How we use Roadmaps to Health in Durham County

1. How we use Roadmaps to Health in Durham County Mel Downey-Piper MPH CHES Erika Samoff MPH PhD

2. County Health Rankings http://www.countyhealthrankings.org/app/north-carolina/2014/overview

3. NC County Rankings • 2013 • 1st: Wake County • 2nd: Orange County • 3rd: Watauga County • Durham County • 2010: 11th • 2011: 9th • 2012: 8th • 2013: 17th

4. Durham County Rankings 2010-2013

5. Durham County Rankings 2010-2013

6. Durham County Rankings 2010-2013

7. Durham County Rankings 2010-2013 …a lot here we need to understand

8. Wait - did the measures change? There was no change in the mortality measure

9. If there wasn’t a change, what happened?Mortality Mortality ranking 8 8 10 16 Overall ranking 11 9 8 17! …some other counties changed

10. Did the measures change? • Primary care physician measure: Weighting decreased from 5% to 3%; included D.O.s, excluded obstetricians • Added dentist measure

11. If there was a change, what happened?Clinical Care …the changed measures made a difference

12. Did the measures change? No change in social and economic measures

13. So what happened? …probably both

14. So … but … • It can take a lot of explaining to use the Roadmaps well • Don’t let that scare you away! • The way they put environmental, social, and health data together is really great

15. Indicators of poverty in Durham and surrounding counties from Roadmaps

16. Health outcomes in Durham and surrounding counties Low birthweight Obesity Heart disease mortality

17. Press information sheet

18. Using the data

19. Durham County Community Listening Sessions 2011

21. Final Community Health Priorities (2012-2014) These were unanimously approved by the full Partnership for a Healthy Durham at their October 2011 Quarterly meeting. *Durham County Health Department priority +Durham County priority Obesity and chronic illness* Access to health and dental care* Poverty+ Education*+ Mental health & substance abuse HIV and sexually transmitted infections

22. What Works for Health

23. What Works for Health http://www.countyhealthrankings.org/roadmaps/what-works-for-health

24. What Works for Health - ratings • The ratings include: • Scientifically Supported • Some Evidence • Expert Opinion • Insufficient Evidence • Mixed Evidence • Evidence of Ineffectiveness

25. What Works for Health - employment

26. What Works for Health - employment

27. RWJF Culture of Health Prize • Harnessing the collective power of leaders, partners, and community members • Implementing a strategic approach to improving health that focuses on the multiple factors that influence health • Addressing problems that disproportionately affect vulnerable populations • Developing sustainable, long-term solutions to shared community priorities • Securing and making the most of available resources • Measuring and sharing results Link to video:

28. RWJF Culture of Health Prize 12 Finalists: • Bexar County, Texas • Brownsville, Texas • Buncombe County, North Carolina • Canton, Ohio • Durham County, North Carolina • East Baton Rouge Parish, Louisiana • Franklin County, Maine • Sitka, Alaska • Spokane County, Washington • Taos Pueblo Tribal Community, New Mexico • Van Buren County, Iowa • Williamson, West Virginia  The six winning communities will be announced June 25, 2014.

29. RWJF Culture of Health Prize • Benefits of applying: • Community conversation on successes • Historical document of collaborations • Good energy • Winners receive: • Professional video highlighting accomplishments • $25,000 prize • National recognition

30. Contact Erika Samoff esamoff@dconc.gov 919-560-7833 Mel Downey-Piper mpiper@dconc.gov 919-560-7761

31. Group activity

32. Physical Environment (10%) • Change in physical environment measures • Change in source of air quality data • Addition of measure of drinking water safety