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2013 RankingsKansas

County Health Rankings 2013: KansasIntroductionWhere we live matters to our health. The healthof a community depends on many differentfactors, including the environment, educationand jobs, access to and quality of healthcare,and individual behaviors. We can improve acommunity’s health by implementing effectivepolicies and programs. For example, peoplewho live in communities with smoke‐free lawsare less likely to smoke or to be exposed tosecond‐hand smoke, which reduces lung cancerrisk. In addition, people who live incommunities with safe and accessible park andrecreation space are more likely to exercise,which reduces heart disease risk.Population Health Institute to bring thisgroundbreaking program to counties and statesacross the nation.The County Health Rankings & Roadmapsprogram includes the County Health Rankingsproject, launched in 2010, and the newerRoadmaps project that mobilizes localcommunities, national partners and leadersacross all sectors to improve health. Theprogram is based on this model of populationhealth improvement:However, health varies greatly acrosscommunities, with some places being muchhealthier than others. And, until now, there hasbeen no standard method to illustrate what weknow about what makes people sick or healthyor a central resource to identify what we can doto create healthier places to live, learn, workand play.We know that much of what influences ourhealth happens outside of the doctor’s office –in our schools, workplaces and neighborhoods.The County Health Rankings & Roadmapsprogram provides information on the overallhealth of your community and provides thetools necessary to create community‐based,evidence‐informed solutions. Ranking thehealth of nearly every county across the nation,the County Health Rankings illustrate what weknow when it comes to what is makingcommunities sick or healthy. The County HealthRoadmaps show what we can do to createhealthier places to live, learn, work and play.The Robert Wood Johnson Foundationcollaborates with the University of WisconsinGuide to Our Web SiteTo compile the Rankings, we selected measuresthat reflect important aspects of populationhealth that can be improved and are availableat the county level across the nation. Visitwww.countyhealthrankings.org to learn more.To get started and see data, enter your countyor state name in the search box. Click on thename of a county or measure to see moredetails. You can: Compare Counties; Downloaddata for your state; Print one or more county1www.countyhealthrankings.org/kansasIn this model, health outcomes are measuresthat describe the current health status of acounty. These health outcomes are influencedby a set of health factors. Counties can improvehealth outcomes by addressing all healthfactors with effective, evidence‐informedpolicies and programs.Everyone has a stake in community health. Weall need to work together to find solutions. TheCounty Health Rankings & Roadmaps serve asboth a call to action and a needed tool in thiseffort.snapshots; or Share information with others viaFacebook, Twitter, or Google . To understandour methods, click on Learn about the Data andMethods. You can also take advantage of theUsing the Rankings Data guide to help youexplore the data and figure out more aboutwhat is driving your community’s health. Tolearn about what you can do to improve healthin your community, visit the Roadmaps toHealth Action Center. Finally, you can learnwhat others are doing by reading CommunitiesStories and visiting the Project Showcase.

County Health Rankings 2013: KansasCounty Health RoadmapsThe Rankings illustrate what we know when itcomes to making people sick or healthy. TheCounty Health Rankings confirm the critical rolethat factors such as education, jobs, income andthe environment play in how healthy people areand how long we live.The County Health Roadmaps mobilizes localcommunities, national partners and leadersacross all sectors to improve health. The CountyHealth Roadmaps show what we can do tocreate healthier places to live, learn, work andplay. The Robert Wood Johnson Foundation(RWJF) collaborates with the University ofWisconsin Population Health Institute (UWPHI)to bring this groundbreaking project to cities,counties and states across the nation.RWJF Roadmaps to Health PrizeIn February 2013, RWJF awarded the first RWJFRoadmaps to Health Prizes of 25,000 to sixcommunities that are working to becomehealthier places to live, learn, work and play.The RWJF Roadmaps to Health Prize is intendednot only to honor successful efforts, but also toinspire and stimulate similar activities in otherU.S. communities.The Roadmaps project includes grants to localcoalitions and partnerships amongpolicymakers, business, education, publichealth, health care, and communityorganizations; grants to national organizationsworking to improve health; recognition ofcommunities whose promising efforts have ledto better health; and customized guidance onstrategies to improve health.Roadmaps to Health Community GrantsThe Roadmaps to Health Community Grantsprovide funding for 2 years to thirty state andlocal efforts among policymakers, business,education, healthcare, public health andcommunity organizations working to createpositive policy or systems changes that addressthe social and economic factors that influencethe health of people in their community.Roadmaps to Health Partner GrantsRWJF is awarding Roadmaps to Health PartnerGrants to national organizations that areexperienced at engaging local partners andleaders and are able to deliver high‐qualitytraining and technical assistance, andcommitted to making communities healthierplaces to live, learn, work and play. Partnergrantees increase awareness about the CountyHealth Rankings & Roadmaps to their members,affiliates and allies. As of February 2013, RWJFhas awarded partner grants to United WayWorldwide, National Business Coalition onHealth, and National Association of Counties.Roadmaps to Health Action CenterThe Roadmaps to Health Action Center, basedat UWPHI, provides tools and guidance to helpgroups working to make their communitieshealthier places. The Action Center websiteprovides guidance on developing strategies andadvocacy efforts to advance pro‐health policies,opportunities for ongoing learning, and asearchable database of evidence‐informedpolicies and programs focused on healthimprovement: What Works for Health. ActionCenter staff provide customized consultationvia email and telephone to those seeking moreinformation about how to improve health.Coaching, including possible on‐site visits, isalso available for communities who havedemonstrated the willingness and capacity toaddress factors that we know influence howhealthy a person is, such as education, incomeand family connectedness.www.countyhealthrankings.org/kansas2

