1. Population Health West Region A County-at-a-Glance
Aundrea J. Porter
Special Projects and Grants Coordinator
Tennessee Department of Health

2. Overview Tennessee’s Big Four Drive your County to the Top 10
RWJ County Health Rankings Population Health Model
Action Steps
Resources

3. Mission Protect, Promote and Improve the health and prosperity of people in Tennessee Vision A recognized and trusted leader, partnering and engaging to accelerate Tennessee to one of the nation’s ten healthiest states.
When “I” is replaced by “We”….
Even Illness becomes Wellness!

4. County Health Rankings Model

5. Health Outcomes

6. Length of Life-Premature Deaths
Years of Potential Life Lost Before Age 75 per 100,000 Population

7. Quality of Life-Poor Physical Health Days
Average Number of Poor Physical Health Days in the Past 30 Days

8. Quality of Life-Poor Mental Health Days
Average Number of Poor Mental Health Days in the Past 30 Days

9. Quality of Life-Low Birthweight
Percentage of Live Births with Low birthweight Less Than 2500 Grams

10. County Health Rankings Model

11. Health Behaviors

12. Adult Smoking-Big Four
Percent of Adults Who are Current Smokers

13. Adult Obesity- Big Four
Percentage of Adults with BMI >= 30

14. Diet- Food Environment
Food Health Environment Index (0-10)

15. Physical Inactivity (Big Four)
Percentage of Physical Inactivity in Adults Age 20 and Older

16. Physical Inactivity (Big Four)
Percentage of Population with Access to Exercise Opportunities

17. Substance Abuse- Big Four
Percentage of Adults Participating in Heavy Drinking

18. Substance Abuse- Alcohol (Big Four)
Percentage of Alcohol-Impaired Driving Deaths

19. Sexual Activity- Sexually Transmitted Infections
Number of Newly Diagnosed Chlamydia Cases per 100,000 Population

20. Sexual Activity- Teen Births
Number of Births per 1,000 Female Population Ages 15-19

21. County Health Rankings Model

22. Clinical Care

23. Access to Care- Insurance
Percentage of Population Under Age 65 without Insurance

24. Primary Care Physician –Health Access
Ratio of Population to Primary Care Physician (X:1 Physician)

25. Access to Care- Dentist Ratio
Ratio of Population to Dentist (X:1 Dentist)

26. Access to Care- Mental Health Ratio X:1
Ratio of Population to Mental Health Providers

27. Quality of Care- Preventable Hospital Stays
Number of Hospitalizations for Ambulatory Care per 1,000 Medical Enrollees

28. Quality of Care- Diabetic Monitoring
Percentage of Diabetic Medicare Enrollees Ages That Receive HbA1c Monitoring

29. Quality of Care- Mammography Screening
Percentage of Female Medicare Enrollees Ages That Receive Mammography Screening

