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National Information Center on Health Services Research and Health Care Technology (NICHSR)

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Brown ArrowState and State/Local Resources

Federal State Resources

Data, Tools, and Statistics

  • AHRQ's State Snapshots - (Agency for Healthcare Research and Quality (AHRQ))  - Provides state-specific health care quality information, including strengths, weaknesses, and opportunities for improvement. The goal is to help state officials and their public- and private-sector partners better understand health care quality and disparities in their state.
  • HSRR (Health Services and Sciences Research Resources) - (National Library of Medicine, National Information Center on Health Services Research and Health Care Technology)  - HSRR is a searchable database of information about research datasets, instruments/indices and software employed in Health Services Research, the Behavioral and Social Sciences and Public Health. The database includes brief descriptions of research resources and links to PubMed.
  • - (Centers for Medicare & Medicaid Services (CMS))  - This website is devoted to the policies - and the people - of Medicaid and the Children's Health Insurance Program (CHIP).
  • The Small Area Health Insurance Estimates (SAHIE) - (Bureau of the Census U.S.)  - This program provides model-based estimates of health insurance coverage for counties and states. The data are extracted from several Census Bureau datasets. For example, they model health insurance coverage as measured by the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS).
  • State Cancer Legislative Database (SCLD) - (MayaTech Corporation)  - Database of state cancer-related health policy that can serve as a resource for research and analysis of legislation affecting cancer prevention and control.
  • State Cancer Profiles - (National Cancer Institute, NIH (NCI))  - The objective of the State Cancer Profiles website is to provide a system to characterize the cancer burden in a standardized manner in order to motivate action, integrate surveillance into cancer control planning, characterize areas and demographic groups, and expose health disparities. The focus is on cancer sites for which there are evidence based control interventions. Interactive graphics and maps provide visual support for deciding where to focus cancer control efforts.
  • State Data Centers - (Bureau of the Census U.S.)  - The State Data Centers (SDCs) are official sources of demographic, economic, and social statistics produced by the Census Bureau. The SDC program between the states and the Census Bureau was created to make data available locally to the public through a network of state agencies, universities, libraries, and regional and local governments.
  • State Inpatient Databases (SID) - (Agency for Healthcare Research and Quality (AHRQ))  - Contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses.
  • United States Cancer Statistics - (Centers for Disease Control and Prevention (CDC), National Cancer Institute, NIH (NCI), North American Association of Central Cancer Registries (NAACCR))  - Official federal statistics on cancer incidence from registries that have high-quality data and cancer mortality statistics for each year and for a combined five-year period. The site provides state-specific and regional data for cancer cases diagnosed and cancer deaths.

Guidelines, Journals, Other Publications

  • SAMHSA's Financing Center of Excellence Posts - (Substance Abuse & Mental Health Services Administration (SAMHSA))  - Newsletters on a variety of topics ranging from health care financing and health care reform to state data and state legislation.

Key Organizations/Programs

  • Centers for Medicare & Medicaid Services (CMS) - (Centers for Medicare & Medicaid Services (CMS))  - The Centers for Medicare & Medicaid Services (CMS) is a branch of the U.S. Department of Health and Human Services. CMS is the federal agency which administers Medicare, Medicaid, and the Children's Health Insurance Program. Provides information for health professionals, regional governments, and consumers.
  • State Rural Health Association Information - (National Rural Health Association (NRHA))  - Each SRHA focuses exclusively on improving the health and well-being of rural Americans living in their state, and also serves as a conduit for rural communities to communicate needs and successes at a regional and national level.

Other State Resources

  • Welfare Rules Database - (Urban Institute (UI))  - The Welfare Rules Database is a searchable database of information on state regulations related to cash assistance programs. Searches can be limited to specific states, policies, years, coverage, and can be displayed in a variety of formats.

