HHS empower Initiative Demo: Using Medicare De-Identified and Individual Data, Maps, and Tools for Access and Functional Needs Emergency
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1 HHS empower Initiative Dem: Using Medicare De-Identified and Individual Data, Maps, and Tls fr Access and Functinal Needs Emergency Preparedness, Respnse, Recvery, and Resilience Activities
2 Kristen P. Finne, B.A. Cntact Infrmatin Lead, HHS empower Initiative Senir Plicy Analyst, Divisin f Health Systems Plicy Office f the Assistant Secretary fr Preparedness and Respnse U.S. Department f health and Human Services Sean J. Brittn, NRP, CPH, CEM Deputy Directr f Public Health Deputy Emergency Medical Services Crdinatr Brme Cunty Health Department
3 Natinal Health Security Strategy and Implementatin Plan URL:
4 D yu knw wh lives in yur cmmunity and what their access and functinal needs are? Can we help a cmmunity better understand hw many at-risk individuals with access and functinal needs rely upn electricity-dependent medical and assistive equipment, healthcare services, and their lcal healthcare system- daily, weekly, mnthly? Can we better understand, assess, and mitigate disaster-induced healthcare system stress and its impact n access, utilizatin, and health utcmes fr at-risk ppulatins with access and functinal needs?
5 Hw can federal health data infrm and supprt preparedness, respnse, and recvery? Medicare insures 50 millin Americans 50 states, 5 territries, & DC 65+ years, blind, disabled adults & children ~93% f dialysis-dependent end-stage renal disease ppulatin ~20% f State Medicaid (mstly disabled) Medicare beneficiaries may reside in: persnal hmes residential r lng-term care facilities assisted living cmmunities bard and care hmes subsidized husing cmmunities
6 White Huse Strng Cities, Strng Cmmunities Initiative A First-in-the-Natin At-Risk Medicare Data Pilt Exercise City f New Orleans, June 10-11, Had a Ventilatr r Oxygen Cncentratr 191 hmes visited, 75% respnse rate 93% had Medicare-identified durable medical equipment (DME) Individual Preparedness Findings: 15 f 611 were enrlled in NOLA s registry 8 f 611 were enrlled in electric cmpany s registry 41% did nt have an emergency plan 55% wuld need assistance in an emergency NOLA Emergency Respnse Outreach Uses: 2013 Bil Water Emergency- enteral DME 2014 Ice Strm- early dialysis
7 HHS empower Initiative HHS Data and Mapping Quality Imprvement Partnership Right Data, Right Persn, Right Tl, Right Time DATA TOOLS MAPS
8 Natinal HHS empower Dataset Data as f 1/27/ M at-risk Medicare beneficiaries living at hme independently Medicare at-risk data types include: Electricity-Dependent Durable Medical Equipment (DME) Ventilatrs Oxygen cncentratrs Enteral feeding machines Intravenus (IV) pumps Suctin pumps At-hme dialysis machines Electric Wheelchairs/scters Electric Beds Oxygen (O 2 ) Tank Services Dialysis Services (facility/hme) Hme Health Services Medicare at-risk data types include: De-identified-restricted & public Individual-restricted t public health authrities Data as f 1/27/2016
9 HHS empower Map Cmmunity Public Map-- Peple Helping Peple at the Zip Cde Level
10 What data can I find? Hw can I use the HHS empower Map? De-identified Data: Mnthly # Medicare beneficiaries Mnthly # f electricity-dependent Medicare beneficiaries- Recent claim fr 8 types f electricity-dependent durable medical equipment (DME) NOAA Severe Weather Tracking Hurricane* Radar Precipitatin* Strm Predictin* Fld Outlk* Nne- default Select an Area by Hvering Yur Muse Over a State, Cunty, and then Zip Cde t find data in the Medicare Data Ttal Sectin r in the Dynamic Table Belw Backgrund Maps (ESRI) Base map* Tpgraphic* Streets* Satellite* Hybrid Grey Dark Grey Oceans Natinal Gegraphic Terrain* Open Street Map Or Use the Drp Dwn t Select a State, Cunty, and then Zip Cde fr Data Select Base Map Select Weather Reset
11 Can I cnsume and display the HHS empower Map rest service in ur GIS system? YES! First lcate yur GIS expert, then them the great news, and ask them t: G t: Gehealth.hhs.gv OR G directly t the URL: ME/HHS_CMS_DME_ESRD_nlyAll/MapServer Click n Mre Details Scrll t Map cntents and click n the HHS_CMS_D ME_ESRD_nl yall fr the end pints Here are the end pints fr the State/Territry, Cunty and Zip Cde Level Data Layers
12 HHS empower Initiative State Health Department De-identified Emergency Planning Datasets Prvides mre granular de-identified data: Medicare ttals by type f DME and healthcare services Sample Use Cases: Infrming pwer restratin priritizatin decisin making at all levels Identifying ptimal lcatins, supprt, and pwer needs fr multiple devices in general ppulatin shelters Assessing ptential transprtatin needs fr evacuating r transprt t healthcare prviders (e.g. dialysis) Anticipating ptential EMAC requests fr at-risk ppulatins residing by brders Sets the stage fr life-saving assistance
13 HHS empower Initiative State Health Department De-identified Emergency Planning Dataset Menu Tab Data Overview Tab
