Data for Healthy Insights

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Data for Healthy Insights South Carolina Association for Community Economic Development (SCACED) and MITRE Partnership Funded by the Robert Wood Johnson Foundation 2016 The MITRE Corporation. ALL RIGHTS RESERVED. Approved for Public Release; Distribution Unlimited. 16-2189

1 Introductions

2 Background The South Carolina Association for Economic Development (SCACED) and MITRE, supported by the Robert Wood Johnson Foundation, partnered to demonstrate how public data sources, big data, and advanced analytics can transform knowledge and accelerate progress towards creating a Culture of Health Identified an initial use case: Apply data analytics over publically accessible data sources from multiple sectors to support SCACED s initiative, Data for Healthy Food Access in South Carolina Utilize predictive modeling and data visualization to inform investment and collaboration decisions

3 Data for Healthy Insights To contribute to a solution, SCACED & MITRE launched the Data for Healthy Insights initiative in South Carolina Designed to increase access to a healthy lifestyle in economically underserved, low-access communities Unconventional partnership MITRE data analytics firm primarily involved in research Built the initial analytic capability, Healthy Insights, to enhance impact in South Carolina and beyond SCACED statewide trade association, primarily involved in program administration, advocacy Health = non-traditional CED area in SC Tool, helping make connections b/w community development and health

Problems in South Carolina 4 7th most obese state in the country and lags behind the rest of the nation in overall health measures 1 Ranks 42nd in standard public health measures, including the prevalence of obesity, heart disease, and diabetes 2 Ranks 4th in the nation for adult population with diabetes and 3rd for African American adults with diabetes 3 Spends $1.2 billion on care of patients with conditions related to obesity 3 If South Carolina could halt the increase in obesity and simply maintain today s levels, it would save the state approximately $3B by 2018 3 1. South Carolina Food Access Task Force, "Access to Healthy Food in South Carolina," 2014. 2. United Health Foundation, "America's Health Rankings," 2014. 3. South Carolina Department of Health and Environmental Control, "Diabetes in South Carolina," 2011.

Problems in South Carolina 5 According to USDA, 118 Census Tracts in South Carolina - or 11% of the state - are classified as "low-income" and "low access".

Healthy Insights Tenets 6 Keep costs low for easy leverage by other communities Open, publicly available data Open source software when possible Build intuitive user interface Easy to use without training Support modestly sophisticated analyses Selected and pre-set queries

Healthy Insights 7 www.healthyinsight.org

Primary Data Sources 8 Census Demographic Profile (DP1) American Community Survey (ACS) Topologically Integrated Geographic Encoding and Referencing (TIGER) RWJF County Health Rankings Local Resources USDA SNAP retailers (classification through detailed analysis) Farmer s Market and Consumer Support Agriculture Let s Go! South Carolina Physical Activity Locations SCACED members and stakeholders Church data

9 Correlations Factor Correlation with Obesity in South Carolina P-value Median household income -0.81 Less than 0.001 High school graduation rate -0.72 Less than 0.001 Percentage of college graduates -0.80 Less than 0.001 Percentage of single mothers 0.58 Less than 0.001 Miles to nearest grocery store 0.61 Less than 0.001 Miles to nearest farmer s market 0.38 0.0092 Miles to nearest junk food retailer 0.48 0.0008 Number of nearby junk food retailers 0.22 0.1415 Income and education are more strongly correlated with obesity than distance to nearby retailers.

10 Healthy Insights: Capabilities Identify communities that are high-need based on factors such as proximity to a food retailer, population burden of dietary related disease, and median income Identify opportunities to improve access to a healthy lifestyle by pinpointing the locations of nearby organizations that could improve access to food, physical activity, educational, or economic resources Identify high impact interventions by exploring correlations between risk factors and dietary related disease and predicting the health impact of mitigating these factors Prioritize investment areas, guide intervention design, measure impact

11 Data-Driven Decision-Making Scenario 1: Census County Division Data Example: Obesity and Distance to a Supermarket Drilling down to the community-scale Scenario 2: Predictor Modeling Example: Obesity and Income Helping drive local programming in an area Scenario 3: Identify and Mobilize Local Capacity Example: # of churches and/or CDCs in an area Inform investment decisions based on SCACED s local partnerships

Scenario 1: Census County Division Data Drilling Down to the Community Scale 12

Scenario 2: Predictor Modeling Help Drive Long-Term Programming 13

Scenario 3: Identify and Mobilize Local Capacity Show Capacity in an Area & Inform Investments 14

SCACED and MITRE at RWJF 15