Health in Chicago - Barriers and Opportunities
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Health in Chicago - Barriers and Opportunities

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Commissioner Choucair from the Chicago Department of Public Health presenting a lecture course at the University of Chicago Pritzker School of Medicine's Health Care Disparities Lecture Series.

Commissioner Choucair from the Chicago Department of Public Health presenting a lecture course at the University of Chicago Pritzker School of Medicine's Health Care Disparities Lecture Series.

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  • So as you can see, we work closely with partners to forward the goals of Healthy Chicago and assist with innovative research to improve the health of Chicagoans.

Health in Chicago - Barriers and Opportunities Health in Chicago - Barriers and Opportunities Presentation Transcript

  • Chicago Department of Public Health Commissioner Bechara Choucair, M.D. City of Chicago Mayor Rahm Emanuel Bechara Choucair, MD Commissioner Chicago Department of Public Health @ChiPublicHealth #HealthyChicago Health in Chicago: Barriers and Opportunities September 16, 2013
  • PRESENTATION OUTLINE 1. The Role of Public Health 2. The Healthy Chicago Public Health Agenda 3. Partnering with Healthy Chicago 4. Students for Healthy Chicago
  • POPULATION HEALTH • The health outcomes of a group of individuals • Focuses on improving health inequities
  • CORE FUNCTIONS & ESSENTIAL SERVICES
  • PRESENTATION OUTLINE 1. The Role of Public Health 2. The Healthy Chicago Public Health Agenda 3. Partnering with Healthy Chicago 4. Students for Healthy Chicago
  • HEALTHY CHICAGO PUBLIC HEALTH AGENDA• Released in August 2011 • Identifies priorities for action for next 5 years • Identifies health status targets for 2020 • Shifts work from one-time programmatic interventions to sustainable system, policy and environmental changes
  • GUIDING PRINCIPLES • Improvement in the public’s health requires a commitment to health equity and the elimination of racial and ethnic disparities • Healthy environments are key • Persons of lower SES are often exposed to fewer factors that promote health and more factors that damage health • Healthy choices must be easy and desirable
  • From Sampson R. Great American City. 2012; p. 105 & 106. CHICAGO: PERSON, PLACE, TIME
  • HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THE HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL
  • HEALTHY CHICAGO TARGETS
  • IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
  • PRESENTATION OUTLINE 1. The Role of Public Health 2. The Healthy Chicago Public Health Agenda 3. Partnering with Healthy Chicago 4. Students for Healthy Chicago
  • TOBACCO USE
  • TOBACCO USE SMOKE-FREE CAMPUSES  3 Colleges / Universities  6 Hospitals  6 Behavioral Health Organizations  686 Public Housing Units Over 3,250 units of private smoke-free housing
  • TOBACCO USE Joint Enforcement
  • OBESITY PREVENTION Chicago Streets for Cycling Plan 2020
  •  Over 200 miles of on-street bikeways, including almost 35 miles of barrier and buffer protected bike lanes.  3000 bikes to share at 300 stations by end of summer. OBESITY PREVENTION
  • Dearborn Street - Before Dearborn Street - After OBESITY PREVENTION
  • Bike Sharing in Chicago 3,000 bikes 300 stations by the end of summer 2013 OBESITY PREVENTION
  • Health Goals  Increase the number of pedestrian trips for enjoyment, school, work, and daily errands  Increase the mode share of pedestrian trips for enjoyment, school, work, and daily errands OBESITY PREVENTION
  • OBESITY PREVENTION
  •  14 licensed carts operating  41 vendors trained  30 carts planned for 2013 OBESITY PREVENTION
  • OBESITY PREVENTION
  • A Recipe for Healthy Places •Released in January 2013 •Includes six community- based planning strategies to support healthy eating OBESITY PREVENTION
