SlideShare une entreprise Scribd logo
1  sur  33
A population health information framework for primary care Ken Leech HINZ Conference September 2009
There are few PHOs or DHBs who know whether their population health goals are being achieved
Why is this? ,[object Object],[object Object],[object Object],[object Object]
The experience of Northland and Wanganui… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements... The great teams at the Northland PHOs and Whanganui Regional PHO
1. Agree the population health goals ,[object Object],[object Object]
The Primary Healthcare Strategy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How are these relevant to general practice right now? What is the primary care action? Are there services available to treat?
2. Define measures for each goal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Using the example of “Reduce Smoking”
Do we know who needs intervention? The numerator
Do we know who needs intervention? The denominator
Are we delivering the intervention? The numerator
Are we delivering the intervention? The denominator
Is the intervention working?
How big is the problem?
Gaps identified… ,[object Object],[object Object],[object Object],[object Object]
3. Define standards
 
4. Encourage systematic and consistent recording ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Patient dashboard implements evidence-based rules for: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
You are seeing a 37-year old male - should this patient be screened for diabetes? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Has patient dashboard increased systematic and consistent recording of population health data?
Recording smoking status
Recording alcohol consumption
5. Providing tools to support general practice in delivering population health ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Censored
Current status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contenu connexe

Tendances

PRESENTATIE FILE DEC 2008 START 22
PRESENTATIE FILE DEC 2008 START 22PRESENTATIE FILE DEC 2008 START 22
PRESENTATIE FILE DEC 2008 START 22
Arnaud Veere
 
Healthy People 2020: Role of social determinants of health
Healthy People 2020: Role of social determinants of healthHealthy People 2020: Role of social determinants of health
Healthy People 2020: Role of social determinants of health
Priti Irani
 
Phe sally warren 17 09-13
Phe sally warren 17 09-13Phe sally warren 17 09-13
Phe sally warren 17 09-13
howch1961
 
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
Varouj Eskedjian
 
WebMD-Ascension Case Study
WebMD-Ascension Case StudyWebMD-Ascension Case Study
WebMD-Ascension Case Study
Rebecca Wilson
 

Tendances (20)

Jody Ouziel - YMCA Diabetes Prevention
Jody Ouziel - YMCA Diabetes PreventionJody Ouziel - YMCA Diabetes Prevention
Jody Ouziel - YMCA Diabetes Prevention
 
Social care staff preparing for an ahc
Social care staff preparing for an ahc  Social care staff preparing for an ahc
Social care staff preparing for an ahc
 
Omada health snapshot
Omada health snapshotOmada health snapshot
Omada health snapshot
 
Phbs children_17.1.14 final
Phbs  children_17.1.14 finalPhbs  children_17.1.14 final
Phbs children_17.1.14 final
 
NFMNT Chapter 12 Implement Physician's Dietary Orders
NFMNT Chapter 12 Implement Physician's Dietary OrdersNFMNT Chapter 12 Implement Physician's Dietary Orders
NFMNT Chapter 12 Implement Physician's Dietary Orders
 
Andrew Lamberto's presentation May 3 2007
Andrew Lamberto's presentation May 3 2007Andrew Lamberto's presentation May 3 2007
Andrew Lamberto's presentation May 3 2007
 
All Our Health - A Call to Action to All Healthcare Professionals
All Our Health - A Call to Action to All Healthcare ProfessionalsAll Our Health - A Call to Action to All Healthcare Professionals
All Our Health - A Call to Action to All Healthcare Professionals
 
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!iHV regional conf London: Professor Viv Bennett - The Future is HV 456!
iHV regional conf London: Professor Viv Bennett - The Future is HV 456!
 
All Our Child Health - Health Care Professionals Supporting Children, Young P...
All Our Child Health - Health Care Professionals Supporting Children, Young P...All Our Child Health - Health Care Professionals Supporting Children, Young P...
All Our Child Health - Health Care Professionals Supporting Children, Young P...
 
iHT² CMIO Symposium Beverly Hills – Opening Keynote: Kamal Jethwani, MD, MPH,...
iHT² CMIO Symposium Beverly Hills – Opening Keynote: Kamal Jethwani, MD, MPH,...iHT² CMIO Symposium Beverly Hills – Opening Keynote: Kamal Jethwani, MD, MPH,...
iHT² CMIO Symposium Beverly Hills – Opening Keynote: Kamal Jethwani, MD, MPH,...
 
Health quality and management
Health quality and managementHealth quality and management
Health quality and management
 
PRESENTATIE FILE DEC 2008 START 22
PRESENTATIE FILE DEC 2008 START 22PRESENTATIE FILE DEC 2008 START 22
PRESENTATIE FILE DEC 2008 START 22
 
Healthy People 2020: Role of social determinants of health
Healthy People 2020: Role of social determinants of healthHealthy People 2020: Role of social determinants of health
Healthy People 2020: Role of social determinants of health
 
Wellness Presentation
Wellness PresentationWellness Presentation
Wellness Presentation
 
Routine HIV Testing in the Community Health Center
Routine HIV Testing in the Community Health CenterRoutine HIV Testing in the Community Health Center
Routine HIV Testing in the Community Health Center
 
Phe sally warren 17 09-13
Phe sally warren 17 09-13Phe sally warren 17 09-13
Phe sally warren 17 09-13
 
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013
 
NFMNT Chapter 1 Translate Nutrition Science into Food Intake
NFMNT Chapter 1 Translate Nutrition Science into Food IntakeNFMNT Chapter 1 Translate Nutrition Science into Food Intake
NFMNT Chapter 1 Translate Nutrition Science into Food Intake
 
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
HCDC Innovation Presentation-June 10, 2015 eHealth Innovations in the Halibur...
 
