1. County Health Rankings 2011 The State of Cook County’s Health By: Evanston Health Department

2. Community Leaders and Advocates Government Officials Health Care Professionals Public Health Professionals Who else is in the room that was not mentioned? Who else should be here to help make the county healthier? The Importance of the County Health Rankings

3. Background Created by University of Wisconsin Population Health Institute Built on work of America’s Health Rankings Used since 2003 to rank Wisconsin’s counties Approach based on: 1.Programs and Policies 2.Health Factors 3.Health Outcomes

4. Background – Health Factors What influences the health of the county… Health Factors Health Behaviors Unsafe sex Tobacco use Diet and exercise Alcohol use Social and Economic Factors Employment Community safety Income Education Family and Social Support Clinical Care Access to care Quality of care Physical Environment Environmental quality Built environment

5. Background – Health Outcomes How healthy a county is… Health Outcomes Mortality Premature death Morbidity Birth outcomes Health-related quality of life

6. IL County Health Rankings 102 Counties Health Factors 1.DuPage County 2.Monroe County 3.Kendall County 84.Cook County Health Outcomes 1.Kendall County 2.DuPage County 3.Woodford County 70.Cook County

7. Cook County Health Factors Rank: 84/102 Health Behaviors – 7/102; Social and Economic Factors – 96/102 Cook CountyIllinoisNational Benchmark Adult Smoking21% 15% Adult Obesity25%26%25% Excessive Drinking20%19%8% Motor Vehicle Crash Death Rate 912 Sexually Transmitted Infections 64746083 Teen Birth Rate504122 High School Graduation65%80%92% Some College64% 68% Unemployment10.3%10.1%5.3% Children in Poverty22%17%11% Inadequate Social Support 25%21%14% Single-parent Households 37%31%20% Violent Crime Rate805550100

8. Cook County Health Factors Continued Rank: 84/102 Clinical Care – 61/102; Physical Environment – 101/102 Cook CountyIllinoisNational Benchmark Uninsured Adults20%17%13% Primary Care Providers620:1778:1631:1 Preventable Hospital Stays 83 52 Diabetic Screening75%80%89% Mammography Screening58%63%74% Air Pollution-Particulate Matter Days 530 Air Pollution-Ozone Days940 Access to Healthy Foods92%53%92% Access to Recreational Facilities 91017

9. Cook County Health Outcomes Rank: 70/102 Mortality – 53/102; Morbidity – 85/102 Cook CountyIllinoisNational Benchmark Premature Death7,5336,8595,564 Poor or Fair Health18%16%10% Poor Physical Health Days 3.43.32.6 Poor Mental Health Days3.33.22.3 Low Birth Weight9.2%8.4%6.0%

10. Cook County Additional Measures Cook CountyIllinois African American Population26%15% Hispanic Population23%15% Asian Population6%4% Not Proficient in English15%10% Binge Drinking19%18% Physical Inactivity23% Mental Health Providers1,647:12,372:1 Children Eligible for Free Lunch47%41% Liquor Store Density1110

11. Cook County’s Health Priorities Top health factors facing Cook County Physical environment Social and economic factors Top health outcomes facing Cook County Morbidity

12. Access to Care Chronic Health Conditions Physical Activity and Nutrition Evanston’s Health Priorities

13. What’s Next?

14. University of Wisconsin Population Health Institute –Bridget Booske, PhD, MHSA –Jessica Athens, MS –Patrick Remington, MD, MPH Robert Wood Johnson Foundation Kellie Perkins, Health Director Intern –(757) 329-4005 –kdperkins89@yahoo.com Acknowledgements