{"id":2033262,"date":"2023-07-26T10:51:23","date_gmt":"2023-07-26T17:51:23","guid":{"rendered":"https:\/\/www.esri.com\/arcgis-blog\/?post_type=blog&#038;p=2033262"},"modified":"2023-08-21T14:29:20","modified_gmt":"2023-08-21T21:29:20","slug":"knowledge-state-health-agency-modernize","status":"publish","type":"blog","link":"https:\/\/www.esri.com\/arcgis-blog\/products\/arcgis-knowledge\/health\/knowledge-state-health-agency-modernize","title":{"rendered":"State Health Agency Modernizes their Disease Surveillance Program"},"author":300042,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":""},"categories":[28211],"tags":[771252],"industry":[],"product":[762232],"class_list":["post-2033262","blog","type-blog","status-publish","format-standard","hentry","category-health","tag-arcgisknowledge","product-arcgis-knowledge"],"acf":{"authors":[{"ID":300042,"user_firstname":"Tiffany","user_lastname":"Glenn","nickname":"Tiffany Glenn","user_nicename":"tglenn","display_name":"Tiffany Glenn","user_email":"TGlenn@esri.com","user_url":"https:\/\/www.esri.com\/en-us\/arcgis\/products\/arcgis-allsource\/overview","user_registered":"2022-01-21 22:18:36","user_description":"Tiffany Glenn has held many strategic roles at Esri over the years and currently is a Senior Product Marketing Lead for the Operational Intelligence suite of products. She drives go-to-market strategy, customer engagement, and the planning and execution of marketing activities to support National Government, Law Enforcement, Public Safety, and corporate security customers.","user_avatar":"<img data-del=\"avatar\" src='https:\/\/www.esri.com\/arcgis-blog\/app\/uploads\/2023\/04\/Bio-PIC-TG-213x200.jpg' class='avatar pp-user-avatar avatar-96 photo ' height='96' width='96'\/>"},{"ID":9602,"user_firstname":"Adam","user_lastname":"Martin","nickname":"Adam Martin","user_nicename":"adam_martin","display_name":"Adam Martin","user_email":"Adam_Martin@esri.com","user_url":"https:\/\/www.esri.com\/en-us\/arcgis\/products\/arcgis-knowledge\/overview","user_registered":"2019-06-03 19:20:53","user_description":"Adam Martin is a Senior Product Manager focused on ArcGIS Knowledge and system interoperability. With more than fifteen years of entrepreneurial, government and private sector experience, he applies business and technology strategies as levers to improve government digital services and public decision making. Based in Nashville, TN, he focuses on how ArcGIS connects \u201call the data\u201d into knowledge graphs to find hidden patterns and relationships, provide quick context and accelerate decision making.","user_avatar":"<img data-del=\"avatar\" src='https:\/\/www.esri.com\/arcgis-blog\/app\/uploads\/2019\/06\/Adam-headshot-mini2.jpg' class='avatar pp-user-avatar avatar-96 photo ' height='96' width='96'\/>"}],"related_articles":[{"ID":2056392,"post_author":"300042","post_date":"2023-08-20 14:01:19","post_date_gmt":"2023-08-20 21:01:19","post_content":"","post_title":"Tackling Healthcare Network Accessibility with ArcGIS Knowledge","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"tackling-healthcare-network-accessibility-with-arcgis-knowledge","to_ping":"","pinged":"","post_modified":"2024-01-26 09:30:59","post_modified_gmt":"2024-01-26 17:30:59","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.esri.com\/arcgis-blog\/?post_type=blog&#038;p=2056392","menu_order":0,"post_type":"blog","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1828142,"post_author":"9602","post_date":"2023-04-30 10:00:16","post_date_gmt":"2023-04-30 17:00:16","post_content":"","post_title":"What's New in ArcGIS Knowledge 11.1 (2023 Q2)","post_excerpt":"","post_status":"publish","comment_status":"open","ping_status":"closed","post_password":"","post_name":"whats-new-arcgis-knowledge-23q2","to_ping":"","pinged":"","post_modified":"2024-11-05 12:11:01","post_modified_gmt":"2024-11-05 20:11:01","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.esri.com\/arcgis-blog\/?post_type=blog&#038;p=1828142","menu_order":0,"post_type":"blog","post_mime_type":"","comment_count":"0","filter":"raw"}],"short_description":"ArcGIS Knowledge helped modernize a health agency's disease surveillance using a graph database to interact with Public Health data. ","flexible_content":[{"acf_fc_layout":"sidebar","content":"<p><b><span data-contrast=\"auto\">Customer:<\/span><\/b><span data-contrast=\"auto\">\u00a0 State Health Agency, Maternal Epidemiology<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Challenge:<\/span><\/b><span data-contrast=\"auto\"> Epidemiologists need to reduce the amount of time it takes to combine and analyze Public Health (PH) data to identify and validate a cohort of women exposed to COVID-19 during pregnancy.