DATA TO ACTION
UF FAMILY DATA CENTER
3-17-2011
OUTLINE
• INTRODUCE FAMILY DATA CENTER
• HIGHLIGHTS OF CITY REPORT
• SUPPORT THE RECOMMENDATIONS IN DR.
STOWELL’S REPORT
• PROGRESS TO DATE
• THE WAY FORWARD
CMS BUILDING
 16th Avenue 
North
UF FAMILY DATA CENTER
• FORMERLY KNOWN AS MCHERDC
• HOUSED IN CMS BUILDING
• DECADES OF EXPERIENCE WITH CHILDRENS DATA
AND INFORMATION
• SPECIAL EXPERTISE IN LINKING DATA, CONVERTING
CONFIDENTIAL INFORMATION TO USEFUL
DEIDENTIFIED INFORMATION, MAPPING
CITY REPORT HIGHLIGHTS
• POPULATION LEVEL INDICATORS
• POVERTY POSES RISKS FOR ALL RACES
• A RISING PROPORTION OF CHILDREN ARE
BEING BORN INTO DISADVANTAGED FAMILIES
• 23% OF CHILDREN 5 AND UNDER LIVE BELOW
POVERTY, HALF OF THOSE ARE BLACK
REPORT HIGHLIGHTS…
• 15% OF BIRTHS ARE TO MOTHERS WITH NO
HIGH SCHOOL DIPLOMA/GED
• CHILDREN BORN INTO POVERTY ARE LESS
LIKELY TO ACCESS SAFE QUALITY CHILDCARE
• BECAUSE OF THE ABOVE, A HIGH
PROPORTION OF THESE CHILDREN ARE
UNPREPARED FOR SCHOOL SUCCESS
REPORT HIGHLIGHTS
• CHILDREN BORN INTO POVERTY ARE MORE
LIKELY TO
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BE BORN AT LOW BIRTHWEIGHT
HAVE NO ACCESS TO DENTAL CARE
BECOME OBESE
HAVE ASTHMA, AND MORE COMPLICATIONS OF
ASTHMA
– OBSERVE VIOLENCE AT HOME
– HAVE MOTHERS WHO ARE DEPRESSED
RAISE ALL BOATS
• IMPROVING OUTCOMES FOR
DISADVANTAGED CHILDREN IMPROVES
OUTCOMES FOR ALL CHILDREN
• INTERVENING DURING EARLY CHILDHOOD IS
THE MOST COST EFFECTIVE STRATEGY TO
IMPROVE OUTCOMES
• BEHAVIORAL/COGNITIVE EFFECTS OF
DISADVANTAGE SHOW UP EARLY
•Rate of Return to Investment in Human Capital
Rate of Return to Human Capital Investment
HECKMAN: PERRY PRESCHOOL
BENEFITS TO COST RATIO
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COSTS INCLUDED PRESCHOOL $16, 514
BENEFITS TO AGE 40 $144, 345
BENEFITS TO COST RATIO 8.74
BENEFITS INCLUDED DIFFERENTIAL
EARNINGS, K-12 COSTS, COLLEGE COST,
CRIME, WELFARE, ABUSE /NEGLECT
CITY REPORT RECOMMENDATION
1
• START WITH ENDS, WORK BACKWARD TO THE
MEANS
• THE COUNTY SHOULD SPECIFY WHAT IT
WANTS, HOW IT WILL RECOGNIZE IT, AND
WHAT IT WILL TAKE TO GET THERE (P.48)
MASLOW’S ORIGINAL PYRAMID OF
NEEDS
DEFINITION OF SELF
ACTUALIZATION (FROM NEURONS
TO NEIGHBORHOODS)
• CHILDREN WHO SELF ACTUALIZE ACHIEVE
ACADEMIC SUCCESS, ULTIMATELY SUSTAIN
ECONOMIC INDEPENDENCE AND ENGAGE
CONSTRUCTIVELY WITH OTHERS AS ADULT
CITIZENS
• THEY ALSO ARE NET DONORS TO OUR TAX
REVENUES
ARIZONA MODIFICATION: SELF
ACTUALIZED PARENT
• CAN PROVIDE MAZLOW’S HIERARCHY FOR
CHILD, BECAUSE OF SUCCESSFUL
DEVELOPMENT OF ONE’S OWN AGENCY
• ONE GOAL MIGHT BE TO ASSURE THAT SELF
ACTUALIZATION PRECEDES PARENTHOOD
(NOT THE REVERSE)
RECOMMENDATION 2
• COMMIT TO WORKING ON CROSSCOMMUNITY CONDITIONS OF WELL BEING AS
OPPOSED TO INDIVIDUAL PROGRAMS OR
SERVICES.
