Health Affairs November 14, 2019
Jessica Athens

County Health Rankings and Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, have been released annually since 2010 and report the performance of the nation’s counties across a range of more than 30 health measures. The rankings are a valuable tool for public health stakeholders undertaking community health assessment, goal setting for community health improvement, and communicating health priorities to the public.

However, in the Rankings, a county’s performance is assessed relative to others in the same state, leaving stakeholders to ask the question: How are the counties in our state doing relative to counties nationwide? In the Rankings’ current format, a county may rank as the healthiest within its...

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