Health informatics seminars_nclg

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  • 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
  • Health informatics seminars_nclg

    1. 1. Nicci GafinowitzMSIS CHIPSpring 2013
    2. 2. Robert Furberg16 Feb 2013
    3. 3. social + technical + data
    4. 4. community + connectivity + content
    5. 5. technology + mobile tools + information +community + user-generated content +collaboration + social interaction
    6. 6. Now validated by research:patient wisdom and social mediareduce the cost of healthcare !!Judith Hibbard, J. Greene & V. Overton(Feb 2013)Patients With Lower ActivationAssociated With Higher Costs;Delivery Systems Should Know TheirPatients‟ „Scores‟Health Aff 32 (2) 716-777doi: 10.1377/hlthaff.2012.1064
    7. 7. crowdsourcing medicalknowledge…
    8. 8. crowdsourcing for physicians …
    9. 9. Patient versus theePatient Passive - Active Information is - Information seekingimparted Top-down delivery - Partner in their careof care Paternalistic medicine - Participatory medicine
    10. 10. *** BIG HEALTH DATA ***
    11. 11. Dr. John GrahamDirector Southern PiedmontBEACON Community Health
    12. 12. PartnersCCNC, NC Institute for Public Health, Southern Piedmont Beacon Community,Health Landscapes LLC, Robert Graham Centerwww.communitycarenc.orgnc-hip
    13. 13. 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 andObesity* Oral Health* Physical Environment* Reproductive and Sexual Health* Social Determinants* Substance Abuse* Tobacco* Community Characteristics* Economics* Education* Infants and Children* Population* Medicare/MedicaidPopulation Profile* Cancer* Demographics* Heart Disease* Multi-morbidity* Other Chronic Conditions* Health SystemPerformance: Medicare* Hospital and ED Rates* Prevention Quality Indicators* Spending* Health SystemPerformance: Medicaid* Medicaid Cost and UtilizationStatistics by Client County* CCNC Key PerformanceIndicators by Provider County(protected sites)* CCNC Quality Improvement* Asthma* Diabetes* Cancer Screening* Cardiovascular* Dental Care* Heart Failure* Pediatric Preventive Services
    14. 14. Geographic Variation in ED Utilization#ED Visits per Medicaid Recipient, by Client County
    15. 15. Prevalence of Diagnosed Depression amongMedicaid Recipients
    16. 16. Prevalence of multi-morbidity (3 or more chronic conditions)correlated withAverage Medicaid costs per recipient
    17. 17. Obesity prevalence correlated withpreponderance of fast food restaurants
    18. 18. Dashboard Overview
    19. 19. Next Phase “Community of Practice” forming for application testingand feedback, sharing of use cases and best practices Technical architecture re-design to allow forautomated data updates Smaller area data visualization for Medicaid datawhere appropriate Population filters (age, race/ethnicity, gender, programcategory) Role-based user permissions for access to certaindata ? Customized NCHQA deployment, to be defined

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