Esri Health Conference, 2015

Mark Carrozza, Dirctor of HealthLandscape, recently blogged about the idea that "Place Matters," especially when it comes to health and health care. It was fitting, then, that HealthLandscape had two presentations on the agenda at this year's Esri Health Conference, which was themed "Making Place Matter."

Our first presentation was an overview of two HealthLandscape tools - The Medicare Data Portal and Accountable Care Organization (ACO) Explorer. The aim of these tools is to help put the power of geographic visualization in the hands of researchers and policy makers. 

The Medicare Data Portal engages decision-makers and researchers with county and Hospital Referral Region (HRR) data from the Centers for Medicare & Medicaid (CMS) Geographic Variation database and the Chronic Conditions Warehouse. Users are able to visualize health outcome, cost, and demographic data for the Medicare population using maps, graphs, and trend charts. Users also have the ability to examine the relationship between two indicators (for example, Inpatient Costs and Diabetes) with side-by-side maps and a comparison tool that uses percentiles to visualize the relationship between variables. Users can choose from over 100 indicators across 6 categories, including Medicare Population data, Chronic Conditions, Utilization, Costs, Multiple Chronic Conditions, and Dartmouth Measures.

The ACO Explorer presents data for 211 Accountable Care Organizations, or ACOs. As part of the Affordable Care Act, new models of health care delivery have been developed, aimed at improving the quality of care while reducing costs. ACOs are being touted as potential solutions for the inefficiency and fragmentation of the U.S. healthcare system.  ACOs are made up of groups of doctors, hospitals, and other health care providers that coordinate care for Medicare beneficiaries. The tool allows users to visualize 33 quality metrics across five domains, which are compared against benchmarks set by CMS. Each point represents an accountable care organization. When you hover over or click on a specific site, flared rollover windows will appear that contain data about the quality measures included in each of the five domains, which will be colored red, yellow, or green based on their value respective to the thresholds. 

This set of tools can be accessed at www.healthlandscape.org/ACOExplorer/map.cfm. For more detailed information, check out our previous blog post, or sign up for an upcoming webinar.

In addition to the more traditional paper sessions, the conference plenary session featured a round of Lightning Talks, where each presenter had a strict 5 minute window in which to present their ideas. Mark presented the HealthLandscape GeoEnrichment API, a HIPAA-compliant Data as a Service (DaaS) solution that appends multiple geographic identifiers and small-area community characteristics to individual data. This project involves integrating social determinants of health data into patient level data to yield a broader view of the environmental and social risks specific to each patient by indicating whether patient lives in the presence of factors such as poverty, healthy food sources, walkable streets and parks, social capital, and much more.  

We're very excited about all of the possible applications of this simple, but powerful, tool, and we look forward to sharing our ideas and plans in future blog posts.

Jené Grandmont
Senior Manager, Application Development and Data Services
HealthLandscape

Three Reasons Interactive GIS Data Visualizations Get Your Message Across Faster

Last week, we were among the featured innovators at an event that brought together emerging life science companies, prospective investors, policymakers, and other people who want to significantly improve health in the Greater Cincinnati region.

We set up in a beautifully appointed conference room and began rolling a video that highlighted several of the HealthLandscape tools on a giant LED monitor. Our presentation commanded the audience's attention.

Why? What was so compelling about these interactive maps?

We noticed that almost every person who stepped into the room engaged with what they were seeing in the same three ways:

They immediately had a frame of reference.

What did they look for first? Their neighborhood. Their community. Their landmarks. They quickly found where they belonged, and shifted their focus to the data we were presenting. We didn't have to spend time setting up the context. They already had it.

They immediately began looking for patterns.

People began asking questions and making observations: Why are so many clustered in that area? What does that shading represent? That's not what I would have expected there. I'm surprised that number isn't higher. People quickly began trying to make sense of the complex data. Seeing the data geographically energized and engaged them.

They immediately wanted to take the data further.

Once the initial observations were made, the audience wanted to dig deeper. They wanted to find meaning in the data. They wanted to not just observe a pattern but also understand why the pattern might be occurring. Is there a high level of unemployment in that area? What about poverty? Does that cluster of people with severe heart disease have access to a hospital? Because of HealthLandscape's interactive design and full library of community data, their questions could be addressed as their mental wheels were turning, while they were beginning to imagine ways to meet the identified need.

Our minds process visual information more quickly than textual information. One writer demonstrates this by placing a drawing of a circle next to a paragraph of text that gives a definition of a circle. Which do you have to work harder to understand: the image or the definition? And which will you remember?

Which do you understand more quickly--the map or the table? Both show the same data.

