Lifetime and Prevention FirstInformational Digest:

Cross-cutting, Component 1, Component 2, and OtherApril 24, 2018

Cross-cuttingSubject Announcements

Let’s Chat Lifetime

“Let’s Chat Lifetime” is an information sharing opportunity for Lifetime LHDs held every 2nd and 4th Tuesday from 9-10:30 a.m.

Next Call: Tuesday, May 8, 9-10:30 a.m.

Agenda:Updates and AnnouncementsHealth Equity and Race (HER) Workgroup

Obesity and Diabetes

1) Solera Health – Medicare Diabetes Prevention Program (MDPP) Introduction of MedicareDPP.org for Physicians / Health Systems Friday, April 27, 2018 at 10:00AM PDT

- Register Here!

- Solera Health is announcing the launch of MedicareDPP.org as a national referral and selection website for the new Medicare Diabetes Prevention Program (MDPP).  The website goal is to increase awareness of and participation in diabetes prevention programs by making it easy to Medicare beneficiaries to learn their risk for type 2 diabetes, and if eligible, find and participate in a local diabetes prevention program that fits their needs and preferences. In addition, Solera is conducting a webinar on April 27th as an introduction of MedicareDPP.org for Physicians and Health Systems; and, a webinar on May 11th promoting referrals to the Medicare DPP Focus Group. 

- For your reference we are sharing the webinar recording, presentation and the MedicareDPP.org toolkit items:  Clinician Overview Participant Overview   Physician Referral Form

Promoting Referrals to the Medicare DPP Focus Group Friday, May 11, 2018 at 2:30PM PDT

- Register Here!

2) Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: A Workshop

Monday, May 7, 2018 at 8:30AM EST- From recruitment, to readiness, retention, resilience, and retirement, obesity affects the

military every day. Between 2002 and 2011, the rate of obesity among active duty service members increased by more than half. Maintaining the health and wellness of service members is critical for national security. But like many Americans, service members, veterans, retirees and their families need community support to maintain a healthy weight. 

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- On May 7th, the Roundtable on Obesity Solutions will host a workshop to explore the challenges posed by obesity and overweight in the armed forces and opportunities to overcome them. The workshop will examine the magnitude of obesity and overweight in the military, highlight existing approaches that support a healthy weight, and explore innovative cross-sector opportunities to overcome this challenge. An agenda and registration information will be posted soon. 

- Register Here!

3) CMS – NEW Medicare Diabetes Prevention Resources - The Medicare Diabetes Prevention Program expanded model is a structured intervention

with the goal of preventing type 2 diabetes in individuals with an indication of prediabetes. The clinical intervention consists of a minimum of 16 intensive “core” sessions of a Centers for Disease Control and Prevention (CDC) approved curriculum furnished over six months in a group-based, classroom-style setting that provides practical training in long-term dietary change, increased physical activity, and behavior change strategies for weight control.  The primary goal of the expanded model is at least 5 percent weight loss by participants. The National DPP is based on the results of the Diabetes Prevention Program (DPP) study funded by the National Institutes of Health (NIH). The study found that lifestyle changes resulting in modest weight loss sharply reduced the development of type 2 diabetes in people at high risk for the disease. 

- Click here: MDPP Fact Sheet.

4) Food and Drug Administration – Diabetes Medicines Fact Sheet - The fact sheet gives some basic facts about the medicines used to treat people with diabetes- Click here for fact sheet!

5) National Institutes of Health – National Cancer Institute – Infographic: Cancers Associated with Overweight and Obesity - Overweight and obesity are increasingly common conditions in the United States. They are

caused by the increase in the size and the amount of fat cells in the body. Doctors measure body mass index (BMI) and waist circumference to screen and diagnose overweight and obesity. Obesity is a serious medical condition that can cause complications such as metabolic syndrome, high blood pressure, atherosclerosis, heart disease, diabetes, high blood cholesterol, cancers and sleep disorders. 

- Click here: Overweight and Obesity facts.

