Propose an Indicator

To submit a proposal for new indicators, please fill out the information below. You may also fill out non-electronic forms in the sidebar on the right. Once this form is complete, you will be able to enter indicator specific information for one or more indicators you wish to propose.

Data Source

Select a data source for your proposed indicator(s). If the data source is not available, you may create a new data source.

AACN Brief Baccalaureate Nursing Curriculum Survey Abortion Provider Survey Abortion Surveillance System Active Bacterial Core Surveillance Acute Coronary Treatment and Intervention Outcomes Network Registry-Get with the Guidelines Adult Blood Lead Epidemiology and Surveillance Program Adverse Event Reporting System AGing Integrated Database Air Quality System AirData Alcohol Epidemiologic Data System Alcohol Related Disease Impact System American Community Survey American Dietetic Association and Commission on Dietetic Registration American Healthy Homes Survey American Housing Survey American Physical Therapy Association and American Board of Physical Therapy Specialties Annual Builder Practices Survey Annual Immunization Assessment Reports Annual LCME Medical School Questionnaires Annual School Vaccination Survey Annual Statistical Report on Osteopathic Medical Education Annual Synopses of State and Territorial Dental Public Health Programs Area Resource File Autism and Developmental Disabilities Monitoring Network Beaches Environmental Assessment and Coastal Health Program Behavioral Risk Factor Surveillance System Bicycle Helmet Safety Institute Breastfeeding Report Card Bridged-Race Population Estimates for Census 2000 California's Maternal and Infant Health Assessment Catalog Scan of Undergraduate Public Health Programs Catalog Survey of Public Health Programs Census of Fatal Occupational Injuries Centers for Medicare and Medicaid Services, Medicare enrollment and claims files Characterization of Municipal Solid Waste Chronic Condition Data Warehouse Clinical Performance Measures Project Common Core of Data Comprehensive Environmental Response and Cleanup Information System Comprehensive Laboratory Services Survey Contraceptive Needs and Services Council on Linkages Study County Business Patterns Current Population Survey Dartmouth Atlas of Health Care Data Accountability Center Data Analysis System Data compiled by Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH), Division of Laboratory Sciences (DLS) Data compiled by Office of the Disease Prevention & Health Promotion, U.S. Department of Health & Human Services Data compiled by the Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR) Data compiled by the Indian Health Service, Division of Oral Health Data Compiled from the Health Indicators Warehouse Data compiled from the Morbidity and Mortality Weekly Report (MMWR), CDC, NCID, and State health departments Data compiled from the National Resource Center for Health and Safety in Child Care and Early Education, and child care licensing websites from each State government and the District of Columbia Distribution of Dentists in the U.S. by Region and State Distribution of Dentists in the United States by Region and State Drug Abuse Warning Network Employee Benefits Survey Epidemiology Capacity Assessment Estimated Use of Water in the United States Fatality Analysis Reporting System Fetal Alcohol Surveillance System Network Food Safety Survey Food Safety Survey Foodborne Diseases Active Surveillance Network General Estimates System Global Burden of Diseases, Injuries, and Risk Factors Study Global Disease Detection Program Health Information National Trends Survey Healthcare Cost and Utilization Project, Nationwide Inpatient Sample Healthcare Cost and Utilization Project, State Emergency Department Databases Healthcare Cost and Utilization Project, State Inpatient Databases Healthcare Effectiveness Data and Information Set HIV/AIDS Surveillance System Homes with Radon Mitigation Systems HRSA Geospatial Data Warehouse Immunization Information Systems Annual Report Juvenile Residential Facility Census Licensing Systems for Young Drivers Linked Birth/Infant Death Data Set Local Area Unemployment Statistics Medicaid Income Eligibility Levels for Pregnant Women Medicaid Statistical Information System Medical Expenditure Panel Survey Medical Monitoring Project Medicare Administrative Data Medicare Current Beneficiary Survey Medicare Hospital Compare Metropolitan Atlanta Developmental Disabilities Surveillance Program Minimum Data Set Monitoring the Future Study MyPyramid Equivalents Database National Ambulatory Medical Care Survey National Antimicrobial Resistance System for Enteric Bacteria National Assessment of Educational Progress National Asthma Control Program National Birth Defects Prevention Network National Builder Practices Survey National Center for Child Death Review, Michigan Public Health Institute National Center on Elder Abuse National Child Abuse and Neglect Data System National College Health Assessment National Crime Victimization Survey National Death Index National Electronic Injury Surveillance System National Electronic Injury Surveillance System -- Cooperative Adverse Drug Event Surveillance Project National Electronic Injury Surveillance System -- Work Supplement National Electronic Injury Surveillance System -- All Injury Program National Emissions Inventory National Environmental Public Health Tracking Network National Health and Nutrition Examination Survey National Health Interview Survey National HIV Behavioral