Priorities based on the National Prevention Strategy Funded by the - - PowerPoint PPT Presentation

 Priorities based on the National Prevention

Strategy

 Funded by the Patient Protection and

Affordable Care Act under the Prevention and Public Health Fund

 Collaborative approach to prevent chronic

disease such as cancer, diabetes and heart disease

 Collaboration across multiple sectors of the

community including public health, education, transportation, business and more

 Using collective impact to achieve healthier

environments and healthier options

San Francisco Department of Health Public Health Accreditation

Focus Area: Safe and Healthy Living Environments (CHIP) Headline Indicators- Percent exposed to second hand smoke CTI Measure: (1) Reduce death and disability due to tobacco use by 5% Focus Area: Healthy Eating and Physical Activity (CHIP) Headline Indicators- Percent of residents who maintain a healthy weight CTI Measure: (2) Reduce prevalence of obesity by 5% Focus Area: African-American / Black Health (DPH Priority) Headline Indicators- Percent of African-Americans with heart disease CTI Measure: (3) Reduce death and disability due to heart disease and stroke by 5%.



Leadership Council: Community residents, prevention leaders, organizational directors, business partners and others coming together to leverage the unique opportunity under the PPACA/PPHF and provide leadership and a vision for implementing effective prevention strategies that transform the health of San Francisco.

• Utilizing Collective Impact model
• Integrated into the new SFHIP



Transformational Leadership Community: To create a network of leaders across San Francisco to improve and leverage existing work for greater impact. This includes:

• T

echnical assistance from 6 national organizations including the Berkeley Media Studies Group, Public Health Foundation, Prevention Institute, Community Initiatives, and ChangeLab Solutions

• 10 subcontracted partners and 80% of funds out to partners in years 1-2

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Safe Environments for Walking: Improve the safety and quality of the pedestrian environment and implement a Citywide Pedestrian Strategic Action Plan to increase walk trips and decrease severe and fatal pedestrian injuries.

• Pedestrian Safety Strategy in partnership with Environmental Health Section



Healthy Mothers Workplace: Ensure equitable maternity leave and lactation accommodation policies by having a “Healthy Mothers Workplace Taskforce” develop a standardized workplace assessment and award program.

• Healthy Mother’s Workplace Award - Supporting and promoting breastfeeding in

the workplace. 27 businesses assessed to date. Featured in U.S. News and World Report!



“Healthy Apple” Child Care: Develop, implement, and assess countywide nutrition and physical activity standards in child care programs, while awarding excellence in within these programs.

• Healthy Apple Award - Assessing nutrition policy in daycare settings. 36 sites

assessed to date!



Smoke Free Multi-Unit Housing: Increase the number of smoke-free multi-unit housing environments across San Francisco.

• Veterans Commons, which will provide housing for veterans in 76 units, adopted a

100% smoke-free requirement in their leases.



Local Markets/Corner Stores: Increase accessibility, availability, and affordability of healthy foods in communities by supporting healthy retail through community engagement initiatives to build demand for healthy food access.

• Youth led campaign to drive demand for healthy food products and redesigned

retail corner stores in the Bayview

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Joint Use of Public Schools: Create an online database to facilitate the joint use of public school spaces (e.g. school yards during non-school hours) by community groups to promote increased physical activity of residents.

• SFUSD launched a new online facility permit and services agreement form (MOU)

which includes a sliding scale for not-for-profits.



Community Oriented Clinical Preventive Services: Support community-based primary care health centers in institute strategies to systematically assess and manage patients with hypertension and high cholesterol, and link health centers to community-based activities supporting healthy eating and active living.

• Recognized by CDC for clinical decision supports in DPH clinics

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Community Health Worker Training: Provide community health worker trainings and internships at Community Transformation Initiative sites to improve clinical and preventative services through supporting chronic disease management and linkages to community-based prevention activities.

• 20 new Community Health Workers being trained by City College; of San Francisco; placements

began Fall 2013

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ACTive Zones: Establish free daily physical activity programs for adults in every district to promote increased physical and social activity.

• Over 80 free physical activity opportunities in neighborhoods in over two dozen locations in

partnership with Rec/Park, YMCA

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Neighborhood PowerPlay: Institute free, physical activity programming every afternoon for all youth in nine neighborhoods.

• Boys and Girls Clubs expands PowerPlay to all 9 club locations



Baby Zones: Plan a network of “Baby Zones” promoting healthy infant and early childhood development, physical activity, and good parenting, as well as providing safe spaces for addressing additional parenting-related psychosocial issues.

• “How-to” Guidebook on BabyZones developed and disseminated

 Need to sustain funding stream for chronic disease prevention.  Extreme scrutiny under the PPACA/PPHF  Prevention funding seen as “slush fun” nationally and “extra” at

State and local levels

 Place/policy (HiAP) seen as “nanny-state” interventions  Changing place, policy & social norms takes time.  “Shifting the conversation” to proactive versus reactive/crisis

communication takes time and expertise