Morgan RobinsonData Analyst, PolicyMap

The Reinvestment Fund; Philadelphia, PA29 September 2014

Health Indicators at Scale: sources, methods, and connections

Health Indicators at Scale: sources, methods, and connections

• Common issues with Neighborhood Health Data

• Creative Geography• Non-Health Data: Demographic/Socio-

Economics• Partnerships & Best Practices

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Risk factors & resourcesNeighborhood/structuralPopulation level

BehaviorsIndividual behaviorsUtilization of health care

ResourcesAvailability of careFacilitation of healthy behaviors

OutcomesChronic conditionsMortalityHospitalization/Medicalization

County

StateNation

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What, and where is my neighborhood?

Combination of tracts/block groups

Target Area/ Predefined Neighborhood

ZIP Code

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ZIP Code: EPA National Emissions Inventory, 2011Technology Transfer Network Clearinghouse for Inventories & Emissions Factors http://www.epa.gov/ttnchie1/net/2011inventory.html

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Health Resources

~ 6,000 Hospitals~ 10,000 Community Health Centers (including FQHCs)

patient demographics & quality of care ratings- Uniform Data System Reporting (UDS)- Medicare data (CMS)

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Census tract: USDA Low-Access, 2010Economic Research Service (ERS)http://www.ers.usda.gov/data-products/food-access-research-atlas/

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ZIP Code: County Business Patterns, 2012

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Healthcare utilization and outcomesLimited to medicalized population, or vulnerable populations required to report.• Medicare beneficiaries• Health center populations• Deceased individuals• …but still a rich source of data

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HRSA & Dartmouth Atlas of Healthcarehttp://datawarehouse.hrsa.gov/Data/datadownload/pcsa2010Download.aspx

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Hospitals as Geographies: Primary Care Service Areas

HRSA & Dartmouth Atlas of Healthcarehttp://datawarehouse.hrsa.gov/Data/datadownload/pcsa2010Download.aspx

• Links 2010 census tracts to Medicare billings

• Aggregate data from CMS, AMA, HRSA, and others

• Aggregate ACS data

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Hospitals as Geographies: Primary Care Service Areas

Leaning on Demographics

Estimating local health• by association• modeling

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Leaning on Demographics

Large National Datasets• Behavioral Risk

Factor Surveillance System

• Consumer Expenditure Survey

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Local partnerships

• SEPA HHS• AIDSVu• Healthy Homes/Lead

Poisoning Prevention Program

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Public Health Management Corporation SE Pennsylvania Household Health Survey

http://www.chdbdata.org/ • 1994 – 2014

• Health status, personal health behaviors, and access to and utilization of area health services

• Clustered tracts and ZIP codes

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AIDSVu: http://aidsvu.org/map

• 33 participating cities• Data release agreement

with local health departments

• tracts and ZIP codes where available

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CDC Healthy Homes/Lead Poisoning Prevention Program: Michigan

http://www.cdc.gov/nceh/lead/

• 1997 – 2012• MDCH relies on

CDC funding to keep its lead poisoning prevention program running

• Counties and ZIP Codes statewide

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What else?

• Community Health Needs Assessments

• Your home state Health/BRFSS coordinating agency

• Ideas?• Questions?

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