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DATA TO ACTION. UF FAMILY DATA CENTER 3-17-2011. OUTLINE. INTRODUCE FAMILY DATA CENTER HIGHLIGHTS OF CITY REPORT SUPPORT THE RECOMMENDATIONS IN DR. STOWELL’S REPORT PROGRESS TO DATE THE WAY FORWARD. CMS BUILDING. 16 th Avenue . North. UF FAMILY DATA CENTER.
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DATA TO ACTION UF FAMILY DATA CENTER 3-17-2011
OUTLINE • INTRODUCE FAMILY DATA CENTER • HIGHLIGHTS OF CITY REPORT • SUPPORT THE RECOMMENDATIONS IN DR. STOWELL’S REPORT • PROGRESS TO DATE • THE WAY FORWARD
CMS BUILDING 16th Avenue North
UF 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 • Rate of Return to Investment in Human Capital • e
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 1 • 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)
DEFINITION OF SELF ACTUALIZATION (FROM NEURONS 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 ACTUALIZED 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 2 • 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
RECOMMENDATION 3 • USE THE DATA TO DRIVE A DISCIPLINED BUSINESS-LIKE DECISION MAKING PROCESS TO GET BETTER, AND TO GAUGE SUCCESS OR FAILURE AGAINST A BASELINE
Medicaid Birth Density and Count (2006-2008) Density of Child Maltreatment (2005-2008) • Low Density • High Density
Density of Domestic Violence Density of Child Maltreatment (2005-2008) Homeless Children Previous Address (2010) • Low Density • High Density
RECOMMENDATION 4 & 5 • INVOLVE A BROAD SET OF PARTNERS AND GET FROM TALK TO ACTION AS QUICKLY AS POSSIBLE • IMPLEMENT STRATEGIES AGREED UPON BY PARTNERS
PROMISE NEIGHBORHOODS PROPOSAL BROUGHT PARNTERS TOGETHER • 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 COMMUNITY 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 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 6 • TRACK POPULATION INDICATORS TO REFINE/REDIRECT EFFORTS
IF GOAL IS SELF ACTUALIZATION, WE CAN TRACK INDICATORS SUCH 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
WHERE ARE WE NOWBASED ON CENSUS 2010 • 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
PUBLIC SCHOOL CHILDREN (2009-’10) – SCHOOL BOARD DATA Total 47% of all children are in meal programs 5,469 children in TANF & SNAP programs (26%) 4,349 children in free & reduced meals (21%) 11,194 children not in meal programs (53%)
RECOMMENDATION 7 • 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… • 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 • 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 Programs Professor, Obstetrics/Gynecology and Pathology College of Medicine 352-514-3991 Mobile Number hardt@ufl.edu 1701A SW 16th Avenue Gainesville, FL 32608
WE PROPOSE THAT THE COUNTY WORK WITH FAMILY DATA CENTER AND 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