Local Capacity Building for Policy and Environmental Changes

1. Local Capacity Building for Policy and Environmental Changes State Panel: Colorado, Massachusetts, North Carolina, Wisconsin March 18, 2010 10:30-12:00

2. Today’s questions… State Role • 1A. What is your state program’s role in building capacity in local communities for policy and environmental changes? CO, MA, NC, WI • 1B. What have been the most effective capacity building efforts you’ve accomplished? MA & NC

3. Today’s questions… Community Planning Strategies • 2A. What are effective strategies to help communities form action groups or coalitions? CO & MA • 2B. What advice do you have for helping communities tailor their assessment, action planning, and reporting efforts? NC & WI Program Integration • 3. In what ways has the CDC integration pilot help you build and support community capacity? CO & WI

4. State Role 1A. What is your state program’s role in building capacity in local communities for policy and environmental changes?

5. We’re in this together: Colorado’s Capacity Building Efforts Eric Aakko, COPAN Director

6. Mass in Motion Maya Mohan, MPH, PAPHS MA Department of Public Health

7. Mass in Motion: Our Goals Goal #1: Decrease the number and percentage of both adults and children who are overweight and Obese in Massachusetts Goal #2: Decrease the prevalence of chronic disease associated with unhealthy eating and lack of physical activity

8. Our Objectives Make the promotion of wellness and the prevention of overweight and obesity a top public health priority Create conditions that encourage, nurture, and promote wellness

9. Call to Action + Burden documents Statewide Regulations Calorie Posting BMI in Schools 60 minutes of PA in childcare sites Executive Order 509: Healthy Food Procurement Supporting legislation Statewide Communications Campaign Social Media Outlets Expansion of Worksite Wellness Initiative Municipal Wellness and Leadership Grants Mass in Motion Mass in Motion

10. Municipal Wellness & Leadership Grants: A Public - Private Partnership A unique partnership of 5 foundations and an insurer with MDPH Grants to municipalities to create a sustained approach for active living and healthy eating by initiating or expanding policy, systems, and environmental change approaches

11. The State’s Role in Municipal Wellness and Leadership • Grantmaking/Grant Administration • Planning and Implementation Grants • Program Management • Infrastructure • Report Writing • Communications • Building Community Capacity • Trainings • Technical Assistance • Community Visits • Information & Resource Dissemination • Sustainability • Evaluation

12. Program Management • “TA Workgroup” • Membership: • DNPAO Program Staff • MDPH Community Liaisons • Health Resources In Action, Inc. • MA Municipal Association • MA Association of Health Boards • MDPH Office of Healthy Communities • * Looking to expand to include other state agencies • Role: • Develop (coordinate) content, format, frequency of TA + Training • Maintain communication between grantees, MDPH, Funders

13. Assessment Capacity Assess policy, systems, environmental approaches Sustainability & Cultural Competence Monitor, evaluate, and improve efforts Mobilizeand/or build partnership capacity to address needs Implement policy, systems, environmental approaches Develop Community Action Plan Implementation Planning Building Community Capacity Evaluation

14. Building Community Capacity • 3 Trainings per year • Year One: Skill building (partnership development, CHANGE, action plan development) • Year Two: Specific content areas (to be based on strategies selected by communities) • Monthly (90 minute) networking teleconferences • Annual community visits • Community Liaison relationships • Information Dissemination/Building a Learning Community • Google Group

15. State Role 1B. What have been the most effective capacity building efforts you’ve accomplished?

16. Call to Action + Burden documents Statewide Regulations Calorie Posting BMI in Schools 60 minutes of PA in childcare sites Executive Order 509: Healthy Food Procurement Supporting legislation Statewide Communications Campaign Social Media Outlets Expansion of Worksite Wellness Initiative Municipal Wellness and Leadership Grants Mass in Motion Mass in Motion

17. Municipal Wellness & Leadership Grants: A Public - Private Partnership • A unique partnership of 5 foundations and an insurer with MDPH • Grants to municipalities to create a sustained approach for active living and healthy eating by initiating or expanding policy, systems, and environmental change approaches

18. Funding Partners • Blue Cross/Blue Shield of Massachusetts • Blue Cross/Blue Shield of Massachusetts Foundation • The Boston Foundation • Harvard Pilgrim Health Care Foundation • MetroWest Community Health Care Foundation • Tufts Health Plan Foundation

19. The State’s Role in Municipal Wellness and Leadership Grantmaking/Grant Administration Planning and Implementation Grants Program Management Infrastructure Report Writing Communications Building Community Capacity Trainings Technical Assistance Community Visits Information & Resource Dissemination Sustainability Evaluation

20. The Community’s Role in Municipal Wellness and Leadership • Diverse, multi-sectoral partnership • municipal entities (leadership, public health, transportation, planning, schools, etc), • non-municipal entities (community based organizations, local businesses, community health centers, etc) • community residents • CHANGE Needs Assessment • Community Action Plan (CAP) development • Policy, Systems, Environmental strategies

21. The Future – Creating a Movement State and communities leveraging additional public-private resources Communities implementing local policy/systems change approaches to address obesity Communities supporting federal and statewide policy/ systems change approaches to address obesity

22. Community Planning Strategies 2A. What are effective strategies to help communities form action groups or coalitions?

