How Public Health Initiatives Contribute to Healthy Aging

Transcription

1 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

2 Healthy Aging My Story

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5 The Social Ecological Model (SEM) Policy o Formal or informal o Organizational or Laws Environment o Organizational o Community Behavior o Individual o Interpersonal Healthy Policies Healthy Environments Healthy Behaviors Healthy People Greatest Impact is When We Work Across all SEM Levels 5

6 Maximizing Public Health Impact Impact = Reach X Exposure X Potency Focus on changing things that affect Many people With frequent exposure In a comprehensive way SOURCE: National Center for Chronic Disease Prevention Division of Population Health 6

7 Maximizing Public Health Impact: Example Farmers Market Individual session with Educator FM accepts FoodShare; Community Gardens Participation in Living Well Healthy Food Standards at Meal Sites Covered Benefits Farm to Institution; More access to healthy food Living Well + Medication Therapy Management SOURCE: National Center for Chronic Disease Prevention Division of Population Health 7

8 Chronic Disease Prevention Funded by a 5-year cooperative agreement from the Centers for Disease Control and Prevention (July 2013 June 2018) Includes: Diabetes Prevention and Control Heart Disease and Stroke Prevention Nutrition, Physical Activity and Obesity Prevention School Health (related to nutrition, physical activity and care of children with chronic conditions) Coordinated Approach NEW Funding Opportunities

9 Grant Outcomes Long-term Improved prevention and control of hypertension (HTN), diabetes, overweight and obesity Short-term Promote and reinforce healthful behaviors and practices across the life span and settings Improve quality and delivery of services for hypertension and diabetes prevention and management. Support prevention, self-management and control of diabetes, hypertension and obesity.

10 Settings Early Care and Education Schools Communities Worksites Health Systems

11 Early Care and Education YoungStar Wellness Criteria Statewide Training and Technical Consultation to support breastfeeding, improve nutrition and increase the number of minutes of physical activity Farm to Childcare Childcare Gardens Physical Activity Skill Building

12 Active Schools and Core 4+ Active Physical Education Active Classrooms Active Recess/Open Gym Active Before and After School Family and Community Physical Activity Safe Routes to School Farm to School Cultivating Childhood Wellness through Youth Gardening Got Dirt? & Got Veggies? Fresh Fruit and Vegetable Snack Program Wellness Policies Schools Care of Children with Chronic Conditions

13 Worksite Wellness Worksites Access to Healthy Food Community Supported Agriculture drop-off sites Farmers Markets nearby Healthy Meeting Guidelines Promoting Physical Activity Walking meetings and routes Onsite facilities Supporting Breastfeeding Compliance with Federal Lactation Accommodation Law Chronic Disease Prevention and Control Health Risk Assessments Chronic Disease and Diabetes Self-Management Programs

14 Got Dirt? Gardening Initiatives Got Access? Improving Fruit and Vegetable Access in Communities Order Up Healthy and Check Out Healthy Healthier Food in Restaurants and Grocery Stores Farm to Institution Food System Fruits and Veggies More Matters

15 Active Community Environments Community Master Plans that accommodate all users Complete Streets Walkability & Bikeablity Sidewalks and Trails Signage and Mapping Safety Enhancements Public Access to Facilities Support Networks and Groups

16 Health Systems Use of Electronic Health Records and Quality Improvement Processes to Improve Care for People with Diabetes and Hypertension Promote Use of Team-Based Care in Health Systems Promote Self-Monitoring of Blood Pressure tied to Clinical Support Promote Awareness of High Blood Pressure and Diabetes

17 Community-Clinical Promote use of Diabetes and Chronic Disease Self- Management Programs in Community Settings Linkages Increase use of Community Health Workers to Support People with Diabetes and Hypertension

18 Healthy Brain Initiative One-year grant (April 1, 2014 to March 31, 2015) from the National Association of Chronic Disease Directors The Healthy Brain Initiative Road Map Wisconsin Dementia Care System Redesign

19 Million Hearts In Wisconsin Living Well with Chronic Conditions From MetaStar

20 Keys to Success Innovation Technical Package Managing Performance Partnerships Communication Leadership and Commitment Adapted from: Frieden, T. Six Components Necessary for Effective Public Health Program Implementation. American Journal of Public Health. November 14, 2013

21 Chronic Disease Prevention Unit Contacts Title Name Principal Investigator Chronic Disease Prevention and Cancer Control Section Chief Program Director/Chronic Disease Prevention Unit Supervisor Tim Corden, MD Cindy Musial Mary Pesik Nutrition Coordinator UW Population Health Services Fellow Physical Activity Coordinator Childcare Wellness Consultant Coverdell Stroke Program Coordinator Health Systems Coordinator Community-Clinical Linkages Coordinator Health Promotion Specialist (contracted) Health Promotion Specialist (contracted) Evaluator Chronic Disease Epidemiologist Chronic Disease Epidemiologist CSTE Fellow Office Operations Associate Kelli Stader Colleen Moran (UW-Fellow) Jon Morgan Vacant Julie Baumann Rebecca Cohen Jessica Stansell Pam Geis Sherri Ohly Shelby Vadjunec Nancy Chudy Vacant Alyssa Yang Abby Jackson Vacant

22 Thank You! Mary Pesik, RD, CD Program Director/Unit Supervisor (608)