See on Scoop.itNational Population Health Grid

Brian Altonen‘s insight:

With an efficient disease mapping and surveillance program you can monitor the effectiveness of your health care system for the groups that are most needy, the socioeconomic and ethnic or race groups we usually pay less attention to than we’d like because we don’t have the manpower and time needed to evaluate all of our PIP and HEDIS measures for special needs populations.


With the best use of HIT and Big Data, you can routinely monitor each of these groups for hundreds of metrics that are specific to their areas of high risk.  With the right system, we can easily produce annual and even quarterly reviews of topics like African American, Asian American, Hispanic, or Native American health needs, and/or monitor our low income, special needs populations and our highest risk chronic disease patients.


For example, more than 100 key indicators were identified  for monitoring for the African American culture.   They included diagnostics and V-code and E-code entries, and specific ongoing physical, cultural and mental health measures normally not focused on for this particular group.  

A few examples of unmonitored diagnoses. and potential long term health or QOL risks faced by the African American patient population are demonstrated by the following short videos.


African Eyeworm —

Bejel —

Ebola —

Crimean or Congo Fever —

Guinea Worm —

Obscure African Cardiomyopathy —

Kuru —

Elephantiasis —

Elephantiasis, IP —

Sickle Cell Carrier —

Yaws —