HEALTHY CHICAGO   CHICAGO DEPARTMENT OF PUBLIC HEALTHHEALTHY CHICAGO:A PUBLIC HEALTH BLUEPRINT      Bechara Choucair, MD  ...
Overview of Presentation•   Chicago in Context•   The Chicago Department of Public Health•   Tale of Two Cities•   Healthy...
Chicago in Context
Chicago in Context                              Illinois                              Population                          ...
Chicago in Context             Illinois has:             - 102 counties,             - 2,731 municipalities             - ...
Chicago                Located within Cook CountyLake Michigan                2.7M residents                Over 8M reside...
African American = 32%Hispanic = 29%White = 32%Asian = 5%Other = 2%
The Chicago Department of PublicHealth and Public Health in Chicago
Chicago Department of Public Health• One of 40+ City Agencies• 700 Employees• ~170M Budget   – Significant Federal and Sta...
CDPH Organizational Chart
Challenges to Change• Dwindling local health department resources   – 39,600 jobs lost; 57% have reduced or eliminated    ...
Chicago: A Tale of Two Cities
“Hardship Index”- Crowded housing- Poverty level- Unemployment- Adults without H.S. diploma- Depencency ( 18 < 64 years)- ...
HEALTHY CHICAGOChicago Department of Public Health                                      IT’S NOT JUST ABOUT               ...
HEALTHY CHICAGOChicago Department of Public Health                                      Infrastructure
Tobacco Use
Tobacco Use: Smoke-Free Environments•    Hospitals      • 5 smoke-free campuses•    Schools      • Public and Catholic sch...
Tobacco-free higher education campuses• City Colleges of Chicago• Roosevelt University• Robert Morris UniversityIMPACT:128...
Limiting Access to Tobacco•Prohibit Tobacco Vending Machines•Increase fines for illegal cigarette sales(minors and unstamp...
Tobacco: Select Interventions• Ask Advise Refer    • 33 clinics; 25+ EHR systems    • NRT Distribution to 5,000• Tobacco Q...
Obesity Prevention
Obesity Prevention Accomplishments•       Fresh produce carts•       Child care standards training•       Complete streets...
Healthy Chicago PlayStreets•   Public-private partnership•   Under-resourced communities•   Promote physical activity•   C...
HIV Prevention
Trends in HIV Infection Diagnoses in MSM by                      Race/Ethnicity, Chicago, 2000-2010                       ...
Behavioral Surveillance Data Among Chicago MSM                 (past 12 months)    Unprotected male-male anal sex         ...
How Data are Used• Improving linkage to care and access to  treatment• Help address local issues and concerns in “real  ti...
HIV+ MSM               Access to Treatment:               who know their status (n=72)        More MSM are on Antiretrovir...
HIV Prevention Accomplishments• Comprehensive prevention funding of $2.9M• Advanced HIV prevention training to over 1,100 ...
Adolescent Health
Adolescent Health Accomplishments• Infrastructure Improvements   – Office of Adolescent and School Health Established   – ...
Cancer Disparities
Cancer Disparities Accomplishments• Strengthened collaboration with Metro Chicago  Breast Cancer Task Force• Completed Mam...
Heart Disease and Stroke
Heart Disease & Stroke Accomplishments•    Million Hearts Risk Check Challenge     • Partnership with Office of National C...
Access to Care
Access to Care Accomplishments• 113,126 students from 504 schools received  dental health services, 18% more students  tha...
Healthy Mothers and Babies
Healthy Mothers and Babies Accomplishments  • 14 of 19 labor and delivery hospitals working towards Baby-    Friendly desi...
Communicable Disease Control
Communicable Disease Control     & Prevention Accomplishments• TB clinical partnership with Cook County• State legislation...
Healthy Homes
Healthy Homes Accomplishments• Successful advocacy efforts to change Torrens  Indemnity Fund• $3 million Abatement grant a...
Violence Prevention
Violence Prevention Accomplishments• Establish data collection partnership with police department• Chicago Dating Matters ...
PH Infrastructure Accomplishments• 18 sets of public health data posted on City’s data portal.• New Office of Epidemiology...
Positioning Healthy Chicago for            Success
HEALTHY CHICAGO   CHICAGO DEPARTMENT OF PUBLIC HEALTHPositioning Chicago for Success
Increasing       Increasing IndividualPopulation Impact       Effort Needed
Shifting our Perspective: Tobacco Example    Increasing                               Increasing Individual Population Imp...
