Professionally Managed Communities Dominate List of Healthiest for 2019

Seventy percent of the top 10 healthiest U.S. jurisdictions ranked by U.S. News & World Report are professionally managed.

BLOG POST | Jun 13, 2019

How well and how long you live are shaped by where you live, according to a recent ranking issued by U.S. News & World Report. Factors such as a community’s economic performance, the quality of its educational system, and the availability of affordable housing have a major impact on health and overall quality of life for residents.

U.S. News & World Report, 2019 in collaboration with the Aetna Foundation, published its annual list of Healthiest Communities Rankings 2019 in March, and all of the top six and 70 percent of the top 10 jurisdictions recognized are directed by a professional local government manager*/ICMA member. The top 10 Healthiest Communities for 2019 are

  1. Douglas County, Colorado—Douglas J. DeBord, county manager
  2. Los Alamos County, New Mexico—Arthur (Harry) Burgess, county manager
  3. Falls Church, Virginia—Wyatt Shields, city manager (Note: Falls Church is an independent city with county-level governance status)
  4. Loudoun County, Virginia—Tim Hemstreet, county administrator
  5. Broomfield City & County, Colorado—Charles Ozaki, city & county manager
  6. Teton County, Wyoming—Alyssa Watkins, board of county commissioners administrator
  7. Hamilton County, Indiana
  8. Carver County, Minnesota—David (Dave) J. Hemze, county administrator
  9. Delaware County, Ohio
  10. Howard County, Maryland

These findings support the notion that professional local government management—which combines strong political leadership and effective management capacity—makes an important difference in the quality of life for residents in those communities that employ it.

The Healthiest Communities rankings measure crucial health-related components of society with the goal of empowering citizens, healthcare leaders, and officials to make decisions about policies and practices that can improve health outcomes for all.

Guided by a pioneering framework developed by a committee appointed to advise the U.S. Department of Health and Human Services, the Healthiest Communities 2019 project scores nearly 3,000 counties on 81 indicators across 10 categories that drive overall community health. The 10 categories are

  • Population health
  • Equity
  • Education
  • Economy
  • Housing
  • Food and nutrition
  • Environment
  • Public safety
  • Community vitality
  • Infrastructure

Population health and equity are the most heavily weighted categories, based on the assessments of more than a dozen leading experts on what matters most to a community’s health.

For more information concerning the U.S. News & World Report 2019 Healthiest Communities, visit the website


*ICMA defines a professional local government manager as a chief appointed officer who, at a minimum:

  • Has direct responsibility for policy formulation on overall problems.
  • Has major responsibility for the preparation and administration of a jurisdiction’s operating and capital improvements budgets.
  • Exercises significant influence in the appointment of key administrative personnel.
  • Has an ongoing, direct relationship with the operating department heads on the implementation and administration of the programs.
  • Was hired as a result of her/his educational & administrative background and qualifications.
  • Is a member of ICMA and, therefore, must adhere to the ICMA Code of Ethics, which was adopted by ICMA in 1924 and which governs each member’s professional and personal conduct.


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