Health informatics seminars_nclg
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Health informatics seminars_nclg
- 2. Robert Furberg 16 Feb 2013
- 3. social + technical + data
- 4. community + connectivity + content
- 6. technology + mobile tools + information + community + user-generated content + collaboration + social interaction
- 7. Now validated by research: patient wisdom and social media reduce the cost of healthcare !! Judith Hibbard, J. Greene & V. Overton (Feb 2013) Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients‟ „Scores‟ Health Aff 32 (2) 716-777 doi: 10.1377/hlthaff.2012.1064
- 10. Patient versus the ePatient Passive - Active Information is - Information seeking imparted Top-down delivery - Partner in their care of care Paternalistic medicine - Participatory medicine
- 11. *** BIG HEALTH DATA ***
- 12. Dr. John Graham Director Southern Piedmont BEACON Community Health
- 13. Partners CCNC, NC Institute for Public Health, Southern Piedmont Beacon Community, Health Landscapes LLC, Robert Graham Center www.communitycarenc.orgnc-hip
- 14. NC-HIP Indicators (by category) * Community Health Assessment * Access to Health Services * Chronic Disease * Clinical Care * Health Outcomes * Infectious Diseases * Injury and Violence * Maternal, Infant and Child Health * Nutrition, Physical Activity and Obesity * Oral Health * Physical Environment * Reproductive and Sexual Health * Social Determinants * Substance Abuse * Tobacco * Community Characteristics * Economics * Education * Infants and Children * Population * Medicare/Medicaid Population Profile * Cancer * Demographics * Heart Disease * Multi-morbidity * Other Chronic Conditions * Health System Performance: Medicare * Hospital and ED Rates * Prevention Quality Indicators * Spending * Health System Performance: Medicaid * Medicaid Cost and Utilization Statistics by Client County * CCNC Key Performance Indicators by Provider County (protected sites) * CCNC Quality Improvement * Asthma * Diabetes * Cancer Screening * Cardiovascular * Dental Care * Heart Failure * Pediatric Preventive Services
- 15. Geographic Variation in ED Utilization #ED Visits per Medicaid Recipient, by Client County
- 16. Prevalence of Diagnosed Depression among Medicaid Recipients
- 17. Prevalence of multi-morbidity (3 or more chronic conditions) correlated with Average Medicaid costs per recipient
- 18. Obesity prevalence correlated with preponderance of fast food restaurants
- 20. Next Phase “Community of Practice” forming for application testing and feedback, sharing of use cases and best practices Technical architecture re-design to allow for automated data updates Smaller area data visualization for Medicaid data where appropriate Population filters (age, race/ethnicity, gender, program category) Role-based user permissions for access to certain data ? Customized NCHQA deployment, to be defined
Editor's Notes
- Patient activation is a term that describes the skills and confidence that equippatients to become actively engaged in their health care.33,163 patients Minnesota“patients with the lowest activation levels hadpredicted average costs that were 8 percent higher in the base year and21 percent higher in the first half of the next year than the costs of patients withthe highest activation levels, both significant differences. What’s more, patientactivation was a significant predictor of cost even after adjustment for acommonly used “risk score” specifically designed to predict future costs”
- patient like me .com
- Sermo.com“Discuss clinical cases, policy and management”“Largest online community, exclusive to physicians”“Curbside with colleagues. From a patient’s bedside”
- NC HEALTH INFORMATION PORTALEnable to local health departments to introduce targeted preventive healthcare interventionsIlluminate the inter-relatedness of social determinants of health (e.g. education, income), health behaviors, access to care, and healthcare quality, costs, and outcomesItem #1 Hospitals haveto do community health surveys every 4 years – can be done with this tool very easily and continuously#2 most data warehouses only store county level ata (!!) this tool allows data to be disaggregated#3 also ability to evaluate primary impact – Know patients’ geographyOver time huge longitudinal value
- www.communitycarenc.org\\nc-hip
- Tabs:Basemaps and Optional Layers, Data:classification (county, census tract, zip code, etc.) of the indicators in selected primary indicator subgroup;Description of SourceProvider;Charts; Sort by, Search; Zoom; copy/print
- Currently in 2nd phase, this slide is the 3rd phase hopefully ready by Fall 13Want one stop shop for analysis over time plus make operation and management of system much more effective. Can be shared with other practitionersat little cost to anyone