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					Healthiest Wisconsin 2020:
Everyone Living Better, Longer


                                               April 18, 2012
         Division of Public Health - Public Health Orientation
                                       3:30 P.M. – 4:30 P.M.
                                          Madison, Wisconsin


  Margaret Schmelzer, MS, RN
  State Health Plan Director, Public Health Nursing Director
  Wisconsin Department of Health Services, Division of Public Health
  Michele Green, RN, Masters Candidate
  University of Wisconsin – Milwaukee, College of Nursing
http://www.dhs.wisconsin.gov/hw2020/index.htm
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    Mailbox: dhshw2020@dhs.wisconsin.gov            2
A View From the Partners
Essential Elements for Success




                                         Source: DePablo M, Abraham B, 2009


              http://www.dhs.wisconsin.gov/hw2020/index.htm
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                  Mailbox: dhshw2020@dhs.wisconsin.gov                            3
What is HW2020?

 Flexible public health agenda designed by many
  to be implemented by all from 2010 – 2020.

 Systematic approach designed to:
  Align policies and systems.
  Contain health care costs.
  Improve health outcomes.




               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov            4
What is HW2020?




A “call to action” to work together to improve health
  where we live, grow, work, learn, and play.




               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov            5
Intent of HW2020

 Fulfill the statutory requirement to the Wisconsin
  Department of Health Services to produce a
  public health agenda at least every ten years
  Wisconsin Statute, Chapter 250.07 (1)(a)


 Provide an agreed upon framework to work
  together to assure conditions in which people
  can be healthy and members of healthy, safe,
  and resilient families and communities.


               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov            6
Brief History

 Healthier People in Wisconsin: A Public Health
  Agenda for the Year 2000

 Healthiest Wisconsin 2010: A Partnership Plan
  to Improve the Health of the Public

 Healthiest Wisconsin 2020: Everyone Living
  Better, Longer


              http://www.dhs.wisconsin.gov/hw2020/index.htm
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                  Mailbox: dhshw2020@dhs.wisconsin.gov            7
Strategic Processes

 Strategic planning

 Science and evidence with wisdom of
  community

 Quality Improvement

 Collaborative diverse partnerships


               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov            8
http://www.dhs.wisconsin.gov/hw2020/index.htm
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    Mailbox: dhshw2020@dhs.wisconsin.gov            9
Who are the HW2020 Partners?




         http://www.dhs.wisconsin.gov/hw2020/index.htm
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             Mailbox: dhshw2020@dhs.wisconsin.gov             10
HW2020 Overview and Key
Features
 Framework

 Focus areas and objectives

 Review front page of HW2020 web site
   Profiles
   Implementation Plan
   Evidence- and science-based practices
   Endorsement form
   Links to national and federal sources

                http://www.dhs.wisconsin.gov/hw2020/index.htm
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                    Mailbox: dhshw2020@dhs.wisconsin.gov             11
HW2020 Framework
                       Vision
                       Mission
                       Values
   Goal 1                                                   Goal 2

       Focus Areas and Objectives
Crosscutting    Health     Infrastructure

                    Outcomes
            http://www.dhs.wisconsin.gov/hw2020/index.htm
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                Mailbox: dhshw2020@dhs.wisconsin.gov                      12
HW2020 Framework

Vision                                Mission
Everyone Living Better,               Assure conditions in
Longer                                which people can be
                                      healthy and members of
                                      healthy, safe and
                                      resilient families and
                                      communities




              http://www.dhs.wisconsin.gov/hw2020/index.htm
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                  Mailbox: dhshw2020@dhs.wisconsin.gov             13
Values / Principles

Shared Accountability              Justice
Alignment                          Leverage
Collaboration                      Performance Improvement
Community Assets                   Prevention
Evidence                           Science
Fairness
                                   Shared Leadership
Infrastructure



               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov             14
Goals

1. Improve health across the life span

2. Eliminate health disparities and achieve health
   equity




               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov             15
Focus Areas and Objectives
23 Focus Areas
  Each Focus Area has 2-3 objectives
  Each objective is directly tied to one of the two
   HW2020 goals

