Terrold Menzie, REHS Pierre District Sanitarian

1. What is it? 2. What can I use it for? 3. How do I use it?

Interactive database system that provides customized reports of injury-related data.

Developed by Centers for Disease Control (CDC) http://cdc.gov

To get data on … 1. Numbers… 2. Types of… 3. Costs of…

Other uses of…

Fatal Injury Data & Reports Nonfatal Injury Data & Reports Violent Deaths(NVDRS) Data & Reports Cost of Injury Data & Reports

Death Certificate data from the National Vital Statistics System-deaths, death rates, and years of potential life lost (a measure of premature death) by specific causes of injury mortality and common causes of death.

Injury data from your local communities

Identify the leading causes of severe injuries at the local level

Identify the injury problem Complete a Severe Injury Profile Develop a special study/project Involve tribal entities to choose interventions Generate awareness and provide information

to communities, IHS, and tribal officials. Combine data for an overview of area injuries

Emergency Room Logs Resources Patient Management Systems

(RPMS) Visit General Query (VGEN) Patient Charts Contract Health Service Records (CHS)

Percent of Injuries by Cause 2005-2006

Falls40%

Motor Vehicle15%

Suicide8%

Assault23%

Other14%

Drowning.03%

Fire/Burn1%

Leading Cause of Injury Mortality by Cause 2005-2006(Percent of Mortality)

Other19Assault

7.9

Suicide15.3

Falls5.3Fire/Burn

2.6

Motor Vehicle49.2

Drowning0.5

2005-2007 AI/AN 61.34 per

100,000 White 14.54

2002-2004 AI/AN 56.04 per

100,000 White 14.17

1999-2001 AI/AN 52.21 per

100,000 White 14.92

52.2156.04

61.34

14.92 14.17 14.54

0

10

20

30

40

50

60

70

1999-'01 2002 '04 2005-'07AI/AN White

WISQARSTM Data Source: National Center for Health Statistics (NCHS), National Vital Statistics System

SERVICE TYPE Inpatient Outpatient

COST PER CASE $ 8.112** – $ 11,305* $ 570*

*Indian Health Service’s Indian Health Focus: Injuries, 1998-1999.

**Financial Burden of Injury-Related Hospitalizations, Chandler BA.

SERVICE TYPE

ER Hospitalization Deaths

AVERAGE COSTS 05

$ 1,299 $20,162* $ 715,715**

*Produced by: Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC Data Source: NCHS Vital Statistics System for numbers of deaths. NEISS All Injury Program operated by the U.S. Consumer Product Safety ** (Calculates all costs ) Note: For injury-related deaths, lifetime medical costs refer to the medical costs associated with the fatal injury event. Produced by: Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC Data Source: NCHS Vital Statistics System for numbers of deaths. NEISS All Injury Program operated by the U.S. Consumer Product Safety

1 Death1

4 Hospitalizations2

190 Ambulatory Visits3

ANNUAL IHS

1. NCHS Vital Statistics System for numbers of deaths. Bureau of Census for population estimates

2/3. 1998-99 Trends in Indian Health

4. Inpatient Hospital Per Diem Rate, Federal Register: 1/24/01, Vol. 66, No. 16