Main focus summary of slide presentation for CDC Healthy Communities Action Institute, Apr 27-30, Houston, TX 2010
These are the main legislative bills that have recently been passed that foster collaborative state agency activities to promote the inclusion of a public health voice/context for a wide range of policies and investment strategies and priorities promoted by the Governor, the Legislature, and appropriate state agencies that encourage the development of sustainable communities, such as those communities that promote equity, strengthen the economy, protect the environment, and promote public health and safety.
CDPH develops a Healthy Community Framework to begin explaining the role of health in community planning/sustainable planning. We need this definition in order to clarify bill language that states activities should promote public health and create sustainable communities.
Language from SB 732 that demonstrates the natural portions of the bill from which the public health context can make active contributions.
Language from recent Governor’s executive order formalizing CDPH’s role in providing a strategic plan for incorporating considerations of community health in future policy making activities.
Our long-term goal is to strengthen state and local capacity to reduce chronic disease and eliminate health disparities by addressing social and environmental determinants of health, as measured by achievement of Healthy People 2020 goals for at least three of five chronic diseases (arthritis, cardiovascular disease, diabetes, asthma, and cancer).
Current Goals/Activities from our funding proposal for the Healthy Communities portion of the full collaborative grant for Chronic Disease from CDC that attempts to: Promote physical activity and nutrition. Reduce tobacco use and exposure. Foster improved and increased access to quality care. Help eliminate racial, ethnic, and socio-economic health disparities. Reduce complications from and incidence of chronic diseases. Build capacity for communities to perform this work.
Reminder to audience the order of legislation that led to SGC and priorities of SGC that focus on Data delivery
Transition to describing methods for data delivery from CDPH
Reminder to create a User interface balanced with current technologies that can make the creation/distribution simpler and more efficient
After all, it has been stated by US Senator, that the internet isn’t so complicated. Well, the infrastructure/architecture of the internet may not be that simplistic, but there are unique opportunities and technologies that we can leverage with a little training and knowledge of standards
The internet is here to help you, provide for you, right? Again, what we are trying to say here is that although there are significant complexities to web technologies and the way the web is organized (…by the businesses and programmers who are majority contributors), there are unique opportunities that we can leverage without needing to be rocket scientists.
We have a desire and a mandate to put more information into the hands of those who need it, for developing and implementing policy, systems, and environmental changes within communities. Begin to work with the way the web is structured to make this task a little more efficient.
What I am stressing here is that while intentions are definitely on the right track, sometimes they seem to still may miss some of the easy interfaces/services-based possibilities that exist
Not denying that this site is being populated by a wealth of data across a multitude of Federal agencies, from which state and locals have immediate access. This is new and critical for portraying the government as transparent and provides a great space from which to begin one’s search for relevant public health and other relevant data-sets. However… When doing a Search on Raw data catalog, most things shown are in the form of downloads, as .CSV files. There are a few simple additions that can be made to broaden the reach and usage of these types of datasets, which become more evident when reading such comments as below…. comment: Right now Data.gov is a pretty looking file-server. Some of the datasets in Data.gov are dynamic, and these datasets should also be available as a service, since it would be nice to have a reliable source of updated information. RESTful access to dynamic data would be fantastic, and GData and Microsoft's new OData may be nice models. What is this comment referring to? The Open Data Protocol (OData) is a Web protocol for querying and updating data that provides a way to unlock your data and free it from silos that exist in applications today. OData does this by applying and building upon Web technologies such as HTTP , Atom Publishing Protocol (AtomPub) and JSON to provide access to information from a variety of applications, services, and stores. OData is consistent with the way the Web works - it makes a deep commitment to URIs for resource identification and commits to an HTTP-based, uniform interface for interacting with those resources (just like the Web). This commitment to core Web principles allows OData to enable a new level of data integration and interoperability across a broad range of clients, servers, services, and tools. The key here is remembering to facilitate the idea of integration and interoperability , in much the same way we are highlighting opportunities for chronic disease programs to work together What is the Google Data Protocol? The Google Data Protocol is a REST-inspired technology for reading, writing, and modifying information on the web. Many services at Google provide external access to data and functionality through APIs that utilize the Google Data Protocol. The protocol currently supports two primary modes of access: AtomPub : Information is sent as a collection of Atom items, using the standard Atom syndication format to represent data and HTTP to handle communication. The Google Data Protocol extends AtomPub for processing queries, authentication, and batch requests. JSON : Information is sent as JSON objects that mirror the Atom representation.