The Focus Areas and objectives span 3
  categories:
  Crosscutting
  Health
  Infrastructure



                http://www.dhs.wisconsin.gov/hw2020/index.htm
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                    Mailbox: dhshw2020@dhs.wisconsin.gov             16
Focus Area Categories
Requires Systems Thinking and
Keeping Your Eyes on All Three Categories



                     Crosscutting
                     Focus Areas
                                 (2)


        Infrastructure                Health
         Focus Areas                Focus Areas
              (9)                               (12)



               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov             17
Focus Areas
12 Health Focus Areas

 1.    Adequate, appropriate and safe food and nutrition
 2.    Alcohol and other drug use
 3.    Chronic disease prevention and management
 4.    Communicable disease prevention / control
 5.    Environmental and occupational health
 6.    Healthy growth and development
 7.    Injury and violence
 8.    Mental health
 9.    Oral health
 10.   Physical Activity
 11.   Reproductive and sexual health
 12.   Tobacco use and exposure

                   http://www.dhs.wisconsin.gov/hw2020/index.htm
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                       Mailbox: dhshw2020@dhs.wisconsin.gov             18
Focus Areas
9 Infrastructure Areas

 1. Access to high-quality health services
 2. Collaborative partnerships for community health
    improvement
 3. Diverse, sufficient, and competent workforce that
    promotes and protects health
 4. Emergency preparedness, response, and recovery
 5. Equitable, adequate, and stable public health funding
 6. Health literacy
 7. Public health capacity and quality
 8. Public health research and evaluation
 9. Systems to manage and share health information and
    knowledge


                  http://www.dhs.wisconsin.gov/hw2020/index.htm
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                      Mailbox: dhshw2020@dhs.wisconsin.gov             19
Focus Area Objectives
2 Crosscutting Focus Areas



1. Eliminate health disparities
2. Social, educational, and economic factors that
   impact health




               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov             20
Focus Area Categories
Requires Systems Thinking and
Keeping Your Eyes on All Three Categories



                     Crosscutting
                     Focus Areas
                                 (2)


        Infrastructure                Health
         Focus Areas                Focus Areas
              (9)                               (12)



               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov             21
Consider . . .


  “None of us expect to act on more than a tiny
     corner of the great complexity. But in our
        interrelated society, itself part of an
  uncompromising independent world, we have to
  think about the whole complexity in order to act
            relevantly on any part of it.”


       Source: Harlan Cleveland: The Knowledge Executive, 1989



                   http://www.dhs.wisconsin.gov/hw2020/index.htm
                       Mailbox: dhshw2020@dhs.wisconsin.gov        22
Aligning Policies and Systems
for Better Health
                                                                          Health Across
                                  Reduced Mortality,                      the Life Span
  Health Outcomes                   Morbidity, and
                                                                         Eliminate Health
                                      Disability
                                                                         Disparities and
                                                                         Achieve Health
                                                                              Equity
                                      Health Behaviors and
  Health Factors or                           Skills
   Determinants
                                      Social, Economic and
                                       Educational Factors
                                       Health Services and
                                            Systems
                                      Physical Environment
    Policies and
     Programs

    Adapted with modifications from University of Wisconsin School of Medicine
    and Public Health, “Mobilizing Action Toward Community Health, County
    Health Rankings,” accessed at http://www.counthealthrankings.org/about-
    project/background
                         http://www.dhs.wisconsin.gov/hw2020/index.htm
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                             Mailbox: dhshw2020@dhs.wisconsin.gov                                23
Determinants of Health Model

                     Social                  Physical                       Genetic
                  Environment              Environment                     Endowment

     Individual
     Response
      Behavior
      Biology
                         Health &                     Disease                Health Care
                         Function



                                  Well-Being                          Prosperity


R.G. Evans and G.L. Stoddart, 1990, Predicting Health, Consuming Health Care, Social
Science Medicine 31:1347-1363, with permission from Elsevier Science Ltd., Kidlington,
United Kingdom
                           http://www.dhs.wisconsin.gov/hw2020/index.htm
                               Mailbox: dhshw2020@dhs.wisconsin.gov                        24
  Determinants of Health
            Individual-level
            health education                                               Health
            efforts                                                       Outcomes




