GIS GIS in WIC in WIC EnvironmentsEnvironments

Peggy HarperPeggy HarperHuman Services Marketing SpecialistHuman Services Marketing Specialist

ESRI’s Health & Human Services Solutions GroupESRI’s Health & Human Services Solutions Group

WIC Technology ConferenceWIC Technology ConferenceNovember 5, 2009November 5, 2009

San Diego, CASan Diego, CAg ,g ,

More about ESRIMore about ESRI

ESRIESRI

4 000 E l4 000 E l4,000+ Employees4,000+ Employees82 Global Offices82 Global Offices1 Million+ Users1 Million+ Users

300,000+ Organizations300,000+ Organizations, g, gFounded in 1969Founded in 1969

Privately HeldPrivately HeldJack Dangermond,, Founder and CEOJack Dangermond,, Founder and CEO

Redlands CaliforniaRedlands CaliforniaRedlands, CaliforniaRedlands, California

AU_2009 AU_2009

Are you new to GIS …?

What is GIS?What is GIS?

A system forA system for capturing, storing, editing, integrating, capturing, storing, editing, integrating, managing, displaying, querying, analyzing & managing, displaying, querying, analyzing & distributing distributing geographic data.geographic data.

AnswersAnswers! ! MapsMapsChartsChartsChartsChartsReportsReports

Health DataHealth DataRoad NetworksRoad NetworksFacilities/BuildingsFacilities/BuildingsAdministrative UnitsAdministrative Units

Data layers linked Data layers linked by Geographyby Geography

Administrative Units Administrative Units

Understand & visualize spatial relationshipsUnderstand & visualize spatial relationships

GIS is Composed of . . . . .

S ftSoftware StaffingGISGIS

D tTraining

Data

HardwareApplications

How does it work: How does it work: GeocodingGeocoding an addressan address

My street address (administrative data)My street address (administrative data)

380 N Y k St t380 N Y k St t

My street address… (administrative data)My street address… (administrative data)address matching to a street fileaddress matching to a street file

380 New York Street380 New York StreetRedlands, CA 92373Redlands, CA 92373

Converts to this… (geographical data)Converts to this… (geographical data)

34 0575 degrees latitude34 0575 degrees latitude34.0575 degrees latitude34.0575 degrees latitude--117.1949 degrees longitude117.1949 degrees longitude

GeocodingGeocoding a land featurea land feature

Pikes Peak… (land data)Pikes Peak… (land data)

GPS receiver reading from climberGPS receiver reading from climber

( )( )

Converts to this… (geographical data)Converts to this… (geographical data)38.5026 degrees latitude38.5026 degrees latitude

--105.0238 degrees longitude105.0238 degrees longitudeg gg g(A system of geopositioning satellites.)

GIS allows us to… GIS allows us to… ask questions about our dataask questions about our data

Identifying Specific Features

Identifying Features Based on Conditions

Florida Counties Where more Than 25% of the Population liveB l th P t L lBelow the Poverty Level

GIS allows us to…ask GIS allows us to…ask questions from multiple data sourcesquestions from multiple data sources

ESRI TechnologyESRI Technology

ArcGIS is a family of complimentary ArcGIS is a family of complimentary products that work together both on products that work together both on the desktop and server. the desktop and server.

ESRI server products are not just for ESRI server products are not just for developersdevelopers ––developers developers ––they are designed to be used out of they are designed to be used out of the box.the box.

ESRI servers are used to publish the ESRI servers are used to publish the spatial content that is being authored spatial content that is being authored in the desktop.in the desktop.

GIS Can Be Deployed in Many WaysGIS Can Be Deployed in Many Ways

Enterprise(SOA)(SOA)

Departmental(Centralized data or

Desktop(Stand-alone,

(applications)

Globe Globe MapMap ImageImage Open Open Web Web

TrackingTrackingCatalogCatalog GeoGeo--processingprocessing

(Point to Point)

File File ServerServer

AU_2009 AU_2009

Who uses GIS and how …?Who uses GIS and how …?

