Investing in Community Health Sara Zeigler, MPA, Associate Director - PowerPoint PPT Presentation

Investing in Community Health Sara Zeigler, MPA, Associate Director for Policy and Partnerships Division of Community Health July 14, 2012 NACo Health Steering Committee National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention

Overview  About the Division of Community Health (DCH)  The State of CDC’s Community Investments  Evidence Based Strategies  Focus on Health Equity  Work at the County Level - Examples  New Funding Opportunities 2

CDC Commitment to Community Health  New Division of Community Health (DCH)  DCH Core Principles – Maximize health impact – Achieve health equity – Use and expand the evidence 3

National Center for Chronic Disease Prevention and Health Promotion Office of the Director Ursula Bauer Division of Division of Division of Reproductive Health Population Health Community Health Wanda Barfield Wayne Giles Becky Bunnell Division of Heart Disease Division of Cancer Division of And Stroke Prevention Prevention and Control Diabetes Translation Ed Gregg (acting) Marcus Plescia Ann Albright Division of Nutrition, Division of Oral Office on Physical Health Smoking and Health Activity and Obesity William Bailey Tim McAfee Bill Dietz 4

About DCH The division's programs include:  Communities Putting Prevention to Work (CPPW)  Community Transformation Grants (CTG)  Healthy Communities  Racial and Ethnic Approaches to Community Health (REACH) 5

CDC’s History of Investments

Community Health Investment FY 2010 FY 2011 FY 2012 FY 2013 Program President’s Final Final Budget Healthy $22.6 million $22.2 million - - Communities $53.9 REACH $39.3 million $39.0 million - million Communities $449.4 million Putting - - - (includes 2009 ARRA Prevention to funding) Work Community $146.3 Transformation - $145.0 million $226 million million Grants Numbers are approximate 7

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The Affordable Care Act Historic Opportunity for Public Health Prevention 9

Legislative Mandate “ Prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic determinants of health” “Addressing special populations’ needs, including all age groups and individuals with disabilities, and individuals in urban, rural, and frontier areas”

Advancing health equity in a population-wide approach In theory, policy and environmental improvements should affect all equally. In practice, this may not be the case. Because of:  Varying support and community relationships  Differential enforcement  Selection factors  Community relationships  Implementation challenges 11

Common Public Health Approach 12

Our “TWIN” Approach Both Both A And nd 13

Rural/Frontier Health Reaching rural populations by expanding the evidence base • Why working in rural areas is important: – Rural populations disproportionately suffer from chronic disease relative to the general public. – Access to quality health care in rural areas is restricted by poor infrastructure and a smaller health care workforce. – Lower access hinders utilization of preventative health services and compromises implementation of wellness and healthy lifestyle programs.

Multi-Sector Approach Urban Planning and the Built Education Agriculture Environment Multi-Sector Approach Business Sector / Transportation Housing Commerce 15

Focusing on Where People… LIVE LEARN WORK PLAY 16

Evidence-Based Strategies  Policy development is a core function of public health  Conducting rigorous analyses to identify and report on strategies and policies that can protect health and prevent disease  Educating the public and stakeholders about these strategies  Implementing effective strategies and policies to maximize impact  Policy development and education are not lobbying  Federal law prohibits the use of federal funds to lobby at the federal, state or local level  Public Health’s greatest achievements originated through policy efforts at the local level that maximizes impact

Community Health Investments  Communities Putting Prevention to Work (CPPW)  Community Transformation Grants (CTG)  Healthy Communities  Racial and Ethnic Approaches to Community Health (REACH) 18

Reach of CPPW Obesity Prevention Efforts  Local: Farm-to-School lunch programs in San Diego connect public schools and local farms—changing lunch for more than 72,000 students;  National: over 13.5 million Americans in 20 communities that have healthier food options available within schools, churches, hospitals, and local government events  National: nearly 33 million Americans in 18 communities have increased access to sidewalks, bike lanes and other mixed-use options

Profile: Linn County, IA  To decrease number of those smoking, Linn County is  Integrating rewards for 100% tobacco-free work sites into the Linn County Board of Health Worksite Wellness Awards.  Raising awareness of the negative health effects of secondhand smoke among participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).  Supporting the elimination of free sampling and buy-one-get-one- free deals for tobacco products.  Preventing dissolvable tobacco products that look like candy from entering the market.  Increasing referrals to and use of the Iowa Quitline and other tobacco cessation services.

Profile: DeKalb County, GA  To reduce the prevalence of obesity, DeKalb County is:  Supporting the DeKalb Urban Agriculture team to develop a white paper about the current local food system and provide recommendations on policies and strategies to promote fresh, locally grown food.  Encouraging the DeKalb Urban Agriculture team to establish itself as a Food Policy Council that monitors and advises on the growth of the sustainable food system in DeKalb County.

Profile: DeKalb County, GA  To decrease tobacco use:  Partnered with Oglethorpe and Emory Universities to create and maintain tobacco-free campuses. This initiative protects more than 40,000 students, faculty, and staff members from secondhand smoke exposure.  Partnered with DeKalb County School System to launch a campaign to educate its student population of 99,000 on the risks of tobacco use and exposure to secondhand smoke.  Launched a countywide public awareness initiative to educate residents on the risks associated with exposure to secondhand smoke and to promote the smoking cessation resources available such as the Georgia Tobacco Quitline.

CTG Snapshot  29 Counties (>500,000)  24 States (entire states & states minus large counties)  7 Tribes  1 Territory (Palau)  7 National Networks of Community-Based Organizations 23

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Reaching 1 in 3 U.S. Citizens Through Community Transformation Grants  Goal of CDC’s Community Transformation Grants (CTG) - Create a healthier America by:  Building capacity to implement evidence- and practice-based policy, environmental, programmatic, and infrastructure changes to prevent chronic disease  Supporting implementation of interventions across five broad areas:  Tobacco–Free Living  Active Living and Healthy Eating  Community-Clinical and Other Preventive Services  Social and Emotional Wellness  Healthy and Safe Physical Environment

CTG Health Outcomes  Over half a million residents in San Francisco City/County, CA will have access to smoke-free multi- unit housing options.  Douglas County, NE expects that 60,000 people will have increased access to healthy neighborhood stores;  Hennepin County, MN expects nearly 300,000 more residents will benefit from increased active transportation opportunities.  Nearly 100,000 residents in Broward County, FL will be covered by systems or opportunities that support control of chronic disease conditions by increasing the number of sites that provide disease self management programs

Community Health Programs A Great Opportunity for Synergy Collaboration Community Community Opportunity Health Benefits Impact Programs Provisions

Community Health Improvement Principles Collective Fundamental Broad Sector Impact Elements “Community” • Together, we • Community achieve engagement more • Shared ownership 28

Tools and Resources 29

The CHANGE Tool

What’s on Community Commons? Starter Maps Data Newest :  Predominant Race/Ethnicity by Block Group  Modified Retail Food Environment Indicator (mRFEI) Score by Census Tract (CDC)  County Health Ranking 2012 31

Access to Healthy Food Modified Retail Food Environment Index Scores by Census Tract (2011 ) 32

Access to Healthy Food SNAP Authorized Retailers, 2012 33

Community Health Media Center (CHMC) Provides an online repository of ads and marketing  materials related to obesity and chronic conditions Promotes sharing of best practices, audience research,  and communication materials to cut time and costs for producing and placing audience-tested advertising Modeled after the Office on Smoking and Health’s Media  Campaign Resource Center (MCRC) (www.cdc.gov/tobacco/mcrc) Uses MCRC operating procedures and  shares updates with MCRC Roll out in June 2012  34