SHIP is……<br />A component of the overall health care reform initiative passed by the 2008 MN State Legislature.<br />Designed to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease.<br />Intended to enhance patient experience and contain spiraling health care costs.<br />
Why Do We Need SHIP?<br />Tobacco use and exposure and obesity are the two leading causes of chronic disease<br />38% of MN adults are overweight, 25% obese<br />76% of adults consume less than 5 or more fruits & vegetables/day<br />49% of adults get fewer than 30 or more minutes of physical activity/day<br />18% of adults are current smokers<br />Center for Disease Control and Prevention<br />
Obesity Trends* Among U.S. AdultsBRFSS,1990, 1998, 2006<br />(*BMI 30, or about 30 lbs. overweight for 5’4” person)<br />1998<br />1990<br />2006<br />No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
What makes SHIP different?<br />Instead of taking an individual and programmatic approach, SHIP engages in a comprehensive effort to improve the health of the environment.<br />SHIP aims to create sustainable, systemic changes that make it easier for Minnesotans to choose healthy behaviors.<br />
How will change be accomplished?<br /> By implementing evidenced-based strategies to make policy, system and environmental changes in four settings:<br />Schools<br />Community<br />Worksites<br />Healthcare<br />
What are policy, system and environmental changes?<br />Policy Interventions include changes in laws and regulations such as tobacco free public places or providing time off during work hours for physical activity.<br />System Interventions create change in organizations and institutions such as school districts offering healthy snacks or more time for physical education.<br />Environmental Interventions include decisions about land use, zoning and community design such as neighborhoods having access to healthy foods and sufficient opportunities for activities such as walking and biking.<br />
School InterventionsBreckenridge, Detroit Lakes- Roosevelt ,DGF-Dilworth, Perham<br /> 1. Implement policies and practices that create active schools by increasing <br /> opportunities for non-motorized transportation (walking and biking to and from school) and access to <br /> recreation facilities.<br />
School Interventions<br />2. Implement comprehensive nutrition policies including: breakfast promotion, healthy lunch and snacks, including classroom celebrations and incentives, fundraising, concessions, and vending; school gardens; Farm to School initiatives.<br />
Community InterventionBreckenridge, Detroit Lakes, Dilworth, Perham<br /> Implement policies and practices that create active communities by increasing opportunities for non-motorized transportation (walking and biking) and access to community recreation facilities.<br />
Worksite Intervention Becker County, City of PerhamMoorhead School District, Wilkin County<br />Implement a comprehensive employee wellness initiative that provides health assessment with follow-up-coaching, ongoing health education, and has policies and an environment that promote healthy weight and healthy behaviors.<br />
Health Care InterventionFamily Healthcare Center-Fargo, Lake Region Hospital/Fergus Falls Medical Group, Innovis ER/Urgent Care Fargo, MeritCare Clinic System<br /> Support implementation of ICSI guidelines for “Prevention and Management of Obesity” and “Primary Prevention of Chronic Disease Risk Factors” by healthcare providers<br />
Maximizing Opportunities<br />To maximize opportunities and impact, multiple interventions will be implemented in the following communities:<br />Becker County - Detroit Lakes<br />Clay County- Dilworth<br />Otter Tail County- Perham<br />Wilkin County- Breckenridge<br />
How will we know SHIP is effective?<br />Short‐Term Outcomes (1‐3 years) <br /> ↑policy, systems, and environmental changes in the 4 sectors: school, community, worksite, and healthcare<br />Intermediate Outcomes (3‐10 years)<br /> ↓tobacco use & exposure <br /> ↑physical activity<br /> ↑nutritious eating<br />Long‐Term Outcomes (10‐25 years)<br /> ↓tobacco use & exposure<br /> ↓obesity<br />
For More Information Contact<br />Jason Bergstrand<br />SHIP Project Manager<br />Phone: 701-306-5280<br />email@example.com<br />Minnesota Department of Health Website<br />http://www.health.state.mn.us/healthreform/ship/index.html<br />
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