University of Wisconsin Population Health Institute Translating Research into Policy and Practice

A n n ua l R e p o r t 2 0 0 9 Letter from The Associate Dean

Dear Colleagues: Since its founding in 1984, the Population Health Institute continues to serve as one of our best examples of the Wisconsin Idea - where the boundaries of the University extend to the boundaries of the State, and beyond. Its engagement with the com- munity in public health and health policy, serves as the foundation of the school’s transformation from a traditional medical­ school to a school that integrates public health throughout its teaching, research, and service missions. Despite significant accomplishments, both here at the University of Wisconsin and else­ where in basic, clinical, and population health research, a wide gap persists between research discoveries (i.e., what we know) and actual practice (i.e., what we do). The Population Health Institute researchers examine the process and outcomes of dissemi­ nating evidence-based public health programs and policies into practice. Research, dissemination and service projects during 2009 include: • A $5 million/3-year grant from the Robert Wood Johnson Foundation to extend the Wisconsin County Health Rankings to county rankings in all 50 states in the nation • The “Making Wisconsin the Healthiest State” project that identifies the key drivers of Wisconsin’s health and summarizes evidence on the effectiveness of over 300 policies­ and programs • The Evidence-Based Health Policy Project that focuses on methods to connect re­ searchers with policy makers, and addresses a broad range of issues in health care and public health • An evaluation research program that continues to serve as an independent evalu­ ator for many state and local projects, using a wide range of designs including both experimental and quasi-experimental approaches to assess program effectiveness and implementation • Applied public health training programs, including the Population Health Fellowship and the Healthy Wisconsin Leadership Institute In July 2009, Dr. D. Paul Moberg began serving as Acting Director when I became the Associate Dean for Public Health. The Department of Population Health Sciences is currently conducting a national search for a senior faculty member to direct the Insti- tute. With new leadership, the Institute will continue to build on its mission to translate research into practice in Wisconsin, and beyond. Patrick Remington, MD, MPH Associate Dean for Public Health Professor, Population Health Sciences University of Wisconsin Population Health Institute Translating Research into Policy and Practice

Contents

Mission Statement...... 2

Community Advisory Board...... 3

Affiliated Faculty and Investigators...... 4

Institute Leadership and Programs ...... 6 Population Health Assessment...... 7

Health Policy...... 8

Program Evaluation...... 9

Education and Training...... 10

Service Learning...... 11

American Indian Tribal-Academic Partnerships ...... 12

Community Engagement ...... 13

Executive Committee and Institute Staff...... 14

Conferences, Seminars, Publications, Programs...... 15

Budget ...... 17

Design: Media Solutions, University of Wisconsin School of Medicine and Public Health Photography: Media Solutions and University Communications Mission Statement

UNIVERSITY OF WISCONSIN Population Health Institute

Translating Research into Policy and Practice

he Institute serves as the Mission: ƒƒProvide outreach and continuing Tbridge to public health and education for practitioners health policy practitioners in the To translate public health and and opportunities for applied State, through an active citizen health policy research into policy learning for MPH, medical, advisory board, issue briefs and and practice. graduate, and other health reports, and periodic conferences professions students and educational programs. We strive to: ƒƒContribute to public health ƒƒAddress a broad range of It also serves as a focal point for and health care practice and real-world problems of topical public health and health policy policy decisions that improve importance to government, within the School of Medicine Wisconsin’s population health business, providers and the and Public Health by bringing public together faculty, staff, and students ƒƒMaintain the highest level of relevance, rigor, and objectivity interested in applying their skills ƒƒPromote partnerships of inquiry and experience to answer “real­ between researchers and users world” questions. of research, breaking down barriers between the academic community and public and private sector policy makers ƒƒAdvance the development of interdisciplinary research, along the spectrum from public health to heath care, at the University of Wisconsin-Madison and other academic settings in Wisconsin

- 2 - Community Advisory Board he Institute is guided by an 18-member Community Advisory Board, with As a former state legislator and now Tmembers from the health care, public health, business, and voluntary pharmacy school dean I believe sectors, as well as leaders from Wisconsin’s legislature. The Board meets the significant expertise and focus three to four times per year to guide the work of the Institute and provide the Population Health Institute has feedback on its programs and publications. put on translational research is a significant value-added. My service on the Population Health Institute Advisory Board Members in 2009 Advisory Board has been a rewarding and enlightening experience and I’m Bevan Baker Rep. Sandy Pasch glad I have contributed to improving Commissioner Representative healthcare access, delivery and possibly City of Milwaukee Health Department Wisconsin State Assembly health outcomes statewide. Rep. Charles Benedict Christopher Queram Representative President and Chief Executive Officer Wisconsin State Assembly Wisconsin Collaborative for Healthcare Quality Steve Brenton David R. Riemer President Director Wisconsin Hospital Association Public Policy Institute Cheryl DeMars Peggy Rosenzweig CEO Former UW Regent and Legislator The Alliance Ayaz Samadani Kurt Eggebrecht Family Physician Health Officer Dean/St Mary Regional Clinic Curt Gielow, MHA, BS Pharm. Appleton City Health Department Tim Size Executive Dean Curt Gielow Executive Director School of Pharmacy Executive Dean Rural Wisconsin Health Cooperative Concordia University Wisconsin Concordia University School of Pharmacy Arvid Tillmar Sheri Johnson Chief Executive Officer Assistant Professor of Pediatrics Diversified Insurance Services, Inc. Medical College of Wisconsin Karen Timberlake Helene Nelson Secretary Independent Consultant Wisconsin Department of Health Services Gregory Nycz Susan Turney Director Chief Executive Officer Family Health Center of Marshfield Wisconsin Medical Society

- 3 - Affiliated Faculty and Investigators

Patrick Remington, MD, MPH, has over 25 years experience in public health research and practice, with a focus on measuring and monitoring the health of populations.

