partnering with communities to evaluate and sustain effective action
DESCRIPTION
A presentation by Commissioner Bechara Choucair, MD at the 6th Annual Clinical Translational Science Awards National Conference, August 23, 2013TRANSCRIPT
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Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.
City of ChicagoMayor Rahm Emanuel
Bechara Choucair, MDCommissioner
Chicago Department of Public Health
@ChiPublicHealth #HealthyChicago
Healthy Chicago: Partnering For Health6th Annual National CTSA
Community Engagement ConferenceAugust 22, 2013
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PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and Research Partnerships
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HEALTHY CHICAGOCHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE HEALTH OF OUR CITYCHICAGO ANSWERS THE CALL
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HEALTHY CHICAGOPUBLIC HEALTH AGENDA• Released in August 2011
• Identifies priorities for action for next 5 years
• Identifies health status targets for 2020
• Shifts work from one-time programmatic interventions to sustainable system, policy and environmental changes
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HEALTHY CHICAGO TARGETS
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IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE BEHAVE AS A CITY
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PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and Research Partnerships
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TOBACCO USE
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TOBACCO USE
SMOKE-FREE CAMPUSES 3 Colleges / Universities 6 Hospitals 6 Behavioral Health Organizations 686 Public Housing UnitsOver 3,250 units of private smoke-free housing
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TOBACCO USE
Joint Enforcement
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OBESITY PREVENTION
ChicagoStreets for Cycling Plan 2020
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Over 200 miles of on-street bikeways, including almost 35 miles of barrier and buffer protected bike lanes.
3000 bikes to share at 300 stations by end of summer.
OBESITY PREVENTION
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Dearborn Street - Before Dearborn Street - After
OBESITY PREVENTION
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Bike Sharing in Chicago
3,000 bikes
300 stationsby the end of summer 2013
OBESITY PREVENTION
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Health Goals Increase the number
of pedestrian trips for enjoyment, school, work, and daily errands
Increase the mode share of pedestrian trips for enjoyment, school, work, and daily errands
OBESITY PREVENTION
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OBESITY PREVENTION
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14 licensed carts operating 41 vendors trained 30 carts planned for 2013
OBESITY PREVENTION
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OBESITY PREVENTION
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A Recipe for Healthy Places
•Released in January 2013•Includes six community- based planning strategies to support healthy eating
OBESITY PREVENTION
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A Recipe for Healthy Places: Strategies
1. Build Healthier Neighborhoods
2. Grow Food
3. Expand Healthy Food Enterprises
4. Strengthen the Food Safety Net
5. Serve Healthy Food and Beverages
6. Improve Eating HabitsCheck out the food plan - www.cityofchicago.org/hed
OBESITY PREVENTION
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HEALTHY MOTHERS & BABIES
15 hospitals working towards Baby-Friendly Designation
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ADOLESCENT HEALTH
CPS hires chief health officer Dually reports to CDPH CDPH creates Adolescent and School Health Office
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ADOLESCENT HEALTH
Revised Wellness Policy Competitive Foods Policy Expanded STI Screening $26M New grants
• CTG – Healthy CPS• Teen Dating Matters• Teen Pregnancy• Farm to School • Wellness Champions
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BUILDING ON POLICY SUCCESSES
Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes
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BUILDING ON & ENGAGING PARTNERSHIPS
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PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and Research Partnerships
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PUBLIC HEALTH & MEDICINE
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PUBLIC HEALTH & ECONOMIC DEVELOPMENT
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HISTORY OF CTSAs
2010 Convened a series of meetings with Chicago’s three CTSAs and with the C3 Leadership.
2011 – 2013•Continued dialogue with CTSAs to bring increased research capacity to Chicago •CDPH staff serve as representative to two academic community engaged research organizations.
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ACADEMIC AND RESEARCH PARTNERSHIPS• Data Portal
• Chicago Health Atlas
• CHAMP
• Chicago Center for Diabetes Translational Research
• Keep Your Heart Healthy
• Tobacco Policy Evaluation
• Epidemiology Advisory Group
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Open Data Portal
data.cityofchicago.org
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Public Health Context
• Most frequent requests are for statistics by neighborhood
• Neighborhood summaries published once every 3-4 years by paper/PDF
• Many data objects generated in response to requests
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Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013
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CHICAGO HEALTH ATLAS IS A COLLABORATION• Informatics researchers from multiple
healthcare institutions
• Chicago Regional Extension Center (CHITREC)
• Chicago Community Trust
• Chicago Department of Public Health
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CHICAGO HEALTH ATLAS IS A DATABASE• De-identified electronic health record data
for ~1 million Chicagoans (3 million Metro-Chicago residents)
• In-patient and out-patient visits spanning 2006-2011
• Individual patient records matched across institutions
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CHICAGO HEALTH ATLAS IS A WEBSITE
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DEVELOPING PROCEDURES AND BEST PRACTICES• Public health indicators from City Data
Portal can be viewed for temporal and neighborhood trends
• Incorporating CDC guidelines for classification of map categories
• How to make metadata easily accessible to users
• How to deal with aggregated geographies and time periods
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Health Information Exchange
NEIGHBORHOOD PAGES
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Health Information Exchange
CITY LEVEL COMPARISONS
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Health Information Exchange
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CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM
• Recruit children who are seen in ED due to asthma
• Piloting program to use CHWs and address housing-based hazards and triggers
• Partnering with University of Illinois Hospital to improve pediatric asthma control and reduce the ED visits
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• CDPH’s Healthy Homes Program inspectors will assess housing-based hazards and triggers
• CHWs to educate and assist families with changes
• Also partnering with Asthampolis to obtain GIS data when child is using inhaler
CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM
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DIABETES TRANSLATIONALRESEARCH• CDPH is partnering with
Chicago Center for Diabetes Translation Research in its mission to conduct innovative high-impact research to reduce morbidity and mortality related to diabetes
• Analyze data from multiple sources (EHR, hospital discharge data, vital statistics, and Healthy Chicago Community Survey) to better understand diabetes and related behaviors
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KEEP YOUR HEART HEALTHY
• Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease
• Pilot in two Chicago neighborhoods
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• Three main components:
– Identify individuals most at risk for developing heart disease
– Link individuals to medical care and direct services through referrals so risk factors can be brought under control
–Work with individuals on ongoing basis to make changes to diet, exercise, and other areas to reduce their risk
KEEP YOUR HEART HEALTHY
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TOBACCO EVALUATION
University of Illinois at Chicago Institute for Health Research and Policy
and the Tobacco Prevention Project
Three Tiers of Evaluation:1.Community Partner Evaluation2.Mental Health and Substance Abuse Survey3.Courage to Quit Evaluation
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EPIDEMIOLOGY ADVISORY GROUP• CDPH established Advisory Group as forum
for academic and practice partners to discuss data and methods
• Member Organizations:– Chapin Hall– Cook County Health & Hospitals System– Illinois Department of Public Health– Lurie Children’s Hospital—Child Health Data Lab– Northwestern University– Sinai Urban Health Institute– University of Chicago– University of Illinois at Chicago
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@ChiPublicHealth
312.747.9884
facebook.com/ChicagoPublicHealth
www.CityofChicago.org/Health
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