State of California Same as feds right now Again, the point to be made is similar to the previous slide, not to diminish the existing work/efforts to date. This is stressed because this can be done in tandem with what already is being constructed, if people remember to do so
Geospatial Portal: Lots of data, and definitely mechanisms for wider usage of services that can fully take advantage of the concept of integration and interoperability, due to the internet and GIS technologies. But we need to stress the publication of such services for ease of use, and it may require minimal training or reminding of importance (as example given in slide).
Integration/Interoperability are key concepts Integration referred to similarly to this example: Digital integration is the idea that data or information on any given electronic device can be read or manipulated by another device using a standard format. Interoperability (from Wikipedia, broad def): Interoperability is the capability of a product or system -- whose interfaces are fully disclosed -- to interact and function with other products or systems, without any access or implementation restrictions. Example: eGovernment applications need to exchange data in a semantically interoperable manner. This saves time and money and reduces sources of errors. Fields of practical use are found in every policy area, be it justice, trade or participation etc. Clear concepts of interpretation patterns are required.
Example of recognized format, which can get difficult to read
There are many entities/groups on the web that recognize the importance of integration and interoperability, and the forms that come out of this activity, as one example, are sites like the “Programmable Web” and varieties of Application Programming Interfaces (API’s) which explain to other users/developers how to user their systems/data. In the field of public health, we can/need to begin to think like this as a framework for accomplishing the tasks of “getting the data into the hands of the users”
GIS provides one useful method for applying the aforementioned concepts/principles for data delivery. Think GEO (GIS, location-based information) and WEB (the framework for integration/interoperability)
First, for those who may not know what a GIS is, a simple definition… We also need to begin framing our public health operations within the context of business processes/stakeholder need, realizing that we have an overall Enterprise structure of data within our health department organization
This slide simply demonstrates that things need to be linked dynamically on the internet to begin to accomplish the task of integration/interoperability. The term Links are simply defined here, but thinking of “linkages” more broadly and on several levels, such as in terms of a frequent public health business process that can be difficult, geo-enabled data can provide new avenues for linking data and also reminds us to keep focused towards opportunities to
A reminder to try to think outside the box and consider new ideas, remembering the importance, however of a federated model and service-oriented model.
Data can feed in via numerous routes, be combined, and roll out in a variety of formats, this is just an example of 1 scenario.
But XML is a standardized format and structure, remember we need to utilize standards for interoperability.
If data is available in a structured, standardized way, we can use it in our own applications
One more example
What do we do if people still want to get access to raw data, or an aggregated data-set
Just provide visible places where someone can find this live data model
Example of a website (Geocommons) that provides for all types of scenarios of data loading, but here we are showing the benefit of the linking of data via a service model
Data coming from live links within CDPH Sharepoint environment…
Example of allowing user access to full range of data via a GIS desktop environment….instead of requiring downloading of data
Remember to follow standardized protocols
Example of geo-enabling RSS feeds (called GeoRSS) which can provide many opportunities for communication strategies as well as data provision.
Cdc action inst_houston_2010_April28
Promoting a Data Delivery Framework for Healthy Communities in California Featuring: Collaboration and GIS Technology Matthew Stone, MPH GIS/Informatics Specialist Information Technology Support Services Center for Chronic Disease and Health Promotion http://www.gis.cdph.ca.gov/cnn
<ul><li>Describe California State Legislation that serves as background context for the current direction of Healthy Communities activities in California Department of Public Health (CDPH). </li></ul><ul><li>Discuss current collaborative activities within CDPH and chronic disease programs, specifically focusing on our task of building web interfaces integrating existing data from a developing repository of chronic disease and indicator data. </li></ul><ul><li>Give examples of strategies we will be implementing for distribution of tabular and spatial data from this centralized indicator repository. </li></ul>Main Objectives
