Using Data to Drive Effective and Sustainable Implementation L. - - PowerPoint PPT Presentation

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Using Data to Drive Effective and Sustainable Implementation L. - - PowerPoint PPT Presentation

Dec 21, 2023 457 likes •572 views

Stakeholders in the Drivers Seat: Using Data to Drive Effective and Sustainable Implementation L. Ebony Boulware, MD MPH Center for Community and Population Health Improvement Clinical and Translational Science Institute Duke University

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Stakeholders in the Driver’s Seat: Using Data to Drive Effective and Sustainable Implementation

  • L. Ebony Boulware, MD MPH

Center for Community and Population Health Improvement Clinical and Translational Science Institute Duke University

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Challenge

  • Marked national

variation in health, health equity

  • Social and

environmental contexts key contributors

  • How do we develop,

implement, and sustain effective interventions that account for these determinants?

AJ Kind, WR Buckingham. N Engl J Med 2018;378:2456-2458.

Neighborhood Disadvantage in US

Area Deprivation Index

17 markers of education, employment, housing- quality, and poverty (Census and American Community Survey)

https://www.neighborhoodatlas.medicine.wisc.edu/mapping

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Adapted from countyhealthrankings.org

If we focus on social and environmental determinants of health who will drive change?

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Healthcare sector contributions to drive partnered, sustainable solutions?

  • Health systems collect data
  • Data can be aggregated and

‘mapped’

– Identify common health challenges – Quantify health inequities

  • Data can be democratized

for public stakeholders

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Durham County, NC Community Health Indicators Program

NORTH CAROLINA IS 36 IN OVERALL HEALTH DURHAM COUNTY IS 6TH LARGEST NC COUNTY

(~312,000 residents)

14% HISPANIC, 38% BLACK, 42% WHITE 16% BELOW POVERTY; 20% ABOVE $100,000 95% OF DURHAM COUNTY RESIDENTS RECIEVE CARE IN:

  • Academic Health System
  • Federally Qualified Community

Health Center

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Mapping Social Environmental Contexts Durham Neighborhood Compass

N E S W

DURHAM COUNTY BOARD OF ELECTIONS AMERICAN COMMUNITY SURVEY US CENSUS BUREAU DURHAM CITY/COUNTY INSPECTIONS DURHAM COUNTY TAX ADMINISTRATION DURHAM POLICE NC DIVISION OF CHILDCARE AND EARLY EDUCATION DURHAM NEIGHBORHOOD IMPROVEMENT SERVICES US ENVIRONMENTAL PROTECTION AGENCY

https://compass.durhamnc.gov/ *Established 2014

Civic engagement, demographics, economy, education, environment, housing, infrastructure and amenities, safety

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Democratizing Health System Data to Fuel Implementation

Government Healthcare Public Health Business Educators Philanthropy and Investors Non Profits Community Development

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Mapping Durham Health Durham Neighborhood Compass

 Diabetes Mellitus (adult)  Stroke  Myocardial Infarction  Chronic kidney disease

  • Hypertension
  • Obesity (pediatric and adult)
  • COPD
  • Cancer
  • Asthma
  • Alzheimer’s disease
  • Sickle Cell disease
  • Pre-term birth

https://compass.durhamnc.gov/ *Health Conditions added 2018

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Important Questions

What are the best strategies to convene community stakeholders and align priorities to develop relevant and effective interventions? Can democratized data be leveraged to inspire and measure collective impact of interventions? When do we know interventions have been effective? Who guides the prioritization for implementation?

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THANK YOU

Dukehealthimprovement.org https://www.ctsi.duke.edu/