DATA TO ACTION DATA TO ACTION

UF FAMILY DATA CENTER3-17-2011

OUTLINEOUTLINE

• INTRODUCE FAMILY DATA CENTER• HIGHLIGHTS OF CITY REPORT• SUPPORT THE RECOMMENDATIONS IN DR.

STOWELL’S REPORT• PROGRESS TO DATE• THE WAY FORWARD

CMS BUILDINGCMS BUILDING

16th Avenue

North

UF FAMILY DATA CENTERUF 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– 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 Human Capital Investment

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HECKMAN: PERRY PRESCHOOL BENEFITS TO COST RATIO

• 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 CITY REPORT RECOMMENDATION 11

• 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 MASLOW’S ORIGINAL PYRAMID OF NEEDSNEEDS

DEFINITION OF SELF DEFINITION OF SELF ACTUALIZATION (FROM NEURONS ACTUALIZATION (FROM NEURONS

TO NEIGHBORHOODS) 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 ARIZONA MODIFICATION: SELF ACTUALIZED PARENTACTUALIZED 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 RECOMMENDATION 22

• COMMIT TO WORKING ON CROSS-COMMUNITY 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 RECOMMENDATION 33

• 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)Density of Child Maltreatment (2005-2008)

•High Density•Low Density

Medicaid Birth Density and Count (2006-2008)

Density of Child Density of Child Maltreatment (2005-2008)Maltreatment (2005-2008)

•High Density•Low Density

Density of Child Maltreatment (2005-2008)

Density of Domestic Violence

Homeless Children Previous Address (2010)

RECOMMENDATION RECOMMENDATION 44 & & 55

• INVOLVE A BROAD SET OF PARTNERS AND GET FROM TALK TO ACTION AS QUICKLY AS POSSIBLE

• IMPLEMENT STRATEGIES AGREED UPON BY PARTNERS

PROMISE NEIGHBORHOODS PROMISE NEIGHBORHOODS PROPOSAL BROUGHT PARNTERS PROPOSAL BROUGHT PARNTERS

TOGETHERTOGETHER• 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 DATA SHARING PARTNERS ON COMMUNITY WIDE DATABASECOMMUNITY WIDE DATABASE

• DEPARTMENT OF CHILDREN AND FAMILIES• ALACHUA COUNTY PUBLIC SCHOOLS• MEDICAID• DEPARTMENT OF HEALTH• US HOUSING AND URBAN DEVELOPMENT

DATA SHARING PARTNERS

• ALACHUA COUNTY SHERIFF’S OFFICE• CITY OF GAINESVILLE• CITY OF HIGH SPRINGS• GEOPLAN CENTER AT UF

WORKING RELATIONSHIPSWORKING RELATIONSHIPS

• 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 RECOMMENDATION 66

• TRACK POPULATION INDICATORS TO REFINE/REDIRECT EFFORTS

IF GOAL IS SELF ACTUALIZATION, IF GOAL IS SELF ACTUALIZATION, WE CAN TRACK INDICATORS SUCH WE CAN TRACK INDICATORS SUCH

AS….AS….

• 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…• UNEXCUSED SCHOOL ABSENCES• HIGH SCHOOL DROPOUTS• JUVENILE DETENTION• TEEN PARENTHOOD

• 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

WHERE ARE WE NOWBASED ON CENSUS 2010

11,194 children not in meal programs (53%)4,349 children in free & reduced meals (21%)5,469 children in TANF & SNAP programs (26%)

Total 47% of all children are in meal programs

PUBLIC SCHOOL CHILDREN (2009-’10) – SCHOOL BOARD DATAPUBLIC SCHOOL CHILDREN (2009-’10) – SCHOOL BOARD DATA

RECOMMENDATION RECOMMENDATION 77

• 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…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 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 ProgramsProfessor, Obstetrics/Gynecology and PathologyCollege of Medicine352-514-3991 Mobile Numberhardt@ufl.edu1701A SW 16th AvenueGainesville, FL 32608

WE PROPOSE THAT THE COUNTY WE PROPOSE THAT THE COUNTY WORK WITH FAMILY DATA CENTER WORK WITH FAMILY DATA CENTER

AND PARTNERS TOAND 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