Event: Community Health Data Initiative Launched (06/02/2010)


Uploaded by USGOVHHS on 02.06.2010

Transcript:
-- GOOD MORNING, EVERYONE. GOOD MORNING.
MY NAME IS MAT MILLER. I'M A COLUMNIST FOR THE
WASHINGTON POVERTY ONLINE EDITION AND HOST OF THE PUBLIC
RADIO PROGRAM, LEFT RIGHT AND CENTER.
AND I'M DELIGHTED TO WELCOME YOU TO THE COMMUNITY HEALTH DATA
FORUM HARNESSING THE POWER OF INFORMATION TO IMPROVE HEALTH.
WE APPRECIATE YOUR COMING TODAY. THIS PROMISES TO BE AN EXCITING
DISCUSSION OF THE VALUE OF DATA, THE USEFULNESS OF DATA-BASED
APPLICATIONS AND A PREVIEW OF THE POTENTIAL OF DATA AND
TECHNOLOGY TO IMPROVE HEALTH AND HEALTH CARE.
SOMETHING I KNOW IS TOP OF MIND FOR ALL OF US IN THIS ROOM AND
OBVIOUSLY OF GREAT IMPORTANCE FOR THE COUNTRY.
WE ALSO WANT TO WELCOME THOSE OF YOU WATCHING LIVE ON THE WEB.
FOR THOSE TWEETING ABOUT THIS EVENT, I HOPE AND OF YOU HERE
WILL BE TWEETING CONSTANTLY, THE TAG IS HEALTH ASK.
THANK YOU TO THE INSTITUTE OF MEDICINE FOR COHOSTING THIS
EVENT WITH HHS. WITHOUT FURTHER ADIEU, IT'S MY
PLEASURE TO INTRODUCE TO YOU DR. HARVEY FINEBURG, PRESIDENT
OF THE INSTITUTE OF MEDICINE AND A LONG-TIME LEADER AND ADVOCATE
OF THIS INITIATIVE. HARVEY HAS BEEN A THOUGHT LEADER
AND ACTION LEADER IN APPLYING THE VALUE OF DATA TO DRIVE
INNOVATION. HE IS GOING TO KICK OFF THIS
ACTION-PACKED MEN ARI. DR. FEINBERG.
[APPLAUSE] -- THANK YOU VERY MUCH.
AND LET ME ADD MY GREETINGS TO ALL OF YOU AND WELCOME TO THE
INSTITUTE OF MEDICINE. HERE WE ARE AT THE AUDITORIUM OF
THE NATIONAL ACADEMY OF SCIENCES BUILDING.
THE INSTITUTE OF MEDICINE IS THE HEALTH ARM OF THE NATIONAL
ACADEMY OF SCIENCES. AND OUR JOB IS TO TRY TO BRING
THE BEST OF SCIENTIFIC THINKING AND EVIDENCE TO BEAR ON ADVISING
GOVERNMENT, PROFESSIONALS AND THE PUBLIC, ABOUT WAYS TO
IMPROVE HEALTH. THIS GATHERING IS AN EXCITING
DAY. NO MATTER WHAT YOU CARE ABOUT IN
HEALTH, WHETHER YOU CARE ABOUT THE QUALITY OF CARE, THE SAFETY
OF CARE, DISPARITIES IN CARE, ACCESS TO CARE, THE COST OF
CARE, EFFICIENCY OF SERVICE, PUBLIC HEALTH AND PREVENTION.
ANY DIMENSIONS YOU CARE TO TACKLE, YOU DEPEND ON
INFORMATION. INFORMATION STANDS THE
CROSSROADS OF EVERYTHING THAT WE CARE ABOUT AND WORK ON IN HEALTH
TO PROTECT HEALTH, TO ADVANCE HEALTH, TO TREAT DISEASE, TO
KEEP PEOPLE HEALTHY. AND THIS GATHERING, THE
COMMUNITY HEALTH DATA INITIATIVE, IS ABOUT WAYINGS
THAT THE PUBLIC AND PRIVATE SECTORS WORKING TOGETHER CAN
MAKE INFORMATION RELEVANT, AVAILABLE, USEABLE, AND VALUABLE
IN ADVANCING HEALTH. IT WILL BE A VERY EXCITE CAN DAY
AND I, FOR ONE, AMGREATLY LOOKING FORWARD TO THE
DISCUSSIONS AND PRESENTATIONS THAT WILL FOLLOW.
WE HAVE GATHERED TODAY LEADERS FROM EVERY LEVEL OF GOVERNMENT,
FROM THE FEDERAL GOVERNMENT, FROM STATE GOVERNMENT, FROM
LOCAL GOVERNMENT, INDIVIDUALS FROM ACADEMIA, FROM THE PRIVATE
SECTOR, BUSINESS AND TECHNICAL COMMUNITIES, FROM THE PUBLIC
HEALTH COMMUNITIES, FROM REPRESENTATIVES OF THE PUBLIC,
AND EVERY DIMENSION OF PROFESSIONAL INVOLVED IN HEALTH.
ALL COMING TOGETHER TO WORK ON WAYS THAT THE COMMUNITY HEALTH
DATA INITIATIVE CAN MAKE INFORMATION USEABLE AND
AVAILABLE FOR EVERYONE. I WANT TO ESPECIALLY THIS
MORNING EXPRESS MY APPRECIATION TO THE LEADERSHIP AND THE
DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR THEIR INITIATIVES
IN HELPING TO MAKE THIS DAY POSSIBLE.
I WANT TO THANK, ESPECIALLY, AND ACKNOWLEDGE, TODD PARK FOR HIS
INITIATIVE AND LEADERSHIP IN THIS OCCASION.
[APPLAUSE] IF YOU KNOW TODD, YOU KNOW WE
ARE WORKING ON A VERY AGGRESSIVE TIMELINE.
HE DOESN'T KNOW ANY OTHER WAY TO DEAL WITH TIME THAN ON AN
AGGRESSIVE TIMELINE. AND WE ARE ALL MARCHING TO HIS
BEAT, WHICH IS QUICK TIME. I ALSO WANT TO ACKNOWLEDGE AND
TO THANK A NUMBER OF THE KEY STAFF HERE AT THE INSTITUTE OF
MEDICINE WHO HELPED TO MAKE ALL OF THE ARRANGEMENTS POSSIBLE FOR
THIS DAY. MOST OF ALL, I WANT TO THANK
JUDY SALERNO, THE EXECUTIVE OFFICER AT THE INSTITUTE OF
MEDICINE. [APPLAUSE]
AND I LIKE ALSO TO ACKNOWLEDGE AND THANK MEG, KATHERINE, JILL,
JORDAN, JODI, FOR PUTTING THIS MEETING TOGETHER.
WHEREVER YOU ARE OUT THERE, THANK YOU VERY MUCH.
[APPLAUSE] THIS WOULD NOT BE POSSIBLE
WITHOUT THE ENTHUSIASTIC AND CONSISTENT SUPPORT OF SECRETARY
SEBELIUS AND DEPUTY SECRETARY BILL CORE AND I WANT TO
ACKNOWLEDGE AND THANK THE TWO OF YOU SO MUCH FOR BEING HERE AND
FOR ALL OF YOUR LEADERSHIP. [APPLAUSE]
IT'S MY PRIVILEGE NOW TO INTRODUCE THE INDIVIDUAL WHOSE
DEPARTMENT IS CHARGED WITH KEEPING AMERICANS HEALTHY.
WITH ENSURING THAT EVERYONE GETS THE HEALTH CARE THAT THEY NEED,
AND THAT IS RESPONSIBLE TO ASSURE THE CHILDREN, FAMILIES,
AND SENIORS HAVE THE ESSENTIAL HUMAN SERVICES THAT THEY DEPEND
UPON. ONE OF THE LARGEST DEPARTMENTS
IN OUR FEDERAL GOVERNMENT, THE DEPARTMENT OF HEALTH AND HUMAN
SERVICES WAS BUSY AND WORKING AT THE TIME KATHLEEN SEBELIUS TOOK
OFFICE AS SECRETARY. SHE CAME INTO OFFICE AT THE TIME
OF THE H1N1 OUTBREAK. SHE WAS ALSO DEEPLY INVOLVED AS
THE NATION'S HIGHEST RANKING HEALTH OFFICIAL IN THE ENACTMENT
OF THE AFFORDABLE CARE ACT, AND NOW IS LEADING IN ITS
IMPLEMENTATION. ALTHOUGH I HAVEN'T PERSONALLY
DONE THE COUNTING, I AM TOLD THAT THE ACT HAS THE WORDS, THE
SECRETARY SHALL, MORE THAN 2100 TIMES.
AND THAT'S ABOUT MORE THAN ONE PER PAGE.
AND YOU CAN IMAGINE, WHAT A TASK OF IMPLEMENTATION THAT IS
LOOKING FORWARD. TODAY'S PROGRAM IS ALL ABOUT
BUILDING CONNECTIONS. CONNECTIONS ACROSS SECTORS,
CONNECTIONS ACROSS PEOPLE. AND SECRETARY SEBELIUS AND ALL
OF HER WORK, HAS BEEN A CONNECTION BUILDER.
SHE ANSWERED PRESIDENT OBAMA'S CALL TO FORM PARTNERSHIPS ACROSS
THE FEDERAL GOVERNMENT, TO IMPROVE THE LIVES OF AMERICANS.
SHE CO-CHAIRS, FOR EXAMPLE, WITH SECRETARY BILL SACK, THE
PRESIDENT OF THE SAFETY WORKING GROUP WITH ATTORNEY GENERAL
HOLDER, SHE CHAIRS THE NEW HEALTH CARE FRAUD PREVENTION AND
ACTION TEAM. SHE TEAMED UP WITH SECRETARY
DUNCAN TO IMPROVE EARLY CHILDHOOD EDUCATION AND IS PART
OF THE PRESIDENT'S YEAR COMMUNITY LIVING INITIATIVE.
SHE WORKS WITH THE HOUSING AND URBAN DEVELOPMENT SECRETARY TO
IMPROVE THE LIVES OF SENIORS AND PEOPLE WITH DISABILITIES WHO
WANT TO LIVE AT HOME. FOR DECADES, SECRETARY SEBELIUS
HAD LEADERSHIP ROLES. AS THE GOVERNOR OF KANSAS FROM
2003-2009, SHE INTRODUCED PROGRAMES TO CREATE JOBS, TO
IMPROVE ACCESS TO AFFORDABLE CARE AND TO GIVE EVERY CHILD IN
KANSAS A QUALITY EDUCATION. SHE IS THE FIRST DAUGHTER OF A
GOVERNOR TO BE ELECTED GOVERNOR IN THE UNITED STATES.
AND SHE WAS RECOGNIZED AS ONE OF THE FIVE MOST EFFECTIVE
GOVERNORS BY "TIME" MAGAZINE HALFWAY THROUGH HER TERM.
BEFORE SERVING AS GOVERNOR, SHE WAS THE FIRST DEMOCRAT EVER
ELECTED AS KANSAS INSURANCE COMMISSIONER AND BEFORE THAT,
SERVED IN THE KANSAS HOUSE OF REPRESENTATIVES.
KATHLEEN SEBELIUS IS A LEADER WHO EMBODIES THE PRESIDENT'S
AGENDA OF ACTION, COLLABORATION AND CHANGE THAT MAKES A POSITIVE
DIFFERENCE IN THE LIVES OF EVERY AMERICAN.
THE COMMUNITY HEALTH DATA INITIATIVE THAT WE ARE EMBARKING
ON TODAY IS A PERFECT EXPRESSION OF THOSE IDEALS OF GOVERNMENT,
INDEED, IT IS A PRELEWD TO DEMOCRACY OF THE 21st
CENTURY. PLEASE JOIN ME NOW IN WELCOMING
THE 21st SECRETARY OF THE DEPARTMENT OF HEALTH AND HUMAN
SERVICES, THE HONORABLE, KATHLEEN SEBELIUS.
[APPLAUSE] -- GOOD MORNING, EVERYONE.
IT'S MY GREAT DELIGHT TO HAVE THE CHANCE TO JOIN YOU ON THIS
VERY EXCITING DAY AND I'M GOING TO START BY THANKING
DR. FEINBERG NOT ONLY FOR HIS HOSTING TODAY'S MEETING, BUT FOR
HIS EXTRAORDINARY LEADERSHIP AT THE INSTITUTE OF MEDICINE.
I WAS REMINDING HARVEY THE LAST TIME WE WERE PHYSICALLY
TOGETHER, WE WERE SEATED AT A TABLE IN THE ROOSEVELT ROOM AT
THE WHITE HOUSE AND HE WAS WITH OTHERS WHO HAD GONE THROUGH THE
1970s FLU SITUATION HERE IN THE UNITED STATES AND THE
PRESIDENT WAS EAGER TO GET LESSONS AND LEARN FROM THIS
GROUP OF EXPERTS. AND HE HAS PROVIDED ENORMOUS
LEADERSHIP AND EXPERTISE AND THE INSTITUTE OF MEDICINE WILL PLAY
A VERY KEY ROLE IN OUR HEALTH CARE INITIATIVES MOVING FORWARD.
I ALSO WANT TO THANK JUDY AND THE INSTITUTE FOR HOSTING
TODAY'S MEETING. AS DOCTOR FEINBERG -- FIRST OF
ALL, I HAVE TO TELL YOU THAT THE BIOIS A LITTLE TERRIFYING.
WHEN YOU'RE MY AGE, AND START DOWN THE, BEFORE THAT SHE DID
... THERE ARE A WHOLE LOT OF BEFORE
THATS. BUT I APPRECIATE THE GRACIOUS
INTRODUCTION. TODAY'S GATHERING, I THINK, IS
ILLUSTRATIVE OF WHAT THIS INITIATIVE IS ALL ABOUT.
WE NOT ONLY HAVE COMMUNITY ORGANIZATIONS AND MEMBERS OF THE
ADMINISTRATION, ACADEMIA, PUBLIC HEALTH OFFICIALS, GOVERNMENTAL
OFFICIALS, THE TECHNOLOGY INDUSTRY, PRIVATE SECTOR AND
HEALTH ADVOCATES WITH US TODAY. AND I WANT TO THANK YOU ALL FOR
TAKING THE TIME TO ATTEND. BUT ALSO TAKING THE TIME TO
PARTICIPATE IN THIS PROJECT, THE COMMUNITY HEALTH DATA INITIATIVE
THAT WE ARE LAMPING. BECAUSE IT IS A PARTICIPATORY
VENTURE. THIS PROJECTS WAS REALLY
LAUNCHED BY A PRETTY SIMPLE BELIEF THAT PEOPLE IN
COMMUNITIES CAN ACTUALLY IMPROVE THE QUALITY OF THEIR HEALTH CARE
AND OF THE PUBLIC HEALTH SYSTEM IF THEY JUST HAVE THE
INFORMATION TO DO IT. AND TO MAKE THAT HAPPEN, WE ARE
COMBINING TWO OF THE OBAMA ADMINISTRATION'S MOST IMPORTANT
GOALS. THE FIRST GOAL IS REALLY
CHANGING THE OVERALL CULTURE OF GOVERNMENT.
SO IT'S MORE ACCOUNTABLE. IT'S MORE ACCESSIBLE.
IT'S MORE OPEN TO THE AMERICAN PEOPLE.
AND I JUST WANT TO GIVE YOU A COUPLE OF EXAMPLES WHAT HAVE WE
MEAN BY THAT. FIRST OF ALL, WE HAVE TO BE
TRANSPARENT AND THAT MEANS WE SHARE WHAT WE NONE REALTIME WITH
THE AMERICAN PEOPLE. WE HAVE DATA THAT HAS BEEN
ACTUALLY LOCKED AWAY FOR YEARS IN DITA BASES OR FILES THAT WE
WANT TO OPEN UP AND MAKE AVAILABLE AND TRANSPARENT.
SECOND, GOVERNMENT NEEDS TO BE PARTICIPATORY HAVING A
TRANSPARENT GOVERNMENT AS THE STEP, BUT THAT MEANS THEN WE
TAKE THE EXTRA STEP AND ASK PEOPLE TO ACTUALLY CONTRIBUTE
THEIR IDEAS AND EXPERTISE. THIS ISN'T A INSIDE THE BELTWAY
STRATEGY. IT REALLY HAS TO BE AN
INTERACTIVE ADVENTURE INVITING EXPERTISE, ADVICE, IDEAS, FROM
THOSE CITIZENS IN A PARTICIPATORY FASHION.
SO IT NO ONEY MAKES FOR MORE ACCOUNTABLE GOVERNMENT, IT MAKES
FOR A MORE DYNAMIC GOVERNMENT. AND OPEN GOVERNMENT ALSO ALLOWS
FOR MORE COLLABORATION THAT ENABLES US TO BE MORE EFFECTIVE.
WHEN YOU HARNESS THE ENERGY OF NOT ONLY THE PEOPLE WHO ARE
WORKING ON PROJECTS FULL-TIME, BUT WHO COME AT A CHALLENGE FROM
A DIFFERENT ADVANTAGE POINT, WHEN WE GET DIFFERENT SECTORS
WORKING TOGETHER, WHEN WE ARE FORMING THOSE COLLABORATIVE
PARTNERSHIPS THAT DR. FEINBERG HAS REFERRED TO, THERE IS NO
QUESTION THAT WE HAVE A MUCH BETTER OPPORTUNITY TO NOT ONLY
ACHIEVE GOALS, BUT TO EXCEED THE EXPECTATIONS OF THOSE WHO
STARTED DOWN THE PATH. SO, OPEN GOVERNMENT IS NOT JUST
OPEN TO OTHER GOVERNMENTAL OFFICIALS OR EXPERTS.
THE RESOURCES ARE THERE FOR EVERY AMERICAN WHO WANTS TO
ENGAGE, TO PARTICIPATE. THE SECOND GOAL AT THE HEART OF
THE COMMUNITY HEALTH DATA INITIATIVE IS BUILDING A HEALTH
CARE SYSTEM THAT MEETS THE NEEDS OF EVERY AMERICAN.
NOW OVER THE LAST 16 MONTHS IN THE OBAMA ADMINISTRATION,
SIGNIFICANT PROGRESS HAS BEEN MADE TOWARDS THAT GOAL.
SHORING UP THE HEALTH CARE SAFETY NET FOR FAMILIES DURING
WHAT HAS BEEN THE WORST RECESSION SINCE THE GREAT
DEPRESSION, BY PASSING THE CHILDREN'S HEALTH INSURANCE
PROGRAM, WHICH HAS ALLOWED ALREADY EVEN IN BAD BUDGET
TIMES, A LITTLE OVER 2.5 CHILDREN TO BE ENROLLED WHO
DIDN'T HAVE COVERAGE BEFORE. LONG-TERM INVESTMENTS WERE MADE
IN THE RECOVERY ACT IN SOME IMPORTANT FEATURES OF THE HEALTH
CARE SYSTEM THAT I REALLY THINK PROVIDE THE BUILDING BLOCKS FOR
THE TRANSFORMATION THAT WE HAVE THE OPPORTUNITY NOW TO MAKE.
BUT BUILDING BLOCKS INCLUDE A MAJOR INVESTMENT IN HEALTH
INFORMATION TECHNOLOGY TO MOVE THE MEDICAL SYSTEM INTO THE
TECHNOLOGICAL AGE. MAJOR INVESTMENT FOR THE FIRST
TIME EVER IN PREVENTION AND WELLNESS EFFORTS AND IN THE
HEALTH CARE WORKFORCE RECOGNIZING THAT WE NEED MORE
PROVIDERS. SO THAT WAS ALL PART OF THE
INITIAL LEGISLATION. AND THEN, THIS YEAR WAS THE
LANDMARK HEALTH INSURANCE REFORM FOR THE AFFORDABLE CARE ACT,
WHICH WILL NOT ONLY ENABLE 32 MILLION ADDITIONAL AMERICANS TO
HAVE ACCESS TO THE HEALTH CARE SYSTEM BUT PROVIDE SECURITY AND
STABILITY FOR THOSE WHO ALREADY HAVE COVERAGE AND BEGIN TO
TRANSFORM OUR SYSTEM FROM FEE-FOR-SERVICE INTO A QUALITY
PURCHASER. THAT'S ALL PART OF THE OVER ALL
STRATEGY. MOST OF ALL, THOSE INITIATIVES
ARE AIMED AT GIVING AMERICANS AND THE HEALTH CARE PROVIDERS
MORE CONTROL OVER THEIR OWN HEALTH CARE DECISIONS.
AND THAT'S WHERE HEALTH REFORM MEETS OPEN GOVERNMENT.
MOVING FORWARD, AMERICANS WILL HAVE OPTIONS FOR THEIR OWN
HEALTH CARE. WHAT THEY ARE GOING TO NEED IS
BETTER INFORMATION TO HELP THEM CHOOSE BETWEEN THE OPTIONS THAT
THEY'LL HAVE. NOW THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES HAS DATA. WE HAVE A LOT OF DATA.
FOR INSTANCE, WE HAVE NATIONAL STATE, REGIONAL AND COUNTY LEVEL
DATA ON EVERYTHING FROM SMOKING RATES TO OBESITY RATES, TO
ACCESS TO HEALTHY FOODS, TO UTILIZATION OF MEDICAL SERVICES.
WE HAVE HOSPITAL-LEVEL INFORMATION ON THE MEASURES OF
QUALITY PERFORMANCE AND ON PATIENT SATISFACTION.
WE HAVE INFORMATION FROM A VARIETY OF AGENCIES FROM THE
OFFICE OF PUBLIC HEALTH AND SCIENCE, FROM THE CENTERS FOR
DISEASE CONTROL AND PREVENTION, THE AGENCY FOR HEALTH CARE
RESEARCH AND QUALITY, THE CENTERS FOR MEDICARE AND
MEDICAID SERVICES AND LOTS OF OTHER DIVISIONS WITHIN HHS
COLLECT INFORMATION. AND WHAT PART OF THIS PROJECT IS
ABOUT IS MAKING THAT DATA AVAILABLE AND ACCESSIBLE TO THE
PUBLIC. AND IT'S NEVER HAPPENED BEFORE.
AND I WANT TO GIVE A SPECIAL SHOUT OUTD TO TODD PARK, OUR
TECHNOLOGY OFFICER AT HHS WHO ARRIVED ON THE SCENE WITH A
PRETTY STRAIGHTFORWARD MISSION, UNLOCK THE DATA RESERVOIR AND
FIGURE OUT HOW TO MAKE IT USEABLE.
