concurrent Session G
Concurrent Session H
All Conference Mixer
Second Plenary Session
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Conference headquarters, registration,conference mixer, exhibits, message board andlost and found, and conference proceedings
Increasing Span of Healthy Life
Years of Healthy Life
Infant Mortality
Children and Youth
Mental Health Indicators – From Epidemiologyto Service Delivery
Family and Health
Nutrition
Injuries and Violence
Measuring the Health and Disability of OlderAmericans
Measuring Health Disparities
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24
25
27
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30
31
32
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35
36
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40
41
42
43
44
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Concurrent Session I – What’s News in Health Statistics?
Concurrent Session J – Race-Ethnicity Classification
Concurrent Session K – People with Disabilities
Concurrent Session L – Health Statistics from Record Systems
Concurrent Session M – Numerator-Denominator Linkage
Concurrent Session N – International Comparisons
Concurrent Session O – Issues in Confidentiality
Concurrent Session P – Methodological Issues for National MinorityData
Concurrent Session Q – Socioeconomic Indicators
Concurrent Session R – Minority Health Research
Concurrent Session S – Intercensal Population Estimates
Concurrent Session T – Special Focus Surveys
Third Plenary Session – Assessing Preventive and Primary HealthServices
Concurrent Session U – Cost-Benefit Analyses
Concurrent Session V – Comparable Methods and Data
Concurrent Session W – Medical Effectiveness Outcomes Research
Concurrent Session X – Health Data for Program Management
Concurrent Session Y – Data Support for Medical Care Policy
Concurrent Session Z – Prevention Effectiveness
45 Concurrent Session AA – Barriers to Care
46 Concurrent Session BB – CDC’S Recommendations on Public HealthSurveillance Systems
47 Program Session Organizers
49 Program Session Chairpersons
51 Program Session Speakers
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FOR YOUR INFORMATION
About the Con ference . . .
Since 1958 the National Center for Health Statistics (NCHS) has sponsored thePublic Health Conference on Records and Statistics (PHCRS) as a biennial nationalmeeting. This 24th PHCRS, with the theme “Toward the year 2000 – Refining themeasures,” provides a forum for Federal, State, and local government representa-tives as well as universities and professional associations to share their statisticalknowledge and experience. This diverse gathering lends a rich variety of perspec-tives on current issues concerning health information in the United States.Technical and philosophical issues are brought to light during each conferencesession, and the published proceedings serve as a valuable reference in addressingcurrent issues.
About the National Center for Health Statistics . . .
The NCHS is the Federal Government’s principal health statistics agency. NCHS’Sdata systems address the full spectrum of concerns in the health field from birth todeath, This includes overall health status, lifestyle, exposure to unhealthy influences,the onset and diagnosis of illness and disability, and the use of health care. NCHSmaintains over a dozen surveys that collect health information through personalinterviews; physical examinations and laboratory testing; review of hospital, nursinghome, and physician records; and other means. These data systems and thesubsequent analyses and reports are designed to provide information useful to avariety of policymakers and researchers.
About the Topic . . .
HealtlayPeople 2000 is a national initiative to improve the health of all Americansthrough prevention. It is driven by 300 specific national health promotion anddisease prevention objectives targeted for achievement by the year 2000. Central tothis process, and underlying all efforts to improve health and health care, is areliance on data to identi~ problems, point to solutions, and measure progress. Apublic health initiative of the magnitude of Healthy People 2000 also requiresinitiatives of comparable scope and dimension to provide the data required. By theyear 2000, the Nation seeks to increase the span of healthy life, reduce healthdisparities in the population, and provide access to preventive services for allAmericans. Conceptual and methodological issues must be addressed to provide thestatistical support to achieve those goals. The 24th PHCRS seeks to refine themeasures as the Nation moves toward the year 2000.
1
FIRST FLOOR MEETING ROOMS
I /● 9
FOYER■j ■ ■
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I ■ ■ mmmm
STATE ROOMI
EAST ROOM SENATE ROOM CABINET ROOM
/
——
PROMENADE
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m~CAFE PROMENADE
I
RESTAURANT GRAND BALLROOM IiIi
CHINESE ROOM
ib
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LOWER LEVEL MEE~G ROOM
I 1P-.
-1TO LOBBY
\
STAGE
UP
COLONIAL ROOM
UP
UP UP
TERRACE
ENTRY
b
ELEVATORS
-1 UP
ConferenceWeekat aGlance
TOWARD THE YEAR 2000Mondav. Julv 19 Tuesday,
9:00 a.m.to10:00 a.m.
10:30 a.m.1012:00 p.m.
12:00 p.m.toI :30 p.m.
I :30 p.m.to3:00 p.m.
3:30 p.m.to5:00 p.m.
5:30 p.m.to7:00 p.m.
-?.
)pening Ceremony
First Plenary SessionIncreasing Span of Healthy Life
.unch
4.(ears of
+eaithy
fie
E.Family
and
Health
3.nfant
blortalily
F.Nutrtion
All Conference Mixer
.a.
2hildren and
(outh
G,Injuries
and
Violence
D.Mental Health
lndicators—
From
Epidemiology
to Service
Delivety
H.Measuring the
Health and
Disabil~
of Older
Americana
SecondMeasuring
7
1.What’s New
in Heatth
Statistics?
Lunch
M.Wumerator-
)enominator
.inkage
Q.S=io-
economic
Indicators
-- REFINING THE MEASURESJuly 20 Wednesday,
Plenary SessionHealth Disparities
IJ,
Race-
N,InternationalComparisons
R,MinoriiHealthResearch
K.People withDisabilities
0,IssuesinConfidentiality
s.IntercensalPopulationEstimates
L.HealthStatisticsfromRecordSystems
P,Methodologi-cal IssuesforNationalMinor”@Data
T.SpecialFocussuNeys
July 21.-
Fhird Plenary Session4ssessing Preventive and Primary+ealth Services
J.:ost-
3enefii
\nalyses
.unch
v. w. x.Comparable Medical Health Data
Methods Effectiveness for Programand Data Outcomes Management
Research
)ata Suppolor Medical
2are Policy
Prevention Barriers CDC’SRecom-Effectiveneasto Care mendationson
PublicHealthSurveillanceSystems
Demonstrations and Exhibitsthroughout the 3-day conference
5
CONFERENCE SESSIONS
The Public Health Conference on Records and Statistics
.
Toward the Year 2000 –Refining the Measures
Monday, July 19
OPENING CEREMONY9:00-10:00 a.m.
FIRST PLENARY SESSION10:30 a.m.–l2:OO p.m.
Increasing Span of Healthy Life
Lunch Break 12:00–1:30 p.m.
CONCURRENTAFTERNOONSESSIONS 1:30–3:00 p.m.
A Years of Healthy Life
B Infant Mortali~
C Children and Youth
D Mental Health Indicators –FromEpidemiology to Service Delivery
CONCURRENTAFTERNOONSESSIONS 3:30–5:00 p.m.
E
F
G
H
Family and Health
Nutrition
Injuries and Violence
Measuring the Health andDisability of Older Americans
Tuesday, July 20
SECOND PLENARY SESSION9:00–10:00 a.m.
Measuring Health Disparities
CONCURRENT MORh?INGSESSIONS 10:30 a.m,-12:00 p,m,
I What’s News in Health Statistics?
J Race-Ethnicity Classification
K People with Disabilities
L Health Statistics from RecordSystems
Lunch Break 12:00-1:30p,m.
CONCURRENT AFTERNOONSESSIONS 1:30-3:00 p.m.
M
N
o
P
Numerator-Denominator Linkage
International Comparisons
Issues in Confidentiality
Methodological Issues for NationalMinority Data
ALL CONFERENCE MIXER5:30–%00 p.m.
6
CONCURRENTAFTERNOONSESSIONS ~ 3:30-5:00 p.m.
Q Socioeconomic Indicators
R Minority Health Research
S Intercensal Population Estimates
T Special Focus Surveys
Wednesday, July 21
THIW PLENMY SESSION9:00-10:00 a.m.
Assessing Preventive and PrimaryHealth Services
CONCURRENT MOMINGSESSIONS 10:30 a.m.-l2:OO p.m.
U Cost-Benefit Analyses
V Comparable Methods and Data
W Medical Effectiveness OutcomesResearch ~
CONCURRENTAFTERNOONSESSIONS 1:30-3:00 p.m.
Y Data Support for Medical CarePolicy
Z Prevention Effectiveness
AA Barriers to Care
BB CDC’S Recommendations onPublic Health Surveillance Systems
X Health Data for ProgramManagement
Lunch Break 12:00-1:30 p.m.
7
WHERE TO FIND IT
Conference Headquarters-All 1993 conference sessions will be held at theMaflower Hotel, located at 1127 Connecticut Avenue, NW., Washington, D,C.20036. Metro RED Line, Farragut North Stop, “L” Street Exit. Telephone: (202)347-3000.
Registration –The registration desk located ifi the promenade will be open thefollowing hours:
Sunday, July 18 1:00 to 6:00 p.m.Monday, July 19 8:00 a.m. to 5:00 p.m.Tuesday, July 20 8:00 a.m. to 5:00 p.m.Wednesday, July 21 8:00 am, to 3:00 p.m.
Conference Mixer-All conference participants are invited to the mixer on Mondayfrom 5:30 to 7:30 p.m in the Colonial Room. Don’t miss this occasion to greetdistinguished guests, meet new acquaintances, and rejoin old friends.
Exhibits – Conference exhibits can be viewed on Monday and Tuesday from 9:00a.m. to 5:00 p.m., and on Wednesday from 9:00 a.m. to 12:00 p.m. in the Cabinetroom.
Message Board and Lost and Found–A bulletin board near the PHCRS registra-tion desk will be used to noti$ conference participants of messages. This messagecenter will also serve as the conference lost and found.
Conference Proceedings –All who register will receive automatically, withoutcharge, a copy of the conference proceedings pending publication, (Anticipatedtimeframe of 6 months for final publication.)
Monday, Ju419
FIRST PLENARY SESSION9:00 a.m. –l2:OO p.m.
OPENING CEREMONY
9:00 a.m. Welcome and IntroductionsManning Feinleib, M.D., Dr.P.H.DirectorNational Center for Health Statistics
Greetings and Opening RemarksWalter R. Dowdle, Ph,D,Deputy DirectorCenters for Disease Control and Prevention
INCREASING SPAN OF HEALTHY LIFE
The means for producing longer, quality lives for all Americans is a challenge formedical care, health promotion, and statistical measurement,
Chairperson:
10:50 a.m.
11:20 a.m.
