Environmental Scan Of Existing Domains And Indicators
Environmental Scan ofExisting Domains and IndicatorsNational Committee on Vital and Health StatisticsPopulation Health Subcommittee Workshop27 September 2016Environmental Scan Final Report is available on the NCVHS website 6/06/NCVHS-Indicators-Envirn-Scan 2016-06-01-FINAL.pdf
Environmental Scan: PurposeMotivation for Scan: November 2015 NCVHS Workshop oncommunity health measures generated strong interest in learningmore about related activities in the non-health sector.Primary Purpose of Scan– Identify existing measurement frameworks, core domains,indicators, and indicator data sets in non-health and healthsectorsSecondary Purpose of Scan– Identify data sources for sub-county-level measurement ofcommunity health and well-being
Examples of indices, rankings, and community indicatorsystems reviewed for environmental scanCommunity and Neighborhood IndicatorSystems (10) Baltimore Neighborhood Indicators Alliance Boston Indicators Project Charlotte Regional Indicators Data Drive DetroitWell-being Indices (4)“Livability” Metrics, Indices, and Rankings (6) Best Places to Live 2015 (Money) Community Vision Metrics (DOT) Healthy Communities Index (HUD) Livability Index (AARP)Other Sector-specific indices, indicators (2) Leading Economic Index (Conf Board) Environmental Quality Index (EQI) Better Life Index (OECD) Canadian Index of Wellbeing Gallup-Healthways Well-Being IndexHealth Sector Indices, Rankings, and IndicatorSystems (15) Human Well-being Index (EPA) America’s Children: Key National Indicators ofWell-Being (FIFCFS) Community Health Needs Assessment(Community Commons) Community Health Status Indicators (CDC) County Health Rankings (UW PHI, RWJF) National Prevention Strategy (HHS OSG) Vital Signs: Core metrics for health and healthcareprogress (IOM)Poverty, Deprivation, and Inequality Indices (10) Gender Inequality Index (UNDP) Multidimensional Poverty Index (UNDP) Social Deprivation Index (Butler et al.) Social Vulnerability Index (ATSDR)
Environmental Scan: Observations Many more community indicator systems and well-being indicesthan those listed in the scan Developed by: Community or local organization versus expertpanel, university, national or international organization,government agency, or private company Input: “Experts” (IOM) versus community members (AARP,Gallup, Community Indicator Systems) Pivotal work: National Neighborhood Indicators Partnership(NNIP, Urban Institute) and Community Indicators Consortium(CIC) Collaboration: Recent EPA, HUD, and DOT work on LivabilityPrinciples
Environmental Scan: Observations Terminology (high level): domain, category, topic, sector,dimension, component, theme, area, priority Terminology (lower level): indicator, benchmark, measure,metric, variable Conceptual levels of domains: global to specific, from well-beingto receipt of means-tested benefits Categorization of indicators by domains: varies; each indicatorassigned to 1 domain versus several (e.g., % pop with HSdiploma education, demographics, workforce, economy) Summary measure: Metrics or indicators used to generate anoverall ranking or index, versus stand-alone indicators
Examples of DomainsTable 1. Community Indicator System DomainsBaltimore IndicatorAlliance CensusDemographics Housing andCommunityDevelopment Children andFamily Health Crime and Safety Workforce andEconomicDevelopment Sustainability Education andYouth Arts and CultureBoston IndicatorsProject Demographics Arts & Culture Civic Vitality &Governance Economy Education Environment &Energy Housing Land Use &Zoning Public Health Public Safety Technology TransportationBenton-FranklinTrends People Agriculture Culture,Recreation &Tourism Economic Vitality Education EnvironmentalSustainability Health Housing Public Safety TransportationCharlotte RegionalIndicators Arts, Recreation& Cultural Life Demographics Economy Education Environment Government &CitizenParticipation Health Housing Public Safety Social Well-Being TransportationCleveland Initiative Economicopportunity Institutions andServices Family, Child,and YouthDevelopment Safety andSecurity NeighborhoodIdentity and Pride
Most common domain names used by non-healthsector indicator systems, indices, and rankingsDomain nameNumber ofoccurrencesDomain nameNumber ofoccurrencesAmenities2Housing13Arts & Culture2Income2Crime4Living Standards2Demographics8Public Safety6Economy10Safety and Security2Education15Social tion9Health Status2Unemployment2Domains included in version 3 of the Community Health & Well-being MeasurementFramework are highlighted in light green.
