Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.

City of ChicagoMayor Rahm Emanuel

Bechara Choucair, MDCommissioner

Chicago Department of Public Health

@choucair #HealthyChicago

Rush University Medical CenterDepartment of Preventative Medicine

Grand Rounds September 24, 2013

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

• Healthy Chicago Academic & Research Partners

HEALTHY CHICAGOCHICAGO DEPARTMENT OF PUBLIC HEALTH

TRANSFORMING THE HEALTH OF OUR CITYCHICAGO ANSWERS THE CALL

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

HEALTHY CHICAGO TARGETS

IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR

IT’S ABOUT HOW WE BEHAVE AS A CITY

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

TOBACCO USE

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

TOBACCO USE

Joint Enforcement

OBESITY PREVENTION

ChicagoStreets for Cycling Plan 2020

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

Dearborn Street - Before Dearborn Street - After

OBESITY PREVENTION

Bike Sharing in Chicago

3,000 bikes

300 stationsby the end of summer 2013

OBESITY PREVENTION

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

OBESITY PREVENTION

14 licensed carts operating 41 vendors trained 30 carts planned for 2013

OBESITY PREVENTION

OBESITY PREVENTION

A Recipe for Healthy Places

•Released in January 2013•Includes six community- based planning strategies to support healthy eating

OBESITY PREVENTION

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

HEALTHY MOTHERS & BABIES

15 hospitals working towards Baby-Friendly Designation

ADOLESCENT HEALTH

CPS hires chief health officer Dually reports to CDPH CDPH creates Adolescent and School Health Office

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

BUILDING ON POLICY SUCCESSES

Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes

BUILDING ON & ENGAGING PARTNERSHIPS

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

• Healthy Chicago Academic & Research Partners

PUBLIC HEALTH & MEDICINE

PUBLIC HEALTH & ECONOMIC DEVELOPMENT

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

Open Data Portal

data.cityofchicago.org

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

Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013

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

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

CHICAGO HEALTH ATLAS IS A WEBSITE

Health Information Exchange

NEIGHBORHOOD PAGES

Health Information Exchange

CITY LEVEL COMPARISONS

Health Information Exchange

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

• 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

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

KEEP YOUR HEART HEALTHY

• Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease

• Pilot in two Chicago neighborhoods

• 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

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

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

IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR

IT’S ABOUT HOW WE BEHAVE AS A CITY

@ChiPublicHealth

312.747.9884

facebook.com/ChicagoPublicHealth

HealthyChicago@CityofChicago.org

www.CityofChicago.org/Health