AND HE HAS DONE A SPECTACULAR JOB SO FAR IN MINING THIS
ENORMOUS RESERVOIR OF DATA. LET ME JUST GIVE YOU A FEW
EXAMPLES. A PATIENT WITH A HEART DISEASE
COULD GO ONLINE AND CHOOSE THE LOCAL HOSPITAL WHERE THE RATES
OF HEALTH CARE ASSOCIATED INFECTIONS ARE ACTUALLY
DROPPING, NOT INCREASING. NOT THE HOSPITAL DOWN THE STREET
FROM HIS HOUSE WHERE THE RATES OF INFECTION HAVE BEEN STEADY OR
GROWING FOR YEARS. HELPING TO SAVE HIS OWN LIFE,
HELPING TO REALLY PROVIDE SOME MARKET PRESSURE TO HOSPITALS TO
IMPROVE THEIR INFECTION RATES. A WOMAN WITH A FAMILY HISTORY OF
BREAST CANCER CAN LOOK AT THE CANCER RATES IN HER AREA AND
DISCOVER WHETHER OR NOT SHE LIVES IN A CANCER CLUSTER.
AND IF SHE AND HER NEIGHBORS FIND THAT OUT, SHE CAN BECOME
MOBILIZED AND LOBBYING THEIR LOCAL OFFICIALS TO DO SOMETHING
ABOUT IT. THE DATA GIVES THEM A BETTER
CHANCE OF UNCOVERING WHAT MIGHT BE AN ENVIRONMENTAL HAZARD AND
GETTING IF REMOVED. A FAMILY LIVING FOR A GREAT
PLACE TO LIVE AND TO RAISE THEIR KIDS CAN NOW LOOK AT COMMUNITY
HEALTH DATA ALONG WITH CRIME STATISTICS AND SCHOOL SCORES,
MAKING JUDGMENT CALLS ABOUT WHERE TO LOCATE BASED ON THE
LIKELIHOOD THEY WILL LIVE IN A HEALTHIER COMMUNITY AND
EMPLOYERS CAN MAKE DECISIONS ABOUT WHERE TO LOCATE, RELOCATE,
EXPAND BUSINESS OPPORTUNITIES USING HEALTH DATA AS ONE OF THE
COMPONENTS OF THAT DECISION. WE THINK THAT MAKING THE
INFORMATION FREE AND USER-FRIENDLY TO CONSUMERS IS
JUST COMMON SENSE. BUT TO GET THE FULL VALUE OF THE
DATA, WE NEED IDEAS AND EXPERTISE FROM ALL OF YOU.
WE NEED IDEAS FROM ACROSS THE COUNTRY, FROM THE PUBLIC AND
PRIVATE SECTORS, FROM COMMUNITIES AND INDIVIDUALS
ABOUT HOW BEST TO ORGANIZE THE DATA AND HOW BEST PEOPLE ARE
GOING TO BE ABLE TO USE THE DATA.
THAT'S WHAT TODAY IS ALL ABOUT. TELL US -- LEVERAGE THE
INVESTMENT THE TAXPAYERS HAVE MADE IN THIS INFORMATION AND
UNLEASH IT TO HELP AMERICANS TAKE MORE CONTROL OVER THEIR OWN
HEALTH. TO HELP THEM IMPROVE THEIR
COMMUNITY'S HEALTH. AND THEN HELP US GO OUT AND
CREATE NEW TOOLS AND APPLICATIONS THAT WILL HELP MAKE
ALL THIS POSSIBLE. I WANT TO THANK YOU ALL FOR
BEING HERE TODAY. BUT I ALSO WANT TO CHALLENGE YOU
TO WORK WITH US AS WE MOVE THROUGH THESE PROJECTS INTO THE
FUTURE. WE HAVE A LOT OF OPPORTUNITY TO
PUT IMPORTANT NEW TOOLS INTO THE HANDS OF AMERICANS ACROSS THE
COUNTRY AND TO GIVE IMPORTANT INFORMATION THAT WILL HELP
INDIVIDUALS TAKE CONTROL OVER THEIR OWN HEALTH STATUS AND MAKE
REAL IMPROVEMENTS ALONG THE WAY. I WANT TO NOW TURN THE PODIUM
OVER TO BILL CORE, WHO IS THE DEPUTY SECRETARY FOR HEALTH AND
HUMAN SERVICES, WHO HAS BEEN AN EXTRAORDINARY PARTNER DURING MY
13 MONTHS ON THE JOB ON EVERY INITIATIVE, WHO IS TAKING THE
MAJOR LEADERSHIP ROLE ON THE IMPLEMENTATION, ORGANIZATION
WITHIN THE DEPARTMENT OF THE AFFORDABLE CARE ACT, WHICH IS
MORE THAN A FULL-TIME JOB AND HAS EXPERIENCE ON THE HILL, HAS
EXPERIENCE IN THE DEPARTMENT DURING THE -- UNDER THE WORK OF
SECRETARY DONNA CHALET LA. HAS COME OUT OF THE FIELD AS A
FORMER HEAD OF A COMMUNITY HEALTH CENTER, WHICH IS ONE OF
THE LEADING ADVOCATES FOR THE AMAZING TOBACCO REGULATORY
OVERSIGHT THAT WE NOW HAVE AS A POSSIBLE TOOL TO TRY AND REDUCE
SMOKING RATES AMONG AMERICANS AND GET TO THAT CHRONIC DISEASE
CONDITION. AND HE IS AN EXTRAORDINARY
LEADER FOR THE DEPARTMENT. DEPUTY SECRETARY BILL CORE.
[APPLAUSE] -- THANK YOU SECRETARY SEBELIUS
AND GOOD MORNING TO EACH OF YOU AND THANK YOU TO EACH OF YOU FOR
MAKING THE EFFORT TO BE HERE TODAY.
AND ALSO I WANT TO BEGIN WITH A VERY SPECIAL THANK YOU TO HARVEY
FEINBERG, JUDY AND THE EYEWITNESSITUTE OF MEDICINE FOR
HOSTING US ONCE AGAIN. ON MARCH 11, THE IOM AND HHS
SPONSORED AN EXPLORATORY MEETING HERE IN WASHINGTON TO FIND OUT
IF THE WORLD OUTSIDE OF GOVERNMENT WAS INTERESTED IN THE
DATA WE HAVE ON COMMUNITY HEALTH.
WE WANTED TO ANSWER THIS IMPORTANT QUESTION:
IF WE MAKE DATA AVAILABLE, WILL INNOVATORS BE INTERESTED IN
DEVELOPING CREATIVE NEW USES FOR IT THAT COULD IMPROVE THE
NATION'S HEALTH? THE ANSWER WAS A RESOUNDING,
YES, SEVERAL MONTHS AGO. SO WE WENT TO WORK.
INNOVATORS FROM AROUND THE COUNTRY, THE WORLDS OF BUSINESS,
TECHNOLOGY, ACADEMIA AND COMMUNITY ADVOCACY,
INDICATED -- SORRY, IDENTIFIED, SOME 20 YEARS WHERE EXCITING NEW
APPLICATIONS TO IMPROVE HEALTH COULD BE DEVELOPED.
OUR DEPARTMENT BUILT A WEB SITE AND POSTED A CONSOLIDATED SET OF
HHS COMMUNITY HEALTH DATA IN AN EASILY ACCESSIBLE DOWNLOADABLE
FORM. INNOVATORS TOOK OUR DATA AND IN
LESS THAN 12 WEEKS, PUT TOGETHEROON AMAZING ARRAY OF NEW
OR IMPROVED APPLICATIONS THAT WILL HELP RAISE AWARENESS ABOUT
HEALTH PERFORMANCE IN LOCAL COMMUNITIES AND MOTIVATE PEOPLE
TO TAKE ACTION TO DO SOMETHING ABOUT THE HEALTH AND THEIR
COMMUNITIES. THERE IS SOME VERY CREATIVE
DEVELOPERS HERE TODAY. YOU'RE GOING TO LEARN ABOUT
THEM. WE HAVE ALREADY BEEN WORKING ON
IMPORTANT PROJECTS LIKE INTERACTIVE HEALTH MAPS, SO
PEOPLE CAN COMPARE THEIR HEALTH PERFORMANCE WITH OTHER COUNTIES,
AND VIDEO GAMES TO ENGAGE KIDS OF ALL AGES IN COMMUNITY HEALTH.
YOU'RE GOING TO SEE SOME OF THEM TODAY, FOR EXAMPLE, THERE IS
NETWORK OF CARE FOR HEALTHY COMMUNITIES.
A COMMUNITY HEALTH DASHBOARD THAT HAS BEEN PUT TOGETHER BY A
TEAM OF INNOVATORS AND THE WORKING WITH THE NATIONAL
ASSOCIATION OF COUNTIES. DEPLOYED VIA PUBLIC WEB SITE,
THE DASHBOARD ALLOWS CITIZENS AND CIVIC LEADERS TO SEE LOCAL
HEALTH PERFORMANCE COMPARED TO OTHER COUNTIES AROUND THE
COUNTRY AND IMPORTANTLY, AUTOMATICALLY TIDE TIES IN BEST
PRACTICE INFORMATION FROM AROUND THE NATION SHOWING HOW OTHER
COMMUNITIES HAVE TACKLED SIMILAR PROBLEMS AND GENERATED BETTER
OUTCOMES. THERE IS A HEALTH DATA ONLINE
CARD GAME CALLED, COMMUNITY CLASH.
PLAYERS COMPARE HEALTH INDICATORS IN THEIR COMMUNITIES
WITH OPPONENTS FACEBOOK AND TWITTER.
THEY CAN ALSO COMPUTE THEIR OWN WELL-BEING SCORE.
THERE IS ASTHMA -- HOLD IT. I'M GOING TO GET IT RIGHT.
ASTHMA POLLS. AN ONLINE COMMUNITY ASTHMA
TRACKING SYSTEM. PATIENTS AND PROVIDERS WILL BE
ABLE TO MONITOR THROUGH ANONYMOUS LOG THAT IS WHEN
SHARED WITH PUBLIC HEALTH AGENCIES, WILL SYSTEMATICALLY
IDENTIFY COLLECTIVE ASTHMA TRIGGERS AND EVALUATE HOW
SUCCESSFULLY WE ARE ABLE TO CONTROL THEM.
WHAT AN ENORMOUS ASSET FOR PUBLIC HEALTH.
THOSE ARE JUST THREE EXAMPLES OF WHAT YOU'LL BE SEEING TODAY.
BUT WHAT YOU'LL BE SEEING TODAY IS ONLY THE BEGINNING.
THIS DECEMBER, HHS WILL LAUNCH A NEW WEB SITE, WEB-BASED HEALTH
INDICATORS WAREHOUSE, A SINGLE WEB SITE AVAILABLE TO THE PUBLIC
CONTAINING AN ARRAY OF INFORMATION ON NATIONAL, STATE,
REGIONAL AND COUNTY-LEVEL HEALTH PERFORMANCE ALONG WITH INVENTORY
OF PRACTICES THAT ARE KNOWN TO IMPROVE PERFORMANCE.
USERS WILL BE ABLE TO DOWNLOAD ALL OF THE DATA FREE OF CHARGE
AND EASILY INTEGRATE IT INTO OTHER WEB SITES AND
APPLICATIONS. THE CENTERS FOR MEDICARE AND
MEDICAID SERVICES OR CMS, ONE OF OUR LARGEST OPERATING DIVISIONS
AT HHS, HAS COMMITTED TO SUPPLYING THE HHS HEALTH
INDICATORS WAREHOUSE WITH A NEW SET OF NATIONAL, REGIONAL AND
POTENTIALLY COUNTY LEVEL DATA ON DISEASE PREVALENCE, COST,
QUALITY, AND UTILIZATION OF SERVICES.
WE WILL HEAR MORE ABOUT OUR OTHER DATA PLANS A LITTLE BIT
LATER FROM TODD PARK, OUR CHIEF TECHNOLOGY OFFICER.
ONE THING I SHOULD MENTION IS THAT HHS IS NOT CONTROLLING,
CHOREOGRAPHING OR PAYING FOR THE DEVELOPMENT OF THESE
APPLICATIONS. OUR ROLE IS SIMPLY TO SUPPLY
HIGH QUALITY, FREE COMMUNITY HEALTH DATA AND LET YOU TAKE IT
FROM THERE. AT THE FORUM TODAY, WE ONLY WANT
YOU TO SEE WHAT IS POSSIBLE. WE ALSO WANT YOU TO CONSIDER HOW
YOU CAN HELP JUMPSTART APPLICATIONS TO HELP
COMMUNITIES, CITIZEN, PROVIDERS, EMPLOYERS AND OTHERS IMPROVE
HEALTH QUALITY AND VALUE ACROSS THE COUNTRY.
THE APPROACH OF THE COMMUNITY HEALTH DATA INITIATIVE IS REALLY
QUITE SIMPLE. ENABLE AMERICANS TO UNDERSTAND
HEALTH PERFORMANCE IN THEIR COMMUNITIES AND SPARK LOCAL
ACTION TO IMPROVE IT. THE POTENTIAL OF THIS SIMPLE
APPROACH TO IMPROVE HEALTH CARE ACROSS THE COUNTRY IS ENORMOUS.
AND THE SECRETARY AND I AND ALL OF US AT THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES, ARE DEEPLY COMMITTED TO ITS SUCCESS.
THE SECRETARY AND I ARE VERY GLAD TO BE HERE IN THE COMPANY
OF SO MANY CREATIVE FORWARD-LOOKING PEOPLE FROM SO
MANY SECTORS ACROSS THE COUNTRY WHO HAVE SO MUCH POTENTIAL TO
IMPROVE OUR NATION'S HEALTH. SO I HOPE YOU WILL TAKE THE
SECRETARY UP ASK ON HER CHARGE AND LET ME REPEAT IT.
TELL US HOW WE CAN TAKE HHS'S COMMUNITY HEALTH DATA, LEVERAGE
THE INVESTMENT TAXPAYERS HAVE MADE IN THAT INFORMATION AND
UNLEASH IT TO HELP THE AMERICAN PUBLIC AND COMMUNITIES IMPROVE
HEALTH. THEN GO OUT AND CREATE NEW TOOLS
AND APPLICATIONS THAT WILL MAKE IT POSSIBLE.
I HOPE AND KNOW YOU WILL HAVE A VERY PRODUCTIVE DAY.
THANK YOU VERY MUCH AGAIN FOR BEING HERE.
[APPLAUSE] -- THANK YOU TO OUR TERRIFIC
LEADERS FOR KICKING THIS OFF BY GIVING US THE BIG PICTURE AND
THE REAL CONTEXT. IT'S EXCITING BECAUSE WE ALL
HAVE KNOWN FOR SO LONG THAT WE OUGHT TO BE ABLE TO HARNESS THE
POWER OF INFORMATION TO BOOST HEALTH QUALITY, TO LOWER COSTS.
THIS IS THE HOLY GRAIL OF HEALTH CARE REFORM.
AND I THINK TODAY YOU SHOULD SORT OF THINK OF YOURSELF AT THE
BEGINNING OF WHAT IS A PROFOUND AND REVOLUTIONARY JOURNEY WHERE
WE SEE THE PARTNERSHIP BETWEEN PUBLIC SECTOR DATA AND
INFORMATION AND TRANSPARENCY WITH PRIVATE SECTOR INNOVATION
AND CREATIVITY TO TRY TO HARNESS THESE TOOLS ON BEHALF OF THE
PUBLIC GOOD. THIS IS AN EXCITING MOMENT FOR
ALL OF US IN THIS COMMUNITY WHO SHARED THE VISION THAT SECRETARY
SEBELIUS AND HARVEY FEINBERG AND DEPUTY SECRETARY CORE, HAVE LAID
OUT. AND I HAVE BEEN TOLD THAT WITHIN
A FEW WEEKS, THE KIND OF THINGS YOU'LL BE SEEING TODAY WILL CUT
HEALTH CARE COSTS AS A SHARE OF GDP IN HALF WHILE DOUBLING LIFE
SPANS IN THE UNITED STATES! [LAUGHTER]
SO THE BAR HAS BEEN SET HIGH. I'M KIDDING, OF COURSE.
BUT WE SHOULD THINK ABOUT THE FACT THAT THERE IS AN ABILITY
ABILITY FOR THESE KINDS OF INNOVATIONS TO SET US ON A PATH
TOWARDS REALLY NON-TRIVIAL AND RADICAL IMPROVEMENT IN OUR
HEALTH AND WELL-BEING IN THE COST EFFECTIVENESS AS THE SYSTEM
AS A WHOLE. SO TODAY, YOU'RE ABOUT TO SEE
NEW APPLICATIONS FROM SOME OF THE WORLD'S GREATEST TECHNOLOGY
DEVELOPERS AS WELL AS PRODUCTS CREATED BY ENTERPRISING
INDIVIDUALS AS WELL. THERE WILL BE GAMES EASILY
UNDERSTOOD SUMMARY DASH BOARD SEARCH ENGINE TOOLS AND OTHER
USER-FRIENDLY APPLICATIONS. SOME ARE GEARED TOWARDS
CONSUMERS. OTHERS TOWARDS HEALTH
PROFESSIONALS. OTHERS TOWARDS COMMUNITY
DECISION-MAKERS. SOME FOR THE MEDIA BECAUSE THE
MEDIA HAS A BIG ROLE TO PLAY IN ASSURING THE KIND OF
TRANSPARENCY AND REPORTING AND INFORMATION THAT HELPS EMPOWER
ALL OF US TO BE BETTER CONSUMERS OF HEALTH CARE.
EACH OF THESE INITIATIVES ENCOMPASSES CURRENTLY AVAILABLE
COMMUNITY HEALTH DATA INITIATIVES DATA SETS.
THAT'S THE CHDI ACRONYM. OR SEEKS TO ADVANCE THE FUTURE
MISSION OF CHDI AS WELL. THE APPLICATIONS WE ARE
SHOWCASING REPRESENT THE BEST EXAMPLES WE HAVE FOUND USING
COMMUNITY-LEVEL HEALTH DATA AND A RANGE OF POTENTIAL USES OF
DATA THAT WE HAVE SEEN TO DATE. SO THESE APPLICATIONS REPRESENT
DIFFERENT WAYS OF DRIVERRING IMPROVEMENTS IN PEOPLE'S HEALTH,
IN HEALTH CARE EXPERIENCES AND IN PATIENT CARE AND PUBLIC
HEALTH AND IN IMPROVING THE HEALTH CARE DELIVERY SYSTEM OVER
ALL. NOW A BRIEF WORD FROM THE
LAWYERS. PLEASE NOTE THESE APPLICATIONS
ARE EXAMPLES OF POTENTIAL INNOVATIONS AND THEIR INCLUSION
DOESN'T IMPLY ANY FORMAL ENDORSEMENT FROM IOM OR HHS.
I KNOW YOU UNDERSTAND THAT. BUT OUR HOST HOPE THAT THEIR
INCLUSION TODAY INSPIRES OTHERS TO MAKE NEW PRODUCTS AND
APPLICATIONS AND SHINE LIGHT ON THESE NEW TOOLS SO USERS CAN
RAPIDLY BENEFIT FROM THEIR CREATION.
SO, WITHOUT FURTHER ADIEU, LET'S JUMP RIGHT IN AND I WANT TO
INTRODUCE OUR FIRST PRESENTERS FROM PALENTIER.
ARE OUR PRESENTERS HERE? [APPLAUSE]
WELCOME. WHILE THEY ARE SETTING UP, THEY
ARE A LEADER IN CUTTING-EDGE DATA VISUALIZATION.
THEY CREATED A TOOL TO HELP MAKE CHDI DATA EASILY INTERPRETABLE
AND COMBINED. OVER TO YOU.
-- THANK YOU. MY NAME IS ALEX AND I'M FROM
PALENTIER TECHNOLOGIES. I'D LIKE TO THANK THE DEPUTY
SECRETARY AND THE NATIONAL ACADEMY OF SCIENCES FOR HAVING
US HERE. WE ARE THRILLED TO BE HERE.
BEFORE WE JUMP IN, JUST A LITTLE BIT ABOUT US.
WE ARE SILICON VALLEY COMPANY CREATED IN 2004 BY THE FOUNDERS
OF PAYPAL AND A TEAM OF STAMFORD COMPUTER SCIENTISTS WITH THE
GOAL OF EMANCIPATING INFORMATION TO MAKE GOVERNMENT MORE
EFFECTIVE. [LAUGHTER]
WHAT WE MEAN BY THAT IS ALLOWING NON-TECHNICAL USERS TO ANALYZE
DATA AS THOUGH THEY WERE TECHNICAL USERS.
SO DIRECTLY. WE ARE PASSIONATE ABOUT
TECHNOLOGY TOW ENHANCE CIVIL LIBERTIES AND SOLVING THESE
PROBLEMS IS ONE OF THE REASONS THAT WE FOUNDED PALANTIR.
WE ARE 250 EMPLOYEES. 80% IS ENGINE IRES EARS.
WE ARE DEPLOYED ACROSS THE MOST CRITICAL PARTS OF THE GOVERNMENT
AND WE EMPLOY NO SALES PEOPLE. SO I'M GOING JUMP RIGHT IN.
WHAT YOU'RE LOOKING AT IS THE HOME SCREEN.
AND I'M GOING TO JUST MOVE OVER TO THE MAP.
WHAT WE ARE LOOKING AT IS A MAP OF THE UNITED STATES AND WE'RE
COLORING EVERY COUNTY - WE INTEGRATED ALL THE COMMUNITY
HEALTH DATAETS AND WE ARE COLORING EACH COUNTY BASED ON
THE RATE OF CHILD POVERTY. SO LOW CHILD POVERTY RATE IS IN
BLUE AND HIGH CHILD POVERTY RATE IS IN YELLOW.
TO TAKE A STEP BACK, WE ARE GOING TO ACT AS POLICYMAKERS AT
THE STATE OR LOCAL LEVEL AND WE ARE GOING TO USE THE DATA SETS
AVAILABLE TO IDENTIFY HIGH RISK POPULATIONS.