2006 Proposition 84: The Safe Drinking Water, Water Quality and Supply, Flood Control, River and Coastal Protection Bond Act of 2006 authorizes $5.388 billion AB 32: California Global Warming Solutions Act 2008 SB 375: Focus on transportation planning: travel demand models: sustainable communities strategy: environmental review SB 732: Establishes Strategic Growth Council to take certain actions with regard to coordinating programs of member state agencies to improve air and water quality, improve natural resource protection, increase the availability of affordable housing, improve transportation, meet the goals of the California Global Warming Solutions Act of 2006, encourage sustainable land use planning, and revitalize urban and community centers in a sustainable manner. California Legislation Influences Healthy Communities
<ul><li>A Healthy Community provides for the following through all stages of life : </li></ul><ul><li>Meets basic needs of all </li></ul><ul><ul><li>Safe, sustainable, accessible and affordable transportation options </li></ul></ul><ul><ul><li>Affordable, accessible and nutritious healthy foods </li></ul></ul><ul><ul><li>Affordable, high quality, socially integrated and location-efficient housing </li></ul></ul><ul><ul><li>Affordable, accessible and high quality health care </li></ul></ul><ul><ul><li>Complete and livable communities including affordable and high quality schools, parks and recreational facilities, child care, libraries, financial services and other daily needs </li></ul></ul><ul><ul><li>Access to affordable and safe opportunities for physical activity </li></ul></ul><ul><li>Quality and sustainability of environment </li></ul><ul><ul><li>Clean air, soil and water, and environments free of excessive noise </li></ul></ul><ul><ul><li>Tobacco and smoke free </li></ul></ul><ul><ul><li>Green and open spaces, including agricultural lands </li></ul></ul><ul><ul><li>Minimized waste, toxics, and green house gas emissions </li></ul></ul><ul><ul><li>Affordable and sustainable energy use </li></ul></ul><ul><li>Adequate levels of economic, social development </li></ul><ul><ul><li>Living wage, safe and healthy job opportunities for all </li></ul></ul><ul><ul><li>Support for healthy development of children and adolescents </li></ul></ul><ul><ul><li>Opportunities for high quality and accessible education </li></ul></ul><ul><li>Health and Social Equity </li></ul><ul><li>Social relationships that are supportive and respectful </li></ul><ul><ul><li>Robust social and civic engagement </li></ul></ul><ul><ul><li>Socially cohesive and supportive relationships, families, homes and neighborhoods </li></ul></ul><ul><ul><li>Safe communities, free of crime and violence </li></ul></ul>What is a Healthy Community? CDPH Definition
Strategic Growth Council Promotes Healthy Communities From SB 732 … to take certain actions with regard to coordinating programs of member state agencies to improve air and water quality, improve natural resource protection, increase the availability of affordable housing, improve transportation, meet the goals of the California Global Warming Solutions Act of 2006, encourage sustainable land use planning, and revitalize urban and community centers in a sustainable manner
Governor’s Executive Order S-04-10, Feb. 23,2010 The Strategic Growth Council (SGC) shall establish a Health in All Policies (HiAP) Task Force to identify priority programs, policies, and strategies to improve the health of Californians while advancing the SGC’s goals Health in All Policies (HiAP) is a strategy to explicitly expand the consideration of health outcomes in the policy decision-making processes of these non-health agencies. The development of multi-agency strategies to improve health outcomes is especially relevant to address obesity and chronic illness , given the complexity of policy-making related to transportation, the built environment, and food systems.
CDIWG Mission : Create a new organizational culture where collaboration and integration are defined as a normative priority process with the expectation to ultimately improve health outcomes and health equity by increasing state capacity for chronic disease and injury prevention and control. Current CDPH Activities Chronic Disease Integration Work Group (CDIWG) <ul><li>Special Topic Subgroups </li></ul><ul><li>Surveillance and Data </li></ul><ul><li>Built Environment </li></ul><ul><li>Healthcare / Providers </li></ul><ul><li>Employer / Employee </li></ul><ul><li>Messaging </li></ul><ul><li>Quarterly Meeting Format </li></ul><ul><li>Special Topic Updates </li></ul><ul><li>Web & Technology Updates </li></ul><ul><li>Guest Presentations </li></ul>
California Participation in CDC’s Healthy Communities Program <ul><li>Progress to date </li></ul><ul><li>Convene internal work group to develop recommendation on 10-20 chronic disease indicators that all communities should measure </li></ul><ul><li>Obtain consensus on chronic disease indicators </li></ul><ul><li>Develop repository of chronic disease and indicator data; build web interfaces integrate existing data and enable remote access by local health departments. </li></ul><ul><li>Train local health departments on spatial attributes to more effectively implement programs in specific neighborhoods based on identifiable social, economic, and health indicators. </li></ul>
