county health rankings & roadmaps: moving from data to action julie a. willems van dijk rn, phd...
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COUNTY HEALTH RANKINGS & ROADMAPS: MOVING FROM DATA TO ACTIONJulie A. Willems Van Dijk RN, PhD
Deputy Director, County Health RoadmapsUniversity of Wisconsin Population Health Institute
June 14, 2012
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ACKNOWLEDGEMENTS
‣ Wisconsin County Health Rankings & Roadmaps Team– Including Patrick Remington, Bridget Catlin, David Kindig, Amanda
Jovaag, Angela Russell
‣ Robert Wood Johnson Foundation– Including Abbey Cofsky, Brenda Henry, Michelle Larkin, Jim Marks,
Joe Marx
‣ Our Partners– Including Burness Communications, Community Catalyst, United
Way Worldwide, ASTHO, NACCHO, NNPHI, Dartmouth Institute, CDC, NCHS
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‣Why Rankings?
‣Exploring the County Health Rankings
‣Moving to Action
‣Discussion
TODAY’S OUTLINE
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RANKINGS ARE EVERYWHERE
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WHY RANKINGS?
• Rankings simplify complex data
• Rankings serve as a hook
• The media will cover Rankings
• Rankings add context
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RANKINGS ARE THE ENTRY POINT, NOT THE END POINT!
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LOGIC BEHIND THE RANKINGS
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Tobacco use
HEALTH BEHAVIORS (30%)Diet & exercise
Alcohol use
Sexual activity
CLINICAL CARE (20%)Access to care
Quality of care
SOCIAL & ECONOMIC FACTORS (40%)
Education
Employment
Income
Family & social support
Community safety
PHYSICAL ENVIRONMENT (10%)
Environmental quality
Built environment
HEALTH OUTCOMES
MORTALITY (LENGTH OF LIFE): 50%
MORBIDITY (QUALITY OF LIFE): 50%
HEALTH FACTORS
POLICIES & PROGRAMS
County Health Rankings model © 2012 UWPHI
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TWO VIEWPOINTS
Today’s Health
Health Outcomes
Tomorrow’s Health
Health Factors
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HOW ARE MEASURES SELECTED?
• 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
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HEALTH OUTCOMES
Source: Calibri 11pt.
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HEALTH BEHAVIORS
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CLINICAL CARE
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SOCIAL & ECONOMIC FACTORS
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PHYSICAL ENVIRONMENT
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NEW HAMPSHIRE HEALTH OUTCOMES
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NEW HAMPSHIRE HEALTH FACTORS
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COOS COUNTY HEALTH OUTCOMES
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COOS COUNTY HEALTH FACTORSHEALTH BEHAVIORS
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COOS COUNTY HEALTH FACTORSCLINICAL CARE
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LAFAYETTE PARISH HEALTH FACTORSSOCIAL & ECONOMIC FACTORS
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COOS COUNTY HEALTH FACTORSPHYSICAL ENVIRONMENT
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KANSAS
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MISSISSIPPI
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RAISE AWARENESS IN YOUR COMMUNITY
‣ Annual checkup of your parish’s health (Just like an annual doctor’s visit)
‣ Where we live matters to our health
‣ There are great disparities in health based on where we live
‣ Much of what influences health happens outside the doctor’s office
‣ Health is everyone’s business & we must all work together.
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TAKE ACTION WEBINAR SERIES
Action Step Webinar Dates
Work TogetherWork Together: In-depth
May 8May 22
AssessAssess: In-depth
June 12June 26
FocusFocus: In-depth
July 10July 24
ChooseChoose: In-depth
Aug. 14Aug. 28
ActAct: In-depth
Sept. 11Sept. 25
EvaluateEvaluate: In-depth
Oct. 9Oct. 23
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HTTP://WHATWORKSFORHEALTH.WISC.EDU/
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Taxes, Clean Indoor Air Policies
Menu labeling, School Food Policies
Reduce alcohol outlet density
Partner referral services
Work force development
Minimum wage, Paid family/medical leave
Expand early childhood programs
Nurse home visiting programs
Zoning/incentives for mixed-use development
Reducing bus emissions
Pedestrian/cycling in master plans
Coverage, medical homes
EHRs, Public Reporting, Payment Reform
Tobacco use
HEALTH BEHAVIORS (30%)
Diet & exercise
Alcohol use
Sexual activity
CLINICAL CARE (20%)
Access to care
Quality of care
SOCIAL & ECONOMIC
FACTORS (40%)
Education
Employment
Income
Family & social support
Community safety
PHYSICAL ENVIRONMENT
(10%)
Environmental quality
Built environment
MORTALITY (LENGTH OF LIFE): 50%
MORBIDITY (QUALITY OF LIFE): 50%
HEALTH OUTCOME
S
HEALTH FACTORS
POLICIES &
PROGRAMS
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STAY CONNECTED
‣ e-Newsletter: [email protected]
‣ Like us on Facebook
http://www.facebook.com/CountyHealthRankings
‣ Follow us on Twitter
@CHRankings
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DISCUSSION
Julie Willems Van Dijk RN PhD
Deputy Director, County Health Roadmaps
University of Wisconsin Population Health Institute
608-263-6731