making place relevant – the wellness map-mark zirkelbach, loma linda university medical center
TRANSCRIPT
Presentation Objectives
• Describe: • Applications of GIS in healthcare
• GIS application in patient and clinician engagement
• Location intelligence impact on personal health decision-making
What is GIS?
• Geographic Information System (GIS) – • Captures, stores, manipulates, and present spatial or geographical data
• Commonly the spot on a map where the latitude and longitude appear
• Knowing Where Things Do Happen or Could Happen Helps: • Customers, Suppliers, Workforce, Transportation
• Adds a spatial element to our data • a visual “where” versus just data lists
Social Determinates of Health
Negative
Health
Outcome
Individual-level
health education
efforts
Poverty
Determinants of
health
Ad
ap
ted
fro
m: W
HO
(1
99
0)
Accountable Care Ecosystem
Health System Data
Community Health Data
Community Health Management System
CHMS
Clinical
Medical Staff
Administrative
Demographics
Resources
Cultural
Hot Spot Analysis
Target Intervention
Strategy
Predictive Admission
Status
Real-time data linking through geographic technology
Community - where location becomes clinically relevant and provides meaningful context for diagnosis, treatment, and healing of patients.
What Is The Wellness Map?
• Personalized map to help patient’s achieve their health & wellness goals in addition to addressing their socioeconomic needs.
• Map is seamlessly integrated with the Epic electronic health record system & MyChart patient portal.
• Leverages a flexible and scalable central repository of community resources mapped to appropriate diagnoses and conditions, any other relevant information; e.g., Religion, Scheduled Appointments, etc.
The Goals of the Wellness Map • Bridge the gap of care between health care delivery systems &
patient’s home/community
• Provide a spatial view of community and clinical care resources to patients
• Provide personalized and easy tool they can use at home or smartphone
• Improve patient utilization of community resources and compliance with wellness goals
The 7th Vital Sign
• Body Temperature
• Heart Rate
• Blood Pressure
• Respiratory Rate
• Pain
• Distress
•Place
Key Benefits
• Patient’s have a mobile map app to quickly find community resources custom to their situations.
• Providers/Care Coordinators can quickly evaluate availability of community resources.
• Health system has one consistent, up-to-date community referral database.
• Highly customizable to cater search results to different patient populations & department needs.
• Can integrate with a wide variety of applications to create a synergistic user experience.
• Able to measure which resources are frequently viewed.
• 3 month pilot at LLUH’s Center for Health Promotion w/ Dr. Peters.
• Focused on patients dx w/ metabolic syndrome & diabetes.
• Goal to have patients use map & community resources.
• MDs spent up to 15 min counseling, sharing Wellness Map, & how patient goals could be achieved using community resources.
• Patient feedback, “cool”, “this is helpful”, “needs more resources on map.”
• Provider feedback, “easy to use”, “has great potential”, “need mobile version.”
Benefits Identified During Pilot
Workflow
Provider Performs
Evaluation, Management
& Set Patient Goals
Launches Map in
Epic Hyperspace
Reviews Resources
In Wellness Map
Staff Helps Patient
Enroll for MyChart Patient Visits
Care Clinic
Patient Goes Home
Reviews Wellness Map via
MyChart or MyChart Mobile
Patient Uses Community
Resources to Improve
Health & Wellness
My Appointments
Medical
Health & Wellness
Social
Find resources by directly
searching for them
Resources are shown based
on distance from patient’s home
Patient’s appointments, Primary Care
Provider, and preferred lab & pharmacy
is automatically pulled from the EHR
There are 3 main categories of
resources with customizable
sub-categories that appear based
on the patient’s EHR diagnoses Map automatically centers on
patient’s home address from EHR
Resources can quickly be added,
updated & removed from database
Directions are
automatically generated
Bus, walk, & other
transportation modes
available
Business address, hours,
phone, website, & list of
services
Comparison Personalized based on
patient’s EHR diagnosis?
Accurate and Up-to-Date?
Save favorites & print map?
Easy to find the right health
resource?
Easy to use? Configurable? Secure &
HIPPA Compliant?
Mobile App?
No No No Yes Yes No No Yes
No No Yes No Yes No No Yes
No No No Yes No No No No
Yes Yes No;
future Yes;
automatic Yes Yes Yes Yes
Identified CommunityResources
Epic InterconnectBackend Services
Patient Provider
MyChartInternet (External) via
Internet & Mobile
EpicHyperspace (Internal)
Survey
Service .ASPXGeoportal
Inte
gra
ted
- P
HI
IEHPClaims Data
LLUH Hub
Determine Outcomes
Future Use Cases
• Understanding our population to help us make better decisions (strategic – services and capital investments).
• Wayfinding to help people navigate outdoors and indoors in real-time around the campus.
• Tracking of equipment and assets for improved security and compliance (RTLS).
• Tracking campus shuttles for location and utilization for efficient patient movement
Frequently Asked Questions
Q: How will POIs be deemed appropriate to add to the database? A: Data governance along with guidelines will need to be created with the help of all parties.
Q: Will a new map be generated when the patient’s diagnosis & other health information is updated? A: Yes, the map is dynamic and will automatically be updated when there are updates to the patient’s EHR record in real-time.