National Healthcare CIO Summit What is the Wellness Map?

Mark Zirkelbach

March 13, 2017

Presentation Objectives

• Describe: • Applications of GIS in healthcare

• GIS application in patient and clinician engagement

• Location intelligence impact on personal health decision-making

What is GIS?

• Geographic Information System (GIS) – • Captures, stores, manipulates, and present spatial or geographical data

• Commonly the spot on a map where the latitude and longitude appear

• Knowing Where Things Do Happen or Could Happen Helps: • Customers, Suppliers, Workforce, Transportation

• Adds a spatial element to our data • a visual “where” versus just data lists

Social Determinates of Health

Negative

Health

Outcome

Individual-level

health education

efforts

Poverty

Determinants of

health

Ad

ap

ted

fro

m: W

HO

(1

99

0)

Accountable Care Ecosystem

Health System Data

Community Health Data

Community Health Management System

CHMS

Clinical

Medical Staff

Administrative

Demographics

Resources

Cultural

Hot Spot Analysis

Target Intervention

Strategy

Predictive Admission

Status

Real-time data linking through geographic technology

Community - where location becomes clinically relevant and provides meaningful context for diagnosis, treatment, and healing of patients.

What Is The Wellness Map?

• Personalized map to help patient’s achieve their health & wellness goals in addition to addressing their socioeconomic needs.

• Map is seamlessly integrated with the Epic electronic health record system & MyChart patient portal.

• Leverages a flexible and scalable central repository of community resources mapped to appropriate diagnoses and conditions, any other relevant information; e.g., Religion, Scheduled Appointments, etc.

The Goals of the Wellness Map • Bridge the gap of care between health care delivery systems &

patient’s home/community

• Provide a spatial view of community and clinical care resources to patients

• Provide personalized and easy tool they can use at home or smartphone

• Improve patient utilization of community resources and compliance with wellness goals

The 7th Vital Sign

• Body Temperature

• Heart Rate

• Blood Pressure

• Respiratory Rate

• Pain

• Distress

•Place

Key Benefits

• Patient’s have a mobile map app to quickly find community resources custom to their situations.

• Providers/Care Coordinators can quickly evaluate availability of community resources.

• Health system has one consistent, up-to-date community referral database.

• Highly customizable to cater search results to different patient populations & department needs.

• Can integrate with a wide variety of applications to create a synergistic user experience.

• Able to measure which resources are frequently viewed.

• 3 month pilot at LLUH’s Center for Health Promotion w/ Dr. Peters.

• Focused on patients dx w/ metabolic syndrome & diabetes.

• Goal to have patients use map & community resources.

• MDs spent up to 15 min counseling, sharing Wellness Map, & how patient goals could be achieved using community resources.

• Patient feedback, “cool”, “this is helpful”, “needs more resources on map.”

• Provider feedback, “easy to use”, “has great potential”, “need mobile version.”

Benefits Identified During Pilot

Workflow

Provider Performs

Evaluation, Management

& Set Patient Goals

Launches Map in

Epic Hyperspace

Reviews Resources

In Wellness Map

Staff Helps Patient

Enroll for MyChart Patient Visits

Care Clinic

Patient Goes Home

Reviews Wellness Map via

MyChart or MyChart Mobile

Patient Uses Community

Resources to Improve

Health & Wellness

My Appointments

Medical

Health & Wellness

Social

Find resources by directly

searching for them

Resources are shown based

on distance from patient’s home

Patient’s appointments, Primary Care

Provider, and preferred lab & pharmacy

is automatically pulled from the EHR

There are 3 main categories of

resources with customizable

sub-categories that appear based

on the patient’s EHR diagnoses Map automatically centers on

patient’s home address from EHR

Resources can quickly be added,

updated & removed from database

Directions are

automatically generated

Bus, walk, & other

transportation modes

available

Business address, hours,

phone, website, & list of

services

Comparison Personalized based on

patient’s EHR diagnosis?

Accurate and Up-to-Date?

Save favorites & print map?

Easy to find the right health

resource?

Easy to use? Configurable? Secure &

HIPPA Compliant?

Mobile App?

No No No Yes Yes No No Yes

No No Yes No Yes No No Yes

No No No Yes No No No No

Yes Yes No;

future Yes;

automatic Yes Yes Yes Yes

Identified CommunityResources

Epic InterconnectBackend Services

Patient Provider

MyChartInternet (External) via

Internet & Mobile

EpicHyperspace (Internal)

Survey

Service .ASPXGeoportal

Inte

gra

ted

- P

HI

IEHPClaims Data

LLUH Hub

Determine Outcomes

Future Use Cases

• Understanding our population to help us make better decisions (strategic – services and capital investments).

• Wayfinding to help people navigate outdoors and indoors in real-time around the campus.

• Tracking of equipment and assets for improved security and compliance (RTLS).

• Tracking campus shuttles for location and utilization for efficient patient movement

Frequently Asked Questions

Q: How will POIs be deemed appropriate to add to the database? A: Data governance along with guidelines will need to be created with the help of all parties.

Q: Will a new map be generated when the patient’s diagnosis & other health information is updated? A: Yes, the map is dynamic and will automatically be updated when there are updates to the patient’s EHR record in real-time.