GIS Master for All Page Health Organizations
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1 GIS Master for All Page Health Organizations 2008 ESRI Health GIS Conference Washington, D.C., September 28, 2008
2 Introductions Master Page Kristen Kurland Teaching Professor of Architecture and Public Policy Research -Urban Design, Economic Development, Community Participation -Health and the Built Environment -Spatial Analysis Using GIS Teaching -CAD, BIM, 3D Visualization, CAFM, GIS, -Health Care Policy and Management -Infrastructure Management (Masters of Medical Management)
3 GIS Master Textbook Page Author Co-authored with Heinz School Professor, Wil Gorr
4 Health Master Organizations Page using GIS Public Health Agencies Social Services Hospitals, Medical Groups Insurance Companies Academics -Medical Schools, Public Health Schools, Health Policy Schools, Nursing Schools, Medical Researchers, etc. Health Policy Researchers/Think Tanks Government Agencies Others?
5 GIS Master Levels Page Basic Explore and map locations visually Intermediate Spatial relationships/analysis Advanced Complex spatial analysis
6 Basic Master GIS Page Tools Google Maps, Visual Earth, etc. ArcGIS Server, ArcIMS ArcExplorer WEB Pros Can be inexpensive, easy to map and access Show locations and visualizes health data Reaches large audiences Cons Data might be difficult to interpret No analysis
7 Master Page Journalist Exploring Health Data
8 Online Master News PageAssociation Top 10 Tech Trends Number 3: Geobrowsing Using the Web to Cover Healthcare Panel: -Scott Hensley, Wall Street Journal -Kristen Kurland, CMU -M. Asif Ismail, Reporter, Center for Public Integrity -Matt Chittum, Data Delivery Editor, The Roanoke Times
9 The Master Geography Page of Aging
10 Lead Master Poisoning Page
11 Master Page Government Agency Providing Data
12 Centers Master Page for Disease Control
13 Master Page Social Services
14 Adelaide Department for Master Page Families and Communities MapIQ Assists with customer service Staff can locate appropriate services or facilities for the customer Agency Examples -Housing SA Locate a customer in a dwelling with access to appropriate services / facilities -Disability SA Find a Disability SA service centre that the customer can access via public transport -Problem Gambling Find Gambling counseling services for a client near their home -Office for the Ageing Assist a customer with Finding a retirement village in a seaside suburb with doctor and Pharmacy services near by
15 MapIQ Master Page
16 Master Page Other Examples?
17 Intermediate Master PageGIS Tools Desktop GIS (ArcINFO, ArcView, ArcExplorer, ArcReader) Pros Spatial analysis Improved modeling and planning Cons Software and GIS layer updates can be costly Time constraints Requires GIS specialist Can be misleading if not done properly
18 Master Page Local Health Department Lead Manager
19 Lead Master Analysis Page Analyzes lead poisoning in local neighborhoods compared to other demographic data Uses maps to show local pediatricians where trouble areas are
20 County Master Childhood Page Lead Study Allegheny County, PA - Housing Data by Census Tract Data Source: obtained U.S. from Census U.S. Census Median Year House Built 1940 or earlier or later
21 ! 0 Cases Master of Children Pagewith Elevated Blood Levels Compared to Housing Age Allegheny County, PA- Housing Data by Census Tract Median Year House Built 1940 or earlier No. Elevated Blood Cases By Tract! or later ! Source: U.S. Census and Allegheny County Health Dept Note: Cases aggregated to Census Tracts! 41-80!
22 ! 0 Map Master Zoomed Pageto Neighborhoods No. Elevated Blood Cases By Tract Source: U.S. Census, Allegheny County Health Dept, Pgh City Planning Median Year House Built 1940 or earlier or later! ! 21-40! 41-80!
