title: Improving a regional outreach program in a large health system using geographic information systems.
abstract: As government-insured populations grow, commercially insured populations decrease, and declining insurance reimbursements pressure cost and revenue. Health systems must strive to improve quality while lowering costs. Large medical centers with rural sites must understand their geography and how distances impede access to services, thereby affecting patient health. Without relevant data, which can be provided through the use of geographic information systems (GIS) technology, improvement is often delayed. Gundersen Lutheran Health System, a large multi-specialty system with urban and rural sites in 3 states, is developing an evaluative outreach GIS to facilitate understanding of, and response to, rural health needs. Investing in GIS technology furthers the health system's ability to deliver superior, affordable care.
authors.affiliation: Gundersen Lutheran Health System, La Crosse, WI 54601, USA. jpgabber@gundluth.org
authors.forename: John P
authors.initials: JP
authors.lastname: Gabbert
authors.forename: Robert M
authors.initials: RM
authors.lastname: Trine
authors.forename: Marilu
authors.initials: M
authors.lastname: Bintz
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D003657:Decision Making; D040362:Geographic Information Systems; D006287:Health Planning Guidelines; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage; D007484:Iowa; D008910:Minnesota; D016730:Program Development; D015397:Program Evaluation; D058996:Quality Improvement; D012041:Regional Medical Programs; D012423:Rural Health; D014922:Wisconsin