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Wisconsin Women’s Health Foundation                       The Gathering                 November 13, 2012                 ...
   How healthy are we as a country and as a    state?   What matters to improving health?   What’s working to improve t...
 Thegoal: “Everyone living better longer.” ◦ Length of life, quality of life, health disparities Prevention         (whe...
Country Rankings                    1.00–2.33                    2.34–4.66                    4.67–7.00                   ...
Source: Muennig and Glied, Health Affairs 29, No. 11 (2010)
   US spends more on health care than any other    industrialized nation and yet we trail all    developed nations in len...
   Become a smoke-free nation   Ensure that all children have high quality early    developmental support   Create publ...
   Develop a “health impact” rating for housing    and infrastructure projects; create incentives    for healthier infras...
   4 of 5 physicians say                                        unmet social needs are                                   ...
HEALTH                                         MORTALITY (LENGTH OF LIFE): 50%        OUTCOMES                            ...
   Where you live matters to your health.   There are many factors that influence health.   Improving health is everyon...
   Because health depends upon, and is    influenced by, the entire community, all    sectors need each other’s participa...
www.countyhealthrankings.org   15HEALTH OUTCOMES – MORBIDITY AND MORTALITY                    ‣ Top 5                     ...
www.countyhealthrankings.org   16HEALTH FACTORS – BEHAVIORS, CLINICAL CARE,SOCIAL/ECONOMIC FACTORS, PHYSICAL ENVIRONMENT  ...
   Which states    have the best    adult    smoking    rates?   Some    counties in    WI are as low    as 13% -    oth...
   Binge + heavy    drinking   4 drinks for    women, 5    drinks for men    on a single    occasion   1 drink for    w...
   For how    many days    during the    past 30 was    your mental    health not    good?   Considering:    stress,    ...
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   What aspects of life outside of a hospital or    clinic support or hinder health?    ◦ Health begins where we      liv...
   Health care   Public health   Foundations (including community foundations)   United Way   Chambers of Commerce  ...
http://whatworksforhealth.wisc.edu/index.aspwww.countyhealthrankings.org/what-works-for-health
   What’s the goal?    ◦ School readiness for all Brown County children,      starting with at-risk families   Who’s inv...
   What have they accomplished?    ◦ Last year, over 1100 first time parents received      Welcome Baby Visits in the hos...
   What’s the Goal?    ◦ Improve success for Menominee children in school    ◦ Address health challenges for Menominee ch...
   Who’s Involved?    ◦   Schools    ◦   Health clinic    ◦   College of Menominee Nation    ◦   Local health department...
   How have they done it?    ◦ Created a shared understanding that neither health      nor school performance can be impr...
   Opportunities to improve health, not just    healthcare, exist in your “day jobs” and in    your communities   Tools,...
From the Juneau County Community Health Needs Assessment:Everyone needs to make a concerted effort to help  populations be...
   Wisconsin Partnership Program, UW School of    Medicine and Public Health   The Robert Wood Johnson Foundation and th...
ktimberlake@wisc.edu  County Health Rankings & Roadmapshttp://www.countyhealthrankings.org/        UW Population Health In...
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
Improving Health
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Improving Health

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Karen Timberlake, Director, UW Population Health Institute

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  • Transition: Having looked at model and measures, now we will take brief look at county example – what does it look like on our website?KEY POINTFor purposes of this presentation, will go to Wisconsin and then to Dane County (UW Population Health Institute is in Madison, which is in Dane County).Note to Presenter: The following slides are screenshots taken from the website. You may want to create your own slides with a different state/county or use the hyperlink in the title of this slide to go directly the website.
  • Introduce CHR. Discuss model (including its simplicity) and how rankings can add context to the conversation.Reflect important aspects of population health that can be improvedValid, reliable, recognized and used by othersAvailable at the county-level Available for free or low costAs up-to-date as possibleFewer measures better than more24 measures of health factors
  • Alcohol is associate with not just accidents and injury, but HypertensionHeart attackUnintended pregnancy and STIsInterpersonal violence including domestic violence
  • Long term commitmentBy a group of important actorsFrom different sectorsTo a common agendaFor solving a specific problemWith shared measurementMutually reinforcing activitiesSupported by an independent backbone organization
  • Evidence of effectiveness is one of many factors to consider when choosing a strategy to solve a community health challenge. Community ‘fit,’ readiness, priorities, capacity, and resources are also important considerations.