VULNERABLE POPULATIONS. UNDERSTAND THE SERVICES
CURRENTLY IN PLACE TO SERVE THOSE POPULATIONS AND THEN TAKE
A LOOK AND SEE HOW THE GOVERNMENT IS CURRENTLY
IMPACTING THOSE POPULATIONS. SO LOOKING ACROSS THE U.S. RIGHT
NOW, I CAN SEE THAT THERE ARE SOME SPIKES IN THE CHILD POVERTY
RATE IN YELLOW. I CAN SEE THEM DOWN HERE IN
TEXAS. AND LET'S JUST FOCUS IN ON TEXAS
FOR THE REST OF THIS DEMONSTRATION.
SO NOW I'M LOOKING AT TEXTS AND SINCE I HAVE ALL THE DATA SETS
TOGETHER, I'M GOING TO DERIVE A NEW ATTRIBUTE.
THIS ATTRIBUTE IS GOING TO TELL ME THE RELATIVE PREVALENCE OF
CHILD POVERTY RELATIVE TO THE OVERALL POVERTY RATE.
SO THIS IS GOING TO HELP US UNDERSTAND WHERE CHILD POVERTY
IS ESPECIALLY HIGH RELATIVE TO OVERALL POVERTY.
NOW I COLOR THE MAP AND RANKED EVERY COUNTY BASED ON THIS NEW
METRIC. THIS NEW INDEX.
SO I CAN SEE IN BRIGHT YELLOW OUR COUNTIES WHERE CHILD POVERTY
IS ESPECIALLY HIGH. I'M GOING TO NOW FILTER OUT THE
COUNTIES TO TAKE A LOOK AT THE TOP 80th PERCENTILE OF
COUNTIES BASED ON THIS METRIC. WHAT EMERGES VERY QUICKLY IS A
CLUSTER OF COUNTIES JUST NORTHEAST OF SAN ANTONIO.
THIS AGAIN IS A CLUSTER OF COUNTIES WHERE CHILD POVERTY IS
ESPECIALLY HIGH RELATIVE TO OVER ALL POVERTY.
THE FIRST THING WE'LL LOOK AT IS THE TYPES OF FACTORS THAT ARE
COINCIDENT WITH A HIGH CHILD POVERTY RATE.
HERE WE ARE JUST EXPLORING RELATIONSHIPS RATHER THAN
CAUSALITY OR CAUSATION. JUST TO EXPLORE AND SEE WHAT
TYPES OF THINGS WE MAY FIND. WE NOTICE THAT LOOKING AT -- SO
WE ARE LOOKING AT A SCATTER PLOT HERE.
THE SCATTER PLOT, EVERY POINT ON THE SCATTER PLOT REPRESENTS A
COUNTY IN THE U.S. ON THE X AXIS IS THE CHILD
POVERTY RATE AND ON THE Y AXIS IS THE TEEN BIRTHRATE.
WHAT WE NOTICE RATHER QUICKLY IS A RELATIONSHIP BETWEEN THE CHILD
POVERTY RATE AND THE TEEN BIRTHRATE.
LET'S SEE IF THIS RELATIONSHIP HOLDS IN TEXAS SINCE THAT IS
WHERE WE ARE FOCUSED. SO NOW I HAVE REMOVED THE REST
OF THE COUNTIES IN THE UNITED STATES AND NOW THIS SCATTER PLOT
IS ONLY LOOKING AT THE COUNTIES IN TEXAS.
WE CAN SEE THE RELATIONSHIP STILL HOLDS.
NOW WITH THIS IN MIND, LET'S TAKE A LOOK AND SEE WHAT
SERVICES ARE CURRENTLY AVAILABLE TO SERVE THE POPULATION THAT WE
HAVE IDENTIFIED JUST NORTHWEST OF SAN ANTONIO.
SO, WHAT I'LL DO IS JUST A RADIUS SEARCH TO SEE ALL THE
COMMUNITY LEVEL SERVICES AVAILABLE FOR THIS POPULATION.
IN THIS CASE, THE FIRST SERVICE WE'LL LOOK AT IS THE
AVAILABILITY OF BOYS AND GIRLS CLUBS.
SO YOU CAN SEE THEM HERE ON THE MAP AND YOU CAN SEE WE PLOTTED
AROUND EACH ONE THE PROXIMATE SERVICE AREA.
SO THIS GIVES US A SENSE FOR THE POPULATION'S ACCESS TO THIS
LEVEL OF COMMUNITY CARE. I CAN SEE THAT IN YELLOW THE
AREA WHERE CHILD POVERTY IS ESPECIALLY HIGH HAS ESSENTIALLY
NO ACCESS TO BOYS AND GIRLS CLUBS.
NOW LET'S TAKE A LOOK AT ACCESS TO THE MOST RUDIMENTARY LEVEL OF
CARE, ACUTE-CARE FACILITIES. SO AGAIN, I'M JUST TAKING A LOOK
AND SEEING IN THIS CASE, WHAT HOSPITALS ARE AVAILABLE TO SERVE
THIS POPULATION. I CAN SEE THERE IS VASTLY MORE
HOSPITALS AND THEN PLOTTING THE SERVICE AREA, I CAN SEE THAT
THERE IS MUCH MORE COVERAGE IN THIS AREA.
THIS IS LIKE THE FIRST LINE OF DEFENSE FOR CHILDREN IN POVERTY.
ALTHOUGH THERE ARE STILL SOME AREAS LEFT OUT.
IN OTHER WORDS, AREAS THAT ARE DIFFICULT -- WHERE IT'S
DIFFICULT FOR CITIZENS TO GET TO HOSPITALS.
SO, THIS GIVES US AN IDEA OF THE DATA THAT IS AVAILABLE AND NOW
HOPEFULLY STOPSES FROM DOING A TWO-YEAR SURVEY OF THE AREA
BEFORE WE CAN MAKE ANY DECISIONS.
[APPLAUSE] WE ARE REALLY EXITED ABOUT
BRINGING THE DATA LIKE TO PEOPLE'S FINGERTIPS.
BUT NOW WE HAVE IDENTIFIED THIS AND THE CARE CURRENTLY
AVAILABLE, LET'S SEE HOW THE FEDERAL GOVERNMENT CURRENTLY
IMPACTS THIS AREA. SO WHAT WE HAVE DONE BROUGHT IN
A LOT OF OTHER OPEN DATA SETS, IN THIS CASE FROM USA SPENDING
AND FADS. SO WE CAN SEE ALL THE FEDERAL
ASSISTANT GRANTS THAT ARE CURRENTLY TAKING PLACE IN THIS
AREA. SO EVERYONE OF THESE POINTS AND
DOLLAR SIGNS REPRESENTS THE PLACE OF PERFORMANCE OF A
FEDERAL ASSISTANCE GRANT. GEOSPATIALY ISN'T NECESSARILY
THE BEST TWIANALYZE EVERYTHING. I'M GOING BRING YOU ON TO THE
GRAPH AND YOU'LL SEE EACH ONE OF THESE BOXES REPRESENTS A FEDERAL
ASSISTANCE GRANT. NOW I'M GOING LINK THEM UP, THE
GRANTS. LINK UP THE GRANTS WITH THE
FEDERAL AGENCIES THAT HAVE GIVEN THE GRANTS, AND THE ENTITIES
THAT HAVE ACTUALLY RECEIVED THE GRANTS.
SO I CAN SEE THOSE HERE ON THE SCREEN NOW.
I GUESS YOU AREN'T USED TO SEEING -- I SEE THIS EVERY DAY.
[LAUGHTER] SO I'M JUST GOING TO REARRANGE
THEM. I'M GOING NOW TAKE A LOOK AT
WHAT I GUESS IS THE MOST RELEVANT -- SOME OF THE MOST
RELEVANT GRANTS THIS AUDIENCE. GRANTS FROM THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES. SO I'M ZOOMING IN NOW.
YOU CAN SEE HERE ON THE SCREEN, THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES AND THEN THE GRANTS FROM THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES TO THE OTHER ENTITIES IN THIS AREA OF
TEXAS. SO THIS FIRST GRANT HERE IN
YELLOW IS ACTUALLY AN IMMUNIZATION GRANT FOR THE
IMMUNIZATION AND VACCINATION OF CHILDREN IN THE AREA.
SO CERTAINLY IT'S RELEVANT TO WHAT WE ARE LOOKING AT.
WE CAN SEE THAT THIS IS AN AURA GRANT FROM THE RECOVERY ACT FOR
IMMUNIZATION. AND IT'S GONE TO THE DEPARTMENT
OF STATE HEALTH SERVICES. WE CAN ALSO SEE SOME GRANTS HAVE
GONE TO THE SAN ANTONIO METROPOLITAN HEALTH DISTRICT.
THIS GIVES US A SENSE OF WHO IS ACTIVE AND CURRENTLY INVOLVED
WITH THE FEDERAL GOVERNMENT IN THIS AREA.
SOME OF THE OTHER GRANTS WE SEE ARE RESEARCH GRANTS FROM THE
DEPARTMENT. IN THIS CASE, TO THE UNIVERSITY
OF TEXAS AT AUSTIN TO STUDY THE CONNECTION BETWEEN RACE,
ETHNICITY AND HEALTH. SO NOW THAT WE HAVE LOOKED AT
SPENDING, GOTTEN A SENSE FOR HOW THE FEDERAL GOVERNMENT CURRENTLY
IMPACTS THIS AREA, LET'S DO SOME BOTTOM-UP ANALYSIS AND SEE WHAT
ARE COMMUNITY LEADERS IN THIS AREA LOOKING AT AND WHAT TYPES
OF ISSUES ARE IMPORTANT TO THEM. WHAT WE HAVE DONE IS SPIEDERED
THE WEB AND PULLED IN LOTS OF JUST UNSTRUCTURED DATA WE FOUND
THAT IS RELEVANT TO THIS AREA. I CAN SEE THEM HERE, THESE ARE
DOCUMENTS. AND I CAN SEE THEY SPAN A TIME
FROM 2005-2010. WHAT I'M GOING TO DO NOW IS JUST
FILTER OUT THE ONES RELEVANT TO -- FILTER OUT ALL THE OTHER
ONES SO WE CAN SEE THE ONES RELEVANT TO CHILDREN.
SO I CAN SEE THEM HERE NOW IN THE GRAPH AND I'M GOING TO TAKE
A LOOK AT THIS ONE IN PARTICULAR WHICH IS THE MINUTES FROM A
MEETING OF THE STATE HEALTH DEPARTMENT IN DECEMBER OF 2008.
WE CAN SEE IN THE TEXT HERE THAT SAND SHORE INTRODUCED VICKI
COFFEE FLETCHER, WHO DISCUSSED WORKFORCE ISSUES AND DOWN HERE
AT THE BOTTOM, THESE WORKFORCE ISSUES WERE RELEVANT TO CHILD
HEALTH AGENCIES. SO THIS GIVES US A SENSE FOR WHO
ON THE GROUND, IS AN EXPERT IN THIS TYPE OF THING, WHICH WILL
ALLOW US TO REACH OUT TO THEM TO LEARN MORE ABOUT WHAT IS GOING
TO. IN GENERAL, WE HAVE ACTUALLY
DONE ENTITY EXTRACTION ON ALL OF THESE DOCUMENTS.
THAT MEANS THAT WE CAN LOOK AT THE RELATIONSHIPS BETWEEN ALL
THESE INDIVIDUALS TO REALLY GET A SENSE FOR WHAT THEY ARE
INVOLVED WITH AND THE OTHER ORGANIZATIONS THAT ARE INVOLVED
IN THESE ISSUES. SO NOW I'M GOING TO JUST RETURN
TO THE GRAPH AND TAKE A LOOK IN GAG GAT AND SEE WHO ARE THE
INDIVIDUALS WORKING ON CHILD HEALTH CARE IN THIS AREA OF
TEXAS? HERE ARE THE DOCUMENTS AND NOW
I'M GOING CONNECT THEM UP. AND REARRANGE THEM.
NOW I CAN SEE THE INDIVIDUALS AND OTHER ORGANIZATIONS THAT ARE
WORKING ON THESE ISSUES. SO, JUST TO CONCLUDE, WHAT WE
HAVE DONE IS WE HAVE GONE FROM TOP-DOWN DATA SETS TO IDENTIFY
AN AT-RISK, HIGHLY VULNERABLE POPULATION, IDENTIFYING THE
SERVICES CURRENTLY AVAILABLE IN PLACE TO SERVE THAT POPULATION,
HOW THE FEDERAL GOVERNMENT IS CURRENTLY IMPACTING THAT
POPULATION, AND THEN FINALLY WHAT COMMUNITY LEADERS IN THE
AREA ARE DOING -- THAT IS RELEVANT TO THAT POPULATION.
WE ARE EXITED TO ANNOUNCE TODAY THAT WE HAVE INTEGRATED THE DATA
SETS FROM THE COMMUNITY HEALTH DATA INITIATIVE INTO ANALYZEING
THIS ANALYZETHE.U.S. IT WAS A SITE WE CREATED AFTER
THE CREATION OF DATA.GOV, AS A SIDE PROJECT.
BECAUSE WE THOUGHT IT WOULD BE COOL TO SEE ALL OF THAT
AVAILABLE IN ONE PLACE SO YOU COULD DO ANALYSIS ACROSS THE
DATA SETS. COMMUNITY HEALTH DATA IS AN
IMPORTANT PART OF THE EXPANDING DATA ECOSYSTEM AND WE ARE VERY
EXITED TO MAKE IT AVAILABLE FOR EVERYONE TO TAKE A LOOK AT.
SO, WE HOPE YOU'LL TAKE A LOOK TAT TODAY AND THANK YOU VERY
MUCH. [APPLAUSE]
-- THANK YOU VERY MUCH. THE FOLKS FROM PALENTIRT DOES
REMIND ME OF A COUPLE OF THINGS. IT IS AMAZING, AND THIS WILL BE
A THEME AS WE GO THROUGH THE OTHER PRESENTATIONS, THAT THE
POWER OF THIS INFORMATION TO ACCELERATE BOTH POLICY HOLDER
RESPONSE AT THE FEDERAL LEVEL OR HIGHER LEVELS OF GOVERNMENT AND
LINK PEOPLE TOGETHER WITH PROBLEM-SOLVERS ON THE GROUND,
SOUNDS ENORMOUS. IT ALSO REMINDS ME OF THE
BUSINESS AXIOM, YOU CAN'T MEASURE YOU WHAT CAN'T MEASURE.
WE HAVE NOW THE ABILITY OR THE LEADING EDGE OF A FRONTIER OF SO
MUCH MORE INFORMATION THAT WE WILL BE ABLE TO DEFINE AND
MANAGE IN WAYS THAT SHOULD BE BENEFICIAL.
BUT ALSO THE VITAL IMPORTANCE OF ORGANIZATIONS LIKE THIS AND THE
CREATIVITY OF BUSINESSES AND FIRMS AND NONPROFITS THAT WILL
HELP MAKE THIS SEA OF INFORMATION ACTIONABLE, BECAUSE
OTHERWISE WE WOULD BE DROWNING IN IT.
SO LOTS OF FOOD FOR THOUGHT ALREADY.
I WANT TO WELCOME OUR NEXT PRESENTER, MICROSOFT'S BING, TO
THE STAGE. IF YOU WOULD COME UP.
MICROSOFT BING ADDED CHDI DATA DIRECTLY INTO THEIR SEARCH
ENGINE BRINGING VERY USEFUL HOSPITAL COMPARED DATA, SUCH AS
QUALITY MEASURES FOR HEART ATTACKS TO THE FINGERTIPS OF
PATIENTS. OVER TO YOU MICROSOFT BING.
-- THANK YOU. [APPLAUSE]
FIRST I'D LIKE TO THANK THE SECRETARY AND THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES FOR HAVING US.
WE ARE VERY HONORED TO BE PART OF THIS INITIATIVE.
I'MALEN AND I MANAGE A TEAM THAT IS FOCUSED ON HEALTH SEARCH.
MY BACKGROUND IS AS A PHYSICIAN AND A TECHNOLOGIST.
I HAVE A REAL PASSION FOR EMPOWERING PEOPLE WITH
MEANINGFUL DATA TO HELP THEM MAKE BETTER DECISIONS IN HEALTH.
WE ARE SUPER EXITED ABOUT BRINGING NEW INNOVATIONS IN THE
STATES AND I WANT TO SPEND SOME TIME SHOWING YOU THREE SCENARIOS
THAT COMBINE SEARCH AND HHS DATA.
SO THE FIRST SCENARIO IS ABOUT A COMPLICATED TASK, A VERY
DIFFICULT ONE PEOPLE HAVE, WHICH IS FINDING INFORMATION ABOUT THE
QUALITY OF HOSPITALS. THIS IS VERY DIFFICULT BECAUSE
OF THE DATA ACTUALLY RESIDES IN THE DEEP LAB OF HHS AND THE
CHALLENGE IS TO SURFACE THIS INFORMATION IN A VERY QUICK AND
INSTANT WAY TO EMPOWER PEOPLE. SO LET'S SAY I'M A PATIENT THAT
HAS BEEN REFERRED TO SURGERY AT THE NEW YORK PRESBYTERIAN
HOSPITAL. TYPE THE NAME OF THE HOSPITAL, A
PRETTY COMMON TASK. RUN THE QUERY.
AND INSTANTLY, AS PART OF THE SEARCH RESULTS, I GET A SUMMARY
OF INFORMATION ABOUT NEW YORK PRESBYTERIAN HOSPITAL AND
INCLUDES THE PATIENT RATINGS. YOU CAN SEE THAT THIS HOSPITAL
HAS BEEN RATED BY 68% OF THE PATIENTS ACCORDING TO HHS
SURVEYS, AS HAVING A RATING BETWEEN 8-10.
SO VERY HIGH AS COMPARED TO STATE AVERAGE OF 57%.
SO I'M EMPOWERED WITH THIS INFORMATION THAT WOULD OTHERWISE
BE VERY DIFFICULT TO FIND. LIKEWISE I CAN ANALYZE NEARBY
FACILITIES AND MAYBE I'M INTERESTED IN THE HOSPITAL FOR
SPECIAL SURGERY. DO A SEARCH ON THIS ONE AND SEE
THIS HOSPITAL HAS AN EVEN HIGHER RATE OF 79% COM PARITY TO THE
STATE AVERAGE. AS BECOMING MORE EMPOWERED, I
CAN HAVE A MUCH BETTER INFORMED CONVERSATION WITH MY PHYSICIAN
AND ASK WHY SHOULD I GO TO ONE HOSPITAL OVER THE OTHER.
SO THIS IS CLEARLY IN LINE WITH SURFACING HHS INFORMATION AND
EMPOWERING PATIENTS. AND PEOPLE.
THE OTHER TWO SCENARIOS I WANT TO TALK ABOUT ARE RELATED TO A
NEW APPLICATION THAT WE ARE VERY EXITED TO UNVEIL TODAY, CALLED
BING HEALTH MAPS, THAT WAS LAUNCHED EARLY THIS MORNING.
[LAUGHTER] SO, I'M GOING TO USE AN ANECDOTE
TO INTRODUCE THE APPLICATION THAT WAS DRIVING HOME THE OTHER
DAY FROM WORK, AND HEARD A VERY INTERESTING STORY ON NPR ABOUT
PEOPLE IN THE COUNTY IN BALTIMORE THAT WERE ORDERING
FOOD OR GROCERIES THROUGH THE INTERNET AT THE LOCAL LIBRARY.
BECAUSE OF THE LACK OF ACCESS TO AFFORDABLE SUPER MARKETS IN
THEIR AREA. THE VARIOUS ARE CALLED FOOD
DESERTS. WE THOUGHT IT WOULD BE
INTERESTING TO EXPLORE THIS STORY USING SEARCH.
SO I'M GOING TO GO TO THE APPLICATION IN QUESTION CALLED
BRING HEALTH MAPS. THIS IS WHAT YOU WOULD DO
BEGINNING TO -- GOING TO BING RIGHT NOW.
CLOSE THIS APPLICATION, FOCUS ON THE STATE OF MARYLAND, AND
CHOOSE COMMUNITY HEALTH INDICATOR THAT IS RELEVANT TO
THE STORY, LIKE PEOPLE HAVE FEW FRUITS AND VEGETABLES IN THEIR
DIETS. SO IF I CLICK HERE, I SEE THE
DIFFERENT COUNTIES IN MARYLAND COLORED ACCORDINGLY.
I'LL FOCUS ON BALTIMORE COUNTY. RIGHT HERE.
I CLICK ON THIS COUNTY AND I CAN SEE ABOUT 73% OF THE PEOPLE ARE
REPORTING HAVING FEW FRUITS AND VEGETABLES IN THEIR DIET IN THIS
PARTICULAR COUNTY. WHICH IS A PRETTY HIGH
PERCENTAGE. SO IT BECOMES QUITE INTERESTING.
CAN I USE THIS TYPE OF MATCH-UP OF DATA FROM HHS WITH SEARCH, TO
FURTHER EXPLORE THE ORIGINAL SCENARIO OF FOOD DESERT?
I'LL DO A QUERY ON SUPER MARKETS, AT THE SAME TIME
DISPLAYING THE INFORMATION. THERE ARE THE SUPER MARKETS IN
THE AREA SHOWING UP. AND IF I FOCUS FURTHER IN THE
CITY, I CAN START IDENTIFYING AREAS THAT MIGHT BE UNDER SERVED
BY COMPETITIVELY PRICED SUPER MARKETS.
SO A STUDY IS REDUCED NOW TO EASY ACCESS BY MATCHING SEARCH
DATA WITH HHS INFORMATION. IF I WANT TO PUSH THIS FURTHER,
I CAN GO THROUGH THIS AND SEE, DO I HAVE A CORRELATION BETWEEN
THIS SITUATION OR POTENTIAL CORRELATION WITH OTHER
CONDITIONS? AND I CAN SEE CLEARLY HERE THAT
THERE ARE HIGH INCIDENTS OF DIABETES IN THIS COUNTY.
