{"id":489152,"date":"2023-10-20T22:34:57","date_gmt":"2023-10-20T22:34:57","guid":{"rendered":"https:\/\/uat.esri.com\/en-us\/industries\/blog\/?post_type=blog&#038;p=489152"},"modified":"2024-07-22T17:29:14","modified_gmt":"2024-07-22T17:29:14","slug":"applying-gis-for-enhancing-network-health-equity","status":"publish","type":"blog","link":"https:\/\/www.esri.com\/en-us\/industries\/blog\/articles\/applying-gis-for-enhancing-network-health-equity","title":{"rendered":"Applying GIS for Enhancing Network Health &amp; Equity"},"content":{"rendered":"<p class=\"undefined block-editor-paragraph\">Every healthcare journey is unique. Yet, when viewed from a macro perspective, these individual pathways reveal patterns, gaps, and opportunities that can be addressed to create a more resilient healthcare system \u2013 a system that is convenient and accessible, where people get check-ups and screenings, and the cost of care diminishes. Enter the world of network adequacy and optimization\u2014a multidimensional domain connecting geography with healthcare, where providers and patients converge, and disparities in access to care are brought to the forefront. This blog invites you to explore this dynamic realm and uncover the transformative potential of <a href=\"https:\/\/www.esri.com\/en-us\/what-is-gis\/overview\">geographic information system (GIS) technology<\/a> in shaping future healthcare trajectories.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-understanding-network-adequacy-amp-its-intricacies\"><strong>Understanding Network Adequacy &amp; Its Intricacies<\/strong><\/h2>\n\n<p class=\"undefined block-editor-paragraph\">At its core, network adequacy represents a standard. It ensures that health plans meet specific criteria, whether set by state or federal authorities. These criteria are meant to ensure that insurance plan members can access their entitled benefits without undue hardship.<\/p>\n\n<p class=\"undefined block-editor-paragraph\">However, defining &#8220;adequacy&#8221; is more complex than it appears:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Standards vary. A fragmented approach exists with no universal benchmark, resulting in <a href=\"https:\/\/www.ncsl.org\/health\/health-insurance-network-adequacy-requirements\" target=\"_blank\" rel=\"noreferrer noopener\">varied standards<\/a> across federal entities and states. Although most entities generally include (1) travel times and distances between plan members and providers, (2) provider-to-enrollee ratios, and (3) appointment wait times, the determination of what is considered reasonably accessible for each measure can be different from regulator to regulator.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Divergent stakeholder goals complicate the situation. Insurers, focused on controlling costs, might design networks that, although economical, may lack comprehensive coverage. On the other hand, governmental entities strive for enhanced coverage quality, ensuring citizens have access to the best possible care.<\/li>\n<\/ul>\n\n<p class=\"undefined block-editor-paragraph\">Such challenges are underpinned by multiple influencing factors: geographic accessibility, capacity constraints, fluctuating costs, quality of care, and an ever-evolving regulatory landscape. Still, amid these complexities, the goal remains constant: improve health outcomes for the population.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-why-gis-is-indispensable-in-this-journey\"><strong>Why GIS is Indispensable in This Journey?<\/strong><\/h2>\n\n<p class=\"undefined block-editor-paragraph\">The beauty of GIS lies in its precision and depth. It provides an indispensable perspective, allowing healthcare providers and planners to gauge patient access across diverse metrics:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Travel Considerations: Time, distance, and mode of transportation (acknowledging that not all individuals drive) become critical factors. Whether it&#8217;s public transit in urban areas or walking cycling and other forms of commute in rural areas, GIS accounts for them all.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Dynamic Real-time Analyses: Traffic patterns, service availability fluctuations, and demographic shifts are continually evolving. GIS ensures that these dynamic elements are integrated into analyses, ensuring real-time relevancy.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Unmask Disparities: Health disparities often become evident when viewed through the GIS lens. With GIS and network accessibility data as a foundation for robust network health analyses, healthcare delivery can move from adequate to optimized.