Chicago's State of Health

Healthy Chicago Public Health Agenda Institute of Medicine of Chicago June 4, 2012 Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair on

HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTHTRANSFORMING THEHEALTH OF OUR CITYCHICAGO ANSWERS THE CALL

HEALTHY CHICAGOChicago Department of Public Health IT MATTERS

IT MATTERSA healthy city is a city that:»Offers healthier food options»Provides places to be physically active»Responds to public health threats»Creates healthy and safe environments»Ensures access to care for all residents»Eliminates health disparities for all communities

A COMPREHENSIVE PUBLIC HEALTH AGENDAA blueprint for action to create:»Healthy City»Healthy Neighborhoods»Healthy Homes»Healthy People

HEALTHY CHICAGOChicago Department of Public Health

HEALTHY CHICAGOChicago Department of Public Health IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY

IT DEMANDS THAT WE MAKE CHANGES» In programs» In health education» In policies

IT’S ABOUT CHANGING SYSTEMS» It’s about creating accountability» It’s about communicating what’s expected of all of us» It’s about measuring outcomes and success

HEALTHY CHICAGOChicago Department of Public Health HEALTHY CHICAGO STRATEGIES BY INTERVENTION TYPE (n=193)

TRACKING PROGRESS» Individual Work Plans» Performance Management

HEALTHY CHICAGOChicago Department of Public Health MOVING TOWARD A HEALTHY CHICAGO

HEALTHY CHICAGOChicago Department of Public Health TOBACCO USE

TOBACCO USE ACCOMPLISHMENTSPolicy: Create More Smoke Free Environments» Housing • 1638 units of private smoke-free housing • 4 CHA smoke-free developments» Hospitals • 5 smoke-free campuses» Campuses • 2 colleges, City Colleges, & catholic schools

TOBACCO USE ACCOMPLISHMENTSPolicy: Limit Access to Tobacco» Prohibit Tobacco Vending Machines» Increase fines for illegal cigarette sales (minors & unstamped)» Increase access for City investigators

TOBACCO USE ACOMPLISHMENTSPrograms & Education: Select Interventions » Ask Advise Refer • 33 clinics; 25+ EHR systems • NRT Distribution to 5,000 » Tobacco Quit Line – 70% increase (20,400 calls) » Citywide Media Campaign » Signage at Beaches and Playlots » Ads on CTA Buses

HEALTHY CHICAGOChicago Department of Public Health OBESITY PREVENTION

OBESITY PREVENTION ACCOMPLISHMENTS» Urban agriculture ordinance was passed by City Council» CDPH obtained and is analyzing CPS student health records» Healthy vending contract for City» Healthy Produce Carts» Healthy Corner Stores» Healthy YMCA policies

HEALTHY CHICAGOChicago Department of Public Health HIV PREVENTION

HIV PREVENTION ACCOMPLISHMENTS» Comprehensive prevention funding of $2.3M» Advanced HIV prevention training to over 1100 providers annually» Enhanced policy and planning» Initiated the Chicago community condom project

HEALTHY CHICAGOChicago Department of Public Health ADOLESCENT HEALTH

ADOLESCENT HEALTH ACCOMPLISHMENTS» Established Office of Adolescent and School Health» Hired CPS Chief Health Officer» Drafted Healthy CPS document in partnership with CPS» Received 1.75M grant to support teen dating violence prevention efforts

HEALTHY CHICAGOChicago Department of Public Health CANCER DISPARITIES

CANCER DISPARITIES ACCOMPLISHMENTS» Strengthened collaboration with Metropolitan Chicago Breast Cancer Task Force» Completed mammogram reminder pilot project» Initiated collaboration with CHA to increase mammography among CHA residents

HEALTHY CHICAGOChicago Department of Public Health HEALTHY MOTHERS AND BABIES

HEALTHY MOTHERS AND BABIES ACCOMPLISHMENTS» Nine hospitals are registered with Baby-Friendly USA» Increased WIC support for breastfeeding through lactation counselor training

HEALTHY CHICAGOChicago Department of Public Health VIOLENCE PREVENTION

VIOLENCE PREVENTION ACCOMPLISHMENTS» Established data collection partnership with police department» Anti-violence community stabilization» Chicago Youth Violence Prevention Plan

HEALTHY CHICAGOChicago Department of Public Health HEART DISEASE AND STROKE

HEART DISEASE & STROKE ACCOMPLISHMENTS» Facilitated linkage between American Heart Association and CPS» Policy development on Hands-Only CPR and AEDs

HEALTHY CHICAGOChicago Department of Public Health COMMUNICABLE DISEASE CONTROL & PREVENTION

COMMUNICABLE DISEASE CONTROL & PREVENTION ACCOMPLISHMENTS» State passed legislation requiring infection control training for staff in long term care facilities» TB clinical partnership with Cook County

HEALTHY CHICAGOChicago Department of Public Health ACCESS TO CARE

ACCESS TO CARE ACCOMPLISHMENTS» During the 2010-2011 school year, 112,334 students at 656 schools received dental services through our school-based oral health program» Initiated collaboration to expand school health centers

HEALTHY CHICAGOChicago Department of Public Health HEALTHY HOMES

HEALTHY HOMES ACCOMPLISHMENTS» Successful advocacy to change Torrens Indemnity Fund» $3M abatement grant awarded» Healthy Homes strategic planning

PUBLIC HEALTH INFRASTRUCUTRE ACCOMPLISHMENTS» New Office of Epidemiology and Public Health Informatics» Expanded Epidemiology programmatic capacity» Largest local public health department pursuing first time accreditation

OTHER ACCOMPLISHMENTS» LGBT Action Plan» Working with philanthropies to develop philanthropy for Healthy Chicago document» Advancing to City Council, “Policies for a Healthy Chicago”

HEALTHY CHICAGOChicago Department of Public Health OVERALL HEALTHY CHICAGO IMPLEMENTATION STATUS Overall Healthy Chicago jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj Implementation Status jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj 140 120 100 80 60 40 20 0 Completed In progress Pending initiation Completed In progress Pending initiation

STATUS OF PRIORITIES, 4th QUARTER 2011» Policy: 16% Completed; 68% in Progress» Program: 20% Completed; 66% in Progress» Education/Public Awareness: 20% Completed; 65% in Progress

INSTITUTE OF MEDICINE OF CHICAGO & HEALTHY CHICAGO» Policy: Advocacy Efforts» Program: Grants & Partnerships» Education/Public Awareness: Outreach Efforts

Chicago's State of Health

by Chicago Department of Public Health on Jun 04, 2012

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