final florida 2013 county health rankings

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HOW HEALTHY IS OUR STATE

2013 FLORIDA COUNTY HEALTH RANKINGS

Presenter: Dr. Roderick K. King

Executive Director, Florida Public Health Institute

Moderator: Martha Kurth Harbin

Consultant, Florida Public Health Institute

2www.countyhealthrankings.org

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GOTOWEBINAR ATTENDEE INTERFACE

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‣ Executive Director, Florida Public Health Institute

‣ Faculty in the Department of Epidemiology and Public Health, University of Miami Miller School of Medicine

‣ Faculty appointments at the Massachusetts General Hospital Disparities Solutions Center, Harvard Medical School, and Harvard School of Public Health

‣ Former Senior Advisor to the Bureau of Primary Health Care, & Region 1 Director for the Health Resources and Services Administration, US Dept of Health and Human Services

‣ 10+ years supporting multi-stakeholder collaborations to build healthy communities domestically and internationally

DR. RODERICK K. KINGEXECUTIVE DIRECTOR, FLORIDA PUBLIC HEALTH

INSTITUTE


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‣Freestanding 501c 3 corporation incorporated in 2001

‣ Mission: “Advance the knowledge and practice of public health to promote, protect and improve the health of all.”

‣Promotes improvements in health by:– Providing information and knowledge to inform

health policy

– Supporting multi-stakeholder collaborations to support leaders in taking aligned actions for measurable results

THE FLORIDA PUBLIC HEALTH INSTITUTE


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Rankings Background

Rankings: What are the Rankings?

Roadmaps: Moving to Action

Moving Forward: Local Action

OUTLINE


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COUNTY HEALTH RANKINGS: BACKGROUND

► What? State-by-state rankings of the health of each county in the United States

► Who?

► Nationally: The Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute (UWPHI)

► Florida: The Florida Public Health Institute

► When? Annually – 2013 Data Released March 20th

► Where? www.countyhealthrankings.org or www.flphi.org


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WHY COUNTY HEALTH RANKINGS?

‣Where we live matters to our health

‣The Rankings helps counties see where they are doing well and where they are not, so they can make changes to improve health.

‣Health is everyone’s responsibility.


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‣Call to action

‣Simplify complex data

‣Media coverage

‣Add context

‣Starting point

WHY RANK?


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COUNTY HEALTH RANKINGS ARE NOT…

‣The single-best source for the most current health data about Florida counties

– Florida CHARTS

– The Florida Department of Health

– The Florida Agency for Health Care Administration

– Regional Health Planning Councils

– Local County Health Departments

– Florida Public Health Institute

– Oral Health Florida


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LOGIC MODEL


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Rankings Background




OUTLINE


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COUNTY HEALTH RANKINGS: 2 RANKINGS

Today’s Health

Health Outcomes

Tomorrow’s Health

Health Factors


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HEALTH OUTCOMES

‣ Mortality (50%):

– Measures of how long we live

‣ Morbidity (50%):

– Measures of how well we live

‣ Poor or fair physical health days

‣ Poor or fair mental health days

‣ Low birthweight rates

Today’s Health

Health Outcomes


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HEALTH FACTORS

‣ Health behaviors (30%)

‣ Clinical care (20%)

‣ Social and economic factors (40%)

‣ Physical environment (10%)

Tomorrow’s Health

Health Factors


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CHANGES FOR 20132012

Measure2013

Measure Data Source Years Rationale for Change

Health Outcomes – No changes Health Behaviors

Motor vehicle crash rates

Motor vehicle crash rates

National Center for Health Statistics

2004-2010

A slight change in the definition of motor vehicle crashes to align with Health People 2020

Clinical Care

No measure Dentists HRSA Area Resource File

2011-2012

Oral health care is a key indicator for the health of communities

Primary care physicians

Primary care physicians

HRSA Area Resource File

2011-2012

Now includes dentists and doctors of osteopathy and excludes obstetricians

Social and Economic Factors - No changes

Physical Environment

Air pollution particulate-matter days

Daily fine particulate matter

CDC WONDER environmental data

2008 This new measure of the average daily fine particulate matter offers several advantages over the prior measures of air quality including recency and precision

Air pollution ozone days No measure Drinking water

safety Safe drinking water information system

FY 2012

This new measure estimates the proportion of the county’s population whose water system has been affected by at least one health-related violation in the past year.


