COUNTY HEALTH RANKINGS & ROADMAPS: MOVING FROM DATA TO ACTION Julie A. Willems Van Dijk RN, PhD Deputy Director, County Health Roadmaps University of Wisconsin Population Health Institute June 14, 2012

2 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

3 3 ‣ Why Rankings? ‣ Exploring the County Health Rankings ‣ Moving to Action ‣ Discussion TODAY’S OUTLINE

4 RANKINGS ARE EVERYWHERE

5 WHY RANKINGS? Rankings simplify complex data Rankings serve as a hook The media will cover Rankings Rankings add context

6 RANKINGS ARE THE ENTRY POINT, NOT THE END POINT!

7 LOGIC BEHIND THE RANKINGS

8 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

9 TWO VIEWPOINTS Today’s Health Health Outcomes Tomorrow’s Health Health Factors 9

10 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

11 HEALTH OUTCOMES Source: Calibri 11pt.

12 HEALTH BEHAVIORS

13 CLINICAL CARE

14 SOCIAL & ECONOMIC FACTORS

15 PHYSICAL ENVIRONMENT

17 NEW HAMPSHIRE HEALTH OUTCOMES

18 NEW HAMPSHIRE HEALTH FACTORS

19 COOS COUNTY HEALTH OUTCOMES

20 COOS COUNTY HEALTH FACTORS HEALTH BEHAVIORS

21 COOS COUNTY HEALTH FACTORS CLINICAL CARE

22 LAFAYETTE PARISH HEALTH FACTORS SOCIAL & ECONOMIC FACTORS

23 COOS COUNTY HEALTH FACTORS PHYSICAL ENVIRONMENT

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26 KANSAS 26

27 MISSISSIPPI

28 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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34 TAKE ACTION WEBINAR SERIES Action StepWebinar Dates Work Together Work Together: In-depth May 8 May 22 Assess Assess: In-depth June 12 June 26 Focus Focus: In-depth July 10 July 24 Choose Choose: In-depth Aug. 14 Aug. 28 Act Act: In-depth Sept. 11 Sept. 25 Evaluate Evaluate: In-depth Oct. 9 Oct. 23

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36 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 OUTCOMES HEALTH FACTORS POLICIES & PROGRAMS

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38 DISCUSSION Julie Willems Van Dijk RN PhD Deputy Director, County Health Roadmaps University of Wisconsin Population Health Institute