Cuyahoga County Community Health Data Dashboard

Cuyahoga County Community Health Data Dashboard Presentation to MetroHealth November 22, 2013 1

Meeting Goals & Agenda Community Health Data Dashboard Cuyahoga County Community Health Data Dashboard (C3HD2) initiative steams from Health Improvement Partnership Cuyahoga (HIP-C) and Community Health Needs Assessment Dashboard will serve as a portal for community health indicators, other types of health related data, and measurement of health improvement progress Dashboard continues the mission of addressing health disparities Feedback from future users of the site Meeting agenda Overview data collaboratives in the region that include data on health and health determinants Review health indicator criteria selection for Community Health Data dashboard Review groups of indicators 12/26/2013 2

C3HD2 Steering Committee Steering Committee brings together experts from key organizations in health care, local community and government Collective expertise in health care delivery, health outcomes, community quality of life, measurement, planning, and policy making Cuyahoga County Executive, Cuyahoga County Board of Health HIP-C, ADAMH, Cuyahoga County Planning Commission Cleveland and Shaker Heights Health Departments, Cleveland Planning Commission Non-Profit Community: United Way, Center for Community Solutions, Fund For Our Economic Future Healthcare: Center For Health Affairs, University Hospitals, Cleveland Clinic, Better Health Greater Cleveland Sustainability initiatives: Sustainable Cleveland, NEO SCC Academic research: CWRU PRCHN, CSU NODIS 12/26/2013 3

C3HD2 Steering Committee Collaboration in progress Steering Committee collaboration positive outcomes continued Environmental scan of available local, NEO, Ohio and US data resources Identifying information niche in the existing online data landscape Wealth of data in variety of sources, need for a unifying strategic umbrella dashboard for Cuyahoga County Health Selection of important indicators Existing guidelines from Agency for Health Research and Quality and Institute of Medicine Strategic goals developed by HIP with first priorities on: improved nutrition and physical activity, improve coordination between clinical and public health, chronic disease management, eliminate racism as a social determinant of health Identified available data and appropriate information niche 12/26/2013 4

Open data movement. and the ever evolving technology We are in the new era of utilization of health, economic, social network, and geo data Federal, State and local governments across the country are opening public data for public use Entrepreneurs find new creative ways to build on newly available data Benefits to communities: policy making, business, researchers, residents Example: google search analytics harness data of search terms frequency by region Example: Smart Chicago analyses public tweets to identify potential food poisonings in restaurants, and when confirmed, city follows up with an inspections 12/26/2013 5

Open data movement. and the ever evolving technology adashboard A dashboard is a way to present information in a quick easily digestible way to identify status, areas of strength and problems Dashboard is a great tool for audiences with a low tolerance to data complexity: residents, policy makers vs. a data portal Data portal is a resource of data bases open to users who use data for more purposes than a quick snapshot: researchers, students, social entrepreneurs Data portal allows download of datasets vs. a query With more and more data available, more diverse and complex uses of data queries become less utilized C3HD2 will serve diverse audiences by hosting a dashboard and a portal on the same site 12/26/2013 6

US Census data, health surveillance data, EHR data 12/26/2013 7

Focus: improving health of people in NEO living with chronic disease, patientcentered, quality of provider care, primary care focus; betterhealthcleveland.org Health indicators: clinical data on high blood pressure, diabetes, heart failure, local medical practice health outcomes performance and insurance coverage Socio-Economic determinants: education, income, gender, race Sources: EHR, US Census Geography: NEO main hospital systems Benchmark: none, publishes County Health Rankings Presentation: comparative reports on health outcomes from various providers, graphs, trends, publications Audience: patients and providers, policy makers, grant makers 12/26/2013 8

Focus: paying for healthcare, policy developments, patient experience, healthcare locations, multi-county needs assessment Health indicators: Behavior Risk Factor Surveillance System, health coverage types/problems, barriers to health coverage, overview of leading causes of death Socio-Economic determinants: race, age, employment, income Sources: BRFSS, survey, national sources from related health organizations Geography: NEO Counties Benchmark: US, OH Presentation: reports, publications, snapshots Audience: policy makers, local government, residents, healthcare providers 12/26/2013 9

