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Using the County Health Rankings Framework to Create National Percentile Scores for Health Outcomes and Health
Matthew C Stiefel1, Tasha Straszewski1, Jennifer C Taylor2
1Center for Population Health, Kaiser Permanente Care Management Institute, Oakland, CA.
The Permanente Journal
|February 26, 2021
Summary
This study introduces a national county health comparison tool using percentile scores and population weighting. It helps identify areas of greatest need for improving population health nationwide.
Area of Science:
- Public Health
- Health Services Research
- Biostatistics
Background:
- The County Health Rankings & Roadmaps program ranks counties within states.
- A need exists for national-level county health comparisons.
Purpose of the Study:
- To develop a national county health comparison application.
- To utilize national percentile scores and population size weighting.
Main Methods:
- Calculated national percentile scores for 3078 US counties.
- Applied population size weighting for calculations.
Main Results:
- Demonstrated national county comparison, clustering, and variability analysis.
- Validated results against established ranking systems (e.g., US News, United Health Foundation).
Conclusions:
- The application enables national, regional, and service area health comparisons.
- Facilitates identification of high-need areas for a national Culture of Health.
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