NACCHO/ ASTHO/ STIPDA Injury Prevention Webcast Series Integrating - - PDF document

▶
naccho astho stipda injury prevention webcast series
SMART_READER_LITE
LIVE PREVIEW

NACCHO/ ASTHO/ STIPDA Injury Prevention Webcast Series Integrating - - PDF document

Nov 26, 2022 531 likes •873 views

NACCHO/ ASTHO/ STIPDA Injury Prevention Webcast Series Integrating Injury and Chronic Disease Prevention: Successes, Challenges, & Lessons Learned Wednesday, February 4, 2009 The National Connection for Local Public Health Integrating

slide-1
SLIDE 1

1

The National Connection for Local Public Health

NACCHO/ ASTHO/ STIPDA Injury Prevention Webcast Series Integrating Injury and Chronic Disease Prevention: Successes, Challenges, & Lessons Learned

Wednesday, February 4, 2009

Wednesday, February 4, 2009

Integrating Injury and Chronic Disease Prevention: Successes, Challenges, & Lessons Learned

This webcast will address current efforts to integrate injury and chronic disease prevention efforts at the federal, state, and local levels. Presenters will address:

–Integration efforts being organized and implemented by their organizations –Challenges they have faced in achieving these efforts –Next steps they plan to take to further develop these partnerships and activities.

slide-2
SLIDE 2

2

Wednesday, February 4, 2009

Presenters:

  • Kaetz Beartusk, MPH

PORTALS Program, National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

  • Valerie Russell, MSEd, DHSc

Branch Head, Injury and Violence Prevention, Chronic Disease & Injury Section, North Carolina Division of Public Health.

  • Sharon Rhyne, MBA

Health Promotion Manager, Chronic Disease & Injury Section, North Carolina Division of Public Health.

  • Tony Gomez, RS

Section Manager, Injury and Chronic Disease Prevention, Prevention Division, Seattle & King County Department of Public Health.

2/4/2009

Chronic Disease and Health Promotion Program Integration

slide-3
SLIDE 3

3

2/4/2009

Integration Initiative Background

  • !
  • "
  • #
  • !"
  • $
  • #
  • $ %
  • $
  • $ #%

2/4/2009

Recommendations from State Participants

  • FOA should support program integration

and provide flexibility

  • CDC should help staff understand and

support integration

  • CDC should develop tools that support

program integration

slide-4
SLIDE 4

4

2/4/2009

NCCDPHP Vision for Program Integration

& '

2/4/2009

Goals for Integration

# ()* # ) ()*#

slide-5
SLIDE 5

5

2/4/2009

Key Theme: Chronic Disease Integration %&'

+ $ + + #

('

+ ,

2/4/2009

Chronic Disease Integration by Framework

Age Gender Race & Ethnicity Social, Economic & Health Status Policy Programs Environment Communications Systems Change Homes Schools Worksite Communities Healthcare Life Stage (Infant, Child, Youth, Adult, Older Adult)

slide-6
SLIDE 6

6

2/4/2009

NCCDPHP’s Integration Approaches

.//0% .//1#% !2%'& '344 " .//1# !2%''& " .//1$./55

slide-7
SLIDE 7

7

slide-8
SLIDE 8

8

2/4/2009

Challenges

  • Culture change
  • Technical Assistance
  • Evaluation
  • Business Processes
  • MIS (Management Information Systems)
  • Reporting Requirements
  • !

!

slide-9
SLIDE 9

9

  • "

"

CDI

Chronic Disease Office of Healthy Carolinians/ Health Education Health Promotion State Center for Health Statistics Injury & Violence Prevention Branch Forensic Tests For Alcohol Branch Physical Activity and Nutrition Tobacco Prevention and Control Branch Cancer Prevention & Control Branch Heart Disease & Stroke Prevention Branch Asthma Diabetes Prevention and Control Branch Coordinated School Health Program

slide-10
SLIDE 10

10

  • #$

#$

  • !"

#!

