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Making Open Health Data Work For You – A “Starter Kit”
  For Entrepreneurs, Researchers and Policymakers

              Version: January 5, 2012
The purpose of this Health Data Initiative (HDI)
“Starter Kit”



1. Serve as a starting point to help you understand key HHS data
   resources which are available

2. Help you understand to whom this data may be useful

3. Help you utilize HHS data as fuel that can power innovative products,
   services, features, and insights you create




                                                                       2
Unleashing the power of data
These datasets and tools have been gathered from agencies across the Department of
Health and Human Services (and other sources) with the goal of improving health for all
Americans. The data sets are increasingly available in a variety of machine-readable
formats and via Application Programming Interfaces (APIs), making it easier than ever to
consume data.

Just how much information is out there? Consider just a few examples:
                   MedlinePlus Connect has information for over 900 diseases, illnesses, health
                   conditions and wellness issues. This service allows health organizations and
                   health IT providers to link patient portals and electronic health record (EHR) systems
                   to MedlinePlus, an authoritative up-to-date health information resource for patients,
                   families, and health care providers.


                   ClinicalTrials.gov, a registry of federally and privately supported clinical trials,
                   currently has 115,266 trials with locations in 177 countries.


                   The Department of Agriculture’s Myfoodapedia provides information on the total
                   calories and saturated fat content of over 1,000 commonly eaten foods.


                    Data.Medicare.Gov COMPARE APIs provide detailed quality performance data for
                    thousands of individual hospitals, nursing homes, home health agencies, and
                    dialysis providers across the country.
How to make data actionable
Open HHS data can help power applications, products, services, and features that help
consumers take control of their health and health care, doctors and nurses provide better
care, and community leaders make better-informed decisions.

Here are some of the many examples of how open data has already been leveraged to do
so:




                                  Aetna has integrated HHS data
The Healthline search engine      on everything from care             iTriage, a rapidly growing
has ingested massive amounts      provider quality to the             mobile and web platform that
of data from HHS agencies         availability of eldercare support   allows patients to make better
(e.g., CDC, NIH, CMS, AHRQ,       services to the latest medical      informed health decisions, has
FDA, etc.) and other sources to   education information for           used HHS health facility locator
help make internet search on      patients into an “IT cockpit” for   databases to help consumers
health topics and issues          nurse case managers in its call     find nearby care providers that
substantially more reliable,      centers to help these nurses        are right for them.
accurate, and helpful.            provide information-rich support
                                  for patients.

                                                                                                         4
Where to find the data: Health.Data.gov, the one-stop
place to get all of our free, publicly available data




                                           5
                                                        5
Examples of health data resources that are available
Listed below are just some of the key health data sets available that could be utilized in
applications/services that help care providers, consumers and communities. See pages following for brief
summaries of each data set. And check out Health.Data.gov for a much more comprehensive listing of
available data resources.

                                                                                 If you are building an app/service for…
Type of Data Set                                                              Providers       Consumers         Community
Provider Quality COMPARE APIs at data.medicare.gov                                                                 

Hospital / Nursing Home / Home Health / Dialysis Compare                                                           

FQHC (Federally Qualified Health Center) Directory                                                                 

National Plan and Provider Enumeration System (NPPES) Downloadable File                                            

National Library of Medicine API Portal                                          
MedlinePlus Connect                                                                               
Clinicaltrials.gov API                                                                            
NIH’s Visible Human Project                                                                       
NLM’s TOXMAP: Online Toxicology Maps                                                                               
VitalStats                                                                                        
Cancer Incidence – Surveillance, Epidemiology, and End Results (SEER)                                               
Registries
FDA Recalls (drug, food and product)                                                              
HealthCare.gov Insurance Plan Directory                                                                            
Mental Health Services Directory/Substance Abuse Treatment Center Directory                                        


                                                                                                                           6
Examples of health data resources that are available


                                                                                      If you are building an app/service for…
                                    Data Set                                       Providers       Consumers         Community
Household Products Database                                                                             
USDA’s MyFood-a-Pedia                                                                                   
“Blue Button” data (the ability for veterans, Medicare beneficiaries and active
                                                                                                       
duty military to download their own personal health information)
Dietary Supplements Labels Database: brands, ingredients and references                                
Hospital, Skilled Nursing Facility, Home Health Agency, Renal Dialysis Facility,
                                                                                                                         
