Big Cities, Big Data, Big Lessons! Leveraging Multi-Sector Data in Public Health to Address Social Determinants of Health December 13, 2017 1
Data Across Sectors for Health (DASH) DASH, a national program of the Robert Wood Johnson Foundation, was launched to align health care, public health, and other sectors to compile, share, and use data to address social determinants of health . DASH awarded 10 grants totaling $2 million to support projects that improve community health through multi-sector data sharing collaborations. DASH is a founding partner for a national peer learning network, All In: Data for Community Health , which includes representatives from over 60 community projects from around the country.
10 DASH grantees Chicago Dept. of Lutheran Social White Earth Public Health - Seattle HealthInfoNet Public Health Service of Reservation Tribal & King County Minnesota Council NYC Dept. of Mental Center for Health Parkland Center for Allegheny County Baltimore City Health and Hygiene Care Services Clinical Innovation Health Dept. Health Dept.
60 All In Communities
Core components of DASH and All In Collaborative Partners Multi-sector Outcomes: Approach Increased local capacity to drive Data and community health Information Sharing Improvement
Speakers Carrie Hoff, Kevin Konty, MS, Director, Karen Hacker, MD, MPH, Deputy Director, Health & Research and Analytics, NYC Director, Allegheny County Human Services Agency, San Department of Health and Health Department Diego County Mental Hygiene Darcy Phelan-Emrick, DrPH, Amy Laurent, MSPH, Epidemiologist III, Public Chief Epidemiologist, Baltimore City Health Health, Seattle & King County Department
Neighborhood Tabulation Areas: Enhancing population health improvement capacity in NYC through shared information at the small area level Kevin Konty New York City Department of Health and Mental Hygiene Big Cities, Big Data, Big Lessons! DASH-APHA Webinar December 13 th , 2017 7
Neighborhood Tabulation Area Project Objective : to work with partners to bring together health and social determinants of health data at the neighborhood-level using a new geographic scale, the Neighborhood Tabulation Area (or NTA). NTAs Count = 188 8 Median Population = 36,600
Partners City Agencies • N ew York City Department of Health and Mental Hygiene (DOHMH) • Department of City Planning (DCP) • Center for Innovation through Data Intelligence (CIDI) • Department of Correction (DOC) • Department for the Aging (DFTA) • Department of Social Services (DSS) • Department of Homeless Services (DHS) • Human Resources Administration (HRA) Organizations • The New York Academy of Medicine (NYAM) • United Hospital Fund of New York (UHF) • The Fund for Public Health in New York City (FPHNYC) 9
NTA Project Motivation • Increased focus on Social Determinants of Health (SDOH) • Health data often lack SDOH information • Necessity of linking health with census and other data at census geography • Optimal census geography for neighborhood health? Source: https://www.healthypeople.gov/2020/topics-objectives/topic/social- determinants-of-health 10
Neighborhood Defined as Community District (CD) • 59 CDs in NYC • Benefits of CD: o Critical geography for community planning and decision making o Each CD approximates a Public Use Microdata Area (PUMA): readily available census data o Example: Community Health Profiles 2015 • Limitation of CD: median population of 140,000 may mask potential heterogeneity CDs Count = 59 Median Population = 140,000 11
Neighborhood Tabulation Area (NTA) • Statistical area created by Department of City Planning • NTA is aggregation of census tracts within the same PUMA • “Minimum” population of 15,000 • A useful geography for assessing and analyzing neighborhood health NTAs Count = 188 Median Population = 36,600 12
Desirable Properties of Geography for Neighborhood Health Assessment and Analysis • Granularity • Reliability • Correspondence to neighborhood boundaries • Spatial congruity • Temporal consistency • Compared with other geographies with available census data (CD, census tract, ZIP Code), NTAs generally represent the best tradeoff among these desirable attributes 13
NTA is more granular than CD (PUMA) 14
NTA is more granular than CD (PUMA) 15
Age-adjusted Premature Mortality Rate in CD 313 (Brighton Beach & Coney Island) CD 313 = 218 per 100,000 16
NTA estimates are more reliable than CT estimates 17
