2014 Rankings Winnebago

County, llinois

County Health Rankings Model for Population Health Improvement

2014 Winnebago County Summary Health Rankings

Four Year Comparison (2010 – 2014)

2010 2011 2012 2013 2014 Rank Z-Score Rank Z-Score Rank Z-Score Rank Z-Score Rank Z-Score

Health Outcomes 77 0.37 72 0.35 73 0.32 82 0.53 79 0.44

Mortality 54 0.00 56 0.02 51 -0.02 70 0.17 70 0.17

Morbidity 86 0.37 86 0.33 89 0.34 88 0.35 81 0.27

Health Factors 83 0.29 95 0.55 98 0.66 101 0.85 97 0.63

Health Behavior 53 0.00 88 0.15 76 0.09 75 0.09 66 0.03

Clinical Care 12 -0.11 11 -0.12 32 -0.06 39 -0.02 52 0.00

Social and Economic 94 0.42 100 0.55 101 0.60 101 0.67 97 0.43

Physical Environment 42 -0.01 22 -0.04 90 0.03 101 0.12 102 0.16

Note: Ranking is out of 102 counties in Illinois

County Snapshots

Winnebago (WB)

Winnebago

County

Error

Margin

Top U.S.

Performers* Illinois

Rank

(of 102)

Health Outcomes 79

Length of Life 70

Premature death 7,691 7,334-8,048 5,317 6,604

Quality of Life 81

Poor or fair health 15% 12-18% 10% 15%

Poor physical health days 3.8 3.1-4.6 2.5 3.4

Poor mental health days 3.5 2.8-4.2 2.4 3.3

Low birthweight 9.0% 8.7-9.3% 6.0% 8.4%

Health Factors 97

Health Behaviors 66

Adult smoking 21% 18-26% 14% 18%

Adult obesity 29% 25-33% 25% 28%

Food environment index 7.3 8.7 8.0

Physical inactivity 26% 23-31% 21% 24%

Access to exercise opportunities 80% 85% 86%

Excessive drinking 18% 14-22% 10% 20%

Alcohol-impaired driving deaths 42% 14% 38%

Sexually transmitted infections 536 123 505

Teen births 49 47-50 20 36

Clinical Care 52

Uninsured 15% 14-16% 11% 15%

Primary care physicians 1,367:1 1,051:1 1,270:1

Dentists 1,530:1 1,439:1 1,531:1

Mental health providers 1,197:1 536:1 864:1

Preventable hospital stays 71 69-74 46 73

Diabetic screening 86% 83-89% 90% 84%

Mammography screening 62% 59-66% 71% 64%

Winnebago

County

Error

Margin

Top U.S.

Performers* Illinois

Rank

(of 102)

Social & Economic Factors 97

High school graduation 81% 84%

Some college 55% 53-57% 70% 66%

Unemployment 11.4% 4.4% 8.9%

Children in poverty 24% 20-28% 13% 21%

Inadequate social support 21% 18-25% 14% 21%

Children in single-parent households 41% 39-43% 20% 32%

Violent crime 892 64 457

Injury deaths 63 59-67 49 50

Physical Environment 102

Air pollution - particulate matter 12.3 9.5 12.5

Drinking water violations 39% 0% 3%

Severe housing problems 15% 15-16% 9% 18%

Driving alone to work 84% 83-86% 71% 73%

Long commute - driving alone 22% 21-24% 15% 39%

* 90th percentile, i.e., only 10% are better. Note: Blank values reflect unreliable or missing data

2014

2014 * 90th percentile, i.e., only 10% are better. Note: Blank values reflect unreliable or missing data

