title: Transformative Use of an Improved All-Payer Hospital Discharge Data Infrastructure for Community-Based Participatory Research: A Sustainability Pathway.
abstract: OBJECTIVE
  To describe the use of a clinically enhanced maternal and child health (MCH) database to strengthen community-engaged research activities, and to support the sustainability of data infrastructure initiatives.
  
  
  METHODS
  Population-based, longitudinal database covering over 2.3 million mother-infant dyads during a 12-year period (1998-2009) in Florida.
  
  
  METHODS
  A community-based participatory research (CBPR) project in a socioeconomically disadvantaged community in central Tampa, Florida.
  
  
  METHODS
  Case study of the use of an enhanced state database for supporting CBPR activities.
  
  
  RESULTS
  A federal data infrastructure award resulted in the creation of an MCH database in which over 92 percent of all birth certificate records for infants born between 1998 and 2009 were linked to maternal and infant hospital encounter-level data. The population-based, longitudinal database was used to supplement data collected from focus groups and community surveys with epidemiological and health care cost data on important MCH disparity issues in the target community. Data were used to facilitate a community-driven, decision-making process in which the most important priorities for intervention were identified.
  
  
  CONCLUSIONS
  Integrating statewide all-payer, hospital-based databases into CBPR can empower underserved communities with a reliable source of health data, and it can promote the sustainability of newly developed data systems.
authors: Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX.
authors: Jason L
authors: JL
authors: Salemi
authors: The Maternal and Child Health Comparative Effectiveness Research Group, Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL.
authors: Abraham A
authors: AA
authors: Salinas-Miranda
authors: The Maternal and Child Health Comparative Effectiveness Research Group, Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL.
authors: Roneé E
authors: RE
authors: Wilson
authors: Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX.|The Maternal and Child Health Comparative Effectiveness Research Group, Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL.
authors: Hamisu M
authors: HM
authors: Salihu
mesh_terms: D055812:Community-Based Participatory Research; D057186:Comparative Effectiveness Research; D003625:Data Collection / Q000379:methods; D016208:Databases, Factual; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida; D006801:Humans; D008137:Longitudinal Studies; D008427:Maternal Health Services / Q000458:organization & administration*; D008498:Medical Record Linkage; D019982:Organizational Case Studies; D010351:Patient Discharge; D058996:Quality Improvement; D044469:Racial Groups / Q000706:statistics & numerical data*; D012109:Research Support as Topic; D014481:United States; D016270:United States Agency for Healthcare Research and Quality
keywords: Record linkage; community-based participatory research; comparative effectiveness research; disparities; hospital discharge data