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Presentation on the AIRO Acute Specialities Mapping project for cross border health care provision in Ireland
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Acute Specialities Mapping
26th June 2014
Mapping Acute Specialities
• Ireland-Northern Ireland Cross-Border Cooperation Observatory (INICCO) II
– Centre for Cross Border Studies (CCBC) – Cooperation and Working Together (CAWT) – AIRO, NUIM
• Mapping and analysis • Aims and Objectives:
– To address an information gap that constrains cross-border cooperation among health service providers
– To facilitate planning of shared acute health services on a border region and all-island basis;
• First Steps..... – Development of a mapping tool to view acute health specialities in the
cross-border area – Visual demonstration of access in both jurisdictions – Quantify number of people with good/bad access
Mapping Acute Specialities
• Phase 1 – Data collection and initial analysis – Ear, Nose & Throat (ENT) – Ophthalmology – Urology – Vascular
• In Patient • Out Patient • Day Patients
– Radiotherapy • 2014 and 2016
• Study Area – 40km either side of border
• Population 1.3m • 556k in RoI, 781 k in NI
– 0 to 14 Years: 288k – 15 to 64: 874k – 65plus: 174k
– Services from 35 Hospitals/Care Centres
All-Island Accessibility Mapping
• Methodology – Location of Acute Services, Residential Address data, Road Network – Accessibility scores developed for every residential address point in the study
area (550k) (2,695,923 in island of Ireland) – NAVTEC roads dataset
• Average speed (midway between Peak and Off-Peak) • +10% congestion charge for urban areas • +3 minutes delay added to each score
15 minutes
All-Island Accessibility Mapping
• Small Area boundaries in study area – Average drive-time based on weighted residential address scores
• 4,193 Small Areas (SAs) – 1,770 in NI – 2,423 in RoI
All-Island Accessibility Mapping
All-Island Accessibility Mapping
Mapping Acute Specialities
• Phase 1 – Analysis – Ear, Nose & Throat (ENT)
• In Patient • Out Patient • Day Patients
– Ophthalmology – Urology – Vascular – Radiotherapy
• 2014 and 2016
Mapping Acute Specialities – ENT (In)
Mapping Acute Specialities – ENT (Out)
Mapping Acute Specialities – ENT (Day)
Mapping Acute Specialities – Oph (Out)
Mapping Acute Specialities – Oph (Day)
Mapping Acute Specialities - Ur (In)
Mapping Acute Specialities - Ur (Out)
Mapping Acute Specialities - Ur (Day)
Mapping Acute Specialities – Vas (In)
Mapping Acute Specialities – Vas (Out)
Mapping Acute Specialities – Vas (Day)
Mapping Acute Specialities - Radiotherapy 2014
Mapping Acute Specialities - Radiotherapy 2016
Mapping Acute Specialities – All-Island View
Online Mapping Tool
http://airomaps.nuim.ie/flexviewer/?config=ASM.xml
Next Steps
• Move from mapping at case-study level to All-Island level • Much bigger data capture exercise (CAWT, HSE...) • Methodology in place. Re-run analysis and update mapping tool
• All Acute services: – A&E, Radiotherapy.......(diabetes, dermatology, cancer, mental health, orthopaedics – INTERREG V)
• Scenario analysis • Opening/closing services - how does this affect service provision? • Open or closed border? • Mapping actual commuters zone to hospitals (address data of patients)
• Development of fully functioning mapping system with integrated data visualisation tool – Add detailed information at SA level
• Travel times, nearest service RoI or NI, opening times – Embed within new AIRO site
• Integrate new data into AIRO ‘Data for Decisions’ training days – QGIS Open source workshops – InterTradeIreland, Border Regional Authority, Land and Property Services NI,
HSE?