MDCH Healthy Communities


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This is a presentation of the CVD prevention programs currently in progress through the Michigan Department of Community Health.

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  • Two programs – BHC, HKHM
  • We follow the public health social ecological model like many of the programs you work on. PEC – Change behavior of more people for less money than one on one programs.
  • Share these slides with your coalition members who were not able to attend the training. This is a public health approach – not just based on brainstorming, who has the most clout at the table…..
  • There has been so much funding put into what should be funded that it is much easier today then it was 3 years ago to determine what to fund, programming to recommend, and training to provide in the policy area. CDC, RWJF, and so many national organizations have spent the last few years funding large projects and research to provide toolkits, websites and resources with the national policies that states and local leaders are recommended to implement.
  • Traditional 20-25 mph speeds comfortable Green, sustainable, inviting Pleasant for walking, bicycling and driving Conventional 30-35 mph speeds comfortable Bare, stark, uninviting Survivable, but not fun
  • Trails – DHD #10, LMAS, Marquette FM – DM, Ingham (south Lansing), Washtenaw – collaborations with 4 health care clinics, Marquette, Ottawa-Senior project fresh Enhanced parks – Washtenaw, Ecorse (Wayne), Muskegon Grocery store policy – DHD #10 Garden – Ionia, DHD #10, Ingham, Muskegon Complete Streets and non-motorized plans – Marquette, Ingham, Washtenaw
  • Mikelle
  • Out of 82 counties total
  • They also put up ribbons to show the safe routes, as well as painted bigger route markers closer to the school. Tuscola
  • Evaluation forms – Please provide meaningful information. Location – George offered to host and it was very economical. Food – Supporting local and fun…probably could be more healthy but we opted not to do Subway. Slides – There may be a few additional slides and slight changes. We can post the presentation after the Dewitt training on our website for your use. 4 th year of providing BHC trainings – guess what – new recommendations at the state and local level have appeared; partners are playing a closer role with the project; funding is diversifying so we have to keep those purses happy; some people call me “too passionate” but as we were developing these slides last week, we discussed how we were enjoying developing this NEW presentation. Keeps us motivated and the project green!
  • Development of trails Expansion of trails Added amenities – benches, signs, lighting,
  • Park Work Walking paths Basketball hoops Playground equipment Lighting, benches, and signs
  • WA, Hawaii, MN APHA 2010 - ?
  • We could not do it w/out them!
  • Marilyn – you have 15 minutes to speak Connect with Karen Yoder re: HE/PE legislation report… do not want to repeat.
  • Insert time line here Explain grant vs. year-1 vs. year-2
  • Steering Committee Recognize members (have stand?) Review formation Role – not interfere with content area experts, do not drive agenda Guidance – good stewards of Coalition funds Committees: short updates Legislative – Marilyn will discuss later Communications – retained John Bailey & Associates and work under the direction of the Steering Committee, working on monthly newsletters, social media (put in a graphic of the Facebook page?), Twitter, LTE, Press Releases, website revisions in the near future (explain 2 website AHA vs. MDCH) Membership – planned this meeting, will work to continue to grow membership (need a chair, would be ex-officio on the Steering Committee) Policy Action Teams Have chairs stand?? List out here: Strong leadership and vision Continued regular participation by passionate content area experts
  • Scope of Policy Action Team Review Policy Vehicle
  • Scope of Policy Action Team Review Policy Vehicle
  • MDCH Healthy Communities

    1. 1. Michigan’s Healthy Communities and Healthy Kids, Healthy Michigan Programs PRC Meeting Rochelle Hurst & Lisa Grost February 3, 2010
    2. 2. Building Healthy Communities Introduction <ul><ul><ul><li>Policy and Environmental Change Program which focuses on reducing cardiovascular disease, stroke, obesity and other chronic diseases. </li></ul></ul></ul>
    3. 3. Building Healthy Communities Introduction <ul><ul><ul><li>Interventions are to: </li></ul></ul></ul><ul><ul><ul><ul><li>Increase physical activity levels </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Increase fruit and vegetable intake </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Increase tobacco-free environments </li></ul></ul></ul></ul>
    4. 4. Healthy Communities Grant Programs Healthy Communities Building Healthy Communities Grants CDC Healthy Communities Safe Routes To School HKHM Complete Streets/ ARRA Michigan Nutrition Network ACHIEVE