IN FACT, IF I CLICK HERE, I'LL SEE I HAVE 10% OF THE PEOPLE
REPORTING HAVING SEEN A PHYSICIAN FOR SOME CONDITION
RELATED TO DIABETES WHEREAS IN THIS COUNTY, IT'S ABOUT 6.5%
REPORTING. WHEN YOU KNOW THESE ARE BELTS
REPORTING, YOU KNOW THAT THE CONDITION OF CHILDREN IS VERY
MUCH ALIKE. SO VERY HIGH INCIDENTS OF
DIABETES. THIS SHOWS YOU HOW YOU CAN
EXPLORE THE SPACE OF INFORMATION RELATED TO THE MATERIAL RELATED
GOODS AND SERVICES TO THE INFORMATION PUBLISHED BY HHS
WHICH IS VERY INTERESTING. THE THIRD SCENARIO, I WANTED TO
SHOW YOU HOW, THANKS TO THE HHS SURFACE INFORMATION AND MAKING
IT AVAILABLE, YOU CAN HAVE HEALTH-LENGTHED INFORMATION
PARTICIPATE IN NON-HEALTH RELATED TASKS.
SO FOR EXAMPLE, SOMEONE MIGHT BE RELOCATING TO THE BAY AREA.
SO WE ARE FOCUSED NOW ON THE BAY AREA HERE.
AND WANTS TO MAKE A DECISION ABOUT WHERE TO RENT A PLACE.
SO WE CAN GO TO THIS GALLERY OF APPLICATIONS FROM BING THAT
INCLUDES AN APPLICATION HERE CALLED RENTAL, THAT TAKES
DIFFERENT LISTINGS OF RENTALS AND DISPLAYS THEM ON THE MAP.
THESE ARE THE DIFFERENT AREAS WHERE YOU CAN RENT AND IF I
CLICK HERE, I CAN SEE WHAT THIS APARTMENT LOOKS LIKE.
IT'S VERY TRADITIONAL TO USE INFORMATION ABOUT SCHOOLS, ABOUT
ECONOMICS, POPULATION AND VARIOUS OTHER FACTORS TO MAKE
THESE KIND OF DECISIONS AND IT HAS BEEN VERY DIFFICULT BECAUSE
IT WASN'T AVAILABLE TO USE HEALTH DATA TO ACTUALLY IMPACT
THIS TYPE OF DECISION. SO, I CAN DO THIS AGAIN, PULL UP
BING HEALTH MAPS, AND CHOOSE AN INDICATOR LIKE SMOKERS.
AND SEE WRITE A-- RIGHT AWAY, THIS COUNTY HERE HAS A MUCH
HIGHER INCIDENTS OR PREVALENCE OF SMOKERS, 17%, WHEREAS THIS
COUNTY IS ONLY 11%. SO NOW THIS DATA IS AVAILABLE TO
ME AND I MIGHT DECIDE I'M GOING RENT IN THIS AREA RATHER THAN IN
THIS COUNTY IF I'M INTERESTED IN THIS INFLUENCING MY DECISION.
SO THIS GIVES YOU AN IDEA OF THE POSSIBILITIES OF MIXING OR
HAVING HEALTH DATA INTERVENE IN NON-HEALTH DECISIONS WHICH IS A
VERY BIG AREA TO EXPLORE IN THE INNOVATIVE END.
SO I HAVE SHOWN YOU THREE SCENARIOS.
THE FIRST IS ABOUT GETTING DATA THAT IS VERY DIFFICULT TO GET
LIKE FINDING HOSPITAL RATINGS. THE SECOND ONE ABOUT
UNDERSTANDING THE RELATIONSHIP BETWEEN COMMUNITY HEALTH DATA
AND LOCAL GOODS AND SERVICES THROUGH A COMBINATION OF SEARCH
AND HHS INFORMATION. AND THE THIRD ONE IS ABOUT THE
ADVENT OF USING HEALTH FACTORS TO INFLUENCE NON-HEALTH
DECISIONS IN DAILY LIFE, LIKE WHERE TO LIVE.
WE ARE VERY THRILLED BY THIS INITIATIVE WITH HHS AND VERY
SUPPORTIVE OF IT TO MAKE HEALTH INFORMATION MORE ACCESSIBLE AND
MEANINGFUL TO AMERICANS. AND BELIEVE THAT THESE EFFORTS
WILL PROVIDE MUCH MORE POSSIBILITIES IN THE FUTURE FOR
IMPROVING LIVES AND OUTCOMES. THANK YOU VERY MUCH.
[APPLAUSE] -- THANK YOU VERY MUCH TO THE
FOLKS FROM BING. AND I THINK THEY MENTIONED THEIR
HOSPITAL COMPARE DATA IS ALREADY LIVE, RIGHT?
ON BING? WHEN YOU GO TO THE WEB SITE?
THAT'S CORRECT. TWO QUICK OBSERVATIONS WHILE WE
ARE SETTING UP FOR THE NEXT FOLKS.
ONE, YOU REALIZE THAT DATA QUALITY IS REALLY GOING TO BE
ALWAYS IMPORTANT AND REALLY BE A NATIONAL IMPERATIVE AS IN OTHER
AREAS, BECAUSE YOU CAN SEE ONCE WE HAVE THE ABILITY TO MINE THIS
KIND OF DATA AND FOREMALT IT AND USE IT FOR ACTIONABLE DECISION
MAKE IT, THE NEED TO MAKE SURE THAT THE INTEGRITY AND QUALITY
OF THIS DATA IS GOING TO BE OF THE HIGHEST STANDARDS AND WILL
BE SOMETHING THAT WE NEED TO FOCUS ON TOGETHER.
THE OTHER THING THAT STRUCK ME IS THE CUSTOMER SERVICE NOTION.
WHEN YOU HAVE HOSPITALS GETTING CUSTOMER RATINGS, THAT COULD BE
A REAL CULTURE SHIFT. WHEN I WENT TO BRING MY ACURA IN
FOR SERVICE THE OTHER DAY, THE SERVICE GUYS ARE LIKE BEGGING
YOU WHEN YOU LEAVE, YOU'RE GOING TO GET A PHONE CALL, PLEASE GIVE
US A 10 OUT OF 10. NOW THE IDEA THAT LIKE MY
OPTMOLOGIST WOULD DO THAT AFTER TWO-HOUR WAITING IN HIS WAITING
ROOM IS AN OVERDUE CULTURE SHIFT IN MEDICINE.
SO WE'LL SEE. MOVING ON, I THINK WE ARE READY
FOR OUR NEXT PRESENTERS WHICH ARE HEALTHY COMMUNITIES
INSTITUTE AND TRILOGY, A COMBINATION.
HEALTHY COMMUNITIES INSTITUTE AND TRILOGY IS A PUBLIC PRIVATE
PARTNERSHIP THAT FORMS INTO THE MARCH 11PHDI MEETING.
THEY CREDDED A DASHBOARD THAT CREATES ALL THE INFORMATION THE
COMMUNITY DECISION-MAKER NEEDS TO DESIGN EFFECTIVE HEALTH
POLICIES AND TRACK IMPACTS. A BIG WELCOME TO HEALTH
COMMUNITIES INSTITUTE TRILOGY. [APPLAUSE]
-- GOOD MORNING TO YOU. THANK YOU FOR ALLOWING US TO
PARTICIPATE IN THIS REALLY MONUMENTAL DAY OF SHOWCASING
SOME INCREDIBLE PROJECTS. I'M VALERIE BROWN AND I'M THE
CHAIR OF THE BOARD OF SUPERVISORS IN SO NOMMA, COUNTY,
CALIFORNIA AND THE PRESIDENT OF THE NATIONAL ASSOCIATION OF
COUNTIES. PUBLIC DECISIONS ON HEALTHY
COMMUNITIES RESIDE IN COUNTY GOVERNMENT.
WHETHER IT'S PUBLIC HEALTH, ENVIRONMENTAL HEALTH, MENTAL
HEALTH, TREATMENT SERVICES, AND EVEN LAND USE DECISIONS.
WHEN SONOMA COUNTY BEGAN TO LOOK AT THE UNIVERSITY OF WISCONSIN,
ROBERT WOOD JOHN SONG COUNTY HEALTH RANKINGS, WE RECALLED WE
NEEDED TO DO MORE. WE NEEDED TO TRACK AND MONITOR
AND FIND OUT HOW TO CREATE A HEALTHY COMMUNITY.
WE OBSERVED A SYSTEM AND LOOKED AT SYSTEMS THAT COULD BE
AVAILABLE AS A RESOURCE NOT ONLY TO US IN THE DECISION-MAKING
AREA, BUT TO NONPROFITS, TO COMMUNITY RESOURCES, TO FOLKS
OUT IN THE COMMUNITY LOOKING AT INTEGRATING WHAT WE DID WINNING
THEIR SERVICE DELIVERY TO AGAIN CREATE THAT HEALTHY COMMUNITY.
WE WANTED TO CREATE A PLATFORM FOR CHANGE.
AND MOST IMPORTANTLY, WE WANTED TO CREATE A HEALTH CONSCIOUS
COMMUNITY. BECAUSE HEALTH CARE IS LOCAL.
TO DO THAT, WE UTILIZED THE NETWORK OF CARE FOR HEALTHY
COMMUNITIES. AND TODAY, I'M SO PROUD TO HAVE
BRUCE BRONSON AND DEREK HERE TO SHOWCASE EXACTLY WHAT WE WERE
ABLE TO PROVIDE TO POLICYMAKERS. -- THANK YOU.
AND MADAM SECRETARY AND YOUR TEAM, THANK YOU FOR DOING THIS
PROJECT. THIS IS IMPORTANT FOR AMERICA
AND
WE ARE HONORED TO BE A PART OF IT.
THAT PROJECT IS RUNNING RIGHT NOW IN SONOMA COUNTY.
THE VERSION YOU WILL SEE TODAY, WE TUCKED IN SOME INFORMATION
THAT WE INTEGRATE FRIDAY OTHER PARTNERS IN THE DATA INITIATIVES
TO SHOW YOU THAT CAN HAPPEN AND IT CAN REALLY EXPAND
DRAMATICALLY. THERE ARE TWO TARGET
POPULATIONS. ONE IS THE INDIVIDUAL AND FAMILY
AND THE OTHER IS THE POLICYMAKER.
AND THE CONTENT IS BASICALLY DIVIDED EQUALLY OF THE 200,000
PAGES BETWEEN THE TWO TARGET POPULATIONS.
THE IDEA IS TO HAVE THE BEST INFORMATION FROM ALL OVER THE
NATION, THE STATE AND THE LOCAL COMMUNITY TO BOTH MOTIVATE AND
HELP EACH MAKE THE BEST POSSIBLE HEALTH CARE DECISIONS.
NOW, WHAT WE'RE GOING TO FOCUS MORE ON TODAY IS THE INFORMATION
RELATIVE TO THE POLICYMAKER BUT I WANT TO LET YOU KNOW ABOUT
WHAT IS AVAILABLE FOR THE INDIVIDUAL IN THE COMMUNITY.
THERE IS A SERVICE DIRECTORY OF ALL SERVICES, NO MATTER HOW THEY
ARE FUNDED, EVERYTHING FROM FEDERAL SERVICES TO GRASSROOTS
ORGANIZATIONS, SOME 2000 ENTRIES UPGRADED REGALLY.
A HUGE LIBRARY, ALMOST 50,000 VOLUMES UPGRADED FOUR TIMES A
YEAR AND ALSO HEADS INTERACTIVE EDUCATIONAL MATERIALS FROM CDC
AND MANY OTHER PLACES. ALMOST 20,000 LINKS.
EVERY LINK IN THE COUNTRY. THERE IS A LEGISLATIVE ADVOCACY
TOOL THAT ALLOWS PEOPLE TO SEE EVERY SINGLE BILL THIS MINUTE IN
THEIR STATE LEGISLATURE AND IN CONGRESS AND BE ABLE TO BE
INFORMED ABOUT THE BILL AS WELL AS ADVOCATE RELATIVE TO THEIR
DESIRES ABOUT THAT PARTICULAR POLICY.
THAT'S UPGRADED EVERY DAY. THERE IS A FULL-BLOWN HL7
REGISTERED HEALTH RECORD, A PERSONAL HEALTH RECORD TO STORE
ALL YOUR REGULAR HEALTH INFORMATION AND IT HAS STANDARDS
WITH ELECTRONIC MEDICAL RECORDS AND ALSO INTERFACEES WITH ALL OF
THE MATERIAL THAT IS ON THE NETWORK OF CARE.
A FULL-BLOWN SOCIAL NETWORKING PLATFORM AND NEWS FROM ALL OVER
THE WORLD AND MANY MORE THINGS RELATIVE TO THE CONSUMER AND
THEIR FAMILY. BUT THE FOCUS FOR TODAY IS HOW
DO WE BOTH MOTIVATE AND ARM THE POLICYMAKER WITH DECISIONS THAT
THEY ARE MAKING RELATIVE TO THEIR COMMUNITY?
WE TOOK OUR CUE FROM OUR SUPERVISOR ON THE ISSUE THAT SHE
IS INTERESTED IN OBESITY. -- GOOD MORNING.
MY NAME IS DEREK AND I TEACH IN THE SCHOOL OF PUBLIC HEALTH AND
RUN THE HEALTHY COMMUNITIES INSTITUTE.
THE INFORMATION SYSTEM THAT WE ARE LOOKING AT HERE IS DESIGNED
FOR LOCAL STAKEHOLDERS IN LARGE PART.
THESE INCLUDE MAYOR, BOARDS EVER SUPERSES, COALITIONS, LOCAL
HEALTH DEPARTMENTS, LARGE EMPLOYERS.
TO HELP THEM ESSENTIAL DOE TWO THINGS AT THE LOCAL LEVEL.
THE FIRST IS UNDERSTAND THE HEALTH AND QUALITY OF LIFE WITH
AS MUCH GRAN LATERY AS POSSIBLE ABOUT THEIR COMMUNITY.
AND THE SECOND IS TO HELP LINK THEM TO EFFECTIVE AND
EVIDENCE-BASED PROGRAMS AND POLICY THAT IS HAVE BEEN TRIED
AROUND THE COUNTRY SO THEY CAN DO GOOD WORK EFFICIENTLY
LOCALLY. NOW IS THERE A LOST INFORMATION
HERE SO TO STREAMLINE THINGS, WE FORKING TO TAKE OBESITY, A
NATIONAL EPIDEMIC AS A USER THREAD.
HOW CAN WE USE THIS IN SONOMA COUNTY TO ADDRESS OBESITY?
THE FIRST THING TO DO IS LOOK AT THE COMMUNITY DASHBOARD.
AND I'LL TAKE JUST A MOMENT TO EXPLAIN THAT THE DASHBOARD IS
ABOUT 125-WOHAPPEN 50 HEALTH AND -- 150 HEALTH AND QUALITY OF
LIFE INDICATORS. MOST OF THE INDICATORS ARE
COLOR-CODED GREEN, YELLOW AND RED.
THE IDEA IS INTELLIGENT LAY PEOPLE CAN UNDERSTAND GREEN
COMMUNITIES DOING WELL, YELLOW MEDIUM AND RED NOT SO WELL AND
CLICK IN AND GET THE DETAIL OF THAT.
THIS INCLUDES BOTH TRADITIONAL HEALTH MEASURES AS WELL AS THE
DETERMINANTS OF HEALTH. BEFORE WE GO INTO OBESITY, I
WILL BRIEFLY GIVE A DESCRIPTION OF SOME OF THE BREATH HERE.
HAVE YOU FEES HEALTH SERVICES. A VARIETY OF CANCER INCIDENT
RATES, DIABETES MEASURES, EXERCISE, NUTRITION AND RATE,
FAMILY PLANNING, HEART DISEASE, IMMUNIZATIONS, AND INFECTIOUS
DISEASES LIKE HIV, TB, MATERNAL INFANT FETAL HEALTH, MENTAL
HEALTH, RESPIRATORY DISEASES, SUBSTANCE ABUSE, ALWAYS A LOT OF
TRAFFIC IN OUR DIFFERENT SITES. WELLNESS AND ET CETERA.
WE ALSO GO INTO ECONOMIC MEASURES LIKE POVERTY AND
HOUSING AFFORDABILITY. WE LOOK AT EDUCATIONAL
ATTAINMENT. WE LOOK AT THE ENVIRONMENT LIKE
AIR QUALITY AND INCLUDING DAILY MEASURES.
SO IF WE WERE TO CLICK HERE, WE WOULD SEE MEASURES THAT COME
FROM TODAY, PROBABLY WITHIN THE LAST 4 HOURS.
PUBLIC SAFETY AND TRANSPORTATION.
SO, LET'S GO BACK NOW AND JUMP INTO OUR USER THREAD OF OBESITY
AND SHOW YOU SOME OF THE DATA. FIRST THING WE SEE IS WE ARE IN
THE YELLOW. WE KNOW WE ARE NOT DOING TOO
WELL. WE ARE BELOW AVERAGE HERE IN
CALIFORNIA IN SONOMA COUNTY. AT THIS PAGE, THERE ARE
BASICALLY TWO SETS OF INFORMATION THAT WE HAVE
AVAILABLE TO US. THE FIRST IS THE DATA WITH A LOT
OF GRAN LATERY AND THE SECOND IS ON THE RIGHT-HAND SIDE -- MY
MOUSE IS STICKING A LITTLE. ON THE RIGHT IS A BUNCH OF
ACTIONABLE CONTENT. BECAUSE WE ARE LOOKING AT
OBESITY, ALL THE CONTENT ARRANGEMENTD TO OBESITY.
IF WE WERE LOOKING AT INFANT MORTALITY, EVERYTHING IS RELATED
TO INFANT MORTALITY. LET'S STAY WITH OBESITY.
FIRST OF ALL WE HAVE OUR RATE, 28% FOR ADULTS WHO ARE OBESE IN
SONOMA COUNTY. OUR GAUGE BASICALLY IS TELLING
US WE ARE DOING A LITTLE BELOW AVERAGE.
WE HAVE CONTEXT FOR THIS. IT'S NOT JUST A NUMBER AND A
TABLE. HOW DO YOU CALCULATE BM!
WHY IS THIS IMPORTANT? WE HAVE SOURCE DATA IF YOU WANT
TO CLICK BACK TO THAT. WE HAVE BREAKOUT TABLES.
WE CAN SEE WE TRENDING IN A NEGATIVE DIRECTION HERE IN
SONOMA COUNTY. IF YOU ROLL OVER, THE DETAIL
STATISTICS COME UP. BREAKING OUT BY AGE, GENDER, AND
BY RACE ETHNICITY. SO LET'S STAY FOCUSED HERE FOR A
MOMENTA LATINOS AND AFRICAN-AMERICANS.
THEY HAVE BY FAR THE HIGHEST RATES OF SO BEESITY.
AND WE HAVE BROUGHT IN HERE TO DEMONSTRATE ONE OF THE COMMUNITY
HEALTH INITIATIVES LANDSCAPE AND ONE OF THEIR MAPS AND IT'S
LINKED. SO THIS IS SHOWING YOU OWE BEES
ITERATES IN COMMUNITIES. NOT ONLY CAN WE LOOK AT OUR OWN
IN SONOMA, BUT IF WE ARE INTERESTED IN DEVELOPING A
REGIONAL PROGRAM, WE CAN SEE WHATEUR PARTNERS HAVE.
THIS IS EXPANDED NOT JUST OBESITY, BUT HUNDREDS OF OTHER
HEALTH DINNED CARATS. THAT'S THE DATA.
THAT'S GIVING A SENSE OF HOW ARE WE DOING AND NOW A SENSE OF
TARGET POPULATIONS. NOW LET'S LOOK AT ACTIONABLE
CONTENT. IF WE WERE DOING RESEARCH IN
THAT AREA, WE ARE INTERESTED IN THE INDICATORS.
I SEE 15-20 INDICATORS RELATED TO OBESITY FOR WHICH WE HAVE
DATA LIKE SEVENTH GRADERS WHO ARE PHYSICALLY FIT AND ARE OUR
KIDS EATING NUTRITIOUS FOODS? WE BROUGHT IN THE COUNTY HEALTH
RANKINGS FROM UNIVERSITY OF WISCONSIN AND YOU CLICK DIRECTLY
TO THE HEALTH BEHAVIORS MODEL WITHIN WHICHO LEASITY WAS HIT.
WE BROUGHT IN COMMUNITY GUIDES FROM HEALTH AND HUMAN SERVICES
SO THAT THESE ARE METANALYSIS OF THE EFFECTIVENESS OF DIFFERENT
AGGREGATED 50's STUDIES AS WELL AS HOW TO THINK ABOUT
DIFFERENT PROBLEMS. AND THEN THERE ARE PROMISES AND
PRACTICES. I WANT TO TAKE A MOMENT TO SHOW
YOU THESE. IT'S REALLY QUITE POWERFUL.
WE ARE LOOKING AT OBESITY. I CLICKED, SHOW ME RELATED
PROMISING PRACTICES AND WE HAVE ROUGHLY 30 DIFFERENT PROGRAMS.
THEY ARE ALL CLICKABLE AND RELATED TO OBESITY REDUCTION IN
THE UNITED STATES. SO I'M CLICKING ONE WHICH IS IN
SALINAS COUNTY, CALIFORNIA. AND THE FIRST THING WE DO IS
RANK THE EVALUATION METHODOLOGY OF THE PROJECT.
WE GIVE YOU A SUMMARY DESCRIPTION AND WE SEE THE
PROGRAM TARGETS LATINOS AND LOW-INCOME COMMUNITIES.
GOOD FIT FOR US TO TAKE A LOOK AT.
WE LOOKED AT OUR RESULTS WHICH SHOW STRONG IMPROVEMENTS IN
HEALTHY WEIGHT AND CONTROLLED BLOOD PRESSURE AND INCREASED THE
EYE AND FOOT EXAMS FOR PEOPLE WITH DIABETES THAT WERE ALSO
PART OF THIS. WE CAN CLICK BACK TO SOURCE
DATA. WE SEE THE CDC SPONSORED PROJECT
AND WE HAVE CONTACT INFORMATION TO LEARN MORE.
NOW I WANT TO PAUSE HERE BECAUSE THIS IS REALLY SEMINOLE.
SO THE DASHBOARD GIVES YOU A SINCE OF WHAT IS WORK COMING NOT
WORKING IN THE COMMUNITY AND IT GIVES YOU PRETTY TANGIBLE AND
GRANULAR INFORMATION AT THE COMMUNITY LEVEL OF TARGET
POPULATIONS. BUT NOW, WE HAVE PROMISING
PRACTICES FROM AROUND THE COUNTRY WITH CONTACT
INFORMATION. SO WE CAN SEND A NOTE AND SAY,
HOW DID YOU COST JUSTIFY THE PROJECT YOU DID?