  • "%&

"%&

  • $%
  • "!
  • "
  • !%
  • &%
slide-11
SLIDE 11

11

  • "

" ' '

( (

  • ')

')

  • *

*

  • %+*

%+*

  • ,

,

slide-12
SLIDE 12

12

  • )

)

  • *.&/

*.&/

  • 0(( %

0(( % ( (

  • *.

*. / /1 1

  • 2, .3/

2, .3/

  • $

$

  • 4% 5 $

4% 5 $ " "6 6 7 7

  • 8

8

  • 9

9

  • ')

')

  • 4% &

4% & " " 89 89

slide-13
SLIDE 13

13

  • $

$

  • )

)

  • 4%

4% : : 7 7 9 9

  • )"

)"

  • 4%;

4%; 8 8 9 9

  • <

<28:":""'5:= 28:":""'5:= "":+"> "":+">

  • #

#

< <"$% :-#+:# "$% :-#+:# % % < <) -" ) -" < <":"& ":"& ? ?

  • %

%

< <:@%,% :@%,%

slide-14
SLIDE 14

14

slide-15
SLIDE 15

15

  • 7+7

7+7 72 72

  • ($

($

  • 9

9

  • ;

; 9 9

  • 5

5 &9 &9

  • #&

#&

  • 9

9

  • " 8$

" 8$ 8! 8!

slide-16
SLIDE 16

16

  • ./

./

+ @ + @ " "

slide-17
SLIDE 17

17

  • On April 21, 2005 the then director of CDC, Dr. Julie Gerberding formally

announced the reorganization of CDC to "confront the challenges of 21st century health threats". This reorganization resulted in the following structure:

Coordinating Center for Environmental Health and Injury Prevention

  • Coordinating Center for Health Information Service

Coordinating Center for Health Promotion

  • Coordinating Center for Infectious Diseases

Coordinating Office for Terrorism Preparedness and Emergency Response

  • )&

)& AB AB

  • % 78

% 78 C C

< <

#& '& #& '& 89 89

< <

(& (& 9 9

< <

DB' DB' 9 9

< <

#B9 #B9

< <

&,B'9 &,B'9

slide-18
SLIDE 18

18

  • )&

)& AB AB

  • A5+

A5+

  • "?%

"?% (" ("

  • A5

A5

  • (""

(""

  • A5

A5 + + "E "E

  • %

%

  • #"

#" (" ("1 1 "7 "7

  • !"

#$ %&"" #$ %&# '"

  • )&

)& AB AB

  • @A

@A

  • "

"

  • &

& < < 1 1

  • <

< ) )1 1

  • <

< 8) 8)

slide-19
SLIDE 19

19

  • )&

)& AB AB

1 1 # #

< < 2,2" 2,2" < < ('" ('"

  • <

< F"( F"( < < #% #%

  • "

"

  • +"*

+"* #8&' #8&' *#8 *#8

  • ('".87

('".87 )7%87(/ )7%87(/ "2872B8@ "2872B8@ "#$ "#$

  • 7"
  • 7"

(7" %( (7" %( 7A9! 7A9!

slide-20
SLIDE 20

20

  • "

" ()

()

  • 2G "B

2G "B & & "! "!

  • &7&

&7& &8 &8 ! !.7

.7 7 7 / /

  • *+#,-+#'-

,# " $, (./.)01023413 5 6*+#%"+, '," "6 +$, (./.)0102377/ 65

slide-21
SLIDE 21

21

2/4/2009

Integrating Injury and Chronic Disease Prevention: Successes, Challenges, & Lessons Learned Our Experiences: Public Health - Seattle & King County Washington

ASTHO, NACCHO, STIPDA Webcast 2-4-2009

  • Tony Gomez, Section Manager
  • Chronic Disease and Injury Prevention Section
  • Prevention Division

2/4/2009

Main Points

  • Approaching Chronic Disease & Injury

Prevention (CDIP) from a Local PH Framework

  • Transportation Related Efforts
  • Working CDIP Across Sectors – Parks, Schools,

Housing and Transportation

  • Addressing the Social and Environmental

Determinants of Health

slide-22
SLIDE 22

22

2/4/2009

CDIP Mission & Vision

  • Mission: To prevent and control chronic

diseases and injuries in collaboration with community partners and other Public Health-Seattle & King County programs

