Cdc action inst_houston_2010_April28

Matthew Stone, MPH GIS/Informatics Specialist Information Technology Support ServicesCenter for Chronic Disease and Health Promotionhttp://www.gis.cdph.ca.gov/cnn

Promoting a Data Delivery Framework for Healthy Communities in California

Featuring: Collaboration and GIS Technology

•Describe California State Legislation that serves as background context for the current direction of Healthy Communities activities in California Department of Public Health (CDPH).

•Discuss current collaborative activities within CDPH and chronic disease programs, specifically focusing on our task of building web interfaces integrating existing data from a developing repository of chronic disease and indicator data.

•Give examples of strategies we will be implementing for distribution of tabular and spatial data from this centralized indicator repository.

Main Objectives

2006Proposition 84: The Safe Drinking Water, Water Quality and Supply, Flood Control, River and Coastal Protection Bond Act of 2006 authorizes $5.388 billion

AB 32: California Global Warming Solutions Act

2008SB 375: Focus on transportation planning: travel demand models: sustainable communities strategy: environmental review

SB 732: Establishes Strategic Growth Council to take certain actions with regard to coordinating programs of member state agencies to improve air and water quality, improve natural resource protection, increase the availability of affordable housing, improve transportation, meet the goals of the California Global Warming Solutions Act of 2006, encourage sustainable land use planning, and revitalize urban and community centers in a sustainable manner.

California LegislationInfluences Healthy Communities

A Healthy Community provides for the following through all stages of life:

Meets basic needs of all• Safe, sustainable, accessible and affordable transportation options• Affordable, accessible and nutritious healthy foods• Affordable, high quality, socially integrated and location-efficient housing• Affordable, accessible and high quality health care• Complete and livable communities including affordable and high quality schools, parks and recreational

facilities, child care, libraries, financial services and other daily needs• Access to affordable and safe opportunities for physical activity

Quality and sustainability of environment• Clean air, soil and water, and environments free of excessive noise• Tobacco and smoke free• Green and open spaces, including agricultural lands• Minimized waste, toxics, and green house gas emissions• Affordable and sustainable energy use

Adequate levels of economic, social development• Living wage, safe and healthy job opportunities for all• Support for healthy development of children and adolescents• Opportunities for high quality and accessible education

Health and Social Equity

Social relationships that are supportive and respectful• Robust social and civic engagement• Socially cohesive and supportive relationships, families, homes and neighborhoods• Safe communities, free of crime and violence

What is a Healthy Community?CDPH Definition

Strategic Growth Council Promotes Healthy Communities

From SB 732

…to take certain actions with regard to coordinating programs of member state agencies

to improve air and water quality, improve natural resource protection, increase the availability of affordable housing, improve

transportation, meet the goals of the California Global Warming Solutions Act of 2006,

encourage sustainable land use planning, and revitalize urban and community centers in a

sustainable manner

Governor’s Executive Order S-04-10, Feb. 23,2010

The Strategic Growth Council (SGC) shall establish a Health in All Policies (HiAP) Task Force to

identify priority programs, policies, and strategies to improve the health of Californians while advancing the SGC’s

goals

Health in All Policies (HiAP) is a strategy to explicitly expand the consideration of health outcomes in the policy decision-making processes of these non-health agencies. The development of multi-agency strategies to improve health outcomes is especially relevant to address obesity and chronic illness, given the complexity of policy-making related to transportation, the built environment, and food systems.

CDIWG Mission:Create a new organizational culture where collaboration and integration are defined as a normative priority process with the expectation to ultimately improve health outcomes and health equity by increasing state capacity for chronic disease and injury prevention and control.

Current CDPH Activities

Chronic Disease Integration Work Group (CDIWG)

Special Topic Subgroups

• Surveillance and Data

• Built Environment

• Healthcare / Providers

• Employer / Employee

• Messaging

Quarterly Meeting Format

• Special Topic Updates

• Web & Technology Updates

• Guest Presentations

California Participation in CDC’s Healthy Communities Program

Progress to date

• Convene internal work group to develop recommendation on 10-20 chronic disease indicators that all communities should measure

• Obtain consensus on chronic disease indicators

• Develop repository of chronic disease and indicator data; build web interfaces integrate existing data and enable remote access by local health departments.

• Train local health departments on spatial attributes to more effectively implement programs in specific neighborhoods based on identifiable social, economic, and health indicators.

It’s about DATA too:Bill Language…

“Provide, fund, and distribute data and information to localgovernments and regional agencies that will assist in developing andplanning sustainable communities.”