HOW LONG DID IT TAKE? DO YOU HAVE MATERIALS THAT WE
COULD REUSE? AND ESSENTIALLY LIST THE WORK
NOT JUST FOR OBESITY BUT ACROSS HUNDREDS OF TOPICS IN THE
COMMUNITY BECAUSE THIS IS OPEN TO ANYONE THAT WANTS TO USE IT.
AND IN ADDITION TO THE PROMISING PRACTICES, WE CAN BRING IN
RELATED LEGISLATION SO YOU CAN LEARN WHAT IS PENDING IN YOUR
STATE AND REGION AND NATIONALLY IF YOU WANT TO WEIGH IN AND
THERE ARE OTHER INFORMATION SERVICES RELATED SERVICES IN
YOUR COMMUNITY WHO IS WORKING ON THE PROBLEM, ET CETERA.
SO, ESSENTIALLY HERE, IN SUMMARY, WHAT WE HAVE IS A
SYSTEM THAT REALLY PROMOTES TRANSPARENCY AND ACCOUNTABILITY.
I MEAN, THE ELECTED OFFICIALS AND AGENCY HEADS KNOW THAT THE
PUBLIC IS SEEING THIS INFORMATION.
THE PUBLIC HAS ACCESS TO THE SAME INFORMATION THAT THEY HAVE
AND THIS IS REALLY BRING CAN ABOUT A SENSE OF URGENCY TO
ADDRESS ISSUES. NOW WE TOOK JUST A -- TOO CLOSE,
WE TOOK OBESITY FROM BEGINNING TO END, BUT LET'S ASSUME WE
DIDN'T KNOW WHAT TO FOLK USE IN OUR COMMUNITY.
LOOK AT THE HEALTHY PEOPLE 2010 TRACKER, LOOKING AT YOUR DATA,
YOUR HEALTH DATA IN YOUR LOCAL COMMUNITY, BUT AS A SCORECARD
AGAINST HEALTHY PEOPLE 2010 GOALS AND HEALTHY PEOPLE 2020
GOALS. SO YOU HAVE YOUR MEASURES HERE,
LIKE CHILDREN WITH HEALTH INSURANCE.
YOUR CURRENT VALUE AND WE ARE 88.5%.
THE TARGET IS 100%. TOUGH TARGET.
SO SONOMA HASN'T MET THE TARGET. YOU CAN SEE THAT IN RED.
IT'S TRENDING IN A NEGATIVE DIRECTION FROM THE LAST MEASURE
AND WE SEE OVER ALL TARGET IS NOT MET.
BUT IF WE SCROLL DOWN WE CAN SEE OVERALL WHERE WE MEET TARGETS
AND AND WHERE HAVE WE NOT. DEVELOP TASK FORCES TO SAY WHERE
ARE THE AREAS WHERE WE ARE WEAK AND NOW LET'S FORM THE WORKING
GROUPS USING THIS DATA AND BEST PRACTICEES TO ADVANCE OUR WORK.
THIS IS THE SYSTEM THAT IS OPERATIONAL IN SONOMA COUNTY AND
WE ARE THRILLED TO BE PART OF THIS AND WE USE THE SAME DATA AS
THE COMMUNITY HEALTH DATA INITIATIVE, ROUGHLY HALF OF
AWFUL OF THIS DATA. AS THIS INITIATIVE IS A FIRE
HOSE GETS TURNED ON, IT WILL INCREASE THE NUMBER OF DATA
VARIABLES WE CAN GIVE. AND STRENGTHEN THE EFFICIENCY OF
OUR WORK. -- THANK YOU.
[APPLAUSE] -- AND YOU THOUGHT WE WERE ONLY
ABOUT WINE. [LAUGHTER]
HEALTH CARE IS DEFINITELY LOCAL. AND THE NATIONAL ASSOCIATION OF
COUNTIES WITH ITS 2600 MEMBER COUNTIES AND THE NATIONAL
ASSOCIATION OF CITY AND COUNTY OFFICIALS ARE LOOKING TO EXPAND
THE NETWORK OF CARE FOR HEALTHY COMMUNITIES THROUGHOUT THE
NATION. WE ARE ACTED ITCHILY LOOKING FOR
ART -- ACTIVELY -- FUNDING AND GRANTING POTENTIAL OPPORTUNITIES
AND ALSO FOR SPONSORSHIPS. WE BELIEVE THAT THIS FORMAT CAN
BE MADE INTO THE NATIONWIDE PUBLIC INFORMATION SYSTEM FOR
LOCAL COMMUNITIES AND WE ARE SO PROUD TODAY TO SHARE THAT WITH
YOU. THANK YOU.
[APPLAUSE] -- THANK YOU.
THANK YOU VERY MUCH. WE WILL BE READY TO SIGN UP FOR
OUR WINE AND HEALTH DATA TOUR OF SONOMA SOMETIME SOON.
THAT WILL BE A BOONE FOR TOURISM.
NOW, THE NEXT GROUP WE ARE GOING TO HEAR FROM, WHICH SHOULD BE
READY IN A MOMENT - EYE BELIEVE IT'S CALLED ASMOPOLIS.
AM I SAYING THAT RIGHT? IT IS AN EXAMPLE OF A SINGLE INO
VARIETY'S VISION FOR IMPROVING THE CARE OF PATIENTS BY
INFORMING DOCTORS AND PATIENTS WITH DATA.
IT TAKES ADVANTAGE EVER CROWD SOURCING WHERE PATIENTS
CONTRIBUTE DATA AND BENEFIT FROM THE DATA OF OTHERS.
CROWD SOURCING TECHNIQUES LIKE THIS ONE COMBINE WITH OTHER CHDI
DATA AND SHOULD CREATE AN EVER-RICHER AND MORE USEFUL DATA
SET FOR NEW APPLICATIONS IN NOT JUST IN ASTHMA BUT IN OTHER
VENTURES AS WELL. SO LET ME WELCOME -- ARE WE
READY? LET ME WELCOME TO THE STAGE,
ASMOPOLIS. [APPLAUSE]
-- THANK YOU VERY MUCH. APPARENTLY I NEED TO WORK ON MY
BRANDING, I GUESS. [LAUGHTER]
I'M HERE TODAY BECAUSE DESPITE BETTER MEDICINES AND LOADS OF
RESEARCH ON ASTHMA, WE STILL HAVEN'T MADE A DENT IN THE
DISEASE. EACH YEAR IT ACCOUNTS FOR
SOMETHING LIKE ABOUT A HALF MILLION HOSPITALIZATIONS IN THE
UNITED STATES, TWO MILLION EMERGENCY ROOM VISITS, ABOUT A
QUARTER OF ALL EMERGENCY ROOM VISITS IN OUR COUNTRY, 10
MILLION OFFICISTS AND AROUND 27 MILLION MISSED DAYS OF SCHOOL
AND WORK. THE THING IS THAT ALL AVAILABLE
EVIDENCE SUGGESTS THAT WE COULD PREVENT ALMOST ALL OF THESE
EXACERBATIONS WITH BETTER MANAGEMENT AND IMPROVED PUBLIC
HEALTH SURVEILLANCE. RIGHT NOW, PUBLIC HEALTH
SURVEILLANCE IS LIMITED TO A TINY FRACTION OF INFORMATION.
THOSE ASTHMA ATTACKS THAT GO ON TO CAUSE EMERGENCY ROOM VISITS,
HOSPITALIZATIONS OR DEATHS. AND WHILE THOSE ARE IMPORTANT,
ALL WE LEARN FROM THAT SYSTEM IS BASICALLY WHERE THE PERSON LIVES
AND WHERE THEY SOUGHT TREATMENT. WE DON'T LEARN ABOUT WHERE THE
ATTACKS BEGAN OR THE LOCATION WHERE THEIR EXPOSURE OCCURRED,
WHETHER THAT IS AT HOME, SCHOOL, WORK OR SOMEWHERE IN THE
COMMUNITY. SO, AS A RESULT, IDENTIFYING
LOCATIONS THAT POSE A PARTICULAR THREAT TO ASTHMA, TO PATIENTS
WITH ASTHMA, HAS BEEN A STRUGGLE FOR PUBLIC HEALTH EXPERTS.
I SPENT TWO YEARS AT THE CENTERS FOR DISEASE CONTROL
INVESTIGATING OUTBREAKS TO RESPIRATORY DISEASE.
BUT WE WERE NEVER ABLE TO TURN OUR ATTENTION TO AS MA.
THE THING IS, THE TIMELINESS AND THE GEOGRAPHIC SPECIFICITY OF
OUR SURVEILLANCE DATA WAS BASICALLY INADEQUATE.
SO WHEN I LEFT THE AGENCY, I RECOGNIZED THIS OPPORTUNITY TO
DEVELOP TOOLS THAT LET US BOTH IMPROVE INDIVIDUAL MANAGEMENT
AND SIMULTANEOUSLY RAISE THE QUALITY OF PUBLIC HEALTH
SURVEILLANCE AND BEGINNING A FEW YEARS AGO, AS ROBERT WOOD
JOHNSON SCHOLAR AT THE UNIVERSITY OF WISCONSIN, I
STARTED MUCH ON ATTACHING ELECTRONICS TO ASTHMA INHALERS
SO WE COULD TRACK WHEN AND WHERE THE MEDICATIONS WERE USED IN
REALTIME. I HAVE A VIDEO TO SHOW YOU REAL
FAST.
EACH DAY, MILLIONS OF AMERICANS CARRY AND USE INHALERS TO RELIEF
ASSES MA SYMPTOMS. HOW OFTEN ONE USES THEIR INHALER
INDICATES HOW WELL THEIR DISEASE IS MANAGED.
THIS IS A SMALL DEVICE THAT ATTACHES EASILY AND USES GPS TO
AUTOMATICALLY DETERMINE THE EXACT TIME AND LOCATION WHEN THE
INHALER IS USED. BECAUSE REVEALING WHERE PEOPLE
USE THEIR INHALERS REVEALS CLUES ABOUT ENVIRONMENTAL EXPOSURE
THAT CAUSE ATTACKS. OUR TOOLS, HELP PATIENTS,
PHYSICIANS AND PUBLIC HEALTH AGENCIES TRACK ASTHMA IN
REALTIME SO THEY CAN PUT THE LATEST INFORMATION TO WORK TO
BETTER UNDERSTAND AND CONTROL THE DISEASE.
SO WE HAVE WORKED WITH A VARIETY OF ACADEMIC RESEARCH FEELS
PUBLIC HEALTH DEPARTMENTS TO PUT OUR TOOLS AND DEVICES INTO THE
HANDS OF HUNDREDS OF PATIENTS AND PHYSICIANS.
LAST YEAR WE COLLABORATED WITH CDC TO COLLECT THE FIRST
OBJECTIVE REALTIME DATA ABOUT WHEREAS MA WAS OCCURRING IN A
COUPLE OF COMMUNITIES. AND DURING THAT STUDY, WE
LEARNED THAT BY TRACKING INHALER USE, WE COULD QUICKLY IDENTIFY
PATIENTS WITH UNCONTROLLED ASTHMA.
FOR EXAMPLE, HERE IS THREE PATIENT DATA FROM THREE PATIENTS
COMING INTO OUR SYSTEM. IF I TOLD YOU THAT OUR NATIONAL
GUIDELINE DEFINED ASTHMA CONTROL AS INHALATIONS ON TWO OR FEWER
DAYS PER WEEK, IT'S SIMPLE TO FIGURE OUT WHICH OF THESE
PATIENTS YOU NEED TO GET ON THE PHONE, RIGHT?
THE THIRD ONE. WE ALSO LEARNED THAT PROVIDING
PATIENTS WITH AN INTELLIGENT FEEDBACK SYSTEM THAT OFFERED
THEM INFORMATION ABOUT HOW THEY ARE DOING COMPARED TO WHAT
SHOULD BE EXPECTED FOR THEM HELP THEM IMPROVE ASTHMA MANAGEMENT.
ESSENTIALLY WE STARTED SENDING THEM E-MAIL REPORTS ON HOW OFTEN
THEY ARE HAVING SYMPTOMSES AND THAT DRAMATICALLY IMPROVED
ASTHMA CONTROL IN OUR STUDY. PATIENTS REPORTED MORE AWARENESS
OF PATTERNS OF ASTHMA,AVE BETTER UNDERSTANDING OF THEIR TRIGGERS
AND ALSO MOST IMPORTANTLY, I THINK, BETTER AND MORE REGULAR
USE OF THEIR CONTROLLER MEDICATIONS.
SO NOW WE ARE USING THE TECHNOLOGY WITH ANOTHER
GOVERNMENT PARTNERS AND AGENCIES TO TRACK AIR POLLUTION EXPOSURES
AND THE AFFECT OF THOSE ON ASTHMA AND THE TRACK TO TARGET
AND EVALUATE INTERVENTIONS TO TRY TO RAISE THE QUALITY OF
ASTHMA CARE. FOR EXAMPLE, RIGHT NOW WE HAVE A
STUDY THAT WE ARE DOING WITH CDC TO MAP AND CHARACTERIZE ASTHMA
ATTACKS IN RURAL AREAS TO MAKE SENSE OF SOME INTERESTING NEW
SURVEILLANCE DATA THAT SHOWS THAT ASTHMA MAY BE AS PREVALENT
IN RURAL AREAS AS IN URBAN ONES. SO THIS IS ABOUT BUILDING TOOLS
THAT MAKE IT EASY FOR PATIENTS TO PRODUCE AND SHARE INFORMATION
ABOUT THEIR DISEASE IN WAYS THAT BENEFIT THEMSELVES BUT ALSO IN
AGGREGATE CONTRIBUTE TO OUR PUBLIC HEALTH UNDERSTANDING OF
DISEASE OR ASTHMA AT THE POPULATION LEVEL.
BUT TO REEVE THAT GOAL WE HAVE TO BRING OUR DEVICES OUT OF MY
LAB AND INTO COMMUNITIES. SO THAT'S WHY I'M HERE TODAY.
WE ARE GOING TO DO THAT. WE HOPE TO MAKE THIS AVAILABLE
THIS SUMMER FOR USE BY THE PUBLIC.
AND WE ARE GETTING READY TO MAKE AVAILABLE TO YOU FOR USE IN WEB
APPLICATIONS AND VISUALIZATIONS A COMPLETE -- A NEARLY COMPLETE
DATA SET OF ALL THE INFORMATION WE COLLECT SO YOU CAN PUT IT TO
WORK THROUGH MANAGEMENT PROGRAMS AUGMENT THE DATA THAT THE
COMMUNITY HEALTH DATA INITIATIVE HAS ON ASTHMA.
WE ARE ALSO ABOUT TO LAUNCH A MOBILE APPLICATION AS A
TEMPORARY MEASURE THAT WILL LET PEOPLE TRACK AND MANAGE THEIR
ASTHMA VIA ANY MOBILE PHONE. BUT ALSO LET THEM REVIEW THE
BURDEN OF ASTHMA IN REALTIME IN THE COMMUNITY AROUND THEM.
SO MY GOAL IN THIS PROJECT IS TO CREATE TOOLS THAT MAKE IT EASY
FOR COMMUNITIES TO GENERATE DATA THAT COMPLIMENTS AND STRENGTHENS
THE COMMUNITY HEALTH DATA INITIATIVE AND HELPS TO PUT THAT
INFORMATION TO WORK TO IMPROVE PUBLIC HEALTH.
THANK YOU VERY MUCH FOR YOUR ATTENTION.
[APPLAUSE] -- THANK YOU VERY MUCH.
ANOTHER FASCINATING EXAMPLE OF HOW ENTREPRENEURS AND SOCIAL
ENTREPRENEURS WITH A PASSION CAN TAKE INFORMATION AND MAKE IT
USEFUL AND POWERFUL. THIS IS THE BEGINNING OF A WHOLE
ERA OF THIS KIND OF INNOVATION. WE WILL NEXT HAVE A PRESENTATION
FROM IHI AND INJENIX. THE REACH FOR THE TOP IS A
COLLABORATIVE COMMUNITY-BASED INITIATIVE SUPPORTED FROM THE
INSTITUTE OF HEALTH CARE IMPROVEMENT ANDGENICS.
THIS EFFORT REPRESENTS ANOTHER PATTERN THAT AROSE BY LINKING UP
ACADEMIC THOUGHT LEADERS WITH LEADING PRIVATE SECTOR HEALTH
DATA SOURCES AND ANALYSTS, THEY CREATED THE DEEPEST DATA SET OF
ITS KIND TO LOOK AT PUBLIC HEALTH AND HEALTH SYSTEM
PERFORMANCE. WELCOME TO YOU.
-- THANK YOU VERY MUCH. [APPLAUSE]
WE ARE REALLY GLAD TO BE HERE AND APPRECIATEET OPPORTUNITY.
SO THANK YOU VERY MUCH. FIRST A QUICK OVERVIEW OF WHO WE
ARE. I'M LINDSAY MARTIN FROM IHI AND
MICHAEL FROM INGENICS. IT IS AN INFORMATION TECHNOLOGY
AND CONSULTING COMPANY THAT FOCUSES SOLELY ON HEALTH CARE
AND IHI IS A NON-FOR-PROFIT IMPROVE ORGANIZATION THAT
FOCUSES ON HEALTH CARE. AND WE HAVE BEEN LOOKING AT DATA
ACROSS THE CONTINUUM AND THINK ABOUT HOW IT CAN BE USED FOR
IMPROVEMENT WITHIN A COMMUNITY. WE HAD A LOST HELP WITH THIS.
WE HAVE DONE A FAIR BIT WITH COUNTY HEALTH RANKINGS, WHICH
YOU SEEN SOME OF AND THEN NATIONAL COMMITTEE FOR QUALITY
ASSURANCE AND WE ARE REALLY APPRECIATIVE.
SO REALLY QUICKLY, JUST TO GROUND YOU, OUR IDEA IS CENTERED
ON IHI'S TRAMPOLINE AND THAT IS COMMUNITIES WORKING TO
SIMULTANEOUSLY IMPROVE THE HEALTH OF A POPULATION, REALLY
ENHANCE THE PATIENT EXPERIENCE OF CARE, SO NOT JUST HOW THE
PATIENT FEELS ABOUT THE CARE THEY ARE RECEIVING, BUT THE
ENTIRE CARE DELIVERY SYSTEM, AND TO REDUCE OR MINIMUM CONTROL
COSTS PER CAPITA. AND THE IDEA IS TO PUT ALL THEE
TOGETHER AT THE SAME TIME. SO THAT'S WHAT WE HAVE CREATED.
THIS IS THE FIRST PAD. IT'S A MAP OF THE UNITED STATES.
AND THE COUNTRY IS DIVIDED INTO COMMUNITIES.
IT'S FOR THIS PROTOTYPE WE USED THE DARTMOUTH ATLAS CONSTRUCT OF
HOSPITAL REFORM REGIONS. 36 IN THE UNITED STATES AND THEY
REPRESENT MAJOR HEALTH CARE MARKETS.
SO EVERY MARKET IS SHOWN HERE AND REALLY, THE IDEA IS THAT YOU
WOULD CLICK -- AND WE'LL BE ABLE TO SHOW YOU THIS LATER IN THE
EXPO, ON WHERE YOU LIVE AND SEE A SNAPSHOT OF HOW YOU'RE
PERFORMING WITH RESPECT TO THE TRIPLE AIM.
IF YOU WANTED TO DIVE DEEPER, WE WILL TAKE YOU INTO THE NEXT
LEVEL OF METRICS. SO JUST SOME QUICK ORIENTATIONS.
BUT FOR THE REST OF THE PRESENTATION, WE WANT TO YOU
ASSUME YOU'RE A COMMUNITY HEALTH OFFICIAL.
YOUR GOAL IS TO WORK ON IMPROVING THE HEALTH OF YOUR
POPULATION, UNDERSTANDING CARE AND CARE DELIVERY AND WORKING
WITH THOSE PROVIDERS AND MAINTAINING OR REDUCING COSTS.
SO WE WANT TO GET YOU ORIENTED HERE.
YOU JUST SAW THE FIRST TAB WHICH WAS THE MAP AND NOW WE ARE
THINKING ABOUT COST. THE DIALS ARE TACHOMETERS ON THE
TOP AND ARE SHOWING YOU HOW YOUR STATE IS PERFORMING.
SO FOR THIS VERSION WE ARE ALL FROM STATE TWO.
AND ANY DIAL THAT IS IN BLUE IS SHOWING COMMERCIAL DATA.
AND ANY DIAL IN RED IS SHOWING GOVERNMENT-BASED DATA.
AND THE BLACK DIAL IS COMBINATION DATA THAT AREN'T
BASED ON PAYMENT SYSTEMS. THAT'S WHAT YOU'LL SEE ACROSS
THE TOP. AND THESE ARE GREEN SHOWING
GREEN OR YELLOW. SO YOU'RE EITHER IN WHAT WE ARE
SAYING IS THE TOP 10%, GREEN, OR AT THE TOP OR YOU'RE YELLOW AND
IT HAS ROOM FOR IMPROVEMENT. AND THEN YOU'LL SEE ON THE
BOTTOM LEFT, HOW YOUR SEAT IS COMPARING TO OTHER SIMILAR
STATES -- AND RIGHT NEXT TO THAT, HOW YOUR COMMUNITY, WHERE
HRG AT THE BOTTOM OVTHIS MAP IS COMPARING TO OTHER REGIONS
WITHIN OUR STATE. ALL THE DATA THAT WE ARE SHOWING
YOU IS REAL DATA. AND WE ARE NOT SINGLING OUT ANY
ONE ENTITY RIGHT NOW BUT IT'S ALL REAL.
SO WHY IS THIS REALLY EXCITING AND WHY WOOER WE SO EXCITED
ABOUT IT? IN THE PAST, IF YOU'RE WORKING
TO MAKE IMPROVEMENTS, YOU LOOK AT ONE INSTITUTION, HOW THE
HEALTH CARE DELIVERY SYSTEM DOING?
AND WE ARE TRYING TO GO BEYOND THAT.
