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2011
STATE OF THE STATES
Background• Background
• Methodology• Infrastructure• Data• Programs• Technical Support &
Training• Public Policy
Injuries and violence have a significant impact on the overall health of Americans including:
• Premature death, • Disability, and • Burden placed on the health care system.
1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online] (2007) [accessed 2012 Aug 4]. Available from URL: http://www.cdc.gov/injury/wisqars.2. Finkelstein EA, Corso PS, Miller TR, Associates. Incidence and Economic Burden of Injuries in the United States. New York: Oxford University Press; 2006.
Background• Background
• Methodology• Infrastructure• Data• Programs• Technical Support &
Training• Public Policy
Methodology• Background
• Methodology
• Infrastructure• Data• Programs• Technical Support &
Training• Public Policy
4th administration of the Safe States Alliance State of the States (SOTS) Survey
2011 SOTS was administered in early 2012
47 states participated
The results presented in this report were analyzed using:• SPSS Version 16.0,
• SAS Enterprise Guide 5.1, and
• ArcGIS 10.1.
IVP Program Infrastructure • Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
BUILD A SOLID INFRASTRUCTURE FOR INJURY AND VIOLENCE PREVENTION INCLUDES…
State MandatesProgram Location Strategic PlanningFundingFull Time Equivalents (FTEs)Partnerships and Collaboration
State Mandate• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
2011 (N=47)
2009 (N=49)
2007 (N=50)
2005 (N=48)
17%
24%
16%
25%
83%
73%
84%
69%
2%
6%
Yes No Don't Know
States with a Mandate for a Comprehensive Injury and/or Violence Prevention Program
Program Location• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
60%
13% 13%9%
2% 2%
59%
8%12%
6%2%
13%
50%
16%12%
4% 2%
16%
57%
19%
6% 4% 2%
11%
2005 (N=45) 2007 (N=50) 2009 (N=49) 2011 (N=47)
Location of Injury and Violence Prevention Programs in State Health Departments
Program Location• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
2009 (N=49) 2011 (N=47)
77%
89%
2009 (N=49) 2011 (N=47)
71%57%
6% 32%
Primarily Responsible for IVP ActivitiesIVP Activities are Decentralized
States with an Identified Injury and Violence Prevention Program
Strategic Planning• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Statewide Health Plan
State Injury and Violence Prevention Plan
Health Department Health Plan
Health Department Injury and Violence Prevention Plan
18%
29%
29%
24%
23%
53%
47%
43%
2011 (N=47)2009 (N=49)
States Reporting the Existence of State and/or Health Department Plans
Funding• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Federal• All states spent federal
sources• 11 (23%) states spent
federal sources only47
Federal and State
• 36 (77%) states spent federal and state sources
• 17 (36%) states spent federal and state sources only
36
Federal, State, and
Other
• 19 (40%) states spent federal, state, and other sources
19
Funding Source Types Awarded to State Health Department IVP Program
Funding• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Number of States Reporting Spending Funding Sources vs. Total Provided by Each Funding Source
($Millions) in FFY 2011
Funding• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Funding Allocations for State Injury and Violence Prevention Programs, FFY 2011
In Federal Fiscal Year 2011, $101.5 million was invested nationally in state public health injury and violence prevention program
Funding• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Funding• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
State Health Department Injury and Violence Prevention FFY 2011 Funding per Capita:
State Funding per Capita Compared to National Funding per Capita ($0.32 per capita)
Full Time Equivalents (FTEs)• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Distribution of FTE Primary Roles in State Injury and Violence Prevention Programs, FFY 2011
Full Time Equivalents (FTEs)• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Distribution of FTEs Working in State Injury and Violence Prevention Programs, FFY 2011
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Partnerships among different organization types:Agencies within the state health department (23 entities)
Other state agencies (16 entities)
Non-governmental organization (23 entities)
Federal Agencies (7 entities)
Description of the nature of the partnership:Sharing data;
Program planning;
Exchange of funding;
Collaborated on policy efforts; and
Training/technical assistance.
Overview of Partnerships
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Rank Shared Data Actively Involved in Planning,
Programs, Etc.
