THE COUNTY HEALTH RANKINGS & ROADMAPS: FROM DATA TO ACTION Julie A. Willems Van Dijk RN, PhD Deputy...

THE COUNTY HEALTH RANKINGS & ROADMAPS: FROM DATA TO ACTIONJulie A. Willems Van Dijk RN, PhD

Deputy Director, County Health RoadmapsUniversity of Wisconsin Population Health Institute

December 4, 2013

County Health Rankings & Roadmaps is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

www.countyhealthrankings.org

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ACKNOWLEDGEMENTS‣ Robert Wood Johnson Foundation– Including Abbey Cofsky, Joe Marx, Michelle Larkin, Jim Marks,

Naima Wong

‣Wisconsin County Health Rankings & Roadmaps Team– Including Bridget Catlin, Patrick Remington, Amanda Jovaag, Kitty

Jerome, Alison Bergum, Kate Konkle, Karen Odegaard, Jan O’Neill, Kirstin Siemering

‣Our Partners– Including Burness Communications, Community Catalyst, United

Way Worldwide, NACo, NBCH, ASTHO, NACCHO, NNPHI, Dartmouth Institute, CDC, NCHS

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TODAY’S OUTLINE

‣What Creates Health?

‣Exploring the County Health Rankings & Detroit’s State of Population Health Report

‣Moving to Action

‣Discussion

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TWO VIEWPOINTS

Today’s Health

Health Outcomes

Tomorrow’s Health

Health Factors

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‣Reflect important aspects of population health that can be improved

‣Valid, reliable, recognized and used by others

‣Available at the county-level

‣Available for free or low cost

‣As up-to-date as possible

‣ Fewer measures better than more

HOW ARE MEASURES SELECTED?

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FOCUS AREA MEASURE DATA SOURCEMORTALITY (50%) Premature Death (50%)

(Years of Potential Life Lost)National Center for Health Statistics

MORBIDITY (50%) Low Birthweight (20%)

Poor or Fair Health (10%)

Poor Physical Health Days (10%)

Poor Mental Health Days (10%)

National Center for Health Statistics

Behavioral Risk Factor Surveillance System

HEALTH OUTCOMES

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FOCUS AREA MEASURE DATA SOURCETOBACCO USE (10%)

Adult Smoking (10%) Behavioral Risk Factor Surveillance System

DIET AND EXERCISE (10%)

Obesity (7.5%)

Physical Inactivity (2.5%)

National Center for Chronic Disease Prevention and Health Promotion

ALCOHOL USE (5%)

Excessive Drinking (2.5%)

Motor Vehicle Crash Death Rate (2.5%)



SEXUAL ACTIVITY (5%)

Teen Birth Rate (2.5%)

Sexually Transmitted Infections (Chlamydia Rate) (2.5%)


National Center for Hepatitis, HIV, STD, and TB Prevention

HEALTH BEHAVIORS

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FOCUS AREA MEASURE DATA SOURCEACCESS TO CARE (10%)

Uninsured (5%)

Primary Care Physicians (3%)

Dentists (2%)

Small Area Health Insurance Estimates

Health Resources & Services Administration

Health Resources & Services Administration

QUALITY OF CARE (10%)

Preventable Hospital Stays (5%)

Diabetic Screening (2.5%)

Mammography Screening (2.5%)

Dartmouth Institute: Dartmouth Atlas Project, Medicare Claims Data

CLINICAL CARE

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FOCUS AREA MEASURE DATA SOURCEEDUCATION (10%)

High School Graduation (5%)

Some College (5%)

States provided H.S. graduation data

American Community Survey

EMPLOYMENT (10%)

Unemployment (10%) US Bureau of Labor Statistics

INCOME (10%) Children in Poverty (10%) Small Area Income and Poverty Estimates

FAMILY AND SOCIAL SUPPORT (5%)

Inadequate Social Support (2.5%)

Single-Parent Households (2.5%)


American Community Survey

COMMUNITY SAFETY (5%) Violent Crime (5%)

Uniform Crime Reporting, Federal Bureau of Investigation

SOCIAL AND ECONOMIC FACTORS

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PHYSICAL ENVIRONMENT

Focus Area Measure Data SourceENVIRONMENTAL QUALITY (4%)

Daily Fine Particulate Matter (2%)

Drinking Water Safety (2%)

CDC WONDER Environmental data, NASA Applied Sciences Program/Public Health Program

Safe Drinking Water Information System

BUILT ENVIRONMENT (6%)

Limited Access to Healthy Foods (2%)

Fast Food Restaurants (2%)

Access to Recreational Facilities (2%)

Food Environment Atlas

County Business Patterns

County Business Patterns

14www.countyhealthrankings.org

21http://www.cdc.gov/about/grand-rounds/archives/2010/download/GR-021810.pdf

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State of Population Health Report, Page 9

