Healthier WI Partnership Program

HEALTH IMPROVEMENT MODEL

The areas identified below are based on the health improvement model developed for the Healthier Wisconsin Partnership Program. The health risks are taken from Healthier Wisconsin 2010, the state's health plan. Please indicate your areas of interest and / or expertise, checking all areas that apply. Use the Control key along with your mouse to chose multiple options.

1. Major areas of health risks:

Access to primary and preventive health services Communicable diseases Environmental and occupational health hazards High risk sexual behavior Intentional and unintentional injuries Mental health and mental disorders Nutrition Overweight, obesity, and lack of physical activity Social and economic factors that influence health Substance abuse and addiction Tobacco use and exposure Other

2. Specific populations:

Children and adolescents Seniors Men Women Rural Urban Racial and ethnic populations Uninsured Disabled Other

3. Leading causes of death and disability:

Heart disease Cancer Stroke Intentional and unintentional injuries Chronic obstructive pulmonary disease Other

4. Capacity-building or systemic programs:

Community health improvement processes Sufficient and competent workforce Public health leadership and policy Other

5. Briefly describe any 'other' selections checked above:

PARTNERSHIP EXPERIENCE

Briefly describe any experience with community-medical college partnerships that you have had.

PROJECT DESCRIPTION

If you are actively working on a specific project or program idea that may include faculty partners, briefly describe it here.

GEOGRAPHIC EMPHASIS

Please indicate the area of Wisconsin that most closely reflects the geographic emphasis area of your project.

Statewide Rural Urban

CONTACT INFORMATION

Name (required field):

Title (required field):

Department (required field):

Phone:

E-mail (required field):

Would you like your email address to be added to the HWPP electronic distribution list?

 Yes No