Data, Tools, and Statistics

  • CDC Division for Heart Disease and Stroke Prevention Online Tools - (Division for Heart Disease and Stroke Prevention, CDC (DHDSP))  - The Division for Heart Disease and Stroke Prevention has developed several online tools related to heart disease and stroke prevention data trends, policy, and training pieces for states.
  • Certificate of Need: State Health Laws and Programs - (National Conference of State Legislatures (NCSL))  - Provided are a definition, background and intent concerning the Certificate of Need requirement, as well as links to state specific information on CON regulations.
  • County Health Rankings & Roadmaps - (Robert Wood Johnson Foundation (RWJF), University of Wisconsin)  - Provides county-by-county health rankings for each of the 50 states and Washington DC, explanations of each health factor, and actionable strategies to improve the health of communities across the nation.
  • Kaiser Family Foundation's State Health Facts Online - (Kaiser Family Foundation (KFF) US)  - Provides free, up-to-date, and easy-to-use health data on all 50 states with data on health status, health coverage and uninsured, and more than other 700 health topics.
  • Kaiser State Health Facts - (Henry J. Kaiser Family Foundation (KFF))  - Provides health data on more than 700 health topics including demographics, health insurance coverage, health costs, minority health, and women's health for all 50 states.
  • Raising Expectations - A State Scorecard - (AARP, Commonwealth Fund, Scan Foundation US)  - From this website, one can interact with data from Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers. A map is available to view state-specific rankings and results compared to benchmarks. A tool is available to select performance indicators and states for comparison, and then generate customized, downloadable tables and bar charts.
  • Resources for State and Local Leaders - (National Quality Forum (NQF) USA)  - Here is a handy list to help those who use NQF-endorsed measures easily access some of the key NQF tools and resources. As the number of State and community leaders involved in measurement and public reporting grows, NQF is committed to helping streamline and support those important efforts.
  • State Health Access Data Assistance Center (SHADAC) - (University of Minnesota)  - Provides a focal point for coordination of state survey activities on the uninsured; funded by Robert Wood Johnson Foundation and administered by the University of Minnesota School of Public Health.
  • State Libraries - This page brings together links to state libraries, state library agencies, state library networks, or state library commissions across the United States.
  • State Refor(u)m - (National Academy for State Health Policy USA, Robert Wood Johnson Foundation (RWJF))  - The site intends to help policymakers, state health officials and the broader health policy community across all states explore opportunities created by the ACA and tackle implementation challenges. The forum connects state health officials looking for information with experts.

Guidelines, Journals, Other

  • Implementing the Affordable Care Act: State Action on Early Market Reforms - (Kaiser Family Foundation (KFF) US)  - This issue brief examines new state action on a subset of these "early market reforms." The analysis finds that 49 states and the District of Columbia have passed new legislation, issued a new regulation, issued new subregulatory guidance, or are actively reviewing insurer policy forms for compliance with these protections. These findings suggest that states have required or encouraged compliance with the early market reforms, and that efforts to understand how states are responding cannot focus on legislative action alone.
  • Lessons from High- and Low-Performing States for Raising Overall Health System Performance - (Commonwealth Fund)  - The authors find that while socioeconomic and demographic factors certainly play a large role in overall health system performance, high-performing states share a number of additional attributes not typically found among the low performers. These include a history of continuous reform and government leadership in this area; a culture of collaboration among health care stakeholders; transparency of information on price and quality; and a congruent set of policies focusing on system improvement.
  • State Health Insurance Exchange Legislation: A Progress Report - (Kaiser Family Foundation (KFF) US)  - The Affordable Care Act requires each state to establish by 2014 a health insurance exchange where individuals and small businesses can purchase affordable health insurance plans. This document provides a progress report.
  • States in Action - (Commonwealth Fund)  - States in Action is a former State Health Policy and Practices program publication. The archives provide access to issues thru April/May 2011.
  • Webinar: Health Insurance Exchanges - (Commonwealth Fund)  - On 11/4/2010 this webinar focused on the state health insurance exchanges created by the Affordable Care Act. Speakers addressed the major challenges to successful implementation of the exchanges and present policy options and recommendations for federal and state officials, as well as provide an update on the status of the regulatory process and state implementation.

