This is a copy of the presentation for the West Midlands Public Health Training - Regional Registrar meeting 13/12/17
For more details contact darren@insideoutcomes 0121 2887487, @InsideOutcomes
These slides are from a presentation for the Nuffield Department of Primary Care Health Sciences. This covers reasons for capturing outcomes, challenges with commissioning and how our system of managing risks address these problems.
This presentation sets out how we identify and manage personal risks to demonstrate outcomes in Health and Social Care. We identify the range of socioeconomic, lifestyle and clinical factors that influence poor health outcomes.
Health Decisions Webinar: Obamacare Compliance: How it Helps Self-funded PlansSi Nahra
Here’s the “dirty little secret” about the new “pay-or-play” requirements:
Most plans will pass easily and few plans will have any problems with penalties.
Here’s the less obvious part of compliance:
The steps called for by the new regulations make good sense for a plan to do.
Inventorying enrollees to confirm coverage, adopting uniform plan definitions and approaches to calculating cost-sharing, and engaging benefit “consumers” are all steps that can benefit a self-funded plan. This webinar, the third in our series, explores these themes and presents the positive side to “Obamacare” compliance.
For more information, please visit: http://www.healthdecisions.com
Webinar: Why Hospitalists are Important to Managing Population HealthLp cogen...Modern Healthcare
This webinar will outline the changing healthcare environment, and illustrate how a strong hospital medicine program is critical to meet population health goals. Led by former Utah Gov. Michael O. Leavitt, also former secretary of HHS, this distinguished panel will lend insight and detail from the perspective of the government, healthcare leadership and hospital medicine pioneers.
These slides are from a presentation for the Nuffield Department of Primary Care Health Sciences. This covers reasons for capturing outcomes, challenges with commissioning and how our system of managing risks address these problems.
This presentation sets out how we identify and manage personal risks to demonstrate outcomes in Health and Social Care. We identify the range of socioeconomic, lifestyle and clinical factors that influence poor health outcomes.
Health Decisions Webinar: Obamacare Compliance: How it Helps Self-funded PlansSi Nahra
Here’s the “dirty little secret” about the new “pay-or-play” requirements:
Most plans will pass easily and few plans will have any problems with penalties.
Here’s the less obvious part of compliance:
The steps called for by the new regulations make good sense for a plan to do.
Inventorying enrollees to confirm coverage, adopting uniform plan definitions and approaches to calculating cost-sharing, and engaging benefit “consumers” are all steps that can benefit a self-funded plan. This webinar, the third in our series, explores these themes and presents the positive side to “Obamacare” compliance.
For more information, please visit: http://www.healthdecisions.com
Webinar: Why Hospitalists are Important to Managing Population HealthLp cogen...Modern Healthcare
This webinar will outline the changing healthcare environment, and illustrate how a strong hospital medicine program is critical to meet population health goals. Led by former Utah Gov. Michael O. Leavitt, also former secretary of HHS, this distinguished panel will lend insight and detail from the perspective of the government, healthcare leadership and hospital medicine pioneers.
Healthcare problems that have plagued the employee health for years, don't have the be norm. Leveraging direct primary care, pharmacy and other scopes of work can dramatically improve access to quality care while reducing the costs.
Jennifer Lee is the Senior Program Officer for the Blue Cross Blue Shield of Massachusetts Foundation, where she manages grant portfolios for the Connecting Consumers with Care, Going Beyond Health Care, and Catalyst Fund areas. In this role, she facilitates the review processes of the different grant programs and supports grantees' ongoing learning and technical assistance needs. She also participates in and supports the Grantmaking Department's overall initiatives.
She previously worked as Outreach and Enrollment Manager at Health Care For All, a Massachusetts-based health care consumer advocacy organization, where she oversaw education initiatives about health care reform. Prior to this position, she was the Team Lead and Program Associate in the Children's Division, where she coordinated the Massachusetts-based Covering Kids and Families Initiative, part of a national effort to enroll children and adults in low-cost or free health care coverage programs. She also served as an AmeriCorps Fellow for the Massachusetts Promise Fellowship Program at Northeastern University, where she developed Teens Leading the Way, a statewide coalition that sought to develop the policymaking skills of youth leaders.
Jennifer is a past fellow of Grantmakers in Health's Terrance Keenan Institute for Emerging Leaders in Health Philanthropy and a graduate of the Foundation's Massachusetts Institute for Community Health Leadership. She has held previous leadership roles as Chair of the Board of Directors for the Massachusetts Association of Community Health Workers and Co-Chair of Asian Americans/Pacific Islanders in Philanthropy. She currently serves on the Board of Directors for Associated Grant Makers, a regional association of philanthropic organizations.
