Form 0920-0879 Attachment K Screen shot of questionnaire

Characteristics of a State Linkage System

Form approved 
OMB No. 0920­0879 
Expiration Date: 03/31/2014 

1. What is today's date?
MM
Please enter today's date using the following format.

DD
/

YYYY
/

2. Which state are you representing in completing this survey?

3. What is your email address, in case we have any questions or need clarification of any
responses. Email addresses will not be connected to final data outputs.
5
6  

4. How much of a priority would you say motor vehicle injury is in your state compared
with other health problems?
j Highest priority
k
l
m
n
j Priority
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n

j Somewhat of a priority
k
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n
j Not a priority at all
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n

5. What year did your state start its linkage project?

6. Is the linkage and analysis project in the state for which you are responding part of the
National Highway Traffic Safety Administration (NHTSA) Crash Outcome Data Evaluation
System (CODES)?

j Yes
k
l
m
n
j No
k
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m
n

Public reporting burden of this collection of information is estimated to average 40 minutes per response, including the time for reviewing 
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 
information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a 
currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including 
suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D­74, Atlanta, Georgia 30333; ATTN: 
PRA (0920­0879) 

Page 1

Characteristics of a State Linkage System
7. Which agency is responsible for....
State Department of 

State Department of 

Public Health

Transportation/Highways

The coordination of your overall linkage/CODES project?

j
k
l
m
n

j
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m
n

j
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m
n

Your primary linkage/CODES project linkage?

j
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n

j
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m
n

j
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n

Your primary linkage/CODES project data analysis?

j
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n

j
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n

j
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n

Other:

If you indicated "Other", please specify the agency name(s): 

8. If your state participates in the NHTSA CODES effort, in what year was the program
begun?

9. Indicate the years of source data that are suitable for linking that you have available
Emergency 
Crash

Inpatient

ED

Medical Services

Drivers License

(EMS)

Traffic 

Vehicle 

Violation/Citation

Registration

2002

c
d
e
f
g

c
d
e
f
g

c
d
e
f
g

c
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f
g

c
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c
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2003

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2004

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2005

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2006

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2007

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2008

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2009

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2010

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2011

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If you have "Other" data sources available, indicate the name and year(s) of data available: 

5

6

Page 2

Characteristics of a State Linkage System
10. For which of the following years and databases have you linked your CRASH data:
Emergency 
Inpatient

ED

Medical 

Drivers License

Services(EMS)

Traffic 

Vehicle 

Violation/Citation

Registration

Other

2002

c
d
e
f
g

c
d
e
f
g

c
d
e
f
g

c
d
e
f
g

c
d
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f
g

c
d
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c
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2003

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2004

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2005

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2006

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2007

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2008

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2009

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2010

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2011

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If your state has "Other" data sets linked (i.e.E.M.S. data linked to trauma data), indicate the name and years of data sets that are linked: 

5

6

11. Consider the following:
Do you have a Board of Advisors or Directors for your linkage/CODES 

Yes

No

j
k
l
m
n

j
k
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m
n

j
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m
n

j
k
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m
n

project?
Do you have a small group or subcommittee that assists as a steering 
committee, work group, task force, or other advisory board that assists 
you with identifying your linkage/research priorities?
Other comments: 

5

6

Page 3

Characteristics of a State Linkage System
12. Consider the following in relation to your linkage/CODES project:
Other time 
period, 
Annually Bi­annually Quarterly

Monthly

please 

N/A

specify 
below
If your state has a Board of Advisors or Directors, how often does that 

j
k
l
m
n

j
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n

j
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m
n

j
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n

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n

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n

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n

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group meet?
If your state has a small group or subcommittee that assists as a steering 
committee, work group, task force, or advisory board that identifies 
linkage/research priorities, how often does that group meet?
Please specify other time periods for each if option not provided: 

13. Indicate the organizations that are represented on your linkage/CODES Board of
Advisors or Directors.
Members
State Highway Safety 

j
k
l
m
n

Office
State Department of Motor 

j
k
l
m
n

Vehicles
State Department of Public 

j
k
l
m
n

Safety
State Department of Public 

j
k
l
m
n

Health
State Department of 

j
k
l
m
n

Transportation/Highways
State Police

j
k
l
m
n

State Trauma Board

j
k
l
m
n

State level hospital 

j
k
l
m
n

association
University/College: Specify 

j
k
l
m
n

name(s) below
Other state department, 

j
k
l
m
n

non­governmental 
organization, or other: 
specify name(s) below
If you listed University/College or other state department, non­governmental organization, or some other potential agency, please specify those 
agency name(s): 

