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Event Date: 

Monday, April 1, 2019 - 12:00pmReThink Health and MIT Sloan School of Management

Event Location: 

1335 Health Sciences Learning Center

Contact Info: 

Rosalind Bendix-Lewis, (608) 265-0516

PHS Monday Seminar- Bobby Milstein, PhD, MPH & Jack Homer, PhD: "Tangled Up in Threats & Costs: How Can Data-Based Dynamic Systems Modeling Reveal Which Priorities are Most Important for County Health and Well-Being"

An Illustrative Study of Potential Intervention Portfolios in Large Urban Counties
Presented by:

Bobby Milstein
Director of System Strategy, ReThink Health
Visiting Scientist, MIT Sloan School of Management


Jack Homer
Senior System Dynamics Consultant, ReThink Health
Research Affiliate, MIT Sloan School of Management

Counties across America must contend with multiple, intertwined threats and costs that defy simple solutions. Decision-makers, therefore, face a necessary but difficult task to prioritize interventions with the greatest potential to produce equitable health and well-being. We devised a novel way of using data from the County Health Rankings to account for regional complexities such as the particular mix and magnitude of prevailing threats, as well as interconnections and time delays among them. We illustrate the value of this technique by comparing the likely impact of 12 potential interventions within each county in a single peer group of 39 urban counties. The results show that the most important interventions in any given county are not necessarily apparent when looking at a simple profile of strengths and weaknesses. Indeed, our analysis suggests that the list of top-ranked interventions is strikingly similar in different places, even though they face widely different threat profiles. Together with seminar participants, we will explore implications for designing regional intervention portfolios and establishing widely-shared investment priorities.

Supplemental Materials: 
PDF icon milstein_cv_and_homer_cv.pdf