Funding Exchanged Collaborated for Policy
IVP Program Provided/ Received Training/ Technical
Assistance
IVP Program Provided
Funding TO
IVP Program Received
Funding FROM
1 Vital Statistics Maternal and Child Health
Epidemiology Maternal and Child Health
Maternal and Child Health
Aging
2 Epidemiology Aging Aging Aging Aging Environmental Health
3 Maternal and Child Health
Health Promotion
Chronic Disease
Chronic Disease
Emergency Medical Services
Chronic Disease
4 Emergency Medical Services
Emergency Medical Services
Maternal and Child Health
Emergency Medical Services
Mental Health
Maternal and Child Health
5 Aging Sexual Health Sexual Health Health Promotion
School Health Occupational Health
Ranking of IVP Partnerships within the State Health Department
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Rank Shared Data Actively Involved in Planning,
Programs, Etc.
Funding Exchanged Collaborated for Policy
IVP Program Provided/ Received Training/ Technical
Assistance
IVP Program Provided
Funding TO
IVP Program Received
Funding FROM
1 Vital Statistics Maternal and Child Health
Epidemiology Maternal and Child Health
Maternal and Child Health
Aging
2 Epidemiology Aging Aging Aging Aging Environmental Health
3 Maternal and Child Health
Health Promotion
Chronic Disease
Chronic Disease
Emergency Medical Services
Chronic Disease
4 Emergency Medical Services
Emergency Medical Services
Maternal and Child Health
Emergency Medical Services
Mental Health
Maternal and Child Health
5 Aging Sexual Health Sexual Health Health Promotion
School Health Occupational Health
Ranking of IVP Partnerships within the State Health Department
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Rank Shared Data Actively Involved in Planning,
Programs, Etc.
Funding Exchanged Collaborated for Policy
IVP Program Provided/ Received Training/ Technical
Assistance
IVP Program Provided
Funding TO
IVP Program Received
Funding FROM
1 Vital Statistics Maternal and Child Health
Epidemiology Maternal and Child Health
Maternal and Child Health
Aging
2 Epidemiology Aging Aging Aging Aging Environmental Health
3 Maternal and Child Health
Health Promotion
Chronic Disease
Chronic Disease
Emergency Medical Services
Chronic Disease
4 Emergency Medical Services
Emergency Medical Services
Maternal and Child Health
Emergency Medical Services
Mental Health
Maternal and Child Health
5 Aging Sexual Health Sexual Health Health Promotion
School Health Occupational Health
Ranking of IVP Partnerships within the State Health Department
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Other State Agencies
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 State Universities
Highway Safety
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Highway Safety
Attorney General's
Office
2 Criminal Justice/Law
Enforcement
Fire Dept/Fire Marshall
Highway Safety
State Universities
Highway Safety
Child Welfare Agencies,Dept of
Transport.
Fire Dept/Fire Marshall
3 Child Welfare Agencies
Criminal Justice/Law
Enforcement
Mental Health
Criminal Justice/Law
Enforcement
Dept of Transport.
Attorney General's
Office
Elder's Affairs/Aging
4 Attorney General's
Office
Dept of Transport.
Fire Dept/Fire Marshall
Fire Dept/Fire Marshall
Child Welfare Agencies
Mental Health
Education
5 Dept of Transport.
Child Welfare Agencies
State Universities
Attorney General's
Office
Criminal Justice/Law
Enforcement
Criminal Justice/Law
Enforcement
Dept of Transport.
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Other State Agencies
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 State Universities
Highway Safety
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Highway Safety
Attorney General's
Office
2 Criminal Justice/Law
Enforcement
Fire Dept/Fire Marshall
Highway Safety
State Universities
Highway Safety
Child Welfare Agencies,Dept of
Transport.
Fire Dept/Fire Marshall
3 Child Welfare Agencies
Criminal Justice/Law
Enforcement
Mental Health
Criminal Justice/Law
Enforcement
Dept of Transport.
Attorney General's
Office
Elder's Affairs/Aging
4 Attorney General's
Office
Dept of Transport.