Linking Healthy Chicago to Budget• Vision should guide resource allocation• Focus on core public health functions• Built b...
Building Support• Government  –   Local  –   Regional  –   State  –   Federal• National partnerships• Community organizati...
Engaging Academic Health Centers• To understand and capitalize on the intersection  between public health and primary care...
Partnerships• Health-App-Chicago - Health Practices Addressing Public  Health Priorities in Chicago• U of C’s Center for D...
CTSA’s• Health APP Chicago:   • Linking Public Health, Research, and Primary Care     • Steering Committee of CTSA faculty...
University of Chicago     Center for Diabetes Translational Research                   Collaboration• Enhanced epidemiolog...
Northwestern University        Feinberg School of Medicine• Mobile Produce Vending Evaluations   • Department of Family & ...
University of Chicago At Illinois       Institute for Health Research & Policy• Evaluation of Tobacco Interventions• Impac...
Students For Healthy Chicago• University of Chicago• University of Illinois at Chicago• Rush University• Loyola University...
Social Media1.  Know Your Audience2.  Goal Oriented3.  Develop Engaging Content4.  Website Serves as Hub5.  Push Similar M...
Social Media
Social Media Week     #SMWChiHealth         88,629 Twitter Accounts Reached         532,748 Total Potential Impressions   ...
Twitter ChatCDC NPIN’s #NPINChat       62,350 Twitter Accounts Reached       635,491 Total Potential Impressions       Cha...
Topics Discussed in September
Most Popular Hashtags in Sept
#1 Shared Post This Year
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
HEALTHY CHICAGO:   A PUBLIC HEALTH BLUEPRINT
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HEALTHY CHICAGO: A PUBLIC HEALTH BLUEPRINT

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HEALTHY CHICAGO: A PUBLIC HEALTH BLUEPRINT

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  • I spend about 80% of my time selling public health and selling the Chicago Department of Public Health. It makes no sense to foster innovation internally and not promote it and gain the support that will maximize our success. Summary: - Risk taking Budgeting Building support
  • HEALTHY CHICAGO: A PUBLIC HEALTH BLUEPRINT

    1. 1. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTHHEALTHY CHICAGO:A PUBLIC HEALTH BLUEPRINT Bechara Choucair, MD CommissionerChicago Department of Public Health @choucair on
    2. 2. Overview of Presentation• Chicago in Context• The Chicago Department of Public Health• Tale of Two Cities• Healthy Chicago for a focused response• Positioning Healthy Chicago for Success – Engaging Academic Medical Centers – Using Social Media
    3. 3. Chicago in Context
    4. 4. Chicago in Context Illinois Population 12,830,632U.S. Population 308,745,538
    5. 5. Chicago in Context Illinois has: - 102 counties, - 2,731 municipalities - 912 public school systems - 3,249 special districts
    6. 6. Chicago Located within Cook CountyLake Michigan 2.7M residents Over 8M residents in MetroareaLoop 229 Sq. miles 77 community areas •range from 3,000 to 99,000 residents •median is 31,000 Community areas provide framework for: • data analysis • service delivery
    7. 7. African American = 32%Hispanic = 29%White = 32%Asian = 5%Other = 2%
    8. 8. The Chicago Department of PublicHealth and Public Health in Chicago
    9. 9. Chicago Department of Public Health• One of 40+ City Agencies• 700 Employees• ~170M Budget – Significant Federal and State Grant funding – Supports direct services and contractual agreements• Partnership with other City Agencies
    10. 10. CDPH Organizational Chart
    11. 11. Challenges to Change• Dwindling local health department resources – 39,600 jobs lost; 57% have reduced or eliminated services.• Infrastructure developed over 100 years ago – Tradition creates inertia that impedes change efforts• Political environments – One of several City agencies – Accountable to both Mayor and City Council• Interest groups
    12. 12. Chicago: A Tale of Two Cities
    13. 13. “Hardship Index”- Crowded housing- Poverty level- Unemployment- Adults without H.S. diploma- Depencency ( 18 < 64 years)- Per capita income.
