final florida 2013 county health rankings
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www.flphi.org
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
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GOTOWEBINAR ATTENDEE INTERFACE
1. Viewer Window 2. Control Panel
Be sure to select the Audio Mode that corresponds to the method you are using to hear the webinar.
Telephone users: Select “telephone” and enter the Audio Pin provided in your chat box.
Computer headset users: Select “Mic & Speakers”
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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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LOGIC MODEL
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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: 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
EN
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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
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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
EN
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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
Rankings: What are the Rankings?
Roadmaps: Moving to Action
Moving Forward: Local Action
OUTLINE
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LOGIC MODEL
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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
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Rankings Background
Rankings: What are the Rankings?
Roadmaps: Moving to Action
Moving Forward: Local Action
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
• Community members
• Advocacy groups
• Labor unions
• Neighborhood organizations
• Economic development
• Community members
• Addiction specialists
• Educators
• Advocacy groups
• Policymakers
• Faith leaders
• Healthcare providers
• Ombudsmen
• Business owners
• Educators
• Advocacy groups
• Policymakers
• United Way
• Law enforcement
• Planning/zoning
• Transportation
• Community members
• 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 Kingrking@flphi.org
(561) 561-533-7909www.flphi.org
www.countyhealthrankings.org
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