2014 County Health Rankings

Additional Measures Winnebago

County Illinois

Demographics

Population 292,069 12,875,255

% below 18 years of age 24% 24%

% 65 and older 15% 13%

% Non-Hispanic African American 12% 14%

% American Indian and Alaskan Native 0% 1%

% Asian 2% 5%

% Native Hawaiian/Other Pacific Islander 0% 0%

% Hispanic 11% 16%

% Non-Hispanic white 72% 63%

% not proficient in English 2% 5%

% Females 51% 51%

% Rural 8% 12%

Health Outcomes

Diabetes 11% 9%

HIV prevalence rate 144 300

Premature age-adjusted mortality 376 338

Infant mortality 8 7

Child mortality 63 59

Health Behaviors

Food insecurity 16 15

Limited access to healthy foods 6% 4%

Motor vehicle crash deaths 11 10

Drug poisoning deaths 17 10

Health Care

Uninsured adults 19% 19%

Uninsured children 4% 4%

Health care costs $9,340 $10,101

Additional Measures Winnebago

County Illinois

Could not see doctor due to cost 17% 12%

Other primary care providers 1,529:1 2,461:1

Social & Economic Factors

Median household income $49,060 $55,126

Children eligible for free lunch 52% 39%

Homicide rate 7 7

* Data supplied on behalf of state

Note: Blank values reflect unreliable or missing data

2014 Measures & Data Sources

Measure Data Source Years of Data HEALTH OUTCOMES Length of Life Premature death National Center for Health Statistics 2008-2010 Quality of Life Poor or fair health Behavioral Risk Factor Surveillance System 2006-2012 Poor physical health days Behavioral Risk Factor Surveillance System 2006-2012 Poor mental health days Behavioral Risk Factor Surveillance System 2006-2012 Low birthweight National Center for Health Statistics 2005-2011 HEALTH FACTORS HEALTH BEHAVIORS Tobacco Use Adult smoking Behavioral Risk Factor Surveillance System 2006-2012 Diet and Exercise

Adult obesity National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

2010

Food environment index USDA Food Environment Atlas, Map the Meal Gap 2010-2011 Physical inactivity NCCDPHP 2010

Access to exercise opportunities OneSource Global Business Browser, Delorme map data, ESRI, & US Census Tigerline Files

2010 & 2012

Alcohol and Drug Use

Excessive drinking Behavioral Risk Factor Surveillance System 2006-2012 Alcohol-impaired driving deaths Fatality Analysis Reporting System 2008-2012

Sexual Activity Sexually transmitted infections National Center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention 2011 Teen births National Center for Health Statistics 2005-2011

CLINICAL CARE Access to Care Uninsured Small Area Health Insurance Estimates 2011 Primary care physicians HRSA Area Resource File 2011 Dentists HRSA Area Resource File 2012 Mental health providers CMS, National Provider Identification 2013 Quality of Care Preventable hospital stays Medicare/Dartmouth Institute 2011 Diabetic screening Medicare/Dartmouth Institute 2011 Mammography screening Medicare/Dartmouth Institute 2011 SOCIAL AND ECONOMIC FACTORS Education High school graduation data.gov, supplemented w/ National Center for Education Statistics 2010-2011 Some college American Community Survey 2008-2012 Employment Unemployment Bureau of Labor Statistics 2012 Income Children in poverty Small Area Income and Poverty Estimates 2012 Family and Social Support

Inadequate social support Behavioral Risk Factor Surveillance System 2005-2010 Children in single-parent households American Community Survey 2008-2012

Community Safety

Violent crime Uniform Crime Reporting - FBI 2009-2011 Injury deaths CDC WONDER 2006-2010

PHYSICAL ENVIRONMENT Air and Water Quality

Air pollution - particulate matter 1 CDC WONDER 2011 Drinking water violations Safe Drinking Water Information System FY 2012-2013

Housing and Transit

Severe housing problems HUD, Comprehensive Housing Affordability Strategy 2006-2010 Driving alone to work American Community Survey 2008-2012 Long commute – driving alone American Community Survey 2008-2012

1 Not available for AK and HI.

Improving community health requires people from multiple

fields to work collaboratively on an ongoing cycle of activities

Contact: Sue Fuller, Public Information Officer, Winnebago County Health Department Phone: 815-720-4213 Date: Wednesday, March 26, 2014

