Appl Clin Inform 2022; 13(01): 100-112
DOI: 10.1055/s-0041-1741482
Special Section on Disparities, Biases, and Disinformation in Healthcare

Developing Dashboards to Address Children's Health Disparities in Ohio

Pallavi Jonnalagadda
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Christine Swoboda
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Priti Singh
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Harish Gureddygari
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Seth Scarborough
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Ian Dunn
2   The Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio, United States
,
Nathan J. Doogan
2   The Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio, United States
,
Naleef Fareed
1   CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, United States
3   Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio, United States
› Author Affiliations
Funding This study was funded by the Ohio Department of Medicaid.

Abstract

Objectives Social determinants of health (SDoH) can be measured at the geographic level to convey information about neighborhood deprivation. The Ohio Children's Opportunity Index (OCOI) is a composite area-level opportunity index comprised of eight health domains. Our research team has documented the design, development, and use cases of a dashboard solution to visualize OCOI.

Methods The OCOI is a multidomain index spanning the following eight domains: (1) family stability, (2) infant health, (3) children's health, (4) access, (5) education, (6) housing, (7) environment, and (8) criminal justice. Information on these eight domains is derived from the American Community Survey and other administrative datasets. Our team used the Tableau Desktop visualization software and applied a user-centered design approach to developing the two OCOI dashboards—main OCOI dashboard and OCOI-race dashboard. We also performed convergence analysis to visualize the census tracts where different health indicators simultaneously exist at their worst levels.

Results The OCOI dashboard has multiple, interactive components as follows: a choropleth map of Ohio displaying OCOI scores for a specific census tract, graphs presenting OCOI or domain scores to compare relative positions for tracts, and a sortable table to visualize scores for specific county and census tracts. A case study using the two dashboards for convergence analysis revealed census tracts in neighborhoods with low infant health scores and a high proportion of minority population.

Conclusion The OCOI dashboards could assist health care leaders in making decisions that enhance health care delivery and policy decision-making regarding children's health particularly in areas where multiple health indicators exist at their worst levels.

Note

The project was administered by the Ohio College of Medicine Government Resource Center. The views expressed in this paper are solely those of the authors and do not represent the views of the Ohio Department of Medicaid (ODM). This study includes data provided by ODM which should not be considered an endorsement of this study or its conclusions.


Protection of Human and Animal Subjects

Our study was reviewed by our institutional review board and deemed exempt.


Supplementary Material



Publication History

Received: 27 July 2021

Accepted: 27 November 2021

Article published online:
26 January 2022

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