Hospice Cost Report Data
National Health Expenditures                                                                                              
Medicare Claims “Basic Standalone Files”                                                                                 
Health Indicators Warehouse                                                                                              
QuitNowTxt SMS Library                                                                                                   
Medical Expenditure Panel Survey (MEPS)                                               
Wide-ranging Online Data for Epidemiologic Research (WONDER)                                                             
Web-based Injury Statistics Query and Reporting System (WISQARS)                                                         
Your Food Environment Atlas                                                                                             
Behavioral Risk Factor Surveillance System (BRFSS)                                                                      
Assisted Reproductive Technology (ART) Surveillance                                                                      



                                                                                                                                7
Examples of health data resources that are available
  * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov


          Provider Quality Compare APIs                                      FQHC Directory
  • New user interface/analytical tool/APIs for health      • Downloadable directory of all federally qualified
    care provider quality Compare data at                     health centers (FQHCs) across the U.S., which
    data.medicare.gov                                         provide comprehensive primary and preventive
  • Quality and patient satisfaction data available via       care to persons of all ages, regardless of ability
    APIs for thousands of nursing homes, hospitals,           to pay
    home health agencies, and dialysis centers                 National Plan and Provider Enumeration
                                                                 System (NPPES) Downloadable File
Hospital Compare / Nursing Home Compare / Home              • Contains FOIA-disclosable health care provider
   Health Compare / Dialysis Facility Compare                 data for providers who have been assigned
  • Downloadable databases of quality and patient             National Provider Identifiers (NPIs) – e.g., name,
    satisfaction measures for thousands of hospitals          business address, phone number, NPI number,
    and nursing homes                                         provider license number
                                                                           Medline Plus Connect
       National Library of Medicine API Portal
                                                            • This new service provides patient portals and
  • One-stop access to a growing array of NLM                 electronic health record (EHR) systems with
    Application Programming Interfaces (APIs) that            customized patient education information in
    enable you to access an array of remarkably               electronic form that maps to the diagnoses,
    powerful medical and scientific information               medications, and lab tests about which you are
    resources                                                 asking. Info is drawn from the National Library
                                                              of Medicine’s MedlinePlus, an authoritative, up-
                                                                                                             8
                                                              to-date health information resource for patients,
                                                              families, and health care providers
Examples of health data resources that are available
* Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov



            ClinicalTrials.gov API API                           TOXMAP: Online Toxicology Maps
• API to the ClinicalTrials.gov registry, which           • Geographic Information System (GIS) that uses
  provides patients, family members, health care            maps of the United States to help users visually
  professionals, and members of the public easy             explore data from the EPA's Toxics Release
  access to information on clinical trials for a wide       Inventory (TRI) and Superfund Programs.
  range of diseases and conditions                          TOXMAP helps users create nationwide,
                                                            regional, or local area maps showing where TRI
                                                            chemicals are released on-site into the air,
             Visible Human Project                          water, and ground
• Presents complete, anatomically detailed, three-
  dimensional representations of the male and
                                                                 Cancer Incidence - Surveillance,
  female human body
                                                              Epidemiology, and End Results (SEER)
                                                                           Registries
                     VitalStats
                                                          • Collects and distributes cancer data from a
• Interactive online tool for creating and                  number of population-based cancer registries
  manipulating tables based on birth and perinatal          (i.e. patient demographics, primary tumor site,
  (fetal and infant death) data files. Tabulated data       first course of treatment, and follow-up for vital
  can be graphed or mapped within VitalStats or             status)
  exported to Excel for further analysis.


