Tennessee Taming the Diabetes Crisis: The Tennessee Journey to Better Health
|
|
- Loraine Anderson
- 6 years ago
- Views:
Transcription
1 Tennessee Taming the Diabetes Crisis: The Tennessee Journey to Better Health Susan R. Cooper MSN, RN Commissioner Tennessee Department of Health NCSL July 23,2009
2 Adult Diabetes Diabetes Prevalence, Tennessee and U.S Percent of Adults Year US Diabetes Rate TN Diabetes Rate Source: Behavioral Risk Factor Surveillance System Survey
3 Adult Obesity Obesity Prevalence, Tennessee and U.S Percent of Adults Year US Obes ity Rate TN Obesity Rate Source: Behavioral Risk Factor Surveillance System Survey
4 Childhood Obesity Overweight and Obese Children Tennessee and the United States, 2007 (NSCH) Percent Tennessee United States
5 Health Care Costs: Overview Obesity is a major risk factor for Type II Diabetes, giving us two different ways to think about health care costs from a obesity perspective or from a diabetes perspective
6 Health Care Costs: Obesity Perspective Additional health care costs due to overweight and obesity $19 for every overweight pound $1,038 for every overweight individual (Source: Humana 2009 estimates) Approximately 68% of adult Tennesseans (over 3 million people) are overweight this translates into over $3 billion in added health care costs for the state (Source: Humana 2009 estimates applied to TN) Obesity attributable Medicaid ($488 million) and Medicare ($433 million) costs in Tennessee totaled over one billion dollars in 2004 (Source: Finkelstein et al. 2004))
7 Health Care Costs: Diabetes Perspective Estimated at $116 billion nationally, including $27 billion for care to directly treat diabetes, $58 billion to treat diabetes-related chronic complications, and $31 billion in excess general medical costs. People with diagnosed diabetes, on average, have medical expenditures that are approximately 2.3 times higher than those without diabetes. The 2007 per capita annual costs of health care for people with diabetes in the United States is $11,744 a year, of which $6,649 (57%) is attributed to diabetes Approximately 10% of adult Tennesseans are diabetic this translates into over $5.6 billion in adult health care costs, of which $3 billion are attributed to diabetes (Source: American Diabetes Association)
8 Health Care Costs: Conclusion From either perspective, obesity and/or diabetes cost Tennessee over $3 billion in excessive health care costs.
9 Children Born in the Year in 3 will develop Type 2 Diabetes That number is 1 in 2 if you are African American or Hispanic It is a preventable disease Our Vision: By 2018, Tennessee will be the first state in the nation where all children will graduate at a HEALTHY WEIGHT
10 Health Outcomes Associated with Diabetes Leading cause of nontraumatic amputation Leading cause of new onset adult blindness Contributing factor to End Stage Renal Disease Matches 1:1 with Cardiovascular events Neurovascular complications
11 Prevention Model Policies and Systems National, State, Local laws and policies Community Physical, social and cultural environment Organizations Schools, Worksites, faith based Relationships Family, peers, social networks Individuals Knowledge, beliefs, attitudes
12 Fundamentals of Initiatives Policies: Putting health in all policies. Programs: Putting policies into action by utilizing and building the evidence base. Partnerships: Building and succeeding together.
13 Health Diabetes Prevention and Health Improvement Act of 2006 Cover Tennessee Products: Risk assigned based on Age, Weight, and Tobacco Use TennCare: Policies support Weight Watchers and other Healthy Weight Programs for children and their parents Disease management contractually required for obesity Child and teen newsletters include information on healthy food choices and exercise Governor Bredesen vetoed a bill which would have prohibited local boards of health in cities and counties from requiring restaurants to post nutritional information. (7/09)
14 Education Coordinated School Health: Mandated for all school systems, Fully Funded (1 st State in nation to fully fund) Tennessee is one of 19 states with nutritional standards for school meals and snacks that are stricter than federal requirements. Tennessee is one of 27 states with nutritional requirements for foods sold in school vending machines or in school bake sales. Physical Education Requirements=90 minutes per week BMI or health information collected Health Education requirements
15 Transportation and Agriculture Safe Routes to Schools Under ARRA, building sidewalks with roads Farm to School Programs
16 Project Diabetes Fundamental Goals Decrease the prevalence of overweight/obesity across the State to prevent or delay the onset of Type 2 diabetes and/or its consequences Educate the public about current and emerging health issues linked to diabetes Promote community, public-private partnerships to identify and solve regional health problems related to obesity and diabetes Advise and recommend policies and programs that support individual and community health improvement efforts Evaluate the effectiveness of improvement efforts/programs that address overweight, obesity, pre-diabetes and diabetes Disseminate best practices for diabetes prevention and health improvement
17 Intervention Programs Cherokee Health Systems Change for Life Program October 2008 March 2009 Target = children at risk for diabetes Goal = prevention of diabetes among underserved children via an integrated primary care approach 2,885 well child checks 234 at risk children referred 106 children enrolled in program 40 enrollees rechecked at 3 months 45% decreased their BMI 33% ate more fruits; 23% ate more vegetables 35% increased their physical activity 38% decreased time spent watching TV