  • A Recipe for Healthy Places: Strategies 1. Build Healthier Neighborhoods 2. Grow Food 3. Expand Healthy Food Enterprises 4. Strengthen the Food Safety Net 5. Serve Healthy Food and Beverages 6. Improve Eating Habits Check out the food plan - www.cityofchicago.org/hed OBESITY PREVENTION
  • HEALTHY MOTHERS & BABIES 15 hospitals working towards Baby-Friendly Designation
  • ADOLESCENT HEALTH  CPS hires chief health officer  Dually reports to CDPH  CDPH creates Adolescent and School Health Office
  • ADOLESCENT HEALTH Revised Wellness Policy  Competitive Foods Policy  Expanded STI Screening  $26M New grants • CTG – Healthy CPS • Teen Dating Matters • Teen Pregnancy • Farm to School • Wellness Champions
  • BUILDING ON POLICY SUCCESSES Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes
  • BUILDING ON & ENGAGING PARTNERSHIPS
  • PRESENTATION OUTLINE 1. The Role of Public Health 2. The Healthy Chicago Public Health Agenda 3. Partnering with Healthy Chicago 4. Students for Healthy Chicago
  • WHY POLICY? • Population-wide impact • Little amount of money goes a long way • Sustainable
  • POLICY, SYSTEMS, & ENVIRONMENTAL CHANGE • Focus on broad, systemic changes, not individual interventions or programs • Upstream solutions to improve health outcomes for everyone – Addresses root causes of poor health
  • PROGRAMS/EVENTS • Short term • Generally has beginning and end of intervention • Distinct target audience • Reliant on funding or other support for replication • Doesn’t impact environment • Lessons learned can inform policy POLICY OR ENVIRONMENT • Institutionalized • Equitable reach • Sustained beyond individual champion or specific funding • Ongoing without start and stop times • May still need programmatic elements to achieve desired impact Engaging in the policy change process, medical professionals can expand the reach, breadth, and sustainability of their clinical practice = IMPACT WHAT IS THE DIFFERENCE?
  • Socioeconomic Factors Changing the Context to make individuals’ default decisions healthy Long-lasting Protective Interventions Clinical Interventions Counseling & Education Examples Poverty, education, housing, inequality Immunizations, brief intervention, cessation treatment, colonoscopy Fluoridation, trans fat, smoke-free laws, tobacco tax Rx for high blood pressure, high cholesterol, diabetes Eat healthy, be physically active Smallest Impact Largest Impact WHAT IS THE DIFFERENCE?
  • Neighborhood Community State National Healthy Chicago Target PopulationScale Geographic Scale Impact of clinical practiceIndividual Single Sector Multiple Sectors Entire Population Impact of policy changes POLICY CHANGE TARGET
  • POLICY, SYSTEMS, & ENVIRONMENTAL CHANGE Put your thumbprint on policy!
  • WHY SHOULD YOU GET INVOLVED? Primary prevention part of mission? • Health care professionals have a natural incentive to improve the health of all people and the environment in which we live. Position to influence behavior? • It is essential to lead by example. • People trust medical professionals with their lives – literally. • People look to their medical professionals for health information. • Time and time again, political polling demonstrates that doctors are among the MOST RESPECTED sources of health information, which puts you in a unique position to influence public policy. • Healthcare system will bear burden of chronic disease.
  • NOT READY TO PLAY AT THE STATE/FEDERAL LEVEL? Work toward institutional policy changes! Little p: Institutional policies Worksite policies/investments NGO policies Individual school policies Norms and standards that drive other action BIG P: Public policy Legislation Regulations Zoning/land use Taxes Public budgets
  • BECOME A HEALTHY CHICAGO PARTNER! • For example, test new policies that improve the food and beverage environment at University of Chicago • Adopt Healthy Chicago practices • Ask if there is an open seat on the CPS School Wellness Committee for the school in your neighborhood • Email us at healthychicago@cityofchicago.org
  • @ChiPublicHealth 312.747.9884 facebook.com/ChicagoPublicHealth HealthyChicago@CityofChicago.org www.CityofChicago.org/Health