The goal of SHIP The Statewide Health Improvement Program (SHIP) seeks to: Improve health

2. The goal of SHIP The Statewide Health Improvement Program (SHIP) seeks to: • Improve health • Decrease costs • Our goal: • Increase healthy weight adults by 9 percent • Reduce young adult tobacco use by 9 percent

3. SHIP works to reduce chronic diseases such as heart disease, cancer and diabetes

4. It does this through prevention—reducing the behaviors that lead to chronic disease Source: Mokdad et al, JAMA 2004 March 10; 291 (10):1238-45 U.S. 2000

5. Health in Minnesota Obesity is epidemic in Minnesota Percent of Minnesota Adults Obese • Nearly 2/3 of adults are overweight or obese • Only one out of four adults eats enough fruits and vegetables • Only slightly more than half of Minnesota adults get at least a moderate level of exercise.

6. Health in Minnesota Percent of Minnesota Adult Current Smokers Tobacco continues to be a problem • 15% of adults smoke, and many others are subjected to secondhand smoke. • In high school, over a quarter of students used tobacco in the past 30 days.

7. Health in Minnesota All contributing to health care costs that are out of control Health Care Spending in Minnesota from 1996-2008

8. Health in Minnesota The financial burden on Minnesota is enormous $2.9 billionin annual medical costs (2007) Tobacco $2.8 billionestimated annual financial burden (2006) Obesity

9. Health in Minnesota Yet prevention is a tiny percent of health spending • Minnesota spends annually per-capita: • Health care: almost $7000 • SHIP: less than $4 Source: Center for Disease Control and Prevention, University of California at San Francisco, Institute for the Future, thanks to Dakota SHIP

10. How SHIP Works The solution: prevent chronic disease and thereby reduce health care spending The goal of SHIP: • The goal of the Statewide Health Improvement Program (SHIP) is to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease.

11. How SHIP Works The SHIP model: improving health by increasing opportunities for healthy choices Increased opportunities for physical activity, nutritious food, and tobacco- free living… …means more people get physical activity, better nutrition, and less tobacco exposure… …leading to Improved health… …lowering health care costs, and improving quality of life.

12. Working toward policy change, not individual change Rather than tell kids about good nutrition, work with schools to serve more locally grown produce. Rather than tell people to get more physical activity, help employers build opportunities into the day. Rather than tell students to avoid second-hand smoke, help college campuses to become smoke-free. How it works

13. SHIP for 2012-13 • 18 grantees • 55 counties and cities and one tribal community

14. SHIP for 2012-13 Results • Through year three

15. A healthy start for young children through more physical activity and healthier eating in childcare

16. Healthy eating at school through “Farm to School” programs, school gardens and healthier snacks.

17. Physical activity for kids by walking and biking to school, “Active Classrooms” and PE

18. Tobacco-free colleges, including help quitting

19. Helping families avoid tobacco smoke at home through smoke-free multi-unit housing

20. Results from the First Two Years Farmers marketsSupported or created 71 farmers markets More access to healthy eating, including farmers markets and corner store initiatives

21. Encouraging active living through more sidewalks, bike paths and safe crosswalks

22. Partnering with healthcare providers to encourage referrals, breastfeeding, and cessation services

23. Good health at work through workplace wellness programs

24. Local control Strong partnerships Evidence-based strategies Sustainability Strong evaluation Keys to success