The Health of
XYZ Community
Community Health Assessment
DATE
Overview of the
Community Health Assessment
The Community Health
Improvement Process
Work Together
Assess Needs &
Resources
Evaluate Actions
Public
Health
Business
Healthcare
Community
Members
Government
Act on
What’s Important
Education
Philanthropy
& Investors
Community
Development
Nonprofits
Communicate
Choose Effective
Policies & Programs
© 2014 County Health Rankings and R oadmaps
Focus on
What’s Important
Purpose of Assessment
•
Provide an overview of the health of the
community
•
Look for opportunities for improvement
What Makes Us Healthy?
•
To understand health and how to make our
community healthier, we need to define:
◦ What do we mean by health?
◦ What drives health?
◦ What makes people healthy or not healthy?
What Makes a Community Healthy?
What Makes a Community Healthy?
Health Disparities
•
Health disparities = the differences between groups
in their health status
◦ Important to examine disparities in the health factors in
our community
•
Health Equity = striving for the best health for all
◦ Need to address disparities in order to achieve health
equity
Community Health
Assessment Data
DEMOGRAPHIC DATA
Who Are We?
•
•
•
•
•
Age
Race/Ethnicity
English proficiency
Geography
Population
Age of Residents
Percent of population below 18 and 65 +
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: County Health Rankings/US Census
Race/Ethnicity of Residents
Race of Residents
XYZ Community and Wisconsin (Year)
1.
2.
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Source: County Health Rankings/US Census
Language Proficiency
Percent of population that is
not proficient in English
XYZ Community and Wisconsin (Year)
1.
2.
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Source: County Health Rankings/US Census/American Communities Survey
Geography of Community
Percent of population living in rural area
XYZ Community and Wisconsin (Year)
1.
2.
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Source: County Health Rankings/US Census
Population
Total population by Age Group and Gender
XYZ Community and Wisconsin (Year)
1.
2.
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Source: WI Department of Health Services / US Census
Population Change
Percent of change in Population 2010-(Year)
XYZ Community and Wisconsin
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services / US Census
MORTALITY DATA
Premature Death
Years of potential life lost before age 75
per 100,000 population (age-adjusted)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/National Vital Statistics System
Infant Mortality Rate
Infant Mortality Rate per 1000 Live Births
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services WISH
MORBIDITY DATA
Measures of Overall Health:
Poor or Fair Health
Percent of adults self-reporting poor or fair health
(age-adjusted)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Measures of Overall Health:
Physically Unhealthy Days
Average number of physically unhealthy days self-reported in adults in past 30
days (age-adjusted)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Measures of Overall Health:
Low Birth Weight Infants
Percent of birth weights <2,500 grams
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/WI Department of Health Services WISH
Chronic Diseases:
Why This Matters
•
Chronic diseases include:
◦ Heart disease, stroke, cancer, diabetes, asthma
•
Can often be prevented through:
◦ Healthy diet, physical activity, eliminating tobacco use
and substance abuse
•
Managing chronic diseases is important because:
◦ The diseases are very costly
◦ Effective management can prevent more serious
complications
Chronic Diseases:
Why This Matters (continued)
•
Diabetes:
•
Cancer:
•
Coronary Heart Disease:
•
Asthma:
◦ Affects 29.1 million people in US (2012)
◦ 7th leading cause of death (2013)
◦ Leading cause of: kidney failure, lower limb amputations, adult onset
blindness
◦ 2nd leading cause of death in US (2012)
◦ Risk factors: Use of tobacco, physical inactivity & poor nutrition, obesity,
UV light exposure
◦ Also can be reduced through: early screening and vaccination
◦ Leading cause of death in US
◦ Modifiable risk factors: high blood pressure, high cholesterol, cigarette
smoking, diabetes, poor diet & physical activity, overweight & obesity
◦ Affects more than 40 million people in US (2011)
Sources: National Diabetes Statistics Report, 2014 (CDC); (FastStats (CDC); Economic Benefits of
Preventing Disease (National Prevention Strategy); Centers for Disease Control and Prevention;
Healthiest Wisconsin 2020; Healthy People 2020
Chronic Disease: Diabetes
Percent of adults age 20 and above
with diagnosed diabetes
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Chronic Disease: Cancer
Incidence per 100,000 population
by cancer site (age-adjusted)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services WISH
Chronic Disease:
Coronary Heart Disease
Coronary heart disease hospitalization rate
per 1,000 population
XYZ Community and Wisconsin (Year)
1.