She holds a Master's in Public Health from Tufts University's School of Medicine, and a Bachelor’s in Science from Boston College.
Millions of American workers are caught in a desperate struggle, largely hidden from most employers, to manage personal eldercare and workplace responsibilities. More and more employers are providing a resource for employees to manage this growing issue.
Webinar: Bad Data's Effect on Population Health PerformanceArcadia webinar da...Modern Healthcare
Managing complex patient populations requires comprehensive and reliable EHR data. Join Beth Israel Deaconess Care Organization and Arcadia Healthcare Solutions to learn how to properly assess your EHR data to ensure you have the right information to make key strategic decisions. This webinar will explore three ways to identify data quality issues.
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
We can improve the way that we commission and create services if we alter our model. Using Design Thinking we can create services that meet user needs but are also cheaper.
Healthcare problems that have plagued the employee health for years, don't have the be norm. Leveraging direct primary care, pharmacy and other scopes of work can dramatically improve access to quality care while reducing the costs.
Jennifer Lee is the Senior Program Officer for the Blue Cross Blue Shield of Massachusetts Foundation, where she manages grant portfolios for the Connecting Consumers with Care, Going Beyond Health Care, and Catalyst Fund areas. In this role, she facilitates the review processes of the different grant programs and supports grantees' ongoing learning and technical assistance needs. She also participates in and supports the Grantmaking Department's overall initiatives.
She previously worked as Outreach and Enrollment Manager at Health Care For All, a Massachusetts-based health care consumer advocacy organization, where she oversaw education initiatives about health care reform. Prior to this position, she was the Team Lead and Program Associate in the Children's Division, where she coordinated the Massachusetts-based Covering Kids and Families Initiative, part of a national effort to enroll children and adults in low-cost or free health care coverage programs. She also served as an AmeriCorps Fellow for the Massachusetts Promise Fellowship Program at Northeastern University, where she developed Teens Leading the Way, a statewide coalition that sought to develop the policymaking skills of youth leaders.
Jennifer is a past fellow of Grantmakers in Health's Terrance Keenan Institute for Emerging Leaders in Health Philanthropy and a graduate of the Foundation's Massachusetts Institute for Community Health Leadership. She has held previous leadership roles as Chair of the Board of Directors for the Massachusetts Association of Community Health Workers and Co-Chair of Asian Americans/Pacific Islanders in Philanthropy. She currently serves on the Board of Directors for Associated Grant Makers, a regional association of philanthropic organizations.
She holds a Master's in Public Health from Tufts University's School of Medicine, and a Bachelor’s in Science from Boston College.
Millions of American workers are caught in a desperate struggle, largely hidden from most employers, to manage personal eldercare and workplace responsibilities. More and more employers are providing a resource for employees to manage this growing issue.
Webinar: Bad Data's Effect on Population Health PerformanceArcadia webinar da...Modern Healthcare
Managing complex patient populations requires comprehensive and reliable EHR data. Join Beth Israel Deaconess Care Organization and Arcadia Healthcare Solutions to learn how to properly assess your EHR data to ensure you have the right information to make key strategic decisions. This webinar will explore three ways to identify data quality issues.
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
We can improve the way that we commission and create services if we alter our model. Using Design Thinking we can create services that meet user needs but are also cheaper.
This presentation sets out some of the key things that organisations need to be aware of when collecting and managing data. From the different types of data through to legal issues. The final part looks at using data for social good rather than managing transactions.
Evidence and Wellbeing | Local Authority Case StudiesAndrea Edwards
Using wellbeing evidence in Local Authorities: Case study findings
Presented by Pippa Coutts, Carnegie UK Trust, and Stewart Martin.
This session will present the findings from case studies in Fife, Hertfordshire, South Norfolk and Brighton & Hove, which looked at how these Local Authorities use evidence on wellbeing in their decision making.
Sills MR. Overview of the SAFTINet Program. Presented to the Emergency Department Research Committee, Department of Pediatrics, University of Colorado School of Medicine. 6 January 2015.
VBP, Delivery System Reform, and Health and Social ServicesAndré Thompson, MPA
How are the services and supports you provide related to health, how valuable are your services and interventions for maintaining health, how would your services change if you were getting paid based on value rather than fee-for-service?
Follow our presentation to learn about the role of statistical analysis in fraud detection. From data mining to clustering, learn the techniques necessary to quickly anticipate and detect health care fraud, waste, and abuse.
