The document discusses developing a state-of-the-art web site to teach population-based care partnerships for quality education. It outlines applying a Community-Oriented Primary Care (COPC) framework to manage health risks and improve outcomes for an "at-risk" population using web-based technology. The web site would provide skills and tools to prioritize health issues, reduce risks, and achieve health status goals for various healthcare professionals and learners.

1. Developing a State-of-the-art Web Site to Teach Population-based Care Partnerships for Quality Education Henry Ford Health System, Dept. of Family Practice Susan Schooley, MD Lois Lamerato Roger Tuttleman Farouk Rassam

4. Our Goal…. To provide members of the health care team with the skills and tools necessary to prioritize and reduce health risks and improve health outcomes in their population of patients. Physicians, nurses, case managers Resource utilization Prevention Defined community

6. COPC Model - Framework for Population Management Steps of COPC Stages of development

8. COPC Model - Framework for Population Management Steps of COPC Stages of development

9. Information System for Population Health

10. Example of Application of COPC Model - Management of Diabetes

14. Detroit Catchment Areas

17. Patient Panel - Age and Gender Distribution % of pts

18. Patient Panel - Utilization of Services, 1998 encounters per 1000 pts.

20. Patient Panel - Average Charges for Patients With Selected Dx, Adults $

21. Diabetes Registry - Population Definition 1696 Panel pts. with 2 or more DM encounters between 1-1-96 and 6-30-98 711 - 985 patients with DM visits since 7-1-98 - 427 pts with non-DM PC visits since 7-1-98 284 “ At risk” population

22. Diabetes Registry - Age and Gender Distribution # of pts.

23. Diabetes Registry - HA1C Testing Patterns Within Past Year # of pts .

24. Diabetes Registry - HA1C Control (at Last Test) # of pts.

25. Self-reported Family History of Health Problems % of response

27. Learning to Use MS Access Linking Tables in a Query

28. Learning to Use Epi Info

30. Intro to Epi Principles Fundamental Assumptions

31. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High

32. Question #1: What Is the Level of Sophistication of the End-user(s)? 0 5 10 Can’t find “ON” button Basic skills in Windows, Web, common office software Programmed missiles in Kuwait

33. Question #2: How Many Dollars Are Available to This Project? 0 5 10 Shareware until I win the lottery Webmaster, server, etc. Existing hardware, one person team

34. Question #3: What Hardware Is Currently Available for Web Development and Hosting? 0 5 10 486 processor Windows 3.11 Internet connections, modem (56K/sec) Server, T-1 connection, (1.5MB/sec)

35. Question #4: What Hardware Is Available to the User(s)? 0 5 10 PC modem Web browser Sound and graphics cards, Pentium/ Power PC 225Mhz, fast internet connections, plug-ins, Java capable browser

36. Question #5: What Expertise Does Developer Have? 0 5 10 My cousin is a computer nerd Can use commercial web-authoring & mgmt. tools Professional developer/ programmer

37. Question #6:how Accessible Is Data? 0 5 10 Paper reports, summaries Billing & encounter database Specific enumeration of population (clinical, demographic, risk), dynamic real-time updates

38. Question #7: How “Relational” Is Existing Data? 0 5 10 No common identifier Compatible formats, programmed links Download and import capability

39. Question #8: How Capable Are You for “Interactivity”? 0 5 10 Users can read Navigational, (can include links, hotspots, arrows) Java, dynamic HTML programming

40. Question #9: How Capable Are You for “Multimedia”? 0 5 10 Can paste clip art & photos Video clips, animation sound clips Holographic companion with alternative scenarios responsive to personal preferences

41. Question #10: What Capability Exists to Maintain and Work With Databases? 0 5 10 Can read and interpret summary data Acquainted with query functions in commercial database software Custom design new interfaces for unsophisticated users

42. Question #11: What Is Available for Communication? 0 5 10 E-mail Client server applications, customized for real-time shared work sessions Electronic discussion groups

43. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High

44. Where Are You? Professional Expertise Technical Capacity Low Medium High Low Medium High This box represents the chart here and will appear on other pages.

49. Plain Text and Graphics Example of a text and graphic web-based teaching web site

55. Interactive Multimedia Example of an interactive multimedia web-based teaching web site

66. Web Site Design Considerations

73. Planning of the Web Site

74. Web Site Design Considerations Conclusions Balance your design between information, equipment, and audience.

75. Components Required for Web Site Design and Generation

80. Hosting Your Web Site

88. Delivering Data on the Web Site

92. Community Level Data

93. Encounter Level Data

94. Patient Level Data

95. Summary Data

101. Customized Query Form

103. In Summation

104. Thanks for Visiting Us At: www.iihe.org