This document discusses the relationship between community design, transportation, physical activity, and public health. It notes that a lack of active transportation options and physical inactivity can contribute to health issues like obesity, diabetes, and cardiovascular disease. The document advocates for designing communities and transportation systems to encourage walking and biking through initiatives like Complete Streets in order to improve health outcomes.
This document outlines a process for prioritizing pedestrian infrastructure improvements near schools in order to make walking to school safer. It involves a multi-step process:
1. Schools are grouped based on factors like crash history, safety concerns, and walking rates. Higher priority is given to schools with current walking and crash issues.
2. Additional prioritization is done within the highest priority groups based on traffic volumes, road characteristics, and crossings near the schools.
3. Field reviews are then conducted at the highest priority schools to identify specific pedestrian infrastructure improvement needs.
The result is a list of prioritized pedestrian infrastructure needs for the schools with the greatest safety issues related to walking. Non-infrastructure programs
This document discusses three Safe Routes to School networks in California: the statewide network since 2007 led by Deb Hubsmith, the Southern California regional network since 2010, and the Bay Area regional network since 2012. It outlines their partnerships, action plans, successes in policy and funding, and use of social media and lessons learned around MAP-21 legislation.
This document provides an overview of MAP-21, the new transportation law, with a focus on changes that affect biking and walking. Some key points include:
1. The Transportation Alternatives program consolidates several bike/ped programs and sees a funding reduction of approximately 30%. Eligibility and distribution of funds also changed.
2. Other programs like HSIP, STP, CMAQ, and Federal Lands still provide eligibility for bike/ped projects, and HSIP requires new safety data collection.
3. Advocates are coordinating campaigns at the state level to fully fund, staff, and implement the Transportation Alternatives program and maximize bike/ped spending across all programs. Goals include
Title: 'Selling' Rural Communities on Cycling
Track: Prosper
Format: 60 minute panel
Abstract: This panel will share successful strategies and programs utilized in Oregon and Pennsylvania developed to leverage and promote the economic benefits of cycling in rural communities.
Presenters:
Presenter: Sheila Lyons Oregon DOT
Co-Presenter: Jessica Horning Oregon DOT
Co-Presenter: Cathy McCollom River Town Program
The document outlines plans for expanding Philadelphia's bike share program to improve social equity. It discusses establishing bike share as an affordable and accessible transportation option that connects communities across the city. A $5.9 million grant will fund research on barriers to bike share use among low-income residents, targeted marketing, installing 20 stations in low-income areas, and a universal access program without credit card requirements. The grant also aims to develop national best practices through research, convenings, and challenge grants to other cities and non-profits.
Title: 'Selling' Rural Communities on Cycling
Track: Prosper
Format: 60 minute panel
Abstract: This panel will share successful strategies and programs utilized in Oregon and Pennsylvania developed to leverage and promote the economic benefits of cycling in rural communities.
Presenters:
Presenter: Sheila Lyons Oregon DOT
Co-Presenter: Jessica Horning Oregon DOT
Co-Presenter: Cathy McCollom River Town Program
Title: Not Your Grandfather's DOT: The FDOT District 5 and PennDOT Experiences
Track: Connect
Format: 90 minute moderated discussion
Abstract: Today's economic realities require the rethinking of conventional transportation approaches. Learn about how Florida and Pennsylvania's Department of Transportation are using new tools, policies, and guides to proactively plan multi-modal transportation solutions.
Presenters:
Presenter: Jane Lim-Yap Kittelson & Associates, Inc.
Co-Presenter: Steven Deck Parsons Brinckerhoff
Co-Presenter: Brian Hare PennDOT Program Center
Co-Presenter: Mary Raulerson Kittelson & Associates, Inc.
Title: Level of Service F for Grade A Streets
Track: Prosper
Format: 90 minute panel
Abstract: Relying solely on Level of Service criteria for street design, which evaluates vehicle congestion, leads to poor outcomes on many of our roadways. LOS F, far from a failure, creates opportunities to reallocate roadway space for more livable street designs. In this session, learn about projects in Cambridge and San Francisco that overcame opposition and generated community support in prioritizing better bicycling and walking over vehicle capacity during the peak hour of travel.
