Full report - Dotte Agency

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´╗┐FULL REPORT

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David Norris & Mikyung Baek

The Kirwan Institute for the Study of Race & Ethnicity The Ohio State University

Research Assistance: Jerry Jones, Donna Young, Margo Quiriconi, Jillian Olinger and Jason Reece

H.E.A.T. Report Funders:

TABLE OF CONTENTS

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01 EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02 WYANDOTTE COUNTY AT A GLANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06 PLACE AND HEALTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08 PLACE AND PUBLIC HEALTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 HEALTH CARE CASE STUDIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 HISTORY MATTERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 LAND USE ZONING, HEALTH RISK & ENVIRONMENTAL JUSTICE. . . . . . . . . . . . . 49 CONCLUSION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

INTRODUCTION

TO THE H.E.A.T. REPORT

For the past five years, Wyandotte County, Kansas, has consistently ranked last of the state's 105 counties for social determinants of health, according to the annual County Health Rankings published by the Robert Woods Foundation. The Health Equity Action Transformation (H.E.A.T.) project is the culmination of curiosity and commitment of the many partners who have worked tirelessly over the past three years to answer the question "why", and to provide a multi-view perspective of the health opportunities that exist (and where they do not exist) for the residents of Wyandotte County. Communities Creating Opportunity and PICO National Network have each provided project management prior to the Community Health Council of Wyandotte County's leadership of H.E.A.T., while the University of Kansas Medical Center and Children's Mercy Hospital provided valuable data on select groups of their respective hospitals' patients. The Unified Government of Wyandotte County provided key geospatial data, while the University of Kansas School of Architecture, Design and Planning provided historical maps of Wyandotte County, which were key in tying the county's past with its present state. Our philanthropic partners at the REACH Healthcare Foundation, Wyandotte Health Foundation and the Kansas Health Foundation have supported this project since its inception with financing, and their willingness to contribute strategic insight proved invaluable to project managers. The analysis of data and the ensuing report is the work of the Kirwan Institute for the Study of Race and Ethnicity at The Ohio State University.

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