Introduction toVistaPHw Report Function

Brought to you by: The Vista PartnershipBased on: A Reference Guide for VistaPHw Reports

March 2006

Training Goals

• Users will be able to set up and run a single report showing the 10 leading causes of death in Pierce county compared to Washington State.

What Does the Report Function Do?

• Allows the user to create summary reports for a health Assessment Topic

• Compares Primary groups (single or multiple) to a single Comparison group

• The comparison group may be either based on place (geography) or race.

• Results display significance and trends.

Creating a New Report

When a report is available for an assessment topic, the Add Report Button will be visible at the bottom of the Vista screen. Clicking the button opens up new options. Follow the instructions as they appear in the Instruction box .Start with the Deaths Assessment Topic. Change from “NCHS ICD10 Causes” to “NCHS Leading Causes”. Click the “Add New Report” button.

First click on State Total. It will turn green, indicating that it is the comparison group. The text in the box next to the add reports button changes, asking for primary place. Click Pierce, which will turn grey.

At any point in time, if you want to change your selections, press clear to start fresh.

Comparison and Primary Groups

The selected comparison groups will appear with a GREEN background. Primary group selection(s) are highlighted in GRAY. In this example, STATE is the comparison group and Pierce is the Primary. After these selections, the instructions now read “Choose YEAR”.

Select the Year(s)

The initial YEAR selected will represent the TREND end point. Clicking an earlier YEAR completes the TREND selection and choices will be summarized below in the TREND detail box. Right-clicking on a previously made selection will deselect that choice.

First click 2003 for the trend end-point, then click 1998. The Trend Years box will change to 1998-2003. Only 2003 will be highlighted in grey.

Choose Ranking

Ranking is not available for all assessment topics, but if RANKING is not grayed out, users can chose from 1 to the maximum number of subsets from the RANKING drop-down box. Click on the down arrow and change this to 10.When all selections have been made for the Report, Ready Bars will change from RED to GREEN. Click LAUNCH or SEND TO STREAM (if you are running multiple reports, not covered in this training).

Launch!

Choosing the LAUNCH option will open the Report Summary tab of the LAUNCH PANEL. Here, you’ll find a brief synopsis of selected report. When ready, click Run Stream to generate the report.

Reading the Output, Ranking

This is the Excel output.In this example, the top 10 causes of death in 2003 for Pierce County are ranked and compared to the State. The output gives counts, rates, and confidence intervals for a single year (2003). It also shows the corresponding rank for the State. For example, Accidents and external causes was Pierce County’s 5th leading cause of death, but it was the 6th leading cause statewide.

R01:Mortality Rates

03-16-2006 16:59:42 VistaPHw 6.0.0.1, Calculator Version 6.0.1

Mortality Rates, 2003 - SIGDIFF = Percent difference between Primary Analysis Group(s) (e.g., Pierce) to Main Comparison Group (State Total)

Trend tests: lowest year = 1998, highest year = 2003

RATE = Deaths per 100,000, age-adjusted to year 2000 US population.

PIERCE STATE TOTAL (COMPARISON GROUP)

SUBSET CNT RATE LB UB RANK SIGDIFF TREND CNT RATE LB UB RANK TREND

All Causes {N/A} 5510 866.82 843.95 890.16 -------- 10.76% <n/s> 45805 782.58 775.4 789.81 -------- *DOWN*

#. Diseases of heart {.9858,.0002} 1379 220.38 208.85 232.39 1 15.71% *DOWN* 11154 190.45 186.92 194.03 1 *DOWN*

#Malignant neoplasms (MNP) {1.0068,.0002} 1313 204.73 193.74 216.21 2 7.68% *DOWN* 11043 190.12 186.57 193.72 2 *DOWN*

#. Cerebrovascular dis (CVD) {1.0588,.0008} 435 70.49 64 77.47 3 14.58% <n/s> 3588 61.52 59.52 63.57 3 *DOWN*

