My Healthy Philly
My Healthy Philly provides information, digital tools and social media applications to empower users in their personal experience with the health ecosystem, the healthcare system and engage with various stakeholders (healthcare professional, hospitals, insurance companies, regulators, government officials, and media) to achieve optimal healthcare for all.
Leveraging the vast healthcare assets of the region, we can build a healthcare system in the Delaware Valley that provides all our citizens with quality affordable healthcare and serves as a shining light for the rest of our nation. Americans are once again at a critical juncture in our national journey. Our political system, as well as our healthcare system, has become dysfunctional and our fiscal future is uncertain. This is the time to set a path that leads us to reclaim our representative democracy. Together we can work to improve the “general welfare” and promote the well being of our citizens.
We can start by reframing the conversation from “what can I get”, to “what can we, as citizens, not just as consumers and patients, do to achieve a healthcare system that is affordable, and provides access to quality care for all of us?”
We can engage healthcare stakeholders and demand public reporting of meaningful information about healthcare outcomes. We can all do our part to demand accountability from the stakeholders that receive benefits from our taxes. We can establish a vision for excellent health care and gather yearly to assess the health of our nation, expecting it to be the best in the world.
Vital Signs Core Metrics for Health and Health Care Progress
1. Life expectancy: Life expectancy is a validated, readily available, and easily understandable measure for a critical health concept. Because life expectancy depends on a full range of individual and community
influences on health—from cancer to homicide—it represents an inclusive, high-level measure for health.
Violence and injury mortality
2. Well-being: Well-being captures the subjective dimensions of health-related to quality of life. Furthermore, levels of well-being often predict utilization of and satisfaction with health care. Self-reported well-being is a reliable indicator
Multiple chronic conditions
3. Overweight and obesity: More than two-thirds of Americans are overweight or obese, a fact that has causes and consequences that extend beyond the health system—including socioeconomic, cultural, political, and lifestyle factors.
Overweight and obesity
Healthy eating patterns
4. Addictive behavior: Addiction, including nicotine, alcohol, and other drugs, is prevalent in the United States, representing a complex challenge for the health system, communities, and families. Every year, substance abuse and addiction cost the country more than $500 billion
Drug dependence/illicit use
Alcohol dependence/ misuse
5. Unintended pregnancy: Unintended pregnancy, a significant challenge for both individual and community health, is a measure that aggregates a variety of social, behavioral, cultural, and health factors— particularly women’s knowledge about and access to tools for family planning.
6. Healthy communities: Individual health is a function of a wide range of socio-economic and community factors, from infrastructure to social connections. Community health includes critical elements of health that fall outside the care system, such as housing, employment, and environmental factors.
Childhood poverty rate
Air quality index
Drinking water quality index
7. Preventive services: Preventive services (for example, screening for hearing loss or counseling for tobacco cessation) present a valuable opportunity for both improving health and reducing costs
Colorectal cancer screening
Breast cancer screening
8. Care access: A person’s ability to access care when needed is a critical precondition for a high-quality health system. Factors that could hamper access to care include lack of health insurance, clinician shortages, lack of transportation, cultural and linguistic barriers, and physical limitations.
The usual source of care
Delay of needed care
9. Patient safety: Avoiding harm is among the principal responsibilities of the health care system, yet adverse outcomes are common. Ensuring patient safety will require a culture that prioritizes and assesses safety through a reliable index of organizational results.
10. Evidence-based care: Ensuring that patients receive care supported by scientific evidence for appropriateness and effectiveness is a central challenge for the health care system. Currently, an estimated one-third of U.S. health care expenditures do not contribute to improving health. Aggregating carefully selected and standardized clinical measures can provide a reliable composite index of system performance
Cardiovascular risk reduction
Diabetes control composite
Heart attack therapy protocol
Stroke therapy protocol
Unnecessary care composite
11. Care match with patient goals: Systematically assessing each patient’s individual goals and perspectives ensures that the health care system is focusing on the aspects of care that matter most to patients.
Care match with patient goals
Shared decision making
End-of-life/advanced care planning
12. Personal spending burden: Care that is too expensive can limit access to care, lead people to avoid care, or prevent them from spending money in other areas of value to them—with far-reaching economic impacts.
Personal spending burden
13. Population spending burden: Health care spending consumes a large portion of the U.S. gross domestic product, dwarfing the health care spending of other nations. This burden can be measured at national, state, local, and institutional levels.
Population spending burden
The total cost of care
Health care spending growth
14. Individual engagement: Given the effects of personal choices on health, as well as the increasing use of personal health devices, it is critical for individuals to be aware of their options and responsibilities in caring for their own health and that of their
families and communities.
Involvement in health initiatives
15. Community engagement: Across the United States, communities have and utilize different levels of resources to support efforts to maintain and improve individual and family health—for example, addiction treatment programs, emergency medical facilities, and opportunities for social engagement.
Availability of healthy food
Walkability Community health benefit agenda