Community Transformation Grant (CTG) November 12 , 2012

1. Makeda Harris, MPM Director, Office of Policy Planning and Evaluation Louisville Metro Department of Public Health & Wellness Community Transformation Grant (CTG) November 12 , 2012

2. LMPHW Priorities • Creating a Culture of Health and Wellness in Metro Louisville • Continued focus on Social Determinants of Health and Health Equity • Strengthening Public-Private Partnerships • Increased connection between public health and clinical medicine • Outcomes driven approach to program and policy development

3. Snapshot of Louisville Metro Health Status • 1 in 3 adults in Louisville are overweight or obese • Increased risk for high blood pressure, diabetes, some cancers, arthritis/joint pain • 25% of Louisville Metro adults still use tobacco products • Increased risk for lung disease, cancer, heart attack and stroke, and poor wound healing • Louisville Metro’s rate of deaths for heart disease, cancer, diabetes, stroke are higher than the death rates for Kentucky and the US

4. How Do We Improve Health?

5. Community Transformation Grant CTG PRIORITY AREAS: • SD 1: tobacco-free living  • SD 2: active living & healthy eating • SD 3: evidence-based, quality clinical, preventive services • focus on prevention and control of high blood pressure and high cholesterol. • Maximize Public Health Impact & Reach • Maximize Health Equity • proactively address • measure and track in ALL strategies

6. CTG & National Prevention Strategy REACH

7. CTG Application v. Award! $2.2M $ 721K Required Strategies

8. CTG Strategic Directions:Required Strategies TRANSFORMATIONAL

9. Negotiating CTG TRANSFORMATIONAL CHANGE • Evidence Based Strategies • Community-wide and • Equity-driven • DEMONSTRATE REACH POLICY, SYSTEMS & ENVIRONMENTAL CHANGE

10. CTG Strategic Directions HOW TO ACHIEVE AMBITIOUS CHANGE? • 4. Integrated Policy • High Expectations are the norm • Raise bar for next health challenge • 3. Scale Projects • Population Health & Prevention • Equity-Driven Comprehensive Solutions TRANSFORMATIONAL • 2. Stand Alone Projects • World-class service/efficiency • Quality performance measures INCREMENTAL • 1. Community Activity • Fully engaged community • Widespread awareness/education POLICY, SYSTEMS & ENVIRONMENTAL CHANGE

11. Louisville’s CTG Strategies Tobacco Free Living • Cooper Clayton • Smoking Cessation Healthy Eating & Active Living • Urban & • Community • Gardens Quality Clinical Preventative • National Diabetes • Prevention

12. Louisville’s CTG Strategies Tobacco Free Living • Cooper Clayton • Smoking Cessation Healthy Eating & Active Living • Louisville Smoke Free Coalition: • Grow Demand for Smoke Free Living • Both Public & Private Rental • Louisville Metro Housing Authority - 15% of Units • Private % - TBD • Kentucky Cancer • Program: • Social Support • to Quit for Individuals Quality Clinical Preventative

13. Louisville’s CTG Strategies Healthy Eating & Active Living • Urban & • Community • Gardens • Jefferson County Public Schools: • Strategic Taskforce for Integrated Healthy Schools Solutions • Opportunities to include: • Healthy Eating • Healthy Vending • Student Activity • Staff Wellness Tobacco Free Living • UofL-CEPM • & KY Extension: • Urban Home • & Community Gardens Program • Econ Dev & Innovation • Community Gardens Master Plan Quality Clinical Preventative

14. Louisville’s CTG Strategies Quality Clinical Preventative • National Diabetes • Prevention Healthy Eating & Active Living • Family Health Centers Inc.: • Leverage EMR Installation • Provide Proactive team based Patient Centered Care • Focus on Population Health/ Prevention of Chronic Disease • YMCA of • Greater Louisville • Expand Diabetes Prevention • Work with disparate populations Tobacco Free Living

15. Louisville’s CTG Reach: = 170,000 People

16. Louisville’s CTG Strategies Tobacco Free Living Healthy Eating & Active Living Quality Clinical Preventative

17. Mayor’s Healthy Hometown MovementExpanded, Restructured & Re-launched Strategic Integration of Health Equity for Community Transformation

18. Mayor’s Healthy Hometown Movement Health Equity Tobacco Prevention and Control Healthy Eating Active Living Chronic Disease Prevention and Management Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities

19. MHHM Infrastructure

20. Leadership Team“Health-in-All-Policies” • Public Health & Wellness • Metro Parks • Public Works • Codes & Regulations • Human Resources • Economic Growth & Innovation • LMPD • Community Services & Revitalization • TARC • JCPS • Human Relations Commission • Metro Council • Housing Authority • Mayor’s Office

21. Community Coalition • Primary mechanism for individuals, community-based organizations, businesses, and faith-based institutions to share their ideas and concerns with LMPHW • Any individual who resides in or is a member /employee of an organization doing business in Louisville Metro is eligible to join the community coalition

22. Community Coalition: Roles & Responsibilities • Advise LMPHW on grant activities related to the four focus areas • Recommend policies, programs, and practices related to the four focus areas • Develop a community-wide 5-year strategic plan for Ensuring a Healthy Community • Support the development of a learning collaborative

23. Community Coalition: Executive Committee • A group of eight individuals who will provide general oversight and structure for the community coalition • Meets with MHHM Leadership Team quarterly to provide updates and advise on policy and programmatic matters relevant to the scope of the community coalition • Receives support from LMPHW program staff

25. What’s a Policy, Program, or Practice?

26. How Do We Improve Health?