Cut & paste data here
2.
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services/Public Health Profiles
Chronic Disease:
Cerebrovascular Disease
Cerebrovascular disease hospitalization rate
per 1,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services/ Public Health Profiles
Chronic Disease:
Asthma in Youth
Percent of Youth Ever told by a Doctor or Nurse
they had Asthma and Still have Asthma
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of school district(s) and year of data in title above.
Source: Youth Risk Behavioral Survey (YRBS)
Oral Health:
Why This Matters
•
Good oral health improves the ability to:
◦ Speak, smile, smell, taste, touch, chew, swallow, and make
facial expressions
•
Good oral health can prevent:
◦ Mouth pain, tooth decay, tooth loss, oral and throat cancer,
birth defect, other disease of the mouth
•
Good oral health care can prevent other diseases:
◦ Early detection of diseases that start with oral symptoms that
can affect health in other parts of the body
•
People more likely to have poor oral health:
◦ People with disabilities
◦ People with other health conditions
Sources: Healthiest Wisconsin 2020; Healthy People 2020
Oral Health:
Fluoride in Public Water Supplies
Percent of public water supplies with
fluoride content at 0.7 PPM or greater
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI DHS/Public Water Supply Fluoridation Census
Oral Health:
Untreated Decay in Children
Percent of Third Grade Children with
Untreated Decay
ABC Region and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Division of Public Health/Make Your Smile Count Survey
Communicable Diseases:
Why This Matters
•
Communicable diseases includes:
◦ Foodborne & waterborne, respiratory, vaccinepreventable, sexually transmitted and other
•
Prompt identification and control can reduce:
◦ Illness, death, health care costs and absenteeism
•
Viral hepatitis, influenza and TB: among the leading
causes of illness and death in US
Communicable Diseases:
Why This Matters (continued)
•
Foodborne illness:
•
Respiratory infections (including influenza & pneumonia):
•
Vaccine-preventable diseases:
•
Each birth cohort vaccinated with the routine schedule:
◦ Millions of illnesses every year in U.S.
◦ Children under 4 have highest incidence
◦ Adults over 50 are at highest risk of serious complications
◦ 8th leading cause of death in U.S. (2013)
◦ Each year in US: 42,000 adults and 300 children die of vaccinepreventable diseases
◦ Saves 33,00 lives
◦ Prevents 14 million cases of disease
◦ Reduces direct health care costs by $9.9 billion
Sources: Healthiest Wisconsin 2020; Healthy People 2020; Centers for Disease
Control and Prevention
Communicable Disease:
Influenza Immunizations in Seniors
% of population age 65 and older who had
a flu shot in the last 12 months
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services WISH
Communicable Disease:
Childhood Immunization Rates
Percent of children aged 19 to 35 months who received
the recommended doses of vaccines
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: DHS/WI Immunization Registry (WIR)
Communicable Disease:
Major Diseases
Rate per 100,000 population of top
reportable communicable diseases
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Public Health Information Network - AVR
Mental Health:
Why This Matters
•
Essential to: personal well-being, relationships, ability to
contribute to society
•
Mental disorders: one of most common causes of
disability
◦ 13 mil adults have seriously debilitating mental illness
each year in US
◦ Suicide is 10th leading cause of death overall in US
(30,000 per year) (2013)
◦ Estimated 8 -12 attempts for every suicide death
•
Mental health issues are associated with physical
health problems including:
◦ Smoking, physical inactivity, obesity and substance abuse
Sources: County Health Rankings (2014); Healthiest Wisconsin 2020; Healthy