SessionOrganizer:
J. Michael McGinnis, M.D.Deputy Assistant Secretary for HealthOffice of Disease Prevention and Health Promotion
Valuing Lives, Valuing HealthDonald L. Patrick, Ph.D., M.S,P,H.Professor and Director, Social and Behavioral SciencesDepartment of Health ServicesUniversity of Washington
Tough Decfiion.s:TradeoffsInvolving Years of Healthy LyeJane E. Sisk, Ph.D.ProfessorDivision of Health Policy and ManagementColumbia University School of Public Health
Peter L. Hurley
9
Monday, Ju& 19
CONCURRENT SESSION A1:30–3:00 p.m.
YEARS OF HEALTHY LIFE
Progress towards the Healthy People 2000 goal to increase the span of healthy lifefor Americans can be tracked by measuring years of healthy life. This session willaddress research on and applications of measures of years of healthy life.
Chairperson:
1:35 p.m.
2:00 p.m.
2:25 p.m.
2:50 p.m.
SessionOrganizer:
Jacob J. Feldman, Ph.D.Associate DirectorOffice of Analysis and EpidemiologyNational Center for Health Statistics
Calculating Years of Healthy Lye for Healthy People 2000Pennifer Erickson*Chief, Clearinghouse on Health IndexesDivision of Epidemiology and Health PromotionNational Center for Health Statistics
The Calculation of Health-Adjusted Lye @ectancy in CanadaUsing a Multi-Attribute UtilityFunction
Roger Roberge, M.A.*Analyst, Health Analysis and Modeling GroupStatistics Canada
Accounting for Deaths %en Measuring Health StatusOver Time
Paula Diehr, Ph.D.*Professor of Biostatistics and Health ServicesDepartment of BiostatisticsUniversity of Washington
Discussion
Pennifer Erickson
*Speaker of coauthored paper.
10
Monday, Ju~ 19
CONCURRENT SESSION B1:30-3:00 p.m.
INFANT MORTALITY
Innovative approaches to epidemiological analysis of perinatal and infantmortality, measurement of gestational age and prenatal care, and classification ofcause of death and time of death will be discussed.
Chairperson:
1:30 p.m.
1:45 p.m.
2:00 p.m.
2:15 p.m.
John L. Kiely, Ph.D.Visiting ScientistDivision of AnalysisOffice of Analysis and EpidemiologyNational Center for Health Statistics
Underlying Causes bfFetal Death: Effect of an Additional Panel ofCheck Boxes on the Wisconsin 1989 Revked Fetal Death ReportForm
Russell S. Kirby, Ph.D., M. S.*Assistant ProfessorDepartment of PediatricsUniversity of Arkansas for Medical Sciences
Measuring the Link Between Improved Maternal Referral andImproved Neonatal Mortality
Sherry Allison-Cooke, M.A.Senior Research AssociateNational Perinatal Information Center
A Methodological Approach to Improving Pregnancy Outcomes inAfrican-American Women
Cecile H. Edwards, Ph.D.*Graduate ProfessorCollege of Allied Health SciencesDepartment of Nutritional SciencesHoward University
Intermediate Variables as Determinants of Adverse PregnancyOutcome in High-Risk Inner City Populations
Ravi K. Sharma, Ph.D.*Assistant ProfessorDepartment of Health Services AdministrationUniversi~ of Pittsburgh
*Speaker of coauthored paper.
11
Monday, Ju~ 19
CONCURRENT SESSION B1:30–3:00 p.m.
2:30 p.m. Discussant:Michelle A. WiIliams, SC,D.Assistant Professor of EpidemiologySchool of Public Health and Community MedicineUniversity of Washington
SessionOrganizeC John L. Kiely, Ph.D.
12
Monday, Ju~ 19
CONCURRENT SESSION C1:30-3:00 p.m.
CH~DREN AND YOUTH
This session will address the measurement of factors related to the health ofchildren and youth (ages 1 to 24), with a special focus on health behaviorsimpacting immediate health status as well as future health, for example, years ofhealthy life.
Chairperson: James G. Ross, M,S.Vice PresidentMacro International, Inc.
1:35 p,m. The “Bright Smiles, Bright Futures” Curriculum Evaluation:Designing Health Education Evaluations With Address theMethodological Challenges of Collecting Data From YoungChildren
Robert S. Gold, Ph.D.*Senior Science AdvisorMacro International, Inc.
1:55 porn. Implications of the Interaction Effect of Maternal Education andAccess to Medical Care on Ana&sk of Injury Risk According toPatterns of Child Care
Mary D. OverPeck, Dr.P.H.*Epidemiologist, Epidemiology BranchNational Institute of Child Health
2:15 p.m. Drug and Alcohol Findings: New York State Students in Fijith andShth Grades
Blanche Frank, Ph.D.*Chief, Bureau of Applied StudiesNew York State Office of Alcoholism and Substance AbuseServices
2:35 p.m. Homeless’ Street Youth: Strategies and Obstacles to GatheringRepresentative, Reliable, and Valid Data
Therese Van Houten, D.S.W.Evaluation DirectorMacro International, Inc.
2:55 p.m. Discussion
SessionOrganizefi Laura Kann, Ph.D.
*Speaker of coauthored paper.
13
Monday, Ju@ 19
CONCURRENT SESSION D1:30-3:00 p.m.
MENTAL HEALTH INDICATORS –FROM EPIDEMIOLOGYTO SERVICE DELIVERY
Mental health epidemiological and service use data will be explored as well asnew evolving conceptualization for how such data might be collected.
Chairperson: Ronald W. Manderscheid, Ph.D.Acting DirectorDivision of State and Community Systems DevelopmentCenter for Mental Health ServicesSubstance Abuse and Mental Health Services Administration
1:30 p.m. The Social Costs of Anxiety DisordersAndrew C. Leon, Ph.D.*Assistant Professor of Biostatistics in PsychiatUDepartment of PsychiatryCornell Universi~ Medical College
2:00 p.m. Reflections on Appropriate Mental Health Questions for the HealthInterview Survey
James S. Larson, Ph.D.ProfessorInstitute of GovernmentUniversity of Arkansas
2:30 p.m. Specialty Mental Health Service Utilization in the United StatesMarilyn J. Henderson, M.P.A,Assistant ChiefSurvey and Analysis BranchCenter for MentaI Health ServicesSubstance Abuse and Mental Health Services Administration
SessionOrganizeH Ronald W. Manderscheid, Ph.D.
*Speaker of coauthored paper.
14
Monday, Ju& 19
CONCURRENT SESSION E3:30-5:00 p.m.
FMLY AND HEALTH
The reciprocal effects of family configuration and functioning on individuals’health related habits and health outcomes will be examined.
Chairperson:
3:35 p.m.
3:55 p.m.
415 p.m.
435 p.m.
SessionOrganizeE
Felicia LeC1ere, Ph.D.Health StatisticianDivision of Health Interview StatisticsNational Center for Health Statistics
Parental Factors Influencing Patterns of Prenatal Care UtilizationPeter D’Ascoli, M.D., M.P.H.*Faculty MemberSchool of Public HealthUniversity of Minnesota
Family and Culhlral Factors in Mental and Physical Comorbidityin Children
Jacqueline L. Angel, Ph.D.*LecturerSociology DepartmentUniversity of Texas at Austin
Family Strength and Youth Behavior OutcomesBarbara Sugland, SC.D., M.P.H.*Research AssociateChild Trends, Inc.
Discussants:Martha Riche, Ph.D.Director of Policy StudiesPopulation Reference BureauWashington, D.C.
Karen Smith Thiel, Ph.D.Director, Healthy Start EvacuationHealth Resources and Services Administration
Felicia LeC1ere, Ph.D.
*Speaker of coauthored paper.
15
Monday, Ju& 19
CONCURRENT SESSION F3:30–5:00 p.m.
NUTRITION
Development and standardization of nutritional status indicators, including diet,anthropometry, and nutrition-related health measures such as blood cholesterol,blood pressure, and nutritional biochemistries, are critical to assessing thenutritional status of population groups and the impact of dietary and healthpractices on the risk of nutrition-related chronic diseases.
Chairperson:
3:30 p.m.
3:50 p.m.
410 p.m.
430 p.m.
Ronette R. Briefel, Dr.P.H., R.D.Coordinator for Nutrition Monitoring and Related ResearchDivision of Health Examination StatisticsNational Center for Health Statistics
Assessing Fruit and Vegetable Intakes: Toward the Year 2000Susan Krebs-Smith, Ph.D.*NutritionistApplied Research BranchNational Cancer Institute
Schools– Where We Are in Meeting the Year 2000 Nutrition GoalsPatricia McKinney, M.S., R.D.*Program AnalystOffice of Analysis and EvaluationFood and Nutrition ServiceDepartment of Agriculture
Monitoring Progress Toward Meeting Year 2000 Objectives:NHANES IIL 1988-91
Clifford Johnson, M. S.P.H.Special Assistant for AnalysisDivision of Health Examination SurveyNational Center for Health Statistics
Monitoring the Nation’s Health: The 1991 Health Survey forEngland-Results and Methodology
Amanda White, B.A.Principal Social Survey OfficerOffice of Population Censuses and SurveysSocial Survey DivisionSt. Catherine’s House
*Speaker of coauthored paper.
16
Monday, JL{~ 19
CONCURRENT SESSION F3:30–5:00 p.m.
4:50 p.m. Discussion
SessionOrganizer: Ronette R. Briefel, Dr.P.H., R.D,
17
Monday, Ju~ 19
CONCURRENT SESSION G3:30–5:00 p.m.
INJURIES AND VIOLENCE
Methodological and substantive issues will be examined as they relate to theimpact of intentional and unintentional injuries on heaIthy Iife.
Chairperson
3:30 p.m.
3:45 p.m.
400 p.m.
415 p.m.
SessionOrganizec
Lois A. Fingerhut, M.A.Special Assistant for Injury EpidemiologyOffice of AnaIysis and EpidemiologyNational Center for HeaIth Statistics
Reporting External Cause of Injury and Poisoning Codes inMedicare Hospital Dischaqe Data
Harry L. Savitt, Ph.D.*Deputy Director, Division of Beneficiary StudiesOffice of Research and DemonstrationsHealth Care Financing Administration
Ernergenq Depatiment Weapon-Related Inju~ SurveillanceVictoria Vespe Ozonoff, Ph.D.*Director, Health Resources StatisticsBureau of Health Statistics, Research and EvaluationMassachusetts Department of Public Health
Surveillance for Nonfatal Firearm InjuriesRoberta K. Lee, R.N., Dr.P.H.”Professor, Community Health and GerontologyUniversity of Texas School of Nursing
Surveillance of Central Nervous System InjuriesDavid Thurman, M.D., M.P.H.*Medical Epidemiologist, Program Development
and Implementation BranchNational Center for Injury Prevention and ControlCenters for Disease Control and Prevention
Lois A. Fingerhut, M.A.
