Toward Healthy Communities & a Healthy Environment:
The Role of Public Health in TOD and Livability


                    ...
together
  Our Mission: To provide high-quality, affordable health care services
  to improve the health of our members an...
Factors Influencing Health Status                                                                                        t...
The Challenge for the Health Sector
                                                       together
        • Excellent me...
A SHARED VISION: The Four Health/Wealth: Working
                      in the Nexus
  Individual and Population Health    ...
together




kp.org/communitybenefit
                                 6
together

  “A Good Solution Solves
   Many Problems”




                          …And involves
                        ...
Unique Partnerships  Common Strategies and
Multiple Benefits
                                                            ...
Sustainable Communities Regional Planning Grant
Denver Region: Centers and Corridors (TOD)   together
         Areas of Gr...
Livability Principles:
Unique Partnerships  Multiple Benefits           together




 Federal                      State ...
A Value-Added Partnership: Public Health
Contributions                                      together
  PUBLIC HEALTH ASSET...
Your Partners: Who is “Public Health”?
                                             together
  • Communities Putting Preve...
together


                          Thank you for
                               your
                          contribut...
Relationship Between Built
Environment and Public Health         together

         • Inactivity/Obesity
         • Injuri...
Economic consequences of obesity
                                                     together
    • Base on a study in ma...
together
  Healthy Community Design



  • Improves individual & population health
  • Improves environmental health
  • I...
Elements of Healthy Community
Design                                                   together


                        ...
Transportation
                                              together

                           Neighborhood traffic
   ...
Transportation
                                                         together
                                    • Dec...
Land Use
                                                     together

                          • Compact mixed-use
    ...
Land Use
                                                         together
   • Decreases automobile use       • Decreases...
Public Spaces
                                               together


                            •Parks
               ...
Public Spaces
                                                       together

   • Increases walking,             • Impro...
Economic Impact


                                                                                together
•   Public tran...
Ray LaHood U.S. Secretary of
Transportation
                                                     together
   • DOT encoura...
Kaiser Permanente’s Involvement in
Healthy Community Design                           together
  • Safe Routes to School N...
Why We Can’t Fail

                                                      together
                          •“The steady r...
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Denver 9/27 Monica Buhlig

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Presentation from Partners in Innovation Policy Forum in Denver, CO on September 27, 2010.