6) Health Resources Services Administration – Research/Study Shows Diabetes Mortality in Rural America a Significant Cause for Concern - Research funded by the Health Resources and Services Administration (HRSA) released

today shows that rural America has a disproportionately high number of diabetes-related hospital deaths compared to urban America.  The burden of diabetes-related hospitalizations is most pronounced in the South and Midwest.  Nearly 10 percent of the adult U.S. population – more than 30 million people – suffer from diabetes.

- Click here to read article!

Cardiovascular Health

1) Health Hearts California/ Prevent Diabetes: Screen, Test, Act Today, Community Health Workers Network Meeting

Thursday, May 10, 2018 at 9:00AM – 10:30AM (PST)- Please join us for a joint Healthy Hearts California, Prevent Diabetes Screen Test Act

TodayTM(PDSTAT), and Community Health Worker (CHW) Network meeting on Thursday, May 10, 2018 from 9-10:30 a.m. (PST).  

- Due to scheduling conflicts, the scheduled April HHC meeting has been postponed to May. The May meeting will include:

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Diabetes and cardiovascular disease policy update CHW Best Practices in Monterey County Results of the an online Diabetes Prevention Program (DPP) pilot presented by

Omada Health- Register Here!

New Member Recruitment!If you like what you hear during the Healthy Hearts California meetings, please invite your friends and colleagues to join!  The more the merrier! Feel free to provide them with the attached information and have them register here:Healthy Hearts New Member Registration

2) Heart Health for Women - Heart disease is the leading cause of death for women.  The FDA fact sheet provides help

to make good decision about your heart.- Click here for fact sheet!

3) CDC – Fact Sheet - Know the Facts About High Cholesterol- High cholesterol itself does not have symptoms. Many people do not know that their

cholesterol level is high. That’s why it’s important to schedule regular visits with your doctor. Be sure to ask about having your cholesterol tested. 

- Click here: CDC – Heart Disease & Stroke Fact Sheets - English - Click here: CDC Heart Disease & Stroke Fact Sheets Spanish.

Health Equity 1) U.S. Dept. of Health & Human Services, National Partnership for Action and The Mountain States Regional Health Equity Council Community Health Worker Subcommittee – Strategies for Building and Strengthening the Community Health Worker Effort in Your Area: A Case Study from Utah

Thursday, April 26, 2018 2pm to 3pm EST- The Mountain States Regional Health Equity Council Community Health Worker (CHW)

Subcommittee will share strategies and pathways for building and strengthening CHW efforts in the community. The webinar will focus on the history, infrastructure, strategies, goals, and progress of the Utah Broad-Based CHW Coalition.

- Register Here!

2) American College of Lifestyle Medicine – Making Lifestyle Medicine Financially Rewarding for Health Care Providers

Thursday, April 26, 2018 2pm to 3pm CT- The webinar presents a new recurring reimbursement model that pays for improvement in

patient health rather than the number of office visits, prescriptions written, or procedures performed. By demonstrating to key decision makers at health care payers the substantial future cost savings resulting from improved health outcomes, this model offers lifestyle medicine practitioners an opportunity for generous compensation.

- Register Here!

3) New Hampshire Public Health Association & CHR&R – Exploring Social Determinants of Health

Tuesday, May 1, 2018 1pm ET - We know good health goes beyond medical care and is influenced by economic

opportunity, affordable housing, and quality education - all factors that communities can transform. These "social determinants of health" are the focus of this talk, using data and evidence from the County Health Rankings & Roadmaps to learn how to strengthen community efforts to improve health outcomes.

- Register Here!

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4) Systems for Action National Coordinating Center – Rural/Urban Differences in Delivery Systems for Population Health Activities

Wednesday, May 9th 2018 at 12:00PM to 1:00PM EDT - Research indicates that the United States lags behind other high-income countries in public

health. This lag relates directly to variable health system quality across U.S. communities, which have different resource bases, different healthcare needs, and different institutional structures to support those needs. In contrast to urban sites, rural communities tend to have fewer available resources for public health, weaker political institutions, and different public health challenges

- Register Here!