What kinds of health organizations use GIS?What kinds of health organizations use GIS?

•• World Health OrganizationWorld Health Organization•• World Health Organization World Health Organization •• Centers of Disease Control and PreventionCenters of Disease Control and Prevention•• US DHHS AgenciesUS DHHS Agencies•• State Departments of Public HealthState Departments of Public Health•• Managed Care OrganizationsManaged Care Organizations•• Local Public Health AgenciesLocal Public Health Agenciesgg•• Community Health Centers / Mental Health CentersCommunity Health Centers / Mental Health Centers•• Health Foundations / PhilanthropyHealth Foundations / Philanthropy•• Researchers at Schools of Public HealthResearchers at Schools of Public Health•• Researchers at Schools of Public HealthResearchers at Schools of Public Health•• Nonprofit Organizations / NGOsNonprofit Organizations / NGOs•• Social Service AgenciesSocial Service Agencies

1313

•• HospitalsHospitals

Typical Applications in HealthTypical Applications in Health

•• Disease SurveillanceDisease Surveillance•• Spatial Analysis Spatial Analysis •• Public ReportingPublic Reporting•• Health Informatics Health Informatics •• Population HealthPopulation Health•• Immunization TrackingImmunization Tracking•• Vital Event RegistriesVital Event Registries•• Hospital AdministrationHospital Administration•• Animal and Food TrackingAnimal and Food Tracking•• Environmental TrackingEnvironmental Tracking•• Strategic planningStrategic planningg p gg p g•• Site Location AnalysisSite Location Analysis•• Outbreak DetectionOutbreak Detection

AU_2009 AU_2009

Accessibility analysisAccessibility analysis

LocatorLocator

ResponseResponse

ReferralsReferrals

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50 Miles

UTMB#Y

Proposed TelemedicineSatellite Hub No.3

TEXAS

LOUISIANA

Galveston

Morgan City

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ResponseResponse

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200 Miles

150 Miles

100 Miles

No. of % of Occupied Total Occupied Range Sites Sites

0 to 50 Miles 129 8 51 to 100 Miles 346 20 101 to 150 Miles 580 34 151 to 200 Miles 651 38

Total Occupied Sites 1706 Sites Beyond 200 Miles 2527

Occupied Site Distribution

Site Population Distribution No. of % of No. of Crew per Site Sites Total Sites Crew

1 to 5 Crew 743 43 2098 6 to 10 Crew 539 32 408711 to 15 Crew 257 15 3310Over 15 Crew 167 10 3044

Telemedicine has great potential to facilitate the emergencycare of populations offshore in the Gulf of Mexico where at anyone time there is a population of over 20,000 individuals engagedin high risk work activities in the oil and gas industry. Telemedicineoffers significant cost savings and increased health care quality forpatients otherwise requiring MEDEVAC assistance to accessmedical care available only at land based facilities Quantifying

The benefits of telemedicine indicate that its application should not belimited to only an area within 50 miles of UTMB, but expanded to largermore distant populations that would result in even greater cost savings.Distant oil and gas production sites in the deep waters of the Gulfare producing at all time highs and are expected to have increasedgrowth. The demand for telemedicine applications to serve thispopulation should increase accordingly

#Y UTMB - Galveston

# + 200 Mile Sites

150 to 200 Miles# 0 - 5 Crew# 6 - 10 Crew# 11 - 15 Crew# + 15 Crew

100 to 150 Miles# 0 - 5 Crew# 6 - 10 Crew# 11 - 15 Crew# + 15 Crew

50 to 100 Miles # 0 - 5 Crew# 6 - 10 Crew# 11 - 15 Crew# + 15 Crew

Within 50 Miles# 0 - 5 Crew# 6 - 10 Crew# 11 - 15 Crew# + 15 Crew

Proposed TelemedicineSatellite Hub No. 1

Proposed TelemedicineSatellite Hub No. 2

Telemedicine Locus MapPACSPACS Totals 1706 12,539 2527 Sites Over 200 Miles

medical care available only at land-based facilities. Quantifyingand locating offshore potential patient populations is the first stepin determining potential cost effectiveness of telemedicine systems.

population should increase accordingly.