D. Paul Moberg, PhD, brings extensive experience in program evaluation and evaluation research, specializing in substance abuse prevention and treatment.

David Kindig, MD, PhD is a Professor Emeritus in Population Health Sciences and Emeritus Vice-Chancellor for Health Sciences at the University of Wisconsin and is a nationally- recognized expert in population health. He has many years of experience in health administration and policy.

Tom Oliver, PhD, MHA, is a leading scholar in the area of national, state, and local health system reform, focusing on the process of policy development, design and implementation.

Barbara Wolfe, PhD is a Professor of Economics, Population Health Sciences, and Public Affairs and Faculty Affiliate at the Institute for Research on Poverty. Her research focuses on poverty and health issues; expansions in public health insurance on health-care coverage and labor force outcomes; the role of income on health; the adequacy of resources for retirees; the effects of welfare reform; ties among income, wealth, and health; and racial disparities in health.

Thomas DeLeire, PhD is an associate professor of population health sciences, public affairs and economics at the University of Wisconsin-Madison. His research focuses on health and labor economics. His recent work is on economic mobility, family structure, choice of occupation, health insurance, and the well-being of poor households. From 2005 to 2007, DeLeire was a senior analyst at the Congressional Budget Office and from 2002 to 2003, he was senior economist for labor, health, and education for the Council of Economic Advisers.

- 4 - Affiliated Faculty and Investigators

Thomas J. Kaplan, PhD, is a senior scientist at the Institute for Research on Poverty at the University of Wisconsin who’s research interests are welfare reform and child support policy and evaluation, with special emphasis on program management and Wisconsin state government programs, and the history of health and social welfare programs.

Susan Zahner, DrPH, RN is an associate professor in the School of Nursing, University of Wisconsin-Madison. Research interests include local public health system performance; public health performance measurement; public health nursing practice improvement; public health workforce development; and evaluation of continuing education approaches for public health nursing preceptors.

Jonathan Jaffery, MD, through collaboration with the Center for Health Systems Research and Analysis (CHSRA), took on the role of Chief Medical Officer for the Wisconsin Department of Health Services, Division of Health Care Access and Accountability (i.e., Medicaid). This position allows him to combine his clinical experience and public health interests to help inform health policy for a large population throughout Wisconsin, through the biggest payer in the state, Medicaid. His clinical interests include Chronic Kidney Disease (CKD), and Kidney Disease Prevention.

Lindsey Leininger, PhD, is a health policy researcher whose work focuses on public policy regarding the uninsured, the impact of recent public insurance expansions on the insurance coverage of older adolescents, the effects of partial-year insurance coverage on children’s access to health care as well as the association between family structure, insurance coverage, and access to care and evaluating the impacts of recent reforms to Wisconsin’s Medicaid program.

Paul Peppard, PhD conducts NIH-funded epidemiologic research on sleep disorders and is an investigator for the Survey of the Health of Wisconsin (SHOW), a statewide research study designed to measure a broad range of health conditions in Wisconsin. Other areas of current interest include health disparities, summary measures of population health, and population health monitoring.

John Mullahy, PhD is an economist who specializes in health economics. Prof. Mullahy co- directs the Robert Wood Johnson Foundation-supported Health & Society Scholars Program, the NIMH-supported predoctoral training program in Health and Mental Health Economics, and the Merck Company Foundation-supported predoctoral training program in Health Economics.

- 5 - Institute Leadership and Programs he Institute is led by nationally-recognized leaders in applied public health and health Tpolicy research. Our progress during 2009 could not have been achieved without the ongoing contributions from members of our Community Advisory Board and support from the University of Wisconsin School of Medicine and Public Health and the Wisconsin Partnership Program. The Programs of the Institute Population Health Assessment: Monitors and assesses the major components of population health: health outcomes, health determinants and programs and policies.

Health Policy: Engages in research, consulting, and analysis in partnership with Wisconsin’s leading public and private sector policy makers in health and health care, focusing especially on cost, financing, access, and quality.

Program Evaluation: Conducts evaluation projects in many areas of public health, including substance abuse prevention and treatment, maternal and child health, school health promotion and related areas.

Education and Training: Connects the Institute to the public health and health care community in the state through seminars, conferences, training programs, and an active website. Cross-Cutting Themes Service Learning: Serves as a population health ‘laboratory’ for learning, where graduate students and fellows apply their skills to real-world issues.

American Indian Tribal-Academic Partnerships: Builds and maintains research evaluation and service initiatives with Wisconsin’s American Indian communities and the Great Lakes Inter-Tribal Council (GLITC)

Community Engagement: The Institute fosters strong partnerships between the University of Wisconsin and population health practitioners and policy makers through all of its programs.