5) Institute for Healthcare Advancement (IHA) 17th Annual Health Literacy Conference – “Strengthening Communities to Improve Health Equity and Health Literacy”

Wednesday, May 9th – Friday, May 11th Location: Irvine, CA

- The term "community" has many different meanings. However, you define it; there is a certain power that comes with being part of a group. But how do you leverage that power to better community health and wellness? What role does organizing, advocacy, and policy play? Finally, how can effective communication help to achieve health equity?

- Register Here!

6) Health Resources Services Administration – Health Equity Report 2017 - The 2017 Health Equity Report presents a comprehensive analysis of HRSA’s program

efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels.

- Click here for report!

7) 2018 Public Health Law Conference - Health Justice: Empowering Public Health and Advancing Health Equity

October 4 – 6 at the Sheraton Grand at Wild Horse Pass, Phoenix, AZ- Join us to develop and share strategies to protect the health of our

communities and most vulnerable populations. Now more than ever, the combined efforts of practitioners, policymakers, lawyers, advocates andresearchers are needed to advance critical public health protections and address growing health inequities

- Register here!

8) 10th Annual Right Care Initiative “Clinical Performance Improvement Leadership Summit” 2018 – Million Hearts (Recap – PowerPoint!)

Janet Wright, MD, FACC Executive Director, Million Heart

Performance Year 2018 priorities: 75% of hypertensive patients with blood pressure (BP) controlled: <140/90 mm Hg 75% of diabetic patients with blood sugar controlled: Hemoglobin A1c<8 (HEDIS

Performance year 2016=67%)In absence of HEDIS cardiovascular disease lipid control 90th percentile target, Right Care Initiative 2018 target:

75% of patients with diabetes and/or cardiovascular conditions on appropriate cholesterol therapy (proxy, LDL controlled: LDL-C<100mg/dL)

PowerPoint found below!

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9) 6 Pro-Tips from Health Equity Champions' and other Health Equity Guide- To wrap up our Advancing Health Equity webinar series, we put together 6 pro-tips and

lessons we learned from our speakers about what's needed to transform our health departments into effective, responsive organizations able to reduce health inequities. 

- Click here for read 6 Pro-tips!

Links to Webinars (Recap on Health Equity) - Building Internal Infrastructure to Advance Health Equity - Working Across Government to Advance Health and Racial Equity - Fostering Community Partnerships to Advance Health Equity - Championing Transformative Change to Advance Health Equity

Chronic DiseasePrevention

Component 1 Strategy Announcements

1.1 Implement nutrition and beverage standards including sodium standards (i.e., food service guidelines for cafeterias and vending) in public institutions, worksites and other key locations such as hospitals

1) Sneaky Sodium: Empowering Consumers with Sodium Warnings on Restaurant Meals Wednesday, May 9th 2018 at 2:00PM to 3:00PM EST

- The restaurant environment is filled with high sodium foods.  Giving consumers information that enables them to choose lower-sodium options can help reduce the number of Americans living with hypertension and the increased risk of heart disease and stroke they face.

- Since 2016, the New York City Board of Health has required sodium warnings next to menu items containing the recommended daily sodium limit (2,300 milligrams).  Recently, similar legislation was introduced by the Philadelphia City Council.

- Join us to learn more about the importance of sodium warnings and current research about their effectiveness.  You’ll also walk away with the tools you need to introduce sodium warnings in your community.

-  PDF located below of the section!- Register Here!