Focus: Chronic disease prevention, lifestyle, environment and socio-economic disparities; prchn.org Health indicators: Youth Risk Behavior Survey, Behavior Risk Factor Surveillance System, prevalence of chronic health conditions, and risk behaviors Socio-Economic determinants: income, employment, education, marital status, race Sources: YRBS, BRFSS surveys Cleveland Geography: Cleveland Benchmark: US, OH, Cuyahoga Country Presentation: data tables, maps, reports, publications, Audience: policy makers, local government, academic research, grant makers 12/26/2013 10

Focus: Cleveland and Cuyahoga County community health; clevelandhealth.info Health indicators: pre-natal care, birth weights, teen births, infant mortality, leading causes of death, STD/communicable decease surveillance Socio-Economic determinants: race, age Environmental Determinants: air quality, lead poisoning, food access Sources: Cleveland Department of PH, Ohio DH Geography: Cleveland, Cuyahoga County Municipalities Benchmark: none, US for some metrics (like air quality) Presentation: maps, reports, publications, volunteer opportunities, service locations Audience: policy makers, local government, academic research, grant makers, residents, business community 12/26/2013 11

Focus: healthy community, workplace, substance abuse/mental health services; wellness.cuyahogacounty.us Health indicators: healthcare coverage, Medicaid, other funding sources, health disparities, substance abuse/mental health diagnosis prevalence in service population Socio-Economic determinants: gender, race, Sources: service population data, Geography: Cuyahoga County municipalities Benchmark: Presentation: reports, publications, Audience: policy makers, local government, grant makers, residents, social workers 12/26/2013 12

Focus: NEO economic development, socio-economic inequities, housing, crime, human capital, population loss Health indicators: pre-natal care, birth weights, teen births, single mothers, infant mortality, heart decease mortality Socio-Economic determinants: education, income, child maltreatment, victims of violent crime Sources: Ohio DH, US Census, Cleveland PD Geography: NEO counties, major cities, municipalities, census track, zip code Benchmark: none Presentation: interactive data tables, maps, reports, publications, Audience: policy makers, local government, academic research, grant makers 12/26/2013 13

Focus: Cleveland s sustainability, green/renewable energy, natural and built environment, local food growers; sustainablecleveland.org Health indicators: prevalence of diabetes, hypertension and obesity Environmental determinants: air quality, water quality, local healthy food hubs Sources: BRFSS by PRCHN Geography: city of Cleveland Benchmark: link to a detailed information on PRCHN site benchmarks OH, US, Cuyahoga County Presentation: maps, reports, publications, graphics Audience: policy makers, local government, academic research, grant makers, residents 12/26/2013 14

Focus: NEO economic development, housing, human capital, population loss, natural and built environment, low-density sprawl without growth; vibrantneo.org Health indicators: County Health Rankings + TBA Socio-Economic determinants: education, income Environmental determinants: quality of air, water, built environment Sources: County Health Rankings + TBA Geography: NEO counties Benchmark: County Health Rankings + TBA Presentation: TBA, interactive component for community engagement Audience: policy makers, local government, academic research, grant makers, business community, residents 12/26/2013 15

Focus: growth of US mid-size metro areas Health indicators: health coverage, obesity prevalence as related to economic activity Socio-Economic determinants: income, education, poverty, segregation Environmental determinants: quality of air Sources: CDC, EPA, US Census Geography: NEO metro areas Benchmark: US metro areas of similar size Presentation: publications, reports Audience: policy makers, local government, academic research, grant makers, business community 12/26/2013 16

Relevant, actionable content Easily understood by general public but can be more complex for data portal Benchmark available meaningful comparison to US, Ohio, peer counties Healthy People 2020 Applicable to multiple constituencies promotes multi-sector collaborations Stable measurement method, valid, current and available Breakdowns for key demographic groups some conditions are more prevalent with age for example Breakdowns for characteristics associated with health equity such as income, poverty, race, education or location 12/26/2013 17

Core group of indicators was identified by Community Health Needs Assessment by Health Improvement Partnership Cuyahoga Indicators organized using theoretical model of Health Determinants as advised by IOM Health Status and Health Behaviors data sources include: Cuyahoga County and Ohio health surveillance, national sources (CDC, American Hearth Association, etc.) Some Health Determinants indicators and sources will overlap with other initiatives: socio-economic determinants, natural and built environment Additional group of indicators identified by HIP-C for the purposes of tracking health improvement initiatives in our community 12/26/2013 18