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Incorporating Statistical Process Control and Statistical Quality Control Techniques Into a Quality Assurance Program

Incorporating Statistical Process Control and Statistical Quality Control Techniques Into a Quality Assurance Program

Incorporating Statistical Process Control and Statistical Control Techniques into a Quality Assurance Program

Robyn Sirkis U.S. Census Bureau

1 Purpose  Incorporate SPC and SQC methods into quality assurance program

 Monitor and improve interviewer performance to ensure the collection of high quality data in real time

 Examine different types of quality indicators

2 Outline

 Background  Cluster Analysis  Statistical Process Control (SPC) and Statistical (SQC) Methodology  SPC and SQC Examples  Next Steps  Conclusion

3 Data for Analysis  National Health Interview Survey 2008 to 2010 data

 Quality indicators: include item don’t know and refusals responses - Item nonresponse rates for the current asthma estimate, family income question, and pneumonia shot question

 Quality indicators: exclude don’t know, refusals and missing responses - Current asthma estimate: proportion of “no” responses - Family income question: average and standard deviation - Pneumonia shot question: proportion of “yes” responses

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Cluster Analysis  Compare interviewers working in similar census tracts with similar workloads

 Choose clustering variables (variable reduction) • Census 2000 Planning Database • Nine variables chosen

 Create clusters within Regional Office (RO) • Group census tracts into clusters • 4 to 8 clusters within each RO

5 SPC and SQC Terminology  Statistical Process Control (SPC) • Graphical tool to measure and analyze variation in a process over time • Control charts: use control limits and time component • Multivariate charts: reduces amount of charts for correlated measures

 Statistical Quality Control (SQC) • Broad array of statistical tools to measure and improve operational procedures • Analysis of Means (ANOM) charts: use decision limits • ANOM charts: interviewer is an example of a rational subgroup

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SPC and SQC Methodology  Construct cluster-level control chart including historical months data • Historical months: January 2008 to November 2010

 Construct the trial control limits by removing observations outside the limits

 Construct final cluster-level control chart including historical and current months data • Current month: December 2010

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SPC and SQC Methodology Continued

 Construct Analysis of Means (ANOM) charts for the current month (December 2010)

 Construct interviewer-level control charts if overall average or proportion outside decision limits in ANOM chart

8 Family Income Example

 Average and standard deviation of family income

 Family income item nonresponse rate

 SPC and SQC techniques used to improve interviewer performance in real time • Current month: December 2010

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Analysis of Means Chart December 2010 (RO = 1, Cluster = 4)

α =.1 Limits:

UDL

Mean X

LDL

1 2 3 4 5 6 7 8 9 10 11

Interviewer Group Sizes: Min n = 2 Max n = 10

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Process Not in Control (RO = 1, Cluster = 4, Interviewer = 3)

3σ Limits: UCL 1 1

Average X LCL

UCL S LCL

Standard Deviation Standard M A S D M A S D M A J S D a p e e a p e e a p u e e r r p c r r p c r r n p c 2 2 2 2 2 2 2 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 8 8 8 8 9 9 9 9 0 0 0 0 0 Month Subgroup Sizes: Min n = 2 Max n = 10

11 Current Asthma Estimate Example

 Current asthma estimate uses responses from three questions

 Proportion of “no” responses for current asthma estimate

 Current asthma estimate item nonresponse rate

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Analysis of Means Chart December 2010 (RO = 2, Cluster = 3)

α =.1 Limits: 1.0 UDL

P =.88 0.8

LDL Rate 0.6

0.4

0.2 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Interviewer Group Sizes: Min n = 2 Max n = 13

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Process Not in Control (RO = 2, Cluster = 3, Interviewer = 13)

3σ Limits: 1.0 UCL P =.89 0.8

0.6 LCL Rate 1 0.4

0.2 F M A M J J A S N D M A M J J A S O D M A M J J A S O N D e a p a u u u e o e a p a u u u e c e a p a u u u e c o e b r r y n l g p v c r r y n l g p t c r r y n l g p t v c 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 8 8 8 8 8 8 8 8 8 8 9 9 9 9 9 9 9 9 9 0 0 0 0 0 0 0 0 0 0 Month Subgroup Sizes: Min n = 2 Max n = 24

14 Summary of Charts  Current Asthma Estimate - Process not in control in interviewer-level control chart

 Family Income - Average and standard deviation exceed the control limits in interviewer-level control chart

 Interviewers did not have item nonresponse rates significantly different from RO and cluster for December 2010

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Implementation of SPC and SQC Techniques  Choose quality indicators • Multivariate charts minimize the number of charts to monitor by combining correlated measures

 Select interviewers to follow-up • Most quality indicators where process is not in control • Highest difference between control limits and quality indicator for current month

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Next Steps  Incorporate SPC and SQC techniques into current quality assurance program

 Current quality assurance program: conduct second interview to determine if interviewers conducting interview in accordance with established procedures

 Current method: random and supplemental • Stratified random sampling • Supplemental sampling: additional cases and interviewers identified by Headquarters and the Regional Office

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Next Steps Continued

 Add targeted sampling method • Target interview cases which bear hallmarks of suspected falsification

 Choose quality indicators to select cases for targeted sampling method • Use statistical models to choose indicators which predict potential data quality issues • Includes using digit frequency and length of field techniques • Includes indicators from PANDA system such as interview times and contact attempts

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Next Steps Continued  Choose methods for targeted sampling method • SPC and SQC techniques • Statistical tests such as chi-square test to compare distributions • Unlikely response pattern analysis

 Use weighting equations to leverage best available methods and measures to optimize detection of potential data quality issues

 Select additional interviewers just using SPC and SQC techniques and then other interviewers using different methods

19 Conclusion  Crucial to monitor both item nonresponse rates and other quality indicators

 Develop method to identify interviewers whose work should be investigated given the available amount of resources for follow-up purposes

20 Contact Information

[email protected]

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