*Speaker of coauthored paper.
18
Monday, Jr.dy19
CONCURRENT SESSION H3:30–5:00 p.m.
MEASURING THE HEALTH AND DISABILITYOF OLDER AMENCANS
What are the appropriate measures to study the concepts of healthy life and ofpostponed disability for older Americans?
Chairperson:
3:35 p.m.
3:50 p.m.
4:05 p.m.
4:20 p.m.
Joan F. Van Nostrand, M.P.A.Coordinator of Data on AgingOffice of Vital and Health Statistics SystemsNational Center for Health Statistics
Health Expectancy: The Canadian ExperienceRussell Wilkins, M.Urb.Senior AnalystCanadian Centre for Health InformationStatistics Canada
Compression of Dkabilip? Results from the National LTC SurveyLarry Corder, Ph.D.*Associate Research ProfessorCenter for Demographic StudiesDuke University
Compression of Disability? Results from the Established Populationfor Epidemiologic Studies of the Elder~
Marcel Edward Salive, M.D., M.P.H.*Epidemiologist, Epidemiology, Demography, and BiometryProgram
National Institute on AgingNational Institutes of Health
Discussant:William ScanIonj Ph.D.Codirector, Center for Health Policy StudiesGeorgetown University
*Speaker of coauthored paper.
19
Monday, hdy 19
CONCURRENT SESSION H3:30-5:00 p.m.
4:30 p.m. Discussant:Lois M. Verbrugge, Ph.D.Distinguished Research ScientistInstitute of GerontologyUniversity of Michigan
445 p.m. Discussion
SessionOrganizeE Joan F. Van Nostrand, M.P.A,
20
Monday, July 19
all participants and gztests are invited
to the
ALL CONFE~NCE MIXERtobe held in the
Colonial Room
5:30-200 p.m.
21
Tuesday, Ju& 20
SECONDPLENARYSESSION9:00-10:00a.m.
MEASURING HE&TH DISPARITIES
What are the conceptual, technical, and methodological issues related to theavailability and usefulness of information on health disparities amongsocioeconomic, demographic, and geographic groups?
Chairperson Ronald W. WilsonDirector, Division of Epidemiology and Health PromotionNational Center for Health Statistics
9:00 a.m. Using Data on Health Disparities in the Formulation of PublicHealth Policy
Mohammad N. Akhter, M.D., M.P.H.Commissioner of HealthD.C. Department of Health and Human Services
9:30 a.m. Closing Gaps in Health and Health Care: Improved Data for aNew Health System
David Mechanic, Ph.D.Institute for Health,Rutgers University
SessionOrganizeR Ronald W. Wilson
22
Health Care Policy, and Aging Research
Tuesday, Ju@ 20
CONCURRENT SESSION I10:30 a.m. –l2:OOp.m.
WHAT’S NEWS IN HEALTH STATISTICS?
A panel of media representatives will provide advice on what makes news, howthe media covers vital and health statistics, and how data producers andresearchers can work with reporters to improve the understanding and use ofdata,
Chairperson: Sandra S. Smith, M.P.H.Public Mairs OfficerOffice of Data Processing and ServicesNational Center for Health Statistics
Panelists: Victor CohnSenior Writer and ColumnistHealth Section, The Washington Post andAuthor, News and Numbers
Alan L. OttenColumnistWall Street Journal
Rhonda RolandSenior ProducerCable Network News
SessionOrganizer: Sandra S. Smith, M.P.H.
23
Tuesday,Ju& 20
CONCURRENT SESSION J10:30 a.ir2.-l2:OOp.m.
RACE-ETHNICITY CLASSIFICATION
Methodological issues related to the classification of race and ethnicity will bediscussed.
Chairperson:
10:30 a.m.
10:50 a.m.
11:10 a.m.
11:30 a.m.
11:50 a.m.
SessionOrganizec
Roderick HarrisonChief, Racial Statistics BranchPopulation DivisionU.S. Bureau of the Census
American.Indian Infant MortalityReview in Wkconsin: Problemsand Progress.
Raymond D. Nashold, Ph.D.Director and State RegistrarWisconsin Center for Health Statistics
Infant Mortalityj Birthwe@ht, and Race-Ethnicity: 10 Years ofLinked Birth and Infant Deaths in New Muico
Corazon M. Halasan, Ph.D.*Epidemiologist, Office of Vital Records and Health StatisticsPublic Health DivisionNew Mexico Department of Health
Racial Disparities in Birth Outcomes: Race, Ethnici~, or Nativity?T. Joseph Sheehan, Ph.D.*Professor, Division of Epidemiology and BiostatisticsDepartment of Communi~ MedicineUniversity of Connecticut School of Medicine
Underestimation of Racial Minorities in US. Army RecordsClaire C. Gordon, Ph.D.*Senior Anthropologist and Chief, Behavioral Sciences DivisionU.S. Army Aviation and Troop CommandNatick Research, Development, and Engineering Center
Discussion
Harry M. Rosenberg, Ph.D.
‘Speaker of coaLtthoredpaper.
24
Tuesday, Ju& 20
CONCURRENT SESSION K10:30 a.m.–l2:OO p.m.
PEOPLE WITH DISABILITIES
The passage of the Americans with Disabilities Act has served to underscore theneed for data on the impact of disabilities on all aspects of life.
Chairperson: Andrew Batavia, J.D.Executive DirectorNational Council on Disability
10:30 a.m. Contribution of Developmental Disabilities to Childhood Mortali@in the United States: A Multiple Cause-of-Death Analysh
Coleen A. Boyle, Ph.D.*Chief, Surveillance and Epidemiology SectionDevelopmental Disabilities BranchDivision of Birth Defects and Developmental DisabilitiesCenters for Disease Control and Prevention
10:45 a.m. Definitions of Disabili~ and Their Measurement andOperationali.zation in Su~veyData
Barbara M. Altman, Ph.D.Research FellowAgency for Health Care Policy and Research
11:00 a.m. Applications of the CWRZ Craig Handicap Assessment andReporting Technique
Gale G. Whiteneck, Ph.D.Director of ResearchCraig Hospital
11:15 a.m. Applicatioris of the International Classification of Impairments,Dtiabilities, and Handicaps: From Concepts to Taonomy toData Analysis
Scott Campbell Brown, Ph.D.Education Research SpecialistOffice of Special Education ProgramDivision of Innovation and DevelopmentNational Institute for Disability and Rehabilitation ResearchDepartment of Education
.
*Speaker of coauthored paper.
25
Tl{esday, JLt~20
CONCURRENT SESSION K10:30 a.m.-l2:OOp.m,
11:30a.m. Discussant:Mary Chamie, Ph.D., M.P.H.Statistician, Demographic and Social Statistics BranchStatistical OfficeDepartment of International Economic and Social AffairsUnited Nations
SessionOrganizeE Marcie Cynamon, M.A.
26
Tuesday, .Tu@20
CONCURRENT SESSION L10:30 a.m. –l2:OOp.m.
HEALTH STATISTICS FROM RECORD SYSTEMS
Analytical, methodological, and conceptual issues pertaining to the use of healthstatistics derived from record-based data systems will be discussed.
Chairperson:
10:30 a.m.
10:50 a.m.
11:10 a.m.
11:30 a.m.
SessionOrganizer:
Dorothy S. Harshbarger, M.S.State Registrar and DirectorAlabama Center for Health StatisticsAlabama Department of Public Health
Monitoring Access to Prenatal Care Using Birth Recorh WithInformation on Insurance
Trude Bennett, M.S.W., Dr. P.H.*Assistant ProfessorSchool of Public HealthUniversity of North Carolina at Chapel Hill
Counv-wide Small Area Analyses: Estimation of Denominatorsfor Users of a County Health Care Agency and Their Applicationin Health Statlls Measures
Arthur J. Davidson, M.D., M.S.P.H.*DirectorData ManagementDenver Public Health Department
Measuring Work-Related Health Dkparities for MinoripPopulations
Carol A. Burnett, M. S.*EpidemiologistSurveillance BranchNational Institute for Occupational Safety and Health
Methodological Issues in Improving the Quality of MortalipStattitics
Jared B. Jobe, Ph.D.*PsychologistOffice of Research and MethodologyNational Center for Health Statistics
James A. Weed, Ph.D.
*Speaker of coauthored paper.
27
Tuesday, Ju& 20
CONCURRENT SESSION M1:30–3:00 p.m.
NUMERATOR-DENOMINATOR LINKAGE
Issues related to the use of numerator and denominator data, such as vitalstatistics data, derived from two different sources will be discussed during thissession.
Chairperson:
L35 p.m.
1:55 p.m.
2:15 p.m.
235 p.m.
SessionOrganizen
Lester R. Curtin, Ph.D.Chief, Statistical Methods StaffOffice of Research and MethodologyNational Center for Health Statistics
The Relations@ Between Maternal HIV Seroprevalence and theHospitalization of HIV Infected Newborns in Their First Year ofLife
Vito M. Logrillo, M.P.H.*Director, Office of Information Resources ManagementAIDS InstituteNew York State Department of Health
SuW”cal Procedure Rates with Numerators from Hospital Data andDenominators from Several Different “At Risk” Populations
Jane F. Gentleman, Ph.D.*Chiefj HeaIth Status SectionCanadian Centre for Health InformationStatistics Canada
Generalized Linear Models and Simultaneous SurveysWilfred Rosenbaum, M.Math,*Senior Research OfficerDepartment of Computing ScienceComputational Epidemiology LaboratorySimon Fraser University
The Benefits of Probabilistical~ Linked Electronic Patient Recordsfor Highway Safety
William H. Walsh, Jr.DirectorNational Center for Statistics and AnalysisNational Highway Traffic Safety Administration
Lester R. Curtin, Ph.D.
*Speaker of coauthored paper.
28
Tuesday, Ju~ 20
CONCURRENT SESSION N1:30–3:00 p.m.
INTERNATIONAL COMPARISONS
Understanding methodological and substantive issues related to measuring anddescribing international health disparities is essential to the appropriatecomparison of United States data with that of other countries.
Chairperson
1:35 p.m.
1:55 p.m.
2:15 p.m.
235 p.m.
2:50 p.m.
