Addressing Weight Through Community Collaboration Alyssa Auvinen Prevention Health Specialist RiverStone Health Billing

1. Addressing Weight Through Community Collaboration Alyssa Auvinen Prevention Health Specialist RiverStone Health Billings, MT

2. Outline 1. Background on Healthy By Design2. Healthy Weight Collaborative strategies and lessons learned3. Next steps4. Resources

3. The Alliance • Nick Wolter, MD, Billings Clinic • John Felton, RiverStone Health • Jason Barker, St. Vincent Healthcare

4. 2006 CHA Results Seven years ago, Yellowstone County residents were struggling with these modifiable health risks: • 62.7% were overweight or obese • Only 41.4% met physical activity recommendations • Only 34.9% consumed the recommended five+ servings of fruits and vegetables daily • 89.1% presented one or more cardiovascular disease risk factors

5. Response to CHA Action:Form the Healthy by Design Coalition Vision:A community that is Healthy By Design Mission:Collaborate across sectors to create healthier lifestyles

6. A Community that is Healthy By Design “… those designed and built to improve the quality of life for all people who live, work, worship, learn, and play within their borders – where every person is free to make choices amid a variety of healthy, available, accessible, and affordable options.” – Centers for Disease Control and Prevention

7. Coalition Partners

8. 2010 Community Health Assessment Prevalence of Total Overweight (Body Mass Index =>25) Sources:  PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 160]  2008 PRC National Health Survey, Professional Research Consultants, Inc.  Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2009 Montana Data.

9. 2010 CHA ResultsRelationship of Overweight with Other Health Issues(Yellowstone County by Weight Classification) Sources:  2010 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 5, 30, 36, 119, 122, 153, 154, 163] Notes:  Based on reported heights and weights, asked of all respondents.

10. Healthy Weight Goal Goal:Increase the percentage of people in Yellowstone County who have a healthy weight (HP2020 goal: 33.9%, CHA 2010: 25.4%, CHA 2005: 35.8%) Alliance 2014 goal: 25.4% Alliance 2020 goal: 33.9%

11. Healthy Weight Objectives • Objective One: Increase percentage of people that have received advice about weight by a doctor, nurse or other health professional Have Received Advice About Weight in the Past YearFrom a Physician, Nurse, or Other Health Professional • Sources:  PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 162] • 2008 PRC National Health Survey, Professional Research Consultants, Inc. • Notes:  Asked of all respondents.

12. Healthy Weight Collaborative “Enable multi-sector teams, including primary care, public health and community sector participants, to implement selected evidence-based and promising interventions to accelerate towards sustainable strategies to maintain community-wide healthy weight and health equity.” Resource: Collaborate for Healthy Weight website http://www.collaborateforhealthyweight.org/

13. As part of a coordinated effort to create a community that is healthy by design, the Healthy By Design Quality Collaborative will actively encourage achievement and maintenance of a healthy weight for residents in Yellowstone County. By July 2013, all primary care providers at Billings Clinic, St. Vincent Healthcare and RiverStone Health will incorporate body mass index (BMI) measurement and healthy weight plans into patient visits. Providers will be able to facilitate the conversation regarding weight by providing a straightforward, evidence-based message about feasible behavior change. Project Aim

14. PSE Change

15. Strategies • Strategy 1: Build/strengthen an effective and sustainable multi-sector partnership • Strategy 2: Develop consistent community healthy weight message • Strategy 3: Assess weight status throughout target population • Strategy 4: Implement use of healthy weight plans

16. Strategy 1: Strengthen an effective and sustainable multi-sector partnership Resource: HRSA Region VIII Maternal and Child Health representative: Cherri Pruitt Cherri.pruitt@hrsa.hhs.gov

17. Strategy 2: Develop consistent community healthy weight message Resource: Let’s Go! http://www.letsgo.org/

18. Percent of patients with BMI in EMR Site 1 BMI Measurement (2 yrs. +) Strategy 3: Assess weight status throughout target population Resource: Healthy People 2020 webinar “Measuring Policy and Environmental Change in Obesity Prevention: Comparing and Contrasting Opportunities and Challenges from Local Communities” (July 24, 2013) http://www.healthypeople.gov/2020/learn/webinarsArchive.aspx#mpec

19. Strategy 4: Implement use of healthy weight plans Resource: Healthy By Design website http://www.healthybydesignyellowstone.org/initiatives/healthyweight/

20. Next Steps Disseminate 5-2-1-0 message Utilize healthy weight plans More MI training Data collection Monitor CHA and healthy weight goals

21. 1. Healthy By Design website: http://www.healthybydesignyellowstone.org/initiatives/healthyweight/ 2. Collaborate for Healthy Weight website: http://www.collaborateforhealthyweight.org/ 3. Healthy People 2020 webinar “Measuring Policy and Environmental Change in Obesity Prevention: Comparing and Contrasting Opportunities and Challenges from Local Communities” (July 24, 2013): http://www.healthypeople.gov/2020/learn/webinarsArchive.aspx#mpec 4. HRSA Region VIII Maternal and Child Health representative: Cherri Pruitt Cherri.pruitt@hrsa.hhs.gov 303-844-7872 5. Let’s Go!: http://www.letsgo.org/ Resources

22. Alyssa Auvinen 406.651.6458 Alyssa.auv@riverstonehealth.org www.healthybydesignyellowstone.org