                                                                                                                 9
Examples of health data resources that are available
* Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov



                    FDA Recalls                                      Household Products Database
• This feed describes all new items being recalled          • This database links over 4,000 consumer brands
  by FDA                                                      to health effects from Material Safety Data
• Complementary resource: a downloadable XML                  Sheets (MSDS) provided by the manufacturers
  file which contains all company-issued recalls for          and allows scientists and consumers to research
  drugs, food, products from 2009 to the present              products based on chemical ingredients.
  (http://www.data.gov/communities/node/81/data_
  tools/345)
                                                             Mental Health Services Directory / Substance
                                                                     Abuse Treatment Directory
   HealthCare.gov Insurance Plan Inventory
                                                            • Downloadable directories of mental health and
• These downloadable files contain the inventory              substance abuse treatment centers across the
  of private insurance carriers, products, and plans          U.S.
  currently listed in HealthCare.gov – information
  collected from 1000 issuers of individual and
  small group insurance across all 50 states and
  the District of Columbia.




                                                                                                       10
Examples of health data resources that are available
* Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov



                   MyFood-a-Pedia                               Dietary Supplements Labels Database:
• MyFood-a-Pedia provides information on the                     brands, ingredients, and references
  total calories; calories from solid fats, added           • Designed to help both the general public and
  sugars, and alcohol (extras); MyPyramid food                health care providers find information about
  group and subgroup amounts; and saturated fat               ingredients in brand-name products, including
  content of over 1,000 commonly eaten foods                  name, form, active and inactive ingredients,
  with corresponding commonly used portion                    amount of active ingredient/unit,
  amounts.                                                    manufacturer/distributor information, suggested
                                                              dose, label claims, warnings, percentage of daily
                “Blue Button” Data                            value, and further label information.

• The Blue Button download capability enables
  veterans, Medicare beneficiaries, and members                 Hospital, Skilled Nursing Facility, Home
  of the military to download electronic copies of              Health Agency, Renal Dialysis Facility,
  their personal health information (via secure web             Hospice Cost Report Data
  portals)                                                  • Collections of cost report data from annual
• Learn more about Blue Button and examine                    reports filed with CMS by hospitals, skilled
  sample file formats at www.bluebuttondata.org               nursing facilities, home health agencies, renal
                                                              dialysis facilities, and hospices


                                                                                                          11
Examples of health data resources that are available
 * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov


   Medicare Claims “Basic Standalone Files”                        National Health Expenditures - State
• Claim-level public use files (“slimmed” for privacy           (Provider), State (Residence), Age/Gender,
  protection) made available for free public                     Sponsors (Businesses, Households, and
  download for all major types of care: inpatient,                       Governments), Historical
  prescription drug, home health, skilled nursing,           • The National Health Expenditure Accounts
  outpatient procedures, physician, hospice,                   (NHEA) are the official estimates of total health
  durable medical equipment                                    care spending in the United States
• Helps users understand patterns of utilization of
  services and cost in the Medicare population                          Health Indicators Warehouse
                                                             • Provides data on over 1,100 metrics of
                                                               community health, health care system, and
                   QuitNowTXT                                  determinants-of-health performance (at whatever
                                                               level of granularity this data is available –
• A new health text message library developed by
                                                               national, state, hospital referral region, county)
  the National Cancer Institute (NCI) that contains
  interactive and evidence-based smoking                     • Available both via downloadable files and via
  cessation text messages targeted to adult                    web service APIs
  smokers                                                       Assisted Reproductive Technology (ART)
• Text messages offer tips, motivation,                                          Surveillance
  encouragement and information tailored to the             • The data collected include patient's diagnosis,
  user’s responses                                            type of ART, clinical information pertaining to the
• Also available at http://smokefree.gov/hp.aspx              ART procedure, and information on pregnancy
                                                              outcomes.
                                                                                                             12
Examples of health data resources that are available
* Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov


