Categories
Vital Signs Infographic
Uniting individual and community health as a single concept
Shawn Eastridge
Measurements of health tell us a great deal about our health status and help signal the performance measurement standards needed in the U.S. health care system to improve quality of care. With numerous measurements used today, it’s important for us to think about what constitutes a measure and which ones are most telling of our health care progress. The Institute of Medicine (IOM) recently released a report addressing present opportunities and obstacles in health care measurement and identified a set of uniform measures that can be used to determine targets for improving individual health and the health care system.

I’m pleased to see progression towards defining individual health standards, but we have yet to reach a nationally agreed upon set of measures to assess the health of communities. The National Committee on Vital and Health Statistics (NCVHS), a group I belong to, is holding a hearing this month about evaluating health care from a community perspective based on facts that are given very little visibility. We’re working to decide on a set of domains for describing and assessing what makes a community healthy. Our focus is to use data in a more granular way to understand health dynamics—what creates health and what doesn’t.

Photo Credit: CDC Public Health Image Library

While the IOM report and the NCVHS study each focus on different parts of the problem, it’s useful to view individual health status and community health status as complementary components. The set of criteria outlined by the IOM committee measures the value of health care services in improving population health by doing things that are focused on the level of individuals.

There are many health determinants that can influence a person’s well-being: socioeconomic status, access to care, air quality, education, safety and how his or her community has shaped them over time. These determinants must be included in the equation when we’re measuring health at any level. Individual and community health together form a causal relationship that provides insight of our overall health status.

So when we think about measurements of health, we have to consider the ways individual health and community health impact one another. Weaving data into that solution connects the dots to tell us that story and mobilizes us to take action leading to the transformation of healthier people and healthier communities.

To begin analyzing health as a whole, we first need to understand that individual health and community health cannot be seen as separate concepts.
Part 3: Sustaining IIS modernization: building the future beyond implementation
PHII's IIS team offers practical approaches for sustaining IIS modernization beyond implementation by strengthening workforce capabilities, future-visioning, communicating value, and building agency capacity for long-term success.
Part 2: Best practices for successful IIS data modernization implementation
Our IIS team shares key recommendations for successful IIS modernization, including using assessments, partner engagement, change management and data governance to align with broader public health goals.
Part 1: IIS modernization: what’s different this time around?
PHII's IIS team examines strategies to help public health agencies shift IIS modernization from purely technical upgrades to a comprehensive approach that involves people, processes, governance, and system-wide transformation.
Reflecting on 2025: the great reset in public health
PHII Director Vivian Singletary shares her reflections on the past year and looks forward to what 2026 holds.
Using generative AI to automate pediatric audiology diagnoses
Our audiology team shares about a system built to leverage generative artificial intelligence (AI) to automate the classification of pediatric audiology reports.
The importance of governance in data modernization
Senior informatics analyst Sarah Shaw reflects on last year's Data Modernization Boot Camp and how it spawned their online Data Governance course.
Reflections on 2024 and looking forward to the new year
PHII Director Vivian Singletary celebrates our 2024 public health wins and gets ready for the opportunities and challenges in the new year.
How Fairfax County’s health department tackled data modernization challenges
In this video, Fairfax County Health Department shared how they’ve tackled various data modernization challenges.
Communication plays a key role in successful data modernization planning
Shawn Eastridge provides examples of public health jurisdictions emphasizing how communication is key to a successful data modernization plan.
A use case in IIS considerations for DMI, from Michigan
The Michigan Care Improvement Registry (MCIR) team offers an example of considerations immunization information system (IIS) teams may have when working to align with data modernization goals.