    5. 5. Building Healthy Communities Introduction Social Ecological Model
    6. 6. Evidence-based public health is a process of <ul><li>Engaging stakeholders </li></ul><ul><li>Assessing what influences health, health behaviors and community health (literature, local needs, academic theory) </li></ul><ul><li>Developing programs based on assessment (science) </li></ul><ul><li>Evaluating process, impact, and outcome </li></ul><ul><li>Learning from our work and sharing it in ways that are accessible to ALL stakeholders </li></ul>
    7. 7. Building Healthy Communities Project <ul><li>Zoning and Planning </li></ul><ul><li>City Engineers </li></ul><ul><li>Parks & Recreation </li></ul><ul><li>School Districts </li></ul><ul><li>Colleges/Universities </li></ul><ul><li>Law Enforcement </li></ul><ul><li>Key Businesses </li></ul><ul><li>Health Care Professionals </li></ul><ul><li>Hospitals </li></ul><ul><li>Community Service Orgs </li></ul><ul><li>Local Cool Cities Org </li></ul><ul><li>Local Transportation </li></ul><ul><li>Faith-based Organizations </li></ul><ul><li>Public Health Department </li></ul><ul><li>Residents </li></ul><ul><li>Media </li></ul><ul><li>Health Clubs </li></ul><ul><li>Farmers </li></ul><ul><li>Public Officials </li></ul><ul><li>Chamber of Commerce </li></ul><ul><li>Downtown Development Authorities </li></ul><ul><li>Bicycle, running and skiing groups </li></ul><ul><li>Develop a strong and diverse local health </li></ul><ul><li>coalition in a community. </li></ul>
    8. 8. Building Healthy Communities Project <ul><li>Complete community health policy and environmental assessments and review community data </li></ul><ul><ul><ul><li>Healthy Communities Checklist </li></ul></ul></ul><ul><ul><ul><li>Promoting Active Communities Award and Assessment </li></ul></ul></ul><ul><ul><ul><li>Nutrition Environmental Assessment Tool </li></ul></ul></ul><ul><ul><ul><li>Smoke Free Community Assessment Tool </li></ul></ul></ul><ul><ul><ul><li>BRFSS </li></ul></ul></ul><ul><ul><ul><li>Local Data </li></ul></ul></ul><ul><ul><ul><li>Survey Target Population </li></ul></ul></ul><ul><ul><ul><li> </li></ul></ul></ul>
    9. 9. Building Healthy Communities Project <ul><li>3. Develop a 3-5 year Action Plan focusing on the higher levels of the social ecological model. </li></ul><ul><li>Program Goal </li></ul><ul><li>Objective </li></ul><ul><li>Data Source </li></ul><ul><li>Rationale </li></ul>Activities Target Completion Date Lead Staff Partners Indicators
    10. 10. Community Needs & Values Scientific Evidence Resources (adapted and modified from Muir Gray)
    11. 12. <ul><li>No sidewalks </li></ul>
    12. 13. <ul><li>Too narrow to share with bikes </li></ul>
    13. 14. There are many types of Complete Streets <ul><li>A residential street with sidewalks </li></ul>
    14. 15. <ul><li>A street where cyclists can ride comfortably </li></ul>
    15. 16. <ul><li>A commercial arterial w bike lanes & sidewalks </li></ul>
    16. 17. <ul><li>A street where school children can safely cross </li></ul>
    17. 18. Building Healthy Communities Interventions & Successes <ul><li>New and enhanced trails* </li></ul><ul><li>Enhanced parks* </li></ul><ul><li>New and enhanced farmers markets* </li></ul><ul><li>Grocery store policy </li></ul><ul><li>Gardens* </li></ul><ul><li>Complete streets </li></ul><ul><li>Non-motorized plans </li></ul><ul><li>Food Systems </li></ul><ul><li>*Tobacco Free Policies </li></ul>
    18. 19. Building Healthy Communities: Highlights
    19. 20. Building Healthy Communities Data <ul><li>25 local health departments and 8 county extension agencies funded, covering 46 counties and Detroit in Michigan! </li></ul><ul><li>Local coalitions have leveraged more than $5 million in additional funding to support projects. </li></ul>
    20. 21. Building Healthy Communities Data: Physical Activity <ul><li>Across the state: </li></ul><ul><ul><li>17 trails covering 72 miles were created or enhanced </li></ul></ul><ul><ul><li>10 parks with 129 acres enhanced with new equipment, benches or lighting to improve safety </li></ul></ul><ul><ul><li>11 new bicycle facilities, including bike racks and bike lanes, were implemented </li></ul></ul>
    21. 22. Building Healthy Communities Data: Healthy Eating <ul><li>Across the state: </li></ul><ul><ul><li>6 new farmers markets opened; most process EBT (Electronic Benefits Transfer or Food Stamps) </li></ul></ul><ul><ul><li>8 new school and community gardens started </li></ul></ul><ul><ul><li>>6,400 Senior Project FRESH coupon books distributed to low income seniors </li></ul></ul>
    22. 23. Ingham County Health Department Winter Gardening
    23. 24. <ul><li>Ingham County Health Department </li></ul><ul><li>Hunter Park </li></ul>Ingham County Health Department Hunter Park in Lansing
    24. 25. Ingham County Health Department Allen Street Farmers’ Market in Lansing
    25. 26. Marquette County Jackson Mine Farmers’ Market
    26. 27. Kalamazoo County Health Department New sidewalk
    27. 28. Walking and Biking to School….
