A Need for Population A Need for Population Health Data in Clinical Health Data in Clinical

PracticePractice

Jane L. Garb

Health Geographics Program

Baystate Medical Center

Springfield, MA Second Annual Connecting Communities for Better Health Learning Forum and

Exhibition

Washington, D.C May 25-6, 2005

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Baystate Health Systems MissionBaystate Health Systems Mission

The mission of Baystate Health System The mission of Baystate Health System is to improve the health of the people is to improve the health of the people in our communities every day with in our communities every day with quality and compassionquality and compassion

Who has the data?Who has the data?HospitalsHospitals

PatientsPatients

Resources for Dx, Rx, Prev.Resources for Dx, Rx, Prev.

personnel personnel (MD’s,RN’s, (MD’s,RN’s, educators) educators)

facilities facilities (labs, OR’s, etc)(labs, OR’s, etc)

programs programs (control (control measures, screening, measures, screening, education)education)

OutcomesOutcomes

Public HealthPublic Health Cases Cases

Resources for Dx, Rx, Prev.Resources for Dx, Rx, Prev.

personnel personnel (MD’s,RN’s, (MD’s,RN’s, epidemiologists, educators)epidemiologists, educators)

facilities facilities (labs)(labs)

programs programs (Rx (Rx recommendations, control recommendations, control measures, screening, measures, screening, education)education)

OutcomesOutcomes

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• US Census Bureau – data on populationsUS Census Bureau – data on populations

Decennial Census/American Community SurveyDecennial Census/American Community Survey locationlocation

numbers numbers

demographicsdemographics

socioeconomic measuressocioeconomic measures

Who has the data?Who has the data?

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UsingUsing Population Data in Population Data in HealthcareHealthcare

• Direct Care Direct Care

• Benchmarking outcomesBenchmarking outcomes

• ResearchResearch

• Prevention/InterventionPrevention/Intervention

• Resource AllocationResource Allocation

• Disaster Planning, Preparedness, ResponseDisaster Planning, Preparedness, Response

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LAYERS OF INFORMATION

Health DataHealth Data

DemographicsDemographics

GeographyGeography

Direct Patient CareDirect Patient Care

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InterventionIntervention

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Violent Incidents involving Youths Violent Incidents involving Youths and School Locationsand School Locations

Injury PreventionInjury Prevention

Resource AllocationResource Allocation

Population Affected Population Affected by by

Hazardous PlumeHazardous Plume

Disaster Preparedness, Planning Disaster Preparedness, Planning and Responseand Response

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Issues in Use of Health Issues in Use of Health DataData

• CooperationCooperation• HIPAA and other legal issuesHIPAA and other legal issues• QualityQuality• Real-time access to dataReal-time access to data• Needs for Standards of data Needs for Standards of data

exchangeexchange• How will shared data be applied?How will shared data be applied?

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Baystate Health System Baystate Health System Health Geographics Program Health Geographics Program

Richard Wait, MD PhD FACS richard.wait@bhs.orgRichard Wait, MD PhD FACS richard.wait@bhs.orgChairman of Surgery Dept. at Baystate Medical CenterChairman of Surgery Dept. at Baystate Medical CenterDirector of the Health Geographics ProgramDirector of the Health Geographics ProgramProfessor of Surgery at Tuft's Univ. School of Medicine in Professor of Surgery at Tuft's Univ. School of Medicine in

Boston. Boston.

Ric Skinner, M.S. ric.skinner@bhs.orgRic Skinner, M.S. ric.skinner@bhs.orgSr. GIS CoordinatorSr. GIS Coordinator

Jane Garb, M.S. jane.garb@bhs.orgJane Garb, M.S. jane.garb@bhs.orgSpatial Epidemiologist/BiostatisticianSpatial Epidemiologist/Biostatistician

Chris Boyd, M.A. chris.boyd@bhs.orgChris Boyd, M.A. chris.boyd@bhs.orgGIS AnalystGIS Analyst

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ResearchResearch