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Open AccessJournal ArticleDOI

Geographic Health Information Systems: A Platform To Support The ‘Triple Aim’

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TLDR
How a geographic health information system in Durham, North Carolina, links health system and social and environmental data via shared geography to provide a multidimensional understanding of individual and community health status and vulnerabilities is described.
Abstract
Despite the rapid growth of electronic health data, most data systems do not connect individual patient records to data sets from outside the health care delivery system. These isolated data systems cannot support efforts to recognize or address how the physical and environmental context of each patient influences health choices and health outcomes. In this article we describe how a geographic health information system in Durham, North Carolina, links health system and social and environmental data via shared geography to provide a multidimensional understanding of individual and community health status and vulnerabilities. Geographic health information systems can be useful in supporting the Institute for Healthcare Improvement’s Triple Aim Initiative to improve the experience of care, improve the health of populations, and reduce per capita costs of health care. A geographic health information system can also provide a comprehensive information base for community health assessment and intervention for a...

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Journal ArticleDOI

Building a tuberculosis-free world: The Lancet Commission on tuberculosis

Michael J. A. Reid, +83 more
- 30 Mar 2019 - 
TL;DR: The Commission recommends five priority investments to achieve a tuberculosis-free world within a generation, which answer the question of how countries with high-burden tuberculosis and their development partners should target their future investments.
Journal ArticleDOI

Big data and disaster management: a systematic review and agenda for future research

TL;DR: This study examines big data in DM to present main contributions, gaps, challenges and future research agenda, and shows a classification of publications, an analysis of the trends and the impact of published research in the DM context.
Journal ArticleDOI

Big data in global health: improving health in low- and middle-income countries

TL;DR: The evolving definition of big data and the possible advantages of – and problems in – using such data to improve health-care delivery in low- and middle-income countries are reviewed.
Journal ArticleDOI

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families

TL;DR: This review addresses racism, segregation, and inequality effects on the health and well-being of newborn infants and their families with a focus on preterm birth and discusses three causal pathways: increased risk; lower-quality care; and socioeconomic disadvantages that persist into infancy, childhood, and beyond.
Journal ArticleDOI

Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma

TL;DR: It was found that increased density in housing code violations was associated with population-level morbidity independent of poverty, and that the density explained 22 percent of the variation in rates of asthma-related emergency department visits and hospitalizations.
References
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Journal ArticleDOI

The Triple Aim: Care, Health, And Cost

TL;DR: Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.
Journal ArticleDOI

Many Emergency Department Visits Could Be Managed At Urgent Care Centers And Retail Clinics

TL;DR: It is estimated that 13.7-27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually.

Secondary Use of EHR: Data Quality Issues and Informatics Opportunities.

TL;DR: Some data quality issues the authors encountered in a survival analysis of pancreatic cancer patients are reported and some strategies for using emerging informatics technologies to solve these problems are discussed.
Proceedings ArticleDOI

Aligning temporal data by sentinel events: discovering patterns in electronic health records

TL;DR: An interactive visual tool is presented that complements query formulation by providing operations to align, rank and filter the results, and to visualize estimates of the intervals of validity of the data.
Journal ArticleDOI

Interoperability: the key to the future health care system.

TL;DR: Interoperability is a fundamental requirement for the health care system to derive the societal benefits promised by the adoption of EMRs, and the paper by Jan Walker and colleagues highlights some of these benefits.
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