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Paul E. Peppard, PhD, David A. Kindig, MD, PhD, Elizabeth Dranger, MS, Amanda Jovaag, MS and Patrick L. Remington, MD, MPH

Paul E. Peppard, David A. Kindig, and Patrick L. Remington are with the University of Wisconsin Population Health Institute, Madison, and the Department of Population Health Sciences, University of Wisconsin, Madison. At the time of the study, Elizabeth Dranger and Amanda Jovaag were with the Department of Population Health Sciences, University of Wisconsin, Madison.

Correspondence: Requests for reprints should be sent to Paul E. Peppard, University of Wisconsin Population Health Institute, Department of Population Health Sciences, Medical Sciences Center #1034, 1300 University Ave, Madison, WI 53706 (e-mail: ppep-pard{at}wisc.edu).

United Health Foundation’s America’s Health Rankings, which ranks the states from "least healthy" to "healthiest," receives wide press coverage and promotes discussion of public health issues. The University of Wisconsin Population Health Institute used the United Health Foundation’s model to develop the Wisconsin County Health Rankings ("Health Rankings") from existing county-level data. The institute first released the rankings in 2004. A survey of the Wisconsin county health officers indicated that they intend to use the rankings for needs assessment, program planning, and discussion with county health boards. The institute implemented many of the health officers’ suggestions for improvement of the rankings in subsequent editions. The methods employed to create the rankings should be applicable in other states.