While any visualization has the potential to be "sticky," GIS visualizations go one step further because viewers have the potential to make a personal connection with the data. Your audience, whether it is a community of care providers, policymakers, funders, or the very people you serve, look for where they are in relation to the data, and ask, "How does this affect me?"

To learn more about HealthLandscape's interactive GIS data visualizations, attend one of our regularly scheduled webinars:

The Community Data Portal

In-depth demonstrations of our award-winning data dissemination tool
Thursday, October 3, 2:00 pm ET

Introduction to HealthLandscape

In-depth instruction on using HealthLandscape, our free online mapping tool and data library
Tuesday, October 8, 2:00 pm ET

Visualizing Data with HealthLandscape

Overview of all of our data visualization tools, including the Site Performance Explorer
Tuesday, October 22, 2:00 pm ET

 

How Are You Measuring Health Promotion in Your Region?

How do you measure health promotion activities in your region? What performance indicators show that your health promotion efforts are producing results?

We're curious because one of our partner organizations, The Health Foundation of Greater Cincinnati,* has shifted its strategic direction away from access to care and toward health promotion. Now called Interact for Health, the organization's primary focus is on:

• Healthy eating
• Active living
• Mental and emotional well-being
• Healthy choices about substance use

Interact for Health has organized its new strategy around the National Prevention Council's National Prevention Strategy. In Appendix 2, the document lists categories of key indicators, including:

• Goal indicators
• Leading causes of death
• Healthy and safe community environments
• Clinical and community preventive services
• Empowered people
• Elimination of health disparities
• Tobacco-free living
• Preventing drug abuse and excessive alcohol use
• Healthy eating
• Active living
• Injury and violence-free living
• Reproductive and sexual health
• Mental and emotional well-being

Many of the data sets that match the key indicators listed in the National Prevention Strategy are included in HealthLandscape's Community HealthView tool, which is easily accessible, free, and ready to use. To learn how to access data in Community HealthView, click the link below to sign up for an Introduction to HealthLandscape webinar.

How are you measuring health promotion? What's working for you?

*HealthLandscape, LLC is a partnership of Interact for Health and the American Academy of Family Physicians' Robert Graham Center.

7 Ways Data Sharing Can Make Your Organization Stronger

Sharing data with your community
can provide tangible benefits for your organization.
Photo ©iStockphoto.com/Peter Booth and Alexandra Booth

We hear a lot about data these days: big data, open data, proprietary data, market data, metadata.

But we don't hear a lot about data sharing. At least not in business or nonprofit circles.

Data sharing is fairly common among university and research institutions who see their data as a public asset. Federal, state, and local governments have begun to step up and release useful data sets. But beyond institutional walls, there is still widespread reticence against letting anyone outside the organization have access to "our" data.

So why would you, as a private company or nonprofit, want to share your data?

1. It makes your data more valuable. 

Your data is just that: your data. By adding your data to others', a fuller picture emerges of what is really happening in your market, industry, or community. This is true whether you formally "pool" your data into a data portal, or simply compare your data against other data sets.

2. It promotes collaboration.

Data sharing helps you choose partners wisely. You're a business owner, and until you sought out that specific data set, you did not realize that Company X had the potential to be an excellent strategic partner. You're a nonprofit executive director just beginning to realize the power of collective impact. By opening up your data, you can more easily answer the question, "Who else is working in this field?"

3. It promotes innovation.

Building 20 at MIT became well-known as an incubator for innovation. Educators and researchers from disparate fields occupied the space, and in the natural course of their workday, they bumped into each other. Through conversations and generally taking an interest in one another, new ideas sprang forth, ideas which may not have come about otherwise.

The same can occur when you share your data. You may inadvertently generate a new app, a new insight, or a new way of looking at the world because you generously made your data available to all.

4. It demonstrates your organization's transparency. 

Every organization has a level of accountability. Businesses must be accountable to their shareholders and consumers; nonprofits must be accountable to their donors and constituents. All must be accountable to their community.

By willingly sharing your data with the community at large, you demonstrate that you are willing to be accountable for your organization's strengths, you are willing to accept responsibility for areas that need improvement, and you are open to being vulnerable to both praise and criticism. All of these actions help to build trust.

5. It enlarges your worldview. 

When you're the only one looking at your data, you can only see things from your point of view. By exposing your data to the rest of the world, you invite comment--and insight. Viewers outside your organization bring their own experience to your data, and may be able to give you a new perspective that might never have been realized had the data been kept internal.

6. It's a two-way street.

Data sharing begets data sharing.Your courage in stepping out will invite others to do the same.