SessionOrganizeE
Robert A. IsraelAssociate Director for International StatisticsNational Center for Health Statistics
Trends in Mortality in East and West Germany During the3 Decades Before Unification
Karl E. Bergmann, M.D.*Head, Division of Public Health and StatisticsFederal Health OfficeGermany
MoitaliV in the United States and France: Evidence from the~0 Mortality Data Base
Alvan O. Zarate, Ph.D.*Special Assistant to the DirectorOffice of the Center DirectorNational Ce~ter for Health Statistics
The International Rank of the United States in Infant Mortality:Are We Real~ 24th?
Robert B. Hartford, Ph.D.Deputy Director, Office of International StatisticsNational Center for Health Statistics
Health Expectancy of the Elderly.in Xichang, China and Canada:Comparisons Based on Measures of Autonomy in VariousActivities of Daily Living
Edward Ng, Ph.D.*Analyst, Occupational and Environmental Health
Research SectionCanadian Centre for Health InformationStatistics Canada
Discussion
Robert A. Israel
*Speaker of coauthored paper.
29
Tuesday, Ju& 20
CONCU~NT SESSION O1:30-3:00 p.m.
ISSUES IN CONFIDENTIALITY
Confidentiality issues and the risk of individual identification of subjects will beexplored for data pertaining to demographic and geographic populationsubgroups.
Chairperson:
1:35 p.m.
1:55 p.m.
2:15 p.m.
%35 p.m.
Session
OrganizeR
Mary Moien, M.S.Assistant to the DirectorOffice of the Center DirectorNational Center for Health Statistics
Privacy Policy in an Electronic WorldJoan Turek-Brezina, Ph.D.DirectorDivision of Technical and Computer SupportOffice of the Assistant Secretary for Planning and EvaluationDepartment of Health and Human Services
Toward Compiling Better Health Indicators through Data LinkageBrian Gallagher, M.S.*Program Research SpecialistPerinatal Health UnitNew York State Department of Health
The Unique Record Number (U.): An Alternative to TraditionalPerson Identifiers
Andrew Asher, M.P.P.*
Research AnalystMathematical Policy Research, Inc.
Cal$omia’s Experience: SSN and ConfidentialityEle Meux, Ph.D.Section ChiefPatient Discharge Data SectionCalifornia Office of State-Wide Health Planning andDevelopment
Mary Moien, M.S.
*Speaker of coauthored paper.
30
Tuesday, Ju& 20
CONCURRENT SESSION P
1:30-3:00 p.m.
METHODOLOGICAL ISSUES FOR NATIONAL MINORITY DATA
The limitations to developing detailed estimates of health characteristics forr minority populations based on large national surveys will be discussed and
possible solutions will be explored.
Chairperson: Signe WetroganStatisticianPopulation DivisionU.S. Bureau of the Census
1:40 p.m. Design of the National Health Interview Survey, 1995–2004James T. Massey, Ph.D.Chief, Survey DesignOffice of Research and MethodologyNational Center for Health Statistics
2:00 p,m. Estimation and Ana&tic Metho& for Minorip Statktics Based onMultiple-source Su?vey Data
Lester R. Curtin, Ph.D.’kChief, Statistical MethodsOffice of Research and MethodologyNational Center for Health Statistics
220 p.m. Use of the Behavioral Risk Factor Surveillance System to MonitorRkk Factors in Minority Populations
Emma L. Frazier, Ph.D.*Chief, Data Management SectionOffice of Surveillance and Analysis
4 Centers for Disease Control and Prevention
2:40 p.m. Obtaining Data for Asian Pacific Americans from National SurveysLarry H. Shinagawa, Ph.D.
+ Senior Research AssociateAsian &erican Health ForumSan Francisco
SessionOrganizeH Patricia M. Golden, B.A., M.P.H.
*Speaker of coauthored paper.
31
Tuesday, JLdy20
CONCURRENT SESS1ON Q3:30-5:00 p.m.
SOCIOECONOMIC INDICATORS
Methodological issues involved in studying time trends in socioeconomicdifferentials in health will be addressed.
Chairperson
3:30 p.m.
400 p.m.
4:30 p.m.
SessionOrganizer:
Lisa MiIler SchalickOffice of Planning and Extramural ProgramsNational Center for Health Statistics
Measuring Socioeconomic Inequality in Health: An Update onMethodological Issl~es
Elsie Parnuk*Division of NutritionCenters for Disease Control and Prevention
Unemployment and Fertili~: A Transfer Function Analysis WithAdditional Interventions
Andreas Muller, Ph.D.Associate ProfessorDepartment of HeaIth Services AdministrationUniversity of Arkansas at Little Rock
A Comparison of Socioeconomic Status Indicators Across 3Decades
AIan B. Humphrey, Ph.D.*College of Business AdministrationUniversi~ of Rhode Island
Gregory Pappas, M.D., Ph.D.
*Speaker of coauthored paper.
32
Tuesday, Ju& 20
CONCUWNT SESSION R3:30–5:00 p.m.
MINOWTY HEALTH RESEARCH
Methodological and substantive issues related to collection and analysis of healthdata for minority populations will be addressed, drawing on the experience of thenew NCHS Minority Health Statistics Grants Program.
Chairperson:
3:35 p.m.
3:50 p.m.
4:05 p.m.
420 p.m.
David R. Williams, Ph.D.Associate Research ScientistAssociate Professor of SociologyInstitute for Social ResearchUniversity of Michigan
Using National Health Data Systems to Inform Hispanic Women’sHealth
Hortensia Amaro, Ph.D.Associate ProfessorBoston Universi~ School of Public Health
Cooperative Agreements to Advance the Understanding of theHealth of Asian and Pacific Islander Americans
Dong Sub, M.P.P.Research AssociateAsian American Health Forum
Social Cognition and Responses to Health Survey QuestiomAmong Minority Populations: Preliminary Evidence
Timothy P. Johnson, Ph.D.*Assistant DirectorSurvey Research LaboratoryUniversity of Illinois at Chicago
Health Status and Access to Care Among Rural Minorities: matDo We Know?
Keith J. Mueller, Ph.D.*DirectorNebraska Center for Rural Health ResearchUniversity of Nebraska Medical Center
*Speaker of coauthored paper.
33
Tuesday, Ju~ 20
CONCURRENT SESSION R
3:30-5:00 p.m.
4:35 p.m. Improving Health Stathtics Among American Indians by DataLinkages with Tribal Enrollment Registries
Jonathan R. Sugarrnan, M.D., M.P.H.*Medical EpidemiologistDivision of Research, Evaluation, and EpidemiologyPortland Area Indian Health Service
450 p.m. Discussants:Ruth Zambrana, Ph.D.ConsultantAgency for Health Care PoIicy and Research
P. Douglas WilIiams, M.S.Chief, State and Academic Research Applications StaffOffice of Planning and Extramural ProgramsNational Center for HeaIth Statistics
SessionOrganize~ Marjorie S. Greenberg, M.A.
34
I
Tuesday, July 20
CONCURRENT SESSION S3:30-5:00 p.m.
INTERCENSAL POPULATION ESTIMATES
Problems and potential solutions related to estimating intercensal populations forminorities and geographic areas to be used as denominators for calculating” healthcharacteristic rates will be discussed.
Chairperson: Michael R. Lavoie, M.A.Chief, Health Statistics and Measurement CenterGeorgia Department of Human Resources
3:30 p.m. Estimating the Population of Rural Communities by Age andGender: A Case Sttldy of the Local Expert Procedure
David A. Swanson, Ph.D., M.A., B.SC.*Senior Demographic SpecialistArkansas Institute for Economic AdvancementUniversity of Arkansas at Little Rock
4:00 p.m. Estimates of the Population of States and Counties by Age, Sa,Race, and Hispanic Origin: 1980 to 1989
Sam DavisStatisticianPopulation DivisionU.S. Bureau of the Census
4:30 p.m. Preparing Population Estimates for the Post-1990 Period: TheCombination of Data from Various Sources
Signe WetroganStatisticianPopulation DivisionU.S. Bureau of the CensusA
SessionOrganizer: Robert L. Heuser
*
*Speaker of coauthored paper.
35
Tuesday, Jz.dy20
CONCURRENT SESSION T3:30–5:00 p.m.
SPECIAL FOCUS SURWYS
Methodological issues pertaining to assessing health status disparities forsubdomains of the population and at the subnational level will be the focus ofthis session.
Chairperson:
3:30 p.m.
3:45 p.m.
4:00 p.m.
415 p.m.
Trena M. Ezzati-Rice, M.S.Biomedical Mathematical StatisticianOffice of Research and MethodologyNational Center for Health Statistics
Comparing Two Methods of Surveying Sparse Minority PoptdationsJay S. Buechner, Ph.D.*Chief, Office of Health StatisticsRhode Island Department of Health
Reducing Sampling Costs: A Multi-Stage Design Using ReplicatedQuota Sampling to Yield a Sample of Latino and Afiican-Ameriean Households in Los Angeles
Laurie M. Anderson, M.P.H.*Epidemiologist, Division of Cancer Prevention and ControlNational Center for Chronic Disease Prevention and
Health PromotionCenters for Disease Control and Prevention
Issues of Methodolop for Agricultural Health andHazard Surveys
Lorraine L, Cameron, Ph.D.*Epidemiologist, Division of Surveillance Hazards Evaluation
and Field StudiesNational Institute for Occupational Safety and Health
Evaluation of Methods Employed in the Assessment of HealthCare Needs and Access to Care in Dade County, Florida,Following Huwicane Andrew
Nancy D. Barker, M.S.*Mathematical StatisticianEpidemiology Program OfficeCenters for Disease Control and Prevention
*Speaker of coauthored paper.
36
Tuesday, Ju& 20
CONCURRENT SESSION T3:30–5:00 p.m.
430 p.m. Dual-Frame Surveys of State PopulationshMonroe G. Sirken, Ph.D.*Associate DirectorOffice of Research and Methodology
‘ National Center for Health Statistics
4:45 p.m. Discussion
SessionOrganizer: Trena M. Ezzati-Rice, M.S.
,
37
Wednesday, Jldy 21
THIRD PLENARY SESSION9:00–10:00 a.m.
ASSESSING PREVENTIVE AND PRIMARY HEALTH SERVICES
Many Americans do not have access to effective preventive services andappropriate medical care. How will health care be reformed to meet their needsand what is the role of health statistics in planning and managing for change inhealth care?
Chairperson:
9:00 a.m.
9:30 a.m.
SessionOrganizeE
Nicholas Zill, Ph.D.Vice PresidentWestat, Inc.
Kenneth E. Thorpe, Ph.D.Deputy Assistant Secretary for Health PolicyDepartment of Health and Human Services
Access to mat and Why? Toward a New Generation of AccessIndicators
Lu Ann Aday, Ph.D.Professor of Behavioral SciencesSchool of Public HealthUniversity of Texas
Sandra S. Smith, M.P.H.