Key Organizations/Programs

  • Cecil G Sheps Center for Health Services Research - (Cecil G. Sheps Center for Health Services Research)  - The Center seeks to improve the health of individuals, families, and populations by understanding the problems, issues and alternatives in the design and delivery of health care services. This is accomplished through an interdisciplinary program of research, consultation, technical assistance and training that focuses on timely and policy-relevant questions concerning the accessibility, adequacy, organization, cost and effectiveness of health care services and the dissemination of this information to policy makers and the general public.
  • Health Economics Program (HEP) - (Minnesota Department of Health (MDH))  - The Health Economics Program conducts research and applied policy analysis to monitor changes in the health care marketplace; to understand factors influencing health care cost, quality and access; and to provide technical assistance in the development of state health care policy.
  • The Health Policy Group - (Council of State Governments (CSG) US)  - The Health Policy Group provides policy analysis and innovative programming for state health policy leaders in the legislative and executive branches. This group also develops many publications and health forums for state leaders.
  • Mathematica - State Health Policy - Access research on state health policy questions such as "What are the implications of state health insurance expansions and reforms? How can states and localities help to ensure health care coverage for children?"
  • Medicaid Facts and Statistics - (Georgetown University)  - The Center for Children and Families' State Resource Center provides state resources and tools to assist in advancing health coverage for children and families.
  • National Conference of State Legislatures (NCSL) - Bipartisan organization that serves the legislators and staffs of the nation's 50 states, its commonwealths and territories. NCSL provides research, technical assistance and opportunities for policymakers to exchange ideas on the most pressing state issues.
  • State Coverage Initiatives - (Robert Wood Johnson Foundation (RWJF))  - Provides experience-based information and assistance to state leaders in order to help them move health care reform forward at the state level.

State and Local Specific Resources

  • Alabama Department of Public Health - The purpose of the Alabama Department of Public Health is to provide caring, high quality and professional services for the improvement and protection of the public's health through disease prevention and the assurance of public health services to resident and transient populations of the state regardless of social circumstances or the ability to pay.
  • District of Columbia's Department of Health - The Mission of the Department of Health is to promote and protect the health, safety and quality of life of residents, visitors and those doing business in the District of Columbia.
  • Florida HealthFinder - (State of Florida USA)  - A web-based tool which allows easy access to comprehensive Florida health care information.
  • Georgia Health Data & Information - (Georgia Department of Public Health)  - Point of entry to access data made available by the Georgia Division of Public Health.
  • HealthCare Association of New York State (HANY) - HANY's mission is to advance the health of individuals and communities by providing leadership, representation, and service to health providers and systems across the entire continuum of care.
  • Illinois Department of Public Health: Health Statistics - The Illinois Department of Public Health (IDPH) collects and evaluates thousands of health statistics to measure progress toward state and national health objectives. These numbers also provide the basis for developing and implementing public health strategies for disease prevention and health promotion.
  • Indiana Child Health Services Research - (Indiana University School of Medicine US)  - Indiana Children's Health Services Research strives to improve the health and healthcare of children by developing and applying the best scientific evidence and methods in health services research and informatics.
  • Louisiana Department of Health and Hospitals - The mission of the Department of Health and Hospitals is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all citizens of the State of Louisiana.
  • Maryland Health Care Commission - (State of Maryland (MD) USA)  - Independent regulatory agency whose mission is to plan for health system needs,promote informed decision-making, increase accountability, and improve access in a rapidly changing health care environment by providing timely and accurate information on availability,cost, and quality of services to policy makers, purchasers, providers and the public.
  • Michigan Department of Community Health: Statistics and Reports - The Department of Community Health is responsible for the collection of information on a range of health related issues. The information is collected to monitor the general health and well-being of Michigan's citizens. These data are useful for health program development, targeting and evaluation of program progress.
  • Minnesota Health Reform Resources - (State Health Access Data Assistance Center (SHADAC) USA)  - Collection of resources that the State Health Access Data Assistance Center(SHADAC) has for the health reform initiatives in Minnesota, including the Minnesota state health reform of 2008, the implementation issues surrounding the federal health reform legislation of 2010, and related reports and presentations.
  • Nevada State Health Division - Promotes and protects the health of all Nevadans and visitors to the state through its leadership in public health and enforcement of laws and regulations pertaining to public health. Link to interactive health databases.
  • New Jersey: Rutgers Center for State Health Policy - (Rutgers University US)  - The Center combines Rutgers University's traditional academic strengths in public health, health services research, and social science with applied research and policy analysis initiatives. It serves as the focal point within the University for research and related activities relevant to state health policy.
  • Oregon Health Policy and Research - The Office for Oregon Health Policy and Research (OHPR) conducts impartial, non-partisan policy analysis, research and evaluation, and provides technical assistance to support health reform planning and implementation in Oregon. The office serves in an advisory capacity to Oregon Health Policy Board, the Oregon Health Authority, the Governor and the Legislature.
  • State Specific Resources - Portal with links to each state, with information on state contacts, organziations, tools, maps, funding, documents, journals, success stories and news.
  • Virginia Health Information (VHI) - (Virginia Health Information (VHI) USA)  - A nonprofit that provides Virginia-centered health information. Qualifying organizations can license data files (e.g., Virginia hospital discharge data, Annual Licensure Survey Data from hospitals, nursing facilities and ambulatory surgical centers) for research-specific projects or for general public use.