23. Community Planning Strategies 2B. What advice do you have for helping communities tailor their assessment, action planning, and reporting efforts?

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29. Program Integration 3. In what ways has the CDC integration pilot help you build and support community capacity?

30. Increasing trust, time, dependence, relinquishing turf

31. A Chronic Disease System Dynamics Map Access to and Marketing of primary care Chronic disease management Sales/marketing regulation Tobacco taxes Quality of primary care provision Anti-smoking social marketing Screening for chronic disease Access to and marketing of smoking quit products and services Sources of stress Smoking bans at work and public places Access to and marketing of mental health services Utilization of Psychosocial quality primary stress Smoking care Secondhand Diagnosis smoke Particulate air pollution Access to healthy food options and control Downward trend in CV Marketing & educ’n around healthy food options event fatality High BP Healthiness of diet Junk food taxes High CV events & lung cancers cholesterol Sales/marketing regulations Diabetes COPD Obesity Oral diseases Colorectal cancers Access to physical activity options Deaths Extent of Morbidity physical activity Access to and marketing of weight loss services Breast cancers Marketing of physical activity options

32. Chronic Disease Planning What must we do to achieve Integration? • Policy and environmental change • Health communications • Public health linkage with health care systems, local public health • Data and surveillance

33. Next Steps Towards Integration • Developed 5-year chronic disease plan and annual workplan • Includes integrated strategies and disease-specific strategies • Aligned resources and staffing with prioritized strategies

34. Additional Slides on Mass In Motion For more information contact: Maya Mohan, MPH, PAPHS MA Department of Public Health Maya.mohan@state.ma.us 617.624.6091

35. Generating Awareness through Education • Document the extent of the obesity epidemic in Massachusetts, including the disproportionate effect on certain populations • Highlight innovative and successful programs

36. Now, supported by ARRA funds! Passage of Calorie Posting Regulations • Requiring restaurants to post calorie content of food at the point of purchase. • Reaching 35 restaurant chains with 20 or more outlets = approximately 4,000 restaurants

37. Passage of Body Mass Index (BMI) Regulations • Schools weigh and measure students in grades 1, 4, 7, 10, calculate BMI and send information to parents/guardians in a confidential manner • 67 school districts, reaching approximately 400,000 students (ESHS districts) • “Parents packages” • Letter to parents, FAQs, Fact Sheets

38. Now, supported by ARRA funds! Supporting Childcare Regulations • Dept of Early Education and Care • Promulgated in January 2010 • Requires all children in licensed MA childcare sites to engage in 60 minutes of PA daily • Inter-agency advisory group • NAP-SACC and IMIL Train-the-Trainer implementation

39. Issuing an Executive Order: Requiring Purchase of Healthful Foods with State Contracts • Procurement of foods and snack products which meet criteria based on healthful dietary guidelines for state facilities • Impacts 15 state agencies

40. Supporting Legislation • Ban trans fats in restaurants • Promote healthful foods in schools • Physical education in schools

41. Statewide Communications Campaign • Promote prevention, healthy eating, and physical activity • Advertisements on billboards, buses, and trains • Web driver ads on WCVB • Link to key state and local initiatives

42. Exploration of Social Media • Website with comprehensive information on wellness • Links to local resources and events • Blog, Twitter, Facebook

43. Expansion of the Workplace Wellness Initiative • A toolkit and curriculum are available to all employers • Workplace Wellness Initiative is in 23 sites, reaching approximately 30,000 people Vision & Mission Vision: All worksites in Massachusetts will provide social, cultural, and physical environments that support optimum employee health and well-being Mission: To promote worksite wellness through information, training, regulation, and technical assistance

44. Municipal Wellness and Leadership Communities

45. New Bedford – Documenting Safe Routes to Schools Engaging Keith Middle School students Photo Voice – providing cameras to students to document their walk to school Sharing results with city planners

46. Weymouth – Relationship Building Developing relationship with city planner Including bike racks and walking paths in South Shore Hospital addition Participating in planning and coordinating 1st Farmers market

47. Worcester – GIS Mapping Forming a partnership among Clark University, UMASS Medical School, WPI, Worcester State, City government Mapping data by neighborhood, demographics, location of grocery stores, green space, and number of bicycle/pedestrian crashes Using data to guide planning process