2013 NACBHDD Annual Legislative and Policy Conference

1. 2013 NACBHDD Annual Legislative and Policy Conference John Francis, MPH, Division of Community Health Acting Deputy, Office of Policy and Partnerships The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the CDC.

2. Overview • Intro and Welcome • Chronic Disease Burden • Core Principles • Community Health Portfolio and Investment • Community Transformation Grants • Priority Interventions • Successful Communities • Engaging CTG • Dialogue

3. 75% Of our $2.5 trillion annual health care spending focused on chronic diseases 3

4. Community Health

5. Our Charge • To promote sustainable community action to improve health and achieve health equity

6. Focus is on Where We… LIVE LEARN WORK PLAY

7. Factors that Affect Health Smallest Impact Counseling & Education Clinical Interventions Long-lasting Protective Interventions Changing the Context to make individuals’ default decisions healthy Largest Impact Socioeconomic Factors

8. Our Commitment Core Principles: • Maximize health impact • Advance health equity and reduce health disparities • Use and expand the evidence base

9. DCH “TWIN” Approach Targeted interventions to address greatest burden Population-wide interventions with a health equity lens

10. Community Health Portfolio and Investment

11. Our Community Health Portfolio .

12. Community Transformation Grants

13. Components of CTG

14. 107 CTG Awardees • 29 Counties (>500,000) • 24 States (entire states & states >large counties) • 7 Tribes • 1 Territory (Palau) • 6 National Networks of Community-Based Organizations • 40 Small Communities *May be statewide effort or state effort focused on small communities

15. Reaching 4 in 10 U.S. Citizens ThroughCommunity Transformation Grants Goal of CDC’s Community Transformation Grants (CTG): Make healthy living easier: • Building capacity to implement evidence- and practice-based sustainable strategies to prevent chronic diseases and chronic illnesses • Supporting implementation of interventions across five broad Strategic Directions • Tobacco–Free Living • Active Living and Healthy Eating • Clinical and Community Preventive Services • Social and Emotional Wellness • Healthy and Safe Physical Environment

16. Commitment toRural/FrontierHealth CDC Directs 20% of Funds to Rural and Frontier Areas • Why Rural? • Health improvements in rural areas face higher challenges than their urban counterparts. A few examples include: • Limited or no public transportation • Limited access to recreational exercise facilities and full-service grocery stores • Limited success with recruiting and retaining qualified public health personnel

19. CTG Small Communities Sectors 7.5% of the awardees are tribal organizations

20. Strategic Directions • Tobacco–Free Living • Active Living and Healthy Eating • Clinical and Community Preventive Services • Social and Emotional Wellness • Healthy and Safe Physical Environment

21. Communities in Action

22. Beaverton, Oregon • The City of Beaverton will increase the number of smoke-free private mental health provider campuses from 0 to 3 by September 2014

23. Community Anti-Drug Coalitions of America • CADCA will conduct behavioral/mental health and substance abuse community trainings

24. Engaging CTG • Leadership Teams • Health Impact Pyramid • Sustainable change • Grants.gov

25. Additional Information • CDC’s Division of Community Health Web site • http://www.cdc.gov/nccdphp/dch/

27. Thank You!