18 Intervention Programs St. Thomas Family Health Centers Healthy Lifestyles Program October 2008 June 2009 Target = adult diabetes patients Goal = reduce the severity of and complications due to diabetes through education, healthy lifestyle changes and regular exercise 238 diabetic patients enrolled 66% achieved an hemoglobin A1C less than % decreased their BMI by 5% 96% reported physical activity twice per week
19 gotrybetn.com
20 gotrybetn.com
21 gotrybetn.com
22 gotrybetn.com
23 gotrybetn.com
24 Step U.P. to Health Center for Diabetes Prevention & Health Promotion Board Cordell Hull Building, Tennessee Room Tuesday, May 28 th, 2008, 9am Collaborative Partners
25 Step U.P. to Health Where did stepping originate? West African Gumboot Dance Tribal dance of celebration Form of story telling Modern Use of Step 1940 s by H.B.G.L.O., aka Divine Nine Intricate Words and Movements Unity through competition Use within program Aerobic Physical Activity Team concept, discipline
26 Step U.P. to Health Pilot Program, 2006 in East Nashville Built on N.S.S.A. step team foundation Reach 300 at risk youth, Increase s Physical Activity Execution of Strategic Health Curriculum Addresses Self Efficacy & Self Esteem Issues Support for Academic Excellence Teams in 15 community centers
27 GetFitTN.com GetFitTN is a statewide awareness program developed by Governor Bredesen to address the rising epidemic of Type 2 diabetes and risk factors that lead to diabetes, like obesity. Focused on educating both adults and children that Type 2 diabetes can be delayed or even prevented with modest lifestyle changes like increasing physical activity and a healthier diet. March to the Moon State employees walked approximately 155,000 miles in at 31 day period
28 GetFitTN.com
29 GetFitTN.com
30 GetFitTN.com
31 GetFitTN.com
32 Golden Sneaker Program Focus of Initiative Target population: 0-5 years of age, as there seems to be less emphasis on encouraging healthy behaviors in this group Goal: to enhance policy related to physical activity and nutrition within Tennessee s licensed child care facilities and target development of healthy living skills Encourages licensed child care facilities to voluntarily adopt policies relative to physical activity, media viewing, and ensuring appropriate feeding patterns for infants and children including breastfeeding, adequate portion sizes, adequate meal times and reward systems associated with food and activity Partnership between Department of Health, Department of Human Services, and Child Care Resource and Referral Centers
33 Golden Sneaker Initiative $100,000 grant received from National Governor s Association Goal: to enhance policy related to physical activity and nutrition within Tennessee s licensed child care facilities and target development of healthy living skills Encourages licensed child care facilities to voluntarily adopt policies relative to physical activity, media viewing, and ensuring appropriate feeding patterns for infants and children including breastfeeding, adequate portion sizes, adequate meal times and reward systems associated with food and activity Partnership between Department of Health, Department of Human Services, and Child Care Resource and Referral Centers
34 Diabetes Funding Funding Activities as of June 2009 Target Population Number of Grants Funding Level High Risk for Diabetes 10 $2 million Diabetes Management 15 $2.6 million Children or School Setting 20 $2.7 million
35 So What???? 2008 data show, adult diabetes rate in Tennessee has fallen from 11.9 percent to 10.3% In 2008, 71.3% of diabetic adults in Tennessee reported checking their blood sugar daily, exceeding the Healthy People 2010 objective of 60% (#1 nationally) In 2008, 83.2% of diabetic adults in Tennessee reported having an annual hemoglobin A1C check, exceeding the Healthy People 2010 objective of 65% The percentage of adult Tennesseans who reported no physical activity during the past month decreased between 2005 and % to 28.9%
36 Modeling Behaviors Participated in hundreds of community events ranging in size from participants Partnerships with schools, business community, community and faith based organizations, county/city governments, other state agencies Every moment is a teachable, get fit moment Message is consistent: Start where you are everyone can do something Fitness can be fun Learnings: Most people want to do the right thing they just don t know how to get started Most people do not know the data must make it personal your child, grandchild, or student
37 The Future Lots of progress made, but we have a long way to go to better health Continue to focus on translating research into practice clinical and community preventive health recommendations Community based participatory research Communicate, coordinate, collaborate Develop a working strategic plan to address overweight and obesity Innovate, innovate, innovate!!!
38 Questions???
39 Tennessee by the Numbers 2009 Population Estimates Total Population: 6,202, : 657,515 (10.6%) 18 54: 3,189,110 (51.4%) 55 64: 737,300 (11.9%) 65 and older: 813,702 (13.1%) Males: 3,029,968 (48.8%) Females: 3,172,835 (51.2%) White: 5,041,974 (81.3%) Black: 1,038,967 (16.7%)
40 Fruits and Vegetables Ate Fruits and Vegetables Less Than 5 Times Per Day Tennessee, (BRFSS )* Percent Year *Data on fruit and vegetable consumption not available for 1999, 2004, or 2006.