Determinants of Health




                          http://www.dhs.wisconsin.gov/hw2020/index.htm
                              Mailbox: dhshw2020@dhs.wisconsin.gov                   25
Determinants of Health
  Individual-level
  health education
  efforts                                             Determinants of Health



                               Health
                               Outcomes




                                                                Poverty


                     http://www.dhs.wisconsin.gov/hw2020/index.htm
                         Mailbox: dhshw2020@dhs.wisconsin.gov                  26
Source: Centers for Disease Control and Prevention




          http://www.dhs.wisconsin.gov/hw2020/index.htm
              Mailbox: dhshw2020@dhs.wisconsin.gov        27
Tool Box

 Focus Area Profiles
 Evidence Based Sources
 Additional Resources
  National Prevention Strategy
  Leading Health Indicators for the Nation




                http://www.dhs.wisconsin.gov/hw2020/index.htm
                    Mailbox: dhshw2020@dhs.wisconsin.gov        28
Evidence-Based Resources
Essential for effective actions

 Healthy People 2020 – U.S. Department of Health
  and Human Services
    http://healthypeople.gov/2020/topicsobjectives2020/def
      ault.aspx


 National Partnership for Action – U.S. Department
  of Health and Human Services - Office of
  Minority Health
    http://minorityhealth.hhs.gov/npa/files/Plans/Toolkit/NPA
      _Toolkit.pdf

                  http://www.dhs.wisconsin.gov/hw2020/index.htm
                      Mailbox: dhshw2020@dhs.wisconsin.gov        29
Evidence-Based Resources
Essential for effective actions

 Area Health Education Centers (AHEC) – Informed
   Caring
    http://www.informedcaring.org/Home.aspx


 What Works: Policies and Programs to Improve
  Wisconsin’s Health
    http://whatworksforhealth.wisc.edu/




                  http://www.dhs.wisconsin.gov/hw2020/index.htm
                      Mailbox: dhshw2020@dhs.wisconsin.gov        30
Evidence-Based Resources
Essential for effective actions

 The Community Guide – U.S. Centers for Disease
   Control and Prevention
    http://www.thecommunityguide.org/index.html


 U.S. Preventive Health Services Task Force
    http://www.uspreventiveservicestaskforce.org/




                  http://www.dhs.wisconsin.gov/hw2020/index.htm
                      Mailbox: dhshw2020@dhs.wisconsin.gov        31
Additional Resources

National Prevention Strategy, Office of the U.S.
 Surgeon General (2011)
http://www.healthcare.gov/prevention/nphpphc/strategy/rep
   ort.pdf


Leading Health Indicators, Healthy People 2020,
  U.S.
http://healthypeople.gov/2020/LHI/default.aspx




                 http://www.dhs.wisconsin.gov/hw2020/index.htm
                     Mailbox: dhshw2020@dhs.wisconsin.gov        32
Local Community Health
Improvement Plans
All Wisconsin local health departments are
  required by state law to develop a community
  health improvement plan (CHIP).

Healthiest Wisconsin 2020 links directly to local
 community health improvement plans and
 Healthy People 2020.

Contact your local health department and get
 involved and help make a difference.

               http://www.dhs.wisconsin.gov/hw2020/index.htm
                   Mailbox: dhshw2020@dhs.wisconsin.gov        33
Endorsement Form
It takes the work of many to improve the
health of all

 Review and complete the form available at the
   HW2020 web site (see Spotlight Box)
 http://www.dhs.wisconsin.gov/hw2020/index.htm

  Become a champion
  Share leadership and accountability for the
   public’s health
  Non-binding

                http://www.dhs.wisconsin.gov/hw2020/index.htm
                    Mailbox: dhshw2020@dhs.wisconsin.gov        34
Focus Area Profiles
The launching point for collective action /
impact
  Each Focus Area Profile contains
    Definition (scope) of the focus area
    Importance
    Wisconsin data highlights
    Objectives
        Indicators
        Data sources
    Evidence- or science-based actions*
    References
 Note: Profiles will be updated as science / practice change



                           http://www.dhs.wisconsin.gov/hw2020/index.htm
                               Mailbox: dhshw2020@dhs.wisconsin.gov        35
Framework
Health and Systems Outcomes

