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Health & Welfare Council of Long Island. May 12, 2010. Mission.

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“The Long Island Center for Health Policy Studies is dedicated to democratizing health planning information so as to support a sustainable process of health policy development which directly results in improving the health of the residents and communities of Long Island”



  • Provide professional expertise that advances the development of regional health planning
  • Advance the knowledge base of determinants of health and identification of community healthcare needs through the dissemination of valid and reliable healthcare data
  • Provide a venue for like-minded professionals dedicated to the improvement of the healthcare delivery system to share information and best practices of preventive healthcare


  • 4. Study and disseminate information on how consumers make decisions that effect their health
  • 5. Provide recommendations concerning the configuration of the health care delivery system and resource allocation to address local health care needs and improve quality in a sustainable and cost effective manner

Initial Focus

  • Prevention Agenda Towards the
  • Healthiest State 2008-2013
  • The aging population and cost effective care management methods
  • Health disparities in a suburban environment
  • Dissemination of healthy lifestyle best practices
To better understand issues of seniors, particularly the “older old” (85+) on Long Island.

To inform the Long Island community about senior issues/survey results

To make recommendations to policymakers with regard to improving community health: what can we do to improve quality of life for our seniors?

LICHPS Survey Goals

Health Care Challenges

Social Challenges

Draft Survey Areas for LICHPS Advisory Board Consideration

Health Care Information/Utilization

Social Supports

Chronic Illness


Functional Support


Community Characteristics

In-Home Maintenance

needs assessment
Needs Assessment

Initial Role of LICHPS


Define and Measure the Problem

Health Disparities in a Suburban Environment

  • Prevention Quality Indicators (PQIs)
  • Avoidable Emergency Room Visits
  • Primary Care Physician Workforce

Prevention Quality Indicators (PQIs)

What are the Prevention Quality Indicators?

Prevention Quality Indicators (PQIs) are a set of measures created by the Agency for Health Research and Quality (AHRQ) that identify "ambulatory care sensitive conditions" (ACSCs) in adult populations, using hospital inpatient discharges.

ACSCs are conditions for which good outpatient care can potentially prevent the need for hospitalization, or for which early intervention can prevent complications or more severe disease.


Prevention Quality Indicators (PQIs)

What do these Indicators tell us?

  • They can provide initial information about potential problems in the community that may require further, more in-depth analysis.
  • Higher than anticipated rates may reflect
    • poor access to care
    • barriers to timely care
    • barriers to adherence to medical advice
    • cultural influences that preclude seeking early treatment
    • higher prevalence of poor health behaviors

Lowest and Highest PQI communities -2007-

Highest 20% All Other Lowest 20%

Prepared by North Shore-LIJ Health System Office of Strategic Planning


Diabetes PQIs: Change from 1997 to 2007

Source: SPARCS ver11.28.08/jm; Thomson Reuters; Prepared by North Shore-LIJ Health System Office of Strategic Planning


Peter Clement, Ph.D.