All Brown County community members have access to high quality healthcare.

Percent of Adults Diagnosed with Diabetes

Current Value

8.0%

2019

Definition

https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-outcomes/quality-of-life/diabetes

Diabetes Prevalence is the percentage of adults ages 18 and above with diagnosed diabetes in a given county.
Diabetes Prevalence estimates are age-adjusted
Age is a non-modifiable risk factor, and as age increases, poor health outcomes are more likely. We report an age-adjusted rate in order to fairly compare counties with differing age structures.
In the 2022 County Health Rankings, the source for this measure switched from the United States Diabetes Surveillance System to the Behavioral Risk Factor Surveillance System.
The numerator is the number of adults 18 years and older who responded "yes" to the question, "Has a doctor ever told you that you have diabetes?" Both Type 1 and Type 2 diabetes diagnoses are included. Women who indicated that they only had diabetes during pregnancy were not considered to have diabetes.
The denominator is the total number of respondents (age 18 and older) in a county.

<p>https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-outcomes/quality-of-life/diabetes</p>

<ul>
	<li>
	<h4>Diabetes Prevalence is the percentage of adults ages 18 and above with diagnosed diabetes in a given county.</h4>
	</li>
	<li>
	<h4>Diabetes Prevalence estimates are age-adjusted</h4>
	</li>
	<li>Age is a non-modifiable risk factor, and as age increases, poor health outcomes are more likely. We report an age-adjusted rate in order to fairly compare counties with differing age structures.</li>
	<li>
	<h4>In the 2022 County Health Rankings, the source for this measure switched from the United States Diabetes Surveillance System to the Behavioral Risk Factor Surveillance System.</h4>
	</li>
	<li>The numerator is the number of adults 18 years and older who responded "yes" to the question, "Has a doctor ever told you that you have diabetes?" Both Type 1 and Type 2 diabetes diagnoses are included. Women who indicated that they only had diabetes during pregnancy were not considered to have diabetes.</li>
	<li>
	<h4>The denominator is the total number of respondents (age 18 and older) in a county.</h4>
	</li>
</ul>

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Story Behind the Curve

The health systems in Brown County who are leading this strategy work have been meeting collaboratively to review diabetes data and establish an action plan for this work in Brown County. With the known impacts of diabetes on communities' health, understanding who is receiving a diabetes diagnosis and the impacts of a diagnosis is critical to advance the health of Brown County. Initial review of diabetes data highlights that certain groups in Brown County may be experiencing higher rates of diabetes than others. With that in mind, the health systems are committed to digging deeper to understand both what they can do as individual health systems and also collaboratively as a community. A few factors are important to this work:

In the 2022 County Health Rankings, the source for this measure switched from the United States Diabetes Surveillance System to the Behavioral Risk Factor Surveillance System (which may play a role in the reported decrease from 10% in 2017 to 8% in 2019. Further data will highlight whether this was a true decrease or a result of changes to data collection methods.
Beyond Health recognizes the limitations of self-reporting from BRFSS (see above) and is actively working to collect timely and accurate local clinical data.
Alignment of work has been and will continue to be critical moving forward, working towards shared goals.

Community Strengths:

Various healthcare systems offering services in Brown County with a variety of options to access care, moving from an individual healthcare systems perspective to one that is population health-focused.
The Community Health Improvement Plan is also calling out attention to the built environment, food systems, and poverty-reduction strategies in Brown County, which has the potential to positively impact initiatives in this area.
A variety of diabetes management and support resources are offered through non-profit, clinical, and governmental agencies.
The community is focused on diabetes and its potential impacts as a shared priority.
Engagement in conversations around shared measurement tools and platforms.
Collaboratively-developed interventions to increase access to needed health services for historically underresourced groups in Brown County (example: 2022 Drug Take Back events at N.E.W. Community Clinic, coordinated by various health system partners).

Limiting Factors:

Brown County community members may feel that health is determined only by the individual choices one makes and less about the social and contextual determinants of health.
Not all community members have a medical home and/or do not have a relationship with a primary care provider.
Lack of insurance and insufficient insurance as well as high costs are known barriers to accessing care.
Gaps in early diabetes prevention education, with inadequate youth-focused efforts to support diabetes prevention.
Limited capacity of healthcare leaders coupled with complexity of multiple healthcare systems co-existing in a community.

Partners

Organizations currently engaging in this important work in Brown County include:

Advocate Aurora
Bellin Health
Prevea Health
Hospital Sisters Health System (HSHS)
N.E.W. Community Clinic
Aging and Disability Resource Center (ADRC) of Brown County
Brown County Public Health
Wisconsin Hospital Association
Wisconsin Collaborative for Healthcare Quality
Green Bay Packers
Pharmacies
Elected officials and municipal leaders
Various health-focused non-profit organizations in Brown County

Opportunities for further partnership:

The Veterans' Administration
The Oneida Nation
Insurance companies/payers
Brown County school districts
Higher education institutions
Individuals with lived experiences

What Works

Potential strategies to consider for implementation:

Youth-focused prevention education
Diabetes management programs with targeted populations
Weight management programs with targeted populations
Recruitment of and ongoing training for culturally responsive providers
Food as Medicine framing in community messaging
Active lifestyles promotion
Insurance barrier assessment and health equity promotion with payers
Shared platforms for data collection and analysis
Establishing clinical pathways to integrate goals and metrics

Strategy

In 2022 and beyond, the organizations leading this strategy work are committed to:

Engaging in enhanced data collection and alignment discussions to reflect timely, local, and accurate diabetes prevalence in Brown County.
Exploring data sharing agreements to understand and drive decision-making.
Building partnerships with the Veterans Administration and other local clinical partners not historically included in data collection methodologies.
Leverage the use of electronic medical records (EMRs) for collaboration.
Partner with statewide organizations to more deeply understand health disparities (including data-sharing platforms such as WHA/WCHQ).
Develop action plans which document shared aims and change ideas.
Engage community members with lived experience to inform and activate this work.

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.