Reduce disease,                       Align policies and
injury and adverse                     systems for better
health conditions due to               health
risky behaviors
                                       Eliminate disparities
Reduce preventable
                                       Achieve health equity
illness and disability
                                       Balance policies and
Reduce preventable
                                       actions based on all 4
death
                                       drivers of health

               http://www.dhs.wisconsin.gov/hw2020/index.htm
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                   Mailbox: dhshw2020@dhs.wisconsin.gov              36
Implementation




         http://www.dhs.wisconsin.gov/hw2020/index.htm
             Mailbox: dhshw2020@dhs.wisconsin.gov        37
HW2020 Action Model
Taking Action, Making a Difference


                        Assess strengths
     Evaluate                needs
     & report             & resources                              Engage
      results                                                     community
                   Healthy People in                               partners
                   Healthy Wisconsin
    Implement
                     Communities
                                                             Select priorities
     strategies                                                 & align to
                       Find / use programs                      HW2020
                       & policies that work



                  http://www.dhs.wisconsin.gov/hw2020/index.htm
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                      Mailbox: dhshw2020@dhs.wisconsin.gov                            38
Monitoring and Reporting
Progress
Wisconsin Public Health Council is charged with
 reporting and monitoring the state health plan

Other features of monitoring and reporting are
  under development in the Wisconsin
  Department of Health Services.

See: HW2010 Data Report: Tracking a Decade’s
  Progress: Summary Data for Healthiest
  Wisconsin 2010 (January 2012)

               http://www.dhs.wisconsin.gov/hw2020/index.htm
                   Mailbox: dhshw2020@dhs.wisconsin.gov        39
Contact Information

                           Web Link:
               http://dhs.wisconsin.gov/hw2020/
                        HW2020 Mailbox:
               DHSHW2020@dhs.wisconsin.gov




Margaret Schmelzer, MS, RN
State Health Plan Director
Director of Public Health Nursing
Division of Public Health
Wisconsin Department of Health Services
Voice: 608-266-0877
Email: margareto.schmelzer@dhs.wisconsin.gov


                  http://www.dhs.wisconsin.gov/hw2020/index.htm
                      Mailbox: dhshw2020@dhs.wisconsin.gov        40
http://www.dhs.wisconsin.gov/hw2020/index.htm
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    Mailbox: dhshw2020@dhs.wisconsin.gov             41
 Supplemental Data Slides
The slides that follow provide a “snapshot / tip of the
  iceberg” view of Wisconsin health. These slides highlight
  many but not all of the 23 Focus Areas.


  Learn More and Become Engaged in HW2020
   Go to the HW2020 web site, review the main plan and
  review the focus area profiles that interest you. Ask your
  agency / organization to submit a HW2020 Endorsement
          Form and become a HW2020 Champion.
   http://www.dhs.wisconsin.gov/hw2020/index.htm


                 http://www.dhs.wisconsin.gov/hw2020/index.htm
                     Mailbox: dhshw2020@dhs.wisconsin.gov        42
Health of Wisconsin




Source: University of Wisconsin, School of Medicine and Public Health, 2010
Obesity
Why do we need HW2020?
                        25%
                              Wisconsin’s 3rd                                                         23%


                        20%   Graders                                              19%
                                                                                                18%
  Percent of Children




                                                                             17%
                               15%                    15%
                        15%          13%

                                                            11%                                             10%
                        10%


                        5%                 4%                                              4%
                                                                  3%


                        0%
                                 Overall                  White                 African-         Hispanic
                                                                               American

                                                Overweight        Obesity       Extreme Obesity


                              Source: WI-DHS, Oral Health/ BMI Surveillance Project, 2008
                                           http://www.dhs.wisconsin.gov/hw2020/index.htm
                                               Mailbox: dhshw2020@dhs.wisconsin.gov                               44
Obesity
Why do we need HW2020?

                                                   Wisconsin’s
                                                   Adults
                                                       Not Overweight
                                                       or Obese
                                                       Overweight or
                                                       Obese


                                                   $1,400
                                      Annual increase in health care
                                       costs for every obese adult
Source: Wisconsin Department of Health Services, Web-published Nutrition Profile, 2010
                         http://www.dhs.wisconsin.gov/hw2020/index.htm
                             Mailbox: dhshw2020@dhs.wisconsin.gov                        45
Tobacco
Why do we need HW2020?