Evidence-Based Practice: The Institute seeks to evaluate and disseminate evidence-based policies practices through its programs.

- 6 - Population Health Assessment

Major Projects Making Wisconsin the ƒƒ Mobilizing Action Toward Community Healthiest State Health (MATCH) In July 2009, the Institute published the ƒƒ Making Wisconsin the third in a series of major reports from Healthiest State the “Making Wisconsin the Healthiest ƒƒ Catalysts for Action Toward State Project”: What Works? Policies Community Health Improvement and Programs to Improve Wisconsin’s (CATCH) Health. This report is a summary of a wide scan of research for evidence of ƒƒ National Opinion Survey on effectiveness for policies and programs Health and Health Disparities addressing the multiple drivers of health. The report is supplemented by Mobilizing Action Toward a more in-depth database of over 360 Bridget Booske, PhD, Program Director Community Health policies and programs, available at http://WhatWorksForHealth.wisc.edu. (MATCH) Description: The Institute monitors health and health The Mobilizing Action Toward What Works? Policies and Programs disparities in communities; to Improve Wisconsin’s Health Community Health (MATCH) project DRIVERS OF HEALTH

Health Behaviors HEALTH OUTCOMES reviews evidence on policies Reduce is a major new project that began on EFFECTIVE preventable illness and disability POLICIES Social & Reduce AND Physical Environment preventable death PROGRAMS Reduce and programs to inform health January 1, 2009 with funding from the health disparities Health Care & ems policy, program planning, and Robert Wood Johnson Foundation. The Public Health Syst evaluation; and disseminates goals of the project are to: Draft for discussion, January 2009 information in user-friendly 1. Create a call to action by publishing formats to motivate action toward County Health Rankings in every state

Partnership Program, Funded by the Wisconsin community health improvement. The hool of Medicine and Public Health 2. Engage policy makers and other University of Wisconsin Sc pulation Health Institute University of Wisconsin Po alth Sciences program provides opportunities community leaders from multiple sectors Department of Population He for population health graduate in partnerships to improve population and MPH students to engage in health, and the analysis, interpretation, and 3. Develop incentive models to stimulate communication of health data to multi-sectoral action toward community Wisconsin’s public health and health health improvement policy community. The initiative to expand the County Health Rankings to other states across Primary Partners: National, the United States includes not only state and local public health a significant expansion of our data organizations and policy makers. collection activities but also a major investment in community engagement and outreach activities with state (back row) Pat Remington, Julie Willems Van and local health departments across Dijk, Anna Graupner, Bridget Booske the nation and multiple national (front row) Kirstin Siemering, Joan Fisher, Alison Bergum stakeholder organizations, as well as the development of a comprehensive new website: www.countyhealthrankings.org. - 7 - Health Policy

Highlights from 2009 Evidence-Based Health include the following: Policy Project (EBHPP)

ƒƒ Continued a multi-faceted The EBHPP, a partnership with the evaluation of BadgerCare Plus, La Follette School of Public Affairs in partnership with Wisconsin’s and the Wisconsin Legislative Department of Health Services, Council, connects lawmakers and and supported by the Robert Wood researchers, along with public and Johnson Foundation. Evaluation components focus on enrollment private sector decision leaders to and continuity, affordability, advance Wisconsin’s health. take-up and crowd-out, and the Donna Friedsam, MPH, Program Director impact of various health promotion ƒƒ Provides policy makers, in both the interventions. public and private sectors, with timely, Description: The Institute’s nonpartisan, high-quality information ƒƒ Attained a five-year contract with health policy programs connect for evidence-based decision making; Health Resources and Services the University of Wisconsin School and increases involvement of Administration (HRSA) support to extend the BadgerCare Plus of Medicine and Public Health to University of Wisconsin research and evaluation to the new Core Plan Wisconsin’s leading public and private teaching activities in topical issues of and expand the analysis to health sector policy makers in the public state public policy. care utilization trends and health health and health care arenas, with ƒƒ Designated as a core community outcomes. particular focus on cost, financing, engagement component of the ƒƒ Mentored two La Follette and access, and quality. Evidence and University of Wisconsin School of one MPH/ La Follette graduate Medicine and Public Health Institute analyses are communicated through students as project assistants, and for Clinical and Translational Research engaged two economics doctoral Issue Briefs, consultancies, briefings, - Community Academic Partnership students on BadgerCare research. forums, symposia, and collaborative (ICTR-CAP) ƒƒ Initiated a study of Black-White research. ƒƒ Produced briefings and forums in racial disparities in health care Primary Partners: Legislators 2009 addressing: nursing shortages; outcomes, focusing specifically on Google’s gaps in policy research; rates of diabetes leg amputations, and their aides, executive agency medical homes and retail clinics; in collaboration with the Wisconsin leadership and their staff, collection and reporting of data on Collaborative for Healthcare health care purchasing payer quality and costs; and the relationship Quality. organizations, and provider between supply, utilization, ƒƒ Served on several government associations. expenditures, and outcomes. and industry committees including Wisconsin BadgerCare Plus Advisory Committee, Wisconsin Collaborative for Health Care Quality Aligning Forces for Quality Initiative and the Wisconsin Hospital Association Quality Steering Committee