23 !( 0 Elevated Blood Level Cases Compared Master Page to Income Median Household Income less than $15, $15, $20, $20, $50, $50, $100, $100, $200, Number of Cases per Census Tract - 10!( Source: U.S. Census and Allegheny County Health Dept!( 21-40!( 41-80!(
24 !( 0 Elevated Blood Level Cases Compared to Educational Master Page Attainment Perectange Over 25 without HS Degree 0% - 10% 10.1% - 15% 15.1% - 25% 25.1% - 30% 30.1% % Number of Cases per Census Tract - 10!( 11-20!( Source: U.S. Census and Allegheny County Health Dept!( 41-80!(
25 Elevated Blood Level Cases Aggregated to Master Neighborhoods Page Data obtained from U.S. Census and Allegheny County Health Dept
26
27 Master Page Weight Management Clinic Director/Staff
28 WMWC Master Recommendations Page Parents can help their children lead a healthier lifestyle by altering some common behaviors, such as: Fast food: Limit fast food consumption to no more than once per week. Sweet beverages: Limit sweet beverage consumption (artificial fruit juice, regular soda, sports drinks, energy drinks and chocolate milk) to no more than one 8 oz. serving per day. Media time: Limit total media time (TV, Internet, video games) to no more than two hours per day. Lack of family meals: Have dinner together as a family at least three times per week. Lack of habitual (usual) activity: Encourage physically active free time activities such as walking, taking the stairs and playing sports with friends for at least 30 minutes a day.
29 WMWC Master Research Page Objective To evaluate if the degree of pediatric obesity, assessed by BMI Z scores, is related to proximity to fast food restaurants or distance from parks To determine if the effectiveness of treatment is related to the following: age, gender, race/ethnicity, number of follow up visits, and proximity to the center
30 Design/Methods Master Page 1,014 patient addresses were mapped with GIS, and then overlaid with layers showing socioeconomic, political, school, and neighborhood districts, parks, and fast food. Distance buffers from the WMWC were created and overlaid with addresses and BMI Z score changes
31 Proximity to Center Results Proximity to the center was unrelated to likelihood of follow-up visits Travel distances (miles) compared to number of patients (all)
32 Proximity to Center Results Proximity to the center was unrelated to likelihood of follow-up visits Travel distances compared to number of patients with follow up visits
33 Proximity to Center Results Proximity to the center was unrelated to success in BMI decreases Travel distances: Z score change (.5 to 2.81) N= 8
34 Proximity to Center Results Proximity to the center was unrelated to success in BMI decreases Travel distances : Z score change (-.5 to -2.16), N= 38
35 Follow Up Visit Results Patients with more than 5 visits showed the most improvement Z score changes: Patients with any follow up visits
36 Follow Up Visit Results Patients with more than 5 visits showed the most improvement Patients >= 5 follow up visits
37 Age Results Children < 5 years showed the highest mean change in a positive BMI Z score (most improved). Z score changes: Age <=5
38 Age Results The median baseline age of patients with highly improved BMI Z score changes (> -1.0) was 7.2 years Z score changes: Ages > 5 and < 10
39 Age Results The median baseline age of patients with highly negative BMI Z score changes (> 1.0.) was 12.8 years Z Score Changes: Ages > 10 and < 14
40 Parks and Fast Food Results Of patients with moderate BMI decrease (Z score change > -0.5) 43.7% live within 1200 feet of a park 56.3% farther than 1200 feet Mean distance to fast food is 1.1 miles. Of patients with moderate BMI increases (Z score change > 0.5) 16.7% live within 1200 feet of a park 83.3% farther than 1200 feet Mean distance from fast food is.8 miles.
41 Parks and Fast Food Results Patient Locations Compared to Fast Food and Parks
42 Master Page
43 Master Page Other Examples?
44 Advanced Master Page GIS Tools Desktop GIS Extensions (Spatial Analyst, Spatial Statistics, Network Analyst, etc.) Pros Advanced spatial analysis Unique insight, investigations, and potential solutions Cons Maps must be published (smaller audiences) Requires advanced desktop GIS training
45 Master Page Researcher Studying Heart Attacks
46 Heart Master attack Pagedensity map
47 Site Master Suitability Page Study Query kernel density map for areas that are commercially zoned and have high density and merit a defibrillator Commercial area 25 block area 10 or more heart attacks every 5 years in locations where bystander help is possible
48 Site Master Suitability Page Study
49 Compound Master Page Query Result
50 Poverty Master Page Index Model
51 Poverty Master Page Contour Map
52 Master Page Other Examples? GIS Tutorial for Health, Third 9.3 Edition
53 Keys Master to Success Page Understand application capabilities and limits Proper budget for project Provide resources for staff Develop collaborations Others?
54 Thank Master You! Page Kristen Kurland
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