Data & Metrics

January 23, 2018 - Data and Metrics

January 23, 2018 at 12:30 pm

San Diego Accountable Community for Health Data and Metrics Meeting Summary

Welcome and Introductions


Kitty Bailey opened the meeting by reviewing the workgroup’s charter and responsibilities. Kitty described

the governance structure of the SD ACH, with specific focus on the interdependent workgroups: Collective

Action, Data & Metrics, and Sustainability & Wellness Fund.


SDACH Workgroup Progress Update


Kitty provided an update on the activities and progress of the other workgroups, noting that the Collective

Action Workgroup will soon be meeting for the first time. The Data & Metrics Workgroup will subsequently

engage with the Collective Action Workgroup on how to best measure progress toward goals.


ACH and Ideal Cardiovascular Health Outcomes


Kitty reviewed the ACH domains and presented the protective factors that frame much of the SD ACH’s

activity. In addition, she presented the American Heart Association’s definition of ideal cardiovascular health.

The group agreed that the SD ACH should attempt to reach beyond this definition by incorporating principles

of “Positive Cardiovascular Health,” which includes adding psychological well-being to the list of protective

factors.


During discussion of the concept of psychological well-being, it was suggested that community trauma be

included, and recommendations were made to incorporate access to resilience-building interventions and

equity as a foundation underlying the protective factors. Kitty took note of these comments; the other

workgroups will be consulted, and future work will involve incorporating agreed-upon modifications.


Psychological Well being Measures


Alaina Dall provided an overview of positive psychology and its relation to cardiovascular health, including

the specific mechanisms through which psychological well-being influence cardiovascular disease (CVD). The

group provided comments on the perception of the term “psychological well-being,” suggesting that

alternative terms might be more readily understood and accepted by members of community organizations

and communities of color. Suggestions included:


  • Psycho-social well-being
  • Quality of life
  • Community-social interaction
  • Improve well-being (removing word "psychological")

Framework for Indicators of Success by Domain


Alaina shared the American Heart Association’s framing of cardiovascular health, including the goal of

improving cardiovascular health of Americans by 20%, and reducing deaths from CVD by 20% by 2020. A

review of CVH factors in children and adults, as well as prevalence data taken from the Centers for Disease

Control and Prevention’s National Health and Nutrition Examination Survey (NHANES), was provided. Alaina

noted that certain data are not available at the San Diego County level, and therefore this workgroup must

agree upon proxy measures for success. The central question for the group is what are the priority outcomes

and indicators that can be used to demonstrate improvement.


Alaina reviewed potential priority outcomes and indicators from the California Office of Statewide Health

Planning and Development (OSHPD) and the AHA framework, and asked the group to contribute additional

ideas for proxy measures and data sources. Kitty also provided an overview of potential data sources that will

be considered in coming months.


The group agreed that the AHA framework should be used as a starting point, with some modifications:


  • Add reduction of emergency department visits and hospitalizations from CVD and stroke to the set of priority outcomes
  • The data should be broken down by the five lenses of equity as well as payer source
  • Add “age appropriate” proxy measures, or age bands
  • Create a San Diego-specific construct for well-being to allow for conditions unique to the San Diego region
  • Include the rate of improvement of disparities

Kitty shared some examples of community-wide indicators of success that the group might consider;

members of the workgroup also provided additional input on types and sources of data that could potentially

be utilized:


  • County of San Diego’s Stroke and STEMI data
  • Death data available from SD County vital records
  • California Health Interview Survey (CHIS)
  • OSHPD for ED and hospital discharges
  • Reduction in disability due to stroke (found in EMS data)
  • CDC’s Behavioral Risk Factor Surveillance System (BRFSS) data

Next Steps


Kitty thanked the group for its input, and will send out a revised priority outcomes and indicators summary,

which will be reviewed by all three workgroups. In the upcoming months this group will review lenses of

equity, and determine what data participating partners are able to contribute (both intervention-level, and

community-level). The next meeting will focus on community-wide indicators in the clinical domain to

determine which indicators are appropriate, and if additional indicators should be added.


Date and Time

January 23, 2018 12:30 pm
January 23, 2018 02:30 pm

ACHs build on prior efforts to coordinate and integrate various organizations, programs and services by linking their activities together in a coherent and reinforcing portfolio of interventions across five key domains.