People 2020; Suicide Voices of Awareness (2014); Centers for Disease
Control and Prevention
Mental Health:
Poor Mental Health
Average number of mentally unhealthy days
reported in past 30 days (age-adjusted)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Mental Health:
Hospitalization for Intentional Injury
Self-inflicted hospitalization rate per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services WISH
Mental Health: Youth Suicide
Percent who seriously considered attempting suicide during
the 12 months before the survey
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Enter year of data in title above
Source: Youth Risk Behavioral Survey (YRBS)
Injury & Violence:
Why This Matters
•
•
Injury is leading cause of death in ages 1-44 (2013)
Injury is the leading cause of disability
(in all ages, genders, races/ethnicities, socio- economic
status)
•
•
Nearly 193,000 injury deaths/year in US (2013)
Many think of injuries as “accidents” or “acts of
fate” but most are predictable and preventable
Sources: The Burden of Falls in Wisconsin (2010); Healthy People 2020;
County Health Rankings (2014); Centers for Disease Control and Prevention
Injury & Violence:
Youth Seat Belt Use
Percent who rarely or never wore a seat belt when riding in
a car driven by someone else
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Injury & Violence:
Hospitalizations for Injuries
Ranked causes of hospitalizations for injuries
(age-adjusted per 100,000 population)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: WI Department of Health Services WISH
Injury & Violence:
Deaths Due to Falls in Elderly
Injury deaths due to falls for age 65 and older
(per 100,000 population)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services WISH
HEALTH BEHAVIOR DATA
Alcohol & Drug Use:
Why This Matters
•
•
Estimated 22 million
people per year in the
US have drug and
alcohol problems
Can lead to:
◦ Fetal alcohol spectrum
disorder
◦ Alcohol and drug
dependencies
◦ Liver, brain, and heart
disease
•
Contributes to costly
physical, mental and
public health problems
including:
◦
◦
◦
◦
◦
◦
◦
◦
◦
Teenage pregnancy
HIV/AIDS and other STDs
Domestic violence
Child abuse
Motor vehicle crashes
Physical fights
Crime
Homicide
Suicide
Sources: Centers for Disease Control and Prevention; Healthiest
Wisconsin 2020; Healthy People 2020
Alcohol & Other Drugs:
Excessive Drinking in Adults
Percent of the adult population that reports either
binge drinking or heavy drinking
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Alcohol & Drug Use:
Alcohol-impaired Driving Deaths
Proportion of driving deaths with alcohol involvement
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/National Highway Traffic Safety Administration
Alcohol & Drug Use:
Drug Arrests
Number of arrests for drug possession
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: Office of Justice Assistance
Alcohol & Drug Use:
Alcohol-related Hospitalizations
Rate of alcohol-related hospitalizations per 1,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI Department of Health Services/Public Health Profiles
Alcohol & Drug Use:
Youth Alcohol Use
Percent of students who had at least one drink of alcohol
on one or more of the past 30 days
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Behavioral Risk Factor Survey (YRBS)
Alcohol & Drug Use:
Youth Age at First Alcohol Use
Percent of students who had their first drink of alcohol
other than a few sips before age 13
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Behavioral Risk Factor Survey (YRBS)
Physical Activity & Nutrition:
Why This Matters
•
Regular physical
activity in adults can
lower the risk of:
◦
◦
◦
◦
◦
◦
◦
◦
Early death
Coronary heart disease
Stroke
High blood pressure
Type 2 diabetes
Breast and colon cancer
Falls
Depressions
•
Physical activity in
children and
adolescents can:
◦ Improve bone health
◦ Improve cardiorespiratory & muscular
fitness
◦ Decrease levels of body
fat
