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NACo’s work with the County Health Rankings & Roadmaps program NACo’s partnership with the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute is designed to strengthen the ability of counties to deal effectively with the challenges of creating a culture of health and to help county officials take a leadership role toward positive community health impact. Learn more about our partnership at www.naco.org/county-health-rankings 4
Today’s Speakers Kate Kingery Astra Iheukumere Commissioner Wendy Jacobs Deputy Director, Assistant Director of Community Community Networks and Chair Transformation National Partnerships Durham Board of County County Health Rankings County Health Rankings Commissioners & Roadmaps Program & Roadmaps Program 5
2018 COUNTY HEALTH RANKINGS AN OVERVIEW OF UPDATES National Association of Counties April 5, 2018
COUNTY HEALTH RANKINGS & ROADMAPS County Health Rankings & Roadmaps (CHR&R) is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. We provide data, evidence, guidance and examples to help communities improve local health outcomes and advance equity. 7
LEARNING OBJECTIVES FOR TODAY ‣ Describe the County Health Rankings model and how we think about health ‣ Introduce what’s new with the 2018 Rankings ‣ Provide examples of how to use CHR&R resources to spark action in your communities ‣ View a snapshot from Durham County, NC 8
County Health Rankings: Defining health in the broadest possible terms 9
RANKED MEASURES Education (2) Smoking (1) Income (2) Diet & Exercise (4) Employment (1) Alcohol & Drug Use (2) Family and Social Support (2) Length of life (1) Sexual Activity (2) Community Safety (2) Quality of life (4) Access to Care (4) Air and Water Quality (2) Quality of Care (3) Housing and Transit (3) 10
WHAT’S NEW IN THE 2018 RANKINGS? 11
2018 OVERALL KEY FINDINGS ‣ This year, we bring new analyses that show meaningful health gaps persist by place and by race/ethnicity. – In all 50 states, the percentage of low birthweight babies born to Black mothers is worse than in the typical bottom performing counties in their state. – Significant disparities exist in social and economic opportunities among counties, e.g., high school graduation and employment – Rates of poverty among children and youth are at least 1.5 times higher than rates among adults aged 18 and older – Residential segregation of Blacks and Whites is considered to be a fundamental cause of health disparities in the U.S. 12
WHAT IS A STATE REPORT? ‣ A County Health Rankings & Roadmaps report that explores the size and nature of health differences by place and race/ethnicity in each state ‣ A resource to help you to begin taking action by exploring evidence-informed approaches 13
STATE REPORT HIGHLIGHTS ‣ What health equity is and why it matters ‣ Differences in health outcomes within the state by place and racial/ethnic groups ‣ Differences in health factors within the state by place and racial/ethnic groups ‣ What communities can do to create opportunity and health for all 14
WHAT DO WE MEAN BY HEALTH EQUITY? HEALTH EQUITY means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty and discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care. 15
WHY EQUITY? ‣ Equality isn’t enough to close gaps ‣ Our nation’s youth are increasingly more racially and ethnically diverse ‣ Children, youth and families of color do not have the same opportunities and fare even worse in segregated communities ‣ Investing in ALL young people to give them fair opportunities to thrive will ensure our nations success and prosperity 16
QUESTIONS TO CONSIDER ‣ What differences do you see among counties in your state? ‣ What differences do you see by racial/ethnic groups in your state? ‣ How do counties in your state compare to all US counties? ‣ What patterns do you see? For example, do some racial/ethnic groups fare better or worse across measures? 17
GETTING THE MOST OUT OF YOUR SNAPSHOT 18
SPANISH TRANSLATION 19
PEER COUNTY COMPARISONS 20
EASIER TO FIND DEMOGRAPHIC DATA 21
TREND GRAPHS 22
LEARN MORE ABOUT MEASURES 23
WHAT WORKS FOR HEALTH 24
ADDITIONAL MEASURES 25
WAYS TO SHARE THE 2018 RANKINGS ‣ Tell your health improvement story ‣ Use social media tools to spread the news – join the conversation at #HealthRankings ‣ Write and submit op-eds to local newspaper — focus on something your community is working on ‣ Host a town hall meeting or a call to action summit ‣ Post a link to www.countyhealthrankings.org on your website 26
TAKE ACTION TO IMPROVE HEALTH www.countyhealthrankings.org 27
STAYING CONNECTED ‣ Follow @CHRankings ‣ Like Facebook.com/ CountyHealthRankings ‣ e-Newsletter, email chr@chrr.wisc.edu to subscribe 28
THANK YOU! Visit us at www.countyhealthrankings.org Kate Kingery Deputy Director, Community Transformation County Health Rankings & Roadmaps University of Wisconsin Population Health Institute Kate.Kingery@chrr.wisc.edu Astra M Iheukumere Assistant Director, National Partnerships and Community Networks County Health Rankings & Roadmaps University of Wisconsin Population Health Institute Astra.Iheukumere@chrr.wisc.edu 29
Roadmaps to Health in Durham County April 5, 2018
Outline • How County Health Rankings Used • Importance of Health Equity • How Durham partners effectively for impact – Partnership for a Healthy Durham – Healthy Durham 20/20 – Opioids – Early Childhood Education – ACEs • Durham County Investment in Health www.dconc.gov Durham County Government
Durham • 6 th most populous county North Carolina o 2016 estimated population of 306,212 o Population is approximately 52% female and 48% male • Durham County median income is $52,503 • Percentage of Children in Poverty- 24% o % Children in Poverty (Black)- 33% o % Children in Poverty (Hispanic)- 41% o % Children in Poverty (White)- 6% www.dconc.gov Durham County Government
Durham County Health Rankings • 2018 – 1 st : Wake County – 2 nd : Orange County – 3 rd : Camden County • Durham County – 2018: 11 th – 2017: 15 th – 2016: 15 th – 2015: 11 th www.dconc.gov Durham County Government
How Durham Has Used County Health Rankings • 2017 Community Health Assessment: • Durham’s rank among counties • Data and research www.dconc.gov Durham County Government
How Durham Has Used County Health Rankings • Press release • Inform the conversation • Social Media • Action planning process www.dconc.gov Durham County Government
How Durham Has Used County Health Rankings www.dconc.gov Durham County Government
2017 Durham County Community Health Assessment Results 2017 Durham County Health Priorities 1. Affordable Housing 2. Access to Healthcare and insurance 3. Poverty 4. Mental Health 5. Obesity, diabetes and food access www.dconc.gov Durham County Government
Durham County Efforts • Racial Equity Trainings www.dconc.gov Durham County Government
Durham County Efforts • Partnership for a Healthy Durham • Healthy Durham 20/20 www.dconc.gov Durham County Government
Durham County Efforts • Opioid Prevention • Early Childhood Education • ACEs www.dconc.gov Durham County Government
Why Durham Invests in Health • People of our community are our most important resource • When everyone thrives, our whole community thrives www.dconc.gov Durham County Government
Questions? Chairman Wendy Jacobs Marissa Mortiboy, MPH Partnership for a Healthy Durham Coordinator mmortiboy@dconc.gov (919) 560-7833 www.dconc.gov Durham County Government
Thank You! Live. Grow. Thrive .
Question & Answer Session 44
Upcoming Webinars and Events • Building Healthy Places Webinar (April 12, 2018) • County Health Day (April 18, 2018) 45
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THANK YOU! 47
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