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Community Health and Social Determinants of Health

Our work with the health sector advances community health and supports the growing discipline of population health management. We combine and analyze clinical, social, and environmental data and create assessment and decision-making tools. In our collaboration with the public health and health care sectors, we curate an extensive collection of datasets on the social determinants of community health and resilience. For more information, download our Community Health Informatics general information brochure, Community Health Needs Assessments (CHNAs) brochure, and Community  Health Informatics Key Initiatives flyer.


Via our collaborations, we:

  • Translate social, cultural, economic, and environmental data into actionable information e.g., combining and analyzing community health indicators, community input, and intervention research then developing community health priority scores for community health improvement planning.
  • Develop community health needs assessments using evidence-based methods to build the capacity of hospital systems, public health agencies, treatment facilities, and community-based organizations.
  • Develop innovative tools and approaches for community health planning, population health management, and patient-centered decision support like data warehouses, data dashboards, and information portals.
  • Train individuals and organizations to readily discover, visualize, understand, and share place-based information to better understand their communities and the social and environmental determinants of health, well-being, and resiliency.
  • Help organizations identify needed community services as well as potential organizational partners and institutional supporters.
  • Create new information through applied research, analysis, geoprocessing, and modeling.
  • Curate an extensive set of social and environmental data and spatially integrate these data with clinical and epidemiological data to inform medical and public health research.


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The State of Aging in Central Indiana
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Social Isolation in Older Adults in Indiana
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Understanding COVID-19s spread
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Diabetes Impact Project: Indianapolis Neighborhoods (DIP-IN)
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Community Health Assessment
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Responding to the Addictions Crisis