Unlike zip codes, NTAs correspond to N Riverdale Woodlawn Fieldston Wakefield Riverdale historical neighborhood boundaries Bronx Willmsbridge Olinville Spuyten Duyvil Kingsbridge Eastchstr Norwood Ednwld Co-Op City V Cortlandt Vlg Baychstr Marble Hl Bedfrd Pk Inwood Fordhm N Kingsbridge Hts Bronxdale NTAs have identifiable neighborhood names Allerton Pelham Gdns Fordhm S Wash Hts N Belmont Pelham Pkwy University Hts Morris Hts Van Nest Mt Hope Morris Pk Pelham Bay E Tremont Country Club Westchtr Sq Clarmnt City Island Wash Hts S Bathgate Parkchstr W Farms E Conc Bronx Riv Westchstr Conc Vlg Unionprt Morrisania Soundview Hamilton Hts Melrose Bruckner Schuylerville Throgs Nck Soundview Edgewater Pk Manhattanville Melrose S Longwood Castle Hl Mott Haven N Clason Pt Harding Pk Hunts Pt Mott Haven Manhattan Morningside Hts Prt Morris Central Hrlm S E Hrlm N Queens Rikers Island Upper W Side E Hrlm S Whitestone Ft Totten Bay Ter Clearvw College Pt Steinway Lincoln Sq Yorkville LAGUARDIA Upper E Side AIRPORT Carnegie Hl Old Astoria Murray Hl Lenox Hl Clinton Roosevelt Is Douglas Mnr Bayside Flushing Douglaston Midtown Astoria E Elmhurst Bayside Hls Little Nck Midtown S Queensbridge Jackson Hts Turtle Bay Ravenswood E Midtown E Flushing N Corona LIC West Village Hudson Yrds Chelsea Glen Oaks Flat Iron Floral Pk Woodside Murray Hl Elmhurst Auburndale Union Sq New Hyde Pk Kips Bay Queensboro Hl Oakland Gdns Hunters Pt Corona Sunnyside Elmhurst W Maspeth Maspeth Gramercy Fresh Mdws Bellerose Pomonok Utopia W Vlg Stuy Town Flushing Hts Cooper Vlg Hillcrest Greenpoint Rego Pk E Vlg Maspeth SoHo Kew Gdns Hls TriBeCa Forest Hls Jamaica Ests Civic Ctr Middle Vlg Little Italy Lower E Side Holliswood Queens Vlg N Side E Williamsburg Chinatown S Side Briarwood Hollis Jamaica Hls Battery Pk City Lower MN Kew Gdns DUMBO Ridgewood Vinegar Hl Jamaica Williamsburg Glendale Dwntwn BK Boerum Hl BK Hts Richmond Hl S Jamaica Cambria Hts Cobble Hl Bedford St Albans Ft Greene Woodhaven Stuyvesant Hts Clinton Hl Cypress Hls City Line Carroll Gdns Baisley Pk Columbia St Prospect Hts Red Hook Ocean Hl Ozone Pk S Ozone Pk Laurelton Crown Hts N Pk Slope Springfield Gdns N Brooklyn Gowanus Crown Hts S E New York (PA Ave) Brownsville Springfield Gdns S Brookville Prospect Lffrts Gdns E New York Wingate Lindenwood Rosedale Howard Bch Rugby Windsor Ter Remsen Vlg Sunset Pk W Starrett City JOHN F. KENNEDY INTERNATIONAL AIRPORT Erasmus W New Brighton Flatbush Sunset Pk E New Brighton Kensington St George Ocean Pkwy E Flatbush Farragut Canarsie Mariner's Hbr Arlington New Brighton Borough Pk Prt Ivory Silver Lake Graniteville Flatlands Grgtwn Bay Rdg Marine Pk Dyker Hts Midwood Bergen Bch Grymes Hl Mill Basin Clifton Westerleigh Ocean Pkwy S Fox Hls Bensonhurst W Stapleton Rosebank Madison New Springville Bath Bch Bloomfield Far Rckwy Grasmere Travis Bensonhurst E Bayswater Arrochar Ft Wadsworth Homecrest Hammels Arverne Staten Edgemere Sheepshead Bay Old Town Gravesend Gerritsen Bch Dongan Hls MN Bch Todt Hl S Bch Emerson Hl Island Heartlnd Vlg Brighton Bch Lghthouse Hl W Brighton Seagate Coney Is New Dorp Midland Bch Oakwood Oakwood Bch Breezy Pt Belle Hbr Rckwy Pk Arden Hts Broad Channel Great Kills Rossville Woodrow Annadale Huguenot Charleston Prince's Bay Neighborhood Tabulation Areas or NTAs, are Richmond Vly Eltingvl Tottenville aggregations of census tracts that are subsets of New York City's 55 Public Use Microdata Areas (PUMAs). Primarily due to these constraints, NTA boundaries and their associated names may not Source: U.S. Census Bureau, American Community Survey, 2006-2010 Summary File definitively represent neighborhoods. Population Division-New York City Department of City Planning
Data Sources • American Community Survey • NYC Department of Health and Mental Hygiene – Vital Statistics – Disease Control – Environmental Health – A1C Registry • Other city agencies – Administration for Children’s Services – Department of Social Services • Human Resources Administration • Department of Homeless Services – Department for the Aging – Department of Correction – Department of Education (YC FITNESSGRAM) • ED/hospitalizations claims database – Statewide Planning and Research Cooperative System (SPARCS) • NYC Medicaid data • Health Data NY • NYC Open Data • 100+ indicators have been created and linked using the above data to assess social determinants of health 19
Key Project Activities • Inclusion of 100+ indicators • Automated geocoding routine • DOHMH NTA population estimates • Data Dissemination • Development of use cases 20
Recommend
More recommend
