New York State Community Health Indicator Reports - About Cirrhosis and Diabetes Indicators

Indicator/Contact for information Data Source Definition
Cirrhosis mortality rate per 100,000 population, crude and age-adjusted**

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to Cirrhosis per 100,000 population. The codes used for the Cirrhosis mortality are ICD-10 codes: K70, K73-K74.
Cirrhosis hospitalization rate per 10,000, crude and age-adjusted**

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to Cirrhosis per 10,000 population. The ICD9 code for Cirrhosis is: 571. *
Diabetes mortality rate per 100,000 population, crude and age-adjusted**

Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to diabetes per 100,000 population. The ICD-10 codes used for diabetes are: E10-E14. *
Diabetes hospitalization rate per 10,000 (primary diagnosis), crude and age-adjusteded**

Bureau of Biometrics and Health Statistics at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to diabetes per 10,000 population. The ICD 9 code used for diabetes is: 250. Only hospitalizations with diabetes as the primary diagnosis are included. *
Diabetes hospitalization rate per 10,000 (any diagnosis), crude and age-adjusted**

Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to diabetes per 10,000 population. The ICD 9 code used for diabetes is: 250. This indicator includes hospitalizations with diabetes as the primary and/or other diagnosis. *
Diabetes short-term hospitalization rate per 10,000, aged 6-17 and 18 years and older

Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations with a primary diagnosis ICD 9CM code of 250.1-250.3 per 10,000 population for the age group of interest. This is a Prevention Quality Indicator (PQI) (condition for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease)
Percentage of adults diagnosed with diabetes (prevalence), age-adjusted**

BRFSS Coordinator, at (518) 473-0673
New York Sate Expanded Behavioral Risk Factor Surveillance System c The percentage of adults who reported they were told by a health professional that they have diabetes.

Data notes:

a Vital Records:
Information is collected from birth, death and fetal death certificates. Records with missing information for the indicator of interest are excluded when calculating rates and percentages for that indicator. Population based rates use population estimates provided by the U.S. Census Bureau. ICD-10 codes are used for cause of death.
In 2008, New York City Vital Records adopted the National Center for Health Statistics standard birth certificate. This certificate has been used for births occurring in New York State outside of New York City since 2004. According to the New York City Health Department publication, Summary of Vital Statistics 2008 1, the use of the new certificate has resulted in some data quality concerns. A combination of poor data quality and hospital staff adaptation to the new data entry system and worksheets affected data quality. There is a potential for variables such as prenatal care and race/ethnicity to be impacted by a larger than normal number of unknowns and miscoding. Caution should be used when comparing the 2008 data to previous years.
b Statewide Planning and Research Cooperative System-SPARCS:
Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not the number of individuals who were hospitalized.
c Expanded BRFSS:
A telephone-based survey of adults 18 years of age or older conducted by the New York State Department of Health. The survey is based on the National Behavioral Risk Factor Surveillance System (BRFSS), conducted by the Centers for Disease Control and Prevention and collects information on self-reported health-related behaviors in New York State counties. The most recent survey was conducted between July 2008 and June 2009 and collected data that represented New York City and each of the 57 counties outside of New York City. Indicator data (where available) for the individual counties of Bronx, Kings, New York, Queens and Richmond are from the 2009 New York City Community Health Survey. The New York City Community Health Survey (CHS) is a telephone survey conducted by the New York City Department of Health and Mental Hygiene that is also based on the BRFSS.

** The standard population used for age adjustment was the 2000 U.S. population.