    Medicare Expenditure Panel Survey (MEPS)                    Web-based Injury Statistics Query and
 • The Medical Expenditure Panel Survey (MEPS)                      Reporting System (WISQARS)
   is a set of large-scale surveys of families and         • WISQARS is an interactive query system that
   individuals, their medical providers, and                 provides data on injury deaths, violent deaths,
   employers across the United States. MEPS is               and nonfatal injuries treated in U.S. emergency
   the most complete source of data on the cost              departments
   and use of health care and health insurance
                                                             Behavioral Risk Factor Surveillance System
   coverage.
                                                                               (BRFSS)
 Wide-ranging Online Data for Epidemiologic
           Research (WONDER)                               • The Behavioral Risk Factor Surveillance System
                                                             (BRFSS) is the world’s largest, on-going
• Massive array of public health databases re:
                                                             telephone health survey system, tracking health
  births, deaths, disease incidence, health event
                                                             conditions and risk behaviors in the United
  case reports, demographics, community health
                                                             States yearly since 1984. Currently, data are
            Your Food Environment Atlas                      collected monthly in all 50 states, the District of
• Contains detailed community-level statistics on            Columbia, Puerto Rico, the U.S. Virgin Islands,
  food environment indicators (e.g., access and              and Guam.
  proximity to grocery stores, food prices, etc.) –
  providing a spatial overview of a community’s
  ability to access healthy food and its success in
  doing so

                                                                                                           13
We’d love to hear from you!

We’d love to hear your feedback and questions about this Health Data Initiative starter kit and about
Health.Data.gov in general. Please contact us with questions, suggestions, or comments at
Healthdata@hhs.gov. Thank you!




                                                                                                        14

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Health Data Initiative Starter Kit