County Health Rankings 2013: KansasCounty Health RankingsThe 2013 County Health Rankings report ranksKansas counties according to their summarymeasures of health outcomes and healthfactors. Counties also receive a rank formortality, morbidity, health behaviors, clinicalcare, social and economic factors, and thephysical environment. The figure below depictsthe structure of the Rankings model; thosehaving high ranks (e.g., 1 or 2) are estimated tobe the sasOur summary health outcomes rankings arebased on an equal weighting of mortality andmorbidity measures. The summary healthfactors rankings are based on weighted scoresof four types of factors: behavioral, clinical,social and economic, and environmental. Theweights for the factors (shown in parentheses inthe figure) are based upon a review of theliterature and expert input, but represent justone way of combining these factors.

County Health Rankings 2013: KansasThe maps on this page and the next display Kansas’scounties divided into groups by health rank. Mapshelp locate the healthiest and least healthy countiesin the state. The lighter colors indicate betterperformance in the respective summary rankings.The green map shows the distribution of summaryhealth outcomes. The blue displays the distributionof the summary rank for health factors.H E A L T H O UT CO M ESCountyRank CountyRank CountyRank ww.countyhealthrankings.org/kansas4

County Health Rankings 2013: KansasH E A L T H F A CT ORSCountyRank CountyRank CountyRank www.countyhealthrankings.org/kansas

County Health Rankings 2013: KansasSummary Health Outcomes & Health Factors RankingsCounties receive two summary ranks: Health Outcomes Health FactorsEach of these ranks represents a weighted summaryof a number of measures.Health outcomes represent how healthy a county iswhile health factors represent what influences thehealth of the county.RankHealth OutcomesRankHealth ferson42Cloudwww.countyhealthrankings.org/kansas6

County Health Rankings 2013: Kansas7RankHealth OutcomesRankHealth nwww.countyhealthrankings.org/kansas

County Health Rankings 2013: KansasRankHealth OutcomesRankHealth 101Wilson102Woodson102WyandotteNot Ranked: Greeley, Stanton, Wallacewww.countyhealthrankings.org/kansas8

County Health Rankings 2013: Kansas2013 County Health Rankings: Measures, Data Sources, and Years of DataMeasureData SourceYears of DataMortalityPremature deathNational Center for Health Statistics2008‐2010MorbidityPoor or fair healthBehavioral Risk Factor Surveillance System2005‐2011Poor physical health daysBehavioral Risk Factor Surveillance System2005‐2011Poor mental health daysBehavioral Risk Factor Surveillance System2005‐2011Low birthweightNational Center for Health Statistics2004‐2010Tobacco UseAdult smokingBehavioral Risk Factor Surveillance System2005‐2011Diet and ExerciseAdult obesityNational Center for Chronic Disease Preventionand Health PromotionNational Center for Chronic Disease Preventionand Health PromotionHEALTH OUTCOMESHEALTH FACTORSHEALTH BEHAVIORSPhysical inactivityAlcohol UseSexual Activity20092009Excessive drinkingBehavioral Risk Factor Surveillance System2005‐2011Motor vehicle crash death rateNational Center for Health Statistics2004‐2010Sexually transmitted infectionsNational Center for HIV/AIDS, Viral Hepatitis,STD, and TB preventionTeen birth rateNational Center for Health StatisticsUninsuredSmall Area Health Insurance EstimatesPrimary care physiciansHRSA Area Resource File2011‐2012DentistsHRSA Area Resource File2011‐201220102004‐2010CLINICAL CAREAccess to CareQuality of Care2010Preventable hospital staysMedicare/Dartmouth Institute2010Diabetic screeningMedicare/Dartmouth Institute2010Mammography screeningMedicare/Dartmouth Institute2010SOCIAL AND ECONOMIC FACTORSEducationHigh school graduationPrimarily state‐specific sources, supplementedwith National Center for Education StatisticsState‐specificSome collegeAmerican Community SurveyEmploymentUnemploymentBureau of Labor Statistics2011IncomeChildren in povertySmall Area Income and Poverty Estimates2011Family and SocialSupportInadequate social supportBehavioral Risk Factor Surveillance System2005‐2010Children in single‐parent householdsAmerican Community Survey2007‐2011Community SafetyViolent crime rateFederal Bureau of Investigation2008‐2010Daily fine particulate matter 1CDC WONDER Environmental dataDrinking water safetySafe Drinking Water Information SystemAccess to recreational facilitiesCensus County Business Patterns2010Limited access to healthy foodsUSDA Food Environment Atlas2012Fast food restaurantsCensus County Business Patterns20102007‐2011PHYSICAL ENVIRONMENTEnvironmental QualityBuilt Environment19Not available for AK and HI.www.countyhealthrankings.org/kansas2008FY 2012