Alaska Native Injury Atlas ANTHC Injury Prevention Program

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Alaska Native Injury Atlas ANTHC Injury Prevention Program and Alaska Native Epidemiology Center

Alaska Native Injury Atlas ANTHC Injury Prevention Program and Alaska Native Epidemiology Center

What we wanted to do �ID the most frequent causes of injury death and

What we wanted to do �ID the most frequent causes of injury death and hospitalization for Alaska Native people. �Compare injury rates of by age, gender, region �Highlight specific injury and injury prevention topics of interest �Provide a resource for grants, presentations, and reports.

Update

Update

Data Sources �Alaska Bureau of Vital Statistics �Alaska State Trauma Registry �Alaska Department of

Data Sources �Alaska Bureau of Vital Statistics �Alaska State Trauma Registry �Alaska Department of Labor

Staff Involved �Epicenter Director � 2 Epidemiologists �Senior statistician �Formatter �me

Staff Involved �Epicenter Director � 2 Epidemiologists �Senior statistician �Formatter �me

Collaborators �Behavioral Health staff �Regional Injury Prevention staff �State Injury Prevention partners

Collaborators �Behavioral Health staff �Regional Injury Prevention staff �State Injury Prevention partners

Process Concerns �Data security �Data verification �Prioritization

Process Concerns �Data security �Data verification �Prioritization

Data Problems �ICD Ecode ≠ Text cause �Wrong region/community match �Blending ICD 9 and

Data Problems �ICD Ecode ≠ Text cause �Wrong region/community match �Blending ICD 9 and ICD 10 data

Content Decisions �Injury groupings �Regional data; small numbers �Cut-off/white space for every section �Color

Content Decisions �Injury groupings �Regional data; small numbers �Cut-off/white space for every section �Color consistency �Suicide attempt date range

Case Identification Issues �Hospitalized fatalities: under-reporting vs. over-reporting �Cases with unknown parameters �Region: occurrence

Case Identification Issues �Hospitalized fatalities: under-reporting vs. over-reporting �Cases with unknown parameters �Region: occurrence vs. residence �Rural vs. urban

Case Definitions: Poisoning �Alcohol poisoning fatality counts: � 2002 -2006: 12 cases � 2007

Case Definitions: Poisoning �Alcohol poisoning fatality counts: � 2002 -2006: 12 cases � 2007 -2011: 102 cases �ICD codes discontinued 2007/2009, F 1*. 0: Mental & behavioral disorders due to use of … YEAR 2002 -2006 2007 -2011 ICD 10 X 45. x 12 102 ICD 10 F 10. x 215 101 F 10. x + X 45. x 227 203

Wording concerns �Morbidity vs. Hospitalizations �Alaska Native People �Crude rate �Region names

Wording concerns �Morbidity vs. Hospitalizations �Alaska Native People �Crude rate �Region names

Compromises �Bullets �Male vs. Female �Injuries by Age �Footnotes!

Compromises �Bullets �Male vs. Female �Injuries by Age �Footnotes!

Revisions � Data presentation and consistency � Kerning � Color � Spacing � Alignment:

Revisions � Data presentation and consistency � Kerning � Color � Spacing � Alignment: decimals, quilts � Footnotes: order, symbols � Figure and table numbers

Missed �National Hospitalization numbers �TBI �National rate on maps �Domestic violence, abuse �Safety gear

Missed �National Hospitalization numbers �TBI �National rate on maps �Domestic violence, abuse �Safety gear use �Transcription errors

Going Forward �Better understanding of process �Learning mapping software �TBI �Hospital discharge data? �Atlas

Going Forward �Better understanding of process �Learning mapping software �TBI �Hospital discharge data? �Atlas update every 5 years?

ANTHC INJURY PREVENTION PROGRAM Hillary Strayer, Senior IP Specialist hdstrayer@anthc. org Jaylene Wheeler, IP

ANTHC INJURY PREVENTION PROGRAM Hillary Strayer, Senior IP Specialist hdstrayer@anthc. org Jaylene Wheeler, IP Program Coordinator jzwheeler@anthc. org Jennifer Arnold, IP Program Associate jdarnold@anthc. org

Thank You

Thank You

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