Nancy Allee, MLS, MPH, AHIP Deputy Director, Health Sciences Libraries University of Michigan

1. Practical Approaches for Using Health Indicators & Promoting Librarian & Public Health PartnershipsModule 3 Nancy Allee, MLS, MPH, AHIP Deputy Director, Health Sciences Libraries University of Michigan Webinar, February 3, 2010 Health Indicators, Part III

2. Health indicators: 4-part series • Part I: “Health Indicators: Overview” • Wednesday, January 20th, 1:00pm EST • Understand the variety of health indicators, their data sources, their key attributes, context and use • Presenter: Cheryl Wold, Wold & Associates • Archived webinar available: XXX  • Part II: “Community Health Status Indicators (CHSI)” • Wednesday, January 27th, 1:00pm EST • Learn to navigate and use the Community Health Status Indicators (CHSI) effectively to find county-level data • Presenter: Nancy Allee, Deputy Director, Health Sciences Libraries, University of Michigan • Part III: “Practical Approaches for Using Health Indicators” • Wednesday, February 3rd, 1:00pm EST • Discover ways in which librarians can become more engaged with others in improving the health of their communities and become knowledgeable about ways in which CHSI data can be used in working with the public health practice community • Presenter: Nancy Allee, Deputy Director, Health Sciences Libraries, University of Michigan • Part IV: “Examples of Important New Indicator Projects” • Date/Time: To Be Announced • Become familiar with several important indicator efforts including State of the USA, MATCH, and two local level examples • Presenter: Cheryl Wold, Wold & Associates • Registration and archived webinars: http://www.nlm.nih.gov/nichsr/healthindicators/ Health Indicators, Part III

3. Today’s presentation • Part I: • Brief Review of the Community Health Status Indicators (CHSI) • Ways in which CHSI data and resources can be used in working with the public health practice community • Part II: • NLM & NN/LM library resources complementary to CHSI • Part III: • Librarian engagement in productive partnerships with the public health practice community • Case study: University of Michigan, Health Sciences Libraries, Public Health 2.0 project Health Indicators, Part III

4. Presenter’s backgroundNancy Allee (nallee@umich.edu) Degrees in Library Science & Public Health MLA CE’s • Community Health Status Indicators • Evidence Based Public Health • Public Health 2.0 (Social Media) NLM & Partners in Information Access • Chair: Public Health Training Subcommittee • Project Director: Public Health Information & Data Tutorials project & developer of Evidence Based Public Health Module Past chair of the Public Health / Health Administration Section of the Medical Library Association Health Indicators, Part III

5. Brief review What are health indicators? What are the Community Health Status Indicators (CHSI)? What are peer counties? What are the uses of and who are the users of CHSI? Health Indicators, Part III

6. What are health indicators? • An indicator is “a summary measure that aims to describe in a few numbers as much detail as possible about a system to help understand, compare, predict, improve, and innovate.” • [Source: The Good Indicators Guide http://www.apho.org.uk/resource/item.aspx?RID=44584 ] • A health indicator is “a characteristic of an individual, population, or environment which is subject to measurement and can be used to describe one or more aspects of the health of an individual or population.” • [Source: Definition of Wellness web sitehttp://www.definitionofwellness.com/dictionary/health-indicator.html] Health Indicators, Part III

7. What is CHSI? (Community Health Status Indicators) • A collection of nationally available health indicators for counties, helping to present a “total picture” of local health. • A resource for monitoring and analyzing community health status and its determinants at the county level. • The goal of CHSI is to give local public health agencies another tool for improving their community’s health by identifying data resources and facilitating the setting of priorities. • CHSI supports the mission and goals of public health, the 10 essential public health services, Healthy People 2010 initiatives, and evidence-based policy and research.

8. What is the “community” in Community Health Status Indicators? • Individual counties • data for 3,141 U.S. counties • Peer counties • counties similar in population size and other selected characteristics (e.g. poverty level, age distribution, density) Health Indicators, Part III

9. Uses of & users of CHSI and health indicators • Uses of • Public policy • Public health programs • Interventions • Partnerships • Research • Grants • Publications • Users of • Public health officials • Public health workers • Librarians • Academics • Government agencies • Nonprofit organizations • General public • Anyone with an interest in local public health data Health Indicators, Part III

10. CHSI reports Each CHSI report includes data on access and utilization of healthcare services, birth and death measures, Healthy People 2010 targets and U.S. birth and death rates, vulnerable populations, risk-factors for premature deaths, communicable diseases and environmental health. In addition, the presentation of the data allows for comparisons of a county to its peer counties as well as U.S. rates and Healthy People 2010 targets. Health Indicators, Part III

