New Mexico Race and Ethnicity Data

描述（由申请人提供）：新墨西哥州卫生部和卫生政策委员会将提高新墨西哥州出院和急诊科数据库中种族和族裔数据的质量。此外，该项目将收集部落标识数据，并建立部落标识的方法和程序，作为其他州的榜样。将修订《新墨西哥州行政法典》，要求医院按照1997年管理和预算办公室的标准向州政府报告种族和族裔数据以及部落标识符数据。在一个国家咨询委员会的指导下，5 - 10个试点医院将实地测试将为该项目编写的培训材料。这将包括医院程序、数据收集、病人教育和培训教员的培训材料。一旦试点医院开始使用这些新方法成功地报告住院患者的种族和族裔数据，报告将扩大到所有其他非联邦医院。一旦住院种族、民族和部落标识符报告工作顺利进行，急诊科将开始报告种族、民族和部落标识符。将制定和修改医院的具体合规计划，以确保改善每家医院的数据。在新墨西哥州对这种新方法的评价将集中在几种补充方法上。试点医院的图表审查将有助于确定种族、族裔和部落标识符报告的新方法是否已得到充分实施。如果没有，程序将根据需要进行修订。电子出院记录与出生证明记录和印第安人保健服务记录的联系将定期跟踪种族、族裔和部落标识符数据可靠性的改进情况。在出院后打电话给住院患者，通过自我报告将他们的种族、民族和部落标识与医院记录进行比较，将跟踪这些数据有效性的改进。将这些新方法推广到其他州对项目的成功至关重要。新墨西哥州期望建立一个收集、报告和适当传播医院数据中部落标识符数据的模式，这些数据将通过出版的手稿非正式地传播给其他州。该项目开发的实地测试数据收集材料、患者教育材料和培训模块也将分发到其他州。

DESCRIPTION (provided by applicant): New Mexico Department of Health and the Health Policy Commission will improve the quality of race and ethnicity data in hospital discharge and emergency department databases in New Mexico. In addition, the project will collect tribal identifier data and establish methods and procedures for tribal identifiers as a model for other states. The New Mexico administrative code will be revised to require that hospitals report race and ethnicity data, consistent with the 1997 Office of Management and Budget standard, and tribal identifier data to the State. Under the guidance of a state advisory committee, 5 10 pilot hospitals will field test the training materials that will be developed for the project. These will include hospital procedure, data collection, patient education and train-the-trainer materials. Once the pilot hospitals have begun reporting race and ethnicity data from hospitalizations successfully using these new methods, reporting will be expanded to all other non-federal hospitals. And once hospitalization race, ethnicity and tribal identifier reporting is well underway, reporting of race, ethnicity and tribal identifier will commence from emergency departments. Hospital specific compliance plans will be developed and modified to assure improvements in each hospital's data. Evaluation of this new approach in New Mexico will be focused on several complementary methods. Chart reviews at pilot hospitals will help determine if the new approach to race, ethnicity, and tribal identifier reporting has been adequately implemented. If not, procedures will be revised as necessary. Linkage of electronic hospital discharge records with birth certificate records and Indian Health Service records periodically will track improvements in the reliability of race, ethnicity and tribal identifier data. And phone calls to hospitalized persons following discharge to compare their race, ethnicity and tribal identifier by self-report with hospital records will track improvements in the validity of these data. Dissemination of these new methods to other states will be critical to the success of the project. New Mexico expects to have established a model for the collection, reporting and appropriate dissemination of tribal identifier data included in hospital data which will be disseminated to other states informally and through a published manuscript. The field tested data collection materials, patient education materials and training modules developed by the project will also be disseminated to other states. PUBLIC HEALTH RELEVANCE: New Mexico's Improving the Quality of Race and Ethnicity Data Project is relevant to public health because it will improve the reliability and validity of race, ethnicity and tribal affiliation hospital data in New Mexico and, through dissemination of methods and materials, in other states. These data are essential to public health as the foundation for reducing racial and ethnic health and healthcare disparities.