Comparison of domains for the NCVHS Population Subcommittee’sFramework for Community MeasurementFramework v1Framework v2Framework v3November 2016Life ExpectancyJune 2016September esity and ublic SafetyFood and AgricultureSocial Cohesion and CivicVitalityPublic SafetyTobaccoSubstance Abuse(alcohol/drug)Air nDemographicsCommunity ess to CarePreventable HospitalizationsNote: Domain changes and additions as the Framework evolved are highlighted in green. Domains included in allversions are underlined.
Environmental Scan:Sources of Sub-county Level Data American Community Survey Decennial Census School systemsVital statistics agenciesBuilding/planning departmentsTax assessors and auditorsPolice departmentsVoting recordsHospitals and health agenciesPublic assistance agenciesPublic housing authoritiesDevelopment/budgeting departmentsBusiness/employment directoriesSource: National Neighborhood Indicators Partnership. Guernsey EH, Pettit KLS. NNIP Data Inventory 2007: A Picture of Local DataCollection Across the Country. Washington, DC: The Urban Institute; December 2007. Available Picture-of-Local-Data-Collection-
American Community Survey 2015 Household composition & relationships Demographics (age, DOB, sex, race, Hispanic origin, birth state or country, ancestry,citizenship, current marital status, # marriages, year last got married, given birth in past 12months, living with grandchildren) Education (currently in school, highest education level, English speaking ability, otherlanguage) Housing (building type, date first built, length of residence, acreage, rooms, bedrooms,plumbing, appliances, computers, Internet access & type of service, vehicles, heating fuelfor building, cost of utilities, ownership, rent, mortgage, value of building, taxes) Food assistance: Food stamp or Supplemental Nutrition Assistance Program (SNAP)recipient Health insurance coverage Disability (hearing, seeing, cognitive, mobility, ADL, IADL) Military service (Y/N, when), VA disability recipient Employment (current, location, transportation to work, commute time, laid off in past week,looking for work, when last worked, # weeks worked in past year, # hours worked per week,type of employer, kind of business, type of work, main work activities) Income (sources & amount of income in past year)Source: Census Bureau. American Community Survey (ACS): 2015 ACS Form & Instructions Available ut/forms-and-instructions/2015-form.html.
Extra Slides
Comparison of domains and subdomains for theNCVHS Population Subcommittee’s Framework forCommunity MeasurementFramework v1November 2016Outcomes Life expectancy Well-beingHealth behaviors Obesity andrelevant behaviors Tobacco Substance abuse(alcohol/drug)Physical environment Air qualitySocial and economic Education Poverty Housing SafetyClinical care Access to care PreventablehospitalizationsFramework v2June 2016Health Health outcomes Health conditions &diseases Health behaviors Health care &infrastructureEnvironment Natural environment NeighborhoodcharacteristicsEducation Educationalparticipation &attainment Educationalinfrastructure &capacityEconomy Income and wealth EmploymentPublic Safety Crime Infrastructure Perceptions of publicsafety InjuriesSocial Cohesion and CivicVitality Social cohesion Civic engagementHousing Infrastructure/capacity Availability/affordability QualityTransportation Infrastructure Use QualityDemographics Age Sex Race/ethnicity Primary language DisabilityFramework v3September 2016Health Health outcomes Health conditions &diseases Health behaviors Health care &infrastructureEnvironment Natural environment NeighborhoodcharacteristicsEducation Educationalparticipation &attainment Educationalinfrastructure &capacityEconomy Income and wealth EmploymentFood and Agriculture Food insecurityPublic Safety Crime Infrastructure Perceptions of publicsafety InjuriesCommunity Vitality Social capital Social inclusiveness Civic engagement GovernanceHousing Infrastructure/capacity Availability/affordability QualityTransportation Infrastructure Use QualityDemographics Age Sex Race/ethnicity Primary language Disability
Environmental Scan: Purpose. Motivation for Scan: November 2015 NCVHS Workshop on community health measures generated strong interest in learning more about related activities in the non-health sector. Primary Purpose of Scan – Identify existing measurement frameworks, core domains, indicators, and indicator data sets in non-health and health
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