Managing Quality Of Life For Managing Quality Of Life For CommunitiesCommunities

Deryk Van Brunt, Dr.PHDeryk Van Brunt, Dr.PH

Clinical Professor, UC BerkeleyClinical Professor, UC Berkeley

President, Healthy Communities FoundationPresident, Healthy Communities Foundation

Chairman, eMedicineChairman, eMedicine

—— Background Background —— The Healthy Communities FoundationThe Healthy Communities Foundation

Non-profit organizationNon-profit organization Affiliated with UC BerkeleyAffiliated with UC Berkeley Mission: to “put a face on public health,” and Mission: to “put a face on public health,” and

engage all stakeholders in improving quality of engage all stakeholders in improving quality of life in communities, via new information systems life in communities, via new information systems

Build upon the Healthy Cities movementBuild upon the Healthy Cities movement Funding from Power BarFunding from Power Bar Deployment ready August 2004Deployment ready August 2004 Seeking pilot communities, support and partnersSeeking pilot communities, support and partners

The ProblemThe Problem There is no single view or system that (a) shows the status There is no single view or system that (a) shows the status

of quality of life in each community, (b) provides access to of quality of life in each community, (b) provides access to lists of what other communities have tried to improve lists of what other communities have tried to improve health, and (c) provides an online decision-making health, and (c) provides an online decision-making environment for a community to make positive, informed environment for a community to make positive, informed change based on consistently good quality datachange based on consistently good quality data..

Access a “dashboard” of quality of life indicatorsAccess a “dashboard” of quality of life indicators Identify programs that have worked elsewhere (childhood obesity, Identify programs that have worked elsewhere (childhood obesity,

smoking cessation, infant mortality, water quality, traffic smoking cessation, infant mortality, water quality, traffic congestion, employment programs, safety programs, etc.)congestion, employment programs, safety programs, etc.)

Understand how to operationalize and better co-ordinate programs Understand how to operationalize and better co-ordinate programs in your communityin your community

Communicate programs and findings with the publicCommunicate programs and findings with the public Help people get involved and foster more social entrepreneursHelp people get involved and foster more social entrepreneurs Integrate with the health care delivery systemIntegrate with the health care delivery system

Determinants Of HealthDeterminants Of Health

Medical CareMedical Care 10%10% GeneticsGenetics 20%20% EnvironmentEnvironment 20%20% LifestyleLifestyle 50%50%

Stakeholders Are Ready To Stakeholders Are Ready To Engage: The InternetEngage: The Internet

0

20

40

60

80

100

120

140

1996 1998 2000 2002

Millions of People

137 million American adults online137 million American adults online

82 million search for health information (62%)82 million search for health information (62%)

Health is #2 most trafficked subjectHealth is #2 most trafficked subject

82% have searched for family and friends82% have searched for family and friends 92% said searches were useful92% said searches were useful 68% said information impacted decisions68% said information impacted decisions 16% said web had major impact on decisions16% said web had major impact on decisions 28% said web affected their decision to visit a physician28% said web affected their decision to visit a physician 90% want to communicate with their doctor online 90% want to communicate with their doctor online

(50% would influence choice of Plan)(50% would influence choice of Plan) 83% said it is important that they can get 83% said it is important that they can get more more

information online than from other sourcesinformation online than from other sources Where is the system that provides the local view into Where is the system that provides the local view into

quality of life and civic engagement?quality of life and civic engagement?

ING Baring Furman Selz LLC Report, Pew Internet and American Life Project, Feb. 2001 & May 2002, CIA Worldfacts 2003

HC Network: Design Criteria HC Network: Design Criteria Useful to community stakeholdersUseful to community stakeholders

o Policy makersPolicy makerso Researchers and providers of servicesResearchers and providers of serviceso General PublicGeneral Public

Template; ScalableTemplate; Scalableo Track National and State indicator databasesTrack National and State indicator databaseso Provide local view for each communityProvide local view for each communityo Allow for use at City, County, State, National and Allow for use at City, County, State, National and

International levelsInternational levels

Support the decision making process of the Support the decision making process of the community and be engagingcommunity and be engagingo ““Dashboard” of quality of life indicatorsDashboard” of quality of life indicators

o Database of best and promising practices Database of best and promising practices

o Facilitate communication, collaboration and changeFacilitate communication, collaboration and change

—— Architecture Architecture —— Healthy Community NetworkHealthy Community Network

UsersUsers

Healthy Community Healthy Community Network (local view)Network (local view)

Centralized Centralized Servers, Servers,

Content & Content & ApplicationsApplications

Local Local Coalition Coalition

Governance Governance & Content& Content

City GovernmentCity Government

Local Local Hospitals, Hospitals,

Public Public HealthHealth

Non-Non-profitsprofits

Schools, Schools, Police, Local Police, Local Services, etc.Services, etc.

Community Community Direct Direct

ParticipationParticipation

ConclusionConclusion

Opportunity to improve tracking of quality of life, Opportunity to improve tracking of quality of life, communication, participation and informed decision communication, participation and informed decision making in every community, leading to improving making in every community, leading to improving determinants of health, improving access to services determinants of health, improving access to services & volunteerism, and reducing unnecessary costs.& volunteerism, and reducing unnecessary costs.

Healthy Communities Network is ready for Healthy Communities Network is ready for deployment beginning August 2004deployment beginning August 2004

Healthy Communities Foundation and UC Healthy Communities Foundation and UC Berkeley seek 3 to 5 communities and Berkeley seek 3 to 5 communities and associated funding to pilot the systemassociated funding to pilot the system