2) You are probably eating too much salt - A recent meta-analysis in the Medical Journal of Australia found that salt consumption

among Australians exceeds the World Health Organization’s recommendation of 5 grams per day. Researchers from the George Institute for Global Health in Sydney assessed the findings of 31 published studies and estimated that most Australian adults consume an average of 9.6 grams of salt per day. Researchers noted that self-reported data, collected through food diaries and questionnaires, largely underestimated sodium consumption, leading researchers to conclude that the average salt intake is likely higher than current estimates. Australians get most of their dietary sodium from prepared foods rather than from salt added at the table, says dietitian Susie Burrell. "Sauces we use each day such as soy and tomato sauce can be packed full of salt, as well as sausages, stocks and soups," says Burrell. Consumers can compare the sodium content of packaged foods by reading nutritional labels. – The Sydney Morning Herald

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- Click here for article!

3) New survey finds huge, unnecessary variation of salt levels in bread - Researchers in Canada surveyed the sodium content in more than 2,000 bread products in

several categories, such as white and mixed grain, from 32 countries. More than a quarter of the breads studied came from Canada. Bread accounts for 14% of Canadians’ total dietary intake of sodium, according to previous research. This study found that 73% of Canadian bread products failed to meet national sodium targets. Bread from other countries and regions also often contained more sodium than recommended, although sodium content within bread categories varied widely between countries. Although the survey represents a limited sample of bread products from around the world, nutrition experts view the results as evidence to advocate for more sodium reduction efforts. – ScienceDaily

- Click here for article!

1.2 Strengthen healthier food access and sales in retail venues and community venues through increased availability (e.g. fruit and vegetables and more low/no sodium options), improved pricing, placement, and promotion

1) CA4Health Perspectives virtual meet-up on Food JusticeFriday, May 4th, 2018 at 10:30am

- CA4Health is excited to launch its first topical, virtual meet-up opportunity—CA4Health Perspectives. These events are being created to provide an inviting forum for members across sectors and interests to share, learn, and collaborate around identified areas of interest to the CA4Health community.

- Sign Up Now to join us for the first CA4Health Perspectives Virtual Meet-Up on Food Justice Register Here!

2) Children’s Health Watch – Feeding America & Food Research Action Center- Across the lifespan, food insecurity increases the risk of poor health and contributes to both increased utilization of and higher health care costs for individuals and the entire health system.1, 2, 3, 4 Health care systems and individual providers increasingly recognize their role in identifying and addressing patients’ food security needs. These efforts are squarely positioned within, and not separate from, systems of health care delivery. - Click here: Fact Sheet: Addressing Food Insecurity in Health Care Settings - Key Actions & Tools for Success

1.3 Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use agreements in communities and jurisdictions1.4 Develop and/or implement transportation and community plans that promote walking

1) America Walks - Creating Livable Communities for All Ages Wednesday, May 9th at 2:00 p.m. (ET)

- "This webinar is intended for advocates just getting started on the walking path as well as anyone interested in learning more about this topic."

- Register Here!

2) Pedestrians First: Tools for a Walkable City- Walkability is a crucial first step in creating sustainable transportation in an urban

environment.- Effectively understanding and measuring the complex ecology of walkability has proven

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challenging for many organizations and governments, given the various levels of policy-making and implementation involved. In the past, Western and Eurocentric standards have permeated measurement attempts and have included data collection practices that are too complicated to have utility in many parts of the world or at a level beyond that of the neighborhood. In order to expand the measurement of walkability to more places and to promote a better understanding of walkability, ITDP has developed Pedestrians First. This tool will facilitate the understanding and the measurement of the features that promote walkability in urban environments around the world at multiple levels. With a better global understanding of walkability, and more consistent and frequent measurement of the walkability of urban environments, decision-makers will be empowered to enact policies that create more walkable urban areas.

- Download Walkability Tool!

3) Active Transportation Resource Center Needs Assessment Complete survey by Friday, May 18, 2018.

- The purpose of the ATRC needs assessment is to create a pathway to success for our active transportation partners. The goal is to identify your active transportation training and resource needs. The results will be used for planning purposes to guide and prioritize future ATRC activities that can best meet the needs identified. Please fill out this needs assessment survey to help us help you! 

- Click here for needs assessment guide! - Click here for survey!

4) California Active Transpiration Program – Bicycle Transportation: An Introduction to Planning and Design.