    14. 14. HEALTHY CHICAGOChicago Department of Public Health IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
    15. 15. HEALTHY CHICAGOChicago Department of Public Health Infrastructure
    16. 16. Tobacco Use
    17. 17. Tobacco Use: Smoke-Free Environments• Hospitals • 5 smoke-free campuses• Schools • Public and Catholic schools• Housing • 3,250 units of private smoke-free housing • 4 CHA smoke-free developments
    18. 18. Tobacco-free higher education campuses• City Colleges of Chicago• Roosevelt University• Robert Morris UniversityIMPACT:128,000 students 7,300 faculty and staff
    19. 19. Limiting Access to Tobacco•Prohibit Tobacco Vending Machines•Increase fines for illegal cigarette sales(minors and unstamped)•Increase access for City investigators•$1.00 increase to State cigarette tax•Undercover stings
    20. 20. Tobacco: Select Interventions• Ask Advise Refer • 33 clinics; 25+ EHR systems • NRT Distribution to 5,000• Tobacco Quit Line – 70% increase (20,400 calls)• Citywide Media Campaign• Signage at Beaches and Playlots• Ads on public transportation
    21. 21. Obesity Prevention
    22. 22. Obesity Prevention Accomplishments• Fresh produce carts• Child care standards training• Complete streets• CPS student health records• Healthy vending• Chicago Food Plan• Corner stores .
    23. 23. Healthy Chicago PlayStreets• Public-private partnership• Under-resourced communities• Promote physical activity• Children and adults• CareVan support services• 70 events
    24. 24. HIV Prevention
    25. 25. Trends in HIV Infection Diagnoses in MSM by Race/Ethnicity, Chicago, 2000-2010 Since 2008, Chicago has had more Black HIV diagnoses than Whites and Hispanics combined.CDPH – STI/HIV Surveillance, Epidemiology and Research Section – 07/2012
    26. 26. Behavioral Surveillance Data Among Chicago MSM (past 12 months) Unprotected male-male anal sex 56% Received free condoms 82% Used any illicit drug (more than once a 42% month) Tested for HIV infection 64% Tested for STI 52% Participated in HIV behavioral Individual 18% intervention Participated in HIV behavioral Group 7% intervention
    27. 27. How Data are Used• Improving linkage to care and access to treatment• Help address local issues and concerns in “real time”• Inform new local prevention activities• Evaluate impact of new policies/strategies• Conduct research and community education• Help explain trends in HIV incidence, prevalence and new diagnoses
    28. 28. HIV+ MSM Access to Treatment: who know their status (n=72) More MSM are on Antiretroviral Therapy Black (n =30 ) White (n = 32) Hispanic (n =10 ) (%) (%) (%)Seen doctor for HIV care 100 97 100Currently on ART 80 91 80 2008 43 83 79Know CD4 count 100 94 100Know Viral Load 97 91 80
    29. 29. HIV Prevention Accomplishments• Comprehensive prevention funding of $2.9M• Advanced HIV prevention training to over 1,100 providers• Enhanced policy and planning• 9,200,800 condoms distributed since last August.• Initiated the Chicago community condom project• Integration of HIV community planning groups• Enhanced partner services and linkage to care activities
    30. 30. Adolescent Health
    31. 31. Adolescent Health Accomplishments• Infrastructure Improvements – Office of Adolescent and School Health Established – CPS Chief Health Office and Restructuring• Expanded STI screening project to 28 schools. Educated 9215, screened 6147, identified 436• Adolescent Vaccine Initiative with high volume providers
    32. 32. Cancer Disparities
    33. 33. Cancer Disparities Accomplishments• Strengthened collaboration with Metro Chicago Breast Cancer Task Force• Completed Mammogram Reminder pilot project• State Cancer Registry application• Collaboration with CHA
    34. 34. Heart Disease and Stroke
    35. 35. Heart Disease & Stroke Accomplishments• Million Hearts Risk Check Challenge • Partnership with Office of National Coordinator for HIT • Creation of mobile application for risk assessment and service locations.• CPR training to school staff and students
    36. 36. Access to Care
    37. 37. Access to Care Accomplishments• 113,126 students from 504 schools received dental health services, 18% more students than prior year• Partnership with City and State agencies to address needs of mentally ill.• $500,000 for expanded psychiatry services• FQHC partners identified for CDPH clinical care
    38. 38. Healthy Mothers and Babies
    39. 39. Healthy Mothers and Babies Accomplishments • 14 of 19 labor and delivery hospitals working towards Baby- Friendly designation. • Increased WIC support for breastfeeding through lactation counselor training • Established preconception and inter- conceptional care standards • 16,672 nurse home visits
    40. 40. Communicable Disease Control
