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Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
City of Chicago
Mayor Rahm Emanuel
Bechara Choucai...
PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and R...
HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL
HEALTHY CHICAGO
PUBLIC HEALTH
AGENDA• Released in August 2011
• Identifies priorities for action
for next 5 years
• Identi...
HEALTHY CHICAGO
TARGETS
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY
PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and R...
TOBACCO USE
TOBACCO USE
SMOKE-FREE CAMPUSES
 3 Colleges / Universities
 6 Hospitals
 6 Behavioral Health Organizations
 686 Public...
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...
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 ...
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
health...
A Recipe for Healthy Places: Strategies
1. Build Healthier Neighborhoods
2. Grow Food
3. Expand Healthy Food Enterprises
4...
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 Of...
ADOLESCENT
HEALTH
Revised Wellness Policy
 Competitive Foods Policy
 Expanded STI Screening
 $26M New grants
• CTG – H...
BUILDING ON POLICY
SUCCESSES
Mayor Emanuel Takes Action to Protect
Chicago’s Kids from Menthol Cigarettes
BUILDING ON & ENGAGING
PARTNERSHIPS
PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Academic and R...
PUBLIC HEALTH &
MEDICINE
PUBLIC HEALTH &
ECONOMIC DEVELOPMENT
HISTORY OF CTSAs
2010 Convened a series of meetings with
Chicago’s three CTSAs and with the C3
Leadership.
2011 – 2013
•Co...
ACADEMIC AND RESEARCH
PARTNERSHIPS
• Data Portal
• Chicago Health Atlas
• CHAMP
• Chicago Center for Diabetes Translationa...
Open Data Portal
data.cityofchicago.org
Public Health Context
• Most frequent requests are for statistics by
neighborhood
• Neighborhood summaries published once
...
Number of customized data objects
released to individuals or institutions
(rather than to public), cumulative, 2011
– May ...
CHICAGO HEALTH ATLAS IS
A COLLABORATION
• Informatics researchers from multiple healthcare
institutions
• Chicago Regional...
CHICAGO HEALTH ATLAS IS
A
DATABASE
• De-identified electronic health record data for ~1
million Chicagoans (3 million Metr...
CHICAGO HEALTH ATLAS IS
A
WEBSITE
DEVELOPING
PROCEDURES AND BEST
PRACTICES
• Public health indicators from City Data Portal can be
viewed for temporal and n...
Health Information Exchange
NEIGHBORHOOD PAGES
Health Information Exchange
CITY LEVEL COMPARISONS
Health Information Exchange
CHAMP: PEDIATRIC ASTHMA
ED PILOT PROGRAM
• Recruit children who are seen in ED due to asthma
• Piloting program to use CHW...
• CDPH’s Healthy Homes Program inspectors will assess
housing-based hazards and triggers
• CHWs to educate and assist fami...
DIABETES
TRANSLATIONAL
RESEARCH
• CDPH is partnering with
Chicago Center for Diabetes Translation Research in its
mission ...
KEEP YOUR HEART HEALTHY
• Collaboration among
CDPH, Northwestern
University, and GE
Foundation to reduce the
risk of heart...
• Three main components:
– Identify individuals most at risk for developing
heart disease
– Link individuals to medical ca...
TOBACCO EVALUATION
University of Illinois at Chicago Institute for Health
Research and Policy
and the Tobacco Prevention P...
EPIDEMIOLOGY ADVISORY
GROUP• CDPH established Advisory Group as forum for
academic and practice partners to discuss data a...
@ChiPublicHealth
312.747.9884
facebook.com/ChicagoPublicHealth
HealthyChicago@CityofChicago.org
www.CityofChicago.org/Heal...
Partnering With Communities to Evaluate and Sustain Effective Action
Partnering With Communities to Evaluate and Sustain Effective Action
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Partnering With Communities to Evaluate and Sustain Effective Action

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A presentation by Commissioner Bechara Choucair, MD at the 6th Annual Clinical Translational Science Awards National Conference, August 23, 2013

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Partnering With Communities to Evaluate and Sustain Effective Action