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30www.countyhealthrankings.org/what-works-for-health

http://www.countyhealthrankings.org/what-works-for-health

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SOCIAL ECOLOGICAL MODEL (MCELROY, BIBEAU, STECKLER, & GLANZ, 1988)

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ObesityIndividual Weight reduction

Exercise programs

Family/Interpersonal Family nutrition classesActive family challenge

Institutional Healthy nutritional choicesCompetitive pricingActivity challengesPoint of decision prompts

Community Bike and walking trails Safe Routes to School

Policy Taxes on sugar-sweetened beveragesCommunity development financing for healthy food outlets

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‣A model of health and action to guide your process

‣Tools and guidance that can be used by both public health and hospitals to work together

‣Community of learning

‣Stories and examples of how other communities have advanced their journey towards health

HOW CAN THIS BE HELPFUL TO MY COMMUNITY?

DRAFT Health Driver Diagram (High Level)Key

Outcome

Primary Drivers

Central to ourMission and Capabilities,High Control

Central to ourMission &SharedCapabilities, &Control

Alignedwith our Mission &Limited Capabilities &Control

ImprovedHealth

(As Measured by a Summary

Measure ofHealth)

Healthy LifestylesPreventive ServicesAcute CareChronic DiseaseEnd of LifeCross Cutting Issues

Tobacco Non-useActivityDiet/NutritionAppropriate Alcohol Use

AdvocacyOther Community Projects

AdvocacyOther Community Projects

EnvironmentalFactors

HealthBehaviors

HealthCare

Socio-economic Factors

Adult/Family Literacy

Early Childhood Development

Physical Activity

Nutritious Food/Drink

Livable Communities

Physical Environment

Socioeconomic

Lead and Other Chemicals

Health Literacy

Built Environments

Environmental Quality

Trained Workforce

Income

Family/Social Support

Family StabilityAging Population Services and

Caregiver Support

Parenting Skills

Safe Areas for Activity

Access to Healthy Food/Drink

Social Cohesion

Affordability

Dental Health

Housing

English Proficiency

2nd Hand Smoke

Employer/Employee Awareness

Utilities

Worker Availability/Readiness

Cultural Competence

April 16, 2010 - Version 4.0 Driver Diagram: Partial Inventory of Related HealthPartners Initiatives

Reduced Toxic Exposures

Financial Management

Mental Health Anti-Stigma Efforts for Mental Health and Chemical Dependency

Improved Work-Health Linkage

Cultural Understanding

Community Engagement

Provider Outreach to Community

Community Safety

Reduced Violence

Ready Transportation

Green Building Initiatives

Itasca Project efforts Food Shelf programsPirates of Carrot Bean: SHIP supportBreastfeeding video

Health Literacy workshops Project ReadSpeaking Together

Itasca Project efforts Tech Prep ConsortiumYouth Volunteer Program EBAN ExperienceEmployee education Health Career ScholarshipsTeachers in Healthcare Setting

Financial Fitness Program

Itasca Project efforts Food Shelf programsSPPS Health & Wellness Homes for All 2010EMACS SHIP supportRegions Financial Counseling

Project Read Baby Safety programBaby Clothes Breastfeeding video:Cell phone drives Shelter/Clinics partnersCornerstone conference

Itasca Project efforts Data/Research projectsEmployee education EBAN ExperiencePower to End Stroke

EMACS: Hovander House SHIP supportNAMI partnership East Metro Roundtable

Itasca Project efforts Food Shelf programsCSAs Farmers Market promoComplete Streets SHIP supportMN Environmental Fund County Volunteer Drivers

Smoke-Free Worksites SHIP support

MN Environmental Fund Environment Conservation

Related HealthPartners Initiatives

Employment

Education

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‣Annual prize

‣Honoring outstanding community efforts and partnerships

‣Winning communities receive a $25,000 cash prize

‣2014 winners will be announced and next round of applications will be released in June, 2014

ROADMAPS TO HEALTH PRIZE

Meet the six inaugural winners and learn more about how your community can apply at

www.countyhealthrankings.org/roadmaps/prize

http://www.countyhealthrankings.org/roadmaps/prize

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NEW ORLEANS

http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2013/02/new-orleans--louisiana--2013-

roadmaps-to-health-prize.html

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STAYING CONNECTED

e-Newsletter: [email protected]

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DISCUSSION

Julie Willems Van Dijk RN PhD

Deputy Director, County Health Rankings & Roadmaps

University of Wisconsin Population Health Institute

608-263-6731

[email protected]

THE COUNTY HEALTH RANKINGS & ROADMAPS: FROM DATA TO ACTION Julie A. Willems Van Dijk RN, PhD Deputy...

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