◦ Reduce symptoms of
depression
Physical Activity & Nutrition:
Why This Matters (continued)
•
Healthy diet reduces risk of:
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
Overweight/obesity
Malnutrition
Anemia
Heart disease
High blood pressure
Type 2 diabetes
Osteoporosis
Oral disease
Diverticular disease
Some cancers
•
At healthy weight less
likely to:
◦ Have complications during
pregnancy
◦ Die at earlier age
•
Good nutrition in
children important:
◦ To healthy growth &
development
◦ To maintaining appropriate
weight
Sources: Healthiest Wisconsin 2020; Healthy People 2020
Physical Activity & Nutrition:
Adult Obesity
Percent of adults (age 20 +) with BMI > 30
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: County Health Rankings/BRFSS
Physical Activity & Nutrition:
Adult Physical Activity
Percent of adults with no physical activity
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/BRFSS
Physical Activity & Nutrition:
Access to Exercise Opportunities
Percent of the population with adequate access to locations for physical activity
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/OneSource Global Business Browser
Physical Activity & Nutrition:
Youth Overweight
Percent of students overweight
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Physical Activity & Nutrition:
Youth Physical Activity
Percent of Students who are Not Physically Active
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Physical Activity & Nutrition:
Youth Nutrition
Percent of Students Eating Less Than 5 Fruits & Vegetables per Day
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Physical Activity & Nutrition:
Breastfeeding
Percent of Infants in WIC who are Breastfed
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above.
Source: WI DHS/Pediatric Nutrition Surveillance System (PedNSS)
Tobacco Use:
Why This Matters
•
•
•
Tobacco use: single most preventable cause of
death & disease in US
480,000 deaths per year in US; 6600 in WI
Tobacco use causes: cancer, heart disease, lung diseases,
premature birth, low birth weight stillbirth and infant death
•
Secondhand smoke causes: heart disease, lung cancer,
severe asthma attacks, respiratory infections, ear infections, SIDS
•
Smokeless tobacco causes: cancer of the mouth and gums,
periodontitis, tooth loss
Sources: Healthiest Wisconsin 2020; Healthy People
2020; Centers for Disease Control and Prevention
Tobacco Use: Adult Smoking
Percent of adults self-reporting smoking > 100 cigarettes in their lifetime and
currently smoking (every day or most days)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/BRFSS
Tobacco Use:
Adult Smokeless Tobacco Use
Percent of persons aged ≥18 years who reported currently using chewing
tobacco, snuff, or snus (a small pouch of smokeless tobacco) every day or
some days
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: BRFSS
Tobacco Use:
Smoking During Pregnancy
Percent of mothers who report smoking during pregnancy
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/WI Department of Health Services WISH
Tobacco Use:
Tobacco Sales to Minors
Percent of illegal tobacco sales to minors
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: Wisconsin WINS
Tobacco Use:
Youth Smoking
Percent of students who smoked cigarettes on
one or more of the past 30 days
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Tobacco Use:
Youth Smokeless Tobacco Use
Percent of students who used chewing tobacco, snuff, or dip
on one or more of the past 30 days
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
Choose school district(s) or statewide data in title above
Enter name of school district(s) if applicable in title above
Enter year of data in title above
Source: Youth Risk Behavioral Survey (YRBS)
Reproductive & Sexual Health:
Why This Matters
•
Family planning services help with:
◦ desired birth spacing & family size and improved health
outcomes for infants, children, women and families.
