Using the UDS Mapper to Create Service Area Maps...2019/02/20 · (GIS) mapping applications is...
Transcript of Using the UDS Mapper to Create Service Area Maps...2019/02/20 · (GIS) mapping applications is...
Using the UDS Mapper to Create Service Area Maps
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Using the UDS Mapper to Create Service Area Maps
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Today’s Slides
UDS Mapper webinars are recordedDownload the slides on the UDS Mapper website
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Today’s Agenda
How to create a service area map
How to print your map
What’s new in the UDS Mapper
Finding user support after the webinar
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What is the UDS Mapper?
An online mapping tool developed to provide access to maps, data, and analysis using Uniform Data System (UDS) and other relevant data to visualize service area information for Health Center Program (HCP) awardees and look-alikesCompares HCP awardee and look-alike data to community/ population data and shows spatial relationships between the program, community attributes, and other resources
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Who Can Use the UDS Mapper?
The UDS Mapper is open to everyone, not just HCP awardees and look-alikes
To begin using the UDS Mapper all you have to do is register for a user name and password at www.udsmapper.org
More than one person from an organization can have a login for the UDS Mapper
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Register for a New Account
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Bureau of Primary Health Care Requested Service Area Maps Bureau of Primary Health Care (BPHC) often asks for maps and data tables to
accompany grant and funding applications
UDS Mapper is a foundational tool for these requests
Strongly recommended elements from UDS Mapper:• Map• Data Table• Total # Unserved Low-Income Population
Optional elements from UDS Mapper:• Penetration of low-income population rate for service area• Distance and travel time to nearest site of another awardee or look-alike• Special circumstance data
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Service Area Map Requirements
Proposed service area should be highlighted
Proposed location should be added to the map and labeled
Health Center Program (HCP) sites (not admin locations) should be turned on and labeled
Rural Health Clinics (RHCs) should be turned on but not labeled
Hospitals should be turned on but not labeled
National Health Service Corps (NHSC) sites should be turned on but not labeled
Depending on the type of opportunity you are responding to, you may need to turn on Medically Underserved Areas/Populations (MUA/Ps)
You do not need to outline your service area
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Walkthrough of the UDS Mapper
How to use the UDS Mapper tool to:
Create required service area maps
Create required data tables
Print or export final products
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Don’t Forget to Type in Questions
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Using the UDS Mapper to Create Service Area Maps
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Navigating the Map
There are many ways to move around the map• Zoom• Pan• Enter place name• Enter ZIP Code/ZIP Code Tabulation Area (ZCTA) number
See the UDS Mapper tutorial Navigate to a Location on the Map
• https://www.udsmapper.org/docs/HowtoNavigatetoanAreaontheMap-2018-04-24ws.pdf
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Search for Area of Interest
UDS Mapper works best at the local level
In the Explore Service Area tool Search Box, enter the location you want to view and select correct option from drop-down box
• Search list is organized by type of location
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Change Basemap (Optional)
UDS Mapper starts off with a descriptive basemap and ZCTA labels off
To create a map similar to the old default view, use the Boundaries and Optional Layers tool in the Tool Box (to turn ZCTA labels on) and the Basemaps tool in the Tool Kit (to change to the Canvas basemap)
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Add ZCTA Labels (Optional)
Geographic boundaries and relevant areas (e.g., HPSAs, MUA/Ps, congressional districts, etc.) can be found in the Boundaries & Optional Layers tool
To turn on labels for an added layer, click the A button to the right of the layer name
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Ways to Determine Service Area
Service area is based on strategic planning, for example:Based on where your patients are already coming from
• Data from Uniform Data System (UDS)• Data from Electronic Health Records
Based on distance from a locationBased on population data
• Penetration of Low-Income• Demographics/health outcomes/social determinants
Based on a list provided by BPHC
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Adding ZCTAs (1)
Many ways to add ZCTAs to your service area:• Click on each ZCTA in the map one by one• Type in one by one• Copy and paste a list of ZCTAs• Add ZCTAs by county• Paintbrush tool
See the UDS Mapper tutorial Use the Explore Service Area Tool: By Geography
• https://www.udsmapper.org/docs/HowtoUsetheExploreServiceAreaToolByGeography-2018-04-26ws.pdf
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Adding ZCTAs (2)