Classes will be held: Tuesday, May 8 in Redding from 08:3AM – 04:30PMRegister Here!

Tuesday, May 22 in Stockton from 08:3AM – 04:30PMRegister Here!

Tuesday, June 12 in Oakland from 08:3AM – 04:30PMRegister Here!

- This hands-on course challenges you to explore the tools used to assess and evaluate the suitability of a transportation route and facilitate its use by all types of bicyclists. This course reviews California’s commitment to support all modes of transportation, and participants will learn how to apply bicycle design concepts that best balance competing needs on a specific route. Current policy related to the future of active transportation will be discussed, and some visit supporting design documents will be identified.

- A single guidance document cannot apply to every scenario, and this course will introduce basic concepts of planning and design standards, as well as guidance and tools, that direct and guide bicycle transportation planning and design.

- Register Here! - ATRC Presentation (pdf)!

1.5 Plan and execute strategic data-driven actions through a network of partners and

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local organizations to build support for lifestyle change1.6 Implement evidence-based engagement strategies (e.g. tailored communications, incentives, etc.) to build support for lifestyle change.1.7 Increase coverage for evidence-based supports for lifestyle change by working with network partners (e.g., educate employers about the benefits and cost-savings of evidence-based lifestyle change programs as a covered health benefit)

1) Community e-Connect: How to Achieve Successful Bi-Directional Referrals for Diabetes, Hypertension, and High CholesterolAUDIENCE:  Chronic Disease and Health Promotion Directors, as well as to SHD staff addressing Domains 3 and 4.DATE:  Wednesday, April 25, 2018 at 3-4:00 p.m. ET.

- Community e-Connect is a bi-directional linkage between clinical electronic health records (EHRs) and community-based organizations (CBOs). Clinical providers electronically refer patients with diabetes, pre-diabetes, hypertension, or elevated cholesterol to evidence-based services offered by CBOs. In turn, CBOs document patients’ enrollment, attendance, and program status, and send this information back to the clinical provider where it goes directly into the patient’s EHR. Using this system, health sites in Massachusetts were able to show a sustained decrease in systolic blood pressure of 3.4 mm Hg for patients who received services in community settings compared to a matched sample of patients whose blood pressure was “out of control.”  By the standards of the American Heart Association, these interventions were “highly cost effective.”

- ACTION:  Click here to register

Component 2Strategy Announcements

2.1 Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve performance2.2 Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level (e.g., use dashboard measures to monitor healthcare disparities and implement activities to eliminate healthcare disparities)

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2.3 Increase engagement of non-physician team members (i.e. nurses, pharmacists, and nutritionists, physical therapists, and patient navigators/community health workers) in hypertension management in community health care systems

1) IHI Summit on Improving Patient Care Thursday, April 26 – Saturday, April 28, 2018 Early bird offer only through March 16, 2018

- A wide range of health care professionals in a variety of settings — primary care practices, community hospitals, and those working in specialty and ambulatory care centers — attend the Institute for Healthcare Improvement’s Summit on Improving Patient Care on April 26–28, 2018, in San Diego, CA, to design primary care for the whole person. The conference allows you to unite with your colleagues and explore ways to improve care for populations, promote the health of your patients and staff, lower costs, and bring a love of work back to your organization.

- View All Summit Sessions! - Register Here!

2.4 Increase use of self-measured blood pressure monitoring tied with clinical support2.5 Implement systems to facilitate identification of patients with undiagnosed hypertension and people with prediabetes2.6 Increase engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes2.7 Increase engagement of community pharmacists in the provision of medication-/self-management for adults with high blood pressure2.8 Implement systems and increase partnerships to facilitate bi-directional referral between community resources and health systems, including lifestyle change programs (e.g. EHRs, 800 numbers, 211 referral systems, etc.)

