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Building a Healthier Chicago

Building a Healthier Chicago. Building a Healthier Chicago. GOAL To improve the health of Chicago’s residents and employees through the integration of existing and new public health, medicine and community health promotion activities. Building a Healthier Chicago. VISION

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Building a Healthier Chicago

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  1. Building a Healthier Chicago

  2. Building a Healthier Chicago GOAL To improve the health of Chicago’s residents and employees through the integration of existing and new public health, medicine and community health promotion activities

  3. Building a Healthier Chicago VISION Integrated, effective and sustained community-wide partnerships for health promotion that can be replicated nationwide

  4. Building a Healthier Chicago • Our Objectives: • Promote, coordinate and track the adoption of optimal programs, practices, policies, and supportive environments throughout the health care organizations, worksites, schools, and neighborhoods of Chicago.

  5. Building a Healthier Chicago • Our Objectives:(cont.) • Develop and maintain a system of interventions that complement and reinforce each other to maximize reach and effectiveness • Build Synergy!

  6. Building A Healthier Chicago Inactivity Unhealthy Diet Health Dyslipidemia Tobacco Abuse Hypertension Genetics

  7. Building A Healthier Chicago Type 2 Diabetes Inactivity Obesity Unhealthy Diet Genetics Hypertension

  8. Building a Healthier Chicago

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  11. High Blood Pressure Prevalence 1988-1994 2001-2004 80 = 2010 Target: 16% 60 40 Age-adjusted percent 20 0 Total Mexican American Black White Male Female Race/ethnicity Gender 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS Obj. 12-9

  12. High Blood Pressure Control 1988-1994 2001-2004 80 2010 Target: 50% 60 Age-adjusted percent 40 20 0 Mexican American Black White Male Female Total Race/ethnicity Gender I = 95% confidence intervals. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. Obj. 12-10

  13. High Blood Pressure in Chicago 28% of adults in Chicago have been told that their blood pressure is high. More than a half million adults in our city. Building a Healthier Chicago BRFSS Data; Chicago Department of Public Health

  14. Population-Based Strategy SBP Distributions After Intervention Before Intervention Reduction in BP % Reduction in Mortality Reduction in SBP mmHg 2 3 5 StrokeCHD 6 4 8 5 14 9

  15. Building a Healthier Chicago

  16. Multiple studies have revealed that it takes about 6 weeks of repeated behavior change to develop a habit… Unfortunately, will power only lasts about 5 weeks Dr. Gordon Ewy, University of Arizona

  17. The idea that individual health choices and personal behaviors are the most important determinants of chronic disease is an idea whose time has come and gone. George Mensah, MD.

  18. Individual choices are important… However, it is unlikely that individually attempted changes in lifestyles and behaviors alone can avert the growing epidemic of chronic disease that we are witnessing.

  19. Environmental, System & Policy Changes • areextremely important… • Based on our messages, will people choose to change their lifestyle when we have not corrected the issues that make that choice difficult? • When there have no safe place to walk? • When there is no produce in the local grocery store? • When the health care provider is focused only on fixing the current illness? • When the worksite is a place to sit, stress - and gain weight? • When their school has no physical education?

  20. CHAMPS Building a Healthier Chicago How can we most effectively address these issues ?

  21. Environmental Change: Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Changing Individual Behaviors

  22. Environmental Change: Policies Practices Programs Healthy Chicago Healthy Behavior Less Illness & Death Collaborative Partnership Although partnerships have affected change in community-wide behavior, the strongest evidence shows that coalitions most effectively contribute to changes in programs, services and practices. Butterfloss FD & Francisco VT. (2004) Health Promotion Practice 5(2):108-114. Roussos ST and Fawcett SB (2000) Annu Rev of Public Health 21:369-402.

