Neighborhoods across Wisconsin are working hard to improve health and health equity in their communities, and local data can help to support their strategies, inform their proposals/plans, provide evidence, and/or evaluate their work.

The Neighborhood Health Partnerships program (NHP) has developed reports that provide ZIP code-level data on 1) Health Outcomes and Care, and 2) Social Determinants of Health to complement existing community knowledge and experiences in improving health and health equity. To request and learn more about available reports, see below.

Health Outcome and Care Reports

These reports include electronic health record data for any individual that received primary care from a participating Wisconsin Collaborative for Healthcare Quality (WCHQ) member health system. For all WCHQ measures, higher performance is considered better (e.g. higher vaccination and screening rates, higher percentages of people with their blood pressure under control). These reports also use U.S. Census American Community Survey (ACS) data and CDC Behavioral Risk Factor Survey (BRFS) data. For more information about the data in these reports, go to the Data page. Below are brief descriptions and examples for each Health Outcome and Care Report.

Sample Health Measure SummaryHealth Measure Summary Report - The Health Measure Summary Report provides a snapshot of a ZIP code’s performance on most quality measures publicly reported by the WCHQ. This report is useful for identifying high priority ZIP codes and measures. We recommend starting with this report if you want to explore a ZIP code’s overall performance prior to requesting a Neighborhood Health Report.





Sample NHP ReportNeighborhood Health Report - The Neighborhood Health Report provides detailed information about a ZIP code’s performance on one WCHQ measure.






Sample Diabetes ProfileDiabetes Profile Report - The Diabetes Profile Report provides a snapshot of a ZIP code’s performance on all available WCHQ diabetes measures and detailed information for each measure.


Social Determinants of Health Report

This report uses U.S. Census Bureau American Community Survey (ACS) data to provide additional context about living conditions and demographics for all residents. Understanding data on the social determinants of health can help focus efforts to improve health. For more information on the data in this report, go to the Data page. Below is a brief description and example of the Social Determinants of Health Report available by request.

Sociodemographic Profile Report – The Sociodemographic Profile Report provides context on the social determinants of health of a ZIP code, comparing living conditions and demographics from the ACS across ZIP, county, rural/urban and state geography levels.

NHP Navigator Organizations

When a report is requested, we ask you to identify a NHP Navigator organization (if applicable). If you do not have a current partnership with any of the organizations listed below, you can still request a report and a representative from NHP will reach out to you to aid in your request.

NHP Navigators are trained to deliver reports and data to partners. Navigators partner with researchers, community, government, health care, and other organizations to confirm data needs, request reports, and support the interpretation of reports and associated action planning.

Health Outcome and Care Reports FAQ

The health systems that are currently included in the reports are shown below. These may change as data from additional health systems may become available.

Note: Some of the systems shown may not be included in reports for all measures, and some additional health systems not pictured below publicly reported data in prior timeframes and are included in the trend line of the reports, but not the rest of the report content.

Health systems in Wisconsin that do not submit and publicly report patient-level data to WCHQ are not included in these reports. This currently includes most Federally Qualified Health Centers (FQHCs), Indian Health Service clinics, and some other clinics and health systems in Wisconsin. We hope that additional health systems and clinics will be able to submit data to WCHQ in the future, which would make these reports more representative of Wisconsin neighborhoods. If you represent a clinic or health system and are interested in submitting data for this project, contact for more details.

Demographic data is included to provide information on some of the characteristics of individuals included in the report (such as sex, age, insurance status, and race/ethnicity) and how it compares to the demographics of the overall U.S. Census Bureau American Community Survey (ACS) ZIP code population. The reports provide information about people seeking care at WCHQ member health systems, and therefore may not be representative of the total population in a neighborhood.

Some demographic measures for the people included in the report will look different from those of the overall  U.S. Census Bureau American Community Survey (ACS) ZIP code population. For example:

  • Breast cancer screening measure only includes females, so the population in the report will be 100% female
  • Childhood vaccinations measure is limited to children, so the population in the report over age 65 will be 0%
  • The pneumonia vaccination measure is only measuring people over age 65, so the population in the report will be 100% over age 65

Providing this contextual information helps users recognize strengths, limitations, and representativeness of data in the reports.

Sociodemographic Profile Report FAQ

Some measures may be missing for some ZIP codes because they are missing in the source dataset (U.S. Census Bureau American Community Survey (ACS)). This is displayed with a “-” in the report, and the blue ZIP marker will not display on the chart for these measures.

The minimum and maximum values for each chart represent the lowest and highest values for that measure for a ZIP in the state, so they are different for each measure. This helps provide context when comparing geography levels.