See the distance from a location (based on time or distance) and select all ZCTAs that are part of that area See the UDS Mapper tutorial Use the Explore Service Area Tool: By Distance
• https://www.udsmapper.org/docs/HowtoUsetheExploreServiceAreaToolbyDistance-2018-05-09ws.pdf
Select areas served by a health center based on UDS report See the UDS Mapper tutorial Use the Explore Service Area Tool: By Patient Origin
• https://www.udsmapper.org/docs/HowtoUsetheExploreServiceAreaToolByPatientOrigin-2018-04-27ws.pdf
Do not outline your service area
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Select ZCTAs in Your Service Area
Selected ZCTAs will have a dark outline, be covered in a black dotted pattern (reflected in the legend), and listed in the Selected ZCTAs box
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Adding Points to the UDS Mapper
Drawing tools are the easiest way to add a few points• See the UDS Mapper tutorial Draw Your Own Points, Lines, Shapes,
and Labels– https://www.udsmapper.org/docs/HowtoDrawYourOwnPointsLinesShapesin
theUDSMapper-2018-05-08ws.pdf
The Map My Data tool is the easiest way to add many points
• See the UDS Mapper tutorial How to Upload Your Own Data in the UDS Mapper
– https://www.udsmapper.org/docs/HowtoUsetheMapMyDataToolintheUDSMapper-2018-04-26ws.pdf
• Be sure to label your added point(s)!
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Add Point of Proposed Location Click the
Drawing tools button in the lower left Tool Kit
Choose a color if desired and select type of drawing to add to the map
Click on the map to start drawing
To complete a label, hit Enter on your keyboard
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Adding Locations of Health Related Facilities
Open Health Related Facilities tool• See the UDS Mapper tutorial How to Add Health Related Facilities on the
Map– https://www.udsmapper.org/docs/HowtoAddHealthRelatedFacilitiesontheMap-2018-
05-09ws.pdf
BPHC Project Officers want to see HCP sites (service access points, not administrative locations), RHCs, hospitals (particularly Critical Access Hospitals [CAHs]) and National Health Service Corps (NHSC) sites
• You cannot add just CAHs - you will have to turn on all hospital types; CAHs will be red
• NHSC sites are not required for Change in Scope maps Read the instructions from BPHC carefully to see if other
providers need to be added to the map
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Add HCP Sites, RHCs, Hospitals, and NHSC Sites
Turn on Health Center Service Access Points in the Explore Service Area tool
In the Explore Health Related Facilities tool, click the checkboxes to the left of the types of facilities you would like to add
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Proximate/Adjacent Sites
BPHC Project Officers also want to see HCP service access points, RHCs, hospitals, and NHSC sites that are in the ZCTAs that are proximate/immediately adjacent to your service area Look at the ZCTAs surrounding your service area to make sure you can see these when printing your map
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Determine What Should be Labeled (1) Label this health
center site because it is in a ZCTA adjacent to your service area
Using your mouse, roll over the ZCTAs that have a health center site in them; if the ZCTA touches your service area, that health center site should be labeled
Remember - only label your proposed location and health center access points
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Determine What Should be Labeled (2)
Do not label this health center site because it is not adjacent to your service area If you
specifically mentioned in your narrative a site that is not adjacent, you may still choose to label it
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Before Adding Labels, Check Your Print Preview
Labeling items in Geographic Information Systems (GIS) mapping applications is tricky, no matter what system you are usingWhen you label items and then change the zoom, labels will not move perfectly Check the preview to be sure you are working on the zoom level that you will use for your final map
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Print Map Options (1)
In the Print view you can choose to switch the orientation of the page or make the map a full page map
• Default is portrait-oriented, half-page mapDetermine which layout best shows off your area and the immediately adjacent ZCTAsSee the UDS Mapper tutorial How to Save or Print in the UDS Mapper
• https://www.udsmapper.org/docs/HowtoSaveorPrintintheUDSMapper-2018-05-08ws.pdf
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Print Map Options (2)
IMPORTANT: For some Bureau of Primary Health Care opportunities, the map and data table count toward your page limit If you select Full Page map options, your legend will be pushed to a second page
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Portrait, Half-Page Map This is the
default print layout which may not be appropriate for your service area
Currently at this zoom level, the service areas and adjacent ZCTAs are cut off
To allow for full display, change orientation and/or zoom
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Landscape, Full-Page Map; Original Zoom For this service
area, the original zoom works when orientation is switched to Landscape on a full-page map
Entire service area, and the adjacent ZCTAs with health centers that must be labeled, are visible
Use this as layout for final map
