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Health Informatics

Health Informatics. Oskar Anderson Director, Office of Health Informatics Division of Public Health Wisconsin Department of Health Services. Division of Public Health Office of Health Informatics. Vital Records Health Analytics Informatics Architecture Health Information Technology.

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Health Informatics

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  1. Health Informatics Oskar Anderson Director, Office of Health Informatics Division of Public Health Wisconsin Department of Health Services

  2. Division of Public HealthOffice of Health Informatics • Vital Records • Health Analytics • Informatics Architecture • Health Information Technology

  3. OHI Systems and Projects • BRFS, FHS, PRAMS surveys • Wisconsin Cancer Reporting System • WEDSS - Wisconsin Electronic Disease Surveillance System • PHIN - Public Health Information Network systems • EC-LDS – Early Childhood Longitudinal Data System • SVRIS – State Vital Records Information System • HIE – Health Information Exchange • WHIO – WI Health Information Organization data mart • IDAP – Integrated Data Analysis Project • WISH - Wisconsin Interactive Statistics on Health

  4. eHealth -Federal HITECH* Programs ADOPTION Improved Individual & Population Health Outcomes Increased Transparency & Efficiency Improved Ability to Study & Improve Care Delivery Regional Extension Centers (WHITEC) Workforce Training (MATC-MSN/MKE) MEANINGFUL USE Medicare and Medicaid EHR Incentives and Penalties State Grants for HIE (WISHIN) Standards & Cert. Framework EXCHANGE 4 *Health Information Technology for Economic and Clinical Health

  5. Different types of data Population-wide (vital records, census) How many babies were born to teens in 2009? (5,855) Sample surveys (Behavioral Risk Factor (BRFS), Youth Risk Behavior (YRBS), Family Health Survey (FHS) What % of adults currently smokes cigarettes? (19) Registries (cancer, immunization) What is the age-adjusted cancer death rate for 2006? (180.7) Program data (WWWP, WIC, MCH, WEDSS, WIR) How many cases of Chlamydia trachomatis did WI have in 2010 (23,471) Health Care Provider (Hospital inpatient, nursing home) What % of asthma hospitalizations in the SE region were paid for by private insurance? (29%)

  6. Selected Sources • DHS Health Statistics • http://www.dhs.wisconsin.gov/stats/ • County Health Rankings • http://www.countyhealthrankings.org/ • Interactive Query Systems: Wonder & Wish • http://wonder.cdc.gov/ • http://www.dhs.wisconsin.gov/wish/ • Analysis, Visualization & Reporting (AVR) – EPHT • https://avr.wisconsin.gov • http://www.dhs.wisconsin.gov/epht/ • Kids Count Data Center -- Wisconsin • http://datacenter.kidscount.org/wi • USDA Economic Research Service Food Environment Atlas • http://www.ers.usda.gov/FoodAtlas/http://www.ers.usda.gov/FoodAtlas/ • USDA ERS State Fact Sheets • http://www.ers.usda.gov/StateFacts/

  7. DHS Health Statistics

  8. Minority Health • Population • PRAMS • Vital Stats • Products and Services • Poverty, Health Insurance • HW2020 • WISH • LHD Survey • PH Workforce Report

  9. Population/Poverty • LHD staffing • Long term care • Natality • Morbidity • Mortality • Hospitalizations • Immunizations

  10. Chronic Disease Burden Reports http://www.dhs.wisconsin.gov/eh/asthma/pdf/boawi04.pdf http://www.dhs.wisconsin.gov/health/diabetes/burden.htm

  11. County Health Rankings

  12. Podcasts • Videos • News & Information

  13. Health outcomes in the County Health Rankings represent how healthy a county is. We measure two types of health outcomes: how long people live (mortality) and how healthy people feel while alive (morbidity). 

  14. Health factors in the County Health Rankings represent what influences the health of a county. We measure four types of health factors: • health behaviors, • clinical care, • social and economic, and • physical environment.  • In turn, each of these factors is based on several measures.

  15. Wide-ranging Online Data for Epidemiologic Research CDC Wonder DHS WISH Wisconsin Interactive Statistics on Health

  16. Public Health Information Network(PHIN) Analysis, Visualization and Reporting AVR

  17. Myocardial Infarction • Poison Center Calls • Reproductive Outcomes

  18. Federal Data Sources & Tools

  19. Census Annual Data

  20. Factfinder – Interactive + Data Downloads

  21. Under Development Wisconsin data at the census tract level and below

  22. ESRI Business Analyst PremiumData at Census Block Group (~6,000 Variables)

  23. Economic Hardship Index • 1) crowded housing • 2) federal poverty level • 3) unemployment • 4) Less than high school • 5) dependency (% under 18 or over 64); • 6) median income per capita. Census data available to the Census Block Group Index from 1 (Not Hard) to 100 (Very Hard)

  24. Economic Hardship Index Milwaukee County Grey = Block Group Boundary Red = Zipcode Boundary

  25. Economic Hardship Index

  26. Fresh Fruit & Vegetable Consumption IndexMilwaukee & Suburbs – Census Tracts Color Ramp Grey –Lowest White-Low Cream-Medium Yellow-High Red-Very High Source: ESRI / BLS Consumer Expenditure Survey

  27. Fresh Fruit & Vegetable Consumption Index – Census TractsIndividual Store Location / Sales Volume Milwaukee & Suburbs Color Ramp Grey –Lowest White-Low Cream-Medium Yellow-High Red-Very High Circle size = store sales volume Source: ESRI / BLS Consumer Expenditure Survey

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