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Solutions<\/span><\/b><span data-contrast=\"auto\">: ArcGIS Knowledge and Esri partner Senzing helped modernize a state health agency integrated disease surveillance system, using a graph database as the foundation to interact with Public Health (PH) data from multiple data sources.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n","image_reference":false,"layout":"standard","image_reference_figure":"","snippet":"","spotlight_name":"","section_title":"","position":"Right","spotlight_image":false},{"acf_fc_layout":"content","content":"<p><span data-contrast=\"auto\">Epidemiologists have the critical task of investigating patterns and causes of disease and injury.\u00a0 This investigative work begins by conducting a cohort study. A cohort study is\u202fa type of epidemiological study in which a group of people with a common characteristic are followed over time to discover how many reach certain health outcomes.\u00a0 During\u202fthe COVID-19 pandemic, public health surveillance became critical, and a state health agency was ready to <\/span><span data-contrast=\"none\">respond<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">One important aspect of this research was trying to understand the impacts of COVID-19 on maternal and infant health outcomes. Maternal health epidemiologists first needed to identify women that were pregnant when they contracted COVID-19. They partnered with Esri to modernize their disease surveillance program and used ArcGIS Knowledge to accelerate cohort identification.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n"},{"acf_fc_layout":"content","content":"<p><strong>Challenge<\/strong><\/p>\n<p><span data-contrast=\"auto\">To create the 2020 cohort of 7,000 people for this study, the maternal health epidemiologists reviewed 3 million case records, 30 million lab records, and over a million public birth and death certificate records.\u00a0 This data resided in 8 different databases and varying formats such as spreadsheets.\u00a0 The data review process took the team two years and hundreds of hours to complete.\u00a0\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The amount of time dedicated to data management completion was time-consuming because of how manual, slow, and inconsistent it was to work accurately through the data. Defining a cohort needs a fully dedicated person, and it is hard to repeat their work because methods differ depending on who is doing the work. They needed to significantly cut the amount of time spent doing data management to achieve precise and repeatable results for the rapid detection of risk signals and the ability to address clinical questions related to maternal health.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">An epidemiologist<\/span> <span data-contrast=\"auto\">believed graph data and graph analytics might be a promising way to analyze the kind of data they had.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cThe data will get larger, the number of labs, access to data. The amount of data we need to analyze will only increase. Esri has a product without SQL database design for Public Health Services. I needed to stay with the times,\u201d says epidemiologist at a state health agency.\u00a0<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n"},{"acf_fc_layout":"content","content":"<p><b><span data-contrast=\"auto\">Solution<\/span><\/b><\/p>\n<p><span data-contrast=\"auto\">The agency turned to Esri and became an early adopter of ArcGIS Knowledge. ArcGIS Knowledge is an enterprise extension that seamlessly provides powerful new graph analysis capabilities to ArcGIS Enterprise. ArcGIS Knowledge would enable them to modernize the state\u2019s integrated disease surveillance system by using a graph database as the foundation to interact with public health data from multiple data sources.\u00a0 The knowledge graph would help them better identify and validate the right candidates for the cohort among the 30+ million people by connecting names, addresses, and other relationships that may be different in lab records.