Data Work Group of SGC works on determining relevant data elements/sources

Parallel creation of State Data Portal http://www.data.ca.gov

Objective 3 for Strategic Growth Council

We need to use data and information to help communities go from this

To This

HOW?

Balance of Technology and Knowing your Users

….Should be EASY, RIGHT???? since…..

is just …

The internet doesn’t need to be Mysterious —

Leave that to the programmers

Empower users to act with/re-use data;not only view and

download

Get Data into hands of Decision Makers

One idea is to just create a portal…We all do it, they’re everywhere

Federal Data.gov portal

Doing a search on the Raw data catalog, most things are .CSV files

Most items are redirecting to static files, some can be linked via the URL

State of California Data.gov portal

Feds Geospatial One Stop: Only 5 featured live Geodata sites within the

Health category

Federal GeoSpatial portal

"The major difference between open and public data is [that with open data] you have the ability to re-use it.  Data in document format is effectively useless.  By making [data] open...people can analyze, compare, and benchmark it, and find patterns that you did not realize." Doug Hadden, Vice President/Products, FreeBalance

Right now Data.gov is a pretty looking file-server. Some of the datasets are dynamic, and these datasets should also be available as a service, since it would be nice to have a reliable source of updated information. RESTful access to dynamic data would be fantastic, and GData and Microsoft's new OData may be nice

UC Berkeley professor of Information Science

Actual Quotes by people in the field of data systems:

Integration

Try to focus on two concepts:

Interoperability

+

=Getting Data into hands of Decision

Makers

We know this…

• 2180 Mapping Mash-ups• 108 Mapping API’s

So do others…

How can we apply Geographic Information Systems to the way we

prevent chronic disease in a state, county, community, or

neighborhood?

What is GIS (Geographic Information Systems)?

•Formal Definition:

Organized collection of computer hardware, software, personnel, geographic data, used to systematically capture, store, display, analyze and retrieve all forms of geo-referenced information….

•In Business Terms:

A useful system in which to organize geographic knowledge into useful business logic and successful collaboration and sharing of data….

•In State Health Department Terms:

Enterprise data (like much of what we have within state health departments) can benefit from being dynamically geo-enabled by promoting…..

Of course, links alone don’t address all the needs of the evolving Web/Internet, but they start to provide for the integration of

geospatial data with the rest of the web.

linkages

Using GIS to spatially display data, maps can be produced that:

And assist in answering questions like:

• How can the Center for Chronic Disease provide a gateway for Local Health Departments for accessing important social determinants of health relative to chronic disease?

• How could a Diabetes Program allocate training funds appropriately to reach the majority of its target population?

• How can Chronic Disease programs begin using GIS for modeling disease rates and demonstrating health effects of land use policies?

•Inform health program delivery

• Communicate a message

• Support policy, environmental, and systems change

Adaptation--Use technology for what it can provide

There are several examples that we could leverage….

OK….now I’m getting excited…..

It’s pretty simple to mix things up

Data in this application is exposed as raw .xml…

To make this…but to also allow for….

Again, it’s pretty simple to mix things up

or…something like this pretty easily

…and this

Yeah, so, where’s the data?

…if we use common practices and organization

…but make it available for indexing services and search

engines

Wouldn’t it be easier to just link to your output?

Live data from CDPH

Live data from CDPH

Some people might not want to be forced into your application BOX

So, give them options

Desktop GIS Client

Put the simple pieces together first

• Organize the data in a useable, consumable fashion

• Spread the word about the possibilities of more open data sharing

• Follow accepted standards/formats that lend to usability

– GeoRSS, Atom/RSS, etc.

RSS feeds become quite powerful with a location component (GeoRSS)

Other Ideas? Endless Possibilities….

Where do you wish to establish your Data/Web Presence

• Network for a Healthy California http://gis.cdph.ca.gov/cnn specifically utilizes GIS for community-based project requirements

• California Arthritis Partnership Program (CAPP) uses GIS to view their program assets in relationship to their targeted population for appropriate program reach

• Your own program events as an RSS feed on a map (GeoRSS)

THIS IS JUST A START….

We all know, it’s about the Community….

• At the policy level, maps can communicate a message

• Where are our funded programs in a community and where AREN”T they

• What could you do with a combination of local data and statewide data (Example: a statewide Retail Food Environment-type index over-laid by local program data)?

• Use your imagination….

Questions?

Matthew Stone, MPH

[email protected]

916-552-9918