WE WANT YOU TO BE ABLE TO SEE YOUR COMMUNITY AND HOW YOU'RE
DOING THERE. IN THE PAST, WE HAVE BEEN ABLE
TO SEAT COMMERCIAL DATA OR PRIVATE DATA BUT NOT BE ABLE TO
HAVE THEM TOGETHER, CERTAINLY NOT BE ABLE TO LINK THEM UP AND
HAVE THEM ADD YOUR IF I WANTS. AND NOT BEEN ABLE TO LOOK ACROSS
THESE 3 DIZZ DIMENTIONS AND PUT THEM TOGETHER -- SO A PROTOTYPE
IS HOPING TO DO ALL THAT AND TO GIVE YOU THE INFORMATION IN
REALTIME CLICK RAPID FEEDBACK THAT YOU WOULD NEED TO BE ABLE
TO MAKE IMPROVEMENT IN YOUR COMMUNITY.
SO WE'LL NOW ANALYZE YOUR COMMUNITY AND HOW YOU'RE DOING.
-- SO NOW LET'S LOOK AT THE DATA ABOUT OUR COMMUNITY AND SEE WHAT
WE CAN LEARN. FIRST WE LOOK AT OVER ALL COST
DATA FROM STATE TWO AND COMPARE OUR PERFORMANCE WITH OTHER
SIMILAR STATES AND TO THE BEST PERFORMING PERCENTILE.
WE SEE THE COST FOR OUR STATE ARE HIGH FOR BOTH COMMERCIAL AND
FOR MEDICARE. WE ALSO SEE THAT COSTS IN OUR
HRRG ARE SOMEWHAT LOWER. SO IF WE WERE TO STOP HERE, WE
MIGHT ASSUME THAT WHILE WE AREN'T THE BEST, WE ARE DOING
OKAY. BUT REMEMBER, WE ARE ONLY
LOOKING AT ONE DIMENSION. NEXT, WE LOOK AT POPULATION
HEALTH. HERE WE ARE LOOKING AT SEVERAL
MEASURES. WE SEE THAT OUR HRRG PERFORMANCE
WELL WITH RESPECT TO NEWBORNS WHO ARE BORN WITH THE NORMAL
BIRTH WEIGHT, A MAJOR INDICATOR OF NEWBORN HEALTH.
WE ARE SCORING JUST SLIGHTLY BELOW THE TOP 10 PERCENT.
THAT'S GREAT BUT ON THE OTHER TWO MEASURES OF POPULATION
HEALTH, WE SEE THAT OUR HHR HAS OPPORTUNITIES FOR IMPROVEMENT.
WE ARE WELL BELOW THE PERCENT OF POPULATION WHO REPORT HEALTH
STATUS TO BE FAIR OR POOR AND OUR REGION HAS A MUCH HIGHER
NUMBER OF YEARS OF LIFE LOST BY DEATH BEFORE AGE 75 COMPARED TO
THE TOP 10 PERCENT. AND COMPARED TO THE REST OF OUR
STATE. NOW WE THAN INFANT MORTALITY
ISN'T DRIVING OUR HIGHER MORTALITY METRIC.
WHY ALSO KNOW THAT MORE ADULTS ARE REPORTING THEIR HEALTH TO BE
FAIR OR POOR THAN WE WOULD LIKE. SO NOW LET'S LOOK AT WHAT MIGHT
BE DRIVING THIS. LET'S EXAMINE PATIENT EXPERIENCE
WITH HEALTH CARE SERVICES. WE CAN LEARN A LOT ABOUT HOW WE
USE HEALTH CARE SERVICES BY LOOKING AT ADMISSIONS OR
DISCHARGEES TO A HOSPITAL. WE SEE THAT FOR OUR STATE AND
HRR, COMMERCIAL INPATIENT ADMISSIONS TO THE HOSPITAL ARE
HIGH. 101 PER 1,000 VERSES THE TOP 10%
OF 62. AND ON THE NEXT SLIDE, WE SEE
THAT MEDICARE INPATIENT DISCHARGES ARE ALSO HIGH.
296 PER 1,000 VERSES THE TOP 10% OF 274.
SO WE KNOW THAT PEOPLE, BOTH OVER 65 AND UNDER 65, ARE BEING
ADMITTED TO THE HOSPITAL A LOT AND WE ALSO SEE BACK ON THE
PREVIOUS SLIDE, THAT ERR VISITS FOR PEOPLE UNDER 65 ARE HIGH.
252 PER 1,000 VERSES THE TOP 10% OF 159.
AND READMISSIONS TO THE HOSPITAL WITHIN 30 DAYS OF BEING
DISCHARGED FOR THE SAME POPULATION AREN'T GREAT.
WE ARE AT 9% COMPARED TO THE TOP 10% OF 7.2% WHICH MEANS NEARLY
ONE OUT OF EVERY 10 PEOPLE ARE BEING ADMITTED AGAIN SOON AFTER
BEING DISCHARGED. MANAGEMENT OF CHRONIC CONDITIONS
SHOWS ONLY 64.8% COMPLIANCE WITH EVIDENCE-BASED STANDARDS OF
CARE. AND PATIENT SATISFACTION WITH
HOSPITAL SERVICES IS AT 57.6%, ROOM FOR IMPROVEMENT.
SO OVERALL, WE KNOW THAT PEOPLE IN OUR COMMUNITY ARE ADMITTED TO
THE HOSPITAL MORE THAN THEY PROBABLY SHOULD BE, THAT THEY
ARE TOO FREQUENTLY READMITTED. THEY AREN'T OVERALL ESPECIALLY
PLEASED WITH THE SERVICES THEY RECEIVE IN THE HOSPITAL.
FURTHERMORE, WE DO NOT HAVE THE GOOD RESULTS THAT WE SHOULD
GIVING PEOPLE IN OUR COMMUNITIY WITH CHRONIC CONDITIONS THE
TREATMENT THEY NEED AND OUR CITIZENS ARE IN ER A FAIR
AMOUNT. THIS SLIDE COMBINES ALL OF THE
DATA FOR OUR COMMUNITY HRRG. BY LOOKING AT THE COST OF CARE
IN OUR REGION, THE HEALTH OF OUR POPULATION AND THE EXPERIENCE OF
CARE THEY RECEIVE, WE CAN COME UP WITH A PRELIMINARY ASSESSMENT
OF OUR COMMUNITY FROM A TRIPLE AIM PERSPECTIVE.
THE COSTS IN OUR COMMUNITY ARE NOT OUTSTANDING.
HOWEVER, WE KNOW THERE IS ALWAYS ROOM FOR IMPROVEMENT.
POPULATION HEALTH MEASURES SHOW AN OPPORTUNITY TO INCREASE YEARS
OF LIFE AND IMPROVE HEALTH STATUS.
THE HIGH YEARS OF LIFE LOST COUPLED WITH THE HIGH USE OF
HOSPITAL SERVICES, INPATIENT ADMITS, ER VISITS AND READMITS
AND THE RELATIVELY LOW SCORES ON MANAGEMENT OF CHRONIC
CONDITIONS, SUGGESTS A SHORTAGE OF PRIMARY CARE AND PROBLEMES
WITH CARE COORDINATION AND CARE TRANSITIONS ESPECIALLY FOR
PATIENTS WITH CHRONIC CONDITIONS.
BECAUSE THESE FINDINGS ARE MORE PRONOUNCED FOR THE COMMERCIAL
POPULATION, THEY SUGGEST THAT THERE MAY BE DESIGNATE CARE IN
OUR COMMUNITY. -- DISPARITIES IN CARE.
WE KNOW THE UNDER 65 POPULATION HAS CHANGED OVER THE PAST
SEVERAL DECADES AND PERHAPS OUR HEALTH SYSTEM HAS NOT ADD,
ADAPTED TO SERVE THE POPULATION THAT LIVES HERE.
SO HOW DO WE DO SOMETHING WITH THIS DATA?
HOW DO WE CREATE AN ACTION PLAN? FIRST STEP WOULD BE TO BRING THE
COMMUNITY TOGETHER TO REVIEW THESE FINDINGS, TEST
EXPLANATIONS AND CONSIDER POSSIBLE SOLUTIONS.
IT WILL BE IMPORTANT TO INVOLVE PATIENTS AND ALL OF THE EXISTING
PRIMARY CARE PROVIDERS IN THE COMMUNITY, INCLUDING THE
INDEPENDENT PRIMARY CARE PRACTITIONERS, COMMUNITY HEALTH
CENTERS, SAFETY NET PROVIDERS, SPECIALTY PHYSICIANS, HOSPITALS,
EMPLOYERS AND MAJOR PAYERS. BUT WE WILL ALSO NEED TO BRING
TOGETHER ORGANIZATIONS WHO PROVIDE SOCIAL SERVICES AND
CONTRIBUTE TO IMPROVING HEALTH DETERMINANTS AND NOT JUST THOSE
WHO PROVIDE HEALTH CARE SERVICES.
ANOTHER IMPORTANT INITIAL STEP IS TO CONTINUE TO DIAGNOSE THE
COMMUNITY. FOR EXAMPLE, YOU MAY WANT TO
DRILL DOWN AND LOOK AT ADDITIONAL LOCAL VARIATION.
THERE ARE EYE NUMBER OF CITIES IN OUR HRR AND THEIR PERFORMANCE
VARIES. YOU MAY ALSO WANT TO FURTHER
EXAMINE THE DETERMINANTS OF POPULATION HEALTH SUCH AS HEALTH
BEHAVIORS, SOCIAL AND ECONOMIC FACTORS AND PHYSICAL
ENVIRONMENTS. SO WHAT MIGHT A PRELIMINARY
ACTION PLAN LOOK LIKE? YOU MAY WANT TO CONSIDER
STRENGTHENING PRIMARY CARE ACCESS AND CAPACITY.
ACTIONS MIGHT INCLUDE IMPROVING AMOUNTS AND REDUCING PATIENT
BARRIERS FOR PRIMARY CARE. EXPANDING HOURS OF SERVICE AND
POSSIBLY ADDING NEW SETTINGS FOR PRIMARY CARE AND DEVELOPING NEW
MODELS THAT EXPAND THE PRIMARY CARE TEAM, SUCH AS THE
PATIENT-CENTERED MEDICAL HOME. OTHER ACTIONS MIGHT INCLUDE
IMPLEMENTING DISEASE MANAGEMENT PROGRAMS FOR PATIENTS WITH
CHRONIC CONDITIONS. IMPROVING CARE COORDINATION AND
CARE TRANSITIONS, ESPECIALLY BETWEEN SPECIALISTS AND PRIMARY
CARE TEAMS. REDUCING HOSPITAL ADMISSIONS
THROUGH DISCHARGE PLAN. IN SUMMARY, WE HOPE YOU CAN SEE
FROM THIS EXAMPLE, HOW THE USE OF DATA HELPS US TO IDENTIFY
OPPORTUNITIES FOR IMPROVEMENT, BUILD COMMUNITY SUPPORT, ENGAGE
MULTIPLE STAKEHOLDERS AND LEAD US TO A PRELIMINARY SET OF
ACTIONS. BY USING THE TRIPLE AIM LENSE,
WE CAN MAINTAIN A CONSTANT FOCUS ON THE HEALTH OF OUR POPULATION,
THE EXPERIENCE OF CARE FOR OUR CITIZENS AND THE PER CAPITA
COST. BY LOOK AT ALL THREE TOGETHER
AND RECOGNIZING THAT THEY ARE A SYSTEM, WE WILL PREVENT
OURSELVES FROM MAKING IMPROVEMENT IN ONE AREA THAT
NEGATIVELY AFFECT ANOTHER. OUR HOPE IS THAT MAKING DATA
LIKE THIS AVAILABLE WILL ENCOURAGE COMMUNITIES TO IMPROVE
AND PERHAPS EVEN COMPETE WITH EACH OTHER TO RAISE THE BAR.
BY HAVING A STANDARD CEST METRICS AND DEFINITIONS, A
COORDINATED EFFORT CAN BE CREATED TO NATIONALLY RECOGNIZE
ORGANIZATIONS WHO HAVE REACHED THE TOP.
A PLANNING TEAM IS BEING PUT TOGETHER AFTER THIS MEETING TO
DESIGN THIS CHALLENGE. THANK YOU.
[APPLAUSE] -- THANK YOU VERY MUCH.
ANOTHER EXCITING AND HIGH-POTENTIAL INNOVATION WE ARE
SEEING. WE GOT RACE TO THE TOP AND NOW
WE HAVE REACH TO THE TOP IN HEALTH CARE.
WE CAN'T GET ENOUGH ACTION TOWARDS TOWARDS THE TOP IN
AMERICAN PUBLIC LIFE TODAY, WHICH IS EXCITING.
WE WILL HEAR NEXT FROM GOOGLE, A COMPANY I'M SURE YOU-ALL HEARD
OF. GOOGLE HAS COMBINED THEIR DATA
FUSION AND MAPPING CAPE BELTS WITH MEDICARE'S HOSPITAL
COMPARED DATA SETS TO MAKE THE DATA MORE VISUAL AND USEFUL AND
BETTER ABLE TO ANSWER A QUESTION LIKE, WHERE IS THE BEST PLACE TO
HAVE CHEST PAIN IN THE U.S.? WELCOME TO GOOGLE.
-- THANK YOU. [APPLAUSE]
SO IT'S REALLY A PLEASURE TO BE HERE.
MY NAME IS RONNY. I'M CHIEF HEALTH STRATEGIST AT
GOOGLE AND ALSO A PRACTICING DOCTOR.
TODAY I'M GOING TO PLAY THE ROLE OF SOME OF YOU, THE JOURNALIST.
AND IT OCCURS TO ME THAT SINCE MANY OF MY READERS ARE
BABYBOOMERS, THAT THEY FOR BETTER OR WORSE MAY WANT TO KNOW
ABOUT THE BEST PLACES TO HAVE CHEST PAIN IN THE U.S.
SO YOU-ALL HEARD ABOUT HHS'S HOSPITAL COMPARED DATABASE.
SO WHAT I DID, IN PREPARATION FOR THIS DISCUSSION, LIKE ALL OF
YOU COULD DO RIGHT NOW, I WENT AND DOWNLOADED THE FILES MADE
AVAILABLE THAT HAVE A LOT OF INTERESTING INFORMATION ABOUT
HOSPITALS, INCLUDING QUALITY MEASURES, PATIENT SATISFACTION
MEASURES AND OTHER INTERESTING TID BITS.
AND WHAT I DID IS I UP LOADED THOSE FILES INTO A TOOL CALLED,
GOOGLE FUSION TABLES. AND FUSION TABLES IS A
CLOUD-BASED DATABASE THAT MAKES IT REALLY EASY TO LOOK AT DATA,
VISUALIZE IT, ANALYZE IT, SHARE IT, AND EVEN PUBLISH IT.
SO, HERE WE SEE I CREATED A BIG TABLE THAT HAS COMBINATION OF
THE 8 OR SO MOST INTERESTING TABLES, TO ME, AND THE HOSPITAL
COMPARE DATABASE. I CALL MY TABLE, HOSPITAL
FINDER. WE CAN SEE THERE IS THE BASIC
INFORMATION ABOUT THE HOSPITALS AND SOME JUICY TID BITS WE START
TO GET A PREVIEW OF, LIKE, WHAT IS THEIR 30-DAY HEART ATTACK
MORTALITIY? IT GETS MORE INTERESTING WHEN WE
CAN ASK QUESTIONS. SO, WE CAN PICK FROM MANY OF THE
ATTRIBUTES HERE. YOU CAN SEE BY THIS, THERE IS
PROBABLY 50 OR SO, AND THEY INCLUDE THINGS LIKE HARD
MEASURES, SUCH AS HEART ATTACK AND HEART FAILURE AND MORTALITIY
AND READMISSION RATES. SOME ARE PERSON-ORIENTED
MEASURES LIKE, IS IT EASY TO SLEEP AT NIGHT?
AND DID MY NURSE OR DOCTOR COMMUNE KATE WELL WITH ME?
-- WE ASKED THE QUESTIONS, SHOW ME A LIST OF HOSPITALS IN
NEW YORK STATE THAT HAVE A HEART ATTACK MORTALITY RATE OF LESS
THAN 15%. SO YOU GET A SINCE OF WHAT YOU
CAN START TO DO HERE. WHAT DOES THIS DATA FEEL LIKE?
WHAT DOES IT LOOK LIKE? THERE IS A GRAPHING FUNCTION
THAT WITH A COUPLE OF CLICKS, YOU CAN CHOOSE TO SHOW A GRAPH
AGAIN HERE WE RESTRICTED IT TO THE HOSPITALS IN NEW YORK.
AND YOU CAN SEE HERE THE HEART ATTACK AND HEART FAILURE IN THE
MORTALITY RATE TO GET A SENSE, BEE SEE THE HEART ATTACK
MORTALITY RATES VARY FROM THE LOW TEENS TO THE MID 20's AND
HEART FAILURE MORTALITY IS LOWER.
BUT IT GETS FUN WHEN WE THINK ABOUT THE FACT THAT THIS IS
REALLY GEOGRAPHIC DATA. AND SO FUSION TABLES HAS GOOGLE
MAPS BUILT INTO IT AND HERE IS A MAP SIMILAR TO OTHER NEAT ONES
YOU SEEN TODAY, WHERE WE CAN VISUALIZE ALL THE HOSPITALS IN
THE U.S. AND LET'S ASK A QUESTION IN THE
MAP VIEW AS WELL. SO LET'S JUST LOOK AT THE
HOSPITALS THAT HAVE A MORTALITY RATE FOR HEART ATTACK AND HEART
FAILURE BELOW THE THRESHOLD THAT I'M INTERESTED IN AFTER HAVING
LOOKED AT THE GRAPHS AND WE CAN NARROW THINGS DOWN.
THIS GIVES US INTERESTING GLIMPSES INTO WHAT USEFUL
INFORMATION IS WHERE AND WHERE I MIGHT WANT TO GO FOR MY NEXT
EPISODE OF CHEST PAIN. AND BUT REMEMBER, TODAY, I'M A
JOURNALIST. AND I WANT TO KNOW MORE ABOUT
THE NEW YORK/NEW JERSEY AREA. LET'S ZOOM IN AND ALL THE RED
DOTS ARE THE HOSPITALS. AND I'M THINKING ABOUT NEWARK,
NEW JERSEY. I HEAR IT'S OVER ALL A PRETTY
COOL PLACE. AND I CLICK ON --
[LAUGHTER] WHAT?
I CLICK ON ONE OF THE HOSPITALS THERE AND WHAT I HAVE DONE HERE,
FUSION TABLES -- I THINK MY FAVORITE FEATURE IS IT LETS ME
CUSTOMIZE THE INFORMATION THAT POPS UP ON THE MAP.
YOU'RE USED TO SEEING THESE BUBBLES OF INFORMATION.
HERE I NAMED ONE SECTION HEART FRIENDLY AND ANOTHER ONE PEOPLE
FRIENDLY. AND I POPULATED THAT WITH REAL
DATA FROM THE HOSPITAL COMPARE DATA BASION.
SO WE CAN SEE THAT THIS HOSPITAL HAS 96% OF THE TIME WILL GIVE ME
AN ASPIRIN UPON ARRIVAL IF IT'S APPROPRIATE BECAUSE I MIGHT BE
HAVING A HEART ATTACK AND 47% OF THE THYME I'LL GET ANGIOPLASTY
WITHIN 90 MINUTES. THE NURSES AND DOCTORS USUALLY
BUT DON'T ALWAYS COMMUNICATE WELL, ACCORDING TO PATIENT
REPORTS. JUST ACROSS TOWN, THE UNIVERSITY
HOSPITAL HAS SLIGHTLY BETTER NUMBERS ACCORDING TO THIS DATA.
THE MORTALITY RATE IS ABOUT THE SAME, ANGIOPLASTY RATES ARE
HIGHER. THIS IS A GOOD TIME TO PAUSE AND
MENTION THAT THIS IS, THIS SCIENCE OF MEASURING HOSPITAL
QUALITY AND MEASURING QUALITY OF HEALTH CARE IN GENERAL IS REALLY
IN IN FANCY. WE HAVE TO TAKE ALL THE DATA
WITH A GRAIN OF SALT BUT WE CAN LEARN ABOUT IT IN THIS CONTEXT
AND THAT IS REALLY WHAT IS REVOLUTIONARY IN THIS WHOLE
EFFORT. IF WE ARE LOOKING PERHAPS IN
MANHATTAN, MANY OF YOU HAVE HEARD OF BETH ISRAEL HOSPITAL.
SLIGHTLY LOWER HEART ATTACK MORTALITY RATE THAN THE
HOSPITALS WE SEEN SO FAR AND JUST UPTOWN, LOWER YET DOWN TO
11% AUTO NEW YORK PRESBYTERIAN. UNFORTUNATELY, IF YOU WERE
PAYING ATTENTION TO THE BOTTOM SECTION, IN THIS WHOLE NEW YORK
NEW JERSEY AREA, YOU HAVE A 50% CHANCE OF GETTING A GOOD NIGHT'S
SLEEP IN THE HOSPITAL. YOU WILL BE ABLE TO LOOK AT THE
DATA YOURSELF LATER BUT IT'S THE SOUTHERN PART OF THE U.S. WHERE
IT'S MOST QUIET AT NIGHT IN THE HOSPITAL.
SO, THIS IS COOL BUT HOW CAN WE TELL THE STORY?
AND FOR ME THIS IS REALLY ALL ABOUT TELLING MORE INTERESTING
STORIES AND LEARNING TOGETHER. SO, IF YOU SEE THAT THERE IS A
LINK HERE, IF WE CLICK ON THIS, THERE IS A SNIPPET OF CODE THAT
YOU CAN COPIY AND PASTE. THE SAME WAS TRUE HERE WHEN WE
LOOKED AT THE LINE GRAPHS. AND WHAT I DID, IT TOOK MYME
ABOUT 60 SECONDS TO COPIY AND PASTE THOSE INTO MY FAVORITE
BLOGGING SOFTWARE AND PUT TOGETHER THE SAMPLE BLOG POST.
THIS IS ACTUALLY AN INTERACTIVE MAP.
