Using the Registry Generator
The Registry Generator is a Health Indicators tool that does three things. Using it will help you:
- Analyze your data further to understand more about your surveyed clients
- Decide what interventions are needed
- Develop a registry or list of surveyed clients with the health risk(s) on whom you will focus your interventions.
Analyze Your Data Further—your Frequency Report shows the predominant health issues or risks among your surveyed clients. It shows it one question at a time. For example: 30% answered YES to being told by a doctor that they have diabetes (Q.42). To identify the opportunities to help improve the health of the 30% with diabetes, you will need to know more about them. Who are they? What are the challenges or gaps in care What other risk factors do they have?
The Registry Generator makes it possible to drill down on the 30% of clients with diabetes (Q.42) by looking at how they answered four additional survey questions that are relevant for people with diabetes (or the condition of your choosing). This is called cross tabulation. Use the Registry Generator to see how many and which clients with diabetes, also answered YES to being overweight, YES to having high blood pressure, NO to having had an annual flu shot, and NO to being physically active—all additional risk factors or complications for people with diabetes.
This is only one example. There are other crosstabs you may want to do to learn more about your clients with diabetes. See Suggested Crosstabs for the full list of possible crosstabs that are relevant for clients with diabetes. Suggested Crosstabs also contains a full list of possible crosstabs for heart disease, high blood pressure, and falls risks.
About Cross Tabulation:
- Base Question: The starting point in the example above is Q. 42 or clients with diabetes. This is your base question. The Registry Generator contains the list of base questions from which you can choose your starting point for analyzing your data further (cross tabbing).
- Secondary Questions: These are the other conditions (such as hypertension, heart disease, lung disease, etc.) that are co-morbidities or can complicate diabetes; and indicators (such as regular source of primary care, exercise, medications, etc.) that can affect the management of diabetes. The answers to the secondary questions will include only those who answered YES to the base question (Q.42). The Registry Generator contains the list of secondary questions.
The Registry Generator: Technical Guide describes step-by-step how to use the Registry Generator. It is easy to use and will only take a few minutes. Be curious and explore your data. It is time well spent and you may be surprised by what emerges.
Decide What Interventions Are Needed—the results of cross tabulation can highlight opportunities for intervention. Continuing with the diabetes example, from the cross tabs you see that the clients with diabetes are primarily non-English speaking, have hypertension, and are not getting enough physical activity. This information is helpful in deciding what interventions are needed and appropriate for your clients with diabetes.
You had planned to offer the Tier III Evidence-based Diabetes Self-Management Program (DSMP) to your clients with diabetes. Your certified DSMP leaders are English speaking only and not trained in Tomando, the Spanish language version of DSMP. Until there is a Tomando-certified leader, have decided to focus on improving blood pressure control and increasing physical activity of the clients with diabetes. These services may already exist in your program.
The key is to structure your intervention to target the right clients, track what is happening, and measure the results. The Performance Improvement section describes how to do it and provides some suggested structured interventions.
Developing a Registry—A registry is a focused list of clients for whom a specific intervention or health promotion activity is most important and needed. These are the clients you will target to take advantage of the service or intervention. The intervention(s) you selected were informed by what you learned from analyzing your data further.
Continuing with the diabetes example, your target population (registry) is those clients who answered YES to Q.42 (the base question) and YES to secondary questions of high blood pressure (Q.48) and little to no exercise (Q.30 and Q.31).
The Registry Generator:Technical Guide is a step-by-step guide on to how to use the Registry Generator.
A Final Word: Using the Registry Generator helps you
- Get a fuller picture of the health of your clients, helps you identify opportunities for intervention
- Provides you with the registry (list) you will need to become targeted and systematic in serving your clients, and
- Helps you document the difference you are making in the health of your clients.
Your registry is a list of the clients who are most at risk and can benefit from the intervention you are offering. Without such information, a program or organization has no way of knowing who needs what and who you should focus on in order to help clients improve the management of their health.