Evidence-Based Health Policy Project Team BadgerCare Project Team - 8 - Tom Oliver, Emma Hynes, Lilly Shields, Liz Feder (back row) Kristen Voskuil, Daphne Kuo, Lindsey Leininger, (front row) Donna Friedsam, Laura Dague, Tom DeLeire, Shannon Mok Program Evaluation he Program Evaluation group Examples of the Twas involved in 24 actively- funded projects during 2009. These services provided: projects cut across many areas • Designing and implementing of population health and used comprehensive program a diversity of approaches. The evaluations largest areas are substance abuse, • Developing a wide range of prevention, and health promotion. evaluation designs and needs assessments Projects included: • Developing data collection methods and survey instruments ƒƒA Centers for Disease Control and • Monitoring program services Prevention funded study of Fetal D. Paul Moberg, PhD, Program Director (e.g., measuring progress in Alcohol Syndrome (FAS); reaching program objectives) ƒƒTwo Substance Abuse and assistance to the Department of • Conducting qualitative research, Mental Health Services Corrections to examine disparities in including content analysis, intensive interviews, focus groups Administration (SAMHSA) funded parole revocation. and site visits and statistical state projects—the Strategic We are also working with partners analysis of data from surveys and Prevention Framework State program-specific data sets Incentives Grant (SPF-SIG) and to evaluate statewide mental health programs; nutrition; physical activity • Conducting rigorous evaluation Wisconsin’s Screening, Brief research in many areas of public Intervention, Referral and and fitness programs in schools. health and human services Treatment (SBIRT) grant; Description: This unit conducts ƒƒA National Institute on Drug Abuse evaluations of programs in public funded study of Recovery Schools health and human services. The for high school students with evaluation group also maintains substance use disorders; directly-funded evaluation research projects, rigorously evaluating ƒƒEvaluation of correctional innovative programs using programs providing treatment experimental and quasi-experimental alternatives for offenders with designs. substance abuse problems. Primary Partners: Community, Another area is evaluation of tribal and State governmental Charlanne FitzGerald, Janae Goodrich, programs targeting populations organizations; collaboration with D. Paul Moberg, Tim Connor, Robin Lecoanet, experiencing health disparities. other University of Wisconsin Christine Niemuth, Alison Bergum, These include Native American researchers and practitioners. Nancy Eberle, Sarah Linnan health, partnering with the GLITC; programs targeting African American and Latino health, partnering with the WI Division of Public Health; and - 9 - Education and Training

Community Teams Program Healthy Wisconsin The cohort of 5 community teams Leadership Institute graduated from the program in September 2009. The fourth cohort ƒƒThe mission of this (2009-2010) includes a record collaborative program of the 9 teams representing community University of Wisconsin School health initiatives in Brown, Calumet, of Medicine and Public Health Chippewa, Eau Claire, Green Lake, Milwaukee (2), Polk and Winnebago and the Medical College of Counties. The teams are addressing Wisconsin is to enhance the skills health issues from cancer to and leadership capacity of the substance abuse and physical activity State’s public health workforce. and nutrition. ƒƒCommunity Teams Program: Marion Ceraso, MHS, Program Director Participant Feedback on A year-long program for 5 to Community Teams Program 9 teams focused on building “Our team brought back skills that Description: The Education and public health and collaborative can immediately be applied to our Training Program offers seminars, leadership skills as they work to community’s needs [and] efforts to conferences, and applied training address a priority health issue in improve physical activity in Fox River and continuing education Valley.” their community. programs to community and public Kurt Eggebrecht health practitioners. ƒƒRegional Workshops: A series Health Officer, Appleton Health Dept. of targeted one-day workshops Primary Partners: A diversity of offered in community settings on organizations and individuals from priority topics identified through non-profit academic, governmental, collaboration with regional business and local public health partners. Topics have included sectors working to improve the conflict management, coaching health of the State of Wisconsin. and mentoring, and policy Key Activities approaches to improving health. ƒƒ Wisconsin Population Health Fellowship Program ƒƒ Healthy Wisconsin Leadership Institute ƒƒ First Monday Seminar Series ƒƒ Population Health Conferences

Community teams program participants

Leadership Institute Workshop - 10 - Service Learning

2009 Population Health Practice Fellows • Evan Cole, MPH • Marjory Givens, MPH, PhD • Sara Kazmierczak, MS • Courtenay Kessler, MS • Raisa Koltun, MPH • Kate Konkle, MPH • Samantha Perry, MPH • Marisa Stanley, MPH

