Health Datapalooza 2013: Apps Expo City of Louisville & Asthmapolis

Health Data Consortium

•

11 juin 2013

• •

Louisville
Asthma
Data
Innova2on
Project

David
Van
Sickle,
PhD
|
CEO,
Asthmapolis

Re...

25
MILLION

HAVE
ASTHMA
IN
U.S.

>60
PERCENT

ARE
UNCONTROLLED

80
PERCENT

OF
UNCO...

+
Transmits
data

+
Educates

+
Reminds
and

alerts

MOBILE

sensor

+
...

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Day 2 Speaker Presentation - Dr Rachel Lowe

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Health Datapalooza 2013: Apps Expo City of Louisville & Asthmapolis

11 juin 2013

• •

Health Data Consortium

Health Datapalooza IV: June 3rd-4th, 2013
APPS EXPO LIVE DEMOS
Tuesday June 4, 2013 • 1:30pm - 5:00pm
Location: Ambassador Ballroom

Asthmapolis and the City of Louisville launched an innovative program to improve asthma
management among residents and provide officials with valuable information about the burden
of asthma. Preliminary analyses show the program significantly increased participant’s asthma
free days and reduced use of their rescue inhalers. In addition, a variety of environmental
exposures are associated with the development of asthma symptoms, information that can now
inform the city’s public health strategy. This demo reviews the technology, shows how both City
and residents put it to work and reveals our learning about its benefits for care and public health
understanding of asthma.

1. Louisville Asthma Data Innova2on Project David Van Sickle, PhD | CEO, Asthmapolis Reimagining Digital Health to Develop a Community-‐Level InformaEon System Ted Smith, PhD | Chief InnovaEon Oﬃcer, The City of Louisville, KY
2. 25 MILLION HAVE ASTHMA IN U.S. >60 PERCENT ARE UNCONTROLLED 80 PERCENT OF UNCONTROLLED SAY THEY’RE DOING FINE ANNUAL HEALTHCARE COST $50 BILLION 7.7% 2010 PREVALENCE 8.4% 2012 10M HOSPITALIZATIONS ED VISITS OFFICE VISITS MISSED DAYS SCHOOL/WORK 2M 500K 25M
3. + Transmits data + Educates + Reminds and alerts MOBILE sensor + AutomaEc + Passive data collecEon + Tracks when, where and how much medicine PERSONAL ONLINE account + Improved Adherence + Asthma Control PERSONAL ONLINE app.hub account SNAP-‐ON
4. resulted in an innovaEve ecosystem
5. CiEzen-‐powered recruitment through
6. (Courtesy of Dr. LaQuandra NesbiN, Louisville Metro Public Health) Enrollment by Zip Code and Asthma HospitalizaEon Rate
7. BeNer Reduced Rescue Inhaler Use
8. BeNer Reduced Rescue Inhaler Use
9. Louisville inhaler events, by day Summer Fall Winter 0 20 40 60 80 100 120 140 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 8/1/2012 9/1/2012 10/1/2012 11/1/2012 12/1/2012 SO2 AQI Inhaler events (normalized) SO2
10. 4. Build model against background sample 5. Extrapolate predicted inhaler events into all geographic locations in our Metro 6. Test with additional data 2.GISofcontributingfactorstoexplore 1. Geo-referenced inhaler use points 3. Extract contributing factors data at each point Contributing Factor Data in Model •  Land-use categories •  Impervious surface (%) •  PM 2.5 (avg AQI) •  Close proximity to known emitters •  Low greenness index •  Close proximity to industry •  Close proximity to power facilities •  Traffic density Using Inhaler Data to Build a SimulaEon
11. Probability of Inhaler Use Predicted by Model Before&interven+on
12. Probability of Inhaler Use Predicted by Model A"er%interven*on%(10%%reduc*on%in%PM)
13. Louisville Asthma Data Innova2on Project David Van Sickle, PhD | CEO, Asthmapolis Reimagining Digital Health to Develop a Community-‐Level InformaEon System Ted Smith, PhD | Chief InnovaEon Oﬃcer, The City of Louisville, KY
14. Reduced Rescue Inhaler Use
15. PRIVACY

Santé & Médecine Formation

1. Louisville Asthma Data Innova2on Project David Van Sickle, PhD | CEO, Asthmapolis Reimagining Digital Health to Develop a Community-‐Level InformaEon System Ted Smith, PhD | Chief InnovaEon Oﬃcer, The City of Louisville, KY
2. 25 MILLION HAVE ASTHMA IN U.S. >60 PERCENT ARE UNCONTROLLED 80 PERCENT OF UNCONTROLLED SAY THEY’RE DOING FINE ANNUAL HEALTHCARE COST $50 BILLION 7.7% 2010 PREVALENCE 8.4% 2012 10M HOSPITALIZATIONS ED VISITS OFFICE VISITS MISSED DAYS SCHOOL/WORK 2M 500K 25M
3. + Transmits data + Educates + Reminds and alerts MOBILE sensor + AutomaEc + Passive data collecEon + Tracks when, where and how much medicine PERSONAL ONLINE account + Improved Adherence + Asthma Control PERSONAL ONLINE app.hub account SNAP-‐ON
4. resulted in an innovaEve ecosystem
5. CiEzen-‐powered recruitment through
6. (Courtesy of Dr. LaQuandra NesbiN, Louisville Metro Public Health) Enrollment by Zip Code and Asthma HospitalizaEon Rate
7. BeNer Reduced Rescue Inhaler Use
8. BeNer Reduced Rescue Inhaler Use
9. Louisville inhaler events, by day Summer Fall Winter 0 20 40 60 80 100 120 140 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 8/1/2012 9/1/2012 10/1/2012 11/1/2012 12/1/2012 SO2 AQI Inhaler events (normalized) SO2
10. 4. Build model against background sample 5. Extrapolate predicted inhaler events into all geographic locations in our Metro 6. Test with additional data 2.GISofcontributingfactorstoexplore 1. Geo-referenced inhaler use points 3. Extract contributing factors data at each point Contributing Factor Data in Model •  Land-use categories •  Impervious surface (%) •  PM 2.5 (avg AQI) •  Close proximity to known emitters •  Low greenness index •  Close proximity to industry •  Close proximity to power facilities •  Traffic density Using Inhaler Data to Build a SimulaEon
11. Probability of Inhaler Use Predicted by Model Before&interven+on
12. Probability of Inhaler Use Predicted by Model A"er%interven*on%(10%%reduc*on%in%PM)
13. Louisville Asthma Data Innova2on Project David Van Sickle, PhD | CEO, Asthmapolis Reimagining Digital Health to Develop a Community-‐Level InformaEon System Ted Smith, PhD | Chief InnovaEon Oﬃcer, The City of Louisville, KY
14. Reduced Rescue Inhaler Use
15. PRIVACY