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Add Labels (1)
Use the Drawing tools to add labels TIP: make a list of all the places to be labeled, create ALL the labels, and THEN move them into position
• Roll over each place to be labeled and write down the organization name, not the site name
• Label sites as Organization Name site
Label everything that is required and nothing more unless you need it to make a pointMake sure you don’t place labels too far beyond the bounds of your service area because it all has to fit in your final layout
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Add Labels (2) To add labels in
the UDS Mapper, click the Drawingtools in the Tool Kit
Change the color if desired by clicking on the Palette
Click the Labelicon, click in the map, and add your label
Click Enter on your keyboard
Click and drag the label to reposition
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Final Map
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When You Label First then Adjust Zoom
Just so that you can see what happens if you adjust your zoom for final layout after adding labels, the labels will move Figuring out
your label first may save hours of adjustments
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Data Table
Be sure data are for combined (that means awardee and look-alike data are aggregated) – this is the default option Data table should have elements for standard UDS Mapper Report – this is the default option Should not have any other data elements unless they are necessary to make your case You may need to see Low-Income Not Served by Health
Centers (#) – this element is not required on your data table but you may want to add it in order to get the number for your application
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Check the Data Table The default option is
Combined; do not change it prior to printing the report
The default table is the Standard UDS Mapper Report with the minimum items you should include; we recommend that you include only these items
Click the other tabs and then Select None to remove other things you may have added, unless needed to make your case
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Add Low-Income Not Served by Health Centers
You will need to report Low Income Not Served by Health Centers for the service area
Add this column to your dataset to get the number
This is not required for your final data table so turn it off after you get that number
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Creating Final Report
Once you have your map zoom selected and your data table options set, you can create your reportClick the Printer icon in the lower left Tool Kit In the Print Preview, adjust your map settings, add a title, and be sure to include the map and data table in your printout
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Be Sure to Add Data Table and Title Map
Make sure you check the Data Table option to include it in your printout You can add a title to your map in the Print Preview page
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Full Page Map Pushes Legend to Second Page
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Final Report (1)
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Final Report (2)
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Final Report (3)
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New Population Data Indicators
From Behavioral Risk Factor Surveillance System (BRFSS)
• Binge Drinking• Smoking
From American Community Survey (ACS)• Disability
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Information Card DeckQuality: Adjusted Quartile Rankings Rankings calculated by the HRSA based on performance in quality measures HRSA ranks performance and assigns quartiles 1, 2, 3, and 4 after adjusting for certain factors such as
• Minority patient population• Uninsured patient population• Special patient population
More information available on HRSA’s Health Center Adjusted Quartile Ranking Frequently Asked Questions (FAQ)
• https://bphc.hrsa.gov/datareporting/reporting/rankingfaq.html
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Measures Included
Adjusted rankings may include Access to Prenatal Care Low Birth Weight Child and Adolescent Weight
Screening and Follow-Up Body Mass Index (BMI) Screening and
Follow-Up Tobacco Use Screening and Cessation
Intervention Colorectal Cancer Screening Depression Screening and Follow-Up
Plan Cervical Cancer Screening
Childhood Immunization Status Use of Appropriate Medications for
Asthma Uncontrolled Diabetes (HbA1c > 9%) Dental Sealants for Children between
6-9 Years) Coronary Artery Disease (CAD): Lipid
Therapy Ischemic Vascular Disease (IVD): Use
of Aspirin or Another Antithrombotic Controlling High Blood Pressure HIV Linkage to Care
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View Adjusted Quartile Rankings (1)
Turn on the Information Card by clicking the “i” in the lower left Tool Kit Turn on Health Center Administrative Locations by clicking the checkbox in the Explore Service Area Tool
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View Adjusted Quartile Rankings (2) Enable the
Information Card Deck by clicking the cards icon to the right of Health Center Administrative Locations
Click on a health center administrative location on the map to view health center organization-specific data, including adjusted quartile rankings
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View Adjusted Quartile Rankings (3)