  • Transcript of "Improving Health"

    1. 1. Wisconsin Women’s Health Foundation The Gathering November 13, 2012 Karen TimberlakeDirector, UW Population Health Institute
    2. 2.  How healthy are we as a country and as a state? What matters to improving health? What’s working to improve the health of individuals and communities? What can you do?
    3. 3.  Thegoal: “Everyone living better longer.” ◦ Length of life, quality of life, health disparities Prevention (when possible) is better than cure It’s easier to be healthy when you live, work, learn, play in a “healthy place” 4
    4. 4. Country Rankings 1.00–2.33 2.34–4.66 4.67–7.00 AUS CAN GER NETH NZ UK US OVERALL RANKING (2010) 3 6 4 1 5 2 7 Quality Care 4 7 5 2 1 3 6 Effective Care 2 7 6 3 5 1 4 Safe Care 6 5 3 1 4 2 7 Coordinated Care 4 5 7 2 1 3 6 Patient-Centered Care 2 5 3 6 1 7 4 Access 6.5 5 3 1 4 2 6.5 Cost-Related Problem 6 3.5 3.5 2 5 1 7 Timeliness of Care 6 7 2 1 3 4 5 Efficiency 2 6 5 3 4 1 7 Equity 4 5 3 1 6 2 7 Long, Healthy, Productive Lives 1 2 3 4 5 6 7 Health Expenditures/Capita, 2007 $3,357 $3,895 $3,588 $3,837* $2,454 $2,992 $7,290Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity).Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 InternationalHealth Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians;Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization forEconomic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
    5. 5. Source: Muennig and Glied, Health Affairs 29, No. 11 (2010)
    6. 6.  US spends more on health care than any other industrialized nation and yet we trail all developed nations in length and healthiness of life What should we do to improve health? Co-chairs: ◦ Mark McClellan, former head of CMS under President George W. Bush ◦ Alice Rivlin, former head of OMB under President Bill Clinton http://www.commissiononhealth.org/AboutUs.aspx
    7. 7.  Become a smoke-free nation Ensure that all children have high quality early developmental support Create public-private partnerships to open and sustain full-service grocery stores in communities without access to healthful foods Require all schools (K-12) to include time for all children to by physically active every day http://www.commissiononhealth.org/AboutUs.aspx
    8. 8.  Develop a “health impact” rating for housing and infrastructure projects; create incentives for healthier infrastructure development Ensure that decision-makers in all sectors have the evidence they need to build health into public and private policies and practices http://www.commissiononhealth.org/AboutUs.aspx
    9. 9.  4 of 5 physicians say unmet social needs are directly leading to worse health  4 of 5 physicians say patients’ social needs are as important as their medical conditions  4 of 5 physicians are not confident of their ability to address social needs  Physicians would like to write prescriptions for fitness, nutrition, transportation assistance, employment, adult education, housinghttp://www.rwjf.org/files/research/RWJFPhysiciansSurveyExecutiveSummary.pdf
    10. 10. HEALTH MORTALITY (LENGTH OF LIFE): 50% OUTCOMES MORBIDITY (QUALITY OF LIFE): 50% Tobacco use Diet & exercise HEALTH BEHAVIORS (30%) Alcohol use Sexual activity Access to care CLINICAL CARE (20%) Quality of care HEALTH FACTORS Education Employment SOCIAL & ECONOMIC FACTORS Income (40%) Family & social support Community safety POLICIES & Environmental quality PROGRAMS PHYSICAL ENVIRONMENT (10%) Built environmentCounty Health Rankings model © 2012 UWPHI
    11. 11.  Where you live matters to your health. There are many factors that influence health. Improving health is everyone’s responsibility and we all -- businesses, health care providers, government, consumers, and community leaders -- need to work together to find solutions.