38
Wednesday, Jcdy21.
CONCURRENT SESSION U10:30 a.m.–I2:OOp.m.
. COST-BENEFIT ANALYSESCost-effective approaches for specific prevention strategies, interventions, andrehabilitative services in averting subsequent disease and health care
* expenditures will be described.
Chairperson:
10:30 a.m.
10:45 a.m.
11:00 a.m.
11:15 a.m.
h
11:30 a.m..
SessionOrganizec
Paul J, Placek, Ph.D.StatisticianOffice of Vital and Health Statistics SystemsNational Center for Health Statistics
A Model of Cost-Effectiveness and Injury PreventionDavid P. Hamburger, M.D.*Emergency Trauma ServicesChildren’s National Medical Center
fipansion of Medicaid Eligibilityfor Family Planning Services:A Cost-Benefit Ana&si.s
Douglas R. Murray, M.S,DirectorCenter for Health StatisticsArkansas Center for Health Statistics
The Impact of Dissemination of Smoking CessationMethods onHealth Care CostsAmong PregnantMedicaid Recipients
Richard A. Windsor, Ph.D., M.P.H.*Special Assistant to the DirectorNational Heart, Lung, and Blood Institute
Oregon Medicaid Plan: Prioritizing Health Services Using Data andValues
Barry F. Anderson, Ph.D.Professor of PsychologyPortland State University
Di.scmsion:Ethical Aspects of Rationing Based on Cost-BenefitAnaZyses
Paul T. Menzel, Ph.D.Professor, Department of PhilosophyDean of HumanitiesPacific Lutheran University
Paul J. Placek, Ph.D.
*Speaker of coauthored paper.
39
Wednesday, Ju~ 21
CONCURRENT SESSION V10:30 a.m.–I2:OO p.m.
COMPARABLE METHODS AND DATA
Mechanisms for developing comparable methods to measure progress toward theyear 2000 health objectives at the National, State, and local levels will bediscussed.
Chairperson:
10:30 a.m.
10:50 a.m.
11:10 a.m.
iii30 a.m.
SessionOrganize~
P. Douglas Williams, M.S.Chief, State and Academic Research Applications StaffOffice of Planning and Extramural ProgramsNational Center for Health Statistics
Monitoring and Prioridzation of the Consensus Set of Health StatusIndicators by State Health Departments in the United States
Sharon L. Zucconi, Ph.D.*Assistant Professor and Policy AnalystSchool of Public HealthUniversity of Pittsburgh
A“Nonlinear Regression Model for the Projection of ExpectedValues for Selected Health Status Indicators in the Year 2000
Chun-Lo Meng, Ph.D.*Director, Statistical Analysis UnitHealth Statistics SectionColorado Department of Health
Computetied Data Base for Strengthening Capaci& for Local AreaNeeds Assessment, Surveillance, and Monitoring of Year 2000Objectives: The Illinok Experience
Menvyn R. Nelson, Ph. D.”Chief, Center for Health StatisticsIllinois Department of Public Health
Development of a Standardized Telephone Survey Ql~estionnaireand Methodolo~ for Local Public Health .Departments
Bruce M. Brock, Ph.D.*PresidentInformation Transfer Systems, Inc.hn Arbor
Mary Anne Freedman, M.A.
*Speaker of coauthored paper.
40
Wednesday, Ju~ 21
*
,
P
.
CONCURRENT SESSION W10:30 a.rn.-l2:OO p.m.
MEDICAL EFFECTIVENESS OUTCOMES RESEARCH
Innovations in patient outcomes research will be discussed.
Chairperson: J. Michael Fitzmaurice, Ph.D.DirectorOffice of Science and Data DevelopmentAgency for Health Care Policy and Research
10:30 a.m. Integrating Values into Clinical CareDavid B. Pvor, M.D.Associate Professor of MedicineDuke University Medical Center
10:50a.m. Outcomes Research for Effectiveness and Qualiy: The MajorIssues
Sheldon Greenfield, M.D.Senior Scientist for the Health InstituteProfessor of Medicine and Chief, Division of Health Services
ResearchDepartment of MedicineTufts University
11:10 a.m. Effectiveness of the New Jersey State-Wide Healthstart Initiative onPrenatal Care and Pregnancy Outcome iiz New Jersey,1988 to 1992
Maryanne J. Florio, M.Ed.*Research Scientist IMaternal and Child Health Epidemiology and Program PlanningNew Jersey State Department of Health
11:30 a.m. Discussion
SessionOrganizer: J. Michael Fitzmaurice, Ph.D.
*Speaker of coauthored paper.
41
Wednesday, Ju& 21
CONCURRENT SESSION X10:30 a.m.–l2:OO p.m.
HEALTH DATA FOR PROGRAM MANAGEMENT
An array of data are needed to plan, manage, direct, evaluate, and reform healthcare in the United States. This session will explore the development and use ofdata for health program management.
Chairperson:
10:30 a.m.
10:50 a.m.
11:10 a.m.
11:30a.m.
11:50a.m.
SessionOrganizeC
Edward L. HunterChief, Planning, Budget, and Legislation StaffOffice of Planning and Extramural ProgramsNational Center for Health Statistics
Public Law 99-457 Child Find and Tracking SystemJoyce M. Eatmon, M.P.A.Medical EconomistCenter for Health StatisticsArkansas Center for Health Statistics
~e Competitive Initiatives Program –A New Jersey Response tothe Escalating Costs of Health Care
Marcia M. Sass, SC.D.*Assistant Director, Health Initiatives EvacuationDivision of Health Care Planning, Financing, andInformation Services
New Jersey State Department of Health
Development of a Data System for the Management of aComprehensive Cancer Screening Program
Patricia M. Jamison, M.P.H.*Computer SpecialistDivision of Cancer Prevention and ControlCenters for Disease Control and Prevention
Using Medicare’s End Stage Renal Dkease Program Managementand Medical Information System for Program Moniton”ng andPolicy Development
Joel W. Greer, Ph.D.Economist, Office of Research and DemonstrationsHealth Care Financing Administration
Discussion
Elizabeth A. Lowe
*Speaker of coauthored paper.
42
.
),
I?
Wednesday, Ju~ 21
CONCURRENT SESSION Y1:30-3:00 p.m.
DATA SUPPORT FOR MEDICAL CARE POLICY
Presentations will cover how data are used to set priorities, manage allocation ofresources and, in effect, ration medical care.
Chairperson:
1:40 p.m.
205 p.m.
2:30 p.m.
SessionOrganizer:.
Elliot Stone, M.V.C.Executive DirectorMassachusetts Health Data Consortium
Data Sources Used in Prioritizing Health Services Under theOregon Health Plan
Darren D. Coffman, B.S., M. S,*Research ManagerOregon Health Services Commission
Using HCFA’s National Claims History Files for Quality of CareAnalysis and Policy Development: The DEMPAQ Project
Stephen T. Parente, M.P.H., M.S.*Project CoordinatorJohns Hopkins Health Services Research and
Development CenterJohns Hopkins School of Public Health
Assessment of Outcomes for CABG Surgely in New York StateHarold Kilburn, M.A.’kProgram Research SpecialistDepartment of Health Policy and ManagementState University of New York, Albany
W. Edward Bacon, Ph.D.
.
‘~Speakerof coauthored paper.
43
Wednesday, Jcdy 21
CONCURRENT SESSION Z1:30–3:00 p.m.
PREVENTION EFFECTIVENESS
Public health requires effective and cost-effective prevention strategies. Thissession will present research and methods for assessing the efficacy, effectiveness,and cost-effectiveness of prevention strategies on reducing adverse healthoutcomes.
Chairperson:
1:40 p.m.
2:00 p.m.
220 p.m.
2:40 p.m. ~
Session
OrganizeE
Anne Haddix, Ph.D.EconomistAtlanta, Georgia
Cost Effectiveness of Worbite Cholesterol ScreeningRobin D. Gorsky, Ph.D.*Associate ProfessorDepartment of Health Management and PolicyUniversity of New Hampshire
An Economic Evaluation of Preventing or Delaying the Onset ofthe Complications of Diabetes
Erik Dasbach, Ph.D.Health Services Researcher, Division of Diabetes TranslationNational Center for Chronic Disease PreventionCenters for Disease ControI and Prevention
Economic Impact of Food-Borne IllnessTanya Roberts, Ph.D.Senior EconomistEconomic Research ServiceDepartment of Agriculture
Discussion
Steven M. Teutsch, M.D’., M.P.H.
*Speaker of coauthored paper.
44
Wednesday,Jcdy21
CONCURRENT SESSION AA1:30–3:00 p.m.
.BARRIERS TO CARE
Presentations will focus on the use of improved indicators for identifying and●
measuring barriers to appropriate and timely medical care.
Chairperson
1:30 p.m.
1:50 p.m.
2:10 p.m.
2:30 p.m.
.
.SessionOrganizer:
Michael L. Millman, Ph.D.Senior Stti FellowOffice of Planning, Evaluation, and LegislationHealth Resources and Services Administration
Using Hospital Records to Evaluate the Pe~ormance of theOutpatient Delive~ System
John BillingsPrincipal InvestigatorAmbulato~ Care Access ProjectUnited Hospital Fund
Sociocultural Barriers to Appropriate CareSarita L, Karen, Ph.D.*Assistant ScientistCenter for Health Systems Research and AnalysisUniversity of Wisconsin-Madison
Evaluation of Balriers to Prenatal Care: A Model ProjectMary E. Losch, Ph.D.”Program DirectorSocial Science InstituteUniversity of Iowa
Discussant:P. Ellen Parsons, Ph.D.StatisticianDivision of Health Interview StatisticsNational Center for Health Statistics
Trish Royston
*Speakerof coauthoredpaper.
45
Wednesday, Ju& 21
CONCURRENT SESSION BB1:30–3:00 p.m.
CDC’S RECOMMENDATIONS ON PUBLIC HEALTHSURVEIL~CE SYSTEMS
CDC faces challenges in surveillance due to changing missions and theopportunity presented by health reform. Current responses include thedevelopment of CDC’S information network for public health officials, a plan forthe future of microcomputers in epidemiology, and a new plan for national publichealth surveillance.
Chairperson: Mary Anne Freedman, M.A.Special Assistant to the DirectorHealthy People 2000 StaffNational Center for Health Statistics
h30 p.m. National Public Health Sumeillance: mere Do We Go FromHere?