Fire Dept/Fire Marshall
Fire Dept/Fire Marshall
Child Welfare Agencies
Mental Health
Education
5 Dept of Transport.
Child Welfare Agencies
State Universities
Attorney General's
Office
Criminal Justice/Law
Enforcement
Criminal Justice/Law
Enforcement
Dept of Transport.
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Other State Agencies
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 State Universities
Highway Safety
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Elder's Affairs/ Aging
Highway Safety
Attorney General's
Office
2 Criminal Justice/Law
Enforcement
Fire Dept/Fire Marshall
Highway Safety
State Universities
Highway Safety
Child Welfare Agencies,Dept of
Transport.
Fire Dept/Fire Marshall
3 Child Welfare Agencies
Criminal Justice/Law
Enforcement
Mental Health
Criminal Justice/Law
Enforcement
Dept of Transport.
Attorney General's
Office
Elder's Affairs/ Aging
4 Attorney General's
Office
Dept of Transport.
Fire Dept/Fire Marshall
Fire Dept/Fire Marshall
Child Welfare Agencies
Mental Health
Education
5 Dept of Transport.
Child Welfare Agencies
State Universities
Attorney General's
Office
Criminal Justice/Law
Enforcement
Criminal Justice/Law
Enforcement
Dept of Transport.
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Non-Government Organizations
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 Academic Institutions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Children's Safety
Network
2 Safe Kids Coalitions
Brain Injury Association
Brain Injury Association
Brain Injury Association
Businesses Sports Associations
Academic Institutions
3 ICRCs ICRCs Academic Institutions
Academic Institutions,
Youth Serving Orgs
Academic Institutions
ICRCs Safe Kids Coalitions
4 Brain Injury Association
Children's Safety
Network
ICRCs American Red Cross
Chapters
Safety Council Brain Injury Association
ICRCs
5 Youth Serving Orgs
Healthcare Assn
Healthcare Assn
ICRCs ICRCs MADD MPOs
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Non-Government Organizations
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 Academic Institutions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Children's Safety
Network
2 Safe Kids Coalitions
Brain Injury Association
Brain Injury Association
Brain Injury Association
Businesses Sports Associations
Academic Institutions
3 ICRCs ICRCs Academic Institutions
Academic Institutions,
Youth Serving Orgs
Academic Institutions
ICRCs Safe Kids Coalitions
4 Brain Injury Association
Children's Safety
Network
ICRCs American Red Cross
Chapters
Safety Council Brain Injury Association
ICRCs
5 Youth Serving Orgs
Healthcare Assn
Healthcare Assn
ICRCs ICRCs MADD MPOs
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Non-Government Organizations
Rank Legal Agreement
or MOU
Shared Data Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 Academic Institutions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Safe Kids Coalitions
Children's Safety
Network
2 Safe Kids Coalitions
Brain Injury Association
Brain Injury Association
Brain Injury Association
Businesses Sports Associations
Academic Institutions
3 ICRCs ICRCs Academic Institutions
Academic Institutions,
Youth Serving Orgs
Academic Institutions
ICRCs Safe Kids Coalitions
4 Brain Injury Association
Children's Safety
Network
ICRCs American Red Cross
Chapters
Safety Council Brain Injury Association
ICRCs
5 Youth Serving Orgs
Healthcare Assn
Healthcare Assn
ICRCs ICRCs MADD MPOs
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Federal Agencies
Rank Legal Agreement
or MOU
Shared Data
Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 CDC CDC CDC Admin. on Aging
CDC CDC CDC
2 SAMHSA SAMHSA SAMHSA IHS SAMHSA NHTSA IHS
3 HRSA NHTSA FHA HRSA Admin. on Aging
NHTSA
4 IHS HRSA IHS NHTSA IHS SAMHSA
5 Admin. on Aging
FHA NHTSA FHA FHA HRSA
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Federal Agencies
Rank Legal Agreement
or MOU
Shared Data
Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 CDC CDC CDC Admin. on Aging
CDC CDC CDC
2 SAMHSA SAMHSA SAMHSA IHS SAMHSA NHTSA IHS
3 HRSA NHTSA FHA - HRSA Admin. on Aging
NHTSA
4 IHS HRSA IHS - NHTSA IHS SAMHSA
5 Admin. on Aging
FHA NHTSA - FHA FHA HRSA
Partnerships & Collaboration• Background• Methodology
• Infrastructure– State Mandate– Program Location– Strategic Planning– Funding– FTEs– Partnerships &
Collaboration
• Data• Programs• Technical Support &
Training• Public Policy
Ranking of IVP Partnerships with Federal Agencies
Rank Legal Agreement
or MOU
Shared Data
Actively Involved in Planning, Programs,
Etc.