It’s about DATA too: Bill Language… “ Provide, fund, and distribute data and information to local governments and regional agencies that will assist in developing and planning sustainable communities.” Data Work Group of SGC works on determining relevant data elements/sources Parallel creation of State Data Portal http://www.data.ca.gov Objective 3 for Strategic Growth Council
We need to use data and information to help communities go from this
…. Should be EASY, RIGHT???? since….. is just …
The internet doesn’t need to be Mysterious — Leave that to the programmers
Empower users to act with/re-use data; not only view and download Get Data into hands of Decision Makers
One idea is to just create a portal…We all do it, they’re everywhere
Federal Data.gov portal Doing a search on the Raw data catalog, most things are .CSV files
Most items are redirecting to static files, some can be linked via the URL State of California Data.gov portal
Feds Geospatial One Stop: Only 5 featured live Geodata sites within the Health category Federal GeoSpatial portal
"The major difference between open and public data is [that with open data] you have the ability to re-use it. Data in document format is effectively useless. By making [data] open...people can analyze, compare, and benchmark it, and find patterns that you did not realize." Doug Hadden, Vice President/Products, FreeBalance Right now Data.gov is a pretty looking file-server. Some of the datasets are dynamic, and these datasets should also be available as a service, since it would be nice to have a reliable source of updated information. RESTful access to dynamic data would be fantastic, and GData and Microsoft's new OData may be nice UC Berkeley professor of Information Science Actual Quotes by people in the field of data systems:
Integration Try to focus on two concepts: Interoperability + = Getting Data into hands of Decision Makers
<ul><li>2180 Mapping Mash-ups </li></ul><ul><li>108 Mapping API’s </li></ul>So do others…
How can we apply Geographic Information Systems to the way we prevent chronic disease in a state, county, community, or neighborhood?
What is GIS (Geographic Information Systems)? <ul><ul><ul><li>Formal Definition: </li></ul></ul></ul><ul><ul><ul><li>Organized collection of computer hardware, software, personnel, geographic data, used to systematically capture, store, display, analyze and retrieve all forms of geo-referenced information…. </li></ul></ul></ul><ul><ul><ul><li>In Business Terms: </li></ul></ul></ul><ul><ul><ul><li>A useful system in which to organize geographic knowledge into useful business logic and successful collaboration and sharing of data…. </li></ul></ul></ul><ul><ul><ul><li>In State Health Department Terms: </li></ul></ul></ul><ul><ul><ul><li>Enterprise data (like much of what we have within state health departments) can benefit from being dynamically geo-enabled by promoting….. </li></ul></ul></ul>
Of course, links alone don’t address all the needs of the evolving Web/Internet , but they start to provide for the integration of geospatial data with the rest of the web. linkages
Using GIS to spatially display data, maps can be produced that: <ul><li>And assist in answering questions like: </li></ul><ul><li>How can the Center for Chronic Disease provide a gateway for Local Health Departments for accessing important social determinants of health relative to chronic disease? </li></ul><ul><li>How could a Diabetes Program allocate training funds appropriately to reach the majority of its target population? </li></ul><ul><li>How can Chronic Disease programs begin using GIS for modeling disease rates and demonstrating health effects of land use policies? </li></ul><ul><li>Inform health program delivery </li></ul><ul><li>Communicate a message </li></ul><ul><li>Support policy, environmental, and systems change </li></ul>
Adaptation--Use technology for what it can provide
There are several examples that we could leverage….
Put the simple pieces together first <ul><li>Organize the data in a useable, consumable fashion </li></ul><ul><li>Spread the word about the possibilities of more open data sharing </li></ul><ul><li>Follow accepted standards/formats that lend to usability </li></ul><ul><ul><li>GeoRSS, Atom/RSS, etc. </li></ul></ul>
RSS feeds become quite powerful with a location component (GeoRSS)
Other Ideas? Endless Possibilities…. Where do you wish to establish your Data/Web Presence <ul><li>Network for a Healthy California http://gis.cdph.ca.gov/cnn specifically utilizes GIS for community-based project requirements </li></ul><ul><li>California Arthritis Partnership Program (CAPP) uses GIS to view their program assets in relationship to their targeted population for appropriate program reach </li></ul><ul><li>Your own program events as an RSS feed on a map (GeoRSS) </li></ul><ul><li>THIS IS JUST A START…. </li></ul>
We all know, it’s about the Community…. <ul><li>At the policy level, maps can communicate a message </li></ul><ul><li>Where are our funded programs in a community and where AREN”T they </li></ul><ul><li>What could you do with a combination of local data and statewide data (Example: a statewide Retail Food Environment-type index over-laid by local program data)? </li></ul><ul><li>Use your imagination…. </li></ul>
Questions? Matthew Stone, MPH [email_address] 916-552-9918