Marjory Givens, Raisa Koltun, Courtenay Kessler, Sara Kazmierczak, Evan Cole, Samantha Perry, 2009 Graduate Student Marisa Stanley, Kate Konkle Assistants across the Institute WI Population Health Description: Each of the Fellowship Program Institute’s programs provides • Penny Black students and fellows the • John Bowser his two-year fellowship program opportunity to “learn while doing.” • Erika Cheng Tprovides recent masters level This focus on service learning • Jared Collins graduates with service and training adds to coursework that students • Laura Dague opportunities in community based, take in the Population Health MS/ • Kristin Gallagher non-profit, governmental and PhD program, or in the applied • Matt Gigot health service organizations. The coursework offered as part of the • Anna Graupner primary goal of the Fellowship Master of Public Health (MPH) • Julie Halverson Program is to develop the next program. The Institute serves as • Emma Hynes generation of public health a population health ‘laboratory’ • Noah Ives practitioners skilled in planning, for learning, where students apply • Shannon Mok implementation, and evaluation of their skills to real-world issues and, • Karen Odegaard public health programs. in turn, have an opportunity to • Clare O’Connor publish results as issue briefs, in • Hyojun Park the Wisconsin Medical Journal, or in • Matt Rodock named publications. • Lillian Shields • Kyla Taylor Primary Partners: State and • Julie Woulfe local health and health care leaders who provide service learning opportunities for students working in the Institute, or for fellows in the Wisconsin Population Health Fellowship. Front row: Sara Kazmierczak, Barbra Beck, Marisa Stanley, Courtenay Kessler, Evan Cole - 11 - Back row: Jim Vergeront, Kate Konkle, Lesley Wolf American Indian Tribal-Academic Partnerships nstitute staff members have lead ƒƒContinued the evaluation of Great Lakes Native Iresponsibility, on behalf of the GLITC’s Honoring Our Children American Research University of Wisconsin School project, ongoing since 1998, Center for Health of Medicine and Public Health, and the related Honoring for building and maintaining Our Families and Urban/Rural We have joined with the Great Lakes Inter-Tribal Council and research and service initiatives Outreach projects Wisconsin’s tribal and urban with Wisconsin’s American Indian ƒ Indian clinics through the National communities and the Great Lakes ƒConsulted with Alexandra K. Institutes of Health and Indian Native American Research Center Adams, MD, PhD (University Health Service-supported Great for Health. The Institute provides of Wisconsin Department of Lakes Native American Research technical assistance, training, and Family Medicine) on the process Center for Health. A joint evaluation services for programs evaluation of the Healthy Memorandum of Understanding that address maternal and child Children, Strong Families, governs this relationship, based health, and the delivery of health Supportive Communities project, on collaboration, tribal self- care services. a child obesity prevention determination, and respect program in tribal communities for tribal sovereignty. This The following projects th partnership includes several were ongoing in 2009 ƒƒConvened the 5 Annual research projects, ranging from American Indian Health Sciences preventing childhood obesity to ƒƒContinued to convene the Day, with over 150 American cancer surveillance, and a student University of Wisconsin Native Indian student participants from development component aimed American Health Work Group around the State toward bringing American Indian youth into the sciences and health ƒƒRepresented the University of professions. Wisconsin School of Medicine and Public Health in the Native American Research Center for Health (NARCH) partnership with the Great Lakes Inter-Tribal Council (GLITC)

ƒƒCollaborated with GLITC in developing grant proposals for several public health programs

- 12 - Community Engagement

Public/Governmental Agencies • Wisconsin Department of Health Services • Wisconsin Legislative Council • Wisconsin Department of Corrections • Wisconsin Department of Public Instruction • Wisconsin Department of Employee Trust Funds • National Institute on Drug Abuse Community Teams Alumni Panel • Centers for Disease Control and Prevention • Wisconsin Office of Justice Assistance he “Wisconsin Idea” envisions in-kind, and some simply collegial, • Substance Abuse and Mental Health Tclose working relationships include entities in the public Services Administration throughout the State of Wisconsin, and private sector as well as in such that “the beneficent influence other departments and centers Private and Not-for- of the University reaches every within the University. Institute Profit Agencies family in the State.” Institute participation may be based on staff members regularly engage grants and contracts, in-kind • Alliance Employer Health Care with colleagues and partners commitments, or colleagueship. Cooperative and Alliance Foundation in programs, applied research, The list provides a selected view • Aurora Health Care, Inc. program evaluation, committees, of the myriad organizations with • Great Lakes Inter-Tribal Council, Inc. consulting, proposal development which Institute staff collaborated • Medical College of Wisconsin • The Robert Wood Johnson and other activities. These and/or consulted in 2009. Foundation partnerships, some funded, some • United Way of Dane County, Wl • UW Medical Foundation • Wisconsin Education Association • Wisconsin Hospital Association • Wisconsin Medical Society • Wisconsin Nursing Association • Intertribal Council of Michigan • Wisconsin Association of Drug Court Professionals • Wisconsin Collaborative for • Healthcare Quality • Women, Infants and Children Association

