PHATE2018-12-27T18:37:48+00:00
PHATE - The Population Health Assessment Engine

PHATE The Population Health Assessment Engine

What Is PHATE

PHATE is a population health tool commissioned by the ABFM and developed in collaboration with the Center for Applied Research and Engagement Systems (CARES) at the University of Missouri. PHATE provides clinicians with a fuller understanding of their patient population in the context of their community. PHATE utilizes patient data from the PRIME Registry to assign a Community Vital Sign to an individual patient based on Census Tract characteristics.

Phate Screen Shot on Desktop Computer

Working with PHATE

Currently, all enrollees in the EHR-integrated version of PRIME receive access to PHATE in their practice dashboard. Access may also be granted to a demonstration environment for practices not yet in PRIME. This access includes only the My Community feature.

When used within PRIME, PHATE uses EHR and Community Data to:

  • Map physician or clinic service area
  • Show clusters of disease
  • Show clusters of poor outcomes
  • Pull in social determinant data (poverty, less than high school ed., single parent household, unemployment etc.)
  • Create a Community Vital Sign for every patient
  • Display community resources for patients and practice

The resulting reports and information help clinicians and practices better understand the characteristics of patient risks, illuminating local resources and opportunities for assistance, intervention and improvement.

Learn More

Quick Start Guide

Want to just dive in and try it out? Then start here. This Quick Start Guide gives you a brief orientation and introduction to the features available in the PHATE application.

Full PHATE Curriculum

For a deeper dive into PHATE, and its relationship to COPC (Community Oriented Primary Care), the Robert Graham Center and HealthLandscape have collaborated to develop a curriculum aimed to introduce health care professionals to the Population Health Assessment Engine (PHATE).

The goal of this PHATE curriculum is to help learners understand how to integrate community data, clinical data, and community resources in order to address social determinants of health and improve the health of patients and populations.

Join a Webinar

Each month, we host a webinar to orient users to PHATE and the PRIME Registry Dashboard. You’ll see how each of the components can be used, learn how EHR data, census tracts or de-identified addresses can be used to map a service area, and have a chance to ask questions.

Frequently Asked Questions about PHATE

What is PHATE?

The Population Health Assessment Engine (PHATE) is a patient-centered online population visualization and management system that creates a “community vital sign for each patient and also shows Social Determinants of Health across a practice’s service area. PHATE utilizes patient data from the PRIME Registry to assign a community vital sign to an individual patient based on census tract characteristics.

How can I get access to PHATE?

To access PHATE you must be a registered user of the PRIME Registry. Learn more about registering here.

Why do I want to use PHATE, how will it help me?

The reports and information provided in PHATE help clinicians and practices better understand patient risks in the context of their community in order to facilitate further risk assessments, recommendations, or community referrals.

Who can I contact if I have questions about how to use PHATE?

You may contact us at support@theabfm.org with any questions you may have about PHATE or the PRIME Registry.

Does PRIME offer training for PHATE?

Yes. We offer periodic webinar sessions related to PHATE, the PRIME Registry dashboard and other dashboard tools. You may register for one of our upcoming sessions here.

What is the definition of “My Community” in the PHATE tool?

My Community allows the user to view and download community characteristics in relation to the user’s service area. This area may be defined by the user, using their practice data from the PRIME Registry, selecting census tracts, or uploading patient addresses. A practice’s community is defined as the census tracts that contain the highest penetration of the practice and comprise the desired percentage of total patients. Definitions that include 50% or 70% of patient population are recommended to find core community.

What is the definition of “Community HotSpots?” in the PHATE tool?

Community HotSpots allows the user to view and download data on hot spots or clusters of poor disease control or gaps in quality from the user’s electronic health record data, and view how those hot spots relate to the community characteristics.

What is the definition of “Community Vital Sign” and how is it calculated?

Community Vital Signs are aggregated community-level information about the neighborhoods in which our patients live, learn, work, and play. They convey contextual social deprivation and associated chronic disease risks based on where patients live. Community vital signs are calculated by the Robert Graham Center.

How frequently is my practice data updated?

As frequently as your data are updated between your EHR and the PRIME Registry.

What is a Social Determinant and how frequently is this data updated?

Social Determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. (https://www.cdc.gov/socialdeterminants/faqs/index.htm)

If I upload patient location information, is there a recommended minimum and maximum number of patients I should load?

You must upload data for at least three (3) patients to utilize the Community HotSpots functionality within PHATE. There is no maximum.

Why can’t I see patient-specific data in PHATE?

All data in the PHATE has been de-identified in compliance with HIPAA.

What is the purpose and functionality of the percentage bar under “My Community”?

The percentage bar allows you to view different areas of patient concentration in the tool. This is based on the definition of a practice’s community as the census tracts that contain the highest penetration of the practice and comprise the desired percentage of total patients. Definitions that include 50% or 70% of patient population are recommended to find core community. A detailed description of the methdology can be found in “Geographic Retrofitting: A Method of Community Definition in Community-oriented Primary Care Practices” .

What is a census tract?

Census Tracts are small, relatively permanent statistical subdivisions of the county that are updated by local participants prior to each decennial census as part of the Census Bureau’s Participant Statistical Areas Program.

Contact us about PHATE

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