WebMD-Ascension Case Study
WebMD-Ascension Case StudyWebMD-Ascension Case Study
WebMD-Ascension Case Study
 

Similaire à A Population Health Information Framework for Primary Care

RUNNING HEAD Analyzing Issues and Need and Identifying Mediators.docx
RUNNING HEAD  Analyzing Issues and Need and Identifying Mediators.docxRUNNING HEAD  Analyzing Issues and Need and Identifying Mediators.docx
RUNNING HEAD Analyzing Issues and Need and Identifying Mediators.docx
joellemurphey
 
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
MedicineAndHealthUSA
 
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
MedicineAndHealthUSA
 
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
Sarah Amani
 

Similaire à A Population Health Information Framework for Primary Care (20)

lecture 2.pptx
lecture 2.pptxlecture 2.pptx
lecture 2.pptx
 
Practical strategies for physical health care improvement: progress
Practical strategies for physical health care improvement: progressPractical strategies for physical health care improvement: progress
Practical strategies for physical health care improvement: progress
 
RUNNING HEAD Analyzing Issues and Need and Identifying Mediators.docx
RUNNING HEAD  Analyzing Issues and Need and Identifying Mediators.docxRUNNING HEAD  Analyzing Issues and Need and Identifying Mediators.docx
RUNNING HEAD Analyzing Issues and Need and Identifying Mediators.docx
 
Introduction to health education
Introduction to health educationIntroduction to health education
Introduction to health education
 
Benefits of NHS Choices for those wanting to lose weight or get fitter
Benefits of NHS Choices for those wanting to  lose weight or get fitterBenefits of NHS Choices for those wanting to  lose weight or get fitter
Benefits of NHS Choices for those wanting to lose weight or get fitter
 
healthpromotion-190406154250.pdf
healthpromotion-190406154250.pdfhealthpromotion-190406154250.pdf
healthpromotion-190406154250.pdf
 
Health promotion
Health promotionHealth promotion
Health promotion
 
Sally fowlerdavis
Sally fowlerdavisSally fowlerdavis
Sally fowlerdavis
 
Behaviour Change as part of a public health strategy
Behaviour Change as part of a public health strategyBehaviour Change as part of a public health strategy
Behaviour Change as part of a public health strategy
 
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
A Hands On Approach to a Case of Low Back Pain Using Acupuncture and Osteopat...
 
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
FP and Ophthalmology Caring to Screen in Diabetes - the FOCuSeD Quality Impro...
 
CAHPO 2016. Workshop 5: Gill Rawlinson
CAHPO 2016. Workshop 5: Gill RawlinsonCAHPO 2016. Workshop 5: Gill Rawlinson
CAHPO 2016. Workshop 5: Gill Rawlinson
 
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...Improving Chronic Care - a NZ experience using a breakthrough series collabor...
Improving Chronic Care - a NZ experience using a breakthrough series collabor...
 
Evalu8 72009
Evalu8 72009Evalu8 72009
Evalu8 72009
 
Population Health Management & Volume To Value Based Care
Population Health Management & Volume To Value Based CarePopulation Health Management & Volume To Value Based Care
Population Health Management & Volume To Value Based Care
 
Chronic Disease Program Planning in Public Health: What's the Evidence
Chronic Disease Program Planning in Public Health: What's the Evidence Chronic Disease Program Planning in Public Health: What's the Evidence
Chronic Disease Program Planning in Public Health: What's the Evidence
 
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
 
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]
 
Turn Patients-into-Champions
Turn Patients-into-ChampionsTurn Patients-into-Champions
Turn Patients-into-Champions
 
Laratonda_HealthyPeople2020
Laratonda_HealthyPeople2020Laratonda_HealthyPeople2020
Laratonda_HealthyPeople2020
 

Plus de Health Informatics New Zealand

Plus de Health Informatics New Zealand (20)

The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...
 
Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voice
 
Surveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsSurveillance of social media: Big data analytics
Surveillance of social media: Big data analytics
 
The Power of Surface Modelling
The Power of Surface ModellingThe Power of Surface Modelling
The Power of Surface Modelling
 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health service
 
Making surgical practice improvement easy
Making surgical practice improvement easyMaking surgical practice improvement easy
Making surgical practice improvement easy
 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thing
 
Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?
 
Empowered Health
Empowered HealthEmpowered Health
Empowered Health
 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...
 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsis
 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?
 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...
 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information System
 
Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)
 
Oncology treatment patterns in the South Island
Oncology treatment patterns in the South IslandOncology treatment patterns in the South Island
Oncology treatment patterns in the South Island
 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...
 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...
 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...
 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?
 

Dernier

💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
adilkhan87451
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 

Dernier (20)

💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 

A Population Health Information Framework for Primary Care