The links below contained detailed information for the upcoming 2017 Safe States Alliance Annual Meeting, taking place September 12-14, 2017 in Aurora, Colorado.
Please note:
- A total of five concurrent sessions will take place during the Annual Meeting, and there will be up to five breakouts occurring simultaneously during each of those concurrent sessions. Within each breakout, there will be up to four presentations that take place.
- This online system does not allow us to embed the individual presentations within each breakout. Please note the session presentations listed under each Concurrent Breakout title for associated content.
- The on-site mobile app WILL embed these sessions for ease of use.
- A printable, detailed agenda can be found on the 2017 Annual Meeting website.
- If you have any questions, please contact info@safestates.org
- All session times and locations are tentative and subject to change. Safe States will continue to update these details as changes take place.
Climbing the Data Steps: Death Certificates, Hospital Discharges, APCD
Learning Objectives
1. Understand and articulate the difference between incidence and prevalence.
2. Describe the different categories of information provided with the APCD.
3. Identify two uses of the APCD and two complexities associated with it's use.
Statement of Purpose
The incidence of traumatic brain injury (TBI) is readily described using hospital discharge data. It has been difficult, however, to describe the prevalence of TBI. It has also been difficult to describe, within public health surveillance, the services utilized by TBI survivors, the different sub-populations involved, and any existing disparities. The All Payer Claims Database (APCD), which includes ambulatory care data, is now available in 14 states. It can be used to describe persons with TBIs who are treated in non-hospital settings, which will allow improved estimates of the incidence and prevalence of TBI as well as describe services received by TBI survivors. This will better illustrate the true burden of TBI in the state.
Methods/Approach
Utilizing Minnesota’s APCD data, all ED-treated and hospitalized TBI cases from 2009 - 2013 were identified, along with follow-up visits, using TBI diagnosis codes indicative of current injury.
Follow-up visits for TBI survivors were identified, and then evaluated for frequency, purpose and services utilized.
Different sub-populations are described epidemiologically and differential utilization of services was explored.
Results
The APCD data was found to be a very complex data set, and very challenging with which to work.
Concussions described by the APCD were found to be a notable subset of TBI, with age distributions different from hospitalized data but similar to ED-treated cases.
Using any-listed diagnosis of TBI found in the APCD is overly sensitive for use in estimating incidence and prevalence.
Conclusions & Significance to the Field
Identified services can be compared with the services offered through Resource Facilitation, a science-based and evidence-based strategy provided by the Minnesota Brain Injury Alliance.
While APCD data is difficult and time-consuming with which to work, because it potentially fills in data voids identified by CDC, exploration of this data should be continued.
Presenters
Leslie Seymour, MD, MPH, Minnesota Department of Health
Biography
Dr. Leslie Seymour has been an epidemiologist with the Minnesota Department of Health (MDH) since 2007, working with the Injury and Violence Prevention Section. She currently works as the lead epidemiologist in the analyses, public health surveillance, and epidemiologic investigations of TBI/SCI and is the program coordinator for Minnesota’s Core State Violence and Injury Prevention Program (Core SVIPP).
Dr. Seymour received both her Doctor of Medicine and Master of Public Health degrees at the University of Minnesota.