  • 1. Making Open Health Data Work For You – A “Starter Kit” For Entrepreneurs, Researchers and Policymakers Version: January 5, 2012
  • 2. The purpose of this Health Data Initiative (HDI) “Starter Kit” 1. Serve as a starting point to help you understand key HHS data resources which are available 2. Help you understand to whom this data may be useful 3. Help you utilize HHS data as fuel that can power innovative products, services, features, and insights you create 2
  • 3. Unleashing the power of data These datasets and tools have been gathered from agencies across the Department of Health and Human Services (and other sources) with the goal of improving health for all Americans. The data sets are increasingly available in a variety of machine-readable formats and via Application Programming Interfaces (APIs), making it easier than ever to consume data. Just how much information is out there? Consider just a few examples: MedlinePlus Connect has information for over 900 diseases, illnesses, health conditions and wellness issues. This service allows health organizations and health IT providers to link patient portals and electronic health record (EHR) systems to MedlinePlus, an authoritative up-to-date health information resource for patients, families, and health care providers. ClinicalTrials.gov, a registry of federally and privately supported clinical trials, currently has 115,266 trials with locations in 177 countries. The Department of Agriculture’s Myfoodapedia provides information on the total calories and saturated fat content of over 1,000 commonly eaten foods. Data.Medicare.Gov COMPARE APIs provide detailed quality performance data for thousands of individual hospitals, nursing homes, home health agencies, and dialysis providers across the country.
  • 4. How to make data actionable Open HHS data can help power applications, products, services, and features that help consumers take control of their health and health care, doctors and nurses provide better care, and community leaders make better-informed decisions. Here are some of the many examples of how open data has already been leveraged to do so: Aetna has integrated HHS data The Healthline search engine on everything from care iTriage, a rapidly growing has ingested massive amounts provider quality to the mobile and web platform that of data from HHS agencies availability of eldercare support allows patients to make better (e.g., CDC, NIH, CMS, AHRQ, services to the latest medical informed health decisions, has FDA, etc.) and other sources to education information for used HHS health facility locator help make internet search on patients into an “IT cockpit” for databases to help consumers health topics and issues nurse case managers in its call find nearby care providers that substantially more reliable, centers to help these nurses are right for them. accurate, and helpful. provide information-rich support for patients. 4
  • 5. Where to find the data: Health.Data.gov, the one-stop place to get all of our free, publicly available data 5 5
  • 6. Examples of health data resources that are available Listed below are just some of the key health data sets available that could be utilized in applications/services that help care providers, consumers and communities. See pages following for brief summaries of each data set. And check out Health.Data.gov for a much more comprehensive listing of available data resources. If you are building an app/service for… Type of Data Set Providers Consumers Community Provider Quality COMPARE APIs at data.medicare.gov    Hospital / Nursing Home / Home Health / Dialysis Compare    FQHC (Federally Qualified Health Center) Directory    National Plan and Provider Enumeration System (NPPES) Downloadable File    National Library of Medicine API Portal  MedlinePlus Connect   Clinicaltrials.gov API   NIH’s Visible Human Project   NLM’s TOXMAP: Online Toxicology Maps    VitalStats   Cancer Incidence – Surveillance, Epidemiology, and End Results (SEER)   Registries FDA Recalls (drug, food and product)   HealthCare.gov Insurance Plan Directory    Mental Health Services Directory/Substance Abuse Treatment Center Directory    6
  • 7. Examples of health data resources that are available If you are building an app/service for… Data Set Providers Consumers Community Household Products Database  USDA’s MyFood-a-Pedia  “Blue Button” data (the ability for veterans, Medicare beneficiaries and active   duty military to download their own personal health information) Dietary Supplements Labels Database: brands, ingredients and references   Hospital, Skilled Nursing Facility, Home Health Agency, Renal Dialysis Facility,   Hospice Cost Report Data National Health Expenditures  Medicare Claims “Basic Standalone Files”   Health Indicators Warehouse   QuitNowTxt SMS Library   Medical Expenditure Panel Survey (MEPS)  Wide-ranging Online Data for Epidemiologic Research (WONDER)   Web-based Injury Statistics Query and Reporting System (WISQARS)   Your Food Environment Atlas    Behavioral Risk Factor Surveillance System (BRFSS)    Assisted Reproductive Technology (ART) Surveillance   7
  • 8. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov Provider Quality Compare APIs FQHC Directory • New user interface/analytical tool/APIs for health • Downloadable directory of all federally qualified care provider quality Compare data at health centers (FQHCs) across the U.S., which data.medicare.gov provide comprehensive primary and preventive • Quality and patient satisfaction data available via care to persons of all ages, regardless of ability APIs for thousands of nursing homes, hospitals, to pay home health agencies, and dialysis centers National Plan and Provider Enumeration System (NPPES) Downloadable File Hospital Compare / Nursing Home Compare / Home • Contains FOIA-disclosable health care provider Health Compare / Dialysis Facility Compare data for providers who have been assigned • Downloadable databases of quality and patient National Provider Identifiers (NPIs) – e.g., name, satisfaction measures for thousands of hospitals business address, phone number, NPI number, and nursing homes provider license number Medline Plus Connect National Library of Medicine API Portal • This new service provides patient portals and • One-stop access to a growing array of NLM electronic health record (EHR) systems with Application Programming Interfaces (APIs) that customized patient education information in enable you to access an array of remarkably electronic form that maps to the diagnoses, powerful medical and scientific information medications, and lab tests about which you are resources asking. Info is drawn from the National Library of Medicine’s MedlinePlus, an authoritative, up- 8 to-date health information resource for patients, families, and health care providers