- 13 - Executive Committee and Institute Staff

he Population Health Institute Institute Staff in 2009 Tsupports the mission of David Ahrens, MS, Researcher our newly integrated School of UW Comprehensive Cancer Center Medicine and Public Health by Jessica Athens, MS, Associate Researcher translating public health and health Alison Bergum, MPA, Associate Researcher policy into practice. We consider Bridget Booske, PhD, MHSA, Senior Scientist Director, Population Health Assessment our work as the most recent Jennifer Buechner, BS, Research Specialist embodiment of the Wisconsin Idea John Bowser, MS, Research Specialist by working with government and Marion Ceraso, MHS, MA community toward a healthier Director, Education and Training Wisconsin. We merge the Colleen Comeau, AAS Gordon T. Ridley University Services Associate II burgeoning body of public health Senior Associate Dean for Administration Tim Connor, MS, MA, Associate Researcher knowledge with the realities of and Finance, Associate Vice Chancellor for Medical Affairs Nancy Eberle, MPH, Assistant Researcher behavior, culture, resources and Liz Feder, PhD, Associate Researcher institutional interests to create Joan Fischer, MA, Editor strategies that make a difference Executive Committee Charlanne FitzGerald, MPH, Researcher in the health of our citizens across Gordon T. Ridley, Chair Donna Friedsam, MPH the full spectrum of our society. Senior Associate Dean for Administration Health Policy Programs Director and Finance Janae Goodrich, BA, Research Specialist The Executive Committee provides David A. Kindig Barbara Hill, MSSW, Researcher Senior Advisor guidance to the Director on the Bryan Hoeft UW Population Health Institute Administrative Program Manager performance of the Institute, Professor Emeritus Aimee Hugl, Research Specialist reviewing goals and objectives Katharyn May Ceri Jenkins, Senior Outreach Specialist Dean and Professor and evaluating accomplishments Nathan Jones, PhD, Researcher School of Nursing through this annual report. UW Comprehensive Cancer Center Dennis Dresang Amanda Jovaag, MS, Associate Researcher Professor David Kindig. MD, PhD, Senior Advisor La Follette School of Public Affairs Judy Knutson, University Services Associate II F. Javier Nieto Robin Lecoanet, JD, Associate Researcher Chair, Department of Population Health Sarah Linnan, BS, Research Specialist Sciences Professor, Population Health Sciences and D. Paul Moberg, PhD Family Medicine Deputy Director and Senior Scientist Christine Niemuth, BA, Research Specialist Patrick Remington Professor, Department of Population Health Tom Oliver, PhD, Associate Professor Sciences Patrick Remington MD, MPH, Director Associate Dean for Public Health Ron Cisler Kirstin Siemering, DrPH, RD, Researcher Director Center for Urban Population Health Carrie Sullivan, MPH, Outreach Specialist Susan Goelzer Kit Van Stelle, MA, Researcher Department of Anesthesiology Department of Population Health Sciences Kristen Voskuil, MA, Associate Researcher Julie Willems Van Dijk, PhD, RN Associate Scientist Lesley Wolf, University Services Associate II

- 14 - Conferences, Seminars, Publications, Programs

Real Talk Real Action Conference. Monona Lowell Keppel, MD, CPE, FAADP, FACPE, Chairman Institute-Sponsored Terrace Convention Center, Madison, WI, of the Board and Immediate Past President, Seminars January 29-30, 2009 Wisconsin Academy of Family Physicians; Ken Berndt, Director of Business Development, Community Organizing: Direct Action and Power “Participatory Photo Mapping: An Integrated Bellin Hospital, Fast Care Program Relationships. Midwest Academy Milwaukee, Method for Health and Place Research” February 25, 2010 October 8, 2009 Suzanne Gaulocher, MPH, Wisconsin Health Care Quality, Effectiveness, and Value: Population Health Fellow Madison/Dane 4th Street Forum: Bad Habits, Medical Costs How Might State of Wisconsin Investments County Health Department, Samuel F. Dennis, and Individual Responsibility. Midwest Academy, Pay Off? Christopher Queram, CEO of the Jr., PhD, RLA, ASLA, Assistant Professor Wisconsin Dells, March 2, 2010 Wisconsin Collaborative for Health Care Quality, Landscape Architecture & Nelson Institute for th The 5 Annual American Indian Health Sciences moderated the discussion. Speakers included Environmental Studies, University of Wisconsin. Day. Health Sciences Learning Center, Madison, Julie Bartels of the WI Health Information February 2, 2009. WI, April 3, 2009 Organization (WHIO), Lisa Ellinger of the “Bisphenol A: Science, Politics and Endocrine 4th Street Forum: Babies Dying, Wisconsin’s Department of Employee Trust Funds (DETF), Disruptors” Susanne Rust, Science Reporter, Epidemic. Appleton, July 7, 2009 and Jonathan Jaffery, Chief Medical Director of Milwaukee Journal Sentinel, Henry A. Anderson, Medicaid and BadgerCare Programs. MD, Chief Medical Officer, Wisconsin Division of Smart Regulation: Can New Types of Public Health. March 2, 2009. Governance Improve Health? Health Sciences Learning Center, Madison, WI, October 9, 2009 Peer Reviewed “The Medical Home and Health System Reform” Barbara Starfield, MD, MPH, Professor, Publications Department of Health Policy and Management, Capitol Briefings Primary Care Policy Center, Johns Hopkins Getzin AE*, Knox KE, Bergum A, Read L, Bloomberg School of Public Health. April 6, and Forums by the Jenkins C, Rieselbach R, Kniss, C, Oliver TR, 2009. Evidence-Based Health Friedsam, D. Wisconsin Physician Opinions on Health Care Reform. Wisconsin Medical Journal “Great Expectations: Health Reform and the Policy Project 108(6), 302-309, 2009. Obama Administration” Jonathan Oberlander, PhD, Associate Professor of Social Medicine January 8, 2009 Remington PL, Moberg DP, Booske BC, Ceraso and Health Policy and Administration, University Rx for RNs: Addressing the Nursing Shortage. M, Friedsam D, Kindig DA. Dissemination of North Carolina at Chapel Hill. May 4, 2009. Katharyn May, Dean of the University of Research: The University of Wisconsin Wisconsin School of Nursing, Janet Allan, Population Health Institute. Wisconsin Medical “Health Care Reform in 2009: You Can’t Always Dean of the University of Maryland School Journal 108(5):236-239, 2009. Get What You Want” Thomas Oliver, PhD, of Nursing, Judy Warmuth, Vice President for Professor, Department of Population Health Rigby E, Soss J, Booske BC, Rohan AM*, Workforce Development at Wisconsin Hospital Sciences, University of Wisconsin School of and Robert SA. Public Responses to Health Association, and Senator Judy Robson, Medicine and Public Health, October 5, 2009. Disparities: How Group Cues Structure Support Wisconsin State Legislature. for Government Intervention. Social Science “The Social Epidemiology of Alcohol Use February 19, 2009 Quarterly 90(5): 1321-1340, 2009. and Related Problems in Wisconsin” D. Paul Accountable Care Organizations: A Path Moberg, PhD, Research Professor, Department Rohan AM*, Booske BC, Remington PL. Forward to Quality and Savings.Elliott Fisher, of Population Health Sciences, University Using the Wisconsin County Health Rankings MD, MPH, Dartmouth Medical School and of Wisconsin School of Medicine and Public to Catalyze Community Health Improvement. The Dartmouth Institute for Health Policy and Health, December 7, 2009. Journal of Public Health Management and Clinical Practice Practice 15(1): 24-32, 2009. March 3, 2009 Kindig DA, Mullahy J, Robert S. The Health and Institute-Sponsored Google’s Gaps: The Art of Policy Research on Society Scholars Program at the University of Conferences and Healthy the Internet. Catherine Arnott Smith, PhD and Wis consin-Madison. Wisconsin Medical Journal Dr. Greg Downey, PhD, University of Wisconsin 108(5): 275, 2009. WI Leadership Programs School of Library and Information Studies Improving Your Community’s Health: Policy April 7, 2009 Change in the Real World. Milwaukee, January Medical Homes and Retail Clinics: 15, 2009 Complementary Care or Conceptual Clash? Barbara Starfield, MD, MPH, Professor, Johns Hopkins Bloomberg School of Public Health;