•
Sexually transmitted infections can lead to:
◦
◦
◦
◦
•
Reproductive health problems
Fetal and perinatal health problems
Cancer
Aiding in HIV transmission
Unintended pregnancies are associated with:
◦
◦
◦
◦
Delays in starting prenatal care,
Less likelihood of breastfeeding,
Maternal depression,
Increased risk of physical violence during pregnancy
Reproductive & Sexual Health:
Why This Matters (continued)
•
Children from unintended pregnancies are more
likely to have:
◦ Poor mental and physical health, lower educational
attainment, more behavioral issues as teens
•
Teen mothers:
◦ Are less likely to graduate from high school
◦ Earn approximately $3500 less per year
•
Teen fathers are more likely to have:
◦ Lower educational attainment
◦ Lower income
Sources: County Health Rankings (2014); Economic Benefits of
Preventing Disease (National Prevention Strategy); Healthiest Wisconsin
2020; Healthy People 2020
Reproductive & Sexual Health:
Sexually Transmitted Infections
Chlamydia cases per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/CDC
Reproductive & Sexual Health:
Teen Birth Rate
Birth rate per 1,000 females age 15-19
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/National Vital Statistics System
Reproductive & Sexual Health:
Adequacy of Prenatal Care
Adequacy of Prenatal Care Utilization
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
Reproductive & Sexual Health:
Preterm Births
Percent of births < 37 weeks gestation
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
Reproductive & Sexual Health:
Youth Sexual Activity Rates
Percent of students who have ever had sexual intercourse
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
Reproductive & Sexual Health:
Youth Condom Use
Among students who had sexual intercourse during the past three months, the
percentage who did not use a condom during last sexual intercourse
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
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Source: Youth Risk Behavioral Survey (YRBS)
HEALTH CARE & PUBLIC HEALTH
Access to Care:
Why This Matters
•
•
Includes: medical, dental and mental health care
Access includes:
◦ Coverage (insurance)
◦ Services from a usual and ongoing source
◦ Preventive services
•
Access to health care impacts:
◦
◦
◦
◦
◦
◦
Overall physical, social and mental health status
Prevention of disease and disability
Detection and early treatment of health conditions
Quality of life
Preventable death
Life expectancy
Sources: County Health Rankings (2014); Healthy People 2020
Access to Care:
Preventable Hospital Stays
Hospitalization rate for ambulatory-care sensitive conditions
per 1,000 Medicare enrollees
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: County Health Rankings/Dartmouth Atlas
Access to Care: Uninsured
Percent population under age 65 that has
no health insurance coverage
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census
Access to Care:
Primary Care Physician Rate
Ratio of population to primary care physicians
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: County Health Rankings/HRSA
Access to Care:
Mental Health Provider Rate
Ratio of population to mental health providers
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: County Health Rankings/HRSA
Access to Care:
Dental Care Utilization
Percent of Medicaid members receiving a dental service
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
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Source: WI Department of Health Services/Forward Health
Access to Care: Dentist Ratio
Ratio of population to dentists
XYZ Community and Wisconsin (Year)
1.
2.
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Source: County Health Rankings/ HRSA
Access to Care:
No Recent Dental Visit
Percent of population age 2+ that did not have
a dental visit in the past year
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/WI Department of Health Services/Family Health Survey
Access to Care:
Local Health Department Staffing
Full-time equivalents (FTEs) of local health department staff
per 10,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services/Public Health Profiles
Chronic Disease Management:
Why This Matters
•
•
•
Effective management of chronic diseases can be
seen as a measure of the quality of the outpatient
health care system
Chronic diseases are some of the most common
and most costly health problems
They can be prevented through:
◦ Behavior change
◦ Early screening and detection
◦ Effective disease management
Sources: County Health Rankings (2014); Healthiest Wisconsin 2020
Chronic Disease Management:
Cervical Cancer Screening
Percent of women 18 and older who had a Pap test in last 3 years
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
Chronic Disease Management:
Colon Cancer Screening
Percent of 50 and over population
who ever had a sigmoidoscopy or colonoscopy
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
Chronic Disease Management:
Diabetic Screening
Percent of diabetic Medicare enrollees that received
HbA1c screening in past year