41 Physical Activity No Physical Activity During the Past Month Tennessee, (BRFSS ) Percent Year
42 Diabetes Management Daily Blood Sugar Check Tennessee, (BRFSS ) Percent Healthy People 2010 Objective: 60% Year
43 Diabetes Management Annual Dilated Eye Exam Tennessee, (BRFSS ) Percent Healthy People 2010 Objective: 76% Year
44 Diabetes Management Annual Foot Exam Tennessee, (BRFSS ) Percent Healthy People 2010 Objective: 91% Year
45 Diabetes Management Annual Hemoglobin A1C Check Tennessee, (BRFSS ) Percent Healthy People 2010 Objective: 65% Year
46 Adult Diabetes Diabetes Prevalence, Tennessee and U.S Year TN Diabetes Rate US Diabetes Rate 1 TN National Rank Nationwide calculation based on data from states and the District of Columbia 2 Ranking of lowest to highest percentage among states Source: Behavioral Risk Factor Surveillance System Survey
47 Adult Obesity Obesity Prevalence, Tennessee and U.S Year TN Obesity Rate US Obesity Rate 1 TN National Rank Nationwide calculation based on data from states and the District of Columbia 2 Ranking of lowest to highest percentage among states Source: Behavioral Risk Factor Surveillance System Survey
48 Tennessee Specific Data 36.5% 10 to 17 year olds are overweight or obese, 5th highest rate in nation (F as in Fat 2009: How Obesity Policies are Failing in America, Trust for America s Health). BMI Screening through Coordinated School Health 16,513 students Year 1 Ranged in age from 7 to 16 years 24% overweight (above 95 th percentile) 18% at risk for overweight (85 th 95 th percentile) 42% total overweight and at risk 56% normal weight (above the 5 th and below the 85 th percentile) 2% underweight (below the 5 th percentile)
49 More boys (26%) were overweight than girls (22%) A greater proportion of black students (29%) were overweight than white (24%) Black girls had the highest proportion of overweight or at risk for overweight (50%) White girls had the lowest proportion of overweight or at risk for overweight (40%) Only age group with combined proportion of overweight and at risk for overweight less than 40%: Students under age 7
50 BMI Screening Results The proportions of overweight and at risk for overweight were considerably higher than those reported for Tennessee high school students in the 2005 Youth Risk Behavior Surveillance System (YRBSS) 42% BMI Project versus 32.1% YRBSS 2 nd year screening has been completed on 25,640 students, data under analysis
51 Immediate Steps for Confronting the Epidemic: State and Local Governments Establish an interdepartmental task force and coordinate federal/state actions Develop nutrition standards for foods and beverages sold in schools Apply for state based nutrition and physical activity grants with strong evaluation components Expand and promote opportunities for physical activity in the community through changes to ordinances, capital improvement programs, and other planning practices Work with communities to support partnerships and networks that expand the availability of and access to healthful foods
52 Schools: Coordinated School Health: Mandated for all school systems, Fully Funded (1 st State in nation to fully fund) Nutritional Standards for all meals Nutritional standards for all competitive foods Physical Education Requirements=90 minutes per week BMI or health information collected Health Education requirements Vending machine laws
53 Project Diabetes Fundamental Goals Decrease the prevalence of overweight/obesity across the State to prevent or delay the onset of Type 2 diabetes and/or its consequences Educate the public about current and emerging health issues linked to diabetes Promote community, public-private partnerships to identify and solve regional health problems related to obesity and diabetes Advise and recommend policies and programs that support individual and community health improvement efforts Evaluate the effectiveness of improvement efforts/programs that address overweight, obesity, pre-diabetes and diabetes Disseminate best practices for diabetes prevention and health improvement
54 Modeling Behaviors Participated in hundreds of community events ranging in size from participants Partnerships with schools, business community, community and faith based organizations, county/city governments, other state agencies Every moment is a teachable, get fit moment Message is consistent: Start where you are everyone can do something Fitness can be fun Learnings: Most people want to do the right thing they just don t know how to get started Most people do not know the data must make it personal your child, grandchild, or student
Tennessee Creating Holistic Approaches for Diabetes Programs and Policies: A Public Health Approach
Tennessee Creating Holistic Approaches for Diabetes Programs and Policies: A Public Health Approach Susan R. Cooper MSN, RN Commissioner Tennessee Department of Health Women in Government March 4, 2011
More informationAlmost 1 in 10 adults have been diagnosed with diabetes. Alabama is ranked fifth in prevalence of diabetes in the United States and its territories.
2008 FACT SHEET The Diabetes Branch addresses the impact of diabetes in Alabama by developing policies, recommendations, and programs about the disease and related issues. The program is funded through
More informationObesity Prevention in Schools and Communities. The California Experience
EXHIBIT E Obesity Prevention in Schools and Communities The California Experience Francine R. Kaufman, M.D. Professor of Pediatrics The Keck School of Medicine of USC Head, Center for Diabetes, Endocrinology
More informationPREVENTION. Category: Initiation of Tobacco Use. Strategies to Reduce tobacco use initiation. used smokeless tobacco on one or more of the
Goal 1: Reduce incidence and mortality from tobaccorelated cancers (lung, throat, mouth, pancreas, kidney, bladder and cervix) in all populations. Category: Initiation of Tobacco Use OBJECTIVE 1.1: By
More informationHealthy Weight: Healthy Wales. Youth and community version
Healthy Weight: Healthy Wales Youth and community version Introduction The Welsh Government want everyone in Wales to be a healthy weight. We want people to eat healthy food and be active. We all make
More informationFACT SHEET % 15.0% Percent 10.0%
FACT SHEET The Branch addresses the impact of diabetes in Alabama by developing, policies, recommendations, and programs about the disease and related issues. The program is funded through a five-year
More informationSPARTANBURG COUNTY BODY MASS INDEX (BMI) REPORT
SPARTANBURG COUNTY BODY MASS INDEX (BMI) REPORT 1 st, 3 rd, and 5 th GRADE STUDENTS SCHOOL YEAR 2013-2014 2 CHILDHOOD OBESITY TASK FORCE ADVISORY COMMITTEE PARTNERS 3 4 TABLE OF CONTENTS Preface.. 4 Project
More informationThe State of Obesity 2017 Better Policies for a Healthier America
The State of Obesity 2017 Better Policies for a Healthier America Southern Obesity Summit Atlanta, GA October 2, 2017 Richard Hamburg Executive Vice President and COO Trust for America s Health Overview
More informationChildhood Obesity. Jay A. Perman, M.D. Vice President for Clinical Affairs University of Kentucky
Childhood Obesity Jay A. Perman, M.D. Dean, College of Medicine Vice President for Clinical Affairs University of Kentucky Epidemic of Overweight & Obesity in Children Prevalence of Overweight by Race/Ethnicity
More informationApproach is Critical. Childhood Overweight. The Childhood Overweight Epidemic: What are the Causes and What Can Schools Do?