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Denver 9/27 Monica Buhlig

  1. 1. Toward Healthy Communities & a Healthy Environment: The Role of Public Health in TOD and Livability together WE BUILD A BRIGHTER FUTURE Monica Buhlig, MPH Sr. Community Health Specialist Kaiser Permanente Community Health Initiatives kp.org/communitybenefit
  2. 2. together Our Mission: To provide high-quality, affordable health care services to improve the health of our members and the communities we serve. Nation’s largest not-for-profit health plan National Statistics (2008):  8.6 million members  35 Medical Centers/Hospitals; 431 Medical Offices  14,600 Physicians; 167,300 Employees  $40.3 billion Operating Revenue; $1.18 billion Community Benefit Regions:  Northern California  Southern California  Northwest (Oregon/Washington)  Colorado  Georgia  Mid-Atlantic States (VA, MD, DC)  Ohio  Hawaii kp.org/communitybenefit 2
  3. 3. Factors Influencing Health Status together Source: McGinnis, J.M and Foege, W.H. (1993). “Actual Causes of Death in the United States,” Journal of the American Medical Association. kp.org/communitybenefit
  4. 4. The Challenge for the Health Sector together • Excellent medical care alone is insufficient • Major drivers of the (obesity) epidemic and related chronic diseases are environmental • Consensus: Comprehensive environmental and social change is required to turn down the epidemic – we will be part of the solution Our Members Can’t be Healthy if They Live and Work in Unhealthy Communities kp.org/communitybenefit 4
  5. 5. A SHARED VISION: The Four Health/Wealth: Working in the Nexus Individual and Population Health Ecological Health Nexus Opportunities: Transportation/ Land use Food systems/ access Access to goods/ services Violence Prevention (Green) Jobs Environment(al justice) Community power Civic Health Economic Health Social connection See, for instance, Serageldin and Steer (1995), “Expanding the Measure of Wealth, “ World Bank monograph
  6. 6. together kp.org/communitybenefit 6
  7. 7. together “A Good Solution Solves Many Problems” …And involves many partners….. kp.org/communitybenefit 7
  8. 8. Unique Partnerships  Common Strategies and Multiple Benefits together Partnership for Sustainable Communities (HUD, EPA, DOT) Livability Principles: 1. Provide more transportation choices (Economic and Ecological) 2. Promote equitable, affordable housing (Economic Health) 3. Enhance economic competitiveness (Economic Health) 4. Support existing communities (Ecological and Civic Health) 5. Coordinate policies and leverage investment (Economic Health) 6. Value communities and neighborhoods (Civic Health) …Where is the fourth health?... kp.org/communitybenefit 8
  9. 9. Sustainable Communities Regional Planning Grant Denver Region: Centers and Corridors (TOD) together Areas of Greatest Focus • Livability principles • Public engagement • Inter-disciplinary engagement • Goals and metrics • Tools to make it happen Health Impact Assessment-Like Tool Equity Focus kp.org/communitybenefit 9
  10. 10. Livability Principles: Unique Partnerships  Multiple Benefits together Federal State Local Regional Livability LiveWell 22 SCRPG communities Prin Colorado kp.org/communitybenefit 10
  11. 11. A Value-Added Partnership: Public Health Contributions together PUBLIC HEALTH ASSETS • Evaluation and Data (Health status and costs) • Collaboration • Community Engagement • Focus on disparate populations • Evidence-base => Utilize models identifying how to address links between health and built environment kp.org/communitybenefit 11
  12. 12. Your Partners: Who is “Public Health”? together • Communities Putting Prevention to Work • HCR Community Transformation Grants • Local/State Public Health Departments (Epidemiology/Obesity/Disparities) • Health Foundations • Health Plans • Health Care Professionals kp.org/communitybenefit 12
  13. 13. together Thank you for your contributions to health! kp.org/communitybenefit 13
  14. 14. Relationship Between Built Environment and Public Health together • Inactivity/Obesity • Injuries/Fatalities • Stress/Mental Health • Air Quality • Water Quality & Quantity • Climate • Food Supply kp.org/communitybenefit
  15. 15. Economic consequences of obesity together • Base on a study in managed care: • BMI 30-34.9 = 25% increase in costs • BMI 35 and above = 44% increase in costs • Colorado’s annual obesity costs: • $500 million (direct cost) + $470 million • (lost productivity) = $970 million kp.org/communitybenefit
  16. 16. together Healthy Community Design • Improves individual & population health • Improves environmental health • Improves economic health • Promotes sustainability kp.org/communitybenefit
  17. 17. Elements of Healthy Community Design together • Transportation • Land Use • Public Spaces Plans, Built and Public & Health of Codes, Natural Individual People Policies Environments Behaviors kp.org/communitybenefit
  18. 18. Transportation together Neighborhood traffic calming Bicycle lanes and paths Wide sidewalks Street trees Mode options Built and Natural Environments kp.org/communitybenefit
  19. 19. Transportation together • Decreases air • Slows traffic & makes pollution, carbon neighborhood streets dioxide omissions safer for pedestrians and cyclist • Reduces injuries • Provides alternatives to • Reduces risk for chronic automobile travel diseases • Increases opportunities • Reduces obesity and for walking or cycling to associated diseases transit • Reduces asthma Public & Individual Behaviors Health of People kp.org/communitybenefit
  20. 20. Land Use together • Compact mixed-use development; Co-location of housing, jobs, services, & transportation • Healthy food retail and restrictions on unhealthy food outlets • Land-use patterns that encourage neighborhood interaction and a sense of community Built and Natural Environments kp.org/communitybenefit
  21. 21. Land Use together • Decreases automobile use • Decreases air pollution, carbon • Increases walking and dioxide omissions bicycling • Encourages healthy food choices • Reduces injuries • Can foster “eyes on the street” • Reduces risk for chronic diseases and obesity • Encourages social interaction and community • Fosters positive mental connection health & social capital • Increases neighborhood • Reduces asthma safety, reduces violence Public & Individual Behaviors Health of People kp.org/communitybenefit
  22. 22. Public Spaces together •Parks •Trails •Urban forests •Community gardens and urban farms •Paths •Greenways •Street trees Built and Natural Environments kp.org/communitybenefit
  23. 23. Public Spaces together • Increases walking, • Improves air quality bicycling and other physical activity and recreation • Reduces risk for chronic • Invites community activities diseases and obesity • Encourages social interaction and community • Reduces stress and connection isolation • Encourages gardening and • Fosters positive mental other interactions with health & social capital nature • Reduces asthma Public & Individual Behaviors Health of People kp.org/communitybenefit
  24. 24. Economic Impact together • Public transit investments yield 19% more jobs than highway construction • More walking / biking supports local retailers • Public transit projects concentrate and attract development • Better transportation policies are key to connecting low income people with jobs…and food, healthcare, etc. Sources: Littman, 2008; Center for Transit Excellence, 2008 kp.org/communitybenefit
  25. 25. Ray LaHood U.S. Secretary of Transportation together • DOT encourages states, local governments, community organizations and public transportation agencies to: “Consider walking and bicycling as equals with other transportation modes: The primary goal of a transportations systems is to safely and efficiently move people and goods. Walking an bicycling are efficient transportation modes for most short trips and. Where convenient intermodals systems exist, these nonmotorized trips can be linked with transit to significantly increase trip distance.” kp.org/communitybenefit
  26. 26. Kaiser Permanente’s Involvement in Healthy Community Design together • Safe Routes to School National Partnership • International Walk to School Day • Community Health Initiatives (CHI)- Healthy Eating Active Living • Thrive Campaign • National Healthy Eating Active Living Convergence kp.org/communitybenefit
  27. 27. Why We Can’t Fail together •“The steady rise in life expectancy during the past two centuries may soon come to an end” • -- N Engl J Med 2005; 352:1138-1145 kp.org/communitybenefit

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