- 15 - Evidence-Based Health Policy Project: Research, Oliver TR, Trubek L, Mokrohisky M, Liang Selected Abstracts and Analysis, Education, Dialogue. Ceri Jenkins, CM. Using the Tools of New Governance Presentations Donna Friedsam. Poster Presentation at the to Advance Cancer Detection, Care, and UW Department of Population Health Sciences Survivorship. Wisconsin Medical Journal Research into Practice: Making Wisconsin Symposium. Madison, WI. August 27, 2009. 108(5): 277278, 2009. the Healthiest State. David A. Kindig, Wausau Lessons from the States: Using Community Ceraso M, McElroy JA, Kuang X, Vila PM, Du Community Health Forum, January 2009 Level Data to Drive Policy and Assess X, Lu L, Ren H, Qian N, Jorenby DE, Fiore MC. Preliminary Results: Evaluating Wisconsin’s Progress-Wisconsin County Health Rankings. Smoking, Barriers to Quitting, and Smoking- BadgerCare Plus Reform Package. Effects Julie Willems Van Dijk, National Governors related Knowledge, Attitudes, and Patient on Enrollment, Efficiency, and Churning. Tom Association National Children’s Summit, Practices Among Male Physicians in China. DeLeire, Tom Oliver. Panel Presentation. RWJF Washington, DC. September 2009 Preventing Chronic Disease 6(1): 1-6, 2009 SHARE Annual Grantees Meeting, Philadelphia, Recovery High School Models of Continuing PA, February 12, 2009. Care for Adolescents with Substance Use Issue Briefs** Evaluating Wisconsin’s BadgerCare Plus Reform. Disorders. D. Paul Moberg, PhD, Andrew J. Lindsey J. Leininger. Presentation at the Annual Finch, PhD, Amanda L. Krupp, Addictions Health Connor T, Ziege A. Co-Occurring Mental and Meeting of the Robert Wood Johnson Health Services Research Conference, San Francisco, Physical Health Conditions in Wisconsin: and Society Scholar Program. May 2009. CA. October 28, 2009 Implications for Health Care Delivery. UW Evidence-Based Policies and Practices to County Health Rankings. Bridget C. Booske, Population Health Institute, Issue Brief, Vol Reduce the Harm Caused by Alcohol Use in Patrick L. Remington, Julie Willems Van Dijk, 9(3), August 2009. Wisconsin. D. Paul Moberg, PhD, Lecture for American Public Health Association Annual Diage, T. Menu Calorie Postings in Restaurants: the Wisconsin Idea Forum--Addressing Alcohol Meeting, Philadelphia, PA. November 2009 Policy Intervention to Prevent and Reduce Abuse Through Public Policy: Finding Common Evaluating Wisconsin’s BadgerCare Plus Reform: Obesity. UW Population Health Institute, Issue Ground. University of Wisconsin-Eau Claire. Research and Policy Perspectives. Lindsey J. Brief, Vol 9(4), November 2009. May 14, 2009 Leininger. Presentation at the Annual Meeting Friedsam D and Pfefferkorn B. Medical Homes Population Health is Everybody’s Business. of the Association for Public Policy Analysis and and Retail Clinics: Policy Considerations for David A. Kindig, National Business Coalition on Management. November 6, 2009. Accountable Health Care. UW Population Health. National Health Leadership Council. Health Institute, Issue Brief. Vol. 9(1). March June 2009 Brief Reports** 2009. Alcohol and Drug Abuse in Wisconsin. O’Connor C*, Stiegler P. Out-of-Hospital D. Paul Moberg, PhD, Milwaukee Columbia - St. Taylor KW*, O’Connor CE*, Athens JK, Sudden Cardiac Arrests: Advancing the Use of Mary’s Forum on Drug Abuse Prevention and Booske BC. Key Articles on Population Health Cardiocerebral Resuscitation (CCR) to Improve Treatment. Milwaukee and Mequon. June 30, Published in 2008. UW Population Health Survival. UW Population Health Institute, Issue 2009 Institute, Brief Report 4(1), 2009. Brief, Vol 9(2), July 2009. The Lab Reports: Evaluating State’s Actions to Expand Access & Coverage. Tom DeLeire. Panel Presentation to the Academy Health Other Reports *student or trainee author Annual Research Meeting. Chicago, IL. June 30, **Booske BC, Kindig DA, Nelson H, Remington PL. ** Publications available at http://uwphi. 2009. What Works? Policies and Programs to Improve pophealth.wisc.edu/ Practical Issues in Comparative Analysis. Wisconsin’s Health. University of Wisconsin Patrick L. Remington, AcademyHealth Public Population Health Institute, July 2009. Health Systems Research Methods Meeting, **Friedsam D, Leininger L, Bergum A, Mok Chicago, IL. July 2009 S, Aksamitauskas M, Oliver TR, and DeLeire Wisconsin BadgerCare Plus Health Insurance T. Wisconsin’s BadgerCare Plus Coverage Expansion: Evaluating Enrollment, Take-Up, and Expansion and Simplification, Early Data Continuity of Coverage. Lindsey J. Leininger, on Program Impact. SHADAC/Robert Wood Donna Friedsam, Alison Bergum, Tom DeLeire, Johnson Foundation, October 2009. Shannon Mok. Poster Presentation at the UW Wilton G, Moberg DP, Fleming MF. The Effect Department of Population Health Science of Brief Alcohol Intervention on Postpartum Symposium. Madison, WI. August 27, 2009. Depression. American Journal of Maternal Child Nursing 34(5): 297-302, 2009.