Elaine D. Eaker, SC.D.Assistant Director for ScienceDivision of Surveillance and EpidemiologyEpidemiology Program OfficeCenters for Disease Control and Prevention
200 p.m. The Future of Microcomputers in Epidemiolo~Andrew G. Dean, M.D., M.P.H.Chief, Systems Development BranchDivision of Surveillance and EpidemiologyEpidemiology Program OfficeCenters for Disease Control and Prevention
2:30 p.m. CDC Information Network for Public Health OficialsDavid A. Ross, SC.D.Assistant Director for Information and
Communication ServicesPublic Health Practice Program OfficeCenters for Disease Control and Prevention
SessionOrganizex Donna F. Stroup, Ph.D.
46
PROGRAM SESSION ORGANIZERS
Jack R. Anderson** (Opening. Ceremony)
Acting Depu~ DirectorOffice of the Center Director
* W. Edward Bacon, Ph.D.”* (Y)DirectorDivision of Health Care Statistics
Ronette R. Briefel, Dr,P.H., R.D.*”(F)
Coordinator for Nutrition Monitoringand Related Research
Division of Health ExaminationStatistics
Lester R. Curtin, Ph.D.** (M)Chief, Statistical Methods StaffOffice of Research and Methodology
Marcie Cynamon, M.A.$:* (K)Special Assistant to the DirectorDivision of Health Interview Statistics
Pennifer Erickson** (A)Chief, Clearinghouse on HealthIndexes
Division of Epidemiology and HealthPromotion
Trena M. Ezzati-Rice, M.S.** (T)Biomedical Mathematical StatisticianOffice of Research and Methodology
his Fingerhut, M.A.** (G)Special Assistant for InjurybEpidemiology
Office of Analysis and Epidemiology
J. Michael Fitzmaurice, Ph.D. (W). Director, Office of Science and Data
DevelopmentAgency for Health Care Policy and
Research2101 East Jefferson Street, Room 601Rockville, MaryIand 208524908
Mary Anne Freedman, M,A.** (V)Special Assistant to the DirectorHealthy People 2000 StaffOffice of the Center Director
Patricia M. Golden, B.A., M.P.H.**(P)
Special Assistant to the DirectorDivision of Epidemiology and HealthPromotion
Marjorie Greenberg, M.A. “k (R)Evaluation Officer, Office of Planning
and Extramural Programs
Robert L. Heuser** (S)Chief, Natality, Marriage, and DivorceStatistics Branch
Division of Vital Statistics
Peter L. Hurley** (First Plenary)Associate Director, Office of Vital and
Health Statistics Systems
Robert A, Israel** (N)Associate DirectorOffice of International Statistics
Laura Kann, Ph.D. (C)Chief, Surveillance Research SectionDivision of Adolescent and School
HealthCenter for Chronic Disease Prevention
and Health PromotionCenters for Disease Control andPrevention
1600 Clifton Road, NE., MS K-33Atlanta, Georgia 30333
John L. Kiely, Ph.D.** (B)Visiting Scientist, Division of AnalysisOffice of Analysis and Epidemiology
( ) Indicates session.
47
Felicia LeC1ere, Ph.D.** (E)Health StatisticianDivision of Health Interview Statistics
E1izabeth bwe (X)(formerly with NCHS)Foundation for Health Services
Research1350 Connecticut Avenue, NW.,Suite 1100
Washington D.C. 20036
Ronald W. Manderscheid, Ph.D. (D)Acting Director, Division of State and
Community Systems DevelopmentCenter for Mental Health Services5600 Fishers Lane, Suite 501Rockville, Maryland 20857
Mary Moien, M.S.** (0)Assistant to the DirectorOffice of the Center Director
Gregory Pappas, M.D., Ph.D.’:* (Q)Special Assistant to the DirectorOffice of Planning and ExtramuralPrograms
Paul J. Placek, Ph.D.** (U)Statistician, Office of Vital and HealthStatistics Systems
Harry M. Rosenberg, Ph.D.** (J)Chief, Mortality Statistics BranchDivision of Vital Statistics
Sandra S. Smith, M.P.H.** (I andThird Plenary)
Public Mairs OfficerOffice of Data Processing and Services
Donna F. Stroup, Ph.D., M,SC, (BB)Director, Division of Surveillance and
EpidemiologyEpidemiology Program OfficeCenters for Disease Control andPrevention
1600 Clifton Road, NE., MS C-08Atlanta, Georgia 30333
Steven M. Teutsch, M.D., M.P.H. (Z)Director, Division of Surveillance andEpidemiologic Studies
Epidemiology Program OfficeCenters for Disease Control andPrevention
1600 Clifton Road, NE., MS C-08Atlanta, Georgia 30333
Joan Van Nostrand, M.P,A.** (H)Coordinator of Data on AgingOffice of Vital and Health StatisticsSystems
James A. Weed, Ph.D.** (L)Deputy DirectorDivision of Vital Statistics
Ronald W. Wilson** (Second Plenary)Director, Division of Epidemiology andHealth Promotion
Trish Royston (AA)Deputy Director, Division ofInformation and Analysis
Health Resources and ServicesAdministration
5600 Fishers Lane, Room 14-33Rockville, Maryland 20857
**National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782
( ) Indicates session.
48
PROGRAM SESSION CHAIRPERSONS
Andrew Batavia, J.D. (K)9 Executive Director
National Council on Disability800 Independence Avenue, Suite 808Washington, D.C. 20591
.
Ronette R. Briefel, Dr. P.H., R.D.* ‘K(F)
Coordinator for Nutrition Monitoringand Related Research
Division of Health ExaminationStatistics
Lester R. Curtin, Ph.D.”* (M)Chief, Statistical Methods StaffOffice of Research and Methodology
Trena M. Ezzati-Rice, M.S.”* (T)Biomedical Mathematical StatisticianOffice of Research and Methodology
Jacob Feldman, Ph.D.*” (A)Associate DirectorOffice of Analysis and Epjdemiolo~
Lois Fingerhut, M.A.”” (G)Special Assistant for Injury
EpidemiologyOffice of Analysis and Epidemiology
J, Michael Fitzmaurice, Ph.D. (W)Director, Office of Science and Data
* DevelopmentAgency for Health Care Policy and
Research2101 East Jefferson Street, Room 601Rockville, Maryland 20852-4908
Mary Anne Freedman, M.A.:’” (BB)Special Assistant to the DirectorHealthy People 2000 StaffOffice of the Center Director
Anne Haddix, Ph,D, (Z)Economist2537 Circlewood RoadAtlanta, Georgia 30345
Roderick Harrison (J)Chief, Racial Statistics BranchPopulation Division, Room 2318-3U.S. Bureau of the CensusSuitland, Maryland 20233
Dorothy S. Harshbarger, M.S. (L)State Registrar and DirectorAlabama Center for Health StatisticsP,O. BOX 5625Montgomery, Alabama 36103-5625
Edward L. Hunter** (X)Chief, Planning, Budget, andLegislation Staff
Office of Planning and ExtramuralPrograms
Robert A, Israel** (N)Associate DirectorOffice of International Statistics
John L. Kiely, Ph.D.** (B)Visiting ScientistDivision of Analysis
Michael R. Lavoie, M.A. (S)Chief, Health Statistics andMeasurement Center
Georgia Department of HumanResources
47 Trinity Avenue, SW., Room 217-HAtlanta, Georgia 30334
Felicia LeClere, Ph.D.** (E)Health StatisticianDivision of Health Interview Statistics
( ) Indicates session.
49
Ronald W. Manderscheid, Ph.D. (D)Acting Director, Division of State and
Community Systems DevelopmentCenter for Mental Health Services5600 Fishers Lane, Suite 501Rockville, Maryland 20857
J. Michael McGinnis, M.D. (FirstPlenary)
Deputy Assistant Secretary for HealthOffice of Disease Prevention andHealth Promotion
Department of Health and HumanServices
330 C Street, SW., Room 2132Washington, D.C. 20201
Michael L. Millman, Ph.D. (AA)Senior Staff Fellow, Office of Planning,Evaluation, and Legislation
Health Resources and ServicesAdministration
5600 Fishers Lane, Room 14-33Rockville, Maryland 20857
Mary Moien, M.S.** (0)Assistant to the DirectorOffice of the Center Director
Paul J. Placek, Ph.D.** (U)Statistician, Office of Vital and Health
Statistics Systems
James G. Ross, M.S. (C)Vice PresidentMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910
Lisa Miller Schalick** (Q)Office of PIanning and ExtramuralPrograms
Sandra S. Smith, M.P.H.** (I)Public Affairs OfficerOffice of Data Processing and Services
Elliot M. Stone, M,V.C, (Y)Executive Director, MassachusettsHealth Data Consortium
400-1 Totten Pond RoadWaltham, Massachusetts 02154
Joan Van Nostrand, M.P.A.** (H)Coordinator of Data on AgingOffice of Vital and Health StatisticsSystems
Signe Wetrogan (P)StatisticianPopulation DivisionU.S. Bureau of the CensusWashington, D.C. 20233
David R. Williams, Ph.D., M.P-H. (R)Associate Research ScientistInstitute for Social ResearchP.O. Box 1248, University of MichiganAnn Arbor, Michigan 48106
P. Douglas Williams, M.S.** (V)Chief, State and Academic ResearchApplications
Office of Planning and ExtramuralPrograms
Ronald W. Wilson** (Second Plenary)Director, Division of Epidemiology andHealth Promotion
Nicholas Zill, Ph.D. (Third Plenary)Vice PresidentWestat, Inc.1650 Research BoulevardRockville, Maryland 20850-3129
**National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782
( ) Indicates session.
50
PROGRAM SESSION SPEAKERS
Lu Ann Aday, Ph.D. (Third Plenary)Professor of Behavioral Sciences
* School of Public HealthUniversity of Texas.P.O. Box 20186, RAS East 311Houston, Texas 77225.
