Daniel Crespin

Why is disaggregating health data important for everyone, not just a few? 🧐 Overly broad classifications often create gaps in how health data is collected and analyzed. For example, the commonly used "Asian American" demographic combines Chinese, Filipino, Vietnamese, Korean, Japanese, and South Asian communities. This aggregation often obscures significant health disparities between these socially and culturally distinct groups. This recent article explores how detailed, subgroup-specific health data can lead to better healthcare outcomes for everyone. Check it out here: https://lnkd.in/e8PiGuk4 Weill Cornell Medicine Cornell Executive MBA/MS in Healthcare Leadership Dhruv Khullar Neil Lewis, Jr. Elise Hu Tae-Youn Park Riyana Bilimoria Elaine Lin Hering Swathi Tadepalli Rohit Mali Priya Nalkur, Ed.D. Jamila Michener Sri Lekha Tummalapalli Pragya Kakani William Schpero Jaideep Prabhu Shital Sharma, DPM, FACFAS Cary Gross Waleed Javaid MD, FACP, FIDSA, FSHEA Jigar Thakkar, MBA, FACHE Reema Shah Nija Patel PT, DPT, GCS Nichele Nivens MD, FAAFP, FCUCM Julia Joseph Kerri Winston, PhD, MBA, MS #Diversity #Healthcare #Equity

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Publicly available secondary data can help your organization understand health outcomes, demographics, social determinants of health needs, and more. A recent webinar from the #ProvidenceCORE Data for Change team dives into these valuable data sources and offers tips on how to find and use them, including a demo on how to build reports with American Community Survey data. #communityhealth #secondarydata https://bit.ly/3WFQ0Qs

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If you are a #Medicaid member, are eligible for Medicaid, or are a caregiver for someone on Medicaid, we want to hear from you! State Health Access Data Assistance Center (SHADAC) and partner organizations are working to evaluate whether we can create a Medicaid equity monitoring tool, and a big part of that is hearing from Medicaid members directly to learn more about topics and areas that are important to those who use and rely on Medicaid. Feel free to repost this to share it with your network! #healthequity #medicaidmember #datatool #memberexperience

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The issues raised in the attached article regarding funding cuts for local public health agencies underscore the need for collaborative efforts to address the challenges and prioritize public health initiatives.

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Tuyen Pham Anirudh Ruhil and I recently published an article estimating the opportunity costs of COVID-19 deaths in the US. The opportunity cost of COVID-19 deaths is defined as the combination of direct medical costs and the costs of lost potential lifetime earnings. Our analysis focuses on the period from March 2020 to October 2021. We then quantify the average opportunity cost of COVID-19 deaths across the U.S. and by state level. https://lnkd.in/eADPVYF4

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Friends in health/public health/healthcare! The use of artificial intelligence (AI) has increased dramatically over the past few years, through standalone tools like ChatGPT and built-in AI assistants in all of our familiar platforms like Zoom and Microsoft 365. There are significant opportunities and challenges with using AI in our work in public health and health care.   Join us for a panel discussion on the intersection of AI and health care with an eye toward public health.   Panelists will share knowledge, ideas, examples and ethical considerations when thinking about AI in the context of public health and health care with areas of expertise including ethical use of AI, training community health workers, managing a federally qualified health center (FQHC) and health care analytics and integration. This is not a roadmap to the implementation of AI in your health department or healthcare facility but instead an exploration of the use of AI for non-technical members of the health and health care world with a public sector consideration.   Panelists include: Lindsey Jarrett, PhD, Vice President, Ethical AI Services, Center for Practical Bioethics Hannayd Ruiz, Community Health Project Manager, Mid-America Regional Council Patrick Sallee, President and CEO, Vibrant Health Cindy Lou Vogel, Director, Healthcare Analytics and Integration, Right Triangle Consulting Register here:

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The Commonwealth Fund released a new report with alarming statistics on health disparities in the U.S. Even in states considered to have high health care performance, such as Rhode ​Island, Massachusetts, and Connecticut, the report found stark disparities. It ​called out that white and Asian residents had the best health outcomes. The report calls for several policy initiatives with consideration including reducing barriers to health care coverage, access to Medicaid, and bolstering support for addressing social needs. At Kaiser Permanente, my colleagues and I are working to make high-quality, equitable health care a reality for all. Recognizing our patients are the totality of who they are as a person and not only a diagnosis is how we approach care! https://bit.ly/4bizZEn #RacialEquity #HealthDisparities #HealthOutcomes