  23. Building a Healthier Chicago • CHEST Foundation • Community Health Charities • American College of Cardiology • National Kidney Foundation of Illinois • American Heart Association • American Diabetes Association • American Cancer Society • Alliance for a Healthier Generation • American Dietetic Association • Chicago BEARS • University of Chicago • UIC COPH & Institute for Health Research and Policy • Northwestern • RUSH • Partners (partial listing) • City of Chicago DPH • Parks and Recreation • Mayor’s Fitness Council • American Medical Association • Midwest Business Group on Health • Health & Medicine Policy Research Group • Shaping America’s Health • Chicago Medical Society • American College of Sports Medicine • Metropolitan Chicago Healthcare Council • Chicagoland Chamber of Commerce • CLOCC

  24. Building a Healthier Chicago • Partners(partial listing) • Butler University • St. Xavier University • The Public Health Institute • YMCA • Alliance • Access Community Health Network • Illinois Foundation for Healthcare Quality • Erie Family Health Center • Humana, Inc • Rush Health Associates • Blue Cross/Blue Shield • Ad Council • NBC • Illinois Department of Public Health • Illinois Medical Society • JP Morgan Chase • Proactive Partners • Chicago Runs • Aadman Total Wellness • Waterton Residential • Midwest Dairy Council • Chicago Endurance Sports • Takeda Pharmaceuticals • Code Red • Novartis

  25. Building a Healthier Chicago • Our Federal Partners: • Federal Occupational Health • – Health Risk Appraisal • The President’s Council on Physical Fitness – The President’s Challenge • The Surgeon General’s initiative on Obesity

  26. Building a Healthier Chicago • Our Federal Partners (continued): • The Office of Health Promotion and Disease Prevention – Metrics from Healthy People 2010/2020 • Centers For Disease Control and Prevention • The Office of Public Health and Science

  27. Building a Healthier Chicago • Our Federal Partners (continued): • U.S. Department of Agriculture –Food and Nutrition Service • Internal Revenue Service • Small Business Administration

  28. Building a Healthier Chicago • Our Internal Foci (continued): • CDPH • Multiple Initiatives: Five to Thrive, HTN, RxChicago, etc. • AMA • Physicians, hospitals and health programs in Chicago • Physician Advisory Council • Healthy Lifestyle Implementation Programs, etc. • Federal • The Federal Fitness Campaign

  29. Building a Healthier Chicago • The Federal Fitness Campaign • Federal Executive Board • Department of Health and Human Services • Federal Occupational Health – HRA model • FEMA/Homeland Security • Federal Aviation Administration • Centers for Medicare and Medicaid • Health Resources Service Administration • Agency for Families and Children

  30. Building a Healthier Chicago • Our External Foci: • Broadly, supporting our partners in: • Improved activity levels • Improved healthy eating • Prevention, detection and control of hypertension

  31. Building a Healthier Chicago • Our External Foci: • Development of the most effective collaboration of community, academics, health care and government - for action - to improve the health of all our citizens • Increasing community resources for health and wellbeing and, when requested, to assist with effective utilization of those resources • Integration of community resources with healthcare systems • Improved access to health promotion and health care

  32. Building a Healthier Chicago • Our External Foci: • Active Partners in the development of Model Programs: • Healthy Residential High Rise – Presidential Towers • Healthy Office High Rise – 233 N Michigan Ave • Healthy Elementary Schools – Oscar Mayar • Health Corporation – Hu Freidy

  33. Building a Healthier Chicago • METRICS • Limited baseline with developing data availability • Await development of optimal system and… • Utilize suboptimal currently available data • Publically available data – CDC, ACSM, etc • Employer Data • FQHC & CDPH Clinic Data • BC/BS Data • AON Data • Screening data

  34. Building A Healthier Chicago Partnership Functions Build Awareness of What Works Joint Projects Widely Adopted, Strengthened & Sustained Prevention Measures Information Sharing, Training, & Collaborative Learning Market Effective Prevention & Provide Incentives Effective Health Promotion Interventions Healthy Chicago Healthy Places & Environments Evidence-Based Preventive Care Build Synergies Between Prevention Initiatives Tackle Barriers Mobilize Assets

  35. The Social Ecological Model • We must • “ignite and build a social movement” • at private, public and policy levels in order to change broad scale social norms and create a social envionment supportive of health. Sorenson G et al. Ann Rev Public Health; 1998.19:379-416

  36. “Trying harder will not work, New systems will…..” Institute of Medicine

  37. “Somebody has to do it, It’s just amazing that it has to be us…..” Jerry Garcia

  38. Building a Healthier Chicago http://www.healthierchicago.org

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