Mohammad N. Akhter, M.D., M.P.H.(Second Plenary)
Commissioner of Health, D.C.Department of Health and Human
Services1660 L Street, NW., Suite 1200Washington, D.C. 20036
Sherry Allison-Cooke (B)Senior Research AssociateNational Perinatal Information CenterOne State Street, Suite 102Providence, Rhode Island 02908-5035
Barbara M. Altman, Ph.D. (K)Research Fellow, Agency for Health
Care Policy and Research2102 East Jefferson Street, Suite 500Rockville, Maryland 20852
Hortensia Amaro, Ph.D. (R)Associate Professor, Boston UniversitySchool of Public Health85 East Newton Street, M-840Boston, Massachusetts 02118
Laurie M. Anderson (T)Epidemiologist, Cancer PreventionCenter for Chronic Disease Preventionv
and Health PromotionCenters for Disease Control andPrevention
- 1600 Clifton Road, NE., K-55Atlanta, Georgia 30333
Barry F. Anderson, Ph.D. (U)Professor of Psycholo~Portland State UniversityP.O. Box 751Portland, Oregon 97207-0751
Jacqueline L. Angel, Ph.D. (E)Sociology DepartmentUniversity of Texas at Austin336 Burdine HallAustin, Texas 78712
Andrew Asher, M.P.P. (0)Research AnalystMathematical Policy Research, Inc.600 Maryland Avenue, SW., Suite 550Washington, D,C, 20024
Nancy D. Barker, M.S. (T)Mathematical Statistician,
Epidemiology Program OfficeCenters for Disease Control andPrevention
1600 Clifton Road, NE., MS C-08Atlanta, Georgia 30333
Trude Bennett, Dr.P.H., M.S,W. (L)Assistant Professor, Department of
Maternal and Child HealthSchool of Public Health
University of North CarolinaCB 7400, Rosenau HallChapel Hill,North Carolina 27599-7400
Karl E. Bergmann, M.D. (N)Head, Division of Public Health
Statistics, Federal Health Office, D1P,O, Box 330013,Werner-Voss-Damm 62
D-1OOOBerlin 42, Germany
\
( ) Indicates session.
51
John Billings (AA)Principal Investigator, Ambulatory
Care Access Project, United HospitalFund
55 Fifth AvenueNew York, New York 10003
Coleen A. Boyle, Ph.D. (K)Division of Birth Defects and
Developmental DisabilitiesCenters for Disease Control andPrevention
4770 Buford Highway, MS F-15Atlanta, Georgia 30341
Bruce M. Brock, Ph.D., M.P.H. (V)PresidentInformation Transfer Systems, Inc,209 East Washington Street, Suite 200Ann Arbor, Michigan 48104-2007
Scott Campbell Brown, Ph.D. (K)Education Research SpecialistNational Institute for Disability and
Rehabilitation Research400 Maryland Avenue, SW.,
Room 3520Washington, D.C. 20202–2641
Jay S. Buechner, Ph.D. (T)Chief, Office of Health StatisticsRhode Island Department of Health3 Capitol Hill, Cannon BuildingProvidence, Rhode Island 02908–5097
Carol A. Burnett, M.S. (L)Epidemiologist, Surveillance BranchNational Institute for Occupational
Safety and Health4676 Columbia ParMay, MS R-18Cincinnati, Ohio 45226
Lorraine L. Cameron, Ph.D. (T)Epidemiologist, Division of
Surveillance Hazards Evaluation andField Studies
National Institute for OccupationalSafety and Health
4676 Columbia Parkway, MS R-18Cincinnati, Ohio 45226
Mary Chamie, Ph.D., M.P,H. (K)Statistician, Demographic and Social
Statistics OfficeUnited NationsPlaza 2, Room 1586New York, New York 10017
Darren D. Coffman, B.S., M.S, (Y)Research ManagerOregon Health Services Commission800 NE. Oregon Street 17, Suite 550Portland, Oregon 97232
Victor Cohn (I)Senior Writer and ColumnistHealth Section, Washington Post1150 15th Street, NW.Washington, D.C, 20071
Larry S. Corder, Ph.D. (H)Associate Research ProfessorCenter for Demographic StudiesDuke University2117 Campus DriveDurham, North Carolina 27706
Lester R. Curtin, Ph.D.** (P)Chief, Statistical Methods StaffOffice of Research and Methodology
Peter D’Ascoli, M.D., M.P.H. (E)Faculty MemberSchool of Public HealthUniversity of Minnesota420 Delaware Street, SE., Box 97Minneapolis, Minnesota 55455
Erik Dasbach, Ph.D. (Z)Health Services Researcher, National
Center for Chronic Disease andPrevention
Centers for Disease Control andPrevention
4770 Buford Highway, NE., MS K-10Chamblee, Georgia 30341-3724
( ) Indicates session.
52
Arthur J. Davidson, M.D., M.S.P.H.(L)
Director, Data ManagementDenver Public Health Department605 Bannock StreetDenver, Colorado 80204
Sam Davis (S)StatisticianPopulation DivisionU.S. Bureau of the CensusWashington, D.C. 20233
Andrew G. Dean, M.D., M.P.H. (BB)Chief, Systems Development BranchDivision of Surveillance and
EpidemiologyCenters for Disease Control andPrevention
1600 Clifton Road, NE. ‘Atlanta, Georgia 30333
Paula Diehr, Ph.D. (A)Professor, Biostatistics and Health
ServicesDepartment of Biostatistics, SC-32University of WashingtonSeattle, Washington 98195
Walter R, Dowdle, Ph.D. (FirstPlenary)
Deputy Director, Centers for DiseaseControl and Prevention
1600 Clifton Road, NE., MS D-14Atlanta, Georgia 30333
Elaine D. Eaker, SC.D. (BB)Assistant Director for ScienceDivision of Surveillance andEpidemiology
Epidemiology Program OfficeCenters for Disease Control andPrevention
1600 Clifton Road, NE., MS C-08Atlanta, Georgia, 30333
Joyce M. Eatmon, M,P.A. (X)Medical EconomistCenter for Health StatisticsDepartment of Health4815 West Markham, Slot 19Little Rock, Arkansas 72205–3867
( ) Indicatessession.
Cecile H. Edwards, Ph.D. (B)Graduate Professor, NutritionalSciences
College of Allied Health Sciences2400 Sixth Street, NW,Washington, D.C. 20059
Pennifer Erickson** (A)Chief, Clearinghouse on HealthIndexes
Division of Epidemiology and HealthPromotion
Manning Feinleib, M.D., Dr.P.H.**(First Plena~)
Director
Maryanne J. Florio, M,Ed. (W)Research Scientist, Maternal and ChildHealth Epidemiology and ProgramPlanning
Department of Health363 West State Street, CN 364Trenton, New Jersey 08625
Blanche Frank, Ph.D. (C)Chief, Bureau of Applied StudiesState Office of Alcoholism andSubstance Abuse
55 West 125th StreetNew York, New York 10027
Emma L. Frazier, Ph.D. (P)Chief, Data Management SectionCenter for Chronic Disease Preventionand Health Promotion
Centers for Disease Control andPrevention
1600 Clifton Road, NE., MS K-30Atlanta, Georgia 30333
Brian K, Gallagher, M,S, (0)Program Research Specialist, PerinatalHealth Unit, NYS Department ofHealth
Corning Tower Building, Room 780Albany, New York 12237
53
Jane F. Gentleman, Ph.D. (M)Chief, Health Status SectionCanadian Centre for HealthInformation
Statistics Canada, RHC-18AOttawa, Ontario, Canada KIA 0T6
Robert S. Gold, Ph.D. (C)Senior Science AdvisorMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910
Claire C. Gordon, Ph.D. (J)Senior Anthropologist, U.S. ArmyAviation and Troop Command
Natick Research, Development, andEngineering Center
Natick, Massachusetts 01760-5020
Robin D. Gorsky, Ph.D. (Z)Associate Professor, Health
Management and Policy, University ofNew Hampshire
R.R.1, Box 161D, Harmony GroveRoad
Northwood, New Hampshire 03261
Sheldon Greenfield, M.D. (W)Senior Scientist, Health InstituteDepartment of Medicine, Tufts
University750 Washington Street, 345Boston, Massachusetts 02111
Joel W. Greer, Ph.D. (X).Economist, Research andDemonstrations
Health Care Financing Administration6325 Security Boulevard, OM 2504Baltimore, Maryland 21207
Corazon M. Halasan, Ph.D. (J)Vital Records and Health StatisticsPublic Health Division1190 St. Francis DriveSanta Fe, New Mexico 87502-6110
David P. Hamburger, M.D. (U)Injury Control FellowChildren’s National Medical Center12809 Circle DriveRockville, Maryland 20850
Robert Hartford, Ph.D.** (N)Deputy DirectorOffice of International Statistics
Marilyn J. Henderson, M.P.A. (D)Assistant Chief, Survey and Analysis
BranchCenter for Mental Health Services5600 Fishers Lane, Room 18C-07Rockville, Maryland 20857
Alan B. Humphrey, Ph.D. (Q)Associate Professor, College of
Business AdministrationUniversity of Rhode Island301 Ballantine HallKingston, Rhode Island 02881-0802
Patricia M. Jamison, M.P.H. (X)Computer Specialist, Division ofCancer Prevention and Control
Centers for Disease Control andPrevention
4770 Buford Highway, NE., K-55Atlanta, Georgia 30341-3724
Jared B. Jobe, Ph.D.** (L)Psychologist, Office of Research andMethodology
Timothy P. Johnson, Ph.D. (R)Assistant Director, Survey Research
LaboratoryUniversity of Illinois at Chicago910 West Van Buren, Suite 500Chicago, Illinois 60607
Clifford Johnson, M.S.P.H.** (F)Special Assistant for AnalysisDivision of Health Examination
Statistics
( ) Indicates session.
54
Sarita L. Karen, Ph.D. (AA)Assistant Scientist, Center for Health
Systems Research and AnalysisUniversity of Wisconsin610 Walnut Street, Room 1158Madison, Wisconsin 537o5
. Harold Kilbum, M.A. (Y)Program Research Specialist, HealthPolicy and Management
State University of New York*2019 Tower Building, Empire StatePlaza
Albany, New York 12237
Russell S. Kirby, Ph.D. (B)Department of Pediatrics and CAREUniversity of Arkansas MedicalSciences
4301 West Markham Street, Slot 512Little Rock, Arkansas 72205
Susan M. Krebs-Smith, Ph.D. (F)Nutritionist, Applied Research BranchNational Cancer Institute, DC PC9000 Rockville PikeBethesda, Maryland 20892
James S. Larson, Ph.D. (D)Professor, Institute of GovernmentUniversity of Arkansas, PublicAdministration
2801 South UniversityLittle Rock, Arkansas 72204-1099
Roberta K. Lee, R.N., Dr.P.H. (G)Professor, Community HealthUniversity of Texas School of Nursing1100 MechanicGalveston, Texas 77555-1029
bAndrew C. Leon, Ph.D. (D)Assistant Professor of BiostatisticsDepartment of Psychiatry, Cornell
. University525 East 68th StreetNew York, New York 10021
Vito M. Logrillo, M.P.H. (M)Director, Information Resources
ManagementAIDS InstituteNYS Department of HealthEmpire State Plaza, Tower BuildingAlbany, New York 12237–0020
Mary E. bsch, Ph.D. (AA)Program Director, Social Science
Institute, The University of Iowa345 Schaeffer HallIowa City, Iowa 52242–1409
James T. Massey, Ph.D.** (P)Chief, Survey Design StaffOffice of Research and Methodology
Patricia McKinney, MS., R.D. (F)Program Analyst, Analysis andEvaluation
Food and Nutrition ServiceU.S. Department of Agriculture3101 Park Center Drive, 2d FloorAlexandria, Virginia 22302
David Mechanic, Ph.D. (SecondPlenary)
Institute for Health, Health CarePolicy, and Aging Research, RutgersUniversity
30 College AvenueNew Brunswick, New Jersey 08903
Chun-Lo Meng, Ph.D. (V)Director, Statistical Analysis UnitColorado Department of Health4300 Cherry Creek Drive South,HSVRD-HS-A5
Denver, Colorado 80222–1530
Paul T. Menzel, Ph.D. (U)Professor, Department of Philosophy
and Dean of HumanitiesPacific Lutheran UniversityTacoma, Washington 98447
( ) hldicates session.