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FLORIDA’S 2013 RANKINGS


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Health Outcomes

• St. Johns• Martin• Collier• Seminole• Sarasota

Health Factors

• St. Johns• Martin• Sarasota• Alachua• Seminole

TOP & BOTTOM FIVE COUNTIES

Health Outcomes

• Gadsden• Hamilton• Washington• Putnam• Union

Health Factors

• Hendry• Dixie• Okeechobee• Putnam• Hamilton


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TR

EN

DS

PREMATURE DEATH RATE AT 20-YEAR LOW

• National Minimum2,153

• 10th Percentile (National Benchmark5,317

• Florida Minimum (Collier)5,876

• Florida Average7,310

• National Average8,025

• Florida’s 66th Ranked (Putnam)11,114

• Florida’s Maximum (Union)16,608

• National Maximum24,668


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TR

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OBESITY AND PHYSICAL ACTIVITY

26 percent – Florida Average38 percent – Hamilton36 percent – Two counties35 percent – Seven counties

24 percent – Florida Average34 percent – Three counties33 percent – Two countiesAd

ult O

besi

tyPercentage Physically

Inactive


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TR

EN

DS

CHILD POVERTY CLIMBING (FLORIDA AVERAGE)

2010• 17

Percent

2011• 18

Percent

2012• 24

Percent

2013• 25

Percent

• Nationally one-in-five children in poverty

• In Florida, one-in four children in poverty

• Clay County: 15 percent of children in poverty

• Hardee County: 45 percent of children in poverty


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TR

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VIOLENT CRIME RATES DECREASING2010• 714

2011• 706

2012• 674

2013• 614

National Average = 274 per 100,000

Florida’s Highest = 1,117 per 100,000 (Jefferson)

Jefferson County Actual Number = 163

Florida’s Lowest = 157 per 100,000 (Washington)

Washington County Actual Number = 37

Nation’s Highest = 2,062 per 100,000


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RANKINGS FEATURES


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WHAT THE DATA TELLS US

‣ The County Health Rankings continue to show us that where we live matters to our health.

‣ The Rankings serve as an easy-to-use health snapshot of the many factors that influence health and help community leaders identify areas where improvement is needed.

‣ Improving health is everyone’s business.


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Rankings Background




OUTLINE


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LOGIC MODEL


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ROADMAPS: MOVING TO ACTION:‣ Communities are coming together to create a culture of

health.

‣ The Roadmaps to Health Action Center offers an expansive portfolio of information, tools, and guidance supporting action to improve the health of your community.

‣ Communities investing in health will want to be sure they are focused on the most effective strategies. Information to guide leaders about what works to improve health can be found at www.countyhealthrankings.org

http://www.countyhealthrankings.org/what-works-for-health


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Rankings Background




OUTLINE


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HEALTH FACTORS & POTENTIAL PARTNERS

Tobacco use

HEALTH BEHAVIORS

Diet & exercise

Alcohol use

Sexual activity

CLINICAL CAREAccess to care

Quality of care

SOCIAL & ECONOMIC FACTORS

Employment

Income

Family & social support

Community safety

Education

PHYSICAL ENVIRONMENT

Environmental quality

Built environment

• Wellness coordinators

• Bar owners/tenders

• Healthcare providers

• Community members


• Advocacy groups

• Labor unions

• Neighborhood organizations

• Economic development


• Addiction specialists

• Educators

• Advocacy groups

• Policymakers

• Faith leaders

• Healthcare providers

• Ombudsmen

• Business owners

• Educators

• Advocacy groups

• Policymakers

• United Way

• Law enforcement

• Planning/zoning

• Transportation


• Foresters


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‣$25,000 Award

‣www.rwjf.org/goto/prize

‣2013 Prize Timeline & Key Dates– March 20, 2013: RWJF Roadmaps to Health

Prize Call for Applications released.

– April 2, 2013 (1-2 p.m. Eastern Time): Informational webinar.

– May 23, 2013 (3 p.m. Eastern Time): Phase I Applications due.

– 2014: Winners announced.

RWJF ROADMAPS TO HEALTH PRIZE


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GOTOWEBINAR ATTENDEE INTERFACE

2. Control Panel

QUESTIONS?


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FOR MORE INFORMATION:

Dr. Roderick [email protected]

(561) 561-533-7909www.flphi.org

www.countyhealthrankings.org

final florida 2013 county health rankings

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