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Well-Being In the Nation (WIN)--brief slides

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These are brief slides related to the Well-Being In the Nation Measurement Framework

Published in: Government & Nonprofit
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Well-Being In the Nation (WIN)--brief slides

  1. 1. Well-being In the Nation (WIN) A multi-sector measurement framework for population and community health and well-being advanced by the National Committee on Vital and Health Statistics
  2. 2. What we will cover today 1. What is the Well-Being In the Nation (WIN) Measurement Framework/measures? 1. How was it developed? 2. How can it help me in my work? 2
  3. 3. What is the Well-Being In the Nation Measurement Framework?  The Well-Being In the Nation (WIN) Measurement Framework offers a set of common measures to assess and improve population and community health and well-being across sectors.  It is intended to help people address all of the drivers of health, well- being and equity together. This includes measures for the social determinants of health.  The framework is divided into three elements: core measures, leading indicators, and a full flexible set of measures.  The framework was developed by the National Committee on Vital and Health Statistics; measure development was facilitated by 100 Million Healthier Lives, with input from 100+ people and organizations 3
  4. 4. About the National Committee on Vital and Health Statistics 4 https://www.ncvhs.hhs.gov/wp-content/uploads/2013/12/NCVHS- Measurement-Framework-V4-Jan-12-2017-for-posting-FINAL.pdf National Committee on Vital and Health Statistics (NCVHS) is a Federal Advisory Committee – reports to secretary of HHS Goal was to identify multi-sector measures to support population and community health and wellbeing and address social determinants of health Report from January 2017 Accompanying letter w/ recommendations to HHS Secretary (May 2, 2017)
  5. 5. Who: An unprecedented collaboration of change agents pursuing an unprecedented result: 100 million people living healthier lives by 2020 Vision: to fundamentally transform the way we think and act to improve health, wellbeing and equity. Equity is the price of admission. Convened by the Institute for Healthcare Improvement as a partnership. www.100mlives.org About 100 Million Healthier Lives 1850+ members and partners across sectors in all 50 states, 200+ communities and 30+ countries
  6. 6. Aim & Key Considerations 1. Arrive at measure set(s) aligned with NCVHS Framework domains to create a measurement ecosystem for wellbeing: • Parsimonious set of core measures at national level • Expandable menu of measures for use at local, community level 2. Achieve a balance between standard, widely-used measures and those that may be promising/currently used in fewer places at this time (or even gaps in the field/opportunities for development), but have the potential to be highly useful 3. Include a breadth of experts, including across sectors and those who implement measurement on multiple levels, including community 6
  7. 7. Key features of the approach we took 1. Co-design: Identify who would be using it and how (use cases) and engage metrics experts and implementers together in the process of metrics identification. 2. Continuous testing with communities and others groups of implementers as the framework implementation approach was being developed and measures were selected to see if they resonated and were useful. 3. A focus on creating a living library of measures that helps us learn together what works rather than creating “a definitive set” of measures “for all time”. 4. A focus on what brings us together rather than how we might slice the world differently; a willingness to engage in public-private partnership. 5. A mix of leading indicators and lagging indicators that meets the needs of different sectors—as well as common ones many can align around. 7
  8. 8. 2018: Modified Delphi Process – 100+ organizations across sectors participating along with communities  Cycle 1: What’s missing? • Process: Participants were invited to suggest additions to the list of candidate metrics being considered. • Output: Complete metrics list compiled  Cycle 2: Prioritization • Process: In each domain participants were asked to prioritize 10 metrics for each the National and Community measures based on the measure’s importance, value/usefulness, and usability to stakeholders • Output: Candidate metrics lists for each domain at each National and Community levels were reduce to ~20 most selected measures  Cycle 3: Evaluation • Process: In each domain participants were asked to prioritize 5 metrics for each the National and Community measures, then evaluate their importance, feasibility, usability and value on a scale of 1 (least) to 3 (most)  Cycle 4: Multisector expert validation and community testing  Cycle 5: Alignment with related measurement initiatives, such as Healthy People 2030 8
  9. 9. Well-being In the Nation (WIN) Measurement Framework (NCVHS Framework) 1.Core measures • Well-being of people • Well-being of places • Equity 2.Leading indicators • 12 domains and associated subdomains related to determinants of health (upstream, midstream, downstream) 3.Full flexible set (developmental measures) • 12 domains and associated subdomains 9
  10. 10. Wellbeing In the Nation (WIN) Core Measures 10 1. Wellbeing of people • People reported wellbeing • Life expectancy 2. Wellbeing of places • Healthy communities index (USNWR/CHRR) • Child poverty 3. Equity • Differences in subjective wellbeing • Years of potential life gained • Income inequality, graduation rates • Differences by demographic variables (race, place, gender, educational level, language, etc)
  11. 11. People reported well-being  Two simple questions  Administered 2.7 million times, highly validated  Relate to morbidity, mortality, cost  Useful for risk stratification  Work across sectors 11 Age Sex Race/Ethnicity Education Zip code Veteran status % people thriving % people suffering % people with hope
  12. 12. Leading Indicators and Full Flexible Set – Measures related to domains below 1.Demographics 2.Health 3.Food and Agriculture 4.Community Vitality 5.Environment 6.Economy 7.Education 8.Housing 9.Public safety 10.Transportation 11.Wellbeing of people 12.Equity  Data availability, importance, as well as priority to different development and implementation group determined whether measure was chosen a leading indicator 12
  13. 13. What you can use these measures to do  Identify measures for national initiatives that can be applied across a wide variety of communities.  Monitor the health, well-being, and equity of a population over time.  Understand and drive improvements in health, well-being, and equity.  Understand health, well-being, and equity in population segments.  Compare the health and well-being of communities through the development of an index. 13
  14. 14. Early adopters 1. US News & World Report 2. American Heart Association 3. National Councils on Aging 4. HERO (Employers) 5. Health systems - Kaiser Permanente, Health Partners 6. States – Delaware, New York, California 7. Federal agencies – Veterans Administration 8. Public health agencies – Association of State and Territorial Health Officials 9. Funders – Wellbeing Trust, Robert Wood Johnson Foundation, Cargill Foundation 10. Wellbeing Legacy partners 11. Technology groups: Community Commons, LiveStories 12. Other measurement efforts – CityHealth Dashboard, USNWR, Healthy Places Index, SIREN 13. Other sectors: Housing (Enterprise), CDFIs (Build Healthy Places Network), Transportation, Business, Media 14. 100 Million Healthier Lives partners – IHI, DASH, Empath, SCALE communities, In coordination with Healthy People 2030 14
  15. 15. Drill down to place based data 15 Interactive tools to help you see the data - www.winmeasures.org
  16. 16. Email 100MLives@ihi.org #WINmeasures For more information 16

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