55
Ele Meux, Ph.D. (0)Section Chief, Patient Discharge DataCalifornia Office of State-Wide HealthPlanning and Development
818 K Street, Room 100Sacramento, California 95814
Keith J. Mueller, Ph.D. (R)Director, Center for RuraI Health
ResearchUniversity of Nebraska Medical Center600 South 42d StreetOmaha, Nebraska 681984350
Andreas Muller, Ph.D. (Q)Associate Professor, Health ServicesUniversity of Arkansas at Little Rock2801 University Avenue, Room 207Little Rock, Arkansas 72204
Douglas R. Murray, M.S. (U)Director, Center for Health StatisticsArkansas Department of Health4815 West Markham Street, Slot 19Little Rock, Arkansas 72205-3867
Raymond D. Nashold, Ph.D. (J)Director, Center for Health StatisticsState Registrar, Division of Health1 West Wilson Street, Room 172Madison, Wisconsin 53702
Merwyn R. Nelson, Ph.D. (V)Chief, Center for Health StatisticsIllinois Department of Public Health535 West JeffersonSpringfield, Illinois 62761
Edward Ng, Ph.D., M.A. (N)Analyst, Occupational and
Environmental Health Research,Statistics Canada
Coats Building, Tunney’s PastureOttawa, Ontario, Canada KIA 0T6
Alan Otten (I)ColumnistWashington Bureau, Wall StreetJournal
1025 Connecticut Avenue, NW.Washington, D.C. 20036
Mary D. Overpeck, Dr.P.H. (C)Epidemiologist, Epidemiology BranchNational Institute of Child Health6100 Executive Boulevard, Room 7B03Bethesda, Maryland 20892
Victoria Vespe Ozonoff, Ph.D. (G)Director, Health Resources StatisticsBureau of Health Statistics, Research
and EvaluationDepartment of Public Health150 Tremont StreetBoston, Massachusetts 02111
Elsie Pamuk (Q)Division of NutritionCenters for Disease Control andPrevention
4770 Buford Highway, NE,Atlanta, Georgia 30341-3724
Stephen T. Parente, M.P.H., M.S. (Y)Project Coordinator, Johns Hopkins .Health Services Research and
Development Center624 North Broadway, Room 600Baltimore, Maryland 21205
P. Ellen Parsons, Ph.D.** (AA)Statistician, Division of HealthInterview Statistics
Donald L. Patrick, Ph,D,, M. S,P,H,(First Plenary)
Director, Social and BehavioralSciences
University of WashingtonDepartment of Health Services, SC-37Seattle, Washington 98195
David B. Pryor, M.D. (W)Associate Professor of MedicineDuke University Medical CenterBox 3531Durham, North Carolina 27710
( ) Indicates session.
56
Martha Farnsworth Riche, Ph.D. (E)Director of Policy StudiesPopulation Reference Bureau1875 Connecticut Avenue, NW., “Suite 520
Washington, D.C. 20009. Roger Roberge, M,A. (A)
Analyst, Health Analysis and ModelingGroup
Statistics Canada.Tunney’s Pasture, RHC Building, 24thOttawa, Ontario, Canada KIA 0T6
Tanya Roberts, Ph.D. (Z)Senior Economist, Economic ResearchU.S. Department of Agriculture1301 New York Avenue, NW.Washington, D.C. 20005-4788
Rhonda Roland (I)Senior ProducerCable News Network1 CNN Center, Box 105366Atlanta, Georgia 30348-5366
Wilfred Rosenbaum, M.Math. (M)Department of Computing ScienceComputational EpidemiologyLaboratory
Simon Fraser UniversityBurnaby, British Columbia, CanadaV5A 1S6
David A. Ross, SC.D. (BB)Assistant Director for Information and
Communication ServicesPublic Health Practice Program OfficeCenters for Disease Control andPrevention
~ 1600 Clifton Road, NE.Atlanta, Georgia 30333
Marcel Edward Salive,’M.D., M.P.H.. (H)
Epidemiologist, Epidemiology,Demography, and Biometry Program
National Institute on AgingNational Institutes of Health7201 Wisconsin Avenue, Suite 3C309Bethesda, Maryland 20892
Marcia M. Sass, SC,D. (X)Assistant Director, Health Initiatives
Evaluation, New Jersey Departmentof Health
CN 360, Health and AgricultureBuilding
Trenton, New Jersey 08625-0360
Harry L. Savitt, Ph.D., M.P.H. (G)Deputy Director, Division ofBeneficiary Studies
Office of Research andDemonstrations
Health Care Financing Administration6325 Security Boulevard, Room 2504
OMBaltimore, Maryland 21207
William Scanion (H)Codirector, Center for Health PolicyStudies, Georgetown University
2233 Wisconsin Avenue, NW.,Suite 525
Washington, D.C. 20007
Ravi K. Sharma, Ph.D. (B)Assistant Professor, Department of
Health Services AdministrationUniversity of Pittsburgh130 Desoto Street, 228 Parran HallPittsburgh, Pennsylvania 15261
T. Joseph Sheehan, Ph,D, (J)Professor, Epidemiology andBiostatistics
Department of Community MedicineUniversity of Connecticut School of
MedicineFarmington, Connecticut 06030-1910
Larry H. Shinagawa, PhiD, (P)Senior Research AssociateAsian American Health Forum116 New Montgomery, Suite 531San Francisco, California 94105
( ) Indicatessession,
Monroe Sirken, Ph.D.** (T)Associate DirectorOffice of Research and Methodology
Jane E. Sisk, Ph.D. (First Plenary)Professor, Division of Health Policy
and ManagementColumbia University School of PublicHealth
600 West 168th StreetNew York, New York 10032
Jonathan Reuel Sugarman, M.D.,M.P.H. (R)
Medical Epidemiologist, Division ofResearch, Evaluation, andEpidemiology
Portland Area Indian Health Service2201 Sixth Avenue, Room 300Seattle, Washington 98121
Barbara Sugland, SC.D., M.P.H. (E)Research AssociateChild Trends, Inc.2100 M Street, NW., Suite 610Washington, D.C. 20037
Dong Sub, M.P.P. (R)Research AssociateAsian American Health Forum116 New Montgomery, Suite 531San Francisco, California 94105
David A. Swanson, Ph.D., M.A., (S)Senior Demographic SpecialistArkansas Institute for Economic
AdvancementUniversi~ of Arkansas2801 South University AvenueLittle Rock, Arkansas 72204-1099
Karen Smith Thiel, Ph.D. (E)Director, Healthy Start EvaluationHealth Resources and ServicesAdministration
5600 Fishers Lane, Room 14-36Rockville, Maryland 20857
Kenneth E. Thorpe, Ph.D. (ThirdPlenary)
Deputy Assistant Secreta~ forHealth Policy
Department of Health and HumanServices
200 Independence Avenue, SW.,Room 442E
Washington, D.C. 20201
David Thurman, M.D., M.P.H. (G)Medical Epidemiologist, National
Center for Injury Prevention andControl
Centers for Disease Control andPrevention
4770 Buford Highway, NE., MS F-41Atlanta, Georgia 30341
Joan Turek-Brezina, Ph.D. (0)Director, Technical and Computer
Support DivisionOffice of the Assistant Secretary forPlanning and Evaluation
Department of Health and HumanServices
200 Independence Avenue, SW.Washington, D.C. 20201
Therese Van Houten, DS.W. (C)Evaluation DirectorMacro International, Inc.8630 Fenton Street, Suite 406Silver Spring, Maryland 20910
Lois M. Verbrugge, Ph.D., M.P.H. (H)Distinguished Research Scientist,
Institute of Gerontology, University ofMichigan
300 North IngallsAnn Arbor, Michigan 48109-2007
William H. Walsh, Jr, (M)Director, National Center for Statistics
and Analysis, New Hampshire TSA400 Seventh Street, SW., Room 6125Washington, D.C. 20590
( ) Indicatessession.
58
Signe Wetrogan (S)StatisticianPopulation DivisionUS. Bureau of the CensusWashington, D.C. 20233
a Arnanda White, B.A. (F)Principal Social Survey OfficerOffice of Population Census andSurveys
. St, Catherine’s House, 10 KingswayLondon WC2B 6JP Great Britain
Gale G. Whiteneck, Ph.D. (K)Director of ResearchCraig Hospital3425 South ClarksonEnglewood, Colorado 80110
Russell Wilkins, M.Urb. (H)Senior AnalystCanadian Centre for HealthInformation
Statistics Canada, RHC-18NOttawa, Ontario, Canada KIA 0T6
Michelle A. Williams, SC.D, (B)Assistant Professor of EpidemiologySchool of Public Health and
Communi& Medicine1124 Columbia Street, MS MP381Seattle, Washington 98104
P. Douglas Williams, M.S’:* (R)Chief, State and Academic ResearchApplications
. Office of Planning and ExtramuralPrograms
Richard A. Windsor, Ph.D., M.P.H.. (u)Special Assistant to the DirectorNational Heart, Lung, and Blood
InstituteNIH, Building 31, Room 5A48Bethesda, Maryland 20892
Ruth Zambrana, Ph.D. (R)Consultant, Agency for Health CarePolicy and Research
2101 East Jefferson StreetRockvilIe, Maryland 20852
Alvan O. Zarate, Ph,D.** (N)Special Assistant to the DirectorOffice of the Center Director
Sharon L. Zucconi, Ph,D, (V)Assistant Professor and Policy AnalystUniversity of PittsburghSchool of Public Health130 DeSoto Street, A655Pittsburgh, Pennsylvania 15261
“*National Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782
( ) Indicates session,
59