- 16 - Budget

uring 2009, the Institute had a A. State Agencies C. UW School of Dtotal budget of approximately (including federal Medicine and $4.4 million. This funding was from pass-through) Public Health a diverse mix of sources, including the Wisconsin Partnership Wisconsin Division of Public Health Core SMPH Funds ($390,000) ($176,000) Programs (Blue Cross/Blue • Wisconsin County Health Rankings • System-Based Diabetes Prevention and • Issue Briefs and eNEWS Shield conversion), Wisconsin Control Program • Conferences and Seminars state agencies, federal agencies, • Evidence-Based Practices & Monitoring for core funds from the UW School Healthiest Wisconsin 2010 • Native American Health of Medicine and Public Health, • InfoLinks eHealth Project Wisconsin Partnership Programs several foundation and other non- • BadgerCare Plus ($1,035,000) • Population Health Fellowship Program profit sources. The following graph Wisconsin Division of Disability and summarizes funding source as Elder Services ($596,000) • Healthy Wisconsin Leadership Institute percent of total: • Strategic Prevention Framework State • Making Wisconsin the Healthiest State Incentives Grant Wisconsin • What Works: Reducing Health Disparities • Mental Health Program Evaluation Services • Evidence Based Health Policy Program • Screening, Brief Intervention Referral and • FIT WIC/FIT Families Direct Federal Funding Treatment Program 2% • Honoring Our Children Urban/Rural Project • Strategic Prevention Framework State • Symposium on New Governance Incentives Grant South Dakota Wisconsin Department of Corrections D. Foundations and Other ($99,000) State Agencies Nonprofit Sources 22% UW SMPH • Study of Offender Revocation 33% • Treatment and Diversion Program Great Lakes Inter-Tribal Council ($68,000) WI Dept of Transportation ($22,000) Foundation and • Honoring Our Families • Victim Impact Panel Evaluation other Nonprofit • Honoring Our Children—Healthy Start Sources WI Dept of Health Services ($75,000) Robert Wood Johnson Foundation 43% • Service Integration for Chronic Disease (RWJF) ($1,829,000) WI Medical Society Foundation • BadgerCare Plus Performance Review ($12,000) • Mobilizing Action Toward Community Health • Board of Director Support (MATCH) • Catalysts for Action Toward Community B. Direct Federal Health (CATCH) Funding ($99,000) Sawyer County, WI ($10,000) • Fetal Alcohol Syndrome Prevention and • Evaluation of Sawyer County Drug Court Surveillance (CDC) • Recovery Schools as Continuing Care for Adolescent Substance Abuse (NIDA)

- 17 - UNIVERSITY OF WISCONSIN Population Health Institute

Translating Research into Policy and Practice

POPULATION Health Sciences

University of Wisconsin MADISON

Contact Information University of Wisconsin Population Health Institute Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health 528 WARF Building 610 Walnut Street Madison, WI 53726-2336

Phone: (608) 263-6294 Fax: (608) 262-6404

http://uwphi.pophealth.wisc.edu/