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This process required epidemiologists to first understand if a woman in a lab result reported to the state was the same woman listed on a birth record for a new baby based on other supporting attributes. To address this requirement, the department of health worked with Esri Partner Senzing.\u00a0 Senzing offers entity resolution software for advanced data matching.\u202f This partnership allowed the agency to transition from earlier methods of identity resolution that use deterministic and probabilistic matching techniques with snapshots of data to identity matching in real-time as latest information gets reported.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">After creating a new data pipeline and resolving the identity matching concern among the variety of data records, the agency used the ArcGIS Knowledge graph database as a data warehouse for analysis of this clean data.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n"},{"acf_fc_layout":"content","content":"<p><b><span data-contrast=\"auto\">Benefits<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Using the graph visualization tools in ArcGIS, the epidemiologist and team can now easily validate collected data and see the full picture of their selected cohort, including the location patterns of disease discovery and impact. The team can also get more details on any person of interest within the cohort for further investigation. Querying the knowledge graph for a cohort of people with a COVID-19 diagnosis became a more streamlined exercise that returned the 12,000 expected results for the 2021 cohort in seconds.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">With the new data warehouse in place leveraging the new entity resolution workflows, the epidemiologist can define and find additional cohorts of pregnant women with COVID-19 in minutes instead of the hundreds of hours it took previously. These time savings allow his team of epidemiologists to focus on higher value analyses.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Now, hundreds of other epidemiologists at the state health agency are also poised to leverage this disease surveillance modernization work, using the same graph data warehouse to find other cohorts of people impacted by known and future diseases with public health risks. With this new infrastructure, it may be possible to gain information quickly enough to establish preventative measures and save lives.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Contact your <\/span><a href=\"https:\/\/www.esri.com\/en-us\/arcgis\/products\/arcgis-knowledge\/overview#contact\"><span data-contrast=\"none\">Esri representative<\/span><\/a><span data-contrast=\"auto\"> to learn more about <\/span><a href=\"https:\/\/www.esri.com\/en-us\/arcgis\/products\/arcgis-knowledge\/overview\"><span data-contrast=\"none\">ArcGIS Knowledge<\/span><\/a><span data-contrast=\"auto\">.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n"},{"acf_fc_layout":"content","content":"<p>&nbsp;<\/p>\n<p style=\"text-align: left\">Get started with ArcGIS Knowledge in this technical workshop.\u00a0 Learn how you can extend your workflows to explore, edit and visualize knowledge graphs, discover new data patterns through graph analysis, and more!\u00a0<a href=\"https:\/\/www.esri.com\/training\/catalog\/63e281225b71755a056ef0c1\/arcgis-knowledge-an-introduction\/\">Watch the introduction here<\/a>.<\/p>\n<p style=\"text-align: left\">See how ArcGIS Knowledge was used to track foodborne illnesses in Ohio by integrating knowledge graphs and analytics. ArcGIS Knowledge allowed field investigators to connect spatial and non-spatial data through entities and relationships. <a href=\"https:\/\/mediaspace.esri.com\/media\/t\/1_nri3e9xg\/238781673\">See how it works.<\/a><\/p>\n"}],"card_image":"https:\/\/www.esri.com\/arcgis-blog\/app\/uploads\/2023\/07\/Untitled-design-4-1.png","wide_image":"https:\/\/www.esri.com\/arcgis-blog\/app\/uploads\/2023\/07\/Untitled-design-4-2.png"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ArcGIS Knowledge helps State Health Agency Modernize<\/title>\n<meta name=\"description\" content=\"ArcGIS Knowledge helps state health agency modernize their disease surveillance program.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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