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This document summarizes a presentation given by Julie A. Willems Van Dijk on the Greater Louisville Project. The presentation discusses how county health rankings are used to simplify complex health data and spur communities to action. It explores factors that influence health outcomes and how communities can implement policies and programs to improve health. Examples are given of Hernando, MS and Wyandotte County, KS taking action after examining their local data. The presentation encourages Louisville to focus on social and economic factors and work across all sectors to enact sustainable health improvements.

Health & Medicine News & Politics

THE
GREATER
LOUISVILLE
PROJECT:

FROM
DATA
TO
ACTION

Julie
A.
Willems
Van
Dijk
RN,
PhD

Deputy
Director,
County
Health
Roadmaps

University
of
Wisconsin
PopulaCon
Health
InsCtute

September
5,
2013

23

‣  Robert
Wood
Johnson
Founda1on

–  Including
Abbey
Cofsky,
Joe
Marx,
Michelle
Larkin,
Jim
Marks,
Naima
Wong,

Paul
Kuehnert

‣  Wisconsin
County
Health
Rankings
&
Roadmaps
Team

–  Including
Bridget
Catlin,
Patrick
Remington,

Amanda
Jovaag,
Angela

Russell,
Alison
Bergum,
Kate
Konkle,
Karen
Odegaard,
Jan
O’Neill,
Kirs1n

Siemering

‣ Our
Partners

–  Including
Burness
Communica1ons,
Community
Catalyst,
United
Way

Worldwide,
NACo,
NBCH,
ASTHO,
NACCHO,
NNPHI,
Dartmouth
Ins1tute,

CDC,
NCHS

ACKNOWLEDGEMENTS

25

TODAY’S
OUTLINE

‣ What
Drives
Health?

‣ Why
Rankings?

‣ Exploring
the
Data

‣ Moving
to
Ac1on

‣ Discussion

30

‣ Simplify
complex
data

‣ Media
coverage

‣ Add
context

‣ Call
to
ac1on

‣ Star1ng
point

WHY
RANK?

37
www.countyhealthrankings.org

WHAT’S
NEXT,
LOUISVILLE?

39

‣ It
takes
everyone

‣ Moving
to
the
leQ
side
of
the

wheel

‣ Data-‐driven
and
evidence-‐
informed
ac1on

‣ Focus
across
the
health
factors—
including
social
and
economic

factors

‣ Policy,
systems
and
environmental

change

FOUNDATION
OF
ROADMAPS

40

www.countyhealthrankings.org/what-works-for-health

41

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
visi1ng
programs

Zoning/incen1ves
for
mixed-‐use
development

Reducing
bus
emissions

Pedestrian/cycling
in
master
plans

Coverage,
medical
homes

EHRs,
Public
Repor1ng,
Payment
Reform

Tobacco
use

HEALTH
BEHAVIORS
(30%)

Diet
&
exercise

Alcohol
use

Sexual
ac1vity

CLINICAL
CARE
(20%)

Access
to
care

Quality
of
care

SOCIAL
&
ECONOMIC

FACTORS
(40%)

Educa1on

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

OUTCOMES

HEALTH

FACTORS

POLICIES
&

PROGRAMS

43

MOVING
TO
ACTION:
HERNANDO,
MS

“My
job
is
to
create
an
atmosphere
and
an

opportunity
for
good
health.”

—Mayor
Chip
Johnson

Hernando,
MS

http://www.countyhealthrankings.org/roadmaps/stories/fostering-culture-health-and-wellness-hernando-miss

45

MOVING
TO
ACTION:
WYANDOTTE,
KS

“The
County
Health
Rankings
were
a
call
to
me
to

say,
‘You’re
not
going
to
be
the
best
community

you
can
be
if
you
don’t
focus
on
the
health
of

your
community.’”

—Mayor
Joe
Reardon

Wyandofe
County,
KS

http://www.countyhealthrankings.org/roadmaps/stories/how-low-ranking-health-mobilized-wyandotte-county-kansas

46

RWJF
ROADMAPS
TO
HEALTH
PRIZE

www.countyhealthroadmaps.org/prize
$25,000
prize
to
communi1es
who
are
leading
the
way

Six
Criteria:

Leadership&
Partnership;
Working
Across
the
Health
Factors;
Strategic

Approach;
Health
Equity;
Maximizing
Resources;
Results-‐oriented

47
www.countyhealthrankings.org

THANK
YOU!