  • 9. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov ClinicalTrials.gov API API TOXMAP: Online Toxicology Maps • API to the ClinicalTrials.gov registry, which • Geographic Information System (GIS) that uses provides patients, family members, health care maps of the United States to help users visually professionals, and members of the public easy explore data from the EPA's Toxics Release access to information on clinical trials for a wide Inventory (TRI) and Superfund Programs. range of diseases and conditions TOXMAP helps users create nationwide, regional, or local area maps showing where TRI chemicals are released on-site into the air, Visible Human Project water, and ground • Presents complete, anatomically detailed, three- dimensional representations of the male and Cancer Incidence - Surveillance, female human body Epidemiology, and End Results (SEER) Registries VitalStats • Collects and distributes cancer data from a • Interactive online tool for creating and number of population-based cancer registries manipulating tables based on birth and perinatal (i.e. patient demographics, primary tumor site, (fetal and infant death) data files. Tabulated data first course of treatment, and follow-up for vital can be graphed or mapped within VitalStats or status) exported to Excel for further analysis. 9
  • 10. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov FDA Recalls Household Products Database • This feed describes all new items being recalled • This database links over 4,000 consumer brands by FDA to health effects from Material Safety Data • Complementary resource: a downloadable XML Sheets (MSDS) provided by the manufacturers file which contains all company-issued recalls for and allows scientists and consumers to research drugs, food, products from 2009 to the present products based on chemical ingredients. (http://www.data.gov/communities/node/81/data_ tools/345) Mental Health Services Directory / Substance Abuse Treatment Directory HealthCare.gov Insurance Plan Inventory • Downloadable directories of mental health and • These downloadable files contain the inventory substance abuse treatment centers across the of private insurance carriers, products, and plans U.S. currently listed in HealthCare.gov – information collected from 1000 issuers of individual and small group insurance across all 50 states and the District of Columbia. 10
  • 11. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov MyFood-a-Pedia Dietary Supplements Labels Database: • MyFood-a-Pedia provides information on the brands, ingredients, and references total calories; calories from solid fats, added • Designed to help both the general public and sugars, and alcohol (extras); MyPyramid food health care providers find information about group and subgroup amounts; and saturated fat ingredients in brand-name products, including content of over 1,000 commonly eaten foods name, form, active and inactive ingredients, with corresponding commonly used portion amount of active ingredient/unit, amounts. manufacturer/distributor information, suggested dose, label claims, warnings, percentage of daily “Blue Button” Data value, and further label information. • The Blue Button download capability enables veterans, Medicare beneficiaries, and members Hospital, Skilled Nursing Facility, Home of the military to download electronic copies of Health Agency, Renal Dialysis Facility, their personal health information (via secure web Hospice Cost Report Data portals) • Collections of cost report data from annual • Learn more about Blue Button and examine reports filed with CMS by hospitals, skilled sample file formats at www.bluebuttondata.org nursing facilities, home health agencies, renal dialysis facilities, and hospices 11
  • 12. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov Medicare Claims “Basic Standalone Files” National Health Expenditures - State • Claim-level public use files (“slimmed” for privacy (Provider), State (Residence), Age/Gender, protection) made available for free public Sponsors (Businesses, Households, and download for all major types of care: inpatient, Governments), Historical prescription drug, home health, skilled nursing, • The National Health Expenditure Accounts outpatient procedures, physician, hospice, (NHEA) are the official estimates of total health durable medical equipment care spending in the United States • Helps users understand patterns of utilization of services and cost in the Medicare population Health Indicators Warehouse • Provides data on over 1,100 metrics of community health, health care system, and QuitNowTXT determinants-of-health performance (at whatever level of granularity this data is available – • A new health text message library developed by national, state, hospital referral region, county) the National Cancer Institute (NCI) that contains interactive and evidence-based smoking • Available both via downloadable files and via cessation text messages targeted to adult web service APIs smokers Assisted Reproductive Technology (ART) • Text messages offer tips, motivation, Surveillance encouragement and information tailored to the • The data collected include patient's diagnosis, user’s responses type of ART, clinical information pertaining to the • Also available at http://smokefree.gov/hp.aspx ART procedure, and information on pregnancy outcomes. 12
  • 13. Examples of health data resources that are available * Note: text in light blue hyperlinks to the data set as it’s available via Health.Data.gov Medicare Expenditure Panel Survey (MEPS) Web-based Injury Statistics Query and • The Medical Expenditure Panel Survey (MEPS) Reporting System (WISQARS) is a set of large-scale surveys of families and • WISQARS is an interactive query system that individuals, their medical providers, and provides data on injury deaths, violent deaths, employers across the United States. MEPS is and nonfatal injuries treated in U.S. emergency the most complete source of data on the cost departments and use of health care and health insurance Behavioral Risk Factor Surveillance System coverage. (BRFSS) Wide-ranging Online Data for Epidemiologic Research (WONDER) • The Behavioral Risk Factor Surveillance System (BRFSS) is the world’s largest, on-going • Massive array of public health databases re: telephone health survey system, tracking health births, deaths, disease incidence, health event conditions and risk behaviors in the United case reports, demographics, community health States yearly since 1984. Currently, data are Your Food Environment Atlas collected monthly in all 50 states, the District of • Contains detailed community-level statistics on Columbia, Puerto Rico, the U.S. Virgin Islands, food environment indicators (e.g., access and and Guam. proximity to grocery stores, food prices, etc.) – providing a spatial overview of a community’s ability to access healthy food and its success in doing so 13
  • 14. We’d love to hear from you! We’d love to hear your feedback and questions about this Health Data Initiative starter kit and about Health.Data.gov in general. Please contact us with questions, suggestions, or comments at Healthdata@hhs.gov. Thank you! 14