The Childhood Overweight Epidemic: What are the Causes and What Can Schools Do? Wendy Wolfe, Ph.D. Div. Nutritional Sciences, Cornell Community Nutrition Seminar 11/1/04 Percent 18 16 14 12 10 8 6 4 2
More informationMonroe County Community Health Needs Implementation Plan. Approved May 21, 2013 Mercy Memorial Hospital System Board of Trustees
Monroe County Community Health Needs Implementation Plan Approved May 21, 2013 Mercy Memorial Hospital System Board of Trustees Chronic Conditions- Diabetes and Obesity CHRONIC CONDITIONS- DIABETES AND
More informationChildhood Overweight and Obesity in Massachusetts: Trends, Problems & Solutions
Childhood Overweight and Obesity in Massachusetts: Trends, Problems & Solutions Jennifer Sacheck, PhD Tufts University Friedman School of Nutrition Science & Policy John Hancock Center on Physical Activity
More informationPawnee Public Schools. Wellness Policy
CHILD NUTRITION AND PHYSICAL FITNESS PROGRAM The Pawnee Board of Education recognizes that childhood obesity has reached epidemic levels throughout the country. Overweight children are at a higher risk
More informationCommittee on Public Health Practices to Reduce and Control Hypertension
Committee on Public Health Practices to Reduce and Control Hypertension Susan Cooper, MSN, RN Commissioner, Tennessee Department of Health January 8, 2009 Washington, DC Today s s Key Messages n We cannot
More informationWELLNESS POLICY I. INTRODUCTION AND RATIONALE
WELLNESS POLICY Cabell County Schools recognizes a relationship exists between nutrition, physical activity, and learning. Healthy eating and activity patterns are essential for students to achieve their
More informationOverview of the NC Diabetes Prevention and Management Guide. Ronny Bell, Ph.D., MS, Chair Jan Nicollerat, MSN, RN, ACNS-BC, CDE, Vice Chair
Overview of the NC Diabetes Prevention and Management Guide Ronny Bell, Ph.D., MS, Chair Jan Nicollerat, MSN, RN, ACNS-BC, CDE, Vice Chair 1,030,000 in North Carolina 2,500,000 in North Carolina Age-adjusted
More informationOBESITY IN MISSOURI: IMPLICATIONS FOR HEALTH / FOOD POLICY
1 OBESITY IN MISSOURI: IMPLICATIONS FOR HEALTH / FOOD POLICY Venkata Garikapaty, PhD, MPH Chief, Office of Epidemiology Missouri Department of Health and Senior Services 10/26/2017 Missouri Council for
More informationIncreasing Access to Healthy Food & Beverages Alfredo Camacho-Gonzalez
Increasing Access to Healthy Food & Beverages Alfredo Camacho-Gonzalez Nutrition Education & Obesity Prevention Coordinator Collaborative Partners Healthy in Pomona Findings Community Data Two Health Summits:
More informationNorth Carolina Prevention Report Card 2005
NC Prevention Partners www.ncpreventionpartners.org Report Card North Carolina Prevention Report Card 2005 Does North Carolina make the grade for prevention? Why Focus on Tobacco, Nutrition, and Physical
More informationDC Preparatory Academy Public Charter School Local Wellness Policy SY
aratory Academy Public Charter School SY 2015-2018 The U.S. Congress established a requirement in the Child Nutrition and Women, Infants and Children (WIC) Reauthorization Act of 2004, that all school
More informationsession Introduction to Eat Well & Keep Moving
session 1 Introduction to Eat Well & Keep Moving Overview of Workshop Session 1: Introduction to Eat Well & Keep Moving Session 2: The Good Life Wellness Session 3: Eat Well & Keep Moving Principles of
More informationThe U.S. Obesity Epidemic: Causes, Consequences and Health Provider Response. Suzanne Bennett Johnson 2012 APA President
The U.S. Obesity Epidemic: Causes, Consequences and Health Provider Response Suzanne Bennett Johnson 2012 APA President sbjohnson@apa.org Presentation Overview Epidemiology of obesity Consequences of obesity
More informationHealthy Students, Healthy Schools Nutrition Standards for Competitive Foods and Beverages
Healthy Students, Healthy Schools Nutrition Standards for Competitive Foods and Beverages Outline Development and scope of obesity in adults across the United States and children in Massachusetts Background
More informationLEGACY PREPARATORY ACADEMY School Wellness Policy Assessment
LEGACY PREPARATORY ACADEMY School Wellness Policy Assessment 2017-2018 A. Food and Beverages Food Safety 1. All food sold/served to students is prepared in health-inspected facilities under the guidance
More informationSnack Food and Beverage Interventions in Schools
Snack Food and Beverage Interventions in Schools Summary Evidence Table Abbreviations Used in This Document: Outcomes: o SSB: sugar sweetened beverage Measurement terms o BMI: body mass index o CI: confidence
More informationMaintaining Healthy Weight in Childhood: The influence of Biology, Development and Psychology
Maintaining Healthy Weight in Childhood: The influence of Biology, Development and Psychology Maintaining a Healthy Weight in Biology Development Psychology Childhood And a word about the Toxic Environment
More informationHEALTHY. School Food Environment IN PARTNERSHIP WITH
P R E S E N T S HEALTHY School Food Environment IN PARTNERSHIP WITH Contents of Tool Kit WHY focus on wellness at School? WHO should be on a Wellness Committee? WHAT is a school food WHERE should we begin?
