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Cajun Code Fest 3.0 Aging in Place. Kathy Kliebert, Secretary Louisiana Department of Health and Hospitals. Aging Where Y’at : A GIS Perspective. Session Abstract.
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Cajun Code Fest 3.0 Aging in Place Kathy Kliebert, Secretary Louisiana Department of Health and Hospitals
Session Abstract The dynamic health care market demands a nimble, responsive state health department that can protect, provide and pay for health care services. The Louisiana Department of Health and Hospitals is leading major, strategic innovations in the state to improve the health of its residents. Secretary Kliebert will share one example of how the use of GIS informs policy decisions with emphasis on Aging in Place.
Louisiana Department of Health and Hospitals Protect and promote health and to ensure access to medical, preventive and rehabilitative services for all residents of the State of Louisiana Office of the Secretary Transformational Priorities Manage Smarter for Better Performance Office of Management and Finance MEDICAID Office of Public Health Organizational Excellence Office of Behavioral Health Office of Adult and Aging Services Build Foundational Change for Better Health Outcomes Promote Independence Through Community-based Care Office of Citizens with Developmental Disabilities
Building the Foundation • Continue to strengthen the Bayou Health program and Louisiana Behavioral Health Partnership • Continue transition of Human Service Delivery to Local Governing Entities • Harness Technology to Improve Public Health • Improve care and outcomes through effective Public Health Management
Managing Smarter • Continue modernization of Vital Records office to better serve residents • Streamline Louisiana’s health inspection process • Modernize Louisiana’s public health laboratory operations • Modernize Louisiana’s Medicaid systems • Realign Medicaid administration to better manage today’s program
Promoting Independence • Develop and implement a managed system for Long-Term Supports and Services • Expand successful Coordinated System of Care (CSOC) to statewide implementation • Implement community system transformation for people with developmental disabilities
The Challenge: What to do with “Big Data” DATA ART STORY-TELLING Making it relevant VIZUALIZATION How we see it DATA SCIENCE Wedded to our data assets ACTIONABLE OUTCOMES Embedded into our organizational processes INTERPRETATION Why it matters AMBIGUITY Making it fit BIG DATA ‘RIGHT’ DATA Adapted from Simon Gratton, “Forget Data Science, Data Art is next!”
Can’t Maps Solve the Problem? Read Blvd. is a Census Tract boundary (left image, red boundaries) and the name of the surrounding neighborhood (black boundary). This artificially masks a low birth weight hot spot (right image). Census Tract aggregations create a “modifiable areal unit problem”.
Transforming Care…One Map at a Time Use Cases at DHH
Building the Foundation: Forecasting 65+ 2010: 567k 2020: 769k 2030: 948k Population, 65+ 2010 Census Tracts
Building the Foundation: Network Adequacy Adequate coverage of a population applies generally to many use cases. Simple buffers indicated only 5% of a target population were not within 30 miles of these Hospitals. A more detailed analysis using road networks revealed twice as many (10%) were not adequately covered.
Managing Smarter: Telestroke Services Telestroke service Hubs (red) and spokes (green) with 30 and 60 minute drive time Polygons. 2007 2013
Promote Independence: Environmental Public Health Tracking Grant
Promote Independence:Naturally Occurring Retirement Communities Naturally Occurring Retirement Communities Charles Park Alexandria, Louisiana Approximately 30% of the population > 64yo (State Average = 12%)
Changing the Way Public Sector Does Business Challenges to Adoption Rise of the Innovators • Commitment to Implement • GIS for everyone • Academic partners in Advanced Analytics • Viva La Data Liberacion • Information Governance Steering Committee • Define business needs, then look at technology • Create ambiguous products • Leadership • Localized Business Unit • Capacity and Skill Sets • Access to Data • Information Management • Starting with Technology • Strict Methodologies
A Recipe for GIS Success ESRI Platform Smart People Governance Enterprise Design Democratize Data Tell Great Stories
Questions and Answers Kathy Kliebert Secretary Louisiana Department of Health and HospitalsKathy.Kliebert@LA.gov@KathyRunsLaDHH (225) 342-9500