LOS ANGELES COUNTYCOMMUNITY HEALTH PROFILEPROJECT: A “HOT SPOT ANALYSIS”November 15, 2012Ami M. Shah, MPHJerry Kominski, P...
BACKGROUNDCTSI aims to accelerate knowledge, discoveries and research toimprove healthDisparities in health and healthcare...
RESEARCH QUESTION1. How can investigators engage with communitystakeholders to improve their analysis plan and assemblehea...
METHODS• Engage with communities, health care administrators, providers, healthdepartments, and other stakeholders interes...
community involvementoutcomes (Apr - Aug 2012)Knowledge exchange with various stakeholders• Community Based Organizations•...
health and healthcareutilization outcomes (Apr - Aug 2012) Analysis of secondary data sources Substantial variation in d...
CERP AIMS ADDRESSEDSpecific Aim 1: Promote and sustain bidirectionalknowledge sharing between community and academiaSpecif...
TIMELINE8Project AimsTimeline in MonthsMar-May 2011 Jun-Aug 2011 Sept-Nov 2011 Dec-Feb 2011AIM1: Engage community stakehol...
ADDED-VALUE FROM CTSIFUNDING• Improved data analysis and measurement to be relevantfor community stakeholders and pertinen...
NEXT STEPS• Finalize data analyses and a report for CTSI• Prepare a dissemination plan for broader knowledgesharing with c...
Upcoming SlideShare
Loading in …5
×

Los Angeles County Community Health Profile Project: A "Hot Spot Analysis"

675 views

Published on

Using a variety of public data sources, we calculated the disease burden of six major clinical areas—heart disease, diabetes, pulmonary disease, cancer, HIV/AIDS and mental health—for the eight service planning areas and 26 health districts within Los Angeles County. The purpose of the project is to quantify disease "hot spots" within Los Angeles County and share our results with community stakeholders, policy makers and researchers so the data may be used to shape the design and implementation of community-driven initiatives.

Published in: Education, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
675
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
6
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Los Angeles County Community Health Profile Project: A "Hot Spot Analysis"

  1. 1. LOS ANGELES COUNTYCOMMUNITY HEALTH PROFILEPROJECT: A “HOT SPOT ANALYSIS”November 15, 2012Ami M. Shah, MPHJerry Kominski, PhDUCLA Center for Health Policy ResearchDavid Zingmond, MD PhDUCLA Division of General Internal Medicine and HealthServices Research1
  2. 2. BACKGROUNDCTSI aims to accelerate knowledge, discoveries and research toimprove healthDisparities in health and healthcare access exist. Yet, little isknown about the specific geographic communities bearing agreater burdens of illness and limited access to servicesSharing knowledge and engaging in a dialogue with communitystakeholders can inform data analysis and lead to evidence-based interventions to promote health equity and improvehealth.
  3. 3. RESEARCH QUESTION1. How can investigators engage with communitystakeholders to improve their analysis plan and assemblehealth data that are relevant and meaningful tocommunity-based improvement efforts?2. Where are the ‘hot spots’ of disease and preventablehospital admissions and ED encounters in Los AngelesCounty (LAC)?3. What knowledge can be shared with stakeholders toinform community plans and shape community initiativestoward improved health in LAC?
  4. 4. METHODS• Engage with communities, health care administrators, providers, healthdepartments, and other stakeholders interested in the health of LosAngelinos• Produce direct and indirect (modeled small area) estimates for 12health indicators (disease prevalence and risk factor surveillance) basedon the California Health Interview Survey (CHIS) 2009• Produce rates (per 100,000) of inpatient admissions and ED encountersfor conditions within the six CTSI core clinical domains (heart disease,diabetes, pulmonary disease, cancer, HIV/AIDs, and mental health) fromthe Office of Statewide Planning and Development (OSHPD). Definitionsare based on AHRQ Prevention Quality Indicators (PQIs), InpatientQuality Indicators (IQIs) and supplemented by other conditions• Produce estimates at the Service Planning Area (SPA) and HealthDistrict levels4
  5. 5. community involvementoutcomes (Apr - Aug 2012)Knowledge exchange with various stakeholders• Community Based Organizations• Health Care Systems• Los Angeles County Department of Public Health• Academic-Community Partnership (including UCLA CTSI colleagues)Iterative analyses and feedback from researchers and other stakeholdersvia email, phone and meetingsInterest in increasingly more granular analysis• Census Designated Places (CDPs) - includes 88 cities and 32 unincorporated CDPs• 15 Los Angeles City Council Districts• 20 Community defined neighborhoods5
  6. 6. health and healthcareutilization outcomes (Apr - Aug 2012) Analysis of secondary data sources Substantial variation in disease prevalence across SPAs and HealthDistricts such as diabetes, obesity, and asthma Identification of Health Districts with high rates of preventablehospitalizations and ER encounters for conditions such as: short-term, long-term, uncontrolled diabetes and lower extremityamputations; heart failure; and mental health disorders Maps of environmental factors associated with poor health, suchpark acreage/green space and fast food outlets Maps to visually identify “hot spots” – or areas with higher burdenof disease and preventable hospitalizations as possible areas totarget for interventions6
  7. 7. CERP AIMS ADDRESSEDSpecific Aim 1: Promote and sustain bidirectionalknowledge sharing between community and academiaSpecific Aim 3: Drive innovation in community engagementthat accelerates the volume and impact of partneredresearch in diverse communitiesSpecific Aim 4: Build health services research (HSR)methods into partnerships to accelerate design,production, and wide adoption of evidence-based practiceand behavior7
  8. 8. TIMELINE8Project AimsTimeline in MonthsMar-May 2011 Jun-Aug 2011 Sept-Nov 2011 Dec-Feb 2011AIM1: Engage community stakeholdersto guide analysis plan, interpret findingsand review final analysis and the reportAIM2: Develop analyses of populationhealth and healthcare at the HealthDistrict levelAIM3: Develop analyses of diseasespecific hospitalizations and emergencydepartment visits at the zip code levelAIM4: Develop a report thatincorporates profiles of LACneighborhoods and describespopulation health, healthcare needsand services, and hospital encounters
  9. 9. ADDED-VALUE FROM CTSIFUNDING• Improved data analysis and measurement to be relevantfor community stakeholders and pertinent for localhealth improvement efforts• Engagement of the research community with publichealth departments, local community groups, clinics, andother stakeholders in guiding data analyses• Supported cross-disciplinary sharing of knowledge anddata findings• Encouraged continued dialogue in planning, interpreting,and presenting data on the health and healthcare of localareas9
  10. 10. NEXT STEPS• Finalize data analyses and a report for CTSI• Prepare a dissemination plan for broader knowledgesharing with community stakeholders in the form ofpresentations and/or short reports• Continue engagement efforts with stakeholders totranslate data findings and support the use of data inguiding the implementation of community driveninitiatives10

×