county health rankings & roadmaps: moving from data to action kate konkle april 16, 2015

COUNTY HEALTH RANKINGS & ROADMAPS: MOVING FROM DATA TO ACTIONKate KonkleApril 16, 2015

www.countyhealthrankings.org

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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GUIDING QUESTIONHow can County Health Rankings & Roadmaps help us build a healthy and vibrant community?

Photo credit: athenamat, Fl ickr Creati ve Commons

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WHAT IS YOUR VISION OF A HEALTHY AND VIBRANT COMMUNITY?

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COUNTY HEALTH RANKINGS LOGIC MODEL

Media attention

Community leaders use

Rankings release

Broad community engagement

Evidence-informed strategies

implemented

Improved health outcomes

Population based data collected

County Health Rankings

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FIST TO FIVE

‣ I use the County Health Rankings as a tool

‣ I use the Roadmaps to Health Action Center to help guide my work

‣ I lead or am part of a health coalition/partnership

‣We are working on policy, systems, environmental changes

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WHERE DO YOU FIT INTO THE MODEL??

Stand up if:

‣You work mostly to impact the health behaviors area

‣You work mostly to impact clinical care

‣You work mostly to impact social and economic factors

‣You work mostly to impact the physical environment

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Today’s Health

Health Outcomes

Tomorrow’s Health

Health Factors

COUNTY HEALTH RANKINGS: 2 RANKINGS

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Health Outcome Ranks

Health Factors Ranks

Measures

Two Ranks

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Top U.S. PerformersOnly 10% of counties nationally do better than the given number

State overall

Error Margin95% confidence interval

County Data

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Trend

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Areas to Explore

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Learn more about data in this site and beyond at www.countyhealthrankings.org/using-the-rankings-data

USING THE RANKINGS DATA

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‣Use ranks as tool

‣Change and data take time

‣Learn more about what you can do measure progress at www.countyhealthrankings.org/measuring-progress

MEASURING PROGRESS

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‣It takes everyone

‣Move from data to evidence-informed action

‣Focus across the health factors—including social and economic factors

‣Policy, systems, and environmental change

FOUNDATION OF ROADMAPS

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‣Which stakeholder groups are already included in your work?

‣ Who is missing?

‣What are the challenges with getting them involved?

TABLE DISCUSSION

25www.countyhealthrankings.org/roadmaps/action-center

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WHAT WORKS FOR HEALTH

Find effective programs and policies atwww.countyhealthrankings.org/what-works-for-health

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Photo credit: Sky Noir, Fl ickr Creative Commons

‣Smart investments

‣Inform decisions

‣Inform innovation

EVIDENCE MATTERS

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EVIDENCE RATINGS

‣ Scientifically supported

‣ Some evidence

‣Expert opinion

‣ Insufficient evidence

‣Mixed evidence

‣Evidence of ineffectiveness

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‣Evidence of effectiveness

‣Community “fit”

‣Readiness

‣Priorities

‣Capacity

‣Resources

CHOOSING STRATEGIES

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STAYING CONNECTED

‣Follow @CHRankings

‣Like Facebook.com/CountyHealthRankings

‣e-Newsletter, email chr@match.wisc.edu to subscribe

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SUMMARY‣Where we live matters to our health.

‣ There are great disparities in health based on where we live.

‣Health is more than health care. Many factors contribute to health.

‣We’re all in this together. It takes all of us working together to improve the health of a community.

‣ You can find data and practical help at www.countyhealthrankings.org.

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www.countyhealthrankings.org

University of Wisconsin Population Health InstituteMadison, WI

match-info@match.wisc.edu(608) 265-6370

THANK YOU!

WORKING TOGETHER: THE CHALLENGE OF WORKING ACROSS BOUNDARIES

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‣Vertical (power)

‣Horizontal (siloes)

‣Geographic (county and municipal lines)

‣Demographic (cultural, generational, socioeconomic)

‣Stakeholder (interests/WIFM)

TYPES OF BOUNDARIES

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WORKING ACROSS BOUNDARIES

‣What boundaries exist in your community work?

‣Which boundaries are you most comfortable or skilled at working across?

‣Which boundaries are more challenging to work across?

‣Are there unknown/undefined boundaries?

Table discussion – 5 min

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‣Clarify roles & responsibilities with the group

‣State your rules of engagement

‣Put connection time on the agenda

‣Set up “buddy systems”

‣Question legacy boundaries

‣Attend events outside your domain

‣Host an “alternative future” meeting

STRATEGIES FOR WORKING ACROSS BOUNDARIES

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‣What is one next step you will take as an individual to move your community work forward?

‣What’s one next step your partnership needs to take to move your community work forward?

NEXT STEPS

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What did you learn that was

especially useful?

What is one thing you will start doing as a result?

What are the implications for

your work?

SO WHAT?

NOW WHAT?

WHAT?

REFLECTION