Stream: patient empowerment
Topic: SANER Geomapping
Abbie Watson (May 14 2020 at 18:52):
Hello,
I'd be curious to get the patient empowerment group's opinion on this map. Trying to determine UX considerations in converting the SANER reporting measures to something actionable and usable to patients.
John Moehrke (May 14 2020 at 18:53):
I can't see my home
Jose Costa Teixeira (May 14 2020 at 18:53):
not working from here
Lloyd McKenzie (May 14 2020 at 18:53):
Too yellow? :)
John Moehrke (May 14 2020 at 18:54):
too much flat-land
John Moehrke (May 14 2020 at 18:54):
(said with my best wisconsin accent)
John Moehrke (May 14 2020 at 18:55):
what are we really to be commenting on?
Abbie Watson (May 14 2020 at 18:59):
:rolling_on_the_floor_laughing: Sorry, was on the Patient Empowerment call, and posted this as a quick follow up to a conversation there.
Trying to solicit UX feedback on what kinds of maps that patients want to see (using the hospital capacity metrics).
John Moehrke (May 14 2020 at 19:02):
I see only a map, no details.
Abbie Watson (May 14 2020 at 19:09):
The details in this particular type of map is completely in the shading. The more intense the shading, the more ventilators in that hospital (service area). It sounds like the shading is too washed out and the saturation band is too narrow. Simple to fix.
Also, I suspect the sample dataset might not reflect a realistic distribution of ventilators. This particular dataset doesn't include Chicago actually; which is why Chicago is white (no value). Once we get real (synthetic) data flowing into the map, patterns will pop out.
Dave deBronkart (May 14 2020 at 19:10):
Yeah, all this map shows is a bunch of counties. In general whatever you're trying to convey, it ought to be an overlay on something like Google Maps, unless someone has a better idea.
Counties may be useful for government reporting but NOT for a sick family who needs to assess distance (and travel time). For that we need something like Google, at the hospital level, not the county.
Abbie Watson (May 14 2020 at 19:11):
@Dave deBronkart - This is Google Maps, so one step ahead of you. Also, these are not counties. They look like counties, in so far as there's approximately one or two hospitals per county. But this is specifically a map of Health Service Areas, a CMS concept.
Note: need to add the legend back in.
Abbie Watson (May 14 2020 at 19:13):
Put another way, this is effectively an Ambulance Dispatch Map, showing the zones that a Hospital covers.
But I'm hearing the need for patient contextualization, and displaying the user's current location. I have that available, just need to enable it.
John Moehrke (May 14 2020 at 19:16):
now that you explain that. I understand.
Dave deBronkart (May 14 2020 at 21:15):
Abigail Watson said:
But I'm hearing the need for patient contextualization, and displaying the user's current location. I have that available, just need to enable it.
Well I supposed it depends on the use case! If you're enabling a consumer to make real-time decisions, that's one thing. If you're enabling an EMT service to do something similar, needs might be different.
From a consumer perspective (not in an emergency), I've always felt that shoppers need to tie in to the Leapfrog Group's Hospital Safety Score. Here are {my local choices.](https://www.hospitalsafetygrade.org/search?findBy=city&zip_code=&city=Nashua&state_prov=NH&hospital=) Yikes!
Of course if I'm a really empowered consumer, I do my shopping before there's an emergency, including COVID-19. So if that's easy for you to suck in, it could be useful.
Someday I want to see that safety score as an optional overlay on real estate shopping sites! I mean, you can see where the nearest fire station is - why not the nearest safe hospital?
Bart Carlson (May 14 2020 at 21:16):
I can't see it.
Terrie Reed (May 14 2020 at 21:18):
Me either. I don't see the screen shots that you wanted feedback on.
Abbie Watson (May 14 2020 at 22:12):
We'll try the upload again. This is a choropleth map, and is mapping arbitrary MeasureReport values to the shade of the Health Service Area (CMS participating hospital). The underlying data is applicable to ambulance dispatch, planning which hospital a patient should check into, and similar applications. Probably relevant to whether an area should consider reopening the economy, also. We can shade according to absolute volume, percentage capacity, or any other variable we can think of, really. I'm leaning towards something along the lines of (FilledBeds - TotalNumberOfBeds)/FilledBeds * 100 though.
Screen-Shot-2020-05-11-at-7.32.59-PM.png
Abbie Watson (May 14 2020 at 22:20):
Here's one of the CMS hospitals (Provider Directory). I was thinking of adding the capacity and MeasureScores directly to the map.
Symptomatic-Covid19-HospitalCapacity-Evansville-Sm.png
Abbie Watson (May 14 2020 at 22:26):
And here's one with a heatmap of FHIR Locations. Depending on how comfortable with National Emergency powers or Surveillance Capitalism people are, this could map down to individual patients that test positive for COVID19. Applicable to contact tracing by smartphone GPS, maybe.
Symptomatic-HomeAddresses-Heatmap2-Sm.png
Abbie Watson (May 14 2020 at 22:32):
This last one uses a provider directory and a heatmap and measure scores. I like the direction this is going, but there's something missing. Maybe the orange header/footer are a bit much. Maybe it needs a You Are Here icon. Or hospital icons. Something. So I'm still noodling on it's design.
Symptomatic-CovidGeomapping-Chicago-Hospitals2-Sm.png
Terrie Reed (May 14 2020 at 23:23):
Have any of you heard of this group - Dynamic Ventilator Reserve? public private partnership between American Hospital Assoc, the White House, FEMA and leading Group Purchasing Organizations - https://www.ahadata.com/dynamic-ventilator-reserve Seems like information from heat maps would be good use case for them.
Abbie Watson (May 14 2020 at 23:30):
Yeah, I have. My capstone project for gradschool was for Universal Hospital Supply co (formerly ABC Oxygen Tent Rental). The Dynamic Ventilator Reserve is the same basic thing. The stockpiles and reserves float around between one steward and the next over the years. But I've been tangentially hooked into the reserves in various capacities over the years.
Abbie Watson (May 14 2020 at 23:32):
I have a MACRA cost of ownership calculator for this stuff too (built with FHIR), that somebody someday may be interested in.
Debi Willis (May 14 2020 at 23:38):
Thanks Terrie!
Debi Willis
Last updated: Apr 12 2022 at 19:14 UTC
