county health rankings & roadmaps: moving from data to action julie a. willems van dijk rn, phd...

COUNTY HEALTH RANKINGS & ROADMAPS: MOVING FROM DATA TO ACTIONJulie A. Willems Van Dijk RN, PhD

Deputy Director, County Health RoadmapsUniversity of Wisconsin Population Health Institute

June 14, 2012

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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

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‣Why Rankings?

‣Exploring the County Health Rankings

‣Moving to Action

‣Discussion

TODAY’S OUTLINE

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RANKINGS ARE EVERYWHERE

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WHY RANKINGS?

• Rankings simplify complex data

• Rankings serve as a hook

• The media will cover Rankings

• Rankings add context

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RANKINGS ARE THE ENTRY POINT, NOT THE END POINT!

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LOGIC BEHIND THE RANKINGS

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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

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TWO VIEWPOINTS

Today’s Health

Health Outcomes

Tomorrow’s Health

Health Factors

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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

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HEALTH OUTCOMES

Source: Calibri 11pt.

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HEALTH BEHAVIORS

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CLINICAL CARE

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SOCIAL & ECONOMIC FACTORS

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PHYSICAL ENVIRONMENT

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NEW HAMPSHIRE HEALTH OUTCOMES

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NEW HAMPSHIRE HEALTH FACTORS

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COOS COUNTY HEALTH OUTCOMES

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COOS COUNTY HEALTH FACTORSHEALTH BEHAVIORS

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COOS COUNTY HEALTH FACTORSCLINICAL CARE

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LAFAYETTE PARISH HEALTH FACTORSSOCIAL & ECONOMIC FACTORS

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COOS COUNTY HEALTH FACTORSPHYSICAL ENVIRONMENT

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KANSAS

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MISSISSIPPI

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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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www.countyhealthroadmaps.org

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TAKE ACTION WEBINAR SERIES

Action Step Webinar Dates

Work TogetherWork Together: In-depth

May 8May 22

AssessAssess: In-depth

June 12June 26

FocusFocus: In-depth

July 10July 24

ChooseChoose: In-depth

Aug. 14Aug. 28

ActAct: In-depth

Sept. 11Sept. 25

EvaluateEvaluate: In-depth

Oct. 9Oct. 23

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HTTP://WHATWORKSFORHEALTH.WISC.EDU/

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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 OUTCOME

S

HEALTH FACTORS

POLICIES &

PROGRAMS

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STAY CONNECTED

‣ e-Newsletter: chr@match.wisc.edu

‣ Like us on Facebook

http://www.facebook.com/CountyHealthRankings

‣ Follow us on Twitter

@CHRankings

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DISCUSSION

Julie Willems Van Dijk RN PhD

Deputy Director, County Health Roadmaps

University of Wisconsin Population Health Institute

608-263-6731

willemsvandi@wisc.edu