The Use of a Population Health Measurement Conceptual Model to Develop a Partnership Model for a

1. The Use of a Population Health • Measurement Conceptual Model to • Develop a Partnership Model for a • Regional Population Health • Observatory

2. Tracy Halbert, Director, Population Health Surveillance & Community Data Management • David Strong, Deputy Medical Officer of Health • Justine Fitzpatrick, Assistant Director, London Health Observatory • Rizwan Shahid, Senior Research Analyst • Sean McIntyre, Health Services Planning Consultant • Micheline Nimmock, Director, Primary Care

3. Three years ago a Population Health Measurement Strategy was initiated within the Calgary Health Region resulting in the development of a conceptual model with three basic steps Population Health

4. Conceptual Model • Establish the leading burden of disease for age cohorts and defined geographic boundaries

7. Conceptual Model

8. Conceptual Model • Establish from the literature the leading modifiable risk factors contributing significantly to the onset and progression of the leading burden of disease

9. Conceptual Model • Measure the prevalence / incidence of the identified modifiable risk factors

11. Conceptual Model

12. Conceptual Model

13. Conceptual Model • Health promotion/wellness initiatives integrated with primary care/chronic disease initiatives modify the prevalence and the progression of morbidity and mortality

14. Population health surveillance is concerned with the interaction of modifiable determinants of health both within and outside of the health domain Need to develop an infrastructure to facilitate access to data owned by health as well as cross sectoral partners was identified PHO

15. PHO • The social, health and educational sector organizations providing services in Calgary and surrounding areas are proposing to establish through a partnership a Public Health Observatory (PHO)

16. City of Calgary Calgary Board of Education Calgary Separate School Division United Way of Calgary and Area Calgary and Area Child and Family Services Authority Calgary Health Region PHO

17. PHO “For the first time, some of the largest public sector organizations in the Calgary area will pool their data. Together, we can create a bigger, broader picture of complex issues to create effective and targeted solutions” Better data   Better decisions     Better outcomes

18. The PHO exists so that organizations can make informed decisions related to problem solving and planning based on comprehensive data shared by social, health and educational sectors that will help the public achieve optimal health and wellness outcomes PHO: Purpose

19. PHO: Vision The effectiveness of service delivery systems will be enhanced by using the highest quality information from partnering organizations for decisions in health, education and social sectors

20. PHO: Mission • The PHO houses, maintains, links, monitors and analyzes existing datasets about health, income, education, employment and social circumstances, and builds capacity to enable stakeholders to understand and use the data

21. An incorporated non-profit, wholly owned subsidiary of the Calgary Health Region Calgary Health Region business infrastructure will be used to support operations A Board of Directors will operate within the constructs of the Carver Policy Governance Model for Non profit Organizations PHO: Governance Model

22. PHO • A Data Haven that contains linked but anonymized health, education and social data

23. PHO

24. Service oriented Secondary analysis of existing data sets No new data collection No research for which the primary intent is to make information generalizable Linkages to academic researchers PHO: Products & Services

25. PHO: Products & Services

26. PHO: Products & Services

27. PHO: Products & Services

28. PHO: Products & Services

29. PHO: Products & Services

30. PHO: Products & Services • Profiles: • Reports of core sets or baskets of indicators, useful for monitoring health status, health inequities and health system performance for subpopulations that may be defined by geography, ethnicity or provider group

31. Synthesis reports: analyzed, integrated and synthesized information to create short and long synthesis reports that focus on the whole system PHO: Products & Services

32. PHO: Products & Services • Impact Assessments: • qualitative and quantitative assessment of the impact of planned programs and policies

33. PHO: Products & Services • Capacity Building: • helping providers in health, education and social sectors to use information and knowledge to make decisions that will benefit the population they serve

34. PHO: Products & Services • Enquiry Service: • Response in a timely fashion to ad hoc questions from service providers and the public

35. Three-Year business cycle updated annually Products & Services Advisory Committee Partner organization recommendations Expert Advisory Committee PHO: Products & Services

36. Pending partner acceptance: Soft launch fall 2008 Development of one-year work plan Data sharing agreements Data Haven infrastructure Privacy protection policies and processes Communication and consultation policies and processes Secondment agreements Formal partnership agreements completed by March 2009 PHO Future