Interactive dashboard spotlights Dallas County communities with high asthma rates

Parkland, PCCI, DCHHS partner to provide insights for child caregivers

DALLAS –Parkland Health and Dallas County Health and Human Services (DCHHS) in collaboration with Parkland Center for Clinical Innovation (PCCI) launched a new Pediatric Asthma Surveillance System (PASS) that describes community-level information regarding pediatric asthma risk factors in Dallas County.

The interactive dashboard was developed as part of the pediatric asthma initiative through the Dallas County Community Health Needs Assessment. The overall goal of this surveillance system is to provide current and accurate data to stakeholders interested in planning, developing and deploying pediatric asthma interventions, programs and policy; with this in mind, PASS data sets will be updated regularly hereafter.

“The Pediatric Asthma Surveillance System provides valuable key insights into pediatric asthma vulnerability and the associated clinical, demographic, environmental and social/economic drivers. Being able to drill down to neighborhoods and specific census tracts will provide public health leaders and agencies with data they need to address health disparities in the community and improve pediatric asthma for all,” said Steve Miff, PhD, PCCI’s President.

PASS includes a novel, validated Pediatric Asthma Vulnerability Index, that integrates health and social data insights to identify communities where children have higher vulnerability to poor asthma outcomes and highlight areas of health disparities. It can also predict the probability of a community-level asthma-related emergency department (ED) visit or hospitalization within three months, by incorporating the effect of 10 community indicators such as socioeconomic conditions, demographic characteristics, medication use patterns, health services utilization and environmental conditions, on community-level asthma risk.

“We plan on using the data from PASS to help us strategize outreach into the community,” said Cesar Termulo, MD, Pediatrician and Associate Medical Director at Parkland. “There are many children who might not be aware that they have asthma. They might solely be having a chronic cough or shortness of breath with exercise. Thus, it is important to find those pockets of Dallas County that might have a higher vulnerability to asthma attacks and raise awareness in the community to diagnose those children who have unrecognized asthma.”

At every geographic level, a risk-driven, color-coded map is displayed in the center with demographic data included below the map. The Vulnerability Index and all indicators are categorized as Very High, High, Moderate, Low or Very Low Risk based on their impact on Pediatric Asthma Vulnerability in the community. The user can drill down from the Vulnerability Index view to specific indicator views by clicking on specific indicators of interest or navigating to the “Other Indicators” tab. The user can also navigate the map from a ZIP Code view to a Census Tract view to further analyze microgeographic disparities and can select a specific geography of interest for further analysis.

The PASS is also meant to support Parkland and DCHHS efforts in reducing poor health outcomes related to pediatric asthma and will be used to outreach and engage parents or caregivers to participate in Parkland’s pediatric asthma text notification. Parkland’s asthma text message program is an interactive tool designed to help parents manage their child’s asthma. Parents can sign up by texting @asthma to 844-721-0839 (except for message/data rates, the text program is free to eligible patients). To learn more about the asthma text program, visit, www.parklandhealth.org/asthma-in-children.
Programs like these are made possible thanks to generous donors who help support our patients. If you want to support the program you can do so, at Ways to Give – Donate – Parkland Health Foundation (istandforparkland.org).

For more information about Parkland, visit www.parklandhealth.org.
For more information about PCCI, visit www.pccinnocation.org.

To view the dashboard go to: https://www.dallascounty.org/departments/dchhs/chronic-disease/asthma-control-overview.php

About Parkland Center for Clinical Innovation
Parkland Center for Clinical Innovation (PCCI), founded in 2012, is a not-for-profit, healthcare innovation organization affiliated with Parkland Health. PCCI leverages clinical expertise, data science and social determinants of health to address the needs of vulnerable populations.

###

FierceHealthcare, a top national healthcare trade publication, has published an article that includes PCCI experts discussing our preterm birth prevention program. The article, “How providers like UAB, Parkland Hospital are supporting at-risk mothers using a device already in their pockets” includes quotes from Dr. Yolande Pengetnze. Read the whole story here: https://www.fiercehealthcare.com/digital-health/providers-utilize-sms-text-messages-tackle-continuing-maternal-health-crisis

Here are highlights of the article:

Parkland Center for Clinical Innovation (PCCI) and Parkland Hospital in Dallas developed their own program enrolling at-risk patients in a text reminder program. The program’s main goal is decreasing preterm delivery in at-risk pregnant patients. PCCI determined which patients to enroll by using social determinants of health data.

Text messages varied from reminders to arrive at appointments with a list of questions, to take prenatal vitamins and to place seatbelts over the hips instead of the belly. Text reminders changed as patients progressed through pregnancy with notifications in the third month of pregnancy from informing parents that their baby was the size of a peach, to late-term reminders directing patients to ask their doctor about early signs of labor.

PCCI screened 13,000 women for social determinants of health, hypertension, diabetes and mental health risks. Of the enrolled women, preterm delivery decreased by 20%, prenatal doctor visits increased by 8% and costs decreased by 6%.

Yolande Pengetnze, M.D., a pediatrics specialist and program manager of the preterm prevention program, told Fierce Healthcare that 85% of participants preferred texts when receiving prenatal healthcare advice and 74% said the program made them better prepared for parenthood. “We needed a solution that patients could use with one hand because they have a baby in the other,” Pengetnze said.

“A lot of confusing and conflicting information is communicated on social media and that is where patients are going for advice,” Pengetnze said. “The social fabric has changed and people don’t have the same at-home support as they once did. New parents need all sorts of advice from how to feed their baby to what to ask their doctor.”

##

Steve Miff, introduces the PCCI 2022 Annual Impact Report:

Congratulations to PCCI’s Jacqueline Naeem, MD, on being chosen to represent PCCI in the UpNext Exchange. The UpNext Exchange is designed to bring together the next generation of bright leaders in healthcare and provide a network of peers. https://www.healthleadersmedia.com/strategy/healthleaders-announces-2023-upnext-honorees

Read PCCI’s CEO Steve Miff’s views in an article posted by the Healthcare Financial Management Association (HFMA) called “Reimagining the Patient-Caregiver Relationship”:

PCCI uses data to identify broad clusters of patients who have clinical, socioeconomic and demographic characteristics in common. Integrated practice units care for specific clusters — bringing together “the right specialties, support services, you create a virtual behavioral health consult and are able to holistically bring all those together to treat the whole person,” Miff said.

https://www.hfma.org/industry-initiatives/healthcare-2030/reimagining-the-patient-caregiver-relationship.html