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DHI, BMSF DDC, & CMS SEDI

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DHI, BMSF DDC, & CMS SEDI

A trio of projects supporting the design, implementation, and evaluation of a population health improvement platform that

utilizes real-time spatially enabled data architecture and analytics

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Durham Health Innovations

• A partnership between Duke Medicine and

the Durham community that seeks to improve the health status of Durham County residents. • In 2009, DHI funded 10 planning teams to find

ways to reduce death or disability from

specific diseases or disorders prevalent in the community.

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Durham Health Innovations

The teams identified 7 common elements that could improve the health and health care delivery in Durham, including:

– Increase health care coordination and eliminate barriers to services and resources.

– Integrate social, medical, and mental health services.

– Expand health-related services provided in group settings. – Leverage information technology.

– Use "social hubs" such as places of worship, community centers, salons and barbershops as sites for clinical and social services and information.

– Increase local access to nurse practitioners, physician assistants, and certified nurse midwives.

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• Spin-off of DHI Diabetes Group • Start Date: 01July 2011

• Total Budget: $6.2 million over 5 years

• Goal: Use of a spatially enabled system model to inform prevention and treatment at the individual, neighborhood and community level

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Durham County, NC

• Partner: Durham County Department of Public Health

• 39% African American

• 16.6% of individuals live in poverty • 21% of adults are obese

• Diabetes is the 5th leading cause of death

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From Clinic to Community: Achieving

Health Equity in the Southern US

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From Clinic to Community: Achieving

Health Equity in the Southern US

• 4 sites – Durham County,NC, Cabarrus County, NC, Mingo County, WV, Quitman County, MS

• BMSF Durham Diabetes Coalition expanded to three additional counties in the Southern United States

• Focus on reducing costs while improving health

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Cabarrus County, NC

• Partner – Cabarrus Health Alliance • Existing relationships with Duke

(MURDOCK Study)

• Urban/Rural Mix with 33% population growth in last 10 years (bedroom

community for Charlotte, NC) • 10% of the adult population has

diabetes

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Quitman County, MS

• Partner: Mississippi Public Health Institute • Declining population approx. 8000

• Ranked 81 out of 81 MS counties in terms of overall health outcomes

• Diabetes prevalence of 22% • 70% African American

• 35% living below poverty level • 40% obese

• 63% use tobacco

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Mingo County, WV

• Partner: Williamson Health and Wellness Center • Population approx. 26,000

• Ranked 53 out of 55 WV counties in terms of overall health outcomes

• Diabetes prevalence of 14% • 97% Caucasian

• 38% smokers

• 27% living below poverty level

• Lowest 1% in US for life expectancy • Geographically isolated

Significantly Higher than WV Prevalence Higher than WV Prevalence but Not Significant Lower than WV Prevalence but Not Significant Significantly Lower than WV Prevalence

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Project Themes,

Components, Foci, and

Goals

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Themes

• Community basis

• Surveillance: “The health of a community” • Geospatially enabled and location specific • Use of secondary data for surveillance

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Spatially-enabled data architecture and analytics

(who, what, where)

COMMUNITY PARTNERSHIP ZONE CLINICAL CARE

Accountability: real-time monitoring and evaluation

(e.g., weight, HbA1c, vision, CVD, cancer, nutrition, nephropathy, neuropathy, physical activity, self-care/management, health system trust)

Decision support systems

Fe e d b ac k loo p Fe e d b ac k loo p

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Applying Teutsch’s Spectrum of Health & Strategies to Improve It Population Health Strategies Clinical Strategies Society Dead Well Individual County-wide strategies Neighborhood strategies Improve general clinical practice In-home team Inpatient care

Evidence-Based Prevention: From Evidence to Policy to Practice. Teutsch, Steven.

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Social/Medical Risk Algorithm

Drives Intervention

• Different intensities of intervention

• High-intensity clinical teams vs. lower-intensity community-based teams

• Different modes of intervention

• Patient basis, neighborhood basis, community basis

• Targeted intervention

• Stratifying patients based on risk, both at patient and neighborhood levels

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The Intervention Spectrum

• Knowledge and access to community resources • Community mobilization and pilot interventions • Real time information exchange

Higher Intensity Lower Intensity

Multidisciplinary Home Care Team

Neighborhood & Community Interventions

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Neighborhood Selection Process

with Community Input

Brainstorm

Geospatial Mapping

Boundary Definition/Refinement Connect with the Community

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Diabetes Control

Hemoglobin A1c Random glucose

Incidents of hypoglycemia Incidents of hyperglycemia BMS-CMS risk algorithm score

Microvascular Complications

Foot infection events

New diagnosis of kidney disease

Progression of kidney disease to dialysis New diagnosis of peripheral neuropathy New diagnosis of retinopathy/blindness

Risk Factors Blood Pressure BMI Cholesterol Smoking Status Fitness Status Mortality Macrovascular Complications

New diagnosis of hypertension New diagnosis of heart failure Amputation events

MI events Stroke events

Patient-Reported Outcomes

Global health scale score (PROMIS) Problem areas in diabetes score (PAID) Patient depression score (PHQ-9) Medication adherence score Nutrition assessment score

Health Services Utilization

Number of ED encounters

Number of inpatient encounters Number of outpatient encounters Length of stay for inpatient admissions Cost

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The SEDI

Integrated Data Mart

Harvesting Data from Multiple

Source Systems for Risk

Modeling, Financial Modeling,

and other Applications

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Using the SEDI Integrated

Datamart: Risk Algorithms that

Predict Outcomes

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Known Diabetic Patients >35 in 2010 = 14,330

With Any Encounter in 2011 = 11,548

With An Inpatient Encounter in 2011 = 2488

With A Serious Outcome in 2011 = 1742

80% Modeling Set

12% of 2010 patients; 15% of modeling set Serious Outcome = EITHER: at least 1 inpatient stay in 2011 with diagnosis of at least one of:

• MI, cardiac arrest, ventricular fibrillation, ischemic cardiomyopathy, CAD, revascularization

procedure

• stroke

• vascular disease, PVD

• diabetic renal complications, kidney disease, dialysis

• amputation, foot infection/ulcer

OR: death

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Methodological Issues

• Clinical research

– Ascertainment bias – In and out-migration

– Various intervention strategies

– Cognitive issues in decision support display

• Statistical

– Modeling methods for different types of data

– Models at level of individual, neighborhood, county – Missing data

– Multivariate outcomes models – Others?

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References

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