30. County Health Rankings Model

31. Social and Economic Factors

32. Education- High School
Percentage of High School Graduates

33. Education- Some College
Percentage of Adults Ages with Post-Secondary Education

34. Employment- Unemployed Seeking Work
Percentage of Population Unemployed but Seeking Work

35. Income- Children in Poverty
Percentage of Children Under Age 18 in Poverty

36. Family Support- Single Parent
Percentage of Children Living in a Single Parent Household

37. Social Support- Social Associations

38. Community Safety- Violent Crimes
Number of Reported Violent Crimes Offenses per 100,000 Population

39. Community Safety- Injury Deaths
Number of Injury Deaths per 100,000 Population

40. County Health Rankings Model

41. Physical Environment

42. Housing and Transit – Driving Alone
Percentage of Workforce That Drives Alone to Work

43. Action Steps

44. Action Steps Step 1: Work Together Step 2:Assess Needs & Resources
Step 3:Focus On What's Important
Step 4:Act on What's Important
Step 5:Choose Effective Policies & Programs
Step 6:Evaluate Actions
Step 7:Communicate
Step 1: Engage communities in health improvement and build partnerships.
Step 2: Assess the health of your community and understand current community strengths, resources, needs, and gaps to help you decide where to focus your efforts.
Step 3: Identify the root causes of health issues and focus your community’s efforts and resources on that most important issues to achieve the greatest impact on health.
Step 4: Take action on the important issues to ensure that selected policies and programs are adopted and implemented in order to achieve intended results.
Step 5: Support decision-making and policy change by exploring and selecting evidence-informed policies and programs to address priority issues.
Step 6: Track progress to see whether strategies are working as intended in order to focus efforts efficiently and effectively.
Step 7: To ensure effective communication with your partners, develop strategic messages, and deliver those messages to the right people.

45. Action Cycle
County Health Rankings Action 2016 UWPHI

46. Resources

47. Resources Tennessee Department of Health
Tennessee Institute of Public Health
Tennessee Local Health Departments
Community Coach
Tennessee Hospital Association
The University of Tennessee Extension
United Ways of Tennessee
Tennessee County Services Association

48. Community Coach? Who? What? When? How?
RWJ representative assistance and a database of evidence-informed approaches to help communities improve health. 
What?
Building a partnership and Culture of Health.
Enhance community capacity in one or more areas of health.
Implement specific strategies to enhance health.
When?
Initial contact within two business days of receipt of your request .
(1-3 contacts) interaction with community members. Access to longer-term formal coaching engagement is dependent on the availability of coaching staff.
How?
There is no charge to community members for community coaching or any associated costs (such as teleconferences, on-site visit travel costs).
conducted remotely using , teleconferences, and web-based meetings.
formal coaching agreement, one in-person community-based learning opportunity with the coach is included during the coaching engagement.
Colorado, Florida, Kentucky, Maryland, New Jersey, Oregon, Pennsylvania, and Wisconsin

49. What is required to work with a community coach?
Application that provides background about the community and the individual or team’s goal for coaching;
Formal agreement with the coach that outlines expectations for the community participant(s)and the coach during the coaching engagement; and
Commitment to meet at least monthly during the coaching engagement, to complete work between monthly meetings, and to provide feedback to help improve coaching engagements.

50. Coach Contact Aliana Havrilla Tennessee State Liaison
Community Coach County Health Rankings & Roadmaps  
Phone:

51. Drive your county to The Top 10
Benton
Carroll
Chester
Crockett
Decatur
Dyer
Fayette
Gibson
Hardeman
Hardin
Haywood
Henderson
Henry
Lake
Lauderdale
Madison
McNairy
Obion
Shelby
Tipton
Weakly
Comparative graphs for TN’s “Big Three:” Adult Smoking, Adult Obesity, & Physical Inactivity. Each graph provides the Tennessee county with its respective region and three non-Tennessee comparative counties from around the US based on county-level demographics. The vertical lines represent: the TN Average, the US Average, Top US Performers (top 10%) and the Healthy People 2020 (HP) Goal. For all measures a decrease (shift left) in percentage represents improvement.

52. Questions?
Aundrea J. Porter

53. Benton County
Comparative graphs for TN’s “Big Three:” Adult Smoking, Adult Obesity, & Physical Inactivity. Each graph provides the Tennessee county with its respective region and three non-Tennessee comparative counties from around the US based on county-level demographics. The vertical lines represent: the TN Average, the US Average, Top US Performers (top 10%) and the Healthy People 2020 (HP) Goal. For all measures a decrease (shift left) in percentage represents improvement.

54. Carroll County

55. Chester County

56. Crockett County

57. Decatur County

58. Dyer County

59. Fayette County

60. Gibson County

61. Hardeman County

62. Hardin County

63. Haywood County

64. Henderson County

65. Henry County

66. Lake County

67. Lauderdale County

68. Madison County

69. McNairy County

70. Obion County

71. Shelby County

72. Tipton County

73. Weakly County