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
• Healthy Chicag...
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
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
• Healthy Chicag...
PUBLIC HEALTH &
MEDICINE
PUBLIC HEALTH &
ECONOMIC DEVELOPMENT
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
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...
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY
@ChiPublicHealth
312.747.9884
facebook.com/ChicagoPublicHealth
HealthyChicago@CityofChicago.org
www.CityofChicago.org/Heal...
Rush University Medical Center, Department of Preventive Medicine Grand Rounds
Rush University Medical Center, Department of Preventive Medicine Grand Rounds
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Rush University Medical Center, Department of Preventive Medicine Grand Rounds

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A Healthy Chicago Overview presented by Commissioner Choucair at Rush University Medical Center, Department of Preventive Medicine Grand Rounds on September 24, 2013

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  • Next I will present our successes, which would not be possible without our many partners.
  • Healthy vending, austin farmers market/link urban ag
  • Chicago Health Atlas is a big database, too. It has de-identified electronic health record data for about one million Chicagoans, with in-patient and out-patient visits spanning from 2006 through 2011, and individual patient records matched across institutions. Much more detail is on the way about all this.
  • Thanks to the work at Chicago Community Trust, the collaborative has a website that's up and running at ChicagoHealthAtlas.org This serves as the public face of the project - the place where can make data about public health indicators - as well as community assets - available to the public.
  • Another academic medical partnership is with the University of Illinois Hospital & Health Sciences System. Both of us are concerned about the number of uncontrolled pediatric asthma patients and that they were seeking expensive care in the Emergency Department. Building on other studies and our expertise in Healthy Homes and housing-based hazard inspections, we are collaborating in a pilot program aimed to reduce ED visits and improve asthma control. Pediatric asthma patients who are seen in the UI Health’s ED will be recruited to this pilot project (CHAMPS: Chicago Home Asthma Pediatric Pilot Program).
  • 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 The Advisory Group meets quarterly. Examples of topics for discussion include: Analysis of CPS BMI data Childhood exposure to violence surveillance Small area interpolation
  • So as you can see, we work closely with partners to forward the goals of Healthy Chicago and assist with innovative research to improve the health of Chicagoans.
  • Rush University Medical Center, Department of Preventive Medicine Grand Rounds

    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 @choucair #HealthyChicago Rush University Medical Center Department of Preventative Medicine Grand Rounds September 24, 2013
    2. 2. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Healthy Chicago Academic & Research Partners
    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
    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 • Healthy Chicago Academic & Research Partners
    27. 27. PUBLIC HEALTH & MEDICINE
    28. 28. PUBLIC HEALTH & ECONOMIC DEVELOPMENT
    29. 29. 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
    30. 30. Open Data Portal data.cityofchicago.org
    31. 31. 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
    32. 32. Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013
    33. 33. 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
    34. 34. 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
    35. 35. CHICAGO HEALTH ATLAS IS A WEBSITE
    36. 36. Health Information Exchange NEIGHBORHOOD PAGES
    37. 37. Health Information Exchange CITY LEVEL COMPARISONS
    38. 38. Health Information Exchange
    39. 39. 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
    40. 40. • 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
    41. 41. 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
    42. 42. KEEP YOUR HEART HEALTHY • Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease • Pilot in two Chicago neighborhoods
    43. 43. • 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
    44. 44. 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
    45. 45. 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
    46. 46. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
    47. 47. @ChiPublicHealth 312.747.9884 facebook.com/ChicagoPublicHealth HealthyChicago@CityofChicago.org www.CityofChicago.org/Health

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