WE
WILL
BE
WATCHING
&
LEARNING

FROM
YOU

48

STAYING
CONNECTED

e-‐Newsle[er:
chr@match.wisc.edu

49

DISCUSSION

Julie
Willems
Van
Dijk
RN
PhD

Deputy
Director,
County
Health
Roadmaps

University
of
Wisconsin
Popula1on
Health
Ins1tute

608-‐263-‐6731

willemsvandi@wisc.edu

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3. The C.E. & S.! Foundation, Inc.!

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22. THE GREATER LOUISVILLE PROJECT: FROM DATA TO ACTION Julie A. Willems Van Dijk RN, PhD Deputy Director, County Health Roadmaps University of Wisconsin PopulaCon Health InsCtute September 5, 2013

23. 23 ‣  Robert Wood Johnson Founda1on –  Including Abbey Cofsky, Joe Marx, Michelle Larkin, Jim Marks, Naima Wong, Paul Kuehnert ‣  Wisconsin County Health Rankings & Roadmaps Team –  Including Bridget Catlin, Patrick Remington, Amanda Jovaag, Angela Russell, Alison Bergum, Kate Konkle, Karen Odegaard, Jan O’Neill, Kirs1n Siemering ‣ Our Partners –  Including Burness Communica1ons, Community Catalyst, United Way Worldwide, NACo, NBCH, ASTHO, NACCHO, NNPHI, Dartmouth Ins1tute, CDC, NCHS ACKNOWLEDGEMENTS

24. 24 www.countyhealthrankings.org

25. 25 TODAY’S OUTLINE ‣ What Drives Health? ‣ Why Rankings? ‣ Exploring the Data ‣ Moving to Ac1on ‣ Discussion

26. 26

27. 27

28. 28 LOGIC BEHIND THE RANKINGS

29. 29 RANKINGS ARE EVERYWHERE

30. 30 ‣ Simplify complex data ‣ Media coverage ‣ Add context ‣ Call to ac1on ‣ Star1ng point WHY RANK?

31. 31 www.countyhealthrankings.org

32. 32

33. 33

34. 34

35. 35

36. 36

37. 37 www.countyhealthrankings.org WHAT’S NEXT, LOUISVILLE?

38. 38

39. 39 ‣ It takes everyone ‣ Moving to the leQ side of the wheel ‣ Data-‐driven and evidence-‐ informed ac1on ‣ Focus across the health factors— including social and economic factors ‣ Policy, systems and environmental change FOUNDATION OF ROADMAPS

40. 40 www.countyhealthrankings.org/what-works-for-health

41. 41 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 visi1ng programs Zoning/incen1ves for mixed-‐use development Reducing bus emissions Pedestrian/cycling in master plans Coverage, medical homes EHRs, Public Repor1ng, Payment Reform Tobacco use HEALTH BEHAVIORS (30%) Diet & exercise Alcohol use Sexual ac1vity CLINICAL CARE (20%) Access to care Quality of care SOCIAL & ECONOMIC FACTORS (40%) Educa1on 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 OUTCOMES HEALTH FACTORS POLICIES & PROGRAMS

42. 42 HERNANDO, DE SOTO COUNTY, MS

43. 43 MOVING TO ACTION: HERNANDO, MS “My job is to create an atmosphere and an opportunity for good health.” —Mayor Chip Johnson Hernando, MS http://www.countyhealthrankings.org/roadmaps/stories/fostering-culture-health-and-wellness-hernando-miss

44. 44 WYANDOTTE COUNTY, KS

45. 45 MOVING TO ACTION: WYANDOTTE, KS “The County Health Rankings were a call to me to say, ‘You’re not going to be the best community you can be if you don’t focus on the health of your community.’” —Mayor Joe Reardon Wyandofe County, KS http://www.countyhealthrankings.org/roadmaps/stories/how-low-ranking-health-mobilized-wyandotte-county-kansas

46. 46 RWJF ROADMAPS TO HEALTH PRIZE www.countyhealthroadmaps.org/prize $25,000 prize to communi1es who are leading the way Six Criteria: Leadership& Partnership; Working Across the Health Factors; Strategic Approach; Health Equity; Maximizing Resources; Results-‐oriented

47. 47 www.countyhealthrankings.org THANK YOU! WE WILL BE WATCHING & LEARNING FROM YOU

48. 48 STAYING CONNECTED e-‐Newsle[er: chr@match.wisc.edu

49. 49 DISCUSSION Julie Willems Van Dijk RN PhD Deputy Director, County Health Roadmaps University of Wisconsin Popula1on Health Ins1tute 608-‐263-‐6731 willemsvandi@wisc.edu

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