County Health Rankings 2011

The State of Cook County’s Health

By: Evanston Health Department

• Community Leaders and Advocates

• Government Officials

• Health Care Professionals

• Public Health Professionals

• Who else is in the room that was not mentioned?

• Who else should be here to help make the county healthier?

The Importance of the County Health Rankings

Background

• Created by University of Wisconsin Population Health Institute

• Built on work of America’s Health Rankings

• Used since 2003 to rank Wisconsin’s counties

• Approach based on:1. Programs and Policies2. Health Factors3. Health Outcomes

Background – Health FactorsWhat influences the health of the county…

Health Factors

Health BehaviorsSocial and Economic

FactorsClinical Care

PhysicalEnvironment

Unsafe sex

Tobacco use

Diet and exercise

Alcohol use

Employment

Community safety

Income

Education

Family and SocialSupport

Access to care

Quality of care

Environmental quality

Built environment

Background – Health OutcomesHow healthy a county is…

Health Outcomes

Mortality Morbidity

Premature death Birth outcomes

Health-related qualityof life

IL County Health Rankings

• 102 Counties• Health Factors

1. DuPage County2. Monroe County3. Kendall County84.Cook County

• Health Outcomes1. Kendall County2. DuPage County3. Woodford County70.Cook County

Cook County Health FactorsRank: 84/102

Health Behaviors – 7/102; Social and Economic Factors – 96/102

Cook County Illinois National Benchmark

Adult Smoking 21% 21% 15%

Adult Obesity 25% 26% 25%

Excessive Drinking 20% 19% 8%

Motor Vehicle Crash Death Rate

9 12 12

Sexually Transmitted Infections

647 460 83

Teen Birth Rate 50 41 22

High School Graduation 65% 80% 92%

Some College 64% 64% 68%

Unemployment 10.3% 10.1% 5.3%

Children in Poverty 22% 17% 11%

Inadequate Social Support

25% 21% 14%

Single-parent Households

37% 31% 20%

Violent Crime Rate 805 550 100

Cook County Health Factors Continued

Rank: 84/102Clinical Care – 61/102; Physical Environment – 101/102

Cook County Illinois National Benchmark

Uninsured Adults 20% 17% 13%

Primary Care Providers 620:1 778:1 631:1

Preventable Hospital Stays

83 83 52

Diabetic Screening 75% 80% 89%

Mammography Screening 58% 63% 74%

Air Pollution-Particulate Matter Days

5 3 0

Air Pollution-Ozone Days 9 4 0

Access to Healthy Foods 92% 53% 92%

Access to Recreational Facilities

9 10 17

Cook County Health OutcomesRank: 70/102

Mortality – 53/102; Morbidity – 85/102

Cook County Illinois National Benchmark

Premature Death 7,533 6,859 5,564

Poor or Fair Health 18% 16% 10%

Poor Physical Health Days

3.4 3.3 2.6

Poor Mental Health Days 3.3 3.2 2.3

Low Birth Weight 9.2% 8.4% 6.0%

Cook County Additional Measures

Cook County Illinois

African American Population 26% 15%

Hispanic Population 23% 15%

Asian Population 6% 4%

Not Proficient in English 15% 10%

Binge Drinking 19% 18%

Physical Inactivity 23% 23%

Mental Health Providers 1,647:1 2,372:1

Children Eligible for Free Lunch 47% 41%

Liquor Store Density 11 10

Cook County’s Health Priorities

• Top health factors facing Cook CountyPhysical environment

Social and economic factors

• Top health outcomes facing Cook CountyMorbidity

• Access to Care

• Chronic Health Conditions

• Physical Activity and Nutrition

Evanston’s Health Priorities

What’s Next?

• University of Wisconsin Population Health Institute– Bridget Booske, PhD, MHSA– Jessica Athens, MS– Patrick Remington, MD, MPH

• Robert Wood Johnson Foundation

• Kellie Perkins, Health Director Intern– (757) 329-4005– kdperkins89@yahoo.com

Acknowledgements