  • Vision: The county as a place where

everyone has an equal opportunity to lead a healthy life, free of chronic diseases and injury

2/4/2009

Chronic Disease and VIP

slide-23
SLIDE 23

23

2/4/2009

Public Health Framework

  • Core Functions of Public Health
  • Spectrum of Prevention
  • Coalition development, leadership

and participation

2/4/2009

Data Sources

  • Mortality data - ME’s, Vital Statistics, Law

Enforcement, NHTSA-FARS, Child Fatality Review

  • Morbidity data - CHARS, EMS, Emergency

rooms,

  • BRFS/Healthy Youth Surveys/other phone

surveys

  • Community Surveys - Knowledge, Attitude,

Behavior Surveys (KABS)

  • Observation
  • Focus Groups - Social Marketing Campaigns
slide-24
SLIDE 24

24

2/4/2009

Public Health & the Built Environment Seattle Pedestrian Master Plan Presentation 1-25-08

Amy Laurent, MPH Public Health-Seattle & King County

Assessment, Policy Development & Evaluation

2/4/2009

How does the Built Environment Impact Health?

  • Affects the level of physical activity
  • Obesity and related chronic diseases
  • Pedestrian/bicycle injuries
  • Crime and violence
  • Disparities in health
slide-25
SLIDE 25

25

2/4/2009

Leading Causes of Death for Washington Residents - 2006

  • Malignant Neoplasm

11,003

  • Diseases of the Heart

10,551

  • Injury & Violence Causes

3,760

  • Cerebrovascular Diseases

2,711

  • Chronic Lower Resp. Dis.

2,648

  • Unintentional Injury

2,646

  • Alzheimer’s Disease

2,466

  • Diabetes Mellitus

1,539

  • Influenza and Pneumonia

810

2/4/2009

Years of Potential Life Lost Before Age 65 2005 Washington

All Races, Both Sexes, All Deaths

205,048 69,350 35,981 20,656 Years of Potential Life Lost Causes of Death

All Injuries

Unintentional, Suicide, & Homicide

All Causes Malignant Neoplasms Heart Disease 100% 33.8% 17.5% 10.1%

slide-26
SLIDE 26

26

2/4/2009

Overweight and Obesity Prevalence, Age 18 and Older, King County, 1987-2006

0% 10% 20% 30% 40% 50% 60%

1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

30% 35% OVERWEIGHT OBESE 7% 20%

Data Source: Behavioral Risk Factor Surveillance System Produced by: Public Health - Seattle & King County, Assessment, Policy Development & Evaluation, 12/07

2/4/2009

Physical Activity

  • Some improving trends

– King County – white and Hispanic/Latino race/ethnicity – Households with income greater than $50,000

  • Worsening trends

– Asian/PI – households making between $15,000-$34,999

No Physical Activity Among King County Adults by Region Three-Year Rolling Averages 1997-2006*

5 10 15 20 25 1997- 1999 1998- 2000 1999- 2001 2000- 2002 2001- 2003 2002- 2004 2003- 2005 2004- 2006 Percent East South Seattle North

Data Source: Behavioral Risk Factor Surveillance System Produced by: Public Health - Seattle & King County, Assessment, Policy Development & Evaluation, 12/07 *No data for 1997 and 1999

slide-27
SLIDE 27

27

2/4/2009

Heart Disease Deaths, King County Health Planning Areas 5-Year Average, 2001-2005

233.5 212.9 211.8 204.5 194.5 191.3 191.3 185.6 185.3 184.9 182.1 178.3 177.8 174.0 169.7 165.4 164.6 163.7 162.3 162.1 161.9 156.1 154.2 152.9 151.6 151.3 146.6 141.9 138.2 129.9 126.4 121.6 120.1 102.9 50 100 150 200 250 300 Federal Way Auburn White Center/Blvd Pk Southeast County Southeast Seattle Delridge Tukwila-Sea Tac Downtown-First Hill Shoreline Northwest Seattle Covington-Maple Valley Riverview-Lower Valley Burien Central Seattle Upper Snoqualmie Renton Vashon Island Beacon-G'town-S Park Bothell-North Shore Kent Des Moines-Normandy Pk West Seattle Ballard Fremont-Greenlake Cascade-Fairwood Kirkland Queen Anne-Magnolia North Seattle