    28. 29. Marquette County Health Department Negaunee Lion's Club putting down a plank walkway for disabled users
    29. 30. Marquette County Health Department Trail Grand Opening ribbon cutting
    30. 31. SOPARC: More Than Just An Evaluation Tool!
    31. 32. Building Healthy Communities Data <ul><li>Michigan Trail Data </li></ul><ul><ul><li>Primarily white males </li></ul></ul><ul><ul><li>Males – walking and running </li></ul></ul><ul><ul><li>Women – walking </li></ul></ul><ul><ul><li>Perceived maintained </li></ul></ul><ul><ul><li>Perceived safe </li></ul></ul><ul><ul><li>Use with someone else </li></ul></ul><ul><ul><li>Duration 1-2 hours </li></ul></ul><ul><ul><li>Increased use with promotion </li></ul></ul>
    32. 33. Building Healthy Communities 2010 <ul><li>Michigan Park Data </li></ul><ul><ul><li>Large number of diverse populations </li></ul></ul><ul><ul><li>Male and female youth getting vigorous physical activity </li></ul></ul><ul><ul><li>Children and teens were primary users </li></ul></ul><ul><ul><li>Duration 1-2 hours </li></ul></ul><ul><ul><li>Increased usage </li></ul></ul>
    33. 34. Building Healthy Communities <ul><li>Sharing Healthy Communities Successes </li></ul><ul><ul><li>International Congress Meeting on Physical Activity, 2010 </li></ul></ul><ul><ul><li>Michigan Recreation and Parks Association, 2010 </li></ul></ul><ul><ul><li>National Association of State Legislators, 2009 </li></ul></ul><ul><ul><li>Centers for Disease Control Healthy Communities, 2009 </li></ul></ul><ul><ul><li>National Association of Chronic Disease Directors: CD Prevention Success, 2009 </li></ul></ul><ul><ul><li>Centers for Disease Weight of the Nation Conference, 2009 </li></ul></ul><ul><ul><li>Other state webinars, 2009 </li></ul></ul><ul><ul><li>SOPHE Michigan Chapter, 2009 </li></ul></ul><ul><ul><li>Michigan Association of Local Public Health Conference, 2009, 2007 </li></ul></ul><ul><ul><li>Mid-American Trails Conference, 2009 </li></ul></ul><ul><ul><li>American Public Health Association, 2007 </li></ul></ul>
    34. 35. Local Public Health & Health Coalitions New Funding Healthy Communities $$$$$$$ + BHC 4 ACHIEVE Grants 2 Pioneering Healthy Communities 2 Robert Wood Johnson Foundation Safe Routes to School Local Foundation Grants ARRA Complete Streets
    35. 36. Building Healthy Communities Key Partners <ul><li>Chronic Disease Division and other Sections </li></ul><ul><li>Michigan Association of Local Public Health & Health Departments </li></ul><ul><li>Michigan Public Health Institute </li></ul><ul><li>Michigan State University Extension (MSUE) & Michigan Nutrition Network (MNN) </li></ul><ul><li>Michigan Department of Transportation </li></ul><ul><li>Centers for Disease Control and Prevention </li></ul><ul><li>Furman University </li></ul><ul><li>Altarum Institute </li></ul><ul><li>Michigan Association of Planning </li></ul>
    36. 37. Advocates of Healthy Weight in Children
    37. 38. <ul><li>Goal: to implement a 5-year strategic policy plan to reduce childhood obesity in Michigan </li></ul>
    38. 39. <ul><li>Accomplishments: </li></ul><ul><li>Medicaid “L” Letter </li></ul><ul><li>PA 231 </li></ul><ul><li>Legislative Highlights: </li></ul><ul><li>Health and Physical Education Legislation </li></ul><ul><li>Coordinated School Health Program Legislative Breakfast </li></ul><ul><li>Complete Streets Resolution </li></ul>
    39. 40. Advocates of Healthy Weight in Children Timeline 2007 2008 2009 2013 2010 2011 2012 NGA Grant NGA Grant 5 Year Strategic Policy Plan
    40. 41. <ul><li>Policy Action Teams are key </li></ul><ul><ul><li>Community Policy Action Team </li></ul></ul><ul><ul><li>Health, Family & Child Care Services Policy Action Team </li></ul></ul><ul><ul><li>Education Policy Action Team </li></ul></ul>Structured for Success!
    41. 42. <ul><li>Physical and Health Education Requirements </li></ul><ul><li>Mandating District Coordinated School Health Councils </li></ul><ul><li>State Nutrition Standards for the School Campus </li></ul>2010 Education: Policy Areas
    42. 43. <ul><li>Medicaid Coverage of Childhood Obesity </li></ul><ul><li>BMI Surveillance </li></ul><ul><li>Childcare Nutrition & Physical Activity Policies </li></ul>2010 Health, Family and Child Care Services: Policy Areas
    43. 44. <ul><li>Access to Fresh and Healthy Foods </li></ul><ul><li>School & Community Gardens </li></ul><ul><li>Complete Streets </li></ul>2010 Community: Policy Areas
    44. 45. Thank you!