Planning and Evaluating Outcomes for Wellness Programs: The ADSS Jeffrey A. Johnson School of Public Health University of Alberta.

Slides:

Advertisements

Similar presentations

Alberta’s Diabetes Landscape Jeffrey A. Johnson

Advertisements

Meaningful Use and Health Information Exchange

Egyptian Perspective On Prediabetes & Diabetes

Surveillance in a Pandemic: Situational Awareness

Health Statistics and Gender Dr Edward Sondik – US NCHS ESA/STAT/AC.219/5 October 11, 2010.

Socioeconomic Inequalities in Health Among Canadian Women with Heart Disease Arlene S. Bierman, M.D., M.S Ontario Womens Health Council Chair in Womens.

Sharon Moffatt RN MSN Acting Commissioner of Health November 6, 2006.

THE COMMONWEALTH FUND Figure 1. Health Insurance Coverage and Uninsured Trends Data: Analysis of the U.S. Census Bureau, Current Population Survey Annual.

Multinational Comparisons of Health Systems Data, 2009 Gerard F. Anderson and Patricia Markovich Johns Hopkins University November 2009 Support for this.

Chartpack National Scorecard on U.S. Health System Performance, 2011

National Scorecard, 2008: Chartpack This Chartpack presents data for all indicators scored in the National Scorecard on U.S. Health System Performance,

Development-Knowledge Transfer Survey results over time: Recognition of CCGC name was 49-50% in 2002 moving up to 74% by 2003 Ranking of most useful.

National expertise and capacity building approaches Subgroup on HES, Luxembourg, 20 January 2010.

January 12-13, 2006 Montpelier, VT Chronic Care Management for all Vermonters Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair Department.

Update on Recent Health Reform Activities in Minnesota.

Diabetes in Idaho BRFSS 2009 Data collected from Behavioral Risk Factor Surveillance System Idaho Department of Health and Welfare, Division of.

Mental Health is Integral to Overall Health. Health Issues Related to People with Serious Mental Illness People with SMI who receive services in the public.

THE COMMONWEALTH FUND Multinational Comparisons of Health Systems Data, 2013 David Squires The Commonwealth Fund November 2013.

The Impact of Diabetes Mellitus in the United States

Safer Clinical Systems About Safer Clinical Systems June 2011.

Unintentional Drug Poisoning Deaths, Michigan Residents, Su Min Oh, PhD Michigan Department of Community Health Bureau of Substance Abuse and.

CDM Registry Project Dr. Richard Lewanczuk Regional Medical Director Chronic Disease Management Capital Health.

Jeffrey A. Johnson, PhD Stephanie U. Vermeulen, MSc. University of Alberta & Institute of Health Economics April 8, 2008.

Asthma in Minnesota Slide Set Asthma Program Minnesota Department of Health January 2013.

Presented by: National Forum for Heart Disease and Stroke Prevention Improving Hypertension Control The Kaiser Permanente Hypertension Control Project:

HIV Epidemiology Program: Epidemiology of HIV and AIDS in Los Angeles County Presentation to Public Health Commission October 28, 2010 Douglas M. Frye,

Survey Enhancements to Inform the Affordable Care Act National Center for Health Statistics (NCHS) Clarice Brown Division of Health Care Statistics U.S.

Outline Development Timeline Development Team

UK Renal Registry 17th Annual Report Figure 5.1. Trend in one year after 90 day incident patient survival by first modality, 2003–2012 cohorts (adjusted.

Barb Simons, RN Cate Ranheim, MD October 2010 Madison, WI.

Preventable Hospitalizations: Assessing Access and the Performance of Local Safety Net Presented by Yu Fang (Frances) Lee Feb. 9 th, 2007.

“a mechanism for the collection, processing, analysis and transmission of information required for organizing and operating health services, and also for.

Epidemiologic Studies of Cancer, Diabetes & Its Treatments: Opportunities from Canada Jeffrey A. Johnson University of Alberta Edmonton, Canada Cancer.

Jeffrey A. Johnson, PhD Stephanie U. Vermeulen, MSc. University of Alberta & Institute of Health Economics March 11, 2008.

Alberta Diabetes Atlas 2009 and ADSS SC Terms of Reference 1. Advise on Table of Contents and Working Groups for the Alberta Diabetes Atlas 2. Advise.

Alberta’s Caring for Diabetes (ABCD) Project A Chronic Disease Management Initiative Jeffrey Johnson, PhD Canada Research Chair in Diabetes Health Outcomes.

ADSS Update for Steering Committee June 24, 2008 Jeff Johnson PhD. Stephanie Vermeulen MSc.

Jeffrey A. Johnson, PhD Stephanie U. Vermeulen, MSc. University of Alberta & Institute of Health Economics August 30, 2007.