Technology-enabled Platform for Proactive Regular Senior-Centric Health Asses...DataNB
Hospitalizations and other negative health events are detrimental to seniors’ health and costly to the healthcare system. Proactive health monitoring may help seniors avoid negative health events and remain safely in their homes for longer. Many seniors do not have the skills, knowledge, or technology to regularly monitor their health at their own at home. Without regular, proactive health monitoring, we cannot identify seniors at risk of negative health outcomes (like hospitalizations) before such events occur. Having trained home support workers (caregivers) use their skills and technology to monitor seniors’ health makes proactive health monitoring more accessible to seniors receiving home care. In this project, trained caregivers use technology to proactively monitor seniors’ health for risk factors that could predict hospitalizations or other negative health outcomes. Seniors’ complete regular health assessments with their caregivers. Caregivers enter the results into a mobile app for analysis. The assessments involve physical health (like weight and blood pressure) and cognitive/mental health (like word recall and quality of life). All equipment is provided in a kit that is stored in the senior’s home. We anticipate that seniors will appreciate regularly checking on their health. Caregivers will benefit from learning new skills and having a new way to positively impact the seniors they care for. We anticipate showing that it is practical to have trained caregivers use technology (secure mobile app) to monitor the health of seniors receiving home care. We also aim to investigate if trends in seniors’ health can predict negative health events, like hospitalizations.
Metrics is a hot topic within all fundraising fields. Measurement models have been established for monitoring the work of frontline fundraisers in order to assess the variety of activities performed as well as the schedule, pace, and outcomes of those activities. With this information in hand, choices can be made about which fundraising activities are most effective in achieving the desired donor behavior, most obviously giving.
Convocation feb 2014 uds 2 r qi slidesMarion Sills
Sills MR. Leveraging SAFTINet resources to enhance value in performance measurement. Annual Convocation of the Scalable Architecture for Federated Translational Inquiries Network (SAFTINet). Aurora, Colorado, February 2014.
For more information on SAFTINet, please see http://www.ucdenver.edu/academics/colleges/medicalschool/programs/outcomes/COHO/saftinet/Pages/default.aspx
Presentation is about the uniqueness of Implementation Research and Role of the Government, specially in Indian context of health programme implementation.
The Power of ABCD and Results-Based Accountability for Greater Impact and Res...Clear Impact
Asset Based Community Development (ABCD) is a place-based framework pioneered by John McKnight and Jody Kretzmann, founders of the ABCD Institute at Northwestern University. ABCD builds on the gifts (skills, experiences, knowledge, and passions) of local residents, the power of local associations, and the supportive functions of local institutions to build more sustainable communities for the future.
This webinar is for participants interested in discovering how the frameworks of Asset-Based Community Development and Results-Based Accountability can be used together to help build stronger, safer, healthier communities and neighborhoods. You will learn how to build the relationships and accountability necessary to unlock the gifts of the residents, associations and organizations in a community. During this webinar you will hear stories of effective impact through the power of Asset-Based Community Development and Results-Based Accountability.
Webinar topics include:
Introduction to ABCD and RBA – Definitions & Principles
Examples of ABCD and RBA in action
Why place-based strategies and community engagement are critical
The roles of residents in building a stronger community
The new role of institutions – How institutions can use all their assets to build a stronger community
Tools for agencies – Leading by stepping back
Asset Mapping – Discover-Ask-Connect – From Mapping to Mobilizing
Check out more videos and webinars on our website: https://clearimpact.com/resources/videos/
Similar to Inside Outcomes - Measuring Outcomes (20)
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
2. Inside Outcomes Purpose
Using data, from individuals, to describe communities and
demonstrate outcomes
1. Data has a social value beyond proving contracts are working
2. Using data we can describe the communities we live in and co-produce
services
3. Demonstrating outcomes in terms of national policy allows data to be
aggregated for social benefit
3. Challenges With Commissioning
• The difference between commissioning and procurement
• Co-designing services is more expensive
• What if the public don’t agree?
• Where do you get your data from?
4. What do we commission against?
• QOF Data
• Open Exeter Data
•National Data Sets (Atlas - life expectancy, infant mortality)
•Local data sets?
•Mosaic?
• Community data on service design?
5. There are two types of outcome
1. Systemic outcomes – e.g. A&E attendance, GP appointments
2. Individual outcomes – measurable improvement in health and
social situation
6.
7. Challenges with Measuring Outcomes
• Attribution – Did you cause that outcome?
• Complexity – Especially in preventative services
• Why are you doing it?
