! 2ESOURCE FOR !PPLIED %PIDEMIOLOGISTS

1 A Resou rce forA pplied Epid em iolog ists JUN E 20 15. Table of Contents iv Suggested v Chapter 1: Introduction .. 1. Definition of Chronic Diseases .. 1. Changing Patterns and the Need to Focus on Chronic Disease .. 1. Role of Chronic Disease Epidemiology .. 2. Purpose of a Chronic Disease Epidemiologist Orientation Manual .. 3. Organization of a Chronic Disease Epidemiologist Orientation Manual .. 4. Chapter 2: Understanding the Job .. 7. Know the Chronic Disease Epidemiologist's Public health Roles .. 7. Learn All About Your Organization .. 10. Meet With Your Colleagues across the Division and Department .. 11. Develop Short- and Long-term Goals for Your 13. Expanding Chronic Disease Epidemiology 13. Build Partnerships with Communities, Academia, and Other Agencies.

2 14. Become Active in Local and National Organizations .. 15. Join the Council of State and Territorial Epidemiologists (CSTE) .. 15. Resources .. 15. Become Active in National 17. Chapter 3: Chronic Disease Integration and Collaboration .. 19. Recognize Opportunities for Program Integration .. 20. Learn from Other states .. 21. Think about the Multiple Chronic Conditions Framework and Initiative .. 22. Follow a Systematic Approach to Program Integration .. 22. Utilize System Dynamics .. 23. Leveraging Funding and Strategies to Prevent and Control Chronic Diseases .. 25. Resources .. 25. Chapter 4: System Approaches and the Social Ecological Model .. 28. Understand the Levels of Public health Intervention and Their Influence.

3 29. i Changing the Context in Communities .. 32. Develop a Coordinated Response .. 34. Resources and implementation examples .. 36. Chapter 5: Evidence-Based Public health .. 39. Resources .. 41. Chapter 6: Data 44. Understand the Basics: A Framework for Visualizing Public health 45. Know the Statutory Authority to Conduct Public health Action .. 46. Understand the Data Use Agreement .. 47. Determine Whether Your Project is Research, Surveillance, or Evaluation .. 48. Use Institutional Review Boards (IRBs) When Necessary .. 49. Understand Your Obligations under the health Insurance Portability & Accountability Act (HIPAA) .. 51. Resources .. 54. Chapter 7: Surveillance Data Sources and Indicators .. 56. Review the Purpose of 56.

4 Understand the Scope of Surveillance Data .. 57. Selecting a health Problem for Surveillance and Public health Action .. 58. Know Data Sources for Chronic Disease Surveillance .. 59. Use Chronic Disease Indicators for Surveillance or Guidance .. 65. Assure Capacity in Mandated Maternal and Child health Surveillance .. 66. Understanding Oral health 67. Using the Healthy People Objectives as 69. Find Additional Indicators and Interventions at the health Indicators Warehouse .. 69. Chapter 8: Data Interpretation and Dissemination .. 71. Review Concepts Critical for Analyzing and Interpreting Data .. 71. Understand Concepts Critical for Disseminating Data Results .. 74. Translate Data for Optimal Messaging to Your Intended Audience.

5 74. Chapter 9: Technical Assistance and Related Programs .. 79. Council of State and Territorial Epidemiologists (CSTE) .. 79. National Association of Chronic Disease Directors .. 80. Association of State and Territorial Dental Directors .. 81. Centers for Disease Control and Prevention (CDC) Programs .. 81. ii Public health Informatics .. 83. Summary .. 85. Review Chapters Listed by Essential Functions of a Chronic Disease Epidemiologist .. 85. Table of 88. Appendix A: Eight Sets of Sample SAS Code to Use with BRFSS Data .. 89. Appendix B: More Links to Helpful Resources .. 110. Appendix C: Acronyms Commonly Used in Chronic Disease Epidemiology .. 115. Appendix D: Position descriptions and Related Workforce Development 117.

6 Iii Acknowledgements In September 2004, the Council of State and Territorial Epidemiologists (CSTE) published a white paper entitled Essential Functions of Chronic Disease Epidemiology in State health Departments by the Chronic Disease Epidemiology Capacity Building Subcommittee. Then in 2008, CSTE published The New State Epidemiologist's First Days: a Planning Guide. More recently, the CSTE Chronic Disease Epidemiology Capacity Building Subcommittee saw the need for a separate planning guide and orientation manual for the chronic disease epidemiologists in state and local health departments. This manual is the result of the Subcommittee's work and highlights information and resources that an applied chronic disease epidemiologist will need to use regularly.

7 Many experienced state chronic disease epidemiologists and subject matter experts at CDC and CSTE contributed to this manual: Renee Calanan, PhD, MS - Colorado Department of Public health and Environment/CDC, National Center for Chronic Disease Prevention and health Promotion Barbara Gabella, MSPH - Colorado Department of Public health and Environment Matthew D. Ritchey, PT, DPT, OCS, MPH - CDC, National Center for Chronic Disease Prevention and health Promotion (formerly also Indiana State Department of health ). Malinda Reddish Douglas, DPH, CPH - Oklahoma State Department of health Geraldine Perry, DrPH, RDN CDC, National Center for Chronic Disease Prevention and health Promotion Sarojini Kanotra, PhD, MPH - Kentucky Department for Public health Champ Thomaskutty, MPH - St.

8 Mary's County health Department, Leonardtown, Maryland (formerly Indiana State Department of health ). Ihsaan Azzam, MD, PHD, MPH - Nevada State Department of health Sangeeta Gupta, MD, MPH - Delaware State University Gregg Reed, MPH - Utah Department of health (formerly North Dakota Department of health ). Carrie Daniels, MS - Oklahoma State Department of health Sara Huston, PhD - Maine Center for Disease Control and Prevention Nisha Kini, MBBS, MPH - University of Massachusetts Medical School, Worcester, MA (formerly University of Southern Maine/Maine Center for Disease Control and Prevention). Alison Green-Parsons, BA - Maine Center for Disease Control and Prevention Santosh Nazare, MBBS, MPH - Blue Cross Blue Shield of Michigan (formerly University of Southern Maine).

9 Charlan Kroelinger, PHD - CDC, National Center for Chronic Disease Prevention and health Promotion Violanda Grigorescu, MD, MSPH - CDC, National Center for Chronic Disease Prevention and health Promotion MaryCatherine Jones, MPH - Utah Department of health Bonnie Yu, MA, MS - Florida Department of Public health Annie Tran, MPH - Council of State and Territorial Epidemiologists iv We also acknowledge the expertise and helpful comments of Juliet Van Eenwyk, MS, PhD - Washington State Department of health ; Mandy Stahre, MPH, PhD - Washington State Department of health ;. Michelle Sandoval MPH, CPH - CDC, National Center for Chronic Disease Prevention and health Promotion/Indiana State Department of health ; Pratik Pandya, MPH University of Kansas Medical Center; Paul Z.

10 Siegel, MD, MPH- CDC, National Center for Chronic Disease Prevention and health Promotion; Jennifer Lemmings, MPH - Council of State and Territorial Epidemiologists; and Nancy Maddox, MHP - Maren Enterprises, Inc. This publication was supported by Cooperative Agreement Number 5U380T000143-02 from CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. A part of this material was adapted with permission, from the Annual Review of Public health , Volume 30. 2009 by Annual Reviews Suggested citation Council of State and Territorial Epidemiologists. Chronic Disease Epidemiologist Orientation Manual: A Resource for Applied Epidemiologists. Atlanta, GA: CSTE; 2015.