14 HHS empower Initiative State Health Department De-identified Emergency Planning Datasets State Tab
15 HHS empower Initiative State Health Department De-identified Emergency Planning Dataset Nte: Every Clumn is Srtable State Tab Cunty Tab
16 HHS empower Initiative State Health Department De-identified Emergency Planning Dataset Zip Cde Tab
17 HHS EmPOWER Data At Wrk In GeHealth Infrming Lcal Planning Scenaris & Respnse Decisin Making * Adjusted Ttals- Medicare beneficiaries are nly cunted nce even if they have multiple types f durable medical equipment (DME) r healthcare service
18 HHS empower Initiative Emergency Respnse Outreach Individual Dataset Purpse is t cnduct utreach prir t, during, r after an incident, public health emergency, r disaster that may adversely impact at-risk ppulatins Examples f individual utreach use cases: HHS apprved preparedness exercises: City f New Orleans, State f Arizna, Brme Cunty/New Yrk State, New Yrk City* HHS apprved emergencies: Flint Michigan Water Emergency, Virginia and NYC Winter Strm Jnas Emergency, City f New Orleans Bil Water Emergency, Dialysis/Ice Strm Emergency Future Respnses Public health authrities that meet HIPAA requirements can submit a request t HHS via their ASPR Reginal Administratr (RA)/Emergency Crdinatrs (RECs)
19 HHS empower Initiative Public Health Authrity Emergency Respnse Outreach Individual Dataset (Sample)
20 HHS empower Initiative Emergency Respnse Outreach Individual Dataset Sample -Cntinued
21 HHS empower Initiative Emergency Respnse Outreach Individual Dataset Sample-Cntinued
22 HHS empower Initiative Integrating Public Health, Emergency Management, Healthcare, & Aging Systems Pre-Event Emergency Planning (De-identified): Ppulatin-Based Situatinal Awareness Emergency Planning Activities & Plans Develp Systems, Prcesses & Triggers Identify Resurces fr Scenaris Sets Stage fr Life-Saving Outreach Other Cnsideratins Emergency Respnse & Ntificatin (De-identified/Individual): Activate Emergency Plans Ppulatin Based Individual Outreach Deply Emergency Respnse Assets Activate Cmmunicatins Netwrk Other Cnsideratins
23 HHS empower Data in Actin Hw can empower data and tls infrm and supprt emergency preparedness, respnse, recvery and resilience activities in yur cmmunities?
24 Disasters Happen Lcally Majr natural disasters that have impacted Brme Cunty, New Yrk: 2006 Fld 2011 Fld Challenges faced prir t, during and after the disasters: Identifying the needs and lcatins f ppulatins/ individuals with access and functinal needs Healthcare infrastructure and cntinuity f healthcare Hspital /Emergency Medical Services (EMS) Surge Determining medical and ther needed supplies Pwer restratin Evacuatin needs Shelter needs Cpyright 2066 Silver Wings Aerial Phtgraphy Cpyright 2011 Bill Walsh
25 Hw is the HHS empower Map helping Brme Cunty? HHS empower Map prvides a starting pint fr estimating the electrically-dependent ppulatin within ur cmmunity Infrming planning activities t better supprt: Cmmunity awareness and supprt Evacuatin Medical and ther supplies Hspital/ EMS system surge Shelter lcatins Ppulatins affected HHS empower Map HHS empower Map- Frt Bend, Texas Electricity-Dependent & NOAA Fld Outlk, 2015 Brme Cunty, NY 2011 Infrming cmmunicatin activities: Targeted public cmmunicatins Fster s cmmunity discussin, engagement, and understanding Cpyright 2011 Bill Walsh
26 Hw is the HHS empower de-identified data helping Brme Cunty? HHS empower de-identified data can: Enhance ur ppulatin-based situatinal awareness f healthcare and electricitydependent ppulatins Infrm emergency planning activities t identify needs, better develp prcesses & triggers, identify cmmunity resurces Enhance understanding and integratin f public health, emergency management, healthcare and aging service respnses Better anticipate where we may need t anticipate evacuatin needs and lifesaving utreach t at-risk ppulatins. Anticipate ptential surge n ur healthcare and EMS systems Better identify lcatins and needs fr shelters, medical supplies, and ther resurces Cpyright 2066 Silver Wings Aerial Phtgraphy
27 Hw is the HHS empower individual level data helping Brme Cunty? Individual data was exercised in April 2014 Future emergency respnse uses, include but are nt limited t: Emergency warnings Field respnse utreach Evacuatin Cpyright 2011 Bill Walsh
28 Overview f ur Incident Cmmand Structure fr Brme Cunty At-Risk Exercise
29 Questins?
30 Kristen P. Finne, B.A. Cntact Infrmatin Lead, HHS empower Initiative Senir Plicy Analyst, Divisin f Health Systems Plicy Office f the Assistant Secretary fr Preparedness and Respnse U.S. Department f health and Human Services Office: kristen.finne@hhs.gv HHS empower Map: HHS GeHealth empower Rest Service: HHS GeHealth Platfrm: HHS Technical Resurces Assistance Center and Infrmatin Exchange (TRACIE) HHS Respnse and Recvery Resurces Cmpendium: Sean J. Brittn, NRP, CPH, CEM Deputy Directr f Public Health Deputy Emergency Medical Services Crdinatr Brme Cunty Health Department Office: sbrittn@c.brme.ny.us Website: Facebk: Facebk:
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