Funding Exchanged Collaborated for Policy
IVP Program
Provided/ Received
Training/ TA
IVP Program Provided
Funding TO
IVP Program Received Funding FROM
1 CDC CDC CDC Admin. on Aging
CDC CDC CDC
2 SAMHSA SAMHSA SAMHSA IHS SAMHSA NHTSA IHS
3 HRSA NHTSA FHA - HRSA Admin. on Aging
NHTSA
4 IHS HRSA IHS - NHTSA IHS SAMHSA
5 Admin. on Aging
FHA NHTSA - FHA FHA HRSA
IVP Access and Use of Data• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
COLLECT AND ANALYZE INJURY AND VIOLENCE DATA INCLUDES…
Use of Core DatasetsAccess to and Use of Injury and Violence DataAccess to a Data ProfessionalDissemination of Reports
Use of Core Datasets• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
Accessed Dataset (N)
Used the Data N (%)
Vital Records 47 43 (91%)
Behavioral Risk Factor Surveillance System (BRFSS) 46 33 (72%)
Hospital Discharge Data (HDD) 43 38 (88%)
Web-based Injury Statistics Query and Reporting System (WISQARS)ⱡ 43 31 (72%)
Youth Risk Behavior Surveillance System (YRBSS) 42 32 (76%)
Child Death Review (CDR) 33 22 (67%)
Emergency Department (ED) 33 26 (79%)
Fatality Analysis Reporting System (FARS) 33 20 (61%)
Medical Examiner 32 24 (75%)
Emergency Medical Services (EMS) 31 18 (58%)
Uniform Crime Reporting System (UCR) 30 19 (63%)
National Violent Death Reporting System (NVDRS) ⱡ 25 20 (80%)
State Surveys ⱡ 23 19 (83%)
National Occupant Protection Use Survey (NOPUS) 19 14 (74%)
National Trauma Data Bank ⱡ 11 3 (27%)
ⱡNot part of the 11 Core Datasets
Access to Core Datasets and Use of Core Datasets for Programmatic Decisions
Use of Core Datasets• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
Accessed Dataset (N)
Used the Data N (%)
Vital Records 47 43 (91%)
Behavioral Risk Factor Surveillance System (BRFSS) 46 33 (72%)
Hospital Discharge Data (HDD) 43 38 (88%)
Web-based Injury Statistics Query and Reporting System (WISQARS)ⱡ 43 31 (72%)
Youth Risk Behavior Surveillance System (YRBSS) 42 32 (76%)
Child Death Review (CDR) 33 22 (67%)
Emergency Department (ED) 33 26 (79%)
Fatality Analysis Reporting System (FARS) 33 20 (61%)
Medical Examiner 32 24 (75%)
Emergency Medical Services (EMS) 31 18 (58%)
Uniform Crime Reporting System (UCR) 30 19 (63%)
National Violent Death Reporting System (NVDRS) ⱡ 25 20 (80%)
State Surveys ⱡ 23 19 (83%)
National Occupant Protection Use Survey (NOPUS) 19 14 (74%)
National Trauma Data Bank ⱡ 11 3 (27%)
ⱡNot part of the 11 Core Datasets
Access to Core Datasets and Use of Core Datasets for Programmatic Decisions
Use of Core Datasets• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
Accessed Dataset (N)
Used the Data N (%)
Vital Records 47 43 (91%)
Behavioral Risk Factor Surveillance System (BRFSS) 46 33 (72%)
Hospital Discharge Data (HDD) 43 38 (88%)
Web-based Injury Statistics Query and Reporting System (WISQARS)ⱡ 43 31 (72%)
Youth Risk Behavior Surveillance System (YRBSS) 42 32 (76%)
Child Death Review (CDR) 33 22 (67%)
Emergency Department (ED) 33 26 (79%)
Fatality Analysis Reporting System (FARS) 33 20 (61%)
Medical Examiner 32 24 (75%)
Emergency Medical Services (EMS) 31 18 (58%)
Uniform Crime Reporting System (UCR) 30 19 (63%)
National Violent Death Reporting System (NVDRS) ⱡ 25 20 (80%)
State Surveys ⱡ 23 19 (83%)
National Occupant Protection Use Survey (NOPUS) 19 14 (74%)
National Trauma Data Bank ⱡ 11 3 (27%)
ⱡNot part of the 11 Core Datasets
Access to Core Datasets and Use of Core Datasets for Programmatic Decisions
Access to and Use of IVP Data• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
Access to IVP Datasets and Use of Datasets
Access to Data Professionals• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
2009 2011
41%59%
4%
9%51%
30%
4% 2%
0% of the time
1 - 50% of the time
51-99% of the time