More informationTAKING ACTION FOR A HEALTHIER CALIFORNIA:
TAKING ACTION FOR A HEALTHIER CALIFORNIA: Recommendations to Improve Healthy Food and Activity Options Squeezed by time and money, Californians have succumbed to a lifestyle marked by physical inactivity
More informationModule Let s Eat Well & Keep Moving: An Introduction to the Program
Module 1 Let s Eat Well & Keep Moving: An Introduction to the Program From L.W.Y Cheung, H. Dart, S. Kalin, B. Otis, and S.L. Gortmaker, 2016, Eat Well & Keep Moving, 3rd ed. (Champaign, IL: Human Kinetics).
More informationOverweight and Obesity Factors Contributing to Obesity
National Center for Chronic Disease Prevention and Health Promotion Home About Us Site Map Visitor Survey Contact Us Overweight and Obesity Factors Contributing to Obesity Biological, Behavioral, and Environmental
More informationHealthy People, Healthy Communities
Healthy People, Healthy Communities Public Health Policy Statements on Public Health Issues The provincial government plays an important role in shaping policies that impact both individual and community
More informationPediatric Overweight and Obesity
Pediatric Overweight and Obesity Cambria Garell, MD Assistant Clinical Professor UCLA Fit for Healthy Weight Program Associate Program Director Pediatric Residency Program Mattel Children s Hospital UCLA
More informationTennessee Tobacco Settlement Health Councils Planning Meeting. Tennessee Public Health Association September 12, 2103
Tennessee Tobacco Settlement Health Councils Planning Meeting Tennessee Public Health Association September 12, 2103 Session Objectives Identify facts regarding tobacco use and its relationship to county
More information14. HEALTHY EATING INTRODUCTION
14. HEALTHY EATING INTRODUCTION A well-balanced diet is important for good health and involves consuming a wide range of foods, including fruit and vegetables, starchy whole grains, dairy products and
More informationOverweight/Obesity & Physical Inactivity. Healthy Kansans 2010 Steering Committee Meeting April 22, 2005
Overweight/Obesity & Physical Inactivity Healthy Kansans 2010 Steering Committee Meeting April 22, 2005 Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2003 (*BMI 30, or about 30 lbs overweight for
More informationUniversity of Michigan Health System 2013 Implementation Plan Logic Models
University of Michigan Health System 2013 Implementation Plan Logic Models These logic models supplement the UMHS 2013 Implementation Plan which can be found at http://umhealth.me/chna13. Please direct
More informationBaptist Health Jacksonville Community Health Needs Assessment Implementation Plans. Health Disparities. Preventive Health Care.
Baptist Health Jacksonville Community Health Needs Assessment Implementation Plans Health Disparities Infant Mortality Prostate Cancer Heart Disease and Stroke Hypertension Diabetes Behavioral Health Preventive
More informationSENTARA MARTHA JEFFERSON HOSPITAL 2016 Community Health Needs Assessment Supplemental Report
SENTARA MARTHA JEFFERSON HOSPITAL 2016 Community Health Needs Assessment Supplemental Report Sentara Martha Jefferson Hospital participated in a collaborative effort to conduct a community health needs
More informationJamie F. Chriqui, Ph.D., M.H.S. Frank J. Chaloupka, Ph.D.
It s More than the Sum of the Parts: Taking a Holistic Approach to Chronic Disease Prevention Examples from Tobacco Control and Obesity Prevention Policymaking Jamie F. Chriqui, Ph.D., M.H.S. Frank J.
More informationMISSION STATEMENT: We promote healthy communities through increasing physical activity, improving nutrition and preventing tobacco abuse
MISSION STATEMENT: We promote healthy communities through increasing physical activity, improving nutrition and preventing tobacco abuse CHEROKEE NATION Tribal Jurisdictional Service Area (TJSA) * Tribal
More informationMetro-Nashville Public Schools. Nutrition Services
Metro-Nashville Public Schools Nutrition Services At the present time our School Nutrition Services department plans menus that are consistent with the New Meal Pattern set in place by the United Sates
More informationMandating Body Mass Index Reporting in the Schools
Mandating Body Mass Index Reporting in the Schools Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (15)
More informationWebinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve.
Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve April 22, 2015 Qualis Health A leading national population health management organization
More informationChronic Disease Prevention
Increase the percentage of adults and children who are at a healthy weight Increase access to resources that promote healthy behaviors Reduce chronic disease morbidity and mortality Reduce illness, disability
More informationChildhood Obesity Epidemic- African American Community
Childhood Obesity Epidemic- African American Community Link D Juanna Satcher MD MPH Assistant Professor of Pediatrics Baylor College of Medicine Gulf Coast Apollo Chapter Objectives Summarize obesity rates
More informationCamden Citywide Diabetes Collaborative
Camden Citywide Diabetes Collaborative The Camden Coalition of Healthcare Providers is an organization that seeks to improve the quality, capacity and accessibility of the health care system for vulnerable,
More informationNEW LIMA PUBLIC SCHOOLS SCHOOL WELLNESS POLICY SEMINOLE COUNTY DISTRICT I-006
NEW LIMA PUBLIC SCHOOLS SCHOOL WELLNESS POLICY SEMINOLE COUNTY DISTRICT I-006 SCHOOL WELLNESS POLICY Purpose: The staff at New Lima Public School as a group recognizes that healthy students are better
More informationRHODE ISLAND CANCER PREVENTION AND CONTROL
RHODE ISLAND CANCER PREVENTION AND CONTROL 2013 2018 STRATEGIC PLAN TABLE OF CONTENTS Purpose 1 The Partnership to Reduce Cancer 3 Prevention 4 Tobacco 4 Healthy Weight 6 Nutrition 6 Physical Activity
More informationSchool District Wellness Policies: Evaluating Progress and Potential for Improving Children s Health Three Years After the Federal Mandate
School District Wellness Policies: Evaluating Progress and Potential for Improving Children s Health Three Years After the Federal Mandate school years volume 2 nationwide evaluation results August 2010
More informationWill California s Health Care Reform Make Californians Healthier?
Will California s Health Care Reform Make Californians Healthier? E. Richard Brown, PhD Director, UCLA Center for Health Policy Research Professor, UCLA School of Public Health Council of State Governments
More informationPosition Statement: Childhood Obesity
Position Statement: Childhood Obesity DRAFT The California School Food Service Association supports legislative efforts to improve the wellbeing of the children of California. Child Nutrition Programs
More informationBaptist Health Nassau Community Health Needs Assessment Priorities Implementation Plans
Baptist Health Nassau Community Health Needs Assessment Priorities Implementation Plans Health Disparities Heart Disease Stroke Hypertension Diabetes Adult Type II Preventive Health Care Smoking and Smokeless
More informationHealth Behavior and Risk Factor Report Hamilton County
Health Behavior and Risk Factor Report 2007 Hamilton County Chattanooga-Hamilton County Health Department September, 2007 Chattanooga-Hamilton County Health Department Mission: To do all we can to assure
More informationBaptist Health Beaches Community Health Needs Assessment Priorities Implementation Plans
Baptist Health Beaches Community Health Needs Assessment Priorities Implementation Plans Health Disparities Heart Disease Stroke Hypertension Diabetes Adult Type II Preventive Health Care Smoking and Smokeless
More informationA public health perspective on the importance of good nutrition within and beyond school. Linda de Caestecker Director of Public Health
A public health perspective on the importance of good nutrition within and beyond school Linda de Caestecker Director of Public Health Trends: international Scotland Trends: international BMI status (National
More informationStrategies to Reduce Sugar- Sweetened Beverage Consumption: Lessons from New York City
Strategies to Reduce Sugar- Sweetened Beverage Consumption: Lessons from New York City Anne Sperling, MPH Ashley Lederer, MS, RD Bureau of Chronic Disease Prevention NYC Department of Health and Mental
More informationChildhood obesity. Chandralall Sookram Medical Officer WHO/AFRO Brazzaville Congo
Childhood obesity Chandralall Sookram Medical Officer WHO/AFRO Brazzaville Congo Overweight and obesity Fifth leading global risk for mortality. Responsible for : 44% of the diabetes burden, 23% of the
More informationSanta Clara County Highlights
Santa Clara County Highlights Data and Partnerships: Pivotal Elements to Create Healthy Communities November 6th, 2009 David Hill, PhD, MPH Cities of Santa Clara County 2 The pivotal elements Data evidence-based
More informationINShape Indiana vs. GetFitTN. A Comparison
INShape Indiana vs. GetFitTN A Comparison Prevention is better than cure. Desiderius Erasmus Morgan County Tennessee 1986 90 Cholesterol levels > 400 Peripheral vascular disease Tobacco use Hypertension
More informationShifting Paradigms Treating Pediatric Obesity
Shifting Paradigms Treating Pediatric Obesity Colony S. Fugate, D.O. Clinical Associate Professor of Pediatrics Oklahoma State University Center for Health Sciences Medical Director, Family Health and
More informationWELCOME MAXIMIZE YOUR POTENTIAL: REVENUE STUDENT SUCCESS ACCESS
WELCOME MAXIMIZE YOUR POTENTIAL: REVENUE STUDENT SUCCESS ACCESS Our Mission: To reduce the prevalence of childhood obesity and to empower kids nationwide to make healthy lifestyle choices. 3 Health Risks/Consequences
More informationNutrition. A Stand Alone Unit. Daily Living Skills. Executive Functioning Skills for Surviving Life after High School. Transition 2 Life Curriculum
Nutrition A Stand Alone Unit Daily Living Skills Executive Functioning Skills for Surviving Life after High School Transition 2 Life Curriculum By Susan Traugh Copyright Kiducation Productions 2011 All
More informationWalker Baptist Medical Center
Community Health Needs Implementation Strategy FY2013 - FY2015 FY2013-FY2015 Community Health Needs Implementation Strategy Overview Located in Jasper, Alabama, Walker Baptist Medical Center is part of
More informationHealthy Living Project 2013 FINAL REPORTING FORM
Healthy Living Project 2013 FINAL REPORTING FORM *Instructions: This is an aggregate report. Fill ALL program data. Please type or print clearly. Reporting Period December 10, 2012 May 25th, 2013 Chapter
More informationCommunity Action Partnership of Sonoma County Healthy Tomorrows Final Report
