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
Describe California State Legislation that serves as background context for the current direction of Healthy Communities activities in California Department of Public Health (CDPH).
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.
Give examples of strategies we will be implementing for distribution of tabular and spatial data from this centralized indicator repository.
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
A Healthy Community provides for the following through all stages of life :
Meets basic needs of all
Safe, sustainable, accessible and affordable transportation options
Affordable, accessible and nutritious healthy foods
Affordable, high quality, socially integrated and location-efficient housing
Affordable, accessible and high quality health care
Complete and livable communities including affordable and high quality schools, parks and recreational facilities, child care, libraries, financial services and other daily needs
Access to affordable and safe opportunities for physical activity
Quality and sustainability of environment
Clean air, soil and water, and environments free of excessive noise
Tobacco and smoke free
Green and open spaces, including agricultural lands
Minimized waste, toxics, and green house gas emissions
Affordable and sustainable energy use
Adequate levels of economic, social development
Living wage, safe and healthy job opportunities for all
Support for healthy development of children and adolescents
Opportunities for high quality and accessible education
Health and Social Equity
Social relationships that are supportive and respectful
Robust social and civic engagement
Socially cohesive and supportive relationships, families, homes and neighborhoods
Safe communities, free of crime and violence
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)
Special Topic Subgroups
Surveillance and Data
Healthcare / Providers
Employer / Employee
Quarterly Meeting Format
Special Topic Updates
Web & Technology Updates
California Participation in CDC’s Healthy Communities Program
Progress to date
Convene internal work group to develop recommendation on 10-20 chronic disease indicators that all communities should measure
Obtain consensus on chronic disease indicators
Develop repository of chronic disease and indicator data; build web interfaces integrate existing data and enable remote access by local health departments.
Train local health departments on spatial attributes to more effectively implement programs in specific neighborhoods based on identifiable social, economic, and health indicators.
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
Balance of Technology and Knowing your Users
…. 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
We know this…
2180 Mapping Mash-ups
108 Mapping API’s
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)?
Organized collection of computer hardware, software, personnel, geographic data, used to systematically capture, store, display, analyze and retrieve all forms of geo-referenced information….
In Business Terms:
A useful system in which to organize geographic knowledge into useful business logic and successful collaboration and sharing of data….
In State Health Department Terms:
Enterprise data (like much of what we have within state health departments) can benefit from being dynamically geo-enabled by promoting…..
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:
And assist in answering questions like:
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?
How could a Diabetes Program allocate training funds appropriately to reach the majority of its target population?
How can Chronic Disease programs begin using GIS for modeling disease rates and demonstrating health effects of land use policies?
Inform health program delivery
Communicate a message
Support policy, environmental, and systems change
Adaptation--Use technology for what it can provide
There are several examples that we could leverage….
OK….now I’m getting excited…..
It’s pretty simple to mix things up
Data in this application is exposed as raw .xml…
To make this …but to also allow for….
Again, it’s pretty simple to mix things up
or…something like this pretty easily
… and this
… if we use common practices and organization Yeah, so, where’s the data?
… but make it available for indexing services and search engines
Wouldn’t it be easier to just link to your output?
Live data from CDPH
Live data from CDPH
Some people might not want to be forced into your application BOX
So, give them options Desktop GIS Client
Put the simple pieces together first
Organize the data in a useable, consumable fashion
Spread the word about the possibilities of more open data sharing
Follow accepted standards/formats that lend to usability
GeoRSS, Atom/RSS, etc.
RSS feeds become quite powerful with a location component (GeoRSS)
Other Ideas? Endless Possibilities…. Where do you wish to establish your Data/Web Presence
Network for a Healthy California http://gis.cdph.ca.gov/cnn specifically utilizes GIS for community-based project requirements
California Arthritis Partnership Program (CAPP) uses GIS to view their program assets in relationship to their targeted population for appropriate program reach
Your own program events as an RSS feed on a map (GeoRSS)
THIS IS JUST A START….
We all know, it’s about the Community….
At the policy level, maps can communicate a message
Where are our funded programs in a community and where AREN”T they
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)?
Use your imagination….
Questions? Matthew Stone, MPH [email_address] 916-552-9918