I CAN CLICK ON THESE IN THIS BLOG POST AND SEE THE SAME
INFORMATION THAT WE SAW BEFORE. NOW, THAT MEANS THAT TOMORROW,
IF I OR ONE OF MY FRIENDS OR ONE OF YOU WANTS TO WRITE A SLIGHTLY
DIFFERENT STORY AND EMPHASIZE FOR EXAMPLE, WHAT THE
INTERESTING ASTHMA INDICATORS ARE OR WHAT THE NEW DATA THAT
HHS PUBLISHES TOMORROW IN DECEMBER, WE CAN MATCH THAT UP
ANY WAY WE WANT AND WITH A COUPLE OF CLICKS, WE CAN PUT A
DIFFERENT STORY, PAINT A DIFFERENT STORY AND SHARE THAT
WITH ANYONE. THIS MORNING, AN HOUR OR TWO
AGO, WE PUT A NOTE IN OUR PUBLIC POLICY BLOG ABOUT TODAY AND THE
FACT THAT WE WERE REALLY EXITED ABOUT IT, INCLUDING A LINK TO
THIS FUSION TABLE THAT I MADE PUBLIC.
SO YOU CAN ACTUALLY NOW GO AND EXPLORE THIS DATA YOURSELF,
CREATE THIS AND OTHER VISUALIZATIONS AND PUBLISH THEM
IN OTHER PLACES. YOU CAN ALSO MATCH THIS DATA UP
BY IMPORTING IN ANOTHER TABLE WITH DATA THAT YOU THINK IS
INTERESTING TO COMPARE IT WITH AND FOR THE GEEKS IN THE
AUDIENCE, FUSION TABLE AS HAS AN API.
SO THE POSSIBILITIES ARE ENDLESS.
NOW, THE TAKE-HOME MESSAGE HERE IS NOT THAT ALL OF A SUDDEN WE
SOLVED THE PROBLEM OF HOW TO MEASURE QUALITY IN HOSPITAL OR
ANYTHING ELSE HERE IN GENERAL. INDEED, THAT'S A REALLY HARD
THING TO DO. AND WE HAVE A LONG WAY TO GO
THERE. BUT THE MESSAGE HERE AND WHY I
THINK THIS EFFORT SPEARHEADED BY HHS AND OUR AWESOME COLLEAGUES
HERE IS SO IMPORTANT, IS THAT THIS MEANS THAT WE CAN START TO
HAVE CONVERSATIONS, ALL OF US, PATIENTS AND DOCTORS AND
POLICYMAKERS, WE CAN HAVE CONVERSATIONS, DISCUSSIONS WE
CAN ANALYZE DATA AND GENERATE NEW HYPOTHESIS AND DEMAND MORE
DATA AS A RESULT OF THESE THOSE HYPOTHESIS.
AND PERHAPS MOST IMPORTANTLY, IS THAT ALL OF THIS DATA IS NOT
ONLY BEING MADE AVAILABLE TO PATIENTS DOCTORS AND
POLICYMAKERS, BUT TO THE INVENTERS, SOME OF WHOM YOU'RE
GETTING PREVIEWS FROM TODAY WHO WILL PROBABLY CHANGE HEALTH CARE
IN WAYS WE CAN'T YET IMAGINE. AND THAT IS JUST TO QUOTE TODD
PARKS, SUPER EXCITING. [LAUGHTER]
AND THE LAST THING I'D LIKE TO MENTION IS THAT, LET'S NOT
FORGET IF ALL OF THIS, ALL OF THESE DATA POINTS, TIE BACK TO
INDIVIDUAL PEOPLE AND THEIR STORIES.
AND MANY OF YOU PROBABLY KNOW OF THE WORK OF REGINA HOLIDAY.
SHE IS AN INCREDIBLE WOMAN I MET RECENTLY.
AN ARTIST. SHE MADE -- I'M NOT A FASHION
GUY SO I DON'T KNOW, BUT SHE MADE THIS JACKET FOR ME.
AND FEEL FREE TO COME UP TO ME AFTER TO GET A CLOSER LOOK.
SHE MADE THIS JACKET FOR ME. WE MADE A DEAL.
SHIELD MAKE THIS JACKET FOR ME IF I WOULD WEAR AT IMPORTANT
CONFERENCES. THIS IS THE FIRST TIME I'M
WARING IT. AND THE IT'S ABOUT THE
IMPORTANCE OF DATA AND THE IMPORTANCE OF TALKING ABOUT DATA
AND THE IMPORTANCE OF TECHNOLOGY IN THE FUTURE OF HEALTH CARE.
AND I ENCOURAGE ALL OF YOU TO GO IF YOU HAVEN'T SEEN IT YET, TO
SEE THE MURAL SHE MADE UP ON THE 5,000 BLOCK OF CONNECTICUT
AVENUE. IT'S CALLED 73 CENTS AND IT'S
CALLED THAT BECAUSE THAT'S WHAT IT COST HER PER PAGE TO GET A
COPY OF HER THEN DYING HUSBAND'S MEDICAL RECORDS.
SO THE STORIES HERE ARE REALLY IMPORTANT.
AND THE STORIES COME ALIVE WHEN THEY HAVE REAL DATA BEHIND THEM.
SO, IT'S A HUGE HONOR TO BE A PART OF THIS, THANK YOU VERY
MUCH. [APPLAUSE]
-- THANK YOU VERY MUCH. I'M SO GLAD YOU MENTIONED YOUR
JACKET BECAUSE WHEN I WAS SITTING UP HERE, I WONDERED FOR
A SECOND, I KNEW SOMETHING INTERESTING WAS GOING ON.
I DIDN'T KNOW IF YOU SAT AGAINST A BENCH WITH WET PAINT OR
SOMETHING. IT'S A WORK OF ART.
PEOPLE SHOULD LOOK AT IT MORE AFTERWARDS.
LISTENING TO ALL THIS STUFF, PEOPLE KNOW THE WORK OF RAY
KURTS WHILE? THE TECH VISIONARY?
YOU FEEL SOMETIMES LIKE BEFORE LONG, PROBABLY NOT BY NEXT
MONTH, BUT BEFORE LONG, IF ALL THIS STUFF EVOLVES, WE WILL BE
LIKE HALF HUMAN, LINKED INTO THIS COLLECTIVE TECHNO SPHERE
THAT WE'LL BE ABLE TO BEEN WHERE TO HAVE OUR CHEST PAIN AND WE'LL
INSTANTLY FLASH ALONG OUR SCREEN.
BUT THAT IS A LITTLE WAYS AHEAD. OUR FINAL LAST BUT NOT LEAST,
FINAL PRESENTER THIS MORNING IS HEALTH WAYS TAKING CONSUMER
HEALTH ENGAGE WANT TO A WHOLE NEW LEVEL BUILDING GAMES AND
OTHER SOCIAL NETWORKING APPLICATIONS TO HELP GET AVERAGE
CITIZENS AND FACEBOOK USERS OF ALL AGES INVOLVED IN IMPROVING
THEIR HEALTH SYSTEMS. THEY CREATED A SOCIAL NETWORKING
GAME THAT MIGHT JUST BECOME THE NEXT FARMVILLE.
SO -- [LAUGHTER]
-- WITH THAT LOW EXPECTATION, WELCOME.
[LAUGHTER] [APPLAUSE]
-- THANK YOU, MY NAME IS CHRIS CARTER.
I ALSO WANT TO THANK THE SECRETARY AND THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES FOR ASKING US TO PRESENT TODAY.
WE ARE REALLY DELIGHTED TO BE HERE.
BEFORE I BEGIN, I AM CURIOUS. HOW MANY OF YOU ACTUALLY KNOW
THE OBESE ITERATE IN YOUR COMMUNITY?
-- OBESITY RATE. A COUPLE OF PEOPLE.
THIS IS THE RIGHT AUDIENCE FOR THAT QUESTION.
HOW ABOUT THE UNEMPLOYMENT RATE? THE OBESE ITERATE?
THE DIABETES RATE? THE NUMBER OF HOMICIDE PER
100,000? THESE ARE ALL THE KINDS OF
NUMBERS THAT WE WERE GRAPPLING WITH AND WE DIDN'T KNOW ANY OF
THESE NUMBERS WHEN WE STARTED. SO 6 WEEKS AGO WHEN WE SET OUT
TO DESIGN A APPLICATION FOR THIS EVENT, WE REALLY WRESTLED WITH
THIS AND WE DECIDED IN ORDER FOR US TO REALLY HAVE AN IMPACT, WE
HAVE TO MAKE SOMETHING FUN. SO WE MADE A CARD GAME.
TODAY WE ARE LAUNCHING COMMUNITY PLUS, DEVELOPED BY A
BOSTON-BASED START UP THAT DEVELOPS WEB AND MOBILE
APPLICATIONS FOR PEOPLE TO IMPROVE THEIR WELL-BEING.
COLLABORATION ARE OUR PARENT COMPANY.
WE DESIGN COMMUNITY CLASH TO REALLY BE FOR ANYBODY WHO WANTS
TO ENGAGE WITH THE HEALTH DATA AS IT PERTAINS TO THEIR
COMMUNITY. THE REAL FUN IN THE GAME COMES
FROM THE COMPARISON OF YOUR COMMUNITY TO ANOTHER COMMUNITY
IN THE HEAD-TO-HEAD CLASHES OF THIS GAME.
THE CARDS CAN'T TELL THE STORY ALL BY THEMSELVES.
WE ALSO ARE REALLY INTERESTED AND COMMITTED TO BRINGING THE
CONVERSATION INTO THE DATA. WE DO THIS THROUGH THE
APPLICATION BY TAPPING INTO THE TWITTER STREAM AND BRINGING
TWITTER CONVERSATIONS THAT BRING ALIVE EACH OF THE COMMUNITY
HEALTH METRICS. FINALLY WE HELP EACH INDIVIDUAL
COMPETE THEIR OWN SCORE AND USE THAT TO GENERATE MORE
CONVERSATIONS, TO BE SHARING WITH THEIR FRIENDS.
CLASH IS A MASH OF FOUR DATA SOURCES, COMMUNITY HEALTH DATA,
TWITTER, GALLUP HEALTH WAYS INDEX AND THE HEALTH WAYS
WELL-BEING ASSESSMENT. THE LAST IS A MEASURE THAT HELPS
SOMEBODY COMPUTE THEIR OWN PERSONAL WELL-BEING SCORE.
AND I'M GOING COME BACK TO THE DATA IN MORE DETAIL.
BUT I WANT TO FLIP TO A MINUTE TO A VIDEO THAT SIMALATES
PLAYING A HAND OF COMMUNITY CLASH.
THE GAME STARTS BY ENTERING THE CITY OR TOWN WHERE YOU LIVE AND
A RIFLE CITY YOU WANT TO COM BEAT AGAINST.
IN OUR CASE, BOSTON VERSES TOW PEEK A TWO ROSE ARE CARS ARE
DEALT. EACH OF THE BLUE CARDS REPRESENT
THE DATA POINT IN THE COMMUNITY HEALTH INDICATORS.
GREEN CARD IS THE GALLUP HEALTH WAYS WELL-BEING INDEX CARD.
THE GOAL OF THE HEAD-TO-HEAD CLASH IS TO DETERMINE WHICH DATA
POINTS GIVE BOSTON, MY HOMETOWN, THE BEST ODDS AT BEATING TOPEKA.
LET'S EVALUATE MY HAND. MY HUNCH IS THAT BOSTON'S
OBESITY RATE WILL BE LOWER THAN TOPEKA.
HOW ABOUT BLOOD PRESSURE? LIVING IN BOSTON, IT'S PRETTY
STRESSFUL. SO I'M GOING TO USE ONE OF MY
TWO CHANCES TO PICK A DIFFERENT CARD.
SO I'M GOING BET THAT BOSTON WILL BEAT TOPEKA ON EXERCISE.
DEATH BY MOTOR VEHICLE. ANYBODY WHO HAS BEEN TO BOSTON,
KNOWS I WANT TO GET RID OF THIS CARD.
[LAUGHTER] SO LET'S SWAP THIS OUT FOR THE
UNINSURED CARD. WITH HEALTH REFORM IN MASS
CHOOSEITS, I WILL SURELY WIN IN THIS CARD.
I'M BETTING WE HAVE LOWER SMOKING AND HIGHER WELL-BEING.
LET'S SEE WHO WIN THE CLASH? TOPEKA!
WHAT HAPPENS? SURPRISE SURPRISE.
WHAT HAPPENED TO BOSTON HERE? WELL, WE WON THE OBESITY CARD
BUT LOST ON THE TWO CARDS I SWAPPED OUT.
BOSTON GETS LESS EXERCISE THAN TOPEKA AND SURPRISINGLY WE HAVE
MORE UNINSURED. WE EVEN GOT EDGED OUT ON
SMOKING. AFTER A CLASH, YOU CAN SHARE THE
RESULTS WITH YOUR FRIENDS VIA TWITTER OR FACEBOOK AND GENERATE
MORE CONVERSATIONS. PULLING PEOPLE BACK TO THIS VERY
SAME PAGE. SCROLLING DOWN, WE SEE A
VISUALIZATION OF THE TWITTER CONVERSATIONS OVER THE LAST 30
DAYS. THIS INDICATES THE VOLUME OF
CONVERSATIONS BY THE METRICS OF THE VERY CARDS WE WERE PLAYING
WITH. WE CAN LOOK AT THE SUBCATEGORIES
OF THESE CONVERSATIONS. BELOW THIS, ARE THE REALTIME
TWEETS PULLED FROM THE TWITTER STREAM IN THE LAST FEW SECONDS.
THE ONE IN THE UPPER LEFT IS MY FAVORITE.
THE ONLY EXERCISE I EVER GETS LONDON, HOUSEWORK AND WALKING TO
SCHOOL. NO WONDER I'M SO BLAH!
THE HEALTH WAYS WELL-BEING ASSESSMENT IS THE LAST THING I
WANT TO SHOW YOU IN THIS SIMULATION.
IT'S A SERIES OF QUESTIONS THAT YIELDS YOUR OWN WELL-BEING
SCORE. WE WON'T ANSWER THEM ALL HERE
BUT WE WANTED TO SHOW YOU HOW A SIMPLE POOLE COOL INTERFACE
CONNECTS EXPEDITE COMPLETION OF A LONG QUESTIONNAIRE.
LET'S JUMP TO THE RESULTS CARD. MY WELL-BEING SCORE AS OF TODAY,
67.4. ALMOST TWO POINTS HIGHER THAN
BOSTON'S AVERAGE INDEX. ON THE RIGHT WE SEE HOW MY SCORE
BREAKS DOWN BY THE 6 DIMENSIONS OF THE WELL-BEING INDEX.
I CAN NOW USE MY SCORE OF MY POWERED UP WELL-BEING CARD, IN
THE NEXT ROUND OF GAMES. THERE IS MORE FUN TO BE HAD BUT
THESE ARE THE BASIC MECHANICS, THE COMMUNITY CLASH GAME.
LET ME FLIP BACK AND TALK ABOUT A LITTLE BIT MORE ABOUT THE DATA
THAT WE HAVE DRAWN ON TO BUILD THIS APPLICATION.
WE HAVE BEEN INCORPORATED A DOZEN COMMUNITY HEALTH METRICS
INTO THIS DRAWN FROM A VARIETY OF SOURCES.
IN OUR DATABASE, WE HOLD 100 MILLION TWEETS.
WE REFRESH THAT WITH ABOUT 1-2 MILLION EACH DAY.
TWITTER I THINK IS A GREAT EXAMPLE FOR ALL OF US IN HOW
THEY HAVE OPENED UP ACCESS TO THEIR DATA IN A WAY THAT DRIVES
REALTIME INNOVATION BY APPLICATION DEVELOPERS SUCH AS
OURSELVES. THE GALLUP HEALTH WAYS
WELL-BEING INDEX IS REALLY AN AWESOME RESOURCE.
AND I KNOW THAT I WORK WITH THE COMPANY.
BUT, CONSIDER THIS, 1,000 SURVEYS, ARE COMPLETED EVERY
NIGHT. OVER 800,000 COMPLETED TO DATE.
THIS IS A 25-YEAR UNDERTAKING. SO EXPECT THIS TO BE A KEY INDEX
FOR THE NATION'S WELL-BEING TO COME FOR DECADES TO COME.
DERIVED FROM THE WBI SILENT WELL-BEING ASSESSMENT WHICH WE
SAW. THIS IS A QUESTIONNAIRE THAT IS
PREDICTIVE OF AN INDIVIDUAL'S SCORE.
SO WHAT IS AHEAD FOR US? I DON'T FINISH WE'LL BE THE NEXT
FARMVILLE. BUT COMMUNITY CLASH DOES LAUNCH
TAU TODAY AND IT'S LIVE RIGHT NOW.
WE ALSO TURN THE GAME INTO AN ACTUAL CARD DECK, WHICH YOU CAN
PICK UP AT THE EXPO TABLE AND PLAY WITH YOUR FRIENDS.
MORE FUN THAN YOU MIGHT THINK. [LAUGHTER]
WE THINK OF COMMUNITY CLASH AS A FRAMEWORK FOR HELPING PEOPLE
LEARN ABOUT DATA. DATA OF ALL KINDS.
WE CAN EXPAND THE DECK OF CARDS BY ADDING MORE METRICS.
WE ALSO WANT TO ENCOURAGE PEOPLE TO HAVE THESE CONVERSATIONS.
WE BELIEVE THAT PEOPLE LEARN BY DOING.
AND THROUGH SOCIAL INTERACTION AND COMPARISON.
ONE OF THE THINGS WE HOPE TO DO IN THE NEXT PHASE OF THIS IS TO
HELP PEOPLE TRACK THEIR WELL-BEING OVER TIME.
AND COMPARE THEIR WELL-BEING TO THE INDEX OF THEIR FRIENDS
WELL-BEING. NONE OF US SET OUT TO CHANGE THE
WORLD OR BUILD THE NEXT FARMVILLE BUT MAKING THIS GAME.
BUT WHAT WE THINK IS THAT COMMUNITY CLASH IS A SIMPLE
FIRST STEP. IT'S FUN AND ENGAGING AND THEN
GET PEOPLE THINKING ABOUT SOMETHING RELATED TO THEIR
HEALTH AND WELLNESS OF THEIR COMMUNITY.
AND IF THEY DO THAT, WE THINK THAT'S THE FIRST STEP TO THEM
ACTUALLY DOING SOMETHING. THANK YOU.
[APPLAUSE] -- THANK YOU VERY MUCH.
LET'S HAVE A ROUND OF APPLAUSE TO OUR PRESENTERS!
[CHEERS AND APPLAUSE] AND IT IS NOW MY PRIVILEGE TO
INTRODUCE TWO TECH GIANTS IN THEIR OWN RIGHT WHO CONTRIBUTED
BOTH AS LEADERS AND VISION ARIES FOR THIS EFFORT.
TODD PARK IS THE CHIEF TECHNOLOGIERS OF HHS AND THE
TECHNOLOGY OFFICER OF THE EXECUTIVE OFFICE OF THE
PRESIDENT, I'D LIKE TO WELCOME THEM UP AND THEY WILL TELL US
NOW WHAT IS NEXT FOR THIS INITIATIVE X PREVIEW FOR YOU THE
EXCITING DEMONSTRATIONS YOU WILL SEE LATER TODAY.
WELCOME TO YOU BOTH. [APPLAUSE]
-- HELLO! FANTASTIC TO SEE YOU HERE AND
JUST STUNNING TO SEE WHAT INNOVATORS HAVE BEEN ABLE TO DO
WITH DATA. IT'S JUST A GLIMPSE OF THE
BEGINNING OF A VERY EXCITING FUTURE FOR THE COUNTRY.
SO I JUST WANTED TO ONCE AGAIN BE THE LATEST DUDE TO THANK THE
SECRETARY AND DEPUTY SECRETARY FOR THEIR ENTHUSIASTIC SUPPORT
OF THIS THING. THIS STARTED WITH BILL.
IT'S ALL HIS IDEA. HE GETS ALL THE CREDIT FOR ALL
THE GOOD STUFF THAT HAPPENS. SO THANK YOU.
AND THE SECRETARY HAS BEEN PHENOMENAL IN HER SUPPORT.
AND I WANT TO THANK THE REST OF THE TEAM THAT MADE THIS HAPPEN
IN ADDITION TO THE ILM TEAM, GREG, AMAN, ED, LINDA, THE NTHS
TEAM, KAREN AND CMS, TODD WHITNER AND BOB ARE SOUL
BROTHERS AT THE NATIONAL ECONOMIC COUNCIL AND MY BROTHER
IN ARMS HERE. WHAT I'D LIKE TO DO RIGHT NOW IS
QUICKLY, BECAUSE WE WANT TO GET TO THE EXPO, RECAP AN OUTLINE OF
THE COMMUNITY HEALTH DATE INITIATIVE OVER ALL AND TALK
ABOUT THE EXCITING NEXT STEPS THAT WE ARE ALL PLANNING
TOGETHER. AS BILL AND THE SECRETARY
DISCUSSED, EARLIER, THE SEEDS WERE LAID AT MARCH 11 THAT WAS
HOSTED HERE AT THE IOM. AT THAT MEETING, WE COLLECTED A
TEAM AND LAID OUT A VISION FOR HOW TO HARNESS THE POWER OF DATA
TO IMPROVE HEALTH. IT'S INSPIRATION WE DREW UPON A
RELATIVELY LITTLE-KNOWN EXAMPLE CALLED WHAT THE PEOPLE HAVE DONE
IN THE GOVERNMENT, AROUND WEATHER.
I DIDN'T KNOW THIS BEFORE I JOINED THE FEDERAL GOVERNMENT.
ABOUT LIKE 98% OF ALL WEATHER DATA IN AMERICA IS DONE BY THIS
AGENCY CALLED NOAH. IT'S NOT LIKE THE LOCAL DUDE ON
THE NEWSCAST DONE HIS OWN BAROMETRIC PRESSURE READING.
SO 92 NOAH SUPPLIES A HUGE FEED OF SUPER HIGH QUALITY DATA FOR
FREE WITHOUT CONSTRAINT IN A STRUCTURED WAY FOR THE WORLD AND
THEN THE WEATHER CHANNEL, WEATHER.COM, THE NEWSCASTER, IT
TAKES THAT DATA AND PEOPLE WHO ARE NOT NOAH, TURNS IT INTO
PRODUCTS AND SERVICES THAT ARE USEFUL TO AMERICANS.
WE THOUGHT THAT WAS A REALLY INSPIRING EXAMPLE OF HOW WE
COULD COLLABORATE TO THE CREATE A ECOSYSTEM OF MOJO TO LEVERAGE
DATA TO TURN INTO PUBLIC BENEFIT.