Enhancing Capacity for Surveillance of Healthy Living & Chronic Disease in Canada Paula Stewart MD, FRCPC Public Health Agency of Canada APHEO, September.

NCHS Data – Strengths and Weaknesses from the NHLBI Perspective Paul Sorlie, Ph.D. Chief, Epidemiology Branch National Heart, Lung, and Blood Institute.

2014 Survey on Living with Chronic Diseases in Canada (SLCDC): Mood & Anxiety Disorders National Mental Health and Addictions Information Collaborative.

A Perspective on Canadian Initiatives in Health Care Quality HL7 Clinical Quality Work Group June 26,

1 Canadian Institute for Health Information. Hospital Care for Heart Attacks Among First Nations, Inuit and Métis Released January 31,

Pathway Model: A Tool to Measure Outcomes Target Population Engage those at greatest risk Assure connection to evidence-based intervention Measureable.

Jeffrey A. Johnson, PhD Stephanie U. Vermeulen, MSc. University of Alberta & Institute of Health Economics April 25, 2008.

Life expectancy at birth SOURCE: CDC/NCHS, Health, United States, 2012, Figure 1. Data from the National Vital Statistics System.

The effect of surgeon volume on procedure selection in non-small cell lung cancer surgeries Dr. Christian Finley MD MPH FRCSC McMaster University.

Cardiovascular Disease in Tennessee Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health Practical Strategies.

Inputs, Outputs and Outcomes: What Measures, What Matters Glenda Yeates, President & CEO Canadian Institute for Health Information October 30, 2007.

Accessing Aggregated Population Health Data from Select Tools of the NCHS A presentation at the Knowledge 4 Equity Conference James M. Craver November.

Health Statistics Information on STC website Calgary–DLI training–Dec 2003 Michel B. Séguin, Statistics Canada,

South Service Planning Area (SPA 6) and King-Drew Medical Center Health Needs Planning Data 2004 Compiled by LAC DHS Office of Planning, 2004.

eHARS to CAREWare Pilot Project Update and Training

Community Health Needs Assessment Introduction and Overview Berwood Yost Franklin & Marshall College.

Accessing PHRU data All projects must be submitted for formal review to a Data Access Committee. –DAC meets monthly to review projects.

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics 1 Monitoring Million Hearts.

New National Approaches to Immigrant Health Assessment M. DesMeules, J. Gold, B. Vissandjée, J. Payne, A. Kazanjian, D. Manuel Health Canada, University.

Diabetes, Co-morbidities and Health Service Utilization among Miawpukek First Nation June 2008 KD Collins,T O'Keefe, D MacDonald, K Sikdar, M Murphy, A.

Studying Health and Health Care Leslie L. Roos, Noralou P. Roos Charlyn D. Black, Ruth-Ann Soodeen, Eileen Pyke MANITOBA CENTRE FOR HEALTH POLICY.

Vermont Blueprint for Health Sharon Moffatt Commissioner of Health August 2007.

More information © 2015 Denver Public Health Tobacco Metrics: the Power of Electronic Health Records Theresa Mickiewicz, MSPH Public Health in the Rockies.

Studying Health and Health Care Leslie L. Roos, Noralou P. Roos Charlyn D. Black, Ruth-Ann Soodeen, Eileen Pyke MANITOBA CENTRE FOR HEALTH POLICY & EVALUATION.

Gambling Behavior Among a Sample of Adolescents and Adults in Alberta David Casey, Ph.D. University of Calgary AGRI Conference 2007.

03/20121 Back to Basics, 2012 POPULATION HEALTH : Vital & Health Statistics Presented by N. Birkett, MD Epidemiology & Community Medicine.

Funded by the Centers for Disease Control and Prevention, through the Philadelphia Department of Public Health.

Health data in Ontario Susan Bondy, U. of Toronto Dalla Lana School of Public Health Presented at: Health Over the Life Course, Pre-conference Workshop.

Department of Preventive Medicine Faculty of Public Health University of Debrecen General Practitioners’ Morbidity Sentinel Stations Program (GPMSSP) to.

One-in-Seven of Native Hawaiian Adults and One-in-Five of Native Hawaiian Children Have Asthma Dmitry Krupitsky, MSPH, Hawaii State Asthma Control Program,

Kansas Data-Driven Prevention Initiative Data Strategy and Activity

Cardiovascular Disease (CVD) in Texas

Presentation transcript:

Planning and Evaluating Outcomes for Wellness Programs: The ADSS Jeffrey A. Johnson School of Public Health University of Alberta

Diabetes in Alberta By the numbers…. Almost 206,000 people were living with diabetes in Alberta in Over 19,000 new cases were identified in Diabetes rates have almost doubled over the past decade. Each year, adults with diabetes see physicians 2-3 times more often and spend almost 3 more days in hospital compared to their non-diabetic counterparts. People with diabetes have mortality rates 2 times higher than people without diabetes.

