Decision Accelerator Report Out January 31, 2007

1. Decision Accelerator Report Out January 31, 2007 www.Alegent.com/childhoodfitnessandnutrition

2. Current Situation

3. OHCP Circle of Progress

4. The Epidemic It is a growing epidemic • 1 in 6 youth was identified as overweight, while 1 in 3 was identified as either overweight or at risk for becoming overweight Significant differences exist across socioeconomic status, race, and ethnicity • Those communities with the highest poverty rates and the least education are most at risk • Native American, African American, and Mexican American youth are at the greatest risk • Access to affordable healthy food and safety of neighborhoods have an impact

5. Implications Being overweight or obese can have serious health implications • Significant factor in the dramatic increase of Type II diabetes • Hypertension is nine times more likely to occur • Orthopedic complications can arise • May result in negative psychosocial effects • Related to higher rates of morbidity and mortality later in life Obesity-related annual costs have increased dramatically • Annual hospital costs tripled over a twenty year period for youth • Total expenses related to adult obesity/overweight is estimated to be between $98 and $129 billion

6. Ecological Model

7. Decision Accelerator

8. Background Decision Accelerator (“DA”) held on December 7th and 8th, 2006 • 75 people from the community attended • Represented a variety of stakeholder groups • Vision was developed • Horizon map with one-, three-, and five-year horizons was generated • The Horizon Map concentrated on six key focus areas for addressing childhood obesity • The focus areas are referred to as Planks

9. Vision of Coalition In 2011, Omaha is nationally recognized as a collaborative model achieving measurable improvement in the fitness and nutrition of children.

10. Horizon Map

11. The Members of the team include: Dr. Molly O’Dell Mikki Frost Dr. Fred Hosler Shirley Hosler, RN Craig Kulawik Pat Masek Heidi May Kerri Peterson Stephanie Sharma Dr. Jeffry Strohmyer Ad hoc members Transition Team Since the conclusion of the DA, a transition team has been meeting regularly to distill all of the hard work generated throughout the two day process

12. Plank Committee Horizons

13. Physical Environment Horizon One • Develop master plan to increase awareness, collaboration, policy change, & implementation Horizon Two • Implement master plan at the neighborhood level Horizon Three • Observe significant improvement in physical environment and community health indicators

14. Nutrition Horizon One • Establish a nutritional plan Horizon Two • Create measurable awareness Horizon Three • Observe positive changes in awareness, behavior, and BMI

15. Physical Activity Horizon One • Assess the needs of the community • Increase awareness and buy-in • Form a collaboration Horizon Two • Demonstrate measurable changes • Continue education • Disseminate progress and best practices Horizon Three • Continue to demonstrate measurable change • Maintain continued awareness, dissemination, and education

16. Evaluation Horizon One • Establish and begin to evaluate three outcome measures • BMI • Prevalence of obesity • Morbidity related to obesity Horizon Two • Reassess and modify the evaluation measures Horizon Three • Establish an evaluation system that yields results that are valid and useful

17. Social Marketing Horizon One • Create awareness of the initiative Horizon Two • Launch the program Horizon Three • Maintain the message

18. Funding and Resources Horizon One • Establish a “4C” model of collaboration • Ensure donors are informed and that options are available • Scan potential government resources • Engage individual and community level giving Horizon Two • Establish long-term commitment • Obtain funding at all governmental levels Horizon Three • Demonstrate a positive ROI • Receive community recognition of donors • Achieve sustainable funding

19. Leadership Structure

20. Keys to Success Keys to Success and lessons learned from other models: • Participation from high level, respected and committed community leaders • Overall management by subject matter experts • Opportunities for participation by the community at large • An overriding commitment to put the interests of the coalition above the interests of any one member • Staff support

21. Leadership Structure

22. Executive Committee Role • Provide management and broad subject matter expertise to the coalition • The work of the Plank Committees will be coordinated through this structure • The Plank Chairs will serve on the Executive Committee, as well as chair their Plank Committee Selection Criteria • Recognized expert • Existing leadership role in the area • Ability to bring people together • Commitment/passion for children’s health

23. Executive Committee Members • Rev. Dr. Larry Brown – Alegent Health Clinics • Dr. Christina Fernandez – Creighton Pediatrics • Dr. David Filipi – Methodist Health System • Dr. David Finken – UNMC Pediatrics • Nancy Nielsen, RN – Millard Public Schools • Dr. Adi Pour – Douglas County Health Department • Dr. Jeffry Strohmyer – Alegent Health • Dr. Thomas Tonniges – Boys Town Pediatrics

24. Executive Committee Members/Committee Chairs: • Marty Shukert – Physical Environment Chair, RDg Planning and Design • Kerri Peterson – Social Marketing Chair, OHCP • Dr. Jennifer White – Physical Activity Chair, UNO HPER • Mary Balluff – Nutrition Chair, Douglas County Health Department • Anne Camp – Funding/Resources Chair, Alegent Health • Dr. Magda Peck – EvaluationChair, UNMC

25. Plank Committee Chairs Overview • Implementation of the Horizon and action plans will be overseen by the plank committees • Comprised of program and subject matter experts • Chair of the plank committee will serve on the Executive Committee • Organizational meetings for the plank committees will be scheduled soon • OHCP and Alegent Health has committed staff and offices to support the organizational work of the initiative

26. Evaluation

27. Demographic & Cultural Relevance

28. Ecological Model

29. Q & A

30. Decision Accelerator Report Out January 31, 2007 www.Alegent.com/childhoodfitnessandnutrition