AND SO VISUALLY LAID OUT TO DO THAT, IN THE WORLD OF COMMUNITY
HEALTH IS THIS 3-STEP PROCESS. STEP ONE IS TO LIBERATE DATA.
AT HHS UNDER THE LEADERSHIP AND SECRETARY AND BILL TAKING LEAD
ON THIS, BY STEPPING UP TO BE THE DATA SUPPLY UNIVERSE AND
UNLEASHING A HUGE INCREASING COMMUNITY HEALTH DATA FOR THE
WORLD TO USE. WE ALSO SEE JUST PART OF THE
SUPPLY SIDE OF THE EQUATION. WE ARE DELIGHTED TO CONTRIBUTE
TO THIS DATA ALREADY TO THE INITIATIVE.
WE ARE DELIGHTED THAT FOLKS PLAN TO MAKE THEIR DATA AVAILABLE AND
PROVIDE MORE REALTIME INSIGHT AND OTHER FEDERAL DEPARTMENTS AS
WELL. WE SEE OURSELVES AS THE FIRST OF
HAS BEEN PEOPLE PUTTING THEIR DATA ONLINE FOR INNOVATORS TO
USE. WHICH IS THE SECOND STEP.
SO THE SECOND STEP IS THAT FOLKS WHO ARE NOT HHS, IN OR VARIETIES
ARE ALL STRIPES FROM THE BUSINESS WORLD, TECHNOLOGY
WORLD, NONFOR PROFITS, COMMUNITY, SUPER COOL DEVELOPERS
BUILD SUPER COOL ACTS ACROSS A WHOLE RANGE OF APPLICATIONS.
AND WE'LL SEE MORE OF THAT IN THE EXPO YOU'RE ABOUT TO GO TO.
AND IT'S VERY IMPORTANT TO NOT JUST MAKE DATA AVAILABLE BUT TO
ACTIVELY MARKET ITS EXIST EXPENSE IS AVAILABILITY.
BECAUSE A LOT OF DATA WE PUT ON OUR NEW WEB SITE IS DATA THAT
HAS BEEN IN THE PUBLIC DOMAIN FOR YEARS IF NOT DECADES.
BUT, A WHOLE BUNCH OF INNOVATORS HAD NO IDEA IT WAS IN EXISTENCE.
SO JUST MAKING IT KNOWN THAT WE HAVE THIS DATA THAT IS AVAILABLE
TO YOU AND TURNING IT INTO A FORM THAT IS ACCESSIBLE, CAN
SPARK HUGE AMOUNTS OF INNOVATION AND IF WE PROVIDE MORE DATA,
WHICH HHS IS DEFINITELY TALKING ABOUT.
AND THEN THESE MAPS, DASH BOARDS, SEARCH ENGINES, TOOLS,
AND GAMES, IN THE HANDS OF CONSUMERS AND COMMUNITY LEADERS
AND EMPLOYERS AND PROVIDERS, SPECIFIC LEADERS, CHANGE THE
WORLD. IT'S NOT US TO CHANGE THE WORLD.
IT'S CITIZENS, COMMUNITY LEADERS AND PROVIDERS, ACTORS AND
COMMUNITIES WHO USE THE DATA THROUGH THESE APPLICATIONS TO
INCREASE AWARENESS AND BECOME MORE AWARE OF COMMUNITY
PERFORMANCE, HELP SPARK ACTION TO IMPROVE HEALTH AND MAKE A
BETTER CHOICE FOR THEIR FUTURE AND THEIR FAMILIES.
SO THAT'S THE 3-STEP PROCESS. AND MAKE IT AVAILABLE TO TURN
SUPER COOL DATA TO BE USED BY THE AMERICAN PUBLIC ACROSS ALL
SECTORS TOCCATA LIES CHANGE. DOES THAT MAKE SENSE?
YES! AND TO BASICALLY -- HALLELUJAH!
ALL RIGHT. AND CREDIT THE NOAH FOR THAT
INSPIRATION. SO, WHAT WE DID WAS, AT THIS
MEETING ON MARCH 11, WE GOT EXITED AND DECIDED WE, MEANING
PUBLIC AND PRIVATE SECTOR INNOVATORS DECIDED TO TAKE IT
FOR A SPIN. SO WE PUT OUT A SIMPLE INITIAL
WEB SITE TO PROVIDE A BUNCH OF COMMUNITY HEALTH DATA SETS
EASILY ACCESSIBLE IN ONE PLACE AND THEN INITIAL SET OF
INNOVATORS DOVE INTO THE DATA HEADFIRST TO SEE WHAT THEY WOULD
DO. WHAT HAPPENED IS WHAT YOU JUST
SEEN THE BEGINNING OF, AN EXPLOSION OF CREATIVITY IN LESS
THAN 90 DAYS FROM A GROWING NUMBER OF INNOVATORS THAT IS
BLOWING ME AWAY. I'M JUST STUNNED BY WHAT THE INO
VARIETY FOLKS HAVE BEEN ABLE TO DO.
AND YOU WHAT SAW ON STAGE TODAY IS JUST PART OF THE STORY.
WOO ARE ABOUT TO TALK ABOUT LAUNCHING INTO A SHOW WHERE
SOMETHING LIKE 20 OR SO ACTS WILL BE DEMONSTRATED THAT
LEVERAGE COMMUNITY HEALTH DATA. MORE THAN A DOZEN OF WHICH HAVE
BEEN BUILT OR SIGNIFICANTLY IMPROVED SINCE MARCH 11.
THAT IT IS SLIGHTLY STUNNING. SO MORE ON THIS IN A SECOND.
THIS EXPLOSIVE INNOVATION THAT WE THINK WILL ULTIMATELY HELP
RAISE AWARENESS AND HEALTH PERFORMANCE IN OUR COMMUNITIES,
PROVIDE NEW INSIGHTS ABOUT HOW TO IMPROVE HEALTH AND HEALTH
HELP CONSUMERS MAKE BETTER CHOICES AND IT'S INNOVATION LA
LA PALOOZA THAT INSPIRES US AND WE WANT TO DO OUR PART TO KEEP
GOING X GROWING. SO, WHAT ARE WE GOING TO DO?
WITH THE FULL SUPPORT OF THE SECRETARY, WE ARE COMMITTING HHS
TO SUPPORT THE COMMUNITY HEALTH DATA INITIATIVE THROUGH THE
FOLLOWING THREE ACTIONS. FIRST OF ALL, WE CONTINUE TO
OPERATE AND PUBLICIZE THIS INTERIM CHD.
WEB SITE THAT WAS ALREADY MADE AVAILABLE AND PROVIDES
CENTRALIZED FEES A BUNCH OF PUBLICLY AVAILABLE DATA SETS.
LIKE THE DATA THAT POWERS COUNTY HEALTH RANKINGS, COMMUNITY
HEALTH INDICATORS, MEDICARE HOSPITAL COMPARE, USDA
ENVIRONMENT WELL AT LAT TO CHDI BY USDA.
IF YOU GO TO WWW.HHS.GOV/OPEN, THE HOME PAGE HAS A WRITE UP
ABOUT THE CHD I AND A BIG YELLOW BUTTON THAT WAS PUT ON THE PAGE
TO MAKE IT EASY. THE PRESS, YOU CAN EXPLORE TO
YOUR HEART'S CONTENT. SO THANK YOU FOR THAT AND SO
MANY OTHER THINGS, MY BROTHER. [LAUGHTER]
THEN THE SECOND THING IS, AS BILL MENTIONED, AT THE BEGINNING
OF THE SESSION, WE ARE LAUNCHING THROUGH HARD WORK, LINDA AND HER
TEAM AT NCHS, A NEW HHS HEALTH INDICATOR DEBUTING IN DECEMBER
OF 2010. A NEW ONE-STOP-SHOP FOR NATIONAL
STATE, REGIONAL AND COUNTY LEVEL MEASURES OF HEALTH, HEALTH CARE
PERFORMANCE AND DETERMINANTS OF HEALTH.
WHAT I FIND MOST EXCITING ABOUT THAT IS THAT A LOT OF THIS STUFF
ISN'T TRADITIONAL HEALTH CARE MEASUREMENT-TYPE STUFF.
IT'S AROUND POVERTY AND FOOD AND STUFF THAT IS REALLY AS IF NOT
MORE IMPACTFUL TO HEALTH STATUS AS HEALTH CARE ITSELF, WHICH IS
ALSO VERY IMPORTANT BUT IT'S REFRESHING TO SEE THE SCOPE OF
WHAT PEOPLE ARE WORKING ON. THE WAREHOUSE WILL BE AVAILABLE
ON A NEW PUBLIC WEB SITE THAT WILL ENABLE ANYBODY TO MAP AND
GRAPH SLICE AND DICE AND DOWNLOAD ANY OF THE DATA THEY
WANT FOR THE FELLOW GEEKS IN THE AUDIENCE, IT WILL BE EXPOSED VIA
WEB SERVICES TO BE INTEGRATED INTO OTHER APPLICATIONS AND
SITES. AND, WHICH BOB IS REALLY EXITED
ABOUT, AS AM I, IT WILL INCLUDE AN EXPANDED ARRAY OF NEW AND
UPDATED DATA, INCLUDING DATA FOR HEALTHY PEOPLE 2020, STATE OF
THE U.S., NEW MEDICARE COMMUNITY LEVEL INTERCARED AND INVENTORY
TO IMPROVE PERFORMANCE FOR ALL THE INDICATORS WE KNOW.
AND JUST TO CALL OUT THE MEDICARE INDICATORS, THIS IS A
BIG STEP BY THE CERTIFICATES FOR MEDICARE AND MEDICAID.
THEY COMMITTED AS PART OF THIS DECEMBER LAUNCH OF HHS, TO
PROVIDE A BRAND NEW SET OF VERY EXCITING AGGREGATE INDICATORS AT
THE NATIONAL STATE, REGIONAL AND POTENTIALLY COUNTY LEVEL FOR
MEDICARE PREVALENCE OF DISEASE, SERVICE UTILIZATION, QUALITY AND
COST. THIS IS A BIG, BIG DEAL TO
GENERATE A TON OF IN EXCITES IT WILL BE THE BEGINNING OF A
STREAM OF DATA OVER TIME. THE SPECIFIC METRICS ARE TBD.
THE TEAM IS HERE TODAY AND IN THE BREAK OUT SESSIONS AND
CONVERSATIONS THROUGHOUT, WE WELCOME TO GET YOUR INPUT ABOUT
WHICH ONES YOU THINK WOULD BE OF MOST PUBLIC BENEFIT AS WE SEEK
TO IMPROVE PUBLIC HEALTH. SO NOW, WITH THAT, AS OUR PUBLIC
COMMITMENT, I HOPE WE FULLY UNDERSTOOD BY EVERYBODY, I LIKE
TO TURN IT IT OVER TO MY BROTHER, WHO HAS MORE EXCITING,
EQUALLY EXCITING NEWS. -- EQUALLY IF NOT MORE.
-- EVEN MORE NEWS. [LAUGHTER]
[APPLAUSE] -- FIRST, I WOULD JUST LIKE TO
SET THE CONTEXT FOR THE CULTURE CHANGE STARTING TO SEE
THROUGHOUT THE ADMINISTRATION. IT BEGAN ON THE PRESIDENT'S
FIRST FULL DAY IN OFFICE WHERE HE ISSUED A MEMO DECLARING A
CALL FOR MORE OPEN AND TRANSPARENT GOVERNMENT.
THAT MEMO LED TO A SERIES OF ACTIVITIES CULMINATING IN THE
PUBLICATION OF A GUIDANCE DOCUMENT FROM THE OFFICE OF
MANAGEMENT AND BUDGET CALLING ON EVERY AGENCY TO INCORPORATE THE
VALUES OF PRESIDENT HOLDS SO DEER.
THAT IS THE VALUES OF TRANSPARENCY, OF INCREASING
PARTI PARTICIPATION AND ENGAGING IN COLLABORATIVE ACTIVITIES
THROUGHOUT THE OPERATIONS OF OUR GOVERNMENT.
IN EXPANSION IS THE PROGRAM THAT WE LAUNCHED EARLIER THIS YEAR IN
THE WAKE OF SLIGHTLY NEW GUIDANCE THAT CAME OUT OF THIS
PARTICULAR PROGRAM. NOW YOU WHAT JUST SAW HERE
EARLIER TODAY, IMAGINE IF IT HAD TO GO THROUGH A GOVERNMENT RFP?
HOW MANY EVEN KNOW HOW TO APPLY THAT THROUGH THE GOVERNMENT RFP?
WHAT THE PRESIDENT CALLED FOR, WHAT WE ISSUES IN MARCH AS PART
OF OUR COMMITMENT TO OPEN GOVERNMENT IS NEW GUIDANCE BY
THE OFFICE OF MANAGEMENT AND BUDGET, ENCOURAGING AGENCIES TO
COLLABORATE THROUGH PRIZES, CHALLENGES AND COMPETITIONS.
ESSENTIALLY UNLEASHING THIS INNOVATIVE SPIRIT YOU SAW ON
DISPLAY. ONE EXAMPLE OF THIS IS THAT
LITERALLY THE FIRST ONE TO SIGN UP FOR THE THIS PROGRAM, THE
FIRST LADY. DAYS AFTER THE LAUNCH OF THIS
GUIDANCE, SHE ISSUED HER ASK FOR HEALTHY KIDS CHALLENGE.
A. IT WAS BUILT ON DATA CONTRIBUTED TO THE COMMUNITY
HEALTH DATA INITIATIVE FROM THE U.S. DEPARTMENT OF AGRICULTURE.
THIS CONTAINS THE NUTRITIONAL VALUE OF SOME 30,000 FOOD ITEMS.
THIS PARTICULAR INITIATIVE IS ALREADY SPAWNED A SERIES OF GAME
DEVELOPMENT ACTIVITIES AND I GOT TO BRING COMMUNITY CLASH INTO
THE DISCUSSION. YOU WERE TALKING ABOUT
FARMVILLE. ONE OF OUR JUDGES FOR THIS
CONTEST IS THE CEO OF ZING ATHE CORPORATION THAT PRODUCED
FARMVILLE, WHO IS ONE OF THE ENTREPRENEURIAL STORIES OF
AMERICA WENT FROM BRAND NEW COMPANY IN 2007 AND NOW OVER 600
EMPLOYEES. THIS COMPETITION IS OPEN FOR ANY
OF YOU TO PARTICIPATE. RECENTEES ARE DUBAI JUNE 30.
ENTRIES ARE DUNE BY JUNE 30. WE ARE ALSO PLEASED TO REPORT
THERE ARE A WHOLE RANGE OF INNOVATIVE APPLICATIONS IN THE
EXPO TO OUR LEFT. YOU'LL SEE EXAMPLES OF MOBILE
APPS, BOTH BORNE OUT OF THE CHILDREN'S HOSPITAL OF BOSTON
THAT WILL PERSONALIZE FOR YOU FDA ALERTS ON MEDICATION
INFORMATION. YOU SIMPLY ENTER IN WHAT YOU'RE
TAKING AND IF THERE ARE IMPORTANT AND RELEVANT
INFORMATION TO YOUR CONSIDERATION, IT WILL BE
DELIVERED TO YOU. OR OUR GOOD FRIENDS IN EYE
TRIAGE WHO DEVELOPED A METHOD BY WHICH THEY CAN CONNECT YOU TO
PROVIDERS IN YOUR NEIGHBORHOOD AND INCORPORATE IT OVER 7500
FEDERALLY QUALIFIED HEALTH CENTERS WHO DATABASE HAD BEEN
LOCKED UP IN OUR SYSTEMS. THIRD, AND CERTAINLY IN THE
SPIRIT OF FUN, THE GOOD FOLKS THAT BROUGHT A WHOLE RANGE OF
CREATIVE GAMES AROUND SCAVENGER HUNTS AROUND THE COUNTRY, HAVE
BROUGHT THEIR CREATIVITY OF INGINUITY INTO WASHINGTON WITH
THE LAUNCH OF THEIR HEALTH TRACK WHICH WOULD ALLOW YOU TO EARN
POINTS AND SCORES IF YOU WILL, IF YOU DO THINGS TO INCORPORATE
EXERCISE AND OTHER RELATED ACTIVITIES ALL IN THE SPIRIT OF
FOLLOWING ACTIVITIES OF INTEREST TO THE PRESIDENT, PLAYING A GAME
OF BASKETBALL OR NOTING IF YOU WILL, IF YOU DRANK A GLASS OF
SODA, HOW MUCH YOU HAVE TO WORK OUT IN ORDER TO WORK OFF THAT
PARTICULAR THING THAT YOU JUST CONSUMED.
SIMILARLY YOU'LL SEE ON THE NEXT SLIDE, WE HAVE ANOTHER
CONTRIBUTION BY OUR GOOD FRIENDS AT GE WHO MADE DATA
VISUALIZATION A KEY ASPECT OF THEIR INNOVATION PLATFORM.
AND IT'S PROVIDED NEW AND CREATIVE WAYS TO EXPOSE THE
INFORMATION AKIN TO WHAT WE HAVE SEEN IN THE VISUALIZATIONS.
WHICH LEAVES ME TO MY FINAL OBSERVATION.
YOU PROVIDED A COMMITMENT FOR HOW WE ARE GOING TO MOVE DATA
INTO THIS ECOSYSTEM. I END WITH THE CONSIDERATION
THAT WE NEED TO CONTINUE THIS CATTIZATION OF IDEAS, THE
PARTICIPATION YOU SEEN HERE TODAY.
WE ARE PLEASED TO ANNOUNCE TODAY IN COLLABORATION WITH OUR GOOD
FRIENDS IN THE HEALTH 2.0 COMMUNITY, THE LAUNCH OFA I NEW
DEVELOPER CHALLENGE. AT HEALTH 2 CHALLENGE.ORG, A
PUBLIC PRIVATE PARTNERSHIP WITH A PROPOSITION, LET'S CARRY THE
SPIRIT OF INNOVATION YOU SEEN COMING TODAY THROUGHOUT THE
SUMMER MONTHS AND GOING THROUGH THE FALL CATALYZING THROUGH
HEALTH INNOVATION WORK, OCTOBER 3-10, A FINAL PERFORMANCE OF ALL
OF THE INNOVATIVE APPLICATION THAT IS HAVE BEEN DEVELOPED AND
CREATIVITIY AND MATCH UPS THAT YOU'RE GOING TO SEE.
IT WILL BE ANNOUNCED AS PART OF THE CONFERENCE IN SAN FRANCISCO.
THIS MOVEMENT WILL GROW OVER TIME.
WE WILL HAVE NEW CHALLENGES AND IDEAS THAT WILL BE BORN
THROUGHOUT THIS MOVEMENT BUT PAY CLOSE ATTENTION.
THIS SOUR METHOD TO GALVANIZE YOUR ENERGY AND WE LOOK FORWARD
TO WORKING WITH YOU IN THE WEEKS AND MONTHS AHEAD.
WITH THAT, MY BROTHER, SHALL WE SAY, TO THE EXPO!
[APPLAUSE] OR SHALL I SAY TO MAT TO
INTRODUCE US TO THE EXPO! -- THANK YOU.
WE ARE GOING TO V. THE NEXT CONVENING IN A MEGACHURCH.
THAT'S WHAT I REALIZED. THANK YOU FOR THAT TERRIFIC AND
ENTHUSIASTIC PREVIEW OF WHAT IS AHEAD.
YOU WHAT HAVE SEEN IS THE TIP OF THE ICEBERG.
AS TODD LAID OUT AND AS YOU CAN SEE, HEALTH DATA IN THE HANDS OF
INNOVATORS HAS THE POTENTIAL TO MAKE HEALTH CARE BETTER, MORE
EASILY ACCESSED BY CONSUMERS AND HELP POLICYMAKERS AT ALL LEVELS
TRIAND SHAPE THE KIND OF INNOVATIONS TO RAISE COMMUNITY
HEALTH. AS WE HEAD OUT TOWARDS THE GREAT
HALL EXPO WHERE THERE ARE OVER 15 INNOVATORS LIKE THOSE SEEN ON
STAGE TODAY, MANY FOR THE FIRST TIME YOU'LL SEE, JUST KEEP IN
MIND THAT THE BIG PICTURE ON ALL OF THIS IS THE CHANCE TO BE AT
THE FRONTIER OF ADVANCING HEALTH CARE VALUES.
THE U.S. IS SPENDING 17% OF GDP AND OTHER ADVANCED NATIONS ARE
SPENDING 10-11%. WE KNOW FROM THE DATE AT AND
ANALYSIS IN RECENT YEARS THAT THERE ARE WAYS TO IMPROVE ON THE
RADICAL AND EFFICIENCIES AND OPPORTUNITIES THAT THESE POCKETS
PRESENT IN THE U.S. AND HARNESSING THIS KIND OF DATA
THROUGH PUBLIC TRANSPARENCY AND PRIVATE CREATIVITY AND
INNOVATION WILL LAY THE FOUNDATIONS, I THINK, FOR A NEW
GENERATION OF INNOVATION THAT WILL BENEFIT US ALL.
IF WEEK PUT UP ON THE AGENDA, WE HAVE THE AGENDA SLIDE UP JUST
FOR A SECOND. YOU'LL SEE FOR THOSE WHO ARE
REGISTERED FOR THE AFTERNOON SESSION, THOSE WILL BEGIN AT
12:15. I HAVE BEEN TOLD THEY ONLY GO TO
THE ROOM OR SESSION INDICATED ON THE BACK OF YOUR -- .
[OFF MIC] -- THAT'S THE KIND OF CREATIVITY
AND INNOVATION IN SCHEDULING YOU CAN EXPECT FROM CHDI.
SO EXPO UNTIL 12:30 AND SAY AGAIN --
-- [OFF MIC] -- BREAKOUTS SHORTLY THEREAFTER.
AND SOON AFTER THIS MEETING, YOU WILL GET A SUMMARY OF THE
DISCUSSIONS IN THE BREAK OUT SESSIONS SO YOU WILL BE IN THE
LOOP AND THEN YOU HAVE THE OPTION TO OPT IN ABOUT FUTURE
ANNOUNCEMENTS AND THE EVOLVING DATA SETS.
AND A BIG THANK YOU TO ALL OUR PRESENTERS AND FOR THOSE WHO
JOINED US IN PERSON AND MANY WATCHING ON THE WEB, THANK YOU
FOR JOINING US. [APPLAUSE]