• BE ACCOUNTABLE FOR POPULATIONS, AND
SEPARATE THIS ACCOUNTABILITY FROM THAT
FOR PROGRAMS/AGENCIES
Mobile Outreach Clinic Stops
RECOMMENDATION 3
• USE THE DATA TO DRIVE A DISCIPLINED
BUSINESS-LIKE DECISION MAKING PROCESS
TO GET BETTER, AND TO GAUGE SUCCESS OR
FAILURE AGAINST A BASELINE
Density of Child Maltreatment (2005-2008)
Medicaid Birth Density
and Count (2006-2008)
•Low Density
Density of Child
Maltreatment (2005-2008)
•High Density
Density of Domestic
Violence
Density of Child
Maltreatment (2005-2008)
Homeless Children Previous Address (2010)
•Low Density
•High Density
RECOMMENDATION 4 & 5
• INVOLVE A BROAD SET OF PARTNERS AND
GET FROM TALK TO ACTION AS QUICKLY AS
POSSIBLE
• IMPLEMENT STRATEGIES AGREED UPON BY
PARTNERS
PROMISE NEIGHBORHOODS
PROPOSAL BROUGHT PARNTERS
TOGETHER
• ALTHOUGH NOT FUNDED, WE WROTE A
COMPETITIVE PROPOSAL (RANKED TOP 25)
• THIS PROPOSAL CONTAINS MANY STRATEGIES
FOR ACTION AND PARTNERS MADE MANY
COMMITMENTS
• ONE COMMITMENT WAS TO SHARE DATA
• JESSIE BALL DUPONT FUND
DATA SHARING PARTNERS ON
COMMUNITY WIDE DATABASE
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DEPARTMENT OF CHILDREN AND FAMILIES
ALACHUA COUNTY PUBLIC SCHOOLS
MEDICAID
DEPARTMENT OF HEALTH
US HOUSING AND URBAN DEVELOPMENT
DATA SHARING PARTNERS
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ALACHUA COUNTY SHERIFF’S OFFICE
CITY OF GAINESVILLE
CITY OF HIGH SPRINGS
GEOPLAN CENTER AT UF
WORKING RELATIONSHIPS
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PARTNERSHIP FOR STRONG FAMILIES
CHILD ABUSE PREVENTION PROJECT
UNITED WAY OF NORTH CENTRAL FLORIDA
EARLY LEARNING COALITION
MERIDIAN BEHAVIORAL HEALTH CARE
DEPARTMENT OF JUVENILE JUSTICE
CITY OF ALACHUA
RECOMMENDATION 6
• TRACK POPULATION INDICATORS TO
REFINE/REDIRECT EFFORTS
IF GOAL IS SELF ACTUALIZATION,
WE CAN TRACK INDICATORS SUCH
AS….
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CHILDREN BORN INTO POVERTY
LOW BIRTH WEIGHT
CHILD ABUSE/NEGLECT
CHILDREN NOT READY TO ENTER
KINDERGARTEN (STANDARDIZED TESTS)
IF GOAL IS SELF ACTUALIZATION
BEFORE PARENTHOOD, WE CAN
MEASURE…
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UNEXCUSED SCHOOL ABSENCES
HIGH SCHOOL DROPOUTS
JUVENILE DETENTION
TEEN PARENTHOOD
WHERE ARE WE NOW
BASED ON CENSUS 2010
• 44, 285 RESIDENTS OF COUNTY ARE AGE 0-17
(17.9%)
•16, 606 OF THE CHILDREN LIVE WITHIN THE CITY
LIMITS
•28,269 OF THE CHILDREN LIVE IN THE COUNTY
•22,531 LIVE IN UNINCORPORATED GAINESVILLE
•5373 LIVE IN THE TOWNS OF HAWTHORNE,
ARCHER, ALACHUA, WALDO, HIGH SPRINGS AND
THE RURAL AREAS OF THE COUNTY
PUBLIC SCHOOL CHILDREN (2009-’10) – SCHOOL BOARD DATA
Total 47% of all children are in meal programs
5,469 children in TANF & SNAP programs (26%)
4,349 children in free & reduced meals (21%)
11,194 children not in meal programs (53%)
RECOMMENDATION 7
• COMMIT TO THE LONG TERM. CHANGING THE
EFFECTS OF SOCIO-ECONOMIC DISPARITIES IS
NOT DONE QUICKLY.
• CITY AND PARTNERS MUST AGREE THAT
DISCIPLINED AND INFORMED ACTIONS WITH
MEASURED RESULTS OVER TIME WILL
PROVIDE THE GUIDANCE NECESSARY FOR
ENDURING CHANGE (P. 49)
IF WE ASSURE SELF-ACTUALIZATION…
• WE HAVE A HEALTHIER WORKFORCE
– WE REDUCE HEALTH CARE COSTS TO OUR
BUSINESSES, WE ATTRACT INDUSTRIES DESIRING
KNOWLEDGE WORKERS
• WE INCREASE SCHOOL READINESS
– WE REDUCE TRUANCY, DROPOUT, NEED FOR
JUVENILE JUSTICE AND ADULT JAILS
IF WE BREAK THE CYCLE OF POVERTY, WE
HAVE MORE NET “DONORS” TO OUR
COMMUNITY WELLBEING
INVITATION TO COLLABORATE
• WE INVITE THE COUNTY COMMISSIONERS TO
VISIT THE FAMILY DATA CENTER
• WE WOULD LIKE TO FACILITATE THE EFFORTS
OF OUR COMMUNITY PARTNERS IN USING
DATA TO CREATE ACTION
Nancy S. Hardt, M.D.
Director, Health Disparities and Service Learning Programs
Professor, Obstetrics/Gynecology and Pathology
College of Medicine
352-514-3991 Mobile Number
hardt@ufl.edu
1701A SW 16th Avenue
Gainesville, FL 32608
WE PROPOSE THAT THE COUNTY
WORK WITH FAMILY DATA CENTER
AND PARTNERS TO
– FOSTER NEW DATA PARTNERSHIPS
– MONITOR “HOT SPOT” LOCATIONS FOR PLACE
BASED INTERVENTIONS
– HELP IDENTIFY FUNDING OPPORTUNITIES FOR
CROSS AGENCY ACTIONS
– SUPPORT PILOT PROJECTS, MONITOR PROGRESS,
WITH THE GOAL TO EXPAND THE BEST
– COMMIT TO THE LONG TERM