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

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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


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July 14, 2012

Investing in Community Health

Sara Zeigler, MPA, Associate Director for Policy and Partnerships Division of Community Health

NACo Health Steering Committee

National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention

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  • 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

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Overview

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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

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National Center for Chronic Disease Prevention and Health Promotion Office of the Director Ursula Bauer

Division of Reproductive Health Wanda Barfield Division of Diabetes Translation Ann Albright Division of Heart Disease And Stroke Prevention Ed Gregg (acting) Division of Cancer Prevention and Control Marcus Plescia Division of Nutrition, Physical Activity and Obesity Bill Dietz Division of Community Health Becky Bunnell Office on Smoking and Health Tim McAfee Division of Population Health Wayne Giles

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Division of Oral Health William Bailey

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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)

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About DCH

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CDC’s History of Investments

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Community Health Investment

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Program FY 2010 FY 2011 Final FY 2012

Final

FY 2013

President’s Budget

Healthy Communities $22.6 million $22.2 million

  • REACH

$39.3 million $39.0 million $53.9 million

  • Communities

Putting Prevention to Work $449.4 million

(includes 2009 ARRA funding)

  • Community

Transformation Grants

  • $145.0 million

$226 million $146.3 million Numbers are approximate

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The Affordable Care Act

Historic Opportunity for Public Health Prevention

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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”

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In theory, policy and environmental improvements should affect all

  • equally. In practice, this may not be

the case.

  • Varying support and community relationships
  • Differential enforcement
  • Selection factors
  • Community relationships
  • Implementation challenges

Advancing health equity in a population-wide approach

Because of:

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Common Public Health Approach

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Both Both A And nd

Our “TWIN” Approach

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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.

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Multi-Sector Approach

Transportation Urban Planning and the Built Environment Housing Education Business Sector / Commerce Agriculture

Multi-Sector Approach

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Focusing on Where People…

LIVE LEARN WORK PLAY

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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

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Community Health Investments

  • Communities Putting

Prevention to Work (CPPW)

  • Community Transformation

Grants (CTG)

  • Healthy Communities
  • Racial and Ethnic

Approaches to Community Health (REACH)

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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

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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.

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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

  • f the sustainable food system in DeKalb County.
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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

  • f 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.

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CTG Snapshot

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  • 29 Counties (>500,000)
  • 24 States (entire states & states minus large

counties)

  • 7 Tribes
  • 1 Territory (Palau)
  • 7 National Networks of Community-Based

Organizations

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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
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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

  • pportunities.
  • Nearly 100,000 residents in Broward County, FL will be

covered by systems or opportunities that support control

  • f chronic disease conditions by increasing the number
  • f sites that provide disease self management programs
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Community Health Programs

A Great Opportunity for Synergy

Community Health Programs Community Benefits Provisions

Collaboration Opportunity Impact

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Community Health Improvement Principles

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Collective Impact

  • Together, we

achieve more Fundamental Elements

  • Community

engagement

  • Shared
  • wnership

Broad Sector “Community”

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Tools and Resources

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The CHANGE Tool

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Data

Newest:

  • Predominant Race/Ethnicity

by Block Group

  • Modified Retail Food

Environment Indicator (mRFEI) Score by Census Tract (CDC)

  • County Health Ranking 2012

Starter Maps

What’s on Community Commons?

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Access to Healthy Food

Modified Retail Food Environment Index Scores by Census Tract (2011)

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Access to Healthy Food

SNAP Authorized Retailers, 2012

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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

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CHMC Homepage

Search Ads FAQs Glossary

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Sustainability: Tools and Resources

  • Sustainability Planning Guide

http://www.cdc.gov/healthycommunitiesprog ram/tools/index.htm

  • Community Commons

http://www.communitycommons.org/

  • Sustainability Webinar Series

http://www.sophe.org/webinars.cfm

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Current Funding Opportunities

  • CTG Small Communities
  • REACH
  • REACH Demo Project

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Counties = Cornerstones