100% or more of the time (i.e., equivalent to one or more FTE)
Access to Data Professional, 2009 (N=49) and 2011(N=47)
Dissemination of Reports• Background• Methodology• Infrastructure
• Data– Use of Core
Datasets– Access to and Use
of IVP Data– Access to Data
Professionals– Dissemination of
Reports
• Programs• Technical Support &
Training• Public Policy
60%
34%
6% 4%
Types of Reports Released by State IVP Programs2011(N=47)
IVP Programs and Evaluation• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
DESIGN, IMPLEMENT, AND EVALUATE PROGRAMS INCLUDES…
Areas of Program FocusMethods for Selecting IVP Topic AreasImplementation & Evaluation Activities
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2005, 2007, 2009, & 2011
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2011, 2009, 2007, 2005
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2011, 2009, 2007, 2005
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2011, 2009, 2007, 2005
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2011, 2009, 2007, 2005
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Top Primary Focus Areas
2011 2009 2007 2005
1 Motor vehicle injury Motor vehicle injury Suicide attempts Suicide attempts
2 Fall injury Child passenger safety
Child passenger safety Sexual assault/rape
3 Sexual assault/rape Fall injury Motor vehicle safety Child passenger safety
4 Injuries to children Injuries to children Sexual assault/rape Traumatic brain injury
5 Child passenger safety Sexual assault/rape Injuries to children Injuries to children
Primary Programmatic Focus Areas2011, 2009, 2007, 2005
Areas of Program Focus• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Legend
states
<all other values>
Motor vehicle injury
<Null>
Primary Focus
Secondary Focus
Minimal Focus on this topic
Did not address in FFY 2011
No Data Available
Motor Vehicle Injury Prevention
Child Passenger Safety
34 States indentified Motor vehicle
injury prevention as a primary focus area
25 States indentified Motor vehicle
injury prevention as a primary focus area
Methods for Selecting IVP Topic Areas
• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
44%
28% 29% 31% 28%
94% 97%
71%
85% 80%
0%
45%
61%
42%32%
Local Data State Data National Data
All states used data for selecting their IVP topic areas for programmatic focus…
Methods for Selecting IVP Topic Areas
• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Implementation & Evaluation• Background• Methodology• Infrastructure• Data
• Programs– Areas of Program
Focus– Methods for
Selecting IVP Topic Areas
– Implementation & Evaluation Activities
• Technical Support & Training
• Public Policy
Reported Levels of Programmatic Planning & Evaluation for the Top Three Focus Areas, 2011
Provide Technical Support & Training
• Background• Methodology• Infrastructure• Data• Programs
• Technical Support & Training– Technical Support
and Methods– Technical Assistance
Resources
• Public Policy
PROVIDING TECHNICAL SUPPORT & TRAINING INCLUDES…
Technical Support and MethodsTechnical Assistance Resources Used by States
Training Support & Methods
• Background• Methodology• Infrastructure• Data• Programs
• Technical Support & Training– Technical Support
and Methods– Technical Assistance
Resources
• Public Policy
84% 84%
41%
20%
84% 82%
40% 38%
2009 (N=49) 2011 (N=47)
Methods Used by IVP Programs to Provide Technical Support and Training
Training Support & Methods
• Background• Methodology• Infrastructure• Data• Programs
• Technical Support & Training– Technical Support
and Methods– Technical Assistance
Resources
• Public Policy
Programs that had a full-time director were significantly more likely to implement the following methods of providing technical assistance and training:
