1 making healthy living easier shannon griffin-blake, phd branch chief for program implementation...
TRANSCRIPT
1
Making Healthy Living Easier
Shannon Griffin-Blake, PhDBranch Chief for Program Implementation and Development October 17, 2012
CDC’s Division of Community Health
2
Of our $2.5 trillion annual health carespending
focused on chronic
diseases
75%
2
3
Our Commitment
Division of Community Health Core Principles:
Maximize health impact
Achieve health equity
Use and expand the
evidence base
4
Both And
Targeted interventions
as needed
Population-wide interventions with a
health equity lens
Our “TWIN” Approach
5
Maximizing Impact
Population reach Potency/Dose/Exposure (Effect size)
6
Evidence-Based Strategies Public Health’s greatest achievements
originated through policy efforts at the local level that maximizes impact
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
Policy development and education are not lobbying
Federal law prohibits the use of federal funds to lobby at the federal, state or local level
7
Community Transformation Grants
8
.
Our Community Health Portfolio
• Addresses weight, nutrition, physical activity, tobacco use, and emotional wellbeing and overall mental health for potentially 130 million Americans.
Community Transformation Grants (CTG)
• Since 1999 has had a focus on reducing disparities in racial and ethnic population
REACH (Racial and Ethnic Approaches to Community Health)
• Drives local initiatives that is making healthy living easier, for more than 50M people, through sustainable strategies and environmental improvements.
Communities Putting Prevention to Work (CPPW)
• Includes Pioneering Healthier Communities, Achieve (Action Communities for Health, Innovation, and EnVironmental changE), Steps to a Healthier US, and Strategic Alliance for Health
Healthy Communities
9
Reaching 4 in 10 Americans Through Community Transformation Grants
Goal of CDC’s Community Transformation Grants (CTG) – Help make healthy living easier for Americans by:
Building capacity to implement evidence- and practice-based sustainable strategies to prevent chronic diseases and chronic illnesses
Supporting implementation of interventions across five broad areas: Tobacco-Free Living Active Living and Healthy Eating Clinical and Community Preventive Services Social and Emotional Wellness Healthy and Safe Physical Environment
10
Key Milestones Program Accomplishments to date
Awardees on track to meet program requirements Awardees formed multi-sectoral leadership teams, bringing
in local partners from education, planning, business, agriculture, transportation and other sectors to improve community health
Action Institutes in November and December 2011 prepared awardees to develop Community Transformation Implementation Plans) that reflect evidence and practice based strategies
Awardees submitted implementation plans to CDC for approval; Approval of all plans to be complete by March 31.
Awardees have developed mechanisms to invest CTG funds in local communities
CTG communities are implementing or building plans to make healthy living easier for Americans by increasing access to:
Smoke-free or tobacco-free environments
Healthy food and beverage options
Physical activity opportunities
Systems that support control of high blood pressure and high cholesterol
CTG Anticipated Outcomes
11
Components of CTG
CTGImplementation
Capacity Building
National Network
AccelerationNational Network
Dissemination
Small Communities
12
29 Counties (>500,000) 24 States (entire states &
states >large counties) 7 Tribes 1 Territory (Palau) 6 National Networks of
Community-Based Organizations
40 Small Communities
107CTG Awardees
*May be statewide effort or state effort focused on small communities
13
Early Accomplishments Oklahoma County, Oklahoma – Approximately 60,000
residents are protected from secondhand smoke exposure in more than 80,000 multi-unit housing units.
Maryland – In partnership with 19 school districts, Maryland is implementing and monitoring USDA local wellness initiatives that include comprehensive physical activity practices.
Pierce County, Washington – More than 11,000 students and 1,500 staff now have access to vending machines that offer healthy options and meet USDA guidelines.
Broward County, Florida – About 700,000 residents have opportunities to increase their level of physical activity through the Complete Streets Standards and Smart Growth principles.
14
Goal: Support areas with less than 500,000 people in neighborhoods, school districts, villages, towns, cities, and counties
Funding: Over $70M to 40 communities, reaching 9.2 million Americans
CTG Small Communities
15
Education 10%
Health Care 25%
Faith-Based 2.5%
Community 30%
Government 7.5%
Public Health 17.5%
CTG Small Communities
7.5% of the awardees are tribal organizations
Sectors
16
REACH Initiative
17
Racial and Ethnic Approaches to Community Health
InitiativeFocus on initiatives to improve health and reduce and eliminate disparities related to
chronic diseases in African Americans, Hispanics, American Indians, Asian
Americans, and other Pacific Islanders.
18
REACH Community Change
Charleston and Georgetown Counties, South Carolina - healthcare education delivery system improvements for African Americans with diabetes resulted in a 44% reduction in amputations among African Americans.
Merrimack Valley of Massachusetts - community-based systems of care and education related to cardiovascular disease and other chronic conditions improved cholesterol levels for Latino patients such that 71.9% of those with diabetes were able to bring their total cholesterol under 200mg/dL.
19
New REACH Program Awardees
Apply evidence- and practice-based initiatives that reduce health disparities for those experiencing high burden of chronic disease and its risk factors.
Funding: Nearly $22 million 6 awards ($2.8M-$3.8M per award),
with 90 sub-grantees
*Awardees announced September 2012
20
REACH Obesity and Hypertension Demonstration
Projects (Demo) Apply strategies to prevent obesity and hypertension, two of the leading risk factors for chronic diseases.
Funding: Approximately $12.3M over three years
Number: 2 awards ($4.6M and $7.7 million per award) Boston Public Health Commission Community Health Councils, Inc.
*Awardees announced September 2012
21
Thank You!