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Dartmouth Atlas
Chronic Disease Management:
Mammography Screening
Percent of female Medicare enrollees aged 67-69 that received mammography
screening over two years
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Dartmouth Atlas
Chronic Disease Management:
Cholesterol Screening
Percent of adults who have ever had cholesterol checked
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
SOCIAL & ECONOMIC FACTORS
Education:
Why This Matters
Years of formal education are correlated strongly with:
• Improved work and economic opportunities
◦ Access to health care (through work situation)
◦ More stability during variations in the job market
•
•
•
Reduced psychosocial stress; a greater sense of
personal control
Healthier lifestyles
Multi-generational health affects: Education of
parents affects the health of their children
Sources: County Health Rankings (2014); United Way Worldwide (2014);
Healthiest Wisconsin 2020; Annie E. Casey Foundation (2014)
Education: High School Graduation
Percent of 9th grade cohort that graduates in four years
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/WI Department of Public Instruction
Education: Completed Some College
Percent of adults age 25-44 with some college or associate’s degree
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census
Education:
Fourth Grade Reading Proficiency
Percent of fourth grade students proficient or advanced in reading
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
Choose school district(s) or statewide data in title above
Enter name of school district(s) if applicable in title above
Enter year of data in title above
Source: Youth Risk Behavioral Survey (YRBS)
Employment:
Why This Matters
Unemployment:
• Increases unhealthy behaviors: alcohol and tobacco
use, diet, exercise
• May lead to physical illness and even death
(especially by suicide)
• May mean less access to health care (because
insurance is often tied to employment)
Sources: County Health Rankings (2014);
United Way Worldwide (2014)
Employment: Unemployment Rate
Percent of population age 16+ unemployed but seeking work
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Bureau of Labor Statistics
Employment:
Wisconsin Works (W2) Enrollment
Count of Individuals enrolled in W-2 (Wisconsin Works)
on the last working day of the month
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Children & Families
Adequate Income:
Why This Matters
•
Poverty leads to increased risk of:
◦
◦
◦
◦
◦
•
Death
Variety of medical conditions and disease incidence
Depression
Intimate partner violence
Poor health behaviors
Children are affected more than any age in:
◦ Accidental injury
◦ Lack of health care access.
Source: County Health Rankings (2014)
Adequate Income:
Median Household Income
Median household income (all residents of a household over age 18)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census
Adequate Income:
Poverty Rate
Percent of population living below the Federal Poverty Line (FPL)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census
Adequate Income:
Children in Poverty
Percent of children under 18 living below the Federal Poverty Line (FPL)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census
Adequate Income:
Children Eligible for Free Lunch
Percent of children enrolled in public schools that are
eligible for free school lunch
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/National Center for Education Statistics
Adequate Income:
Severe Housing Problems
Percent of households with at least 1 of 4 housing problems:
overcrowding, high housing costs, or lack of kitchen or plumbing facilities
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Department of
Housing and Urban Development
Community Safety:
Why This Matters
•
•
•
Community safety affects both physical safety and
psychological well-being
Lack of safety deters people from healthy behaviors
such as exercising out-of-doors
Increased stress levels may contribute to obesity
prevalence
Source: County Health Rankings (2014); Healthy People 2020
Community Safety:
Violent Crime Rate
Violent crime rate per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Uniform Crime Reporting Program
Community Safety:
Child Abuse Rates
Child abuse rate per 1,000 population
(allegation of maltreatment substantiated)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Child Abuse & Neglect Report
Community Safety:
Youth Bullying
Percent of students who have been bullied on school property
during the past 12 months
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
Choose school district(s) or statewide data in title above
Enter name of school district(s) if applicable in title above
Enter year of data in title above
Source: Youth Risk Behavioral Survey (YRBS)
Community Safety:
Youth Forced Intercourse
Percent of students who have ever been physically forced to have sexual
intercourse when they did not want to
Either: XYZ School District(s) and Wisconsin (Year)
Or: Wisconsin (Year)
1.