<\/li>\n<\/ul>\n\n<p class=\"undefined block-editor-paragraph\">It\u2019s worth noting at this stage that not all GIS technology systems are the same. It\u2019s critical to assess a system\u2019s ability to geocode addresses with high precision and ensure that travel calculations are made using an accurate street network. If these are not correct, how can you be sure you\u2019re really solving for access problems?<\/p>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"791\" src=\"https:\/\/uat.esri.com\/en-us\/industries\/blog\/wp-content\/uploads\/2023\/10\/sentara-health-customer-success-story-img-a-1024x791.jpeg\" alt=\"\" class=\"wp-image-489242\" srcset=\"https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/10\/sentara-health-customer-success-story-img-a-1024x791.jpeg 1024w, https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/10\/sentara-health-customer-success-story-img-a-300x232.jpeg 300w, https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/10\/sentara-health-customer-success-story-img-a-768x593.jpeg 768w, https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/10\/sentara-health-customer-success-story-img-a.jpeg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Sentara Healthcare, serving Virginia and northeastern North Carolina, identified areas with high emergency department utilization rates to address health disparities and adjust the organization&#8217;s service offerings.<\/figcaption><\/figure>\n\n<h2 class=\"wp-block-heading\" id=\"h-how-gis-transforms-healthcare-landscapes\"><strong>How GIS Transforms Healthcare Landscapes<\/strong><\/h2>\n\n<p class=\"undefined block-editor-paragraph\">Beyond the intricate calculations surrounding geographic access to healthcare lies the transformative potential of spatial data science in optimizing network configurations, making informed staffing decisions, and identifying growth avenues. Applying GIS as an analytical tool, healthcare organizations can tap into a wellspring of opportunities:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Data-Driven Visualization: Integrating diverse datasets\u2014from demographics to claims, and from referrals to surveys\u2014GIS provides a holistic view of network health, bringing to light latent patterns and trends.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Strategic Optimization: Gaps, overlaps, and imbalances become discernible, enabling strategic realignments. Whether it&#8217;s recalibrating provider networks or understanding patient clusters, GIS provides actionable insights, ensuring that network health is not just maintained but enhanced.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Championing Health Equity: Beyond operational efficiencies, GIS stands as a beacon for health equity. It aids in <a href=\"https:\/\/www.esri.com\/en-us\/capabilities\/mapping\/overview\">mapping<\/a> care access, spotlighting underserved communities, and tailoring interventions to bridge gaps. The goal is not just access but equitable access, ensuring that every individual, irrespective of their geographic or socioeconomic status, receives quality care.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Regulatory Compliance &amp; Future-Proofing: As regulations evolve\u2014like the recent requirement to increase collaboration with Essential Community Providers (ECPs) to 35% or the impending CMS mandate for network transparency\u2014GIS equips healthcare entities with the data and insights needed to remain compliant, while also charting a course for future growth.<\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li>Increase your RFP Success Rate: With a robust provider network and a proven dedication to network adequacy and optimization, you\u2019ll gain a competitive advantage when crafting responses to Requests for Proposals (RFPs).<\/li>\n<\/ul>\n\n<p class=\"undefined block-editor-paragraph\">The convergence of GIS with healthcare is not just timely; it&#8217;s transformative. In a rapidly evolving healthcare landscape, the value of GIS in streamlining network health and promoting health equity cannot be understated. The opportunity to leverage this powerful tool is immense. Let\u2019s embark on this transformative journey together.<\/p>\n\n<p class=\"undefined block-editor-paragraph\">Let\u2019s talk about your network\u2019s health. Write to us at <a href=\"mailto:healthinfo@esri.com\">healthinfo@esri.com<\/a>.