Health Datapalooza 2013: Apps Expo City of Louisville & Asthmapolis

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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.

Santé & Médecine Formation

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

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

+
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

(Courtesy
of
Dr.
LaQuandra
NesbiN,
Louisville
Metro
Public
Health)

Enrollment
by
Zip
Code
and
Asthma
HospitalizaEon
Rate

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

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

Probability
of
Inhaler
Use
Predicted
by
Model

Before&interven+on

Probability
of
Inhaler
Use
Predicted
by
Model

A"er%interven*on%(10%%reduc*on%in%PM)

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