50 0 50 MilesTelemedicine in the Gulf Al Glasgow 281.752.4392

Proposed satellite hub locations are hypothetical, shown for illustrative purposes and are not intended to represent existing facilities at any location.

N

… eliminating disparities

Program OperationsProgram Operations

Shared GIS ResourcesShared GIS ResourcesTreatment LocatorTreatment Locator

Obesity ReductionObesity ReductionSmoking CessationSmoking Cessation

AU_2009 AU_2009

Disease TrackingDisease Tracking TBTB

STISTI

HIV/AidsHIV/Aids

Seasonal FluSeasonal FluAU_2009 AU_2009

Food Bank for New York CityFood Bank for New York City

•• Food Bank For New York City’s new Food Bank For New York City’s new Interactive Mapping & Spatial Interactive Mapping & Spatial AnalysisAnalysis tool allows visitors to create their own maps using data tool allows visitors to create their own maps using data on hunger and food assistance resources. on hunger and food assistance resources.

•• The new tool allows visitors to create maps illustrating:The new tool allows visitors to create maps illustrating:–– Locations of emergency food programs (EFPs) including soup Locations of emergency food programs (EFPs) including soup

kitchens and food pantrieskitchens and food pantries–– Locations of Food Bank For New York City Outreach CentersLocations of Food Bank For New York City Outreach Centers–– Locations of Food Stamp Program (FSP) officesLocations of Food Stamp Program (FSP) offices–– Locations of Special Supplemental Nutrition Program for Women, Locations of Special Supplemental Nutrition Program for Women,

Infants and Children (WIC) officesInfants and Children (WIC) offices–– Research findings from the Food Bank’s recently released Research findings from the Food Bank’s recently released Hunger Hunger

Safety Net 2007: A Food Poverty Focus Safety Net 2007: A Food Poverty Focus report, showing areas of the report, showing areas of the city with low participation rates in EFPs, FSP and WICcity with low participation rates in EFPs, FSP and WIC

1818

Lee County (Florida)Lee County (Florida)

1919

2020

Sault Innovation Centre (Ontario, Canada)Sault Innovation Centre (Ontario, Canada)http://www.ssmic.com/content/services/geomatics/index.asphttp://www.ssmic.com/content/services/geomatics/index.aspp g pp g p

•• TBDTBD•• People living in their own homes older than 85People living in their own homes older than 85

2121

Concentrations of Low Birth Weight Newborns (2000-2005)

Alabama Resource Management SystemAlabama Resource Management System

•• Resource DatabaseResource Database•• Planning and Evaluation Tool for Agencies, Programs and Planning and Evaluation Tool for Agencies, Programs and g g gg g g

CommunitiesCommunities•• Accountability ToolAccountability Tool•• Grant Writing ToolGrant Writing ToolGrant Writing ToolGrant Writing Tool•• Communication ToolCommunication Tool

2222

Benefits of using GIS for WIC programs …Benefits of using GIS for WIC programs …

Why do WIC organizations need GIS? Why do WIC organizations need GIS?

GIS is not just about making maps, it can:GIS is not just about making maps, it can:

•• Bring services closer to needBring services closer to need•• Bring services closer to needBring services closer to need•• Improve overall administration and efficiencyImprove overall administration and efficiency•• Improve policy development and program planningImprove policy development and program planning•• Improve service deliveryImprove service delivery•• Improve service deliveryImprove service delivery•• Make the case for resourcesMake the case for resources

2424

Evidence of best practice…

Thank YouPeggy HarperPeggy Harperpharper@esri.comwww.esri.com/health