Winnebago County’s 2014 Health Rankings Mark Slight Improvement County Health Rankings helps communities sharpen their focus on areas related

to health that need improvement. Winnebago County Illinois – The national County Health Rankings report by the Wisconsin Population Health Institute (UWPHI) and the Robert Wood Johnson Foundation (RWJF), released today, Wednesday, March 26, 2014, show us where we live matters to our health. Good medical care is important, but other significant influences on our health include a range of factors like health behaviors, social and economic influences and the physical environment. The Rankings help everyone see how where we live, learn, work and play matters to our health. According to the annual County Health Rankings, Winnebago County’s overall health rankings in Illinois have improved with health outcomes moving from a ranking of 82 out of 102 counties to 79. Health risk factors also improved slightly from 101 to 97. This is the fifth consecutive year of County Health Rankings, representing the most comprehensive review of its kind by ranking the overall health of nearly every county in all 50 states using a standard method to measure health outcomes and contributing risk factors. This release ranks each county within its State on how healthy people are, how long they live and a number of contributing factors that affect health, such as smoking, obesity, binge drinking, access to healthcare, education levels, air quality, and employment indicators. “With this knowledge, we can take steps to improve our weakest factors and build on our strongest factors, all of which will contribute to improving the health of our residents,” said Winnebago County Public Health Administrator, Mike Bacon. “Because much of what affects our health happens beyond medical care, the Rankings underscore how important it is to build a culture of health where getting healthy, staying healthy, and making sure our children grow up healthy are top priorities. It’s about bringing members of the community together to take action to prevent disease and improve health,” added Mike Bacon.

In August of 2012, the Illinois Department of Public Health awarded the We Choose Health multi-year Community Transformation Grant to twenty-one agencies statewide, which included WCHD’s proposal being one of the top five funded awards. The Winnebago County Health Department (WCHD) initiative includes nine funded partners whose goal is to implement chronic disease prevention by working together using a multi-faceted approach to improve the health of our community. This annual release of county rankings is a tool to remind us that where we live, learn, work and play greatly influences how long and how well we live. It is important to note however, in all communities health falls short of what it could be,” added Mike Bacon.

Next Page

Where Winnebago County compares well to others counties in Illinois is in clinical care, like the ratio of primary care providers and dentists to population, preventable hospital stays and diabetic screening. Where we do not compare well is in the area of health behaviors such as smoking, obesity, sexually transmitted infections, violent crime rate, teen birth rate, drinking water safety, and limited access to exercise opportunities. Socio-economic factors, such as high school graduation rates, unemployment, children in poverty, and children in single parent households, are also below the statewide mean. “While it is important to get updated information each year, it is difficult to measure changes from one year to the next. What is important however is that action is being initiated to improve health. To that end, the Winnebago County Health Department, the Rockford Health Council and other local stakeholders have intervention strategies to address contributing factors from access to care to basic needs, to chronic disease, oral health, health equity, maternal and child health and violence and public safety. These Rankings serve to highlight many of the same health and social and economic discrepancies that the Healthy Community Study in 2010 identified,” said Mike Bacon.

The Winnebago County Health Department has prioritized improving maternal and child health in its latest Community Health Improvement Plan, “Creating Conditions in Which People Can Be Healthy…Together We Can”, March 2012. These interventions target improving birth outcomes and reducing smoking and sexual transmitted infections in pregnant women. This effort requires close coordination and partnering with health care and other community-based organizations.

For more information, please visit www.countyhealthrankings.org and www.wchd.org

About the Robert Wood Johnson Foundation The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. For more information, visit www.rwjf.org. About the University of Wisconsin Population Health Institute The University of Wisconsin Population Health Institute is the focal point within the University of Wisconsin School of Medicine and Public Health for translating public health and health policy research into policy and practice. The Institute strives to: Address a broad range of real-world problems of topical importance to government, business, providers and the public;

Promote partnerships of inquiry between researchers and users of research, breaking down barriers between the academic community and public and private sector policy makers;

Advance the development of interdisciplinary research, along the spectrum from public health to health care;

Provide continuing education for practitioners and opportunities for applied learning for graduate and medical students; and make useful contributions to public health and health policy decisions that improve the health of the public. For more information, visit, http://uwphi.pophealth.wisc.edu/

###