Presenters:
Presenter: Michael Sallaberry San Francisco Municipal Transportation Agency
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
This document outlines a process for prioritizing pedestrian infrastructure improvements near schools in order to make walking to school safer. It involves a multi-step process:
1. Schools are grouped based on factors like crash history, safety concerns, and walking rates. Higher priority is given to schools with current walking and crash issues.
2. Additional prioritization is done within the highest priority groups based on traffic volumes, road characteristics, and crossings near the schools.
3. Field reviews are then conducted at the highest priority schools to identify specific pedestrian infrastructure improvement needs.
The result is a list of prioritized pedestrian infrastructure needs for the schools with the greatest safety issues related to walking. Non-infrastructure programs
This document discusses three Safe Routes to School networks in California: the statewide network since 2007 led by Deb Hubsmith, the Southern California regional network since 2010, and the Bay Area regional network since 2012. It outlines their partnerships, action plans, successes in policy and funding, and use of social media and lessons learned around MAP-21 legislation.
This document provides an overview of MAP-21, the new transportation law, with a focus on changes that affect biking and walking. Some key points include:
1. The Transportation Alternatives program consolidates several bike/ped programs and sees a funding reduction of approximately 30%. Eligibility and distribution of funds also changed.
2. Other programs like HSIP, STP, CMAQ, and Federal Lands still provide eligibility for bike/ped projects, and HSIP requires new safety data collection.
3. Advocates are coordinating campaigns at the state level to fully fund, staff, and implement the Transportation Alternatives program and maximize bike/ped spending across all programs. Goals include
Title: 'Selling' Rural Communities on Cycling
Track: Prosper
Format: 60 minute panel
Abstract: This panel will share successful strategies and programs utilized in Oregon and Pennsylvania developed to leverage and promote the economic benefits of cycling in rural communities.
Presenters:
Presenter: Sheila Lyons Oregon DOT
Co-Presenter: Jessica Horning Oregon DOT
Co-Presenter: Cathy McCollom River Town Program
The document outlines plans for expanding Philadelphia's bike share program to improve social equity. It discusses establishing bike share as an affordable and accessible transportation option that connects communities across the city. A $5.9 million grant will fund research on barriers to bike share use among low-income residents, targeted marketing, installing 20 stations in low-income areas, and a universal access program without credit card requirements. The grant also aims to develop national best practices through research, convenings, and challenge grants to other cities and non-profits.
Title: 'Selling' Rural Communities on Cycling
Track: Prosper
Format: 60 minute panel
Abstract: This panel will share successful strategies and programs utilized in Oregon and Pennsylvania developed to leverage and promote the economic benefits of cycling in rural communities.
Presenters:
Presenter: Sheila Lyons Oregon DOT
Co-Presenter: Jessica Horning Oregon DOT
Co-Presenter: Cathy McCollom River Town Program
Title: Not Your Grandfather's DOT: The FDOT District 5 and PennDOT Experiences
Track: Connect
Format: 90 minute moderated discussion
Abstract: Today's economic realities require the rethinking of conventional transportation approaches. Learn about how Florida and Pennsylvania's Department of Transportation are using new tools, policies, and guides to proactively plan multi-modal transportation solutions.
Presenters:
Presenter: Jane Lim-Yap Kittelson & Associates, Inc.
Co-Presenter: Steven Deck Parsons Brinckerhoff
Co-Presenter: Brian Hare PennDOT Program Center
Co-Presenter: Mary Raulerson Kittelson & Associates, Inc.
Title: Level of Service F for Grade A Streets
Track: Prosper
Format: 90 minute panel
Abstract: Relying solely on Level of Service criteria for street design, which evaluates vehicle congestion, leads to poor outcomes on many of our roadways. LOS F, far from a failure, creates opportunities to reallocate roadway space for more livable street designs. In this session, learn about projects in Cambridge and San Francisco that overcame opposition and generated community support in prioritizing better bicycling and walking over vehicle capacity during the peak hour of travel.