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Over the past 2 years, the Urban Institute has completed an impressive body of work focused on the question: How can we make substantial progress toward eliminating racial disparities in health and ensuring equitable care for all patients?  Our products include a 2023 symposium, papers and guides, and virtual dialogues. Current efforts include research on using demographic data to advance health equity, developing new research strategies to bolster equity initiatives in the wake of recent Supreme Court rulings, and preparing for the 2030 Census. As Tony Iton and Damon Francis have written, "The fractures in the US health system—and in the country’s social contract—can be fixed. The growing diversity of the United States makes this an urgent opportunity." Here's what the Urban Institute is doing to advance change. https://lnkd.in/e9ppAVuy

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Take a look at this new KFF resource, Health Policy 101. It explains the basics of various topics related to health programs and policy in the United States, such as Medicare and Medicaid, the Affordable Care Act, health care costs and affordability, women’s health issues, and the politics of health care. Dig in, here: https://lnkd.in/e_Szw7nG

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"Government spending through 2028 is projected to contract or remain stagnant relative to 2019 in nearly two-thirds of all low- and middle-income countries (LMICs). At the same time, the priority of health in government spending has dropped close to or even below pre-COVID levels in most low-income and lower-middle-income countries." https://lnkd.in/gx63Kcug

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I am excited to share with you my first published paper, focusing on a critical public health matter 📚 🚨 Safety Net Hospitals (SNHs) across the country are facing severe financial distress, leading to alarming closures that exacerbate health disparities in underserved communities. These closures are largely driven by the current reimbursement model maintained by The Centers for Medicare and Medicaid Services (CMS). SNHs play a vital role by providing specialized services and acute medical care to populations encountering structural and systemic healthcare barriers. Their survival is crucial to ensure equitable access to quality healthcare for all. 🔎 Our paper, featured in the Journal of Community Health Equity and housed in U.S. National Library of Medicine, explores a Total Cost of Care (TCOC) financial model as a potential solution to this critical issue exacerbating health disparities in the U.S. The model aims to address the needs of healthcare providers while supporting the complex medical and social circumstances of underserved communities. 🏥 A huge thank you to Shanya G., and James Gasperino, MD, PhD, MPH, for their incredible insights, agility, and dedication throughout this journey. Collaborating with you both on this paper towards the tail end of the MPH has been an inspiring and enriching experience! 👏 Check out our work to learn more about how we can safeguard the future of SNHs and the strengths of a promising TCOC healthcare model. Check out the paper: https://lnkd.in/eB9fDx7Q #Healthcare #CommunityHealth #AcademicResearch #SafetyNetHospitals #HealthcareEquity

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How do health systems finance and control spending on mental health, particularly spending on acute psychiatric inpatient care? This question has become more relevant since COVID-19, and in some countries under war, now even more. This publication sheds some light to the issue: https://lnkd.in/eC-Vt5Ws

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"It Is Time to Consider More Price Regulation in Health Care." My favorite excerpt below: Research on hospital productivity in Medicare finds that hospitals often misallocate their resources, and the hospitals that spend less may have outcomes that are as good as the hospitals that spend more. In the commercial market, hospitals paid higher prices do have better mortality outcomes, but that is only true in less concentrated markets. In markets with little competition, hospital prices are high but quality is lower than in competitive markets. Amitabh Chandra Sherry Glied JAMA and The JAMA Network #hospitalconsolidation https://lnkd.in/eZ2mqGje

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Today, our Boston Strategic Partners team (Hal Yapici, MD, MBA, MPH) at #ISPORAnnual presents the poster (MSR6) entitled “Regional Dynamics and Prevalence of COVID-19 Variants in the U.S. Health and Human Services Regions” ISPOR—The Professional Society for Health Economics and Outcomes Research. Our team utilized #MachineLearning to understand various regional and temporal factors on percentages of key #COVID19 variants. This study aims to uncover predictors of variant prevalence and contribute to a more data-driven approach to #PandemicManagement. Using data from Bureau of Transportation Statistics (BTS), US Environmental Protection Agency (EPA), the U.S. census, and the National #COVID Cohort Collaborative, we created a #predictivemodel using #RandomForestRegression. We sought to analyze how different factors impact #COVID-19 variants such as #Delta, #Omicron BA-5, #Alpha, and XBB. 1.5. The model demonstrated high predictive accuracy, with R² values of 0.99 for Delta and BA.5, 0.98 for Alpha, and 0.97 for XBB.1.5. significantly surpassing the 0.78 R² value for a mixed-variant baseline. The spread of Delta correlated strongly with #OzoneDensity, BA.5 with sun hours and #UVIndex, Alpha with temperature and #AirQuality, and XBB.1.5 with land area and income. These results suggest a complex interplay between environmental factors and variant spread. This study shows that machine learning is useful for identifying the multifaceted contributors to COVID-19 variants. The results may shed light on targeted public health interventions and policies, highlighting the vital role of data-driven models during a pandemic. To learn more about this study and others, please visit Boston Strategic Partners at Booth 618. For further information about our presentations, visit www.ispor.org/ISPOR2024

