1. COUNTY HEALTH RANKINGS & ROADMAPS: MOVING FROM DATA TO ACTION Kate Konkle April 16, 2015 www.countyhealthrankings.org

2. County Health Rankings & Roadmaps is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. www.countyhealthrankings.org

3. 3 GUIDING QUESTION How can County Health Rankings & Roadmaps help us build a healthy and vibrant community? Photo credit: athenamat, Flickr Creative Commons

4. 4 WHAT IS YOUR VISION OF A HEALTHY AND VIBRANT COMMUNITY?

5. 5 COUNTY HEALTH RANKINGS LOGIC MODEL Media attention Community leaders use Rankings release Broad community engagement Evidence- informed strategies implemented Improved health outcomes Population based data collected County Health Rankings

6. 6 FIST TO FIVE ‣ I use the County Health Rankings as a tool ‣ I use the Roadmaps to Health Action Center to help guide my work ‣ I lead or am part of a health coalition/partnership ‣ We are working on policy, systems, environmental changes

7. 7

8. 8 WHERE DO YOU FIT INTO THE MODEL?? Stand up if: ‣ You work mostly to impact the health behaviors area ‣ You work mostly to impact clinical care ‣ You work mostly to impact social and economic factors ‣ You work mostly to impact the physical environment

9. 9

10. 10

11. 11

12. 12 Today’s Health Health Outcomes Tomorrow’s Health Health Factors COUNTY HEALTH RANKINGS: 2 RANKINGS

13. 13

14. 14

15. 15

16. 16 Health Outcome Ranks Health Factors Ranks Measures Two Ranks

17. 17 Top U.S. Performers Only 10% of counties nationally do better than the given number State overall Error Margin 95% confidence interval County Data

18. 18 Trend

19. 19 Areas to Explore

20. 20 Learn more about data in this site and beyond at www.countyhealthrankings.org/using-the-rankings-data www.countyhealthrankings.org/using-the-rankings-data USING THE RANKINGS DATA

21. 21 ‣ Use ranks as tool ‣ Change and data take time ‣ Learn more about what you can do measure progress at www.countyhealthrankings.org/ measuring-progress www.countyhealthrankings.org/ measuring-progress MEASURING PROGRESS

22. 22

23. 23 ‣I‣I t takes everyone ‣M‣M ove from data to evidence- informed action ‣F‣F ocus across the health factors—including social and economic factors ‣P‣P olicy, systems, and environmental change FOUNDATION OF ROADMAPS

24. 24 ‣ Which stakeholder groups are already included in your work? ‣ Who is missing? ‣ What are the challenges with getting them involved? TABLE DISCUSSION

25. 25 www.countyhealthrankings.org/roadmaps/action-center

26. 26

27. 27

28. 28 ‣ Defining health in the broadest possible terms. ‣ Committing to sustainable systems changes and policy-oriented long- term solutions. ‣ Cultivating a shared and deeply held belief in the importance of equal opportunity for health. ‣ Harnessing the collective power of leaders, partners, and community members. ‣ Securing and making the most of available resources. ‣ Measuring and sharing progress and results. RWJF CULTURE OF HEALTH PRIZE

29. 29 RWJF CULTURE OF HEALTH PRIZE WINNER The community garden has been a way to link healthy eating and developing skills as entrepreneurs.

30. 30 WHAT WORKS FOR HEALTH Find effective programs and policies at www.countyhealthrankings.org/what- works-for-health www.countyhealthrankings.org/what- works-for-health

31. 31

32. 32 Photo credit: Sky Noir, Flickr Creative Commons ‣ Smart investments ‣ Inform decisions ‣ Inform innovation EVIDENCE MATTERS

33. 33 EVIDENCE RATINGS ‣ Scientifically supported ‣ Some evidence ‣ Expert opinion ‣ Insufficient evidence ‣ Mixed evidence ‣ Evidence of ineffectiveness

34. 34 ‣ Evidence of effectiveness ‣ Community “fit” ‣ Readiness ‣ Priorities ‣ Capacity ‣ Resources CHOOSING STRATEGIES

35. 35 STAYING CONNECTED ‣ Follow @CHRankings ‣ Like Facebook.com/ CountyHealthRankings ‣ e-Newsletter, email chr@match.wisc.edu to subscribe chr@match.wisc.edu

36. 36 SUMMARY ‣ Where we live matters to our health. ‣ There are great disparities in health based on where we live. ‣ Health is more than health care. Many factors contribute to health. ‣ We’re all in this together. It takes all of us working together to improve the health of a community. ‣ You can find data and practical help at www.countyhealthrankings.org. www.countyhealthrankings.org

37. 37 www.countyhealthrankings.org University of Wisconsin Population Health Institute Madison, WI match-info@match.wisc.edu (608) 265-6370 THANK YOU!

38. WORKING TOGETHER: THE CHALLENGE OF WORKING ACROSS BOUNDARIES

39. 39 ‣ Vertical (power) ‣ Horizontal (siloes) ‣ Geographic (county and municipal lines) ‣ Demographic (cultural, generational, socioeconomic) ‣ Stakeholder (interests/WIFM) TYPES OF BOUNDARIES

40. 40 “Your current safe boundaries were once new frontiers.” - Unknown ‣ What does this mean to you? ‣ In your life, what is now a “safe boundary” that was once a “new frontier”? ‣ How did that happen? DISCUSSION – THINK, PAIR, SHARE (5 MIN) Photo credit: Day Tripper (Tom), Flickr Creative Commons

41. 41 WORKING ACROSS BOUNDARIES ‣ What boundaries exist in your community work? ‣ Which boundaries are you most comfortable or skilled at working across? ‣ Which boundaries are more challenging to work across? ‣ Are there unknown/undefined boundaries? Table discussion – 5 min

42. 42 ‣ Clarify roles & responsibilities with the group ‣ State your rules of engagement ‣ Put connection time on the agenda ‣ Set up “buddy systems” ‣ Question legacy boundaries ‣ Attend events outside your domain ‣ Host an “alternative future” meeting STRATEGIES FOR WORKING ACROSS BOUNDARIES

43. 43 ‣ What is one next step you will take as an individual to move your community work forward? ‣ What’s one next step your partnership needs to take to move your community work forward? NEXT STEPS

44. 44 What did you learn that was especially useful? What is one thing you will start doing as a result? What are the implications for your work? SO WHAT? NOW WHAT? WHAT? REFLECTION