Surveillance System National Hospital Ambulatory Medical Care Survey National Hospital Discharge Survey National Immunization Survey National Malaria Surveillance System National Newborn Screen and Genetic Resource Center National Notifiable Diseases Surveillance System National Nursing Home Survey National Occupant Protection Use Survey National Outbreak Reporting System National Poison Data System National Profile of Local Health Departments National Program of Cancer Registries National Public Health Performance Standards Program National Report on Human Exposure to Environmental Chemicals National Resource Center for Health and Safety in Child Care and Education National Sample Survey of Registered Nurses National Surveillance System for Pneumoconiosis Mortality National Survey of Adoptive Parents National Survey of Children with Special Health Care Needs National Survey of Children's Exposure to Violence National Survey of Children's Health National Survey of Employer-Sponsored Health Plans National Survey of Energy Balance Related Care among Primary Care Physicians National Survey of Energy Balance-related Care among Primary Care Physicians National Survey of Family Growth National Survey of Substance Abuse Treatment Services National Survey on Drug Use and Health National Survey on the Use of Booster Seats National TB Surveillance System National Trauma Registry System National Violent Death Reporting System National Vital Statistics System-Fetal Death National Vital Statistics System-Mortality National Vital Statistics System-Natality National Youth Tobacco Survey Online Survey Certification and Reporting Database Periodic Assessment of State Health Promotion Programs Periodic Survey of State Developmental Disabilities Directors Physician Characteristics and Distribution in the United States Population Estimates Pregnancy Risk Assessment Monitoring System Projects for Assistance in Transition from Homelessness Provider of Service File Public Health Air Surveillance Evaluation Project Team Quality of Worklife Module Quality of Worklife Module, General Social Survey Rabies Surveillance Network REACH (Racial and Ethnic Approaches to Community Health) Risk Factor Survey Registry and Surveillance in Hemoglobinopathies Safe Drinking Water Information System School Health Policies and Practices Study School Survey on Crime and Safety School-Based Health Care Census Small Area Health Insurance Estimates Small Area Income and Poverty Estimates Society for Human Resource Management Benefits Survey Special Care Dentistry Association State and Territorial Public Health Survey State Indicator Report on Fruits and Vegetables State Indicator Report on Fruits and Vegetables State Medicaid Coverage for Tobacco-Dependence Treatments State Medicaid Coverage Survey for Tobacco-Dependence Treatments State Medicaid Family Planning Eligibility Expansions State Mental Health Agency Profiling System State Reportable Conditions Data Inventory State Synar Enforcement Reporting State Tobacco Activities Tracking and Evaluation System State-based Early Hearing Detection and Intervention Program Network Status of State Ignition Interlock Laws STD Surveillance System Surveillance, Epidemiology, and End Results Program Survey of Contraceptive Service Providers Survey of Occupational Injuries and Illnesses Survey of State Developmental Disabilities Directors Synar Program Synopsis of State and Territorial Dental Public Health Programs and National Profile of Local Health Departments Title V Information System Toxic Exposure Surveillance System Toxics Release Inventory Trauma Information Exchange Program Treatment Episode Data Set Uniform Crime Reporting Program Uniform Data System Uniform Reporting System United States Renal Data System Universal Data Collection System Vaccine Adverse Event Reporting System Water Fluoridation Reporting System Youth Risk Behavior Surveillance System ZIP Business Patterns

Assurances

Please answer yes or no to whether each of the following will be provided. (Any answer of no will mean that the indicator cannot be included in the HIW.):

Assurance that estimates will be suppressed based on data source standards of data precision.
Assurance that all indicators are freely available to all users and that no restricted data or copyright restrictions apply.
Assurance that measure(s) of sample variance—standard errors or confidence intervals—for indicator will be provided if applicable.

Population

Population to which most indicator(s) can be generalized:

Geography

What is the level of geographic detail the indicator will provide (check all that apply)?

Data Frequency

What years or periods of data are proposed? If supplying data for multiple years or periods of the indicators, please list all years or periods proposed for inclusion in the HIW and specify the time unit used. If this differs by indicator please specify on the individual indicator pages

Contact

Designated contact who can answer questions on this submission.

An HIW team member will contact you within 10 working days regarding your submission. If your proposal is accepted, you will be asked for additional documentation that will be included in the HIW on the profile pages that describes each of your indicators. Please see www.healthindicators.gov indicator profile pages and data source pages for the types of information that will be required. Also see the indicator data template and indicator definition template on this website. Accepted submissions will be required to use these templates to submit data and descriptive data.