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OtherSubject Announcements

Grants and Funding

1) The Kresge Foundation – Emerging Leaders in Public Health (ELPH) InitiativeDeadline: Monday, April 30, 2018

- ELPH is accepting application for an “18-month leadership development initiative aimed at helping current and future local public health department leaders advance innovative models, which improve their organizations and position them for new opportunities to meet the changing health needs of their communities."

- Click here for more information! - Download application!

2) GRANT ALERT – The Center for Health and Health Care in Schools – The Comprehensive School Safety Initiative

Application Deadline May 7, 2018 - $50 million total - The Comprehensive School Safety Initiative funds rigorous research to produce practical

knowledge that can improve the safety of students and schools. The initiative is carried out through partnerships between researchers, educators, and other stakeholders; including law enforcement, behavioral and mental health professionals, courts, and other justice system professionals. These studies are designed to improve understanding that can be applied to schools and school districts across the nation for years to come.

- Click here for more information!

Additional Information

1) Regional Asthma Management and Prevention Program – Sustainable Financing for Asthma Education and Home Environmental Trigger Remediation – Lessons Learned from the Field

Monday, May 7, 2018 at 10AM to 11AM PT- Join the Regional Asthma Management & Prevention Program to learn more about

lessons learned related to efforts in California, Michigan, New Mexico and elsewhere.  You’ll also learn more about technical assistance available from the National Center for Healthy Housing to help support the work.

- In the Fall 2017, RAMP released Sustainable Financing for Asthma Education and Home Environmental Trigger Remediation: Lessons Learned from the Field. The document highlights lessons learned from a variety of efforts across select states to increase access to and the sustainability of in-home asthma services.

- To ensure that people with poorly controlled asthma have access to the services and systems they need to be healthy, advocates have long recognized the need for sustainable financing for asthma education and home environmental trigger assessment and remediation. Recent transformations within the health care system, including a greater emphasis on prevention, provide more opportunities to improve and sustain existing programs and bring such services to scale.

- The Regional Asthma Management and Prevention (RAMP) Program is a collaborative that promotes strategies for reducing asthma through a broad and comprehensive approach that includes clinical management and environmental protection. RAMP brings together diverse partners such as public health and community-based organizations, schools, medical providers, and environmental health and justice groups to join forces in reducing the burden of asthma with a focus on communities inequitably affected by the disease.

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2) Centers for Disease Control and Prevention – Report – Prevalence of Asthma, Asthma Attacks, and Emergency Department Visits for Asthma Among Working Adults – National Health Interview Survey 2011 – 2016

- In 2010, an estimated 8.2% of U.S. adults had current asthma, and among these persons, 49.1% had had an asthma attack during the past year. Workplace exposures can cause asthma in a previously healthy worker or can trigger asthma exacerbations in workers with current asthma*. To assess the industry- and occupation-specific prevalence of current asthma, asthma attacks, and asthma-related emergency department (ED) visits among working adults, CDC analyzed 2011–2016 National Health Interview Survey (NHIS) data for participants aged ≥18 years who, at the time of the survey, were employed at some time during the 12 months preceding the interview.

3) CMS – Managing Older Adults with Substance Use Disorders Wednesday, May 16, 2018 12pm to 1:30pm ET 

- Part of the Geriatric Competent Care series, this webinar describes Substance Use Disorder (SUD), how to diagnose SUD, and available treatment resources. Continuing Medical Education (CME) and Continuing Education (CE) credits may be available.

- Register Here!

4) Systems for Action/National Coordinating Center – Integrating Cross-Sectoral Health and Social Systems for the Homeless

Wednesday, May 23, 2018 12pm to 1pm ET - Members of the homeless population bear greater risk than other populations for many

preventable diseases but are less likely to access healthcare systems. These individuals need to be engaged by multiple systems to access services and support related not only to stable housing but also to reliable transportation, employment opportunities, and a healthy family environment. This one-year developmental study will evaluate the US Department of Housing and Urban Development’s initiative, the Continuum of Care (CoC) system, which addresses homelessness through cross-sector collaboration.

- Register Here!

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