Data, Tools, and Statistics

  • AARP State Data Center - (AARP)  - The AARP Public Policy Institute analyzes and publishes a wide range of state-specific data related to Americans over 50.
  • AskCHIS - (UCLA Center for Health Policy Research)  - Provides health statistics on California by state, region or county.
  • AskCHIS Neighborhood - (UCLA Center for Health Policy Research)  - This database of California health estimates at sub-county geographic regions requires free registration. Among the health topics covered are health insurance and uninsured, asthma, obesity and physical activity, dental visits, food insecurity, health status, mental health, smoking, diabetes, heart disease, flu vaccine, and delay in receiving care.
  • California's Open Data Portal - (California Department of Health)  - Get access to California health data; the site provides tools to visualize and download datasets.
  • Connecticut Health Equity Index - (Connecticut Association of Health Directors)  - Web-based tool that provides an in-depth analysis of each of Connecticut's cities and towns. This community-based assessment can be used to identify social, political, economic, and environmental conditions that are most strongly correlated with specific health outcomes.
  • EpiQuery: NYC Interactive Health Data - (New York City Department of Health and Mental Hygiene)  - Health datasets on topics and indicators for different NYC populations. EpiQuery offers prevalence estimates with confidence intervals, rates over time, bar charts and neighborhood maps.
  • Kidsdata - (Lucile Packard Foundation for Children's Health USA)  - Find data about the health and well being of children in communities across California. allows users to find, customize, and use data on more than 500 measures of child health and well being. Data are available for every county, city, school district, and legislative district in California.
  • Maryland State Health Improvement Process (SHIP) - (Maryland Department of Health and Mental Hygiene)  - This website contains information on the 40 measures in five focus areas (healthy beginnings, healthy living, healthy communities, access to health care, quality preventive care) that represent what it means for Maryland to be healthy.
  • PeriStats - (March of Dimes)  - Provides access to to maternal and infant health-related data at the U.S., state, county, and city level.
  • Public Health Assessment and Wellness: Nebraska - (Nebraska Central District Health Department USA)  - Nebraska has assemble this which includes communication tools, information about community health services, laws, and related news.

Guidelines, Journals, Other Publications

  • HiPHIVE - Hawaii Public Health Information Virtual Emporium
  • Innovations - (California HealthCare Foundation (CHCF))  - A variety of reports, webcasts, websites and other information that promote models of care aimed at producing a higher-quality, and lower-cost health care system in California.