Many communities around the nation are working to improve their health. But how can they measure progress? There are many ways to measure progress using the County Health Rankings. We’ve provided some tools below and in the Dig Deeper section to give guidance on how to measure progress. We do not recommend using ranks as the way to measure progress because your rank is also dependent on what is happening in other counties (see Why Ranks Change). We do however encourage using specific measures (see Understanding Trends Over Time) to track progress. Here is some guidance to help see if you are on the right track.
Use Quartiles and Ranks as a tool
Quartiles and ranks are great for garnering attention, simplifying a lot of complex data, and making comparisons between one community and another at a point in time—but they shouldn’t be used alone to measure a single community’s progress. Rather, look at them as two tools among many. Because quartiles and ranks are relative, they aren’t as helpful in isolation -- your county’s quartile and rank depends not only on what is happening in your county, but also on what happens in all the other counties in your state. In fact, if every county in a state improved its health equally, their ranks would all stay the same. So look for ranks to inform your progress measurement, not drive it. If you would like more details see the Why Ranks Change section.
Change and data take time
Be realistic about how quickly you can move the needle—it will take time for your efforts to improve your health outcomes.
- When you reduce your adult smoking rates significantly, it will still take some time before this positive change reduces the number of deaths due to lung cancer.
- When you implement an early education intervention it will be years until high school completion rates improve.
Furthermore, most data collection (via census or survey) has lag times. For example, our premature death rates represent a lag of more than two years, and to be sure that we have reliable data for communities of all sizes, we use three years of data. So, the premature death rates you see for the current Rankings reflect premature deaths from two to five years ago.
Look for more data
Different types of data may provide further insights about the health of your county. Are there data sources available for your county that aren’t included in the Rankings? Are there certain groups in your county that are doing better or worse than others in terms of health outcomes? Are there questions you want the answers to, but aren’t sure how to get there?
Take a look at some of the sources that are available to help you find and analyze more data:
- Visit your state home page to look for other state-specific sources of data to help you examine progress.
- Find data broken out into different subgroups - just because your overall health is improving does not mean that health is improving for every population group in your community. This data is now available for some measures on your county snapshot. For all measures, an indication of whether or not this data is available is provided in a pdf on the digging deeper page.
Sometimes, other sources of data won’t be available, and you may find yourself needing to do some primary data collection. If this is necessary, we strongly recommend that you contact your state health department or a local university to assist you with questions about survey design, analysis and other aspects of data collection. Feel free to contact us to get started. Learn more about collecting your own data.
Find the right measurement and evaluation tools
The Rankings provide a snapshot of your county’s health, but there may be unique indicators or aspects of your community that can tell you even more about the health of residents. Finding the right tools to determine what to measure and evaluate as you go can create a clearer picture of your community’s health and progress.
- Start by using our Action Learning Guides related to data: What Are Data?, Why Use Data?, and Improving Data Fluency
- Consider using the Gathering and Using Community-Level Indicators Tool which can help you identify and use these kinds of indicators.
- Try one of the many tools available to help you monitor process and outcome measures. Gathering Information: Monitoring Your Process is a helpful one to start with.
- Read through our Evaluate Actions Step in the Action Center to find more guidance and tools to help you monitor your progress.