MATERNAL AND CHILD HEALTH BUREAU (MCHB) SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE (SPRANS) FINAL REPORT AND ABSTRACT Project Number: H17MC06712 Grantee Organization: Community Action Partnership
More informationMedicaid Report: New Hampshire and Vermont. Preventative Care and Obesity
Medicaid Report: New Hampshire and Vermont Preventative Care and Obesity PRS Policy Brief 0506-11 October 24, 2006 Prepared by: Stephanie Lawrence This report was written by undergraduate students at Dartmouth
More informationKAISER PERMANENTE OF GEORGIA COMMUNITY BENEFIT REPORT
2016 KAISER PERMANENTE OF GEORGIA COMMUNITY BENEFIT REPORT Partnering to Build Healthy Communities At Kaiser Permanente Georgia, our commitment to improving health has been going strong for more than 30
More information5 Public Health Challenges
5 Public Health Challenges The most recent Mecklenburg County Community Health Assessment (CHA) prioritized the prevention of premature death and disability from chronic disease as the number one public
More informationTom Williams, MD Chief Medical Officer Director of the Division of Public Health Nebraska Department of Health and Human Services
Tom Williams, MD Chief Medical Officer Director of the Division of Public Health Nebraska Department of Health and Human Services Helping People Live Better Lives Background DHHS dynamic agency Helping
More informationTITLE. Subtitle Goes Here. Howard County Unsweetened. Policy + Outreach + Media = Change. Marlene B. Schwartz, Ph.D. June 21, 2017
TITLE Howard County Unsweetened Subtitle Goes Here Policy + Outreach + Media = Change Photo Credit: J. Stephen Conn Marlene B. Schwartz, Ph.D. June 21, 2017 Overview Howard County Campaign components Findings
More informationFamily Fitness Challenge - Student Fitness Challenge
Family Fitness Challenge - Student Fitness Challenge COMMUNITY - BASE D OBESITY INTERVENTION PROGRAM MOVES INTO ELEMENTARY SCHOOLS J N E L L E R U S C E T T I, P A L Y N N H U N T L O N G, E D. D. S T
More informationWICOMICO COUNTY LOCAL HEALTH IMPROVEMENT COALITION
Background: Obesity prevention was identified by the Wicomico County Local Health Improvement Coalition as a priority concern for the County in 2009. In 2013, The Wicomico County Executive s Fitness Council
More informationHealth Concern. Obesity Guilford County Department of Public Health Community Health Assessment
2012-2013 Guilford County Department of Public Health Community Health Assessment 10 Health Concern The leading causes of death in Guilford County are chronic degenerative diseases, especially cancer and
More informationSUBJECT:DISTRICT WELLNESS POLICY ON PHYSICAL ACTIVITY AND NUTRITION
The Susquehanna Valley Central School District (SVCSD) will establish a wellness committee to develop, implement, monitor, and review and as necessary, revise school nutrition and physical activity policies.
More informationLIVE HEALTHY. Disclosure. Learning Objectives. University of Texas Health Science Center at San Antonio, Texas. Pediatrics Grand Rounds 28 June 2013
LIVE HEALTHY Empowering Youth to Make Healthful Choices Disclosure Angie Mock has no relevant financial relationships with commercial interests to disclose. 1 Learning Objectives At the end of this presentation,
More informationCollaborations to Reduce Health Disparities and Improve Wellness
Collaborations to Reduce Health Disparities and Improve Wellness Congressional Black Caucus Braintrust National Minority Quality Forum 2008 Leadership Summit Washington, DC 14 April 2008 Bryan J. Alsip,
More informationWelcome! Overview. Overview. What is it? ND Strategic Prevention Framework State Incentive Grant (SPF SIG)
Welcome! Wells County District Health Unit Strategic Prevention Framework State Incentive Grant (SPF SIG) Assessment Overview and Next Steps Overview ND Strategic Prevention Framework State Incentive Grant
More informationUpdates for the Strategic Plan for the Prevention of Obesity in Texas
Updates for the Strategic Plan for the Prevention of Obesity in Texas Tracking progress, refining targets, and evaluating implementation 2008 Texas Department of State Health Services 2008 Table of Contents
More informationRecommendations for Statewide School Nutrition Standards
Draft Report of the Illinois School Wellness Policy Task Force 10/6/06 Draft Recommendations for Statewide School Nutrition Standards Background Recognizing that schools can play a critical role in supporting
More informationPartnership for a Healthy Texas DRAFT Priorities: 83 rd Legislature
Partnership for a Healthy Texas DRAFT Priorities: 83 rd Legislature It is well known that the habits learned in childhood persist into adulthood. Whether these habits promote physical fitness and healthy
More informationPrevention and Control of Obesity in the US: A Challenging Problem
Prevention and Control of Obesity in the US: A Challenging Problem Laura Kettel Khan PhD Sr Scientist for Policy & Partnerships Division of Nutrition, Physical Activity, and Obesity Centers for Disease
More informationPrevention and Public Health Fund: Community Transformation Grants
Prevention and Public Health Fund: Community Transformation Grants Overview of Los Angeles County Department of Public Health s Grant Award Summary LA Health Collaborative October 27, 2011 Background Two
More informationDiabetes in North Carolina. Women in Government Diabetes State Briefing June 20, 2012 April B. Reese, MPH, CPH
Diabetes in North Carolina Women in Government Diabetes State Briefing June 20, 2012 April B. Reese, MPH, CPH Presentation Overview Burden of Diabetes North Carolina response What s next Diabetes in North
More informationPromoting Healthy Kids After School: Tips, Tools and Strategies. Wendy Wolfe, PhD Division of Nutritional Sciences Cornell University March 14, 2017
Promoting Healthy Kids After School: Tips, Tools and Strategies Wendy Wolfe, PhD Division of Nutritional Sciences Cornell University March 14, 2017 Webinar Overview Nutrition issues of 9-12 year olds Behaviors
More informationBROOKFIELD LOCAL SCHOOLS WELLNESS POLICY IRN #050120
BROOKFIELD LOCAL SCHOOLS WELLNESS POLICY IRN #050120 THE SCHOOL BOARD OF BROOKFIELD SCHOOLS, TRUMBULL COUNTY, OHIO, PROMOTES HEALTHY SCHOOLS BY SUPPORTING WELLNESS, GOOD NUTRITION, AND REGULAR PHYSICAL
More informationDefinitions. Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher.
