Cities / Healthy Cities
Healthy City Design 2019
Streetcoin: an idea to integrate place-based social landscape with healthcare risk models through the electronic health record
By Chethan Sarabu and Alan Waxman | 25 Nov 2019 | 0
The talk will explore a new collaborative future for landscape architects in healthcare, with discussion from the perspective of a practising paediatrician and landscape architect.
Download the slides for this video presentation
Place- and action-based psychosocial data integration allows for the creation of an interoperable dataset from within a high-risk network node, which can be evaluated by aggregated electronic health records over time, and traded within and
between accountable care organisations (ACOs).
The greater the place-based action potential to improve the aggregate health of the population, the greater the savings for the ACO. As chronic disease management costs rise, so the agency of neighbourhoods and their psychosocial management also increase.
A network node in New York City, Brownsville, Brooklyn, has drawn the interest and investment of major tech companies, which engage neighbourhood groups to secure social capital and manage risk in ACO cost. The greater the risk of the group, the more likely participants are to be intoxicated, shot, shoot, or otherwise affect the neighbourhood. In the 21st century health economy, the “means of production” lie in the hands of the most marginalised. It remains to be seen whether high-risk groups and locations, which derive this network value, will continue to manage the process or simply become sites of extraction – a prison-hospital-mental-health industrial complex in data-health systems.
The session will provide an introduction to psychosocial mapping in a human scale and healthcare context, exploring new forces in the healthcare system leading to: new roles for landscape architects; how payment models are moving towards upstream preventive measures at the scale of urban design interventions; and the application of electronic health record systems and the vast expanse of data and data exchange.
The session will provide examples of psychosocial mapping techniques, as well as the role of geospatial tools in healthcare psychosocial mapping.
Conclusion: The session will explore a new collaborative future for landscape architects in healthcare, with discussion from the perspective of a practising paediatrician and landscape architect.