• Contract specific outcomes can change a service
• Place vs service
8. Issues with data collected by services
• Compliance in collection
• Accuracy in collection
• Consistency in collection
• No closing the feedback loop
• Transactional in nature
9. All organisations collect four types of data
Demographics – Data that identifies individuals
Activity – What has happened to an individual
Outcome – What benefits, or disbenefits, have been received
Satisfaction – How happy the individual is
10. Name Definition Examples Strengths Weaknesses
Demographic data The identifying
factors for
individuals
Gender
Age
Ethnicity
Can help to measure how
representative of a community a
service is
Can be used as a comparator for
outcome data
On its own it is not very useful
data
Ease of collection can result in
excess collection
Data protection issues
Activity data A measurement of
the inputs provided
by a service
Number of people that
have used a service
Number of referrals (in
and out)
Number of sessions
carried out
Easy to measure
An important element in
calculating your costs
More of a measure of how busy
a service is rather than how
effective
Not a measure of quality
Outcome data A measurement of
the change in an
individual
Clients that have given up
smoking
Clients that have lost
weight
Clients accessing entitled
range of benefits.
Much more focus on the person
receiving the service
A measure of the quality of the
service you provide
Can be used to compare with
other services
Can be hard to measure
Requires measurement at two
points
Satisfaction data Perception of the
intervention
Client satisfaction surveys Satisfaction is important in
assessing if people will return to
a service
Can be used as a basis adding a
personal element to reporting
Inherently subjective
Not comparable inside an
organisation let alone with
other organisations
People liking a service doesn’t
mean it is a good service
11. Using Risk Maps – Managing Risk, Reducing Inequalities, Demonstrating Impact
• Performance management
• Consistent measurement
• Aggregated data for collective impact
• Auditable outcomes aligned to national frameworks
• Measures by risk and protective factor
• Evidence based
• Quality assured
12. Since 2012 there has been a push from Government to build
outcome frameworks
Services should be commissioned against outcome frameworks
Outcome frameworks often overlap
Outcome frameworks often contradict
Outcome frameworks
14. Data Collection is Structured to Match the Life Course
Starting
Well Data
Dictionary
Developing
Well Data
Dictionary
Working
Well Data
Dictionary
Living Well
Data
Dictionary
Ageing Well
Data
Dictionary
Diabetes
Data
Dictionary
But also service specific
Mental
Health Data
Dictionary
Supported
Housing Data
Dictionary
End of Life
Data
Dictionary
Domestic
Abuse Data
Dictionary
We have identified 93 common risks and issues.
Each has been defined and is monitored for any change in policy.
We are adding to this list all of the time.
15. Living Well Data Dictionary
Personal Circumstances:
• Domestic Abuse
• Homeless
• Temporary Accommodation
• Unsuitable Accommodation
• Vulnerable Adult
• Financial Hardship
• Social Isolation - Loneliness
• Environment - Noise
• Environment - Outdoor Spaces
Behaviour:
• Very Low Fruit & Vegetable Intake
• Low Fruit and Vegetable Intake
• Significant Fried and Processed Food
Intake
• Excessive Sugar
• Nutrition - Iron
• Physical Activity - Moderately
• Physical Activity - Inactive
• Alcohol Misuse
• Smoking
• Substance Misuse
Status:
• Weight - Overweight
• Weight – Obese
• Mental Health – Low Reported
Wellbeing
• Mental Health - Stress and Anxiety
• Sexual Health - Unwanted Pregnancy
• Sexual Health – Sexually Transmitted
Infections
• Pre - Diabetes: Non - Diabetic
• Screening - Increased Blood Pressure
• Screening - High Blood Pressure
16. Exampleple
Tracey:
● In debt
● Socially isolated
● Lives in a hostel
● Been to see GP 7 times in 3 months
● Stressed and anxious
● Attended A & E on two occasions with alcohol related
issues
● Smokes
● Misuses alcohol
● Poor diet
● No exercise
17.
18.
19. Household
income is
>60% of UK
average
Reduce
households
where
neither
parent is in
work
Healthy Child
Programme
The family can
afford food
and clothing
items
Social Justice Outcomes
Framework
Department of Health
Department of Work and
Pensions
Financial Hardship
After
required fuel
costs the
family
remains
above the
poverty line
Improving
Outcomes
Supporting
Transparency
Reduce the
proportion of
those on
work-related
benefits
The number
of working
age adults
engaged in
work related
activity
20.
21.
22. Our Main Challenges
• Outcomes are not a priority
• Limited headspace to change
•Services focus on what they’re good at
•Measuring activity is easy
•Transactional data puts the focus on the service rather than community
• Who owns the outcomes?
•Risk aversion
23. Next Steps
•Developing an open standard
•Integration with other systems
•Promoting what can be measured
• Seeing data as an end in itself