Page 4

Characteristics of a State Linkage System
14. If your state has a small group or subcommittee that assists as a steering committee,
work group, task force, or advisory board that identifies linkage/research priorities, list
those agencies that participate in this with you. If this doesn't apply please indicate with
N/A:
5

6  

15. Indicate the funding streams that your state utilizes to support your linkage/CODES
project.
Funding available to our state
Centers for Disease Control and 

j
k
l
m
n

Prevention (CDC)
NHTSA

j
k
l
m
n

National Institutes of Health (NIH)

j
k
l
m
n

State Highway Safety Office

j
k
l
m
n

State Department of Public Health

j
k
l
m
n

State Department of 

j
k
l
m
n

Transportation/Highways
State Department of Motor Vehicles

j
k
l
m
n

Substance Abuse and Mental Health 

j
k
l
m
n

Services Administration (SAMHSA)
The Robert Wood Johnson Foundation 

j
k
l
m
n

(RWJF)

j
k
l
m
n

Other
If you selected "other" indicate who those partners include: 

16. Do you charge other agencies for data outputs from your linkage/CODES project?

j Yes
k
l
m
n
j No
k
l
m
n

If you indicated "yes", please share how you might charge other agencies (i.e. hourly, price by size of project or output, etc...): 

Page 5

Characteristics of a State Linkage System
17. Indicate your agency's level of involvement with each of the following in your state: (i.e.
involvement might mean that you attend meetings that they hold or they attend meetings
that you hold ­ you mutually support those program efforts or they support yours)
We interact 

We interact 

frequently

occasionally

Traffic Records Coordinating Committee (TRCC)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Department of Public Health ­ Injury Surveillance

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Strategic Highway Safety Plan (SHSP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

NHTSA Regional Office

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

State Core Violence and Injury Prevention Program (Core VIPP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Other

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

We rarely interact We never interact

If you selected "other" indicate who the other partners are that you interact with and your level of involvement with them. 

5

6

18. Indicate how often you share or provide linked/CODES data to each of the following:
(meaning that you have an ongoing relationship and commitment to provide them with
data outputs or analyses)
Frequently

Occasionally

Rarely

Never

Traffic Records Coordinating Committee (TRCC)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Department of Public Health ­ Injury Surveillance

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Strategic Highway Safety Plan (SHSP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

NHTSA Regional Office

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

State Core Violence and Injury Prevention Program (Core VIPP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Other

j
k
l
m
n

j
k
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m
n

j
k
l
m
n

j
k
l
m
n

If you indicated "Other", please specify the agency name(s) and the frequency with which you interact: 

19. Indicate how often you get data requests from the following:
Frequently

Occasionally

Rarely

Never

Traffic Records Coordinating Committee (TRCC)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Department of Public Health ­ Injury Surveillance

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Strategic Highway Safety Plan (SHSP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

NHTSA Regional Office

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

State Core Violence and Injury Prevention Program (Core VIPP)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Other

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

If you indicated "Other", please specify the agency name(s) that submit data requests and the frequency with which they request data from you: 

Page 6

Characteristics of a State Linkage System
20. How would you rate the demand for linkage/CODES data in your state....
Many people use our 

We receive data 

data on an on­going  requests several times 
for use in identifying traffic 

We receive data 

We rarely receive data  We never receive data 

requests occasionally

requests

requests

basis

per year

j
k
l
m
n

j
k
l
m
n

j
k
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m
n

j
k
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n

j
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n

j
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n

j
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n

j
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n

j
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n

j
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n

j
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n

j
k
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n

j
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n

j
k
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n

j
k
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n

j
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n

j
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n

j
k
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m
n

j
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n

j
k
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n

safety problems.
for use in supporting traffic 
safety decision makers.
for use in educating the 
public.
for use in legislative 
decision making.