Click Quality 2017 and scroll through the quality measures to find quartile rankingsRankings are labeled and color-coded
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Top Five Health Centers
New tab features data on Top 5 Health Centers Serving ZCTA Data for up to
5 top health centers include
• Health Center name
• Share of patients
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Advanced Tools: Mapping Areas of Priority for Medication-Assisted Treatment (MAP for MAT)
Enables you to find high need areas based on opioid-epidemic related data
• High need is determined by the user
All data are displayed by county
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Available MAP for MAT Population Indicators Data Data from Centers for Disease Control and Prevention (CDC):
• Drug Poisoning Mortality• Retail Opioid Dispensing Rate
Data from Centers for Medicare and Medicaid Services (CMS):
• Part D Opioid Prescribing Rate
Data from the Substance Abuse and Mental Health Services Administration (SAMHSA):
• Drug Addiction Treatment Act (DATA) Waived Provider Rate• Number of DATA Waived Providers
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Turn on a MAP for MAT Population Indicator
Every indicator’s sliding circle is automatically set to the national average for that indicator
When you turn on an indicator, the colored areas are counties with values indicating higher need than counties at the national average
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MAP for MAT Indicator Benchmark (1)Set appropriate benchmark As we found in
the Benchmarks table, South Dakota has a retail opioid dispensing rate of 54.8 prescriptions per 100 people
This is lower than the national average of 66.5 per 100 people
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MAP for MAT Indicator Benchmark (2)
Turn off the retail opioid dispensing rate and turn on drug poisoning mortality As we found in
the Benchmarks table, South Dakota has a drug poisoning mortality rate of 8.4 deaths per 100,000 people
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Compare MAP for MAT IndicatorsTurn the opioid dispensing rate indicator back on and look for overlap to find cold spots of need based on multiple indicators
Green areas: retail opioid dispensing rate of at least 54
Blue areas: drug poisoning mortality of at least 8
Blended areas: retail opioid dispensing rate of at least 54 and drug poisoning mortality of at least 8
Because blended colors will not appear in the legend, we recommend you not turn on more than two indicators at a time, as colors will blend and start to become confusing
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Show Providers and Areas of Need
Example: Turn on
Substance Abuse and Mental Health Facilities and DATA Waived Providers Turn on Drug
Poisoning Mortality Determine
potential areas of unmet need
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Downloading MAP for MAT Data
The MAP for MAT Population Indicators cannot currently be downloaded from the UDS Mapper
• You can save or print your map• For more detailed information see How to Save or Print Maps
and Data in the Tutorials & Resources section of the UDS Mapper website
To visually determine data in a specific county, gradually move the slider button and note when the area becomes unfilled
• For example, if you move the slider setting for drug poisoning mortality from 16 to 17, and you see Orange County become unfilled, you know that the drug poisoning mortality rate in Orange County is 16 deaths per 100,000 people
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MAP for MAT Data Limitations
Remember that MAP for MAT Population Indicators are presented at the county level so you will be looking at data for different geography levels This means that in a county with a high drug poisoning mortality rate,
turning on a ZCTA-level Population Indicator like Pop: Low-Income (%) may create blended areas. However, you cannot infer that the drug poisoning mortality rate is high in an individual ZCTA as it is only reported at the county level. The county as a whole may be high, but it may not be in that ZCTA. MAP for MAT drug poisoning data are only available in ranges, so no
county-level values appear greater than 30 For more detailed information, see How to Use the Population
Indicators Tool in the UDS Mapper in the Tutorials & Resourcessection of the UDS Mapper website
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Enhanced Drawing Tools
Labels redesigned• Easier to place• Movable• Background option
Outline only option for polygon and rectangle tools
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Print to PDF
Within the Print Preview screenChoose Print to PDF to create a PDF of your map, legend, information card, and/or data table
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Updated User Support Materials
All Tutorials are updated
Knowledge Base updated and more user friendly
New information• Data Update
Schedule• Data Estimation
Methodologies• Benchmarks for
Population Indicators
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Tutorials & Resources
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Thank You!
If you have additional questions or feedback after the conclusion of this webinar, please use the Contact Us form provided on the UDS Mapper site:
https://www.udsmapper.org/contact-us.cfm
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