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The Chronic Disease Indicators (CDI) is a web-based data system of surveillance indicators developed by consensus among CDC, the Council of State and Territorial Epidemiologists (CSTE), and the National Association of Chronic Disease Directors (NACDD). CDI allows public health professionals and policymakers to retrieve uniformly-defined data for chronic diseases and risk factors with substantial public health burden. These indicators are essential for surveillance, prioritization, and evaluation of public health interventions. The original indicators adopted in 1998 and published in 1999 were formally reviewed for potential updates in 2002.
METHODS:
To ensure comprehensiveness and relevance to public health priorities, such as Healthy People 2020, the CDC, CSTE, and NACDD conducted a focused review of CDI during 2012. Seventeen content-specific working groups convened, with representatives from state health departments and CDC, to update the existing 97 indicators and to consider new indicators. Final recommendations were submitted in September 2012.
RESULTS:
The CDI will expand to approximately 200 indicators, including existing topics: alcohol, asthma, arthritis, cancer screening, cancer incidence and mortality, cardiovascular disease, chronic obstructive pulmonary disease, diabetes and End Stage Renal Disease, nutrition and physical activity, immunization, oral health, tobacco, and overarching conditions/socioeconomic status; and new topics: maternal and child health, older adults, and school health. For the first time, CDI will also include indicators of systems and environmental change. CDC will enhance the CDI website with more user-friendly display, navigation, and data retrieval functionality. Because of the close state-CDC partnership in reviewing the CDI, these changes directly reflect the priorities and needs of the states.
CONCLUSIONS:
The CDI is an example of CDC and state health department collaboration to build a consensus set of state-based health surveillance indicators. These updates will ensure that CDI remains the most up-to-date and relevant single-point-of-access source of key indicators of chronic disease and risk factors for state epidemiologists and chronic disease program officials.