21. For each person working on your linkage/CODES project, indicate the percent FTE,
percent effort, and familiarity with statistics/epidemiology. (working on the project
meaning: preparing a data feed for linkage, participating in meetings regarding
linkage/analysis, preparing data regarding linkage/analysis, writing papers or preparing
presentation materials on the results of analyses, etc..).
Percent FTE

Percent Effort

Familiarity with 
Statistics/Epidemiology

Person #1

6

6

6

Person #2

6

6

6

Person #3

6

6

6

Person #4

6

6

6

Person #5

6

6

6

Person #6

6

6

6

If more than 6 people work on your linkage/CODES project, continue your list here: 

5

6

22. If your state is NOT part of the CODES effort what linkage method do you use?
c Probabilistic
d
e
f
g

c Deterministic
d
e
f
g

Please describe linkage method or any software used: 

Page 7

Characteristics of a State Linkage System
23. How would you describe your project staff's proficiency in the following....(proficiency
meaning: statistical background, knowledge of appropriate software, understanding of
outputs, and ability to draw conclusions)
to analyze linked 

to link data

data

LinkSolv

6

6

CODES2000

6

6

IVEWare

6

6

SAS

6

6

Microsoft Access

6

6

Microsoft Excel

6

6

Other software in general

6

6

If you selected "Other software in general", please specify what your linkage/CODES project uses and their proficiency in using: Expert, 
Intermediate, Beginner, Not proficient 

5

6

24. For each of the following, indicate the areas in which linkage/CODES project has
received technical assistance or training:
Yes

No

Understanding the structure and content of crash data

j
k
l
m
n

j
k
l
m
n

Linkage: using Linksolv

j
k
l
m
n

j
k
l
m
n

Linkage: using CODES2000

j
k
l
m
n

j
k
l
m
n

Linkage: using other linkage software (specify the software package name below)

j
k
l
m
n

j
k
l
m
n

Creating clean usable data sets for analysis: using linkage results

j
k
l
m
n

j
k
l
m
n

Missing data imputation

j
k
l
m
n

j
k
l
m
n

Analyzing linked, imputed data

j
k
l
m
n

j
k
l
m
n

If you indicated that your linkage/CODES project uses some "Other" linkage software, specify the name of that software package: 

5
6

25. If you had the opportunity for additional technical assistance/training, what topics
would your linkage/CODES project find important or relevant?
5

6  

Page 8

Characteristics of a State Linkage System
26. Estimate the lag time in months that it takes to receive data from your state data
partners:
Our state 
doesn't use 

3 months or 

this data 

less

4­6 months

7­9 months

10­12 months 13­18 months 19­24 months

more than 24 
months

source
Crash

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Inpatient Hospital

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

ED

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

EMS

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Drivers License

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Traffic Violation/Citation

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Vehicle Registration

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

If your state links data sets other than those listed, specify what data sets that includes and the lag time in months it takes to receive that data: 

27. The next several questions refer to aspects of your linkage/CODES project that may
serve as resources or barriers. Please indicate the extent to which you agree or disagree
with the following statements. Our linkage/CODES project has...
Strongly 

Strongly 

Neither agree 

disagree

nor disagree

j
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l
m
n

j
k
l
m
n

j
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m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Agree

Disagree

j
k
l
m
n

j
k
l
m
n

j
k
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m
n

agree
adequate financial resources to participate in data linkage and analysis 
efforts.
had at least 1 position in which the job description included work 
related to planning, implementing, and/or evaluating data linkage and 
analysis efforts.
provided access to data linkage and analysis results through 
publications, factsheets, etc...
formal or informal partnerships with agencies with which we can 
collaborate on data linkage and analysis efforts.
adequate access to technical assistance when we run into problems 
linking data.
adequate access to technical assistance when we run into problems 
analyzing data.

28. List the top three obstacles that might keep you from OBTAINING data or data sets
timely:
Obstacle 
1:
Obstacle 
2:
Obstacle 
3:

Page 9

Characteristics of a State Linkage System
29. List the top three challenges that you have in LINKING data for your linkage/CODES
project:
Challenge 
1:
Challenge 
2:
Challenge 
3:

30. List the top three challenges that you have in ANALYZING data from your
linkage/CODES project.
Challenge 
1:
Challenge 
2:
Challenge 
3:

Page 10