    Source: Wisconsin Department of Health Services, Tobacco Control Program

                     http://www.dhs.wisconsin.gov/hw2020/index.htm
                         Mailbox: dhshw2020@dhs.wisconsin.gov                  46
Tobacco
 Why do we need HW2020?
          Youth Tobacco Survey: High School and Middle School
                      Smoking Rates: 2000 - 2010
40%                                                                            High School
35%    33%
                                                                               Middle School
30%                    27%
25%                                                                     21%
                                        21%                 20%                    18%
20%
       12%
15%                   9%                8%
10%                                                        6%
                                                                        4%         4%
5%
0%
       2000          2002              2004               2006          2008      2010



      Source: Wisconsin Department of Health Services, Tobacco Control Program


                        http://www.dhs.wisconsin.gov/hw2020/index.htm
                            Mailbox: dhshw2020@dhs.wisconsin.gov                             47
Alcohol & Other Drug Use
Why do we need HW2020?



                 50 th
      Wisconsin’s rank for current
    alcohol use, binge drinking, and
                                                                         41%
                                                                         High school
      heavy drinking among adults                                          students
                                                                         who currently
                                                                          use alcohol

   8 th           highest
        Binge drinking among youth
 Source: United Health Foundation, 2011; Wisconsin Department of Health Services, 2010

                         http://www.dhs.wisconsin.gov/hw2020/index.htm
                             Mailbox: dhshw2020@dhs.wisconsin.gov                        48
Bars vs. Grocery Stores
Place Matters!




      Source: WI Division of Mental Health and Substance Abuse, 2011
                      http://www.dhs.wisconsin.gov/hw2020/index.htm
                          Mailbox: dhshw2020@dhs.wisconsin.gov         49
 Chronic Disease
 Why do we need HW2020?

         Risk Factors: The
         Epidemic of
         Chronic Disease
         in Wisconsin




Source: Wisconsin Department of Health Services, Bureau of Community Health Promotion, 2012
                             http://www.dhs.wisconsin.gov/hw2020/index.htm
                                 Mailbox: dhshw2020@dhs.wisconsin.gov                    50
Sexual Health
Why do we need HW2020?
                        Reportable Diseases, Wisconsin
    Reportable Diseases and Other Notifiable Conditions, 2009
                                     2009




                                                             30.71%



                                                                           Other Infectious
                                                                           Hepatitis
                                                                           HIV

                         STDs                                              Vaccine Preventable
                                                                           Sexually Transmitted Diseases
                                                                  0.15%

                66.48%                                            0.74%
                                                                 1.91%




Source: Wisconsin Department of Health Services, Bureau of Communicable Disease
Prevention and Emergency Preparedness, 2011
                           http://www.dhs.wisconsin.gov/hw2020/index.htm
                               Mailbox: dhshw2020@dhs.wisconsin.gov                                        51
Mental Health
Why do we need HW2020?



  Less than                 50%
  Wisconsinites with serious psychological                        44%
      distress who receive treatment                              Wisconsinites
               or medication                                       with serious
                                                                  psychological
                                                                   distress who
           Smokers                                                are also obese

           36% of Wisconsinites with
          serious psychological distress

  Source: Wisconsin Department of Health Services, Web-published Mental Health Profile,
                       http://www.dhs.wisconsin.gov/hw2020/index.htm
                                                                                 2010
                           Mailbox: dhshw2020@dhs.wisconsin.gov                           52
Asthma Hospitalization Rates by County
and Comparison to the Overall State Rate,
2007-2009

                                                                               Five Counties
                                                                               (Milwaukee,
                                                                               Menominee, Racine,
                                                                               Kenosha and Rock)
                                                                               have both asthma
                                                                               emergency department
                                                                               visit and hospitalization
                                                                               rates that are the
                                                                               highest in the state.


         Overall State Rate:
         9.1 per 10,000




Source: Wisconsin Division of Public Health, Bureau of Environmental and Occupational
Health, Asthma Program
                               http://www.dhs.wisconsin.gov/hw2020/index.htm
                                   Mailbox: dhshw2020@dhs.wisconsin.gov                                    53
Injury & Violence
Why do we need HW2020?