  • Cap. Hill-Eastlake

Issaquah-Sammamish Bellevue Northeast Seattle Redmond/Union Hill Mercer Isle-Pt Cities

Age-adjusted Rate per 100,000

Data Source: WA State Department of Health, Death Certificates Produced By: Public Health - Seattle & King County, Assessment, Policy Development & Evaluation, 12/07

2/4/2009

Spectrum of Prevention- Prevention Institute – Oakland, CA

www.preventioninstitute.org

  • Influencing Policy and Legislation
  • Changing Organizational Practice
  • Fostering Coalitions and Networks
  • Educating Providers
  • Promoting Community Education
  • Strengthening Individual Knowledge and Skills
slide-28
SLIDE 28

28

2/4/2009

  • Coalition Building
  • Pedestrian Safety County

Specific Emphasis Patrols, including

  • Saint Patrick’s Day
  • Cinco de Mayo
  • Emphasis Patrol Totals
  • January 1999 – December

2008 – 20,633 Contacts & 6,058 DUI’s

  • Bicycle Safety
  • Corridor Projects

– Highway 99 Project – Traffic Safety Awareness Training Project-Rainier Ave.

  • Student Research and

learning

Elements of the Public Health – Seattle & King County Traffic Safety Program

2/4/2009

Pedestrian and Bicycle Master Planning Efforts

  • Washington State Bicycle and Pedestrian

Walkways Plan Efforts

  • Seattle Pedestrian Master Planning

Efforts

  • King County Board of Health Pedestrian

Committee

  • Intersections of Injury Prevention with

Chronic Disease Prevention

slide-29
SLIDE 29

29

2/4/2009

Recommendations: Education

  • Pedestrian safety conference
  • Re-establish a regional or county-wide pedestrian

coalition

  • Knowledge, Attitude, Behavior Survey (KABS)
  • Interventions targeting at risk populations
  • Visibility campaign
  • Public education about alcohol & walking

2/4/2009

Recommendations: Enforcement, Engineering, Other

  • Ticket drivers (primarily) for failure to yield right of way

to peds and bikes & peds and bicylists for serious

  • ffenses
  • Work with law enforcement patrols to solve issues

related to speeding and impaired drivers

  • Red lt running and speed enforcement cameras
  • Traffic calming/pedestrian encouragement-speed

reduction, roundabouts, road diets etc.

  • Create a database for surveillance and evaluation
slide-30
SLIDE 30

30

2/4/2009

CDIP & VIP Strategic Planning

– Surveys of other local public health agencies – Surveys of WA DOH and other State PH agencies – National orgs survey – Local elected officials input – Internal PHSKC stakeholder input – Local community and expert input – Funding, structure, priorities – Conditions, behaviors or determinants? – Work Plan Development

2/4/2009

slide-31
SLIDE 31

31

2/4/2009

Tony Gomez, Section Manager

Public Health – Seattle & King County Chronic Disease and Injury Prevention Section Tony.gomez@kingcounty.gov 206 263-8178

Wednesday, February 4, 2009

Question and Answer

The moderator will now ask presenters questions that have been submitted during the presentation. You may still submit questions to the moderator through the chat feature of the webcast. Presenters will answer questions as time allows. Not all questions will be able to be addressed due to time constraints.

slide-32
SLIDE 32

32

Wednesday, February 4, 2009

Thank you for your participation!

You will be receiving an email shortly with links to the presentations slides, archived audio recording, and evaluation. Please take a few moments to complete this evaluation. Your feedback is important to us as we look to improve the efficacy of future webcasts. Please complete this evaluation by Friday, February 13, 2008. Thank you again for your participation, and we look forward to your participation on future ASTHO/ NACCHO/ STIPDA Injury Prevention Webcast Series presentations.