Table 4.

State Data Enhancement Grants to Improve Race and Ethnicity Data

State(s)	Grantee and Source of Statewide Discharge Data	Enhancement of Statewide Hospital Discharge Data
California	Grantee	Created and disseminated materials for hospitals to consistently collect self-reported race, ethnicity, language data (R/E/L). Conducted educational webinars for hospitals. Performed a baseline assessment of hospitals’ R/E/L data collection, reporting, and accuracy.
	University of California, Los Angeles
	Source of Statewide Discharge Data
	California Office of Statewide Health Planning and Development	Developed candidate audit measures and tested them by linking the discharge data to birth certificates and cancer registries.
		Compared California’s data quality to six other states using the auditing approach.
New Mexico	Grantee and Source of Discharge Data	Revised state regulations to mandate hospital reporting of race, ethnicity, and tribal identifier data and to align coding with 1997 OMB standards. Formed a focus group of AI/AN persons to guide implementation of the collection of tribal identifiers.
	New Mexico Department of Health
		Conducted hospital key informant survey to understand hospital practices and target methods to improve R/E data collection. Developed training material and conducted in-person hospital trainings concerning the need to improve, and methods to collect, self-reported R/E data.
		Evaluated educational intervention concerning: (1) accuracy of R/E data compared to patient survey reporting; (2) change in hospital staff’s knowledge about R/E data collection; (3) change in completeness of reported R/E data.
Oregon and Washington	Grantee	Conducted record linkages and data analyses to identify racial misclassification of AI/AN in discharge data using the most complete roster of Northwest AI/AN people.
	Northwest Portland Area Indian Health Board/Northwest Tribal Epidemiology Center	Improved collaboration between the Tribal Epidemiology Center and state data organizations concerning race data quality and the need for accurate data for state surveillance systems for minority health.
	Source of Statewide Discharge Data
	Oregon Health Authority and Washington Department of Health

Source: AHRQ (2014a).