<\/p>","protected":false},"author":802,"featured_media":0,"parent":0,"menu_order":0,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[141],"tags":[2942,287,210,4562],"class_list":["post-489152","blog","type-blog","status-publish","format-standard","hentry","category-health","tag-access-to-care","tag-gis","tag-healthcare","tag-network-adequacy","industry-hospitals-and-health-systems"],"acf":[],"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>Applying GIS for Enhancing Network Health &amp; Equity<\/title>\n<meta name=\"description\" content=\"Enter the world of network adequacy and optimization\u2014a multidimensional domain connecting geography with healthcare.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.esri.com\/en-us\/industries\/blog\/articles\/applying-gis-for-enhancing-network-health-equity\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Applying GIS for Enhancing Network Health &amp; 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Dr. Geraghty has been with Esri since 2014 and has led business development and solution development in the market. During her time at Esri, Dr. Geraghty has helped organizations around the world use location intelligence to combat Zika virus, finish the fight against polio, grapple with the opioid crisis, combat homelessness, enhance health preparedness and response, inform strategic planning, optimize healthcare access, and traverse the COVID-19 pandemic while tackling inequity. Formerly the Deputy Director of the Center for Health Statistics and Informatics with the California Department of Public Health, Dr. Geraghty led the state vital records and public health informatics programs. There she engaged in statewide initiatives in meaningful use, health information exchange, open data and interoperability. 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In addition to her degrees in Medicine, Medical Informatics and Public Health, Dr. Geraghty is also a board-certified public health professional (CPH) and a Geographic Information Systems Professional (GISP).","sameAs":["@estegeraghty","https:\/\/www.linkedin.com\/in\/este-geraghty\/","https:\/\/x.com\/https:\/\/twitter.com\/estegeraghty"],"honorificPrefix":"Dr.","honorificSuffix":"MD, MS, MPH, CPH, GISP","birthDate":"1964-12-15","gender":"female","award":["HIMSS Most Influential Women in Health IT 2021"],"jobTitle":"Chief Medical Officer","worksFor":"Esri","url":"https:\/\/www.esri.com\/en-us\/industries\/blog\/author\/egeraghty"}]}},"text_date":"October 20, 2023","author_name":"Este Geraghty","author_page":"https:\/\/www.esri.com\/en-us\/industries\/blog\/author\/egeraghty","custom_image":"https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/05\/socal-blog.png","primary_product":"Hospitals and Health Systems","tag_data":[{"term_id":2942,"name":"access to care","slug":"access-to-care","term_group":0,"term_taxonomy_id":2942,"taxonomy":"post_tag","description":"","parent":0,"count":7,"filter":"raw"},{"term_id":287,"name":"GIS","slug":"gis","term_group":0,"term_taxonomy_id":287,"taxonomy":"post_tag","description":"","parent":0,"count":185,"filter":"raw"},{"term_id":210,"name":"healthcare","slug":"healthcare","term_group":0,"term_taxonomy_id":210,"taxonomy":"post_tag","description":"","parent":0,"count":5,"filter":"raw"},{"term_id":4562,"name":"network adequacy","slug":"network-adequacy","term_group":0,"term_taxonomy_id":4562,"taxonomy":"post_tag","description":"","parent":0,"count":1,"filter":"raw"}],"category_data":[{"term_id":141,"name":"Health","slug":"health","term_group":0,"term_taxonomy_id":141,"taxonomy":"category","description":"","parent":0,"count":34,"filter":"raw"}],"product_data":{"errors":{"invalid_taxonomy":["Invalid taxonomy."]},"error_data":[]},"primary_product_link":"https:\/\/www.esri.com\/en-us\/industries\/blog\/industry\/hospitals-and-health-systems","short_description":"Learn how to leverage GIS tools for complying with network adequacy and enhancing health equity.","image":"https:\/\/www.esri.com\/en-us\/industries\/blog\/app\/uploads\/2023\/10\/ED-Utilization-map-blog.png","_links":{"self":[{"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/article\/489152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/article"}],"about":[{"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/users\/802"}],"version-history":[{"count":0,"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/article\/489152\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/media?parent=489152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/categories?post=489152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.esri.com\/en-us\/industries\/blog\/wp-json\/wp\/v2\/tags?post=489152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}