National Home and Hospice Care Survey
Reliability of Estimates
2000 Reliability of Estimates
Because the data presented on this tape are based on a sample, they will differ somewhat from data that would have been obtained if a complete census had been taken using the same schedules, instructions, and procedures. The standard error (SE) is primarily a measure of the variability that occurs by chance because a sample, rather than the entire universe, is surveyed. The SE also reflects part of the measurement error, but it does not measure any systematic biases in the data. The chances are about 95 in 100 that an estimate from the sample differs from the value that would be obtained from a complete census by less than twice the SE. However, SEs typically underestimate the true errors of the statistics because they reflect only errors due to sampling.
To derive error estimates that would be applicable to a wide variety of statistics, variances for a wide variety of estimates were approximated using SUDAAN software. SUDAAN computes standard errors by using a first order Taylor approximation of the deviation of estimates from their expected values. A description of the software and the approach it uses has been published (1). The calculated variances were fitted into curves using the empirically determined relationship between the size of an estimate X and its relative variance (rel var X). This relationship is expressed as:
where a and b are regression estimates determined by the SAS regression procedure, using ordinary least squares. The relative standard error is then derived by determining the square root of the relative variance from the curve.
Standard errors for aggregate estimates may be approximated using the general formula:
SE(X) = X • RSE(X)
where X is the estimate and RSE(X) is the relative standard error of the estimate. The relative standard error (RSE(X)) may be estimated using the following general formula:
where X is the estimate and A and B are the appropriate coefficients from table I.
Table I. Parameters used to compute standard error of numbers by type of estimate
Type of estimate  Parameters  

A  B  
Agency  0.006110  7.368930 
Home health agency  
Current patient  0.015990  529.184810 
Discharge  0.023654  2,492.387794 
Hospice  
Current patient  0.045540  66.616240 
Discharge  0.047200  312.484760 
To approximate the relative standard error (RSE(p)) and the standard error (SE(p)) of a percent p, the appropriate values of parameter B from table I are used in the following equations:
and
where
p = 100 • X/Y
X is the numerator of the estimated percent
Y is the denominator of the estimated percent
The standard error of a percent is valid only when one of the following conditions is satisfied: the relative standard error of the denominator is 5 percent or less or the relative standard errors of the numerator and the denominator are both 10 percent or less.
Reference
1. Shah BV, Barnwell BG, Bieler GS. SUDAAN usser's manual, Release 7.0 Research Triangle Institute: Research Triangle Park, North Carolina. 1996.
1998 Reliability of Estimates
Because the data presented on this tape are based on a sample, they will differ somewhat from data that would have been obtained if a complete census had been taken using the same schedules, instructions, and procedures. The standard error (SE) is primarily a measure of the variability that occurs by chance because a sample, rather than the entire universe, is surveyed. The SE also reflects part of the measurement error, but it does not measure any systematic biases in the data. The chances are about 95 in 100 that an estimate from the sample differs from the value that would be obtained from a complete census by less than twice the SE. However, SE's typically underestimate the true errors of the statistics because they reflect only errors due to sampling.
To derive error estimates that would be applicable to a wide variety of statistics, variances for a wide variety of estimates were approximated using SUDAAN software. SUDAAN computes standard errors by using a firstorder Taylor approximation of the deviation of estimates from their expected values. A description of the software and the approach it uses has been published. The calculated variances were fitted into curves using the empirically determined relationship between the size of an estimate X and its relative variance (rel var X). This relationship is expressed as:
where a and b are regression estimates determined by the SAS regression procedure, using ordinary least squares. The relative standard error is then derived by determining the square root of the relative variance from the curve.
Standard errors for aggregate estimates may be approximated using the general formula:
SE(X) = X • RSE(X)
where X is the estimate and RSE(X) is the relative standard error of the estimate. The relative standard error (RSE(X)) may be estimated using the following general formula (7):
where X is the estimate and A and B are the appropriate coefficients from table I.
Table I. Parameters used to compute standard error of numbers by type of estimate
Type of estimate  Parameters  

A  B  
Agency  0.008569  12.292928 
Home health agency  
Current patient  0.027473  1113.899256 
Discharge  0.031375  5418.466673 
Hospice  
Current patient  0.022992  84.643286 
Discharge  0.028381  1024.690308 
To approximate the relative standard error (RSE(p)) and the standard error (SE(p)) of a percent p, the appropriate values of parameter B from table I are used in the following equations:
and
where
p = 100 • X/Y
X is the numerator of the estimated percent
Y is the denominator of the estimated percent
The standard error of a percent is valid only when one of the following conditions is satisfied: the relative standard error of the denominator is 5 percent or less or the relative standard errors of the numerator and the denominator are both 10 percent or less.
1996 Reliability of Estimates
Because the statistics presented in the 1996 National Home and Hospice Care Survey are based on a sample, they will differ somewhat from figures that would have been obtained if a complete census had been taken using the same schedules, instructions, and procedures. The standard error (SE) is primarily a measure of the variability that occurs by chance because a sample, rather than the entire universe, is surveyed. The SE also reflects part of the measurement error, but it does not measure any systematic biases in the data. The chances are about 95 in 100 that an estimate from the sample differs from the value that would be obtained from a complete census by less than twice the SE. However, SE's typically underestimate the true errors of the statistics because they reflect only errors due to sampling.
The SE's used in this report were approximated using SUDAAN software. SUDAAN computes SE's by using a firstorder Taylor approximation of the deviation of estimates from their expected values. A description of the software and the approach it uses has been published. Although exact SE estimates were used in tests of significance in this report, SE's for aggregate estimates presented may be estimated using the general formula:
where X is the estimate and RSE(X) is the relative standard error of the estimate. The relative standard error (RSE(X)) may be estimated using the following general formula:
where X is the estimate and A and B are the appropriate coefficients from table I.
To approximate the relative standard error (RSE(p)) and the standard error (SE(p)) of a percent p, the appropriate value of parameter B from table I is used in the following equation:
where p = 100 · X/Y, X = the numerator of the estimated percent, and Y = the denominator of the estimated percent and
The standard error of a percent is valid only when one of the following conditions is satisfied: the relative standard error of the denominator is 5 percent or less or the relative standard errors of the numerator and the denominator are both 10 percent or less.
Contact Us:

Longterm Care Statistics Branch
Division of Health Care Statistics
National Center for Health Statistics
3311 Toledo Road
Hyattsville, MD 207822064  (301) 4584747
 Contact CDC–INFO