Metrics That Matter for Population Health Action Workshop Summary (2016) / Chapter Skim
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5 World Caf
5 World Caf
Pages 83-94
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From page 83... ...
After 20 minutes, the participants change tables and discuss the same question again. For this workshop, the planning committee chose the following two questions for the participants to consider, and this process was repeated twice, once for each question.
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From page 84... ...
. Barriers to Measurement Barriers mentioned by various individual participants in different World Café discussion groups include mistrust of the data, of the people or organizations pre senting data or metrics; institutional inertia or resistance or devotion to maintaining the status quo; past accountability or feedback about data collected leading to community mistrust and burnout; high-profile validated metrics sets are not always relevant or flexible to meet community need; lack of granularity/local relevance; resource limitations; technical difficulties with integrating data in different formats; competing interests in a multisector environment.
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From page 85... ...
Another point raised by a few participants in the discussions was that language and communication are important factors to mind when collecting data and relaying the results to the community given that data collection tools can fail because they ask the wrong questions for a particular ethnic 1 This section is based on the reports by Alina Baciu, Senior Program Officer at the IOM; Amy Geller, Senior Program Officer at the IOM; Mary Lou Goeke, Executive Director of the United Way of Santa Cruz County; Marthe Gold, Visiting Scholar at the New York Academy of Medicine; Lyla Hernandez, Senior Program Officer at the IOM; Katherine Papa, Director of Public Health Initiatives at AcademyHealth; Steven M Smith, Clinical Assistant Professor of Pharmacotherapy and Translational Research at the University of Florida; Brenda Sulick, Policy Outreach Director at AARP Public Policy Institute; Darla Thompson, Associate Program Officer at the IOM; Matthew Trowbridge, Associate Professor at the University of Virginia School of Medicine; Julie Willems Van Dijk, Co-Director of the County Health Rankings and Roadmaps Program, University of Wisconsin Population Health Institute; and Kelly Warden, Project Manager at the U.S.
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From page 86... ...
A second set of points raised at this table was the importance of sustaining efforts and the challenges of securing stable funding to collect data over the long term and provide ongoing feedback to the community and to provide tools with which the community can take action based on that data-driven feedback. One participant suggested that hospital community benefit funds could be a source of sustainable funding if hospitals and health systems were shown meaningful measures that would enable them to take actions relevant to their goals and mission regarding public health.
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From page 87... ...
Also mentioned during the discussion was the desire for qualitative data to help inform quantitative data. Reporting on what he called the robust discussions at his table, Steven Smith listed several ideas that the various discussants raised with regard to helpful measures.
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From page 88... ...
With regard to health care, one idea raised was that if the health care system was designed to serve the 5 percent of the population that uses the biggest share of health care resources, perhaps a delivery system designed to serve those 5 percent optimally would be a better system for everyone. Julie Willems Van Dijk said that she was struck by an idea voiced at her table about the centrality of the community voice in thinking about measures and how different that is from what the conversation would have been about even 5 years ago.
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From page 89... ...
Smith, Clinical Assistant Professor of Pharmacotherapy and Translational Research at the University of Florida; Brenda Sulick, Policy Outreach Director at AARP Public Policy Institute; Darla Thompson, Associate Program Officer at the IOM; Matthew Trowbridge, Associate Professor at the University of Virginia School of Medicine; Julie Willems Van Dijk, Co-Director of the County Health Rankings and Roadmaps Program, University of Wisconsin Population Health Institute; and Kelly Warden, Project Manager at the U.S. Green Building Council.
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From page 90... ...
Barriers listed by the discussants at Sulick's table included the challenge of making measures meaningful for different audiences and understandable by the community; the difficulty of linking datasets; and the struggle to help stakeholders see the value of metrics and be in a position to make decisions based on the data the metrics produce. An example that was discussed was how the real estate website Zillow cuts its data by neighborhood, walkability, and schools to make its data more meaningful, appealing, and personalized for users.
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From page 91... ...
One way in which this manifests itself is that data collected by the public health sector may not be actionable by another sector. DISCUSSION Steven Woolf observed that although he expected the workshop to be heavily weighted toward technical and methodological issues, datasets, and statistics, the conversation has instead been dominated by talk about the importance of community and stakeholder engagement.
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From page 92... ...
If a question is germane to the health care delivery system, measures on meaningful use and how the population of a specific clinic is doing are appropriate, while if the goal set is to bring partners to the table, a different set of metrics would be germane. Regardless of the question and specific measures, Nieves-Rivera believes health systems need to move away from data ownership and toward using data in the best way possible to address specific community goals.
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From page 93... ...
. Bhatia replied that this was a milestone report that was, in part, about standardizing the doctor's social history, but he did not think that the set of behavioral and social measures proposed in that report reached the scope of social determinants of health, nor that the electronic health record was the place to collect those data.
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From page 94... ...
A study conducted after the roundabouts were installed showed that these traffic calming measures helped stitch the community together so that more people were walking and biking and were frequenting local businesses more often. Stiefel offered the final comment that he said could be construed to be more about consternation than insight, and it had to do with perspective and bias.
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