2.
3.
4.
Cut & paste data here
Choose school district(s) or statewide data in title above
Enter name of school district(s) if applicable in title above
Enter year of data in title above
Source: Youth Risk Behavioral Survey (YRBS)
Health Literacy:
Adult Illiteracy
Percent of the population age 16 and older that lacks
basic prose literacy skills
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: National Center for Education Statistics
Social Support: Why This Matters
•
•
•
Social isolation = poor family support, minimal contact
with others, limited involvement in community life
Social isolation associated with increased morbidity and
early mortality.
Both adults and children in single-parent households are
at higher risk for:
◦ Unhealthy behaviors (smoking and excessive alcohol use)
◦ Adverse health outcomes (depression, suicide)
◦ Mortality
•
Social support networks are powerful predictors of healthy
behaviors
Sources:
--County Health Rankings (2014).
--Benzeval, M. The Self-Reported Health Status of Lone Parents.
Social Science Medicine 1998 May; 46(10):1337-53.
--House, JS. Social Isolation Kills, but How and Why? Psychosomatic
Medicine 2001; 63:273-274.
Social Support:
Inadequate Social Support
Percent adults without social/emotional support
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/BRFSS
Social Support:
Single-Parent Households
Percent of children that live in a household headed by a single parent
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/US Census/American Communities Survey
Social Support:
Older Adults Living Alone
Percent of adults 65 years and older who live alone
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: US Census
Racism: Why This Matters
•
•
•
Stress from experiencing chronic hostility and fear
can lead to negative health outcomes
These outcomes are seen even after controlling for
differences such as income and access to adequate
health care
The effect can be direct:
◦ Higher blood pressure
◦ Lower immune function
•
Or indirect:
◦ Higher rates of smoking, drinking, and over-eating
◦ Lower rates of exercise and social support
Sources:
-- Paradies, Y. “A Systematic Review of Empirical Research on Self-Reported Racism
and Health,” International Journal of Epidemiology (August 2006), 35(4): 888-901.
-- “The Toxic Power of Racism,” Dean Ornish, Boston Globe, 3/24/08.
Racism: Hate Crimes
Hate crime rate per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: Office of Justice Assistance
ENVIRONMENTAL FACTORS
Built Environment: Why This Matters
•
Built environment = human-made resources and
infrastructure
◦ Buildings, roads, parks, restaurants, grocery store, etc
•
Major disparities in health conditions such as childhood
lead poisoning and asthma result from inequities in the
quality of home and neighborhood environments.
◦ Hazards are reduced through engineering, regulation, safe
work practices and other methods.
•
Access to fast food restaurants and residing in a food
desert correlate with: overweight, obesity, and
premature death
•
Not having access to fresh fruits and vegetables is
related to premature mortality
Source: County Health Rankings; Healthiest Wisconsin 2020
Built Environment:
Limited Access to Healthy Foods
Percent of population who are low income and
do not live close to a grocery store (10 miles rural/one mile urban)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/USDA
Built Environment: Food Insecurity
Percent of people who did not
have adequate access to food during the past year
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Feeding America
Built Environment:
Lead Poisoned Children
Prevalence of elevated blood lead levels among
children age six and under
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services
Built Environment:
Age of Housing Units
Percent of housing units built prior to 1950
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: US Census
Natural Environment:
Why This Matters
•
Air pollution can lead to:
◦ Decreased lung function
◦ Chronic bronchitis
◦ Asthma
•
Municipal water supplies are regularly tested and
treated so they pose less risk of adverse health
conditions
Source: County Health Rankings (2014)
Natural Environment:
Air Pollution Particulate Matter
Average daily measure of fine particulate matter
in micrograms per cubic meter (PM2.5) in a county
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/CDC
Natural Environment:
High Ozone Days
The 8-hour ozone concentration in parts per million,
converted to an air quality index level
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: American Lung Association / Environmental Protection Agency
Natural Environment:
Drinking Water Violations
Percent of population potentially exposed to water exceeding a violation limit