CAHS Report 2010

Diabetes in Alberta By the numbers…. Albertas Diabetes Surveillance System Is a partnership between ACHORD/IHE/U of A and Alberta Health and Wellness; tracks the numbers and trends for diabetes in the province over time; is part of a national program run by the Public Health Agency of Canada; provides valuable information on the level of health services used by people living with diabetes.

5 6/1/201402/17/ Goals for the National Diabetes Surveillance System Enhance capacity for Diabetes surveillance –Provincial / Territorial –Federal Create nationally comparable data: –Epidemiology –complications / co-morbities –health services utilization

Health Care & Data Canadian Context Publically Funded, Privately Delivered Prescriber Amt Dispensed DIN Unique ID Mortality Health Services Demographic Data Unique ID PHN Unique ID PHN Unique ID PHN HospitalPhysician Insurance Registry Age Gender Location of Residence Status Aboriginal Co-Morbidities /Procedures DM Status Incident/Prev DM Status Incident/Prev Co-Morbidities /Procedures Drug ICD-9-CM or ICD-10CA ICD-9-CM Vital Statistics COD

2 physician billing claims with a code of ICD over 2 years OR 1 hospitalization with a discharge code of ICD-10, codes E10-E14 (ICD-9 prior to 2001/02) Note: Does not distinguish between T1DM and T2DM 2 physician billing claims with a code of ICD over 2 years OR 1 hospitalization with a discharge code of ICD-10, codes E10-E14 (ICD-9 prior to 2001/02) Note: Does not distinguish between T1DM and T2DM NDSS Case Definition

NDSS Report

Alberta Diabetes Atlas Background and Methods 2. Epidemiological Trends 3. Children and Adolescents 4. Health Care Utilization 5. Laboratory Testing 6. Cardiovascular Disease ACS, HF, Stroke and Hypertension 7. Foot Disease and LL Amputation 8. Kidney Disease 9. Eye Disease 10. Mental Health Disorders 11. Diabetes in the SA population 12. Gestational Diabetes 13. Key Findings and Policy Options

Number of Albertans Living with Diabetes

Newly Identified Cases of Diabetes

Rate of Diabetes in Alberta,

Alberta Diabetes Prevalence Provincial rate = 5.7%

Age-Specific Diabetes Rates, 2009

Death Rates in Alberta

ADSS – Monitoring Diabetes in Alberta Epidemiologic trends – incidence, prevalence & mortality Diabetes and related comorbidities Health care utilization Standardized reporting – time, age, geography Customizable queries for local planning

Diabetes and Heart Disease

Diabetes and Heart Disease (Cases)

Diabetes and Stroke

Diabetes and Hypertension

Diabetes and Depression

Diabetes and Health Care Utilization

Diabetes and Eye Disease Eye Examinations * Eye examinations by an Ophthalmologist

Diabetes and Laboratory Tests

A1c LDL

ADSS ACTIVE DISSEMINATION: Local Information, for Local Planning

ADSS Active Dissemination n Northern Lights Region (Wood Buffalo/Fort McMurray) Apr 08 n Peace Country Nov 08 n Aspen (Westlock ) June 08 n East Central Oct 08 n DTHR (Red Deer) Mar 08 n Lethbridge (Chinook) Aug 07 n Palliser Jan, Feb, Apr 08 n Capital Ongoing n Calgary Ongoing Local information, for local planning….

Prevalence Rates by Community Age-Adjusted (2006)

Incidence Rates by Community Age-Adjusted (2006)

Diabetes Prevalence Rates for Oyen, (Age-Adjusted)

Diabetes Prevalence Case Counts (2006)

Local Information for Local Planning… Diabetes crisis in Oyen Confirmation with ADSS numbers Case finding phenomenon Retired surgeon GP practice w/ DM focus Presentation to Regional Health Board & Executive Mobilized funding for diabetes outreach team MD, RN, RD, SW travelling DEC 2 monthly visits to Oyen in 2008 Ongoing shared client care model with local PCN Local DM registry Tele-health with Medicine Hat CDM team

Interactive Website

You Tube tutorial

ADSS - Enhanced Surveillance & Program Evaluation P/T Admin data (ADSS) as a foundation Linkages with external datasets Lab data Risk factor surveillance (surveys) Clinical datasets/Patient registries Social datasets (e.g., school performance) Cross-walk with other CD surveillance systems (NDSS CCDSS)

Questions... ?