health informatics seminars_nclg
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DUKE/UNC-CH/NCCU/NCSTATE/UNC-C WEEKLY INFORMATICS SEMINARS:
WAYS OF SEEING
Nicci Gafinowitz
MSIS CHIPSpring 2013
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Robert Furberg16 Feb 2013
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social + technical + data
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community + connectivity + content
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technology + mobile tools + information +
community + user-generated content +
collaboration + social interaction
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Now validated by research:patient wisdom and social media reduce the cost of healthcare !!
Judith Hibbard, J. Greene & V. Overton
(Feb 2013)
Patients With Lower Activation Associated With Higher Costs;
Delivery Systems Should Know Their Patients’ ‘Scores’
Health Aff 32 (2) 716-777
doi: 10.1377/hlthaff.2012.1064
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crowdsourcing medical knowledge…
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crowdsourcing for physicians …
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Patient versus the
ePatient
Passive - Active Information is - Information seeking
imparted Top-down delivery - Partner in their care
of care Paternalistic medicine - Participatory medicine
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4.9 million health patients will use
remote health monitoring device by 2016
*** HEALTH DATA ***of which 80% unstructured
I billion smartphones
by end 2013
*** BIG HEALTH DATA ***Bonnie Feldman (2012) Big Data in Digital health http://rockhealth.com/2012/10/rock-report-big-data-healthcare/
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Dr. John GrahamDirector Southern Piedmont BEACON Community Health
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PartnersCCNC, NC Institute for Public Health, Southern Piedmont Beacon Community, Health Landscapes LLC, Robert Graham Center
www.communitycarenc.org\nc-hip
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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 and Obesity
* Oral Health
* Physical Environment
* Reproductive and Sexual Health
* Social Determinants
* Substance Abuse
* Tobacco
* Community Characteristics
* Economics
* Education
* Infants and Children
* Population
* Medicare/Medicaid Population Profile
* Cancer
* Demographics
* Heart Disease
* Multi-morbidity
* Other Chronic Conditions
* Health System Performance: Medicare
* Hospital and ED Rates
* Prevention Quality Indicators
* Spending
* Health System Performance: Medicaid
* Medicaid Cost and Utilization Statistics by Client County
* CCNC Key Performance Indicators by Provider County (protected sites)
* CCNC Quality Improvement
* Asthma
* Diabetes
* Cancer Screening
* Cardiovascular
* Dental Care
* Heart Failure
* Pediatric Preventive Services
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Geographic Variation in ED Utilization#ED Visits per Medicaid Recipient, by Client County
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Prevalence of Diagnosed Depression among Medicaid Recipients
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Prevalence of multi-morbidity (3 or more chronic conditions)
correlated with
Average Medicaid costs per recipient
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Obesity prevalence correlated with preponderance of fast food restaurants
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Dashboard Overview
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Next Phase“Community of Practice” forming for application testing
and feedback, sharing of use cases and best practices
Technical architecture re-design to allow for automated data updates
Smaller area data visualization for Medicaid data where appropriate
Population filters (age, race/ethnicity, gender, program category)
Role-based user permissions for access to certain data
? Customized NCHQA deployment, to be defined