1. Data-Driven Decision Making: Finding it, Analyzing it, Applying it. Sridevi Mohan, Public Health Madison & Dane County Eric Grosso, Wisconsin Dept. of Health Services, Office on Aging 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies

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3. Key takeaways…… 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Data is out there (open source and within your own programs) Network and collaborate Leverage resources Build evaluation metrics from the beginning with right measures Think about return on investment, cost benefit, cost effectiveness of programs Turn your data into powerful messages

4. Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies 6/13/2016 Public Health Madison & Dane County Our vision – Healthy people. Healthy places. Division of Policy, Planning & Evaluation Collects, organizes, and analyzes health-related data and tracks trends. Investigates social and economic factors influencing health outcomes such as housing, food systems, transportation, employment, and education. Provides technical assistance in program development to ensure projects identify goals and criteria to measure success. Assists internal and external partners in identifying evidence-based, data driven approaches to improve decision-making and planning including policy, systems, and environmental approaches to help decrease health disparities.

5. Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies 6/13/2016 Healthy Aging Profile for Dane County Profile summary Demographics Health status Predictors (protective & risk factors) Equity considerations Current activities and assets Challenges and opportunities Photos: Courtesy of shutterstock.com

6. Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies 6/13/2016 Healthy Aging Profile for Dane County Data needs from a variety of sources: WI Dept. of Health Services, Office on Aging – Demography WI Dept. of Health Services, Office of Health Informatics - Behavioral Risk Factor Surveillance System Capital Area Regional Planning Commission Health/Hospital data (WI Hospital Association/Electronic Medical Records) Medicare/Medicaid data Community context/Services: Dane County Aging and Disability Resource Center (ADRC)/Area Agency on Aging (AAA), service providers and others

7. Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies 6/13/2016 Wisconsin Dept. of Health Services/Bureau of Aging and Disability Resources/Office on Aging Mission: Protect, promote health, safety and welfare of older adults. Help people remain engaged in their communities in residence of their choice. Programs support independence, quality of life, and provide advocacy and protection of vulnerable populations. Office on Aging Services Snapshot: Evidence-based health promotion, nutrition/meals, caregiver support, elder benefits programs, prominent role in Dementia Care System Redesign, elder abuse response and prevention, foster grandparent program, senior employment, demographic research services, Ombudsman Program, etc. The Office on Aging works closely with three AAAs, 72 county aging units, 11 tribal aging units and 41 county and regional ADRCs

8. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Partnership Example: State Office on Aging Data Technical Assistance for Dane County/City of Madison Healthy Aging Profile Dane County/City of Madison-public health epidemiologist consulted State Office on Aging demographer for assistance with data research: Recommended data sources Retrieved data Evaluated data quality Trended/benchmarked results Mapped it!

9. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Partnership Example: State Office on Aging Data Technical Assistance for Dane County County/City of Madison Public Health Healthy Aging Study Data NeedsCategory Examples Demographic: age, sex, race, ethnicity, disability status, educational attainment, ability to speak English, migration (Census) Economic: income, income equality, poverty status, employment status, health insurance coverage (Census) Social: marital status, living arrangement, “isolation”, presence of grandchildren (Census) Housing: rental/owner costs (Census) Transportation: vehicle access (Census)

10. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Partnership Example: Office on Aging Data Technical Assistance for Dane County County/City of Madison Public Health Healthy Aging Study Percent of Population Ages 65 and Older, Dane County Block Group, 2009-13 Five-year Average

11. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies https://www.dhs.wisconsin.gov/aging/demographics.htm

12. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Common demographic data sources: U.S. Census American FactFinderU.S. Census American FactFinder – The main census data portal Wisconsin Dept. of Administration Demographic Services CenterWisconsin Dept. of Administration Demographic Services Center - Source of population projections through 2040 and other household/population estimates by age and gender. Has staff demographer Applied Population Lab, University of WI Applied Population Lab, University of WI - Create customizable mapping files. Has several staff demographers AARP Livability IndexAARP Livability Index – Local community “livable” strengths and opportunities

13. Using Geographic Information System (GIS) to address the challenge of coordination 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Healthy aging and successful aging in place initiatives depend heavily on collaboration and coordination. GIS is a valuable tool for local governments to track data Mapping will set the stage for coordination and improve programs and services

14. Utilizing GIS to identify target population 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies

15. More Resources!!! 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies

16. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Source: https://www.nlm.nih.gov/hsrinfo/aging_population_issues.htmlhttps://www.nlm.nih.gov/hsrinfo/aging_population_issues.html

17. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Select sources of county-level data for Public Health and Aging agencies Wisconsin Public Health ProfilesWisconsin Public Health Profiles - Wisconsin Dept. of Health Services. Offering annual profiles from 2005 to 2013 WI Interactive Statistics on Health: This site gives you information about health indicators (measures of health) in Wisconsin https://www.dhs.wisconsin.gov/wish/mortality/index.htm Center for Medicare and Medicaid services: This site provides access to CMS computer data and systems; research studies and reports; statistics, series, and trends; and files for order. https://www.cms.gov/Research-Statistics-Data-and-Systems/Research-Statistics-Data-and-Systems.html Mapping Medicare disparities tool: This interactive tool was designed to identify areas of disparities between subgroups of Medicare beneficiaries in outcomes, utilizations and spending. Search limits include year, county or state, age, condition, and gender. https://data.cms.gov/mapping-medicare-disparities Community health status indicators: CHSI 2015 is an interactive web application that produces health profiles for all 3,143 counties in the United States http://wwwn.cdc.gov/CommunityHealth/profile/pdf/WI/Dane/ University of WI, Madison: County health rankings and roadmaps and Survey of the Health of WI (SHOW)County health rankings and roadmaps Survey of the Health of WI

18. Key takeaways…… 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Data is out there (open source and within your own programs) Network and collaborate Leverage resources Build evaluation metrics from the beginning with right measures Think about return on investment, cost benefit, cost effectiveness of programs Turn your data into powerful messages

19. 6/13/2016 Growing Capacity to Meet the Need: Exploring Opportunities for Partnerships Between Aging & Public Health Agencies Eric Grosso Demographer/Data Analyst Office on Aging Wisconsin Department of Health Services 608.266.7803 ericr.grosso@wisconsin.gov Demographics of Aging in Wisconsin Sridevi Mohan, MPH, MA Epidemiologist Public Health Madison & Dane County 608.243.0306 SMohan@publichealthmdc.com Public Health Madison & Dane County