Appendix V

Health Status and Disease Monitoring Systems and Initiatives

National-Level Examples of Health Status and Disease Monitoring Systems and Initiatives:

  • Healthy People

  • The National Ambulatory Medical Care Survey (NAMCS) provides information on the provision and use of medical care services in office-based physician practices, while the National Hospital Ambulatory Medical Care Survey (NHAMCS) provides data on medical care services in hospital emergency and outpatient departments

  • The National Health Interview Survey (NHIS) collects data on a broad range of illnesses, injuries, activity limitation, chronic conditions, health insurance, health care use, and select risk factors.

  • The National Health and Nutrition Examination Survey (NHANES) collects data in mobile examination clinics from a nationally representative sample. Resulting data inform on the prevalence of certain chronic conditions, various physical and psychological measures, growth and development, and nutrition behaviors.

  • The National Immunization Survey (NIS) is an ongoing survey monitoring vaccination coverage rates among children 19-35 months of age.

  • The Behavioral Risk Factors Surveillance System (BFRSS) is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. For many states, the BRFSS is the only available source of timely, accurate data on health-related behaviors.

  • The Youth Risk Behavior Survey (YRBS) monitors health risk behaviors among students in grades 9 to 12, such as tobacco use, dietary behaviors, physical activity, alcohol and other drug use, sexual behaviors, and unintentional injuries and violence.

State Examples

  • State-level Healthy People initiatives

  • State-level BFRSS

Local Examples

  • Local-level Healthy People initiatives

  • Community health status assessment and improvement planning

  • Examples:Mobilizing for Action through Planning and Partnerships (MAPP) - Mobilizing for Action through Planning and Partnerships (MAPP) is a community-driven strategic planning tool for improving community health. Facilitated by public health leaders, this tool helps communities apply strategic thinking to prioritize public health issues and identify resources to address them. MAPP is not an agency-focused assessment tool; rather, it is an interactive process that can improve the efficiency, effectiveness, and ultimately the performance of local public health systems.

  • State-specific processes (for funding or accreditation)