    12. 12.  Because health depends upon, and is influenced by, the entire community, all sectors need each other’s participation and expertise to make progress. While personal responsibility is important when it comes to health, it must also be linked to a larger discussion about how policy change can make healthy choices easy choices.
    13. 13. www.countyhealthrankings.org 15HEALTH OUTCOMES – MORBIDITY AND MORTALITY ‣ Top 5 – St. Croix – Ozaukee – Taylor – Iowa – Vernon ‣ Bottom 5 – Jackson – Adams – Milwaukee – Marquette – Menominee 15
    14. 14. www.countyhealthrankings.org 16HEALTH FACTORS – BEHAVIORS, CLINICAL CARE,SOCIAL/ECONOMIC FACTORS, PHYSICAL ENVIRONMENT ‣ Top 5 – Ozaukee – Waukesha – Dane – La Crosse – Pierce ‣ Bottom 5 – Racine – Juneau – Adams – Milwaukee – Menominee
    15. 15.  Which states have the best adult smoking rates? Some counties in WI are as low as 13% - others as high as 29% - what’s the difference?
    16. 16.  Binge + heavy drinking 4 drinks for women, 5 drinks for men on a single occasion 1 drink for women, two drinks per day for men, on average
    17. 17.  For how many days during the past 30 was your mental health not good? Considering: stress, depression, problems with emotions
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    28. 28.  What aspects of life outside of a hospital or clinic support or hinder health? ◦ Health begins where we live, learn, work, worship, play What can you do to support improvement in those conditions? Who else can have an impact? How can you help get others to the table?
    29. 29.  Health care Public health Foundations (including community foundations) United Way Chambers of Commerce Rotary/Civic organizations Large employers Churches/faith organizations Schools City planning/local government Community non-profits ______________________?
    30. 30. http://whatworksforhealth.wisc.edu/index.aspwww.countyhealthrankings.org/what-works-for-health
    31. 31.  What’s the goal? ◦ School readiness for all Brown County children, starting with at-risk families Who’s involved? ◦ United Way ◦ Hospitals ◦ Early childhood ◦ County human services ◦ Elected officials ◦ Private sector business leaders
    32. 32.  What have they accomplished? ◦ Last year, over 1100 first time parents received Welcome Baby Visits in the hospital, and 320 families were connected with further services How have they done it? ◦ Central coordinating agency ◦ Clear metrics and means of tracking ◦ Commitment among participants to common strategies ◦ Found an evidence-based model and adapted it slightly to their needs
    33. 33.  What’s the Goal? ◦ Improve success for Menominee children in school ◦ Address health challenges for Menominee children and families, starting with childhood obesity
    34. 34.  Who’s Involved? ◦ Schools ◦ Health clinic ◦ College of Menominee Nation ◦ Local health department What have they accomplished? ◦ Mapped community assets against County Health Rankings indicators ◦ Chose childhood obesity as a priority ◦ Developed 90 day action plans to improve physical environment to promote health
    35. 35.  How have they done it? ◦ Created a shared understanding that neither health nor school performance can be improved in a vacuum—root causes are common to both ◦ Leadership ◦ Data ◦ Models of action
    36. 36.  Opportunities to improve health, not just healthcare, exist in your “day jobs” and in your communities Tools, resources, models exist to help Your experiences, networks, connections are important Think of yourselves as leaders with important knowledge and social capital who can make a real difference
    37. 37. From the Juneau County Community Health Needs Assessment:Everyone needs to make a concerted effort to help populations become healthier. Efforts to change people’s behavior cannot be viewed as “oh it’s just the doctors, or health department’s or etc., responsibility.” We all need to put our reputations and names on the line and support one another to increase the credibility of what we are trying to do and help support the change we hope to accomplish with our population.In addition, we cannot rely on others totally for making referrals for residents who need services and resources; we need to educate and empower the consumer. 48
    38. 38.  Wisconsin Partnership Program, UW School of Medicine and Public Health The Robert Wood Johnson Foundation and the County Health Rankings & Roadmaps team
    39. 39. ktimberlake@wisc.edu County Health Rankings & Roadmapshttp://www.countyhealthrankings.org/ UW Population Health Institute http://uwphi.pophealth.wisc.edu/
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