#Chr lower resp dis {1.0478,.0009} 366 59.44 53.48 65.89 4 28.13% <n/s> 2648 46.39 44.63 48.2 4 *DOWN*

#Accidents and external causes {1.0305,.0014} 275 39.35 34.81 44.35 5 <n/s> <n/s> 2210 36.37 34.86 37.93 6 ***UP***

#Alzheimer's disease {1.5536,.0071} 245 40.74 35.79 46.18 6 <n/s> ***UP*** 2380 40.55 38.93 42.21 5 ***UP***

#Diabetes mellitus {1.0082,.0011} 194 30.49 26.32 35.14 7 <n/s> ***UP*** 1509 26.05 24.74 27.4 7 ***UP***

#. Intent self-harm (suicide) {0.9962,.0005} 99 13.6 11.05 16.62 8 <n/s> <n/s> 801 13.03 12.14 13.97 9 <n/s>

#Influenza and pneumonia {0.6982,.0018} 89 14.31 11.49 17.64 9 <n/s> *DOWN* 1082 18.47 17.38 19.61 8 *DOWN*

#. Atherosclerosis {0.9637,.0025} 71 11.7 9.14 14.78 10 100.68% <n/s> 343 5.83 5.23 6.49 14 <n/s>

Reading the Output, Trends

Trend direction is given in the TREND column. These trends are for the time period 1998-2003. All Causes, Diseases of the Heart, and Malignant Neoplasms were all trending down (p < 0.05) for Pierce. Alzheimer’s disease and Diabetes were trending up. <n/s> means non-significant. Trend rates may not be reliable when the average count over the trend years falls below 5, and would be listed in the table as “avCnt<5”.

R01:Mortality Rates

03-16-2006 16:59:42 VistaPHw 6.0.0.1, Calculator Version 6.0.1

Mortality Rates, 2003 - SIGDIFF = Percent difference between Primary Analysis Group(s) (e.g., Pierce) to Main Comparison Group (State Total)

Trend tests: lowest year = 1998, highest year = 2003

RATE = Deaths per 100,000, age-adjusted to year 2000 US population.

PIERCE STATE TOTAL (COMPARISON GROUP)

SUBSET CNT RATE LB UB RANK SIGDIFF TREND CNT RATE LB UB RANK TREND

All Causes {N/A} 5510 866.82 843.95 890.16 -------- 10.76% <n/s> 45805 782.58 775.4 789.81 -------- *DOWN*

#. Diseases of heart {.9858,.0002} 1379 220.38 208.85 232.39 1 15.71% *DOWN* 11154 190.45 186.92 194.03 1 *DOWN*

#Malignant neoplasms (MNP) {1.0068,.0002} 1313 204.73 193.74 216.21 2 7.68% *DOWN* 11043 190.12 186.57 193.72 2 *DOWN*

#. Cerebrovascular dis (CVD) {1.0588,.0008} 435 70.49 64 77.47 3 14.58% <n/s> 3588 61.52 59.52 63.57 3 *DOWN*

#Chr lower resp dis {1.0478,.0009} 366 59.44 53.48 65.89 4 28.13% <n/s> 2648 46.39 44.63 48.2 4 *DOWN*

#Accidents and external causes {1.0305,.0014} 275 39.35 34.81 44.35 5 <n/s> <n/s> 2210 36.37 34.86 37.93 6 ***UP***

#Alzheimer's disease {1.5536,.0071} 245 40.74 35.79 46.18 6 <n/s> ***UP*** 2380 40.55 38.93 42.21 5 ***UP***

#Diabetes mellitus {1.0082,.0011} 194 30.49 26.32 35.14 7 <n/s> ***UP*** 1509 26.05 24.74 27.4 7 ***UP***

#. Intent self-harm (suicide) {0.9962,.0005} 99 13.6 11.05 16.62 8 <n/s> <n/s> 801 13.03 12.14 13.97 9 <n/s>