7. It makes things happen.

Data sharing doesn't have to be passive. Host a hackathon to build that elusive app you've been putting off for months. Sponsor a data visualization contest around your data. Tell the data viz team the concept you're trying to express, and let them have a go at it. Design an event that matches creativity to a legitimate need and see what emerges. If nothing else, you've built goodwill and had fun in the process.

We're not suggesting that you release all of your data. Or confidential data. Just data that could benefit the community as a whole. And of course you must employ some safeguards. In a future post, we'll give you some guidelines on how to cleanse and de-identify your data, so that you can share your data with confidence.

Have a specific question about making your data accessible? Contact us at info@healthlandscape.org.

Or visit www.HealthLandscape.org to sign up for a Community Data Portal webinar. (Next one is tomorrow, August 22 at 3:00 pm ET. Click here to register.)

UDS Mapper: Another Great Community Health Data Source

Source: http://www.nachc.com

In honor of National Health Center Week, we're highlighting the UDS Mapper, a tool we developed on behalf of the Health Resources Services Administration (HRSA) and the Robert Graham Center. Although the UDS Mapper is intended specifically for the use of community health centers, it's a great data source for anyone interested in community health.

Community health centers were started in 1965 to provide primary care and preventive health services to persons with little access to healthcare. Although there were only a few centers at the program's inception, today there are more than 1,200 community health centers and look-alikes (sites that provide community health care services but are not federally funded). They provide care to more than 22 million people who are primarily low-income or part of underserved communities such as migrant workers and those who are experiencing homelessness.

Because most community health centers are federally funded, they have stringent data reporting requirements. They are required to submit data to the Uniform Data System (UDS) annually. Data are collected about:

• Patient characteristics (including age, gender, race, ethnicity, income level, third-party insurance source)
• Special population groups (individuals experiencing homelessness, migrant and seasonal farmworkers and their family members)
• Patients receiving prenatal, pregnancy, and postpartum care
• Newborn infants
• Health center staffing
• Clinical indicators
• Services provided
• Utilization rates
• Costs
• Revenues

The UDS Mapper displays UDS data at the ZCTA level, and is free to use. It also has other useful features including:

• Ability to map drive times within a 50-mile radius
• Ability to map service areas
• Incorporation into the HealthLandscape platform, which enables users to access HealthLandscape's Community HealthView data library and QuickThemes and QuickGeocodes tools.

For free UDS Mapper training, sign up via UDSMapper.org.

For free HealthLandscape training, sign up using the links below.

• The Community Data Portal (August 22, 3 pm ET)
• Visualizing Data with HealthLandscape (August 28, 2 pm ET)
• Introduction to HealthLandscape (August 29, 2 pm ET)

Thank you, community health centers, for providing needed services to so many!

Sources: http://www.chcchronicles.org/ and http://bphc.hrsa.gov/healthcenterdatastatistics/#whatisuds, accessed August 5, 2013.

Using Pinterest and HealthLandscape as a Way to Share Your Community Data

Have a Pinterest account? HealthLandscape does too. We just set ours up a week or so ago, so we can begin to showcase some of our tools and current projects. (Look for it to build out over time.)

Pinterest has taken hold because it harnesses the power of visual communication. Any image can be pinned—a photo, ad, infographic, data visualization, or video—and it will grab your viewer's attention quicker than words alone would.

So have you thought about using Pinterest as a way to share your mapped data? Your map + Pinterest could equal more traffic to your web site and more of your data getting out into the community!

Simply follow these steps:

• Develop your map in HealthLandscape using our QuickGeocodes, QuickThemes, or Community HealthView tool.
• Save the file.
• Upload the finished file to your organization's Pinterest site. 
• Be sure to add a description of the map and some creative copy that links to your organization's web site.
• Anticipate referral traffic!

We created a QuickMap of population change data in the Detroit area and posted it on our Pinterest site as an example. Follow us there and see how Pinterest + HealthLandscape can work for you!

Infographic or Data Visualization?

What's the difference between an infographic and a data visualization? Robert Kosara, Associate Professor of Computer Science at UNC Charlotte, explains it well on his blog. He says, "The visualization is created by a tool that can be applied to many datasets, the infographic is hand-crafted for a particular dataset."

HealthLandscape creates data visualizations

With HealthLandscape, you can:

• Use the tools again and again for multiple data sets.
• Update your custom map at any time with more current data.
• Interact with your data to better understand it.
• View your data at multiple levels: state, county, census tract, or census block group.
• Add our data layers to your data.

And you can do all of this without being a designer or a GIS professional!

We'd like to help you visualize your data. Contact us at info@healthlandscape.org.

Sidenote: Be sure to read the comments on Robert's post. His ZIPScribble maps are pretty cool too.