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Prospective Economic Benefits of the Use of Air Quality Information and Forecasts: Exploration in Health Care, the Insur

Topics. OVERALL Economic Valuation Research Ross Gittell, Professor of ManagementAIRMAP Project and INHALE Cameron Wake, Research ProfessorHealth Care and Hospital ResearchRobert Woodward, Professor of Health EconomicsHR Partnership Ross Gittell, Professor of ManagementHR Institutional P

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Prospective Economic Benefits of the Use of Air Quality Information and Forecasts: Exploration in Health Care, the Insur

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    1. Prospective Economic Benefits of the Use of Air Quality Information and Forecasts: Exploration in Health Care, the Insurance Industry and “Tele-Commuting”in New England Exeter Health Resources Institutional Research Partner March 8, 2004

    2. Topics OVERALL Economic Valuation Research Ross Gittell, Professor of Management AIRMAP Project and INHALE Cameron Wake, Research Professor Health Care and Hospital Research Robert Woodward, Professor of Health Economics HR Partnership Ross Gittell, Professor of Management HR Institutional Partnership Goals Work Plan Next Steps

    3. Agenda Review and discuss project goals and work plan Explore participation of Exeter Health Resources as an institutional research partner Discuss next steps, including research actions and next meeting

    4. Vision Exploratory inquiry and quantitative economic assessment of the health care and related costs of poor air quality in New England Examination of the potential uses of air quality information and forecasts in the health and other industries to lower and avoid costs

    5. Value Enhance the understanding of the relationship between air quality and hospital and health care operations and costs Identify beneficial applications of air quality information and forecasts by major institutional actors…including hospitals and employers of large numbers of workers

    6. Project Team

    7. Work Plan: General Form collaborations/partnerships with institutional actors Explore issues and applications most relevant to industry Operate on a “non-disclosure” basis Connect partners with each other and AIRMAP scientists, NOAA and other Federal Agencies Long-term time frame…building mutually beneficial relationships

    8. AIRMAP

    9. AIRMAP Mapping New England’s Changing Climate and Air Quality

    10. •detailed 3D, multi-parameter investigation of air quality in NE & NA • multiple measurement platforms to include: aircraft (NOAA P-3, NASA DC-8 & P3, DOE, UMD, MSC, CNRS, ITOP) balloons satellites (Aura, Terra, EnviSat) Ship (NOAA Ronald Brown) Surface Stations -EPA/State monitoring programs (O3-68; SO2-26, PM10-33, PM2.5-44; CO-16; NO2-17) -NOAA Profiler and LIDAR Networks -AIRMAP; Harvard Forest -Buoys (WHOI) • pilot study: 2002 New England Air Quality Study (3 day mtg in May 2003; AGU special session; JGR special issue)•detailed 3D, multi-parameter investigation of air quality in NE & NA • multiple measurement platforms to include: aircraft (NOAA P-3, NASA DC-8 & P3, DOE, UMD, MSC, CNRS, ITOP) balloons satellites (Aura, Terra, EnviSat) Ship (NOAA Ronald Brown) Surface Stations -EPA/State monitoring programs (O3-68; SO2-26, PM10-33, PM2.5-44; CO-16; NO2-17) -NOAA Profiler and LIDAR Networks -AIRMAP; Harvard Forest -Buoys (WHOI) • pilot study: 2002 New England Air Quality Study (3 day mtg in May 2003; AGU special session; JGR special issue)

    11. INHALE Goal of INHALE project is to improve public health by: • Engaging a wide range of stakeholders in a collaborative effort to better define the link between broad measures of pulmonary health and air pollution • Using the results to create informed public policy and guide the product development of the NOAA air quality forecasting effort • Determining the health care costs associated with air pollution events

    12. “Tip of the Iceberg” Main objective of INHALE is to fill in lower portion of triangleMain objective of INHALE is to fill in lower portion of triangle

    13. INHALE- Summer 2004 Pulmonary Function Monitoring in New England • Sentinel Physician Programs • Summer University Sport Camps • Partner Hospitals and Companies • Scientists at research facilities • Children at Summer Camps

    14. INHALE - Summer 2004

    15. Summer 2004 Monitoring

    16. Health Care and Hospital Research: Overview Goal: To investigate the New England (NE) relationship between observable variations in air quality and The utilization of health care services Variations in staffing patterns

    17. Specific Objectives Collect and merge NE retrospective data sets by air quality zone Air Quality Indicators from AIRMAP and EPA Health care services (Hospital, Medicare, NH Seacoast) Employer staffing patterns (Hospitals, CISCO, UPS…) Health Care and Hospital Research: Overview

    18. Health Care and Hospital Research: Sample Accomplishment

    19. Health Care Service Data Requested Pulmonary and Cardiovascular Admissions Historic data that is still “up” Deep diagnoses Encrypted personal identifier Other variables: Admission date, gender, age groups, in or out of region, race?, admission date, LOS, charge, … Health Care and Hospital Research: Work Plan with Exeter Hospital

    20. Industry HR Partnerships, Ross Gittell Explore air quality’s potential impact on business operations, employee productivity, and health and other costs Identify potentially beneficial applications of air quality information and forecasts Encourage and facilitate changes in behavior and work practices that are less damaging to the environment and public health

    21. HR Case Study Goals Analyze historical Exeter Health Services absentee and productivity data Identify a correlation between poor air quality and an increase in absenteeism and a decrease in productivity Explore what could be done to avoid the costs of absenteeism and loses of productivity and to reduce health care costs

    22. Daily Employee Staffing Data Requested Count of permanent staff Full time separated from part time Number of permanent staff absent By types (FT/PT, eg Admin/Nursing/Other?) Number of temporary staff present By types Health Care and Hospital Research: Work Plan with Exeter Hospital

    23. Work Plan: Case Studies David Pearson and Gittell Develop institutional case studies Develop cases and case analyses of hospitals and other large employers Explore air quality impact on business operations, employees and costs Identify beneficial applications of air quality information and forecasts

    24. Prospective Economic Benefits of the Use of Air Quality Information and Forecasts: Explorations in Health Care and “Tele-Commuting” in New England   Preliminary Work Plan for Institutional Research Partner Case Study Exeter Health Resources

    26. Other Partners Liberty Mutual (New Hampshire) Portsmouth Regional Hospital Wentworth Douglass Hospital CISCO (prospective)

    27. Next Steps Data access and transfer? Analytical questions and issues associated with data? HR Institutional case study?

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