What to Look for in the 2015 Count y Healt h Rankings December 4, 2014 1
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Today’s S peakers Julie Willems Van Dij k Co-Director Count y Healt h Rankings & Roadmaps Program Andrea Ducas Program Officer Robert Wood Johnson Foundation Hon. Michael D. Page Chairman of the County Board of Commissioners Durham County, N.C. 4
How many people are attending this webinar from your computer? a. 1 b. 2 c. 3 d. 4 e. 5 or more 5
How familiar are you with the Count y Healt h Rankings ? a. Very familiar b. S omewhat familiar c. S lightly familiar d. Unfamiliar 6
How familiar are you with the Count y Healt h Roadmaps ? a. Very familiar b. S omewhat familiar c. S lightly familiar d. Unfamiliar 7
A SNEAK PEEK AT THE 2015 COUNTY HEALTH RANKINGS National Association of Counties March 19, 2015
TODAY’S PRESENTATION About the Prize Prize Criteria Phase I Recap Phase II Essentials Wrap-up and Q&A 9
BUILDING A CULTURE OF HEALTH We intend to help our nation increase its demand for healthy places and practices by promoting systematic change in policy, laws and living conditions. We will provide data and tools that communities, agencies, organizations, institutions and individuals need to make better health a priority at all levels. And, we will shine a spotlight on the places and people who are leading the movement. 2015 President’s Message Risa Lavizzo-Mourey, MD, MBA, President & Chief Executive Officer, RWJF 10
OUTLINE County Health Rankings & Roadmaps Background What’s New for 2015? Using the Rankings in Your Community Communicating about the Rankings & Action Q & A 11
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COUNTY HEALTH RANKINGS : 2 RANKINGS Health Health Factors Outcomes Tomorrow’s Today’s Health Health 14
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OUTLINE County Health Rankings & Roadmaps Background What’s New for 2015? Using the Rankings in Your Community Communicating about the Rankings & Action Q & A 17
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NEW MEASURE – INCOME INEQUALITY 20% of US 20% of US households earn households more than earn less $106,101 than $21,433 21
NEW MEASURE – INCOME INEQUALITY ‣ Ratio of household income at the 80th percentile to income at the 20th percentile ‣ Data source: American Community Survey ‣ Years: 2009-2013 10th National 90th Maximum Minimum Median Percentile Average Percentile 2.6 3.7 4.4 4.9 5.4 9.7 22
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MEASURE MAPS 24
USING THE RANKINGS DATA 25
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www.countyhealthrankings.org/roadmaps/action-center 27
ACTION STEP 28
ACTION CENTER ACTIVITY PAGE 29
COMMUNITY GUIDES 30
WHAT WORKS FOR HEALTH Find effective programs and policies at www.countyhealthrankings.org/what- works-for-health 31
www.countyhealthrankings.org/roadmaps/action-center 32
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RWJF CULTURE OF HEALTH PRIZE ‣ Defining health in the broadest ‣ Harnessing the collective power of possible terms. leaders, partners, and community members. ‣ Committing to sustainable systems ‣ Securing and making the most of changes and policy-oriented long- term solutions. available resources. ‣ Cultivating a shared and deeply held ‣ Measuring and sharing progress and belief in the importance of equal results. opportunity for health. 35
OUTLINE County Health Rankings & Roadmaps Background What’s New for 2015? Using the Rankings in Your Community Communicating about the Rankings & Action Q & A 36
Roadmaps to Health in Durham County webinar 3/19/14 / Chairman Michael Page
Outline • Using data and defining health broadly • Informing interventions • How Durham partners effectively for impact – Project Access of Durham County – Board of Health Smoking Rule – Made in Durham
Durham • 2013 population: 288,133 • 4 th largest city in North Carolina • Area: 298 sq miles • 20% residents below poverty level
NC County Rankings • 2013 – 1 st : Wake County – 2 nd : Orange County – 3 rd : Watauga County • Durham County – 2010: 11 th – 2011: 9 th – 2012: 8 th – 2013: 17 th
How Durham Has Used County Roadmaps & Rankings • 2014 Community Health Assessment: – Durham’s rank among counties – Data and research – Recommended strategies • Press releases • Community Health Improvement Plans – What Works for Health
Press information sheet
Indicators of poverty in Durham and surrounding counties from Roadmaps (2013) 60% Unemployment 57% Children in single-parent households 50% Children in poverty 42% 40% 40% 37% 28% 28% 30% 26% 24% 20% 15% 15% 13.2% 9.7% 7.6% 10% 7.5% 6.2% 0% Orange Wake Durham Person Vance
Health outcomes in Durham and surrounding counties (2013) Low birthweight Obesity Heart disease mortality 14% 35% 250 33% 33% 232 228 12% 29% 12% 30% 200 Deaths per 100,000 residents 25% 10% 9% 10% 25% Percent of live births 21% Percent obese 8% 8% 150 8% 20% 117 98 6% 15% 100 87 4% 10% 50 2% 5% 0 0% 0%
What Works for Health
RWJF Culture of Health Prize video http://www.rwjf.org/en/about-rwjf/newsroom/features-and-articles/culture-of-health-prize/durham-nc-2014.html
• Community coalition – the place to hold conversations on health and take action on Durham’s health priorities • Six health priorities • 500 active members • Health department took ownership in 2004; conversations had been happening for 20+ years
RWJF Culture of Health Prize • $25,000 prize will be used for mini-grants • Eligible projects need to be tied closely to Partnership action plans • Encourage collaboration across committees
Harnessing the collective power • Community health assessment and health priorities • Action plans • Data • Strategic plan – County – Public Health
Partnership for a Healthy Durham: most networked partnership Collaborative partnerships Mapping PROJECT done by NCSU researchers (2/13): Branda Nowell, Ph.D., Mary Hano, MPH, Annie Izod, MPA, Zheng Yang, MA, Katherine Ngaruiya
Durham health partnerships • 34 health partnerships • 440 different organizations • Average age: 9 years • Average 64% linkage between partnerships
Project Access of Durham County • Major conveners: Durham Congregations, Associations, and Neighborhoods (CAN); Latino Community Credit Union, Duke University Health System, Lincoln Community Health Center and Partnership for a Healthy Durham • Researched a model that would improve access to specialty medical services for the low-income, uninsured population in Durham County • Convened a powerhouse group to discuss the options
Project Access of Durham County • Modeled after Buncombe County’s Project Access • In six years, over 700 clinicians have provided services valued at approximately $24 million • 4,340 uninsured patients through a network of clinics and private providers, laboratories, pharmacies and hospitals • For each dollar spent on the program, the return on investment to the county is estimated at $15. • Durham County Government provides nearly $350,000 each year to the program’s infrastructure
History: Board of Health Smoking Rule • Board of Health first discussed creating a rule in Fall 2010 • May – June 2011, 30 day public comment period • Nov – Dec 2011, individual meetings with City and County officials • Feb 2012 the BOCC voted to implement on August 1, 2012
BOH Smoking Rule • As of August 1, 2012, smoking is prohibited on: – bus stops – Transportation and train station – City and County property, including public parks and on trails – on public sidewalks abutting schools, hospitals, and city and county property
Made in Durham • Durham has a thriving economy and many jobs • Durham youth are not equipped for these high-level careers • Education and public sector leaders, business CEOs and community advocates are also participating in the Made in Durham Task Force to create a pipeline of education and training opportunities for local high school students to gain employment.
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