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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

NACo’s work with the County Health Rankings & Roadmaps program

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Today’s Speakers

Kate Kingery Deputy Director, Community Transformation County Health Rankings & Roadmaps Program Astra Iheukumere Assistant Director of Community Networks and National Partnerships County Health Rankings & Roadmaps Program Commissioner Wendy Jacobs Chair Durham Board of County Commissioners

2018 COUNTY HEALTH RANKINGS AN OVERVIEW OF UPDATES

National Association of Counties April 5, 2018

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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.

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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

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County Health Rankings:

Defining health in the broadest possible terms

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RANKED MEASURES

Length of life (1) Quality of life (4)

Smoking (1) Diet & Exercise (4) Alcohol & Drug Use (2) Sexual Activity (2) Access to Care (4) Quality of Care (3) Education (2) Income (2) Employment (1) Family and Social Support (2) Community Safety (2) Air and Water Quality (2) Housing and Transit (3)

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WHAT’S NEW IN THE 2018 RANKINGS?

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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.

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WHAT IS A STATE REPORT?

• A County Health Rankings &

Roadmaps report that explores the size and nature

• f health differences by place

and race/ethnicity in each state

• A resource to help you to

begin taking action by exploring evidence-informed approaches

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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
• pportunity and health for all

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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.

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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

• pportunities 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

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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?

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GETTING THE MOST OUT OF YOUR SNAPSHOT

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SPANISH TRANSLATION

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PEER COUNTY COMPARISONS

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EASIER TO FIND DEMOGRAPHIC DATA

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TREND GRAPHS

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LEARN MORE ABOUT MEASURES

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WHAT WORKS FOR HEALTH

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ADDITIONAL MEASURES

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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

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• Host a town hall meeting or a call to action

summit

• Post a link to www.countyhealthrankings.org on

your website

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TAKE ACTION TO IMPROVE HEALTH

www.countyhealthrankings.org

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STAYING CONNECTED

• Follow @CHRankings
• Like Facebook.com/

CountyHealthRankings

• e-Newsletter, email

chr@chrr.wisc.edu to subscribe

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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

THANK YOU!

Roadmaps to Health in Durham County

April 5, 2018

Durham County Government

www.dconc.gov

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

Durham County Government

www.dconc.gov

Durham

• 6th most populous county North Carolina
• 2016 estimated population of 306,212
• Population is approximately 52% female and

48% male

• Durham County median income is $52,503
• Percentage of Children in Poverty- 24%
• % Children in Poverty (Black)- 33%
• % Children in Poverty (Hispanic)- 41%
• % Children in Poverty (White)- 6%

Durham County Government

www.dconc.gov

Durham County Health Rankings

• 2018

– 1st: Wake County – 2nd: Orange County – 3rd: Camden County

• Durham County

– 2018: 11th – 2017: 15th – 2016: 15th – 2015: 11th

Durham County Government

www.dconc.gov

How Durham Has Used County Health Rankings

• 2017 Community Health Assessment:
• Durham’s rank among counties
• Data and research

Durham County Government

www.dconc.gov

How Durham Has Used County Health Rankings

• Press release
• Inform the conversation
• Social Media
• Action planning process

Durham County Government

www.dconc.gov

How Durham Has Used County Health Rankings

Durham County Government

www.dconc.gov

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

Durham County Government

www.dconc.gov

Durham County Efforts

• Racial Equity Trainings

Durham County Government

www.dconc.gov

Durham County Efforts

• Partnership for a Healthy Durham
• Healthy Durham 20/20

Durham County Government

www.dconc.gov

Durham County Efforts

• Opioid Prevention
• Early Childhood Education
• ACEs

Durham County Government

www.dconc.gov

Why Durham Invests in Health

• People of our

community are our most important resource

• When everyone thrives,
• ur whole community

thrives

Durham County Government

www.dconc.gov

Questions?

Chairman Wendy Jacobs Marissa Mortiboy, MPH Partnership for a Healthy Durham Coordinator mmortiboy@dconc.gov (919) 560-7833

Thank You!

• Live. Grow. Thrive.

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Question & Answer Session

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Upcoming Webinars and Events

• Building Healthy Places Webinar (April 12, 2018)
• County Health Day (April 18, 2018)

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THANK YOU!