Obesity in America Definitions Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight
More informationResources to Support School Wellness
Resources to Support School Wellness Shawn LaFrance Foundation for Healthy Communities www.healthynh.com Hood Center Keeping Students Healthy Conference - May 8, 2009 Our Approach: Community Prevention
More information650, Our Failure to Deliver
650, Our Failure to Deliver, Director UAB Comprehensive Cancer Center Professor of Gynecologic Oncology Evalina B. Spencer Chair in Oncology President, American Cancer Society All Sites Mortality Rates
More informationInstitute for Public Health and Medicine Seminar Series State of Health in Chicago. January 30, 2014
Institute for Public Health and Medicine Seminar Series State of Health in Chicago January 30, 2014 Bechara Choucair, MD Commissioner Chicago Department of Public Health @Choucair #HealthyChicago Healthy
More informationObesity in the US: Understanding the Data on Disparities in Children Cynthia Ogden, PhD, MRP
Obesity in the US: Understanding the Data on Disparities in Children Cynthia Ogden, PhD, MRP National Center for Health Statistics Division of Health and Nutrition Examination Surveys Obesity in the US,
More informationMercy Defiance Hospital Community Health Needs Assessment Implementation Plan. Introduction
Mercy Defiance Hospital 2014-2016 Community Health Needs Assessment Implementation Plan IDENTIFYING INFORMATION Hospital Name: Mercy Defiance Hospital (MDH) Primary Address: 1404 E. Second Street, Defiance,
More informationSchool Physical Activity and Nutrition (SPAN)Survey Results for McLennan County
School Physical Activity and Nutrition (SPAN)Survey 2008 Results for McLennan County What is SPAN? SPAN is the School Physical Activity and Nutrition Project. The goal of SPAN is to monitor the prevalence
More informationHEALTH FACTORS Health Behaviors. Adult Tobacco Use Adolescent Alcohol Use Healthy Eating School Food Environment Physical Activity
HEALTH FACTORS Health Behaviors Adult Tobacco Use Adolescent Alcohol Use Healthy Eating School Food Environment Physical Activity 1 Adult Tobacco Use Definition: For this assessment, adult tobacco use
More informationJob Opportunity Investment Network Education On Diabetes In Urban Populations
JOINED-UP Job Opportunity Investment Network Education On Diabetes In Urban Populations Rickie Brawer, PhD, MPH, MCHES James Plumb, MD, MPH Thomas Jefferson University and Hospitals Diane Cornman-Levy
More informationHow Public Health Initiatives Contribute to Healthy Aging
How Public Health Initiatives Contribute to Healthy Aging Mary Pesik, RD, CD Chronic Disease Prevention Unit Supervisor June 25, 2015 Protecting and promoting the health and safety of the people of Wisconsin
More informationIN THE GENERAL ASSEMBLY STATE OF. Competitive School Food and Beverage Act. Be it enacted by the People of the State of, represented in the General
IN THE GENERAL ASSEMBLY STATE OF Competitive School Food and Beverage Act 1 1 1 1 1 1 1 1 Be it enacted by the People of the State of, represented in the General Assembly: Section 1. Title. This act shall
More informationAnnual Community Health Improvement Plan Report
Annual Community Health Improvement Plan Report Nebraska Panhandle Panhandle Public Health District, Scotts Bluff County Health Department, Panhandle Partnership, Box Butte General Hospital, Chadron Community
More informationEating Better to Prevent Heart Disease and Stroke. Michelle Karn Communications Director in Southern New England Rhode Island and Southeastern, MA
Eating Better to Prevent Heart Disease and Stroke Michelle Karn Communications Director in Southern New England Rhode Island and Southeastern, MA Smoking BMI Physical Activity Healthy Diet Score Total
More informationSuicide Prevention Strategic Plan
Suicide Prevention Strategic Plan 2019 For more information visit dphhs.mt.gov/suicideprevention 2 Vision Zero suicide in the Big Sky State Mission Our Reduce suicide in Montana through a comprehensive,
More informationPolicy: Nutrition Creating a Healthy Environment
Policy: Nutrition Creating a Healthy Environment Policy Number: 200.01 Adopted: May 24, 2011 Former Policy Number: n/a Revised: January 29, 2013 Policy Category: Students Subsequent Review Dates: TBD Pages:
More information