  Source: Wisconsin Department of Health Services, Injury Prevention Program, 2011
                       http://www.dhs.wisconsin.gov/hw2020/index.htm
                           Mailbox: dhshw2020@dhs.wisconsin.gov                      54
Environmental & Occupational
Health Why do we need HW2020?
                                                                  Ranks 34th
Fish                                                              in fine
advisories on                                                     particulate
lakes and                                                         air pollution
rivers



                                                                  30% of
Lead poisoning
cases are double the                                              homes have
                                                                  lead hazards
national average
           Source: Wisconsin Department of Health Services, 2011
                  http://www.dhs.wisconsin.gov/hw2020/index.htm
                      Mailbox: dhshw2020@dhs.wisconsin.gov                        55
Socioeconomic & Educational
Factors Why do we need HW2020?

  Race                                      2009-2010
                                            Graduation Rate
  White                                                      94 %
  Black/African American                                     67 %
  American Indian                                            79 %
  Hispanic/Latinos                                           77 %
  Asian                                                      91 %


          Source: Wisconsin Department of Public Instruction, 2010
                 http://www.dhs.wisconsin.gov/hw2020/index.htm
                     Mailbox: dhshw2020@dhs.wisconsin.gov            56
Socioeconomic & Educational
Factors Why do we need HW2020?

 Vulnerable Populations 2009-2010
                        Graduation Rate
 With disabilities                                            80 %
 vs. Without disabilities                                     91 %
 Economically disadvantaged                                   82 %
 vs. Not disadvantaged                                        93 %
 English language learners                                    76 %
 English proficient                                           90 %

             Source: Wisconsin Department of Public Instruction, 2010
                     http://www.dhs.wisconsin.gov/hw2020/index.htm
                         Mailbox: dhshw2020@dhs.wisconsin.gov           57
Socioeconomic Factors
Why do we need HW2020?


   Children living in poverty (Year 2000)
     11.2% in 2000 (Wisconsin)
     16.6% in 2000 (U.S.)

   Children living in poverty (Year 2010)
     19.1% in 2010 (Wisconsin)
     21.6% in 2010 (U.S.)



              Source: U.S. Census Bureau, 2010

              http://www.dhs.wisconsin.gov/hw2020/index.htm
                  Mailbox: dhshw2020@dhs.wisconsin.gov        58
Socioeconomic Factors
Why do we need HW2020?


   Elders living in poverty (Year 2000)
     7.4% in 2000 (Wisconsin)
     10.9% in 2000 (U.S.)


   Elders living in poverty (Year 2010)
     7.1% in 2010 (Wisconsin)
     9.0% in 2010 (U.S.)



              Source: U.S. Census Bureau, 2010

              http://www.dhs.wisconsin.gov/hw2020/index.htm
                  Mailbox: dhshw2020@dhs.wisconsin.gov        59
Socioeconomic Factors
Why do we need HW2020?


Disabled persons living in poverty (Year 2000)
  14.1% in 2000 (Wisconsin)
  17.6% in 2000 (U.S.)


Disabled persons living in poverty (Year 2010)
  20.2% in 2010 (Wisconsin)
  21.8% in 2010 (U.S.)


               Source: U.S. Census Bureau, 2010

              http://www.dhs.wisconsin.gov/hw2020/index.htm
                  Mailbox: dhshw2020@dhs.wisconsin.gov        60
Other Useful Slides

HW2020 logo
Core Functions / Essential Public Health Services
 Wheel




               http://www.dhs.wisconsin.gov/hw2020/index.htm
                   Mailbox: dhshw2020@dhs.wisconsin.gov        61
Healthiest Wisconsin 2020
Our Logo




           http://www.dhs.wisconsin.gov/hw2020/index.htm
               Mailbox: dhshw2020@dhs.wisconsin.gov        62
Core Functions / Essential
Services of Wisconsin’s
Public Health System




                                                         Source: Public Health
                                                         Functions Steering
                                                         Committee July 1995
                                                         http://www.health.gov/p
                                                         hfunctions/public.htm



         http://www.dhs.wisconsin.gov/hw2020/index.htm
             Mailbox: dhshw2020@dhs.wisconsin.gov                                  63

				
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