11. How can I access the CHSI web site?http://www.communityhealth.hhs.gov/

12. CHSI: How to use your county’s report Health Indicators, Part III

13. “Celebrate your success” • In areas where a county’s health status excels, celebrate the good news and spread the word. Let the community know about its good health where the indicators are positive. • Symbols • Apple = favorable status • Magnifying glass = unfavorable status Health Indicators, Part III

14. “Learn from one another” By comparing a county with its “peer counties” that have similar characteristics, local public health agencies may be able to uncover reasons for rate differences. In areas where county rates are higher than others, share information about model programs that are making a difference, and think of other counties as good resources while working to improve the health of residents where a county’s health status is lower. Peer counties may be tackling similar challenges. Communities can learn from one another as they work to create innovative solutions for improving health. Health Indicators, Part III

15. “Involve health care providers and policy makers” Share the CHSI report widely – with board of health members, city council, county commissioners, state legislators, and business leaders. Can also share with health care professionals working in private practice, schools, clinics, hospitals, as well as colleagues in social services, housing, food and nutrition, and other related programs. Improving health status takes a team effort. Health Indicators, Part III

16. “Develop healthy community partners” Help publicize the CHSI reports through press releases, editorial boards, web sites, community meetings, schools and parent/teacher organizations, libraries, and other places where people will become better educated about areas that need improvement. Involve them in identifying barriers to good health and coming up with solutions for improving health status where needed. Health Indicators, Part III

17. “Take another look” The CHSI Report uses national-level data from several sources, many of which contain valuable county-level data. Examining these data may help identify areas where local or state data can fill critical gaps or where national data can be enhanced. If the CHSI Report shows areas in a county that need improvement, this might offer the funding justification for additional surveillance to track health status indicators. Better data may be needed to target programs and policies. Health Indicators, Part III

18. “Integrate your CHSI report into existing health planning and assessment activities” The CHSI Report is designed to fit into existing public health planning resources used by local public health agencies. Make the CHSI Report work by integrating it into an agency’s planning activities and action steps. The CHSI Report will be useful with other tools as well. Data on the federal Healthy People 2010 targets for the U.S. are also included in the CHSI Report. Use these targets to set goals for the community. Use the CHSI Report and other data to provide a baseline for marking your progress towards Healthy People 2010. Health Indicators, Part III

19. CHSI media resources Health Indicators, Part III

20. CHSI: “NLM resources”

21. CHSI: “NLM resources” Health Indicators, Part III

22. PubMed search Health Indicators, Part III

23. PubMed search Health Indicators, Part III

24. PubMed search “To make these indicators more useful interviewees wanted . . . indicator trend data and indicator comparisons of districts with similar population structures.” Health Indicators, Part III

25. CHSI: “Public health resources” Health Indicators, Part III

26. CHSI: “Public health resources” Health Indicators, Part III

27. Disaster information management research center Health Indicators, Part III

28. Enviro-health links Health Indicators, Part III

29. Environmental health and toxicology Health Indicators, Part III

30. Healthy People 2010 information access project Health Indicators, Part III

31. Healthy People 2010 information access project Health Indicators, Part III

32. Health services research projects in progress Health Indicators, Part III

33. Health services/sciences research resources Health Indicators, Part III

34. Health services/technology assessment text Health Indicators, Part III

35. Health disparities & minority health information resources Health Indicators, Part III

36. Outreach activities & resources Health Indicators, Part III

37. PH Partners Health Indicators, Part III

38. Toxmap Health Indicators, Part III

39. NNLM South Central RegionHouston Academy of Medicine – Texas Medical Center Library http://nnlm.gov/training/publichealth/ Health Indicators, Part III

40. NN/LM.govhttp://nnlm.gov/outreach/community/ Health Indicators, Part III

41. NN/LM.govhttp://nnlm.gov/outreach/community/ Health Indicators, Part III

42. NN/LM.govhttp://nnlm.gov/evaluation/guides.html#A2 Health Indicators, Part III

43. Univ. of Michigan Health Sciences Libraries http://www.lib.umich.edu/health-sciences-libraries Health Indicators, Part III

44. Creating a Roadmap: Local Public Health 2.0 Health Indicators, Part III

45. Project goals Communication Assessment Collaboration & Integration Training Health Indicators, Part III

46. Online via SurveyMonkey www.surveymonkey.com 50 survey questions 150 participants, Genesee 80 participants, Monroe 168 surveys completed 73% response rate Survey results Health Indicators, Part III

47. Survey questions Health Indicators, Part III

48. Survey Results Health Indicators, Part III

49. Web 2.0 technologies Collaborative Writing Wikis Video Platforms Professional Networking Social Networking Microblogs Blogs Virtual Worlds Social Bookmarking Digital Images Health Indicators, Part III

50. Genesee County Health Department Intranet Health Indicators, Part III