during the past year
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Environmental Protection Agency
HEALTH DISPARITIES DATA
Wisconsin Health Disparities:
Elderly
Source: Health of Wisconsin Report Card, 2013
Wisconsin Health Disparities:
Children & Young Adults
Source: Health of Wisconsin Report Card, 2013
Next Steps
Work Together
Assess Needs &
Resources
Evaluate Actions
Public
Health
Business
Healthcare
Community
Members
Government
Act on
What’s Important
Education
Philanthropy
& Investors
Community
Development
Nonprofits
Communicate
Choose Effective
Policies & Programs
© 2014 County Health Rankings and R oadmaps
Focus on
What’s Important
The Health of the Community: Community Health
Assessment Presentation
v2.0
February 2015
Wisconsin Community Health Improvement Plans and Processes (CHIPP)
Infrastructure Improvement Project
www.wicommunityhealth.org or www.walhdab.org
Optional Slides
•
•
The following slides are from the “Optional
Measures” section of the Core Data Set.
You may choose to use them if they are applicable
and helpful to your community.
◦ Select the slides that apply
◦ Enter your local data
◦ Using “slide sorter,” move the slide to the appropriate
section of the presentation.
Adequate Income:
Elderly in Poverty
Percent of population 65 years and older living below
the Federal Poverty Level (FPL)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: US Census
Alcohol & Other Drug Use:
Boat & Off-Road Vehicle Accidents
Rate of emergency department visits for injuries sustained in boating or off-road
motor vehicle accidents (per 100,000 population)
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services WISH
Built Environment:
Access to Farmers’ Markets
Number of farmers’ markets per 1000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: USDA
Built Environment:
Access to Recreational Facilities
Number of recreational facilities per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: USDA
Built Environment: Biking Trails
Bicycle parking availability per 10,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: Bicycle Federation of Wisconsin
Built Environment: Brownfield Sites
Number of brownfield sites and underground storage tanks
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: Forward Wisconsin
Built Environment: Housing
[Note: This source has multiple indicators related to housing. Choose those that
apply and enter the appropriate title and the data here.]
Source: US Census
Chronic Disease: Cancer Disparity
Incidence rates per 100,000 population (age-adjusted)
by African American and white
Overall and by four cancer sites
Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services
Communicable Disease:
Lyme Disease
Lyme disease incidence per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Public Health Information Network - AVR
Communicable Disease: TB
Number of TB Cases
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Public Health Information Network - AVR
Community Safety: Homicide Rate
Crude death rate due to murder or non-negligent manslaughter
per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/National Vital Statistics System
Injury & Violence:
Snowmobile Fatalities
Number of snowmobile fatalities
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Natural Resources
Natural Environment: Arsenic
Number of community water systems and population served where maximum
arsenic level is greater than or equal to 30 mcg/L
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services
Natural Environment: Nitrates
Population served where maximum nitrate level
is greater than or equal to 10mg/L
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services
Natural Environment: Radon
Percent of homes with radon levels > 4 pCi/L
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Health Services
Racism:
Disproportionate Minority Contact
Relative rate index for arrests, detention, and confinement of
minority juveniles
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Office of Justice Assistance
Racism: Incarceration
Count of incarcerated by race
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: University of Wisconsin-Madison
Racism: Race of Householder
Count of householders by race
XYZ Community (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: US Census
Reproductive & Sexual Health: HIV
Number of persons living with a diagnosis of HIV infection
per 100,000 population
XYZ Community and Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: County Health Rankings/Centers for Disease Control
Social Support: Refugees
Number of refugees who enter the state
Wisconsin (Year)
1.
2.
Cut & paste data here
Enter name of county/community and year of data in title above
Source: WI Department of Children & Families