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Hot off the press: a new article from the Lancet: Digital Health published last week explores how a team at Brigham and Women's Hospital tested using Chat-GBT (a large language model, or LLM) to assess how LLM's might be used to respond to patient portal messages, and how this might impact subjective efficiency, clinical recommendations, and potential harms. TL;DR: using ChatGBT reduced physician workload, improved consistency across physician responses, and enhanced educational value of responses. However, there are ethical concerns with LLM's biasing physician clinical decision making, and that "physicians might use LLMs' assessments instead of LLM responses to facilitate the communication of their own assessments" So your MyChart message might be answered by a robot from now on, and that robot might be the one making clinical recommendations for you... Thoughts? 🤖 💬 (as an aside, I was invited by LinkedIn to "rewrite this post with AI". I did not. 😉 ) https://lnkd.in/dVN9gwnU  

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What do clinicians and patients need to know about the application of AI systems in health care? Join us for a day of practical considerations as well as a broader level set to diffuse the hype. 🙌 Code to waive registration $100 fee: DigitalEquity2024 🙌Looking forward to co-sponsoring and kicking off the workshop on Healthcare AI with Christina Higa from the Pacific Basin TRC and Luke Wortley from the Upper Midwest TRC. Our three TRCs joined together to host this event because the issues clinicians, operational staff and patients need to consider are the same across our regions and are similar to those that we have addressed as resource centers supporting the adoption of evidence-based digital health tools to drive equitable access in rural communities, diverse patient populations and underserved communities. 🙌We would love to see pre-med and medical and nursing and other allied health professional students. Please join us. 🙌 The same registration provides access to the CTRC summit on the following two days with impactful Keynotes from: 🙌Shantanu Nundy who wrote a powerful book with recommendations on how we need to transform our healthcare system to be digitally enabled, decentralized, and distributed 🙌 Marilyn Heine, MD who has been a pivotal physician leader and a member of the American Medical Association’s Board of Trustees in the development of healthcare AI policy adopted by the Federation of state medical associations and specialty societies 🙌Adimika Arthur who has been a pacesetting leader in centering the need for innovation to drive equity in Medicaid. We will also have a policy session during the Summit where 🙌 Christopher J Adamec, Executive Director of the Alliance for Connected Care will provide an update on federal digital health policy including what Congress is working on with regard to Medicare telehealth flexibilities, 🙌 Cybil Gregory Roehrenbeck, Executive Director of the AI Healthcare Coalition will provide a federal update on health care AI policy and legislation, 🙌 Mahnoor Khan, Esq. from the California Primary Care Association will provide a state update on digital health policy impacting federally qualified health centers and 🙌 I will round out the discussion with updates on California’s AI regulation, related existing legialtive activities as well as touch on the historic Colorado AI new law (yes, I meant Colorado) and digital health Medi-Cal generally. Elena Rios, MD, MSPH, MACP Consuelo (Connie) Casillas 🙌 CTRC Advisory Board: Peggy Wheeler Jay Ahlman Kathleen Blake, MD, MPH Michael Fratkin Dr. Felix L. Nuñez Jorge Cuadros OD PhD Mark Sendak Vimal Mishra, MD Alya Sulaiman Sonoo Thadaney-Israni Crispin Delgado Yamilett Medrano, MHA Johanna Liu Jeff Dunbar Jonathan Howell Marissa Montano Ahmad Elhaija Ajeet Singh, MD MPH Christopher Khoury Christian Milaster David Vidal Catrina Reyes, Esq. Carol Yarbrough Michael D Abramoff Robert Jarrin & Thomas Kim MD MPH

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Building solutions leveraging data in #maternalhealth? Here is a very helpful detailed guide from ONC for creating interoperable solutions in maternal health. HL7 Implementation Guides, USCDI + Maternal Health, services, consortium etc. “Interoperability of Maternity Care Records — The Committee recognizes that Personal Health Records for pregnant people are needed to improve patient health and safety as they move from one level of care to another during pregnancy, and that efforts must continue to improve the interoperability of electronic health records in order to optimize the care of pregnant persons.” #datainformedcare #blackmaternalhealthweek #healthcareonlinkedin https://lnkd.in/g3C8NUT9

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