    41. 41. Communicable Disease Control & Prevention Accomplishments• TB clinical partnership with Cook County• State legislation requiring infection control training for staff in long term care facilities• Convened Long Term Care Advisory Committee• Distributed 1,144,801 doses of vaccine to providers• Restaurant Self-inspection pilot
    42. 42. Healthy Homes
    43. 43. Healthy Homes Accomplishments• Successful advocacy efforts to change Torrens Indemnity Fund• $3 million Abatement grant awarded• Public awareness campaign promoting radon testing• Expansion of Lead Program to Healthy Homes Program
    44. 44. Violence Prevention
    45. 45. Violence Prevention Accomplishments• Establish data collection partnership with police department• Chicago Dating Matters Initiative, $1,75 M federal grant• Psychological First Aid training to youth-serving substance abuse providers.• Convened Bullying Prevention Workgroup (15 agencies)• CeaseFire partnership
    46. 46. PH Infrastructure Accomplishments• 18 sets of public health data posted on City’s data portal.• New Office of Epidemiology and Public Health Informatics and expanded epidemiology capacity• Largest local public health department pursuing first time accreditation• CPS Data sharing
    47. 47. Positioning Healthy Chicago for Success
    48. 48. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTHPositioning Chicago for Success
    49. 49. Increasing Increasing IndividualPopulation Impact Effort Needed
    50. 50. Shifting our Perspective: Tobacco Example Increasing Increasing Individual Population Impact Effort Needed Smoke-free Campuses
    51. 51. Linking Healthy Chicago to Budget• Vision should guide resource allocation• Focus on core public health functions• Built budget around Healthy Chicago
    52. 52. Building Support• Government – Local – Regional – State – Federal• National partnerships• Community organizations
    53. 53. Engaging Academic Health Centers• To understand and capitalize on the intersection between public health and primary care• To explore health outcomes, community resources and assets• To translate research into local policy
    54. 54. Partnerships• Health-App-Chicago - Health Practices Addressing Public Health Priorities in Chicago• U of C’s Center for Diabetes Translational Research Collaboration• Northwestern University Feinberg School of Medicine• UIC’s Institute for Health Research and Policy• Student Advisory Committee
    55. 55. CTSA’s• Health APP Chicago: • Linking Public Health, Research, and Primary Care • Steering Committee of CTSA faculty and CDPH • Subgroups to develop specific reports • Reconvening to determine next steps• Clinical Best Practices to Improve Population Health • Pilot effort in selecting best practices available • Topic: Diabetes and Cardiovascular Disease
    56. 56. University of Chicago Center for Diabetes Translational Research Collaboration• Enhanced epidemiology capacity for diabetes • Increased utilization of data sets (Hospitalization & ER) • Dedicated staff position• Collaborative policy development• School-based diabetes interventions
    57. 57. Northwestern University Feinberg School of Medicine• Mobile Produce Vending Evaluations • Department of Family & Community Medicine• Report: A Profile of Health & Health Resources within Chicago’s 77 Communities • Dr. Romana Hasnain-Wynia • http://tinyurl.com/3opzvqu
    58. 58. University of Chicago At Illinois Institute for Health Research & Policy• Evaluation of Tobacco Interventions• Impacts of media campaign on awareness and attitudes towards dangers of second-hand smoke• Assessing intensity and reach of 23 interventions• Survey of mental health and substance abuse providers on attitudes towards smoke-free policies and integration of tobacco cessation into treatment services
    59. 59. Students For Healthy Chicago• University of Chicago• University of Illinois at Chicago• Rush University• Loyola University• Northwestern University
    60. 60. Social Media1. Know Your Audience2. Goal Oriented3. Develop Engaging Content4. Website Serves as Hub5. Push Similar Messages Through Multi-Channels: Facebook Blog Twitter YouTube Google+ Instagram SlideShare1. Engage in a Conversation2. Measure3. Re-EvaluateTIP: Links, Photos & Videos are best
    61. 61. Social Media
    62. 62. Social Media Week #SMWChiHealth 88,629 Twitter Accounts Reached 532,748 Total Potential Impressions Panel discussed how to utilize social media to engage public, raise awareness and improve population health.
    63. 63. Twitter ChatCDC NPIN’s #NPINChat 62,350 Twitter Accounts Reached 635,491 Total Potential Impressions Chat served to highlight the STD education and testing opportunities that arise from health department and school board collaborations.
    64. 64. Topics Discussed in September
    65. 65. Most Popular Hashtags in Sept
    66. 66. #1 Shared Post This Year

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