Offered practical experience to students (p=0.037)Responded to request for technical assistance (p=0.010)Offered courses for academic credit or CEUs (p=0.004)
Provide Technical Support & Training
• Background• Methodology• Infrastructure• Data• Programs
• Technical Support & Training– Technical Support
and Methods– Technical Assistance
Resources
• Public Policy
Top Technical Assistance Resources Used2011 & 2009
Federal Agencies
Safe States Alliance
Internet
Resource Centers
Peer to Peer
Regional Networks
Other national Organizations
University/Academic Institions
Injury Control Research Centers
87%
83%
79%
72%
68%
64%
53%
51%
47%
90%
90%
82%
71%
74%
42%
59%
55%
55%
2009 (N=49) 2011 (N=47)
Provide Technical Support & Training
• Background• Methodology• Infrastructure• Data• Programs
• Technical Support & Training– Technical Support
and Methods– Technical Assistance
Resources
• Public Policy
Top Technical Assistance Resources Used2011 & 2009
Federal Agencies
Safe States Alliance
Internet
Resource Centers
Peer to Peer
Regional Networks
Other national Organizations
University/Academic Institions
Injury Control Research Centers
87%
83%
79%
72%
68%
64%
53%
51%
47%
90%
90%
82%
71%
74%
42%
59%
55%
55%
2009 (N=49) 2011 (N=47)
Affect Public Policy
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing Policy
Strategies
AFFECT POLICY INCLUDES…
Methods to Inform PolicyMechanisms for Communicating with Policy MakersImplementing Policy Strategies
Methods to Inform Policy
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing Policy
Strategies
2011 Methods Used by State Injury and Violence Prevention Programs to Inform Public Policy and Change
Methods to Inform Policy
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing Policy
Strategies
2011 Methods Used by State Injury and Violence Prevention Programs to Inform Public Policy and Change
Methods to Inform Policy
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing Policy
Strategies
State IVP programs that had access to an evaluator, epidemiologist, and/or a full-time director were significantly more
likely to engage in specific methods to inform public policy.
Method Used
Full-time Director
(p-value)
Full-time Epidemiologist
(p-value)
Access to Evaluator
(p-value)
Worked to create/encourage adoption of organizational policies for IVP 0.168 0.226 0.033
Worked to increase public awareness of laws 0.037 0.226 0.763
Participated in boards and/or commissions 0.326 1.000 0.009
Requested opportunity to review bills 0.008 0.561 0.041
Sent materials to policymakers 0.310 0.018 0.009
Testified at state and local hearings 0.464 0.025 0.330
Invited state or local legislators to meetings events 0.021 0.047 0.042
Mechanisms for Communicating
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing Policy
Strategies
2005 (N=45) 2007 (N=50) 2009 (N=49) 2011 (N=47)
81% 82%89%
74%
Mechanisms or Protocols for Communicating with Policy Makers about Injury and Violence Prevention Issues
2005, 2007, 2009, and 2011
Implementing Policy Strategies
• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training
• Public Policy– Methods to Inform
Policy– Mechanisms for
Communicating – Implementing
Policy Strategies
Top Programmatic Focus Areas that Implemented Policy Strategies
Injury and Violence Topic AreaNumber of States Selecting Area as Primary Focus (N)
IVP Program that Implement Policy Strategies, N (%)
Motor vehicle injury 34 100%
Fall injuries 29 41%
Sexual assault/rape 28 61%
Injuries to children 26 69%
Child passenger safety 25 100%
Questions & Answers…• Background• Methodology• Infrastructure• Data• Programs• Technical Support &
Training• Public Policy
Shenée BryanSafe States Alliance
Download full 2011 State of the States Report
www.safestates.org/sots