1. A Need for Population Health Data in Clinical Practice Jane L. Garb Health Geographics Program Baystate Medical Center Springfield, MA Second Annual Connecting Communities for Better Health Learning Forum and Exhibition Washington, D.C May 25-6, 2005

2. October 15 2 Baystate Health Systems Mission The mission of Baystate Health System is to improve the health of the people in our communities every day with quality and compassion

3. Who has the data? Hospitals  Patients  Resources for Dx, Rx, Prev.  personnel (MD’s,RN’s, educators)  facilities (labs, OR’s, etc)  programs (control measures, screening, education)  Outcomes Public Health  Cases  Resources for Dx, Rx, Prev.  personnel (MD’s,RN’s, epidemiologists, educators)  facilities (labs)  programs (Rx recommendations, control measures, screening, education)  Outcomes

4. October 15 4 US Census Bureau – data on populationsUS Census Bureau – data on populations Decennial Census/American Community Survey  location  numbers  demographics  socioeconomic measures Who has the data?

5. October 15 5 Using Population Data in Healthcare Direct CareDirect Care Benchmarking outcomesBenchmarking outcomes ResearchResearch Prevention/InterventionPrevention/Intervention Resource AllocationResource Allocation Disaster Planning, Preparedness, ResponseDisaster Planning, Preparedness, Response

6. October 15 6 LAYERS OF INFORMATION Health Data Demographics Geography

7. Direct Patient Care

8. October 15 8 Intervention

9. 9 Violent Incidents involving Youths and School Locations Injury Prevention

10. Resource Allocation

11. Population Affected by Hazardous Plume Disaster Preparedness, Planning and Response

12. October 15 12 Issues in Use of Health Data CooperationCooperation HIPAA and other legal issuesHIPAA and other legal issues QualityQuality Real-time access to dataReal-time access to data Needs for Standards of data exchangeNeeds for Standards of data exchange How will shared data be applied?How will shared data be applied?

13. October 15 13 Baystate Health System Health Geographics Program Richard Wait, MD PhD FACS richard.wait@bhs.org Chairman of Surgery Dept. at Baystate Medical Center Director of the Health Geographics Program Professor of Surgery at Tuft's Univ. School of Medicine in Boston. Ric Skinner, M.S. ric.skinner@bhs.org Sr. GIS Coordinator Jane Garb, M.S. jane.garb@bhs.org Spatial Epidemiologist/Biostatistician Chris Boyd, M.A. chris.boyd@bhs.org GIS Analyst

14. October 15 14Research