Integrating Clinical Classifications Software Refined, Process Indicators, and Geographic Information System Mapping to Inform Population Health Management: Development of an Interactive Dashboard - Summary - MDSpire

Integrating Clinical Classifications Software Refined, Process Indicators, and Geographic Information System Mapping to Inform Population Health Management: Development of an Interactive Dashboard

  • By

  • Joshua Kuan Tan

  • Hao Yi Tan

  • Gerald Gui Ren Sng

  • Sing Yi Chia

  • Su-Yen Goh

  • Julian Thumboo

  • Yong Mong Bee

  • July 15, 2026

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Objective:

To develop a population health intelligence dashboard that integrates clinical and administrative priorities for managing diabetes care.

Approach:
  • Study Setting and Data Sources: Utilized data from the SingHealth Diabetes Registry (SDR), a comprehensive repository of diabetes-related patient data from Singapore Health Services, covering individuals aged 18 and older diagnosed with diabetes mellitus. The SDR is significant as it provides a high degree of data completeness and is well-suited for longitudinal analysis.
  • Key Dashboard Features: The dashboard was developed through stakeholder engagement, focusing on three core analytic domains: health status indicators, process indicators, and inpatient utilization.
Key Findings:
  • The dashboard integrates health status indicators, process indicators, and inpatient utilization to provide a comprehensive view of diabetes care.
  • Health status indicators include demographic filters, comorbidities, and diabetes-related complications.
  • Process indicators reflect adherence to evidence-based care protocols and quality of chronic disease management.
Interpretation:

The dashboard aims to facilitate data-driven planning and support targeted interventions to improve health outcomes for diabetes patients.

Limitations:
  • The study is limited to data from a single health system in Singapore, which may affect generalizability and the applicability of findings to other contexts.
  • The dashboard's effectiveness in real-world applications has yet to be evaluated.
Conclusion:

The development of this interactive dashboard represents a step towards enhancing population health management for diabetes care.

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