1. Larry Cohen, MSW Executive Director Good Health Counts: Community Indicator Reports as Tools for Change www.preventioninstitute.org November 7, 2007 APHA 2007 Washington, DC

2. Reports and Indicators “Good reports are inarguable. They are what they are. When the community has been involved in identifying the indicators and measures, the community can accept and argue about what they want to do about it, and not argue about the information on the report and not trusting or believing it.” Ben Warner, JCCI Ben Warner, JCCI

3. What’s wrong with this picture?

8. A Key Opportunity for Prevention DISPARITIES IN HEALTH DISPARITIES IN HEALTH ROOT FACTORS ENVIRONMENTALFACTORS & BEHAVIORAL MEDICALSERVICES The Trajectory of Health Disparities

11. Let’s take a step back...

12. Heart Disease Cancer Stroke Diabetes Injuries & Violence & Violence Diet & Activity Patterns Tobacco Alcohol & Drugs Making Links to Actual Causes of Death

14. It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. “ ” Institute of Medicine

15. HEALTH BEHAVIOR BEHAVIOR ENVIRONMENT

16. Actual Causes Community Factors Let’s take another step back...

17. What is sold & how it is promoted?

18.  What’s sold & how it’s promoted  Look, feel & safety  Parks & open space  Getting around  Housing  Air, water, soil  Arts & culture Elements of Community Health THE PLACE

19.  Social Networks & trust  Participation & willingness to act for the common good  Acceptable behaviors & attitudes  Racial justice  Jobs & local ownership  Education  What’s sold & how it’s promoted  Look, feel & safety  Parks & open space  Getting around  Housing  Air, water, soil  Arts & culture Elements of Community Health THE PEOPLE THE PLACE EQUITABLE OPPORTUNITY

20. Community environment Medical Services + Community Health

21. People Medical Services EquitableOpportunity Place Community Health Factors

22.  Preventative Services  Access  Treatment Quality, Disease Management, In-patient Services & Alternative Medicine  Cultural Competence  Emergency Response Medical Services

24. Purposes of Reports and Report Cards  Community engagement and multiple stakeholder collaboration  Health care quality improvement  Framing accountability  Informing policy  Getting media attention

27. Model Indicators  # of preventable hospital room visits  Access (safety) to parks and playgrounds  Parents reading to their children on a daily basis  Commute Time  Salmon Spawning

28. Sample Community Health Tools Government  County Rankings on Community Health  Hurts us/Helps Us: An Analysis of State Policies and Community Health Business  The 100 Top Businesses in California Promoting Community Health  Community Health Business Certification Media Grading the Media

29. www.preventioninstitute.orgwww.eatbettermovemore.org TOOLS

32. THRIVE Tool for Health and Resilience In Vulnerable Environments http://preventioninstitute.org/thrive/index.php

33. Promising Practices in Nutrition and Physical Activity Catalogues promising policies in nutrition and activity at the local level Catalogues promising policies in nutrition and activity at the local level http://www.preventioninstitute.org/sa/policies/ Local Policy Database

34. Influencing Policy and Legislation Changing Organizational Practices Fostering Coalitions and Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge and Skills The Spectrum of Prevention

35. Developing Effective Coalitions: The 8-Step Process 1.Analyze program objectives, determine whether to form a coalition 2. Recruit the right people 3. Devise preliminary objectives and activities 4. Convene the coalition 5. Anticipate necessary resources 6. Develop a successful structure 7. Maintain coalition vitality 8. Improve through evaluation

36. Collaboration Math DataConceptsFundingTrainingPartnersKey IssuesOutcomes Sum Remainder: Average:Sum:Product:Sum: Exponential Product: Crisis Centers Education Health Faith Business Media Law Enforcement TOTALS

37. The Tension of Turf

38. www.preventioninstitute.org 221 Oak Street Oakland, California 94607 phone: 510-444-7738 fax: 510-663-1280