  1. 1. 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 Healthy Chicago: Partnering For Health 6th Annual National CTSA Community Engagement Conference August 22, 2013
  2. 2. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Academic and Research Partnerships
  3. 3. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THE HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL
  4. 4. 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
  5. 5. HEALTHY CHICAGO TARGETS
  6. 6. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
  7. 7. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Academic and Research Partnerships
  8. 8. TOBACCO USE
  9. 9. 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
  10. 10. TOBACCO USE Joint Enforcement
  11. 11. OBESITY PREVENTION Chicago Streets for Cycling Plan 2020
  12. 12.  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
  13. 13. Dearborn Street - Before Dearborn Street - After OBESITY PREVENTION
  14. 14. Bike Sharing in Chicago 3,000 bikes 300 stations by the end of summer 2013 OBESITY PREVENTION
  15. 15. 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
  16. 16. OBESITY PREVENTION
  17. 17.  14 licensed carts operating  41 vendors trained  30 carts planned for 2013 OBESITY PREVENTION
  18. 18. OBESITY PREVENTION
  19. 19. A Recipe for Healthy Places •Released in January 2013 •Includes six community- based planning strategies to support healthy eating OBESITY PREVENTION
  20. 20. 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
  21. 21. HEALTHY MOTHERS & BABIES 15 hospitals working towards Baby-Friendly Designation
  22. 22. ADOLESCENT HEALTH  CPS hires chief health officer  Dually reports to CDPH  CDPH creates Adolescent and School Health Office
  23. 23. 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
  24. 24. BUILDING ON POLICY SUCCESSES Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes
  25. 25. BUILDING ON & ENGAGING PARTNERSHIPS
  26. 26. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Academic and Research Partnerships
  27. 27. PUBLIC HEALTH & MEDICINE
  28. 28. PUBLIC HEALTH & ECONOMIC DEVELOPMENT
  29. 29. HISTORY OF CTSAs 2010 Convened a series of meetings with Chicago’s three CTSAs and with the C3 Leadership. 2011 – 2013 •Continued dialogue with CTSAs to bring increased research capacity to Chicago •CDPH staff serve as representative to two academic community engaged research organizations.
  30. 30. ACADEMIC AND RESEARCH PARTNERSHIPS • Data Portal • Chicago Health Atlas • CHAMP • Chicago Center for Diabetes Translational Research • Keep Your Heart Healthy • Tobacco Policy Evaluation • Epidemiology Advisory Group
  31. 31. Open Data Portal data.cityofchicago.org
  32. 32. Public Health Context • Most frequent requests are for statistics by neighborhood • Neighborhood summaries published once every 3-4 years by paper/PDF • Many data objects generated in response to requests
  33. 33. Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013
  34. 34. CHICAGO HEALTH ATLAS IS A COLLABORATION • Informatics researchers from multiple healthcare institutions • Chicago Regional Extension Center (CHITREC) • Chicago Community Trust • Chicago Department of Public Health
  35. 35. CHICAGO HEALTH ATLAS IS A DATABASE • De-identified electronic health record data for ~1 million Chicagoans (3 million Metro-Chicago residents) • In-patient and out-patient visits spanning 2006-2011 • Individual patient records matched across institutions
  36. 36. CHICAGO HEALTH ATLAS IS A WEBSITE
  37. 37. DEVELOPING PROCEDURES AND BEST PRACTICES • Public health indicators from City Data Portal can be viewed for temporal and neighborhood trends • Incorporating CDC guidelines for classification of map categories • How to make metadata easily accessible to users • How to deal with aggregated geographies and time periods
  38. 38. Health Information Exchange NEIGHBORHOOD PAGES
  39. 39. Health Information Exchange CITY LEVEL COMPARISONS
  40. 40. Health Information Exchange
  41. 41. CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM • Recruit children who are seen in ED due to asthma • Piloting program to use CHWs and address housing- based hazards and triggers • Partnering with University of Illinois Hospital to improve pediatric asthma control and reduce the ED visits
  42. 42. • CDPH’s Healthy Homes Program inspectors will assess housing-based hazards and triggers • CHWs to educate and assist families with changes • Also partnering with Asthampolis to obtain GIS data when child is using inhaler CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM
  43. 43. DIABETES TRANSLATIONAL RESEARCH • CDPH is partnering with Chicago Center for Diabetes Translation Research in its mission to conduct innovative high-impact research to reduce morbidity and mortality related to diabetes • Analyze data from multiple sources (EHR, hospital discharge data, vital statistics, and Healthy Chicago Community Survey) to better understand diabetes and related behaviors
  44. 44. KEEP YOUR HEART HEALTHY • Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease • Pilot in two Chicago neighborhoods
  45. 45. • Three main components: – Identify individuals most at risk for developing heart disease – Link individuals to medical care and direct services through referrals so risk factors can be brought under control – Work with individuals on ongoing basis to make changes to diet, exercise, and other areas to reduce their risk KEEP YOUR HEART HEALTHY
  46. 46. TOBACCO EVALUATION University of Illinois at Chicago Institute for Health Research and Policy and the Tobacco Prevention Project Three Tiers of Evaluation: 1.Community Partner Evaluation 2.Mental Health and Substance Abuse Survey 3.Courage to Quit Evaluation
  47. 47. EPIDEMIOLOGY ADVISORY GROUP• CDPH established Advisory Group as forum for academic and practice partners to discuss data and methods • Member Organizations: – Chapin Hall – Cook County Health & Hospitals System – Illinois Department of Public Health – Lurie Children’s Hospital—Child Health Data Lab – Northwestern University – Sinai Urban Health Institute – University of Chicago – University of Illinois at Chicago
  48. 48. @ChiPublicHealth 312.747.9884 facebook.com/ChicagoPublicHealth HealthyChicago@CityofChicago.org www.CityofChicago.org/Health

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