community transformation grant (ctg) november 12, 2012 makeda harris, mpm director, office of policy...
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COMMUNITY TRANSFORMATION GRANT (CTG)
NOVEMBER 12 , 2012
Makeda Harris, MPMDirector, Office of Policy Planning and Evaluation
Louisville Metro Department of Public Health & Wellness
LMPHW Priorities
• Creating a Culture of Health and Wellness in Metro Louisville
• Continued focus on Social Determinants of Health and Health Equity
• Strengthening Public-Private Partnerships• Increased connection between public health
and clinical medicine• Outcomes driven approach to program and
policy development
Snapshot of Louisville Metro Health Status
• 1 in 3 adults in Louisville are overweight or obese– Increased risk for high blood pressure, diabetes, some
cancers, arthritis/joint pain• 25% of Louisville Metro adults still use tobacco
products– Increased risk for lung disease, cancer, heart attack and
stroke, and poor wound healing• Louisville Metro’s rate of deaths for heart disease,
cancer, diabetes, stroke are higher than the death rates for Kentucky and the US
How Do We Improve Health?
Community Transformation Grant CTG PRIORITY AREAS:• SD 1: tobacco-free living • SD 2: active living & healthy eating• SD 3: evidence-based, quality clinical,
preventive services – focus on prevention and control of high
blood pressure and high cholesterol.
• Maximize Public Health Impact & Reach
• Maximize Health Equity– proactively address– measure and track in ALL strategies
CTG & National Prevention Strategy
RE
AC
H
CTG Application v. Award!$2.2M
$ 721K
Required Strategies
CTG Strategic Directions:Required Strategies
Tobacco Free Living
Healthy Eating & Active Living
Quality Clinical & Preventative
TRANSFORMATIONAL
Evidence Based Strategies
Community-wide and Equity-driven
DEMONSTRATE REACH
Negotiating CTG
POLICY, SYSTEMS & ENVIRONMENTAL CHANGE
TRANSFORMATIONAL CHANGE
CTG Strategic Directions
Tobacco Free Living
Healthy Eating & Active Living
Quality Clinical & Preventative1. Community Activity• Fully engaged community• Widespread awareness/education
2. Stand Alone Projects• World-class service/efficiency• Quality performance measures
3. Scale Projects• Population Health & Prevention• Equity-Driven Comprehensive Solutions
4. Integrated Policy•High Expectations are the norm•Raise bar for next health challenge
TRANSFORMATIONALINCREMENTAL
HOW TO ACHIEVE AMBITIOUS CHANGE?
ROI=
Reac
h
POLICY, SYSTEMS & ENVIRONMENTAL CHANGE
Louisville’s CTG Strategies
SD1
• Smoke Free Multi-Family Housing
SD2
• Strategy for Healthy Schools
SD3
• Patient Centered Medical Home
Tobacco Free Living
Quality Clinical Preventative
Healthy Eating & Active Living
Cooper Clayton Smoking Cessation
Urban & Community Gardens
National DiabetesPrevention
Louisville’s CTG Strategies
SD1
• Smoke Free Multi-Family Housing
SD2SD3
Tobacco Free Living
Quality Clinical Preventative
Healthy Eating & Active Living
Cooper Clayton Smoking Cessation
Louisville Smoke Free Coalition:• Grow Demand for Smoke Free Living• Both Public & Private Rental • Louisville Metro Housing Authority - 15% of Units• Private % - TBD
Kentucky Cancer Program:• Social Support to Quit for Individuals
Louisville’s CTG Strategies
SD2
• Strategy for Healthy Schools
SD2SD3
Healthy Eating & Active Living
Quality Clinical Preventative
Tobacco Free Living
Urban & Community Gardens
Jefferson County Public Schools:• Strategic Taskforce for Integrated Healthy Schools Solutions• Opportunities to include: Healthy Eating Healthy Vending Student Activity Staff Wellness
UofL-CEPM & KY Extension:• Urban Home & Community Gardens ProgramEcon Dev & Innovation• Community Gardens Master Plan
Louisville’s CTG Strategies
SD3
• Patient Centered Medical Home
SD2SD3
Quality Clinical Preventative
Tobacco Free Living
Healthy Eating & Active Living
National DiabetesPrevention
Family Health Centers Inc.:• Leverage EMR Installation • Provide Proactive team based Patient Centered Care• Focus on Population Health/ Prevention of Chronic Disease
YMCA of Greater Louisville• Expand Diabetes Prevention • Work with disparate populations
Louisville’s CTG Reach:
2012 2013 2014 2015 2016 0
20000
40000
60000
80000
100000
120000
140000
160000
180000
PatientsStudentsResidents
= 170,000 People
Louisville’s CTG Strategies
SD1
SD2
SD3
Tobacco Free Living
Quality Clinical Preventative
Healthy Eating & Active Living
Mayor’s Healthy Hometown MovementExpanded, Restructured
& Re-launched
Strategic Integration of Health Equity for Community
Transformation
Mayor’s Healthy Hometown Movement
Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities
Tobacco Prevention and
ControlHealthy Eating Active Living
Chronic Disease
Prevention and Management
Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities
Health Equity
MHHM Infrastructure
LMPHW
Leadership Team
CommunityCoalition
Leadership Team“Health-in-All-Policies”
• Public Health & Wellness• Metro Parks• Public Works• Codes & Regulations• Human Resources• Economic Growth &
Innovation• LMPD• Community Services &
Revitalization
• TARC• JCPS• Human Relations
Commission• Metro Council• Housing Authority• Mayor’s Office
Community Coalition
• Primary mechanism for individuals, community-based organizations, businesses, and faith-based institutions to share their ideas and concerns with LMPHW
• Any individual who resides in or is a member /employee of an organization doing business in Louisville Metro is eligible to join the community coalition
Community Coalition: Roles & Responsibilities
• Advise LMPHW on grant activities related to the four focus areas
• Recommend policies, programs, and practices related to the four focus areas
• Develop a community-wide 5-year strategic plan for Ensuring a Healthy Community
• Support the development of a learning collaborative
Community Coalition: Executive Committee
• A group of eight individuals who will provide general oversight and structure for the community coalition
• Meets with MHHM Leadership Team quarterly to provide updates and advise on policy and programmatic matters relevant to the scope of the community coalition
• Receives support from LMPHW program staff
What’s a Policy, Program, or Practice?
Policy•Clean air for workplaces•Requiring posting of caloric information at food retail establishments
Program•Cooper-Clayton smoking cessation courses•National Diabetes Prevention Program
Practice•Collection of health behavior data in JCPS middle and high schools•Contracting with health insurance plans that offer wellness benefits
How Do We Improve Health?
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