COUNTY HEALTH RANKINGS & ROADMAPS: FROM DATA TO ACTION May 16, 2017 Aliana Havrilla Community Coach County Health Rankings & Roadmaps County Health Rankings & Roadmaps is a partnership of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. TODAY’S ROADMAP ‣ Quick Overview: County Health Rankings & Roadmaps ‣ Exploring What Works for Health ‣ Strategy Selection and Tools for Action 3 COUNTY HEALTH RANKINGS LOGIC MODEL Media attention Population based data collected County Health Rankings Community leaders use Rankings release Broad community engagement Evidenceinformed strategies implemented Improved health outcomes Increased health equity 4 5 6 A COMMUNITY IS IN “CHOOSE” WHEN: ‣ They have selected priorities but not strategies. ‣ They have been implementing strategies to address an issue but want to do more (maybe move to policy work). 7 HELPING COMMUNITIES MAKE DECISIONS 1. We could do what most other communities are doing, but maybe not consider how well it works. 2. We could invent something from scratch, building on what we learned from our stakeholders in assessment and planning. 3. We could look for policies and programs that are in use elsewhere that seem to be successful in ways that might work for us. Adapted from the Community Tool Box University of Kansas 8 EVIDENCE MATTERS ‣Smart investments ‣Inform decisions ‣Inform innovation Photo credit: Sky Noir, Flickr Creative Commons 9 10 WHAT WORKS FOR HEALTH: SCOPE www.countyhealthrankings.org/what-works-for-health 11 A MENU OF IDEAS ‣ Evidence rating ‣ Literature summary – Who – What – Cost ‣ Disparity rating ‣ Implementation examples & tools 12 EXAMPLE: SCHOOL BREAKFAST PROGRAMS 13 14 EVIDENCE RATINGS ‣Seek out, assess, and summarize best available research – What has been shown to – What might work – What does not work work Evidence Ratings ‣ Scientifically Supported ‣ Some Evidence ‣ Expert Opinion ‣ Insufficient Evidence ‣ Mixed Evidence ‣ Evidence of Ineffectiveness 15 FINDING STRATEGIES IN WWFH 16 17 www.countyhealthrankings.org/rural 18 COMMUNITIES USE WWFH IN MANY WAYS ‣ Learn about policies and programs ‣ Inventory current approaches ‣ Formulate an action strategy 19 STRATEGY SELECTION: EVIDENCE PLUS ‣ Evidence “fit” – Strength – Priority of evidence outcome ‣ Community “fit” – Capacity – Resources – Readiness – Values 20 21 22 3 QUESTIONS FOR ADVOCACY ‣ What do you want? ‣ Why do you want it? ‣ Who has the power to give it to you? 23 KEY TAKEAWAYS ‣ Evidence is an important part of decision making, but not the only part ‣ Think strategically about when you are ready to find evidence-informed strategies and how you will use them ‣ WWFH provides information about what works, what doesn’t work & what might work ‣ The Roadmaps to Health Action Center provides more guidance around choosing strategies and moving to action 24 QUESTIONS 25 THANK YOU! Aliana Havrilla, Community Coach [email protected] www.countyhealthrankings.org University of Wisconsin Population Health Institute Madison, WI [email protected] (608) 265-8240 26
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