#Influenza and pneumonia {0.6982,.0018} 89 14.31 11.49 17.64 9 <n/s> *DOWN* 1082 18.47 17.38 19.61 8 *DOWN*

#. Atherosclerosis {0.9637,.0025} 71 11.7 9.14 14.78 10 100.68% <n/s> 343 5.83 5.23 6.49 14 <n/s>

Reading the Output, SigDiff

Significant difference (SigDiff) between Primary and Comparison groups are given. The rate for heart disease death in Pierce county was 15.71% higher than the state. <n/s> means there were no significant differences between Pierce and Washington. If the number in the significant difference column was negative, it would mean the rate was less than the comparison group.

R01:Mortality Rates

03-16-2006 16:59:42 VistaPHw 6.0.0.1, Calculator Version 6.0.1

Mortality Rates, 2003 - SIGDIFF = Percent difference between Primary Analysis Group(s) (e.g., Pierce) to Main Comparison Group (State Total)

Trend tests: lowest year = 1998, highest year = 2003

RATE = Deaths per 100,000, age-adjusted to year 2000 US population.

PIERCE STATE TOTAL (COMPARISON GROUP)

SUBSET CNT RATE LB UB RANK SIGDIFF TREND CNT RATE LB UB RANK TREND

All Causes {N/A} 5510 866.82 843.95 890.16 -------- 10.76% <n/s> 45805 782.58 775.4 789.81 -------- *DOWN*

#. Diseases of heart {.9858,.0002} 1379 220.38 208.85 232.39 1 15.71% *DOWN* 11154 190.45 186.92 194.03 1 *DOWN*

#Malignant neoplasms (MNP) {1.0068,.0002} 1313 204.73 193.74 216.21 2 7.68% *DOWN* 11043 190.12 186.57 193.72 2 *DOWN*

#. Cerebrovascular dis (CVD) {1.0588,.0008} 435 70.49 64 77.47 3 14.58% <n/s> 3588 61.52 59.52 63.57 3 *DOWN*

#Chr lower resp dis {1.0478,.0009} 366 59.44 53.48 65.89 4 28.13% <n/s> 2648 46.39 44.63 48.2 4 *DOWN*

#Accidents and external causes {1.0305,.0014} 275 39.35 34.81 44.35 5 <n/s> <n/s> 2210 36.37 34.86 37.93 6 ***UP***

#Alzheimer's disease {1.5536,.0071} 245 40.74 35.79 46.18 6 <n/s> ***UP*** 2380 40.55 38.93 42.21 5 ***UP***

#Diabetes mellitus {1.0082,.0011} 194 30.49 26.32 35.14 7 <n/s> ***UP*** 1509 26.05 24.74 27.4 7 ***UP***

#. Intent self-harm (suicide) {0.9962,.0005} 99 13.6 11.05 16.62 8 <n/s> <n/s> 801 13.03 12.14 13.97 9 <n/s>

#Influenza and pneumonia {0.6982,.0018} 89 14.31 11.49 17.64 9 <n/s> *DOWN* 1082 18.47 17.38 19.61 8 *DOWN*

#. Atherosclerosis {0.9637,.0025} 71 11.7 9.14 14.78 10 100.68% <n/s> 343 5.83 5.23 6.49 14 <n/s>

What is NOT Covered in this Training

• Advanced options from the Launch Panel– Saving and modifying reports– Starting new reports– Retrieving saved reports– Multiple reports

• Editing and altering existing reports• Report Script LanguageThese will be moderate and advanced trainings.For more information about these topics, please consult

the Reference Guide for Report Function.

Feedback or Questions?

Please feel free to contact the Statewide Vista Coordinator, Phyllis Reed, at (360) 236-4324

Email: Phyllis.Reed@DOH.WA.GOV

Public Health Seattle and King CountySpokane Regional Health District

Washington State Department of HealthMarch 2006

Thanks for your time!