Presenters:
Presenter: Michael Sallaberry San Francisco Municipal Transportation Agency
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
The document provides an overview of a communication plan developed by a student team for the Alabama Medicaid Agency. The plan's goals are to communicate about new Regional Care Organizations (RCOs) being implemented and maximize the number of Medicaid recipients who choose an RCO. The key publics are Medicaid recipients, healthcare providers, and elected officials/the general public. The team created a name, logo, and identity guide for RCOs to generate awareness by July 2016. The communication messages tailored the changes to each audience to improve understanding and support of the new system.
Childhood Obesity Grant Recommendations ReportAdam Poser
This document provides an overview of childhood obesity indicators in Marion and Vanderburgh counties in Indiana. It discusses the definition of overweight and obesity, national childhood obesity rates, causes of obesity such as poor nutrition and lack of physical activity, and consequences such as increased risk of health issues. Community indicators like smoking rates, poverty levels, and access to healthy foods are examined. The document concludes Marion county has greater needs based on a community indicator scorecard, making it the recommended target for childhood obesity funding.
This document presents a needs assessment and strategic prevention plan for Midland County, Michigan. It identifies underage drinking, alcohol-related crashes, increased illicit drug use, and smoking as priority substance abuse problems based on an analysis of local data. Intervening factors like peer pressure and personal views of the future are also examined. Based on this analysis and a review of current prevention efforts, the plan proposes expanding asset-based programs through local agencies to reduce substance abuse among youth.
The document provides findings and recommendations from a committee on developing a state plan to support individuals with autism spectrum disorder (ASD) in Michigan. Key findings include a lack of: a state autism council, a central information resource, best practice guidelines, timely affordable diagnosis, coordinated services across systems, consistent educational supports, trained professionals statewide, providers for behavioral crises, and parent training. Recommendations focus on improving infrastructure, coordination, access to evidence-based practices, family engagement, early identification and intervention, education, adult services, healthcare, and training. The overall goal is a comprehensive lifespan system of supports through coordinated services and resources.
Examining The Health of Williams CountyAvaWilson88
This executive summary provides an overview of the 2019 Williams County community health needs assessment. Key points include:
1) The assessment was conducted to meet IRS requirements for local hospitals and align with state health assessment processes.
2) Data was collected through surveys of adults and youth in the county to understand health issues, behaviors, and needs.
3) A partnership of local organizations was engaged throughout the process using the MAPP framework to identify and prioritize strategic issues.
4) The assessment provides data on a range of health topics to inform the development of goals and strategies to address priority needs in the community health improvement plan.
Health Equity Investments: Opportunities and Challenges in 2023Health Catalyst
Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions. Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions.
Practical Playbook: Making the Connection Between Public Health and Primary CarePractical Playbook
This document provides an overview of a practical playbook for making connections between public health and primary care to address obesity. It discusses recognizing best practices for clinical and community integration and identifying opportunities to connect patients with community resources. The document outlines the ACA's impacts on healthcare and Medicaid coverage in Illinois. It presents frameworks for integrated clinical and community systems of care and provides resources and success stories for collaboration between sectors.
Acc, aha update guidelines for treatment of high cholesterol (printer friendly)drucsamal
The new guidelines from the ACC and AHA for treatment of high cholesterol:
1. No longer recommend specific LDL or non-HDL cholesterol targets, as evidence from trials does not support treating to a specific target level.
2. Identify four major groups that should receive statin therapy based on cardiovascular risk, including those with cardiovascular disease, LDL ≥190 mg/dL, diabetes with LDL 70-189 mg/dL, and 10-year risk ≥7.5% with LDL 70-189 mg/dL.
3. Recommend high- or moderate-intensity statin therapy for these groups based on risk level, with a goal of at least a 50% reduction in LDL rather than achieving a specific
This document outlines a community health improvement plan for Clare and Gladwin Counties in Michigan. It discusses forming a cross-county health council and county-level working groups to assess local health needs and priorities. The working groups used various health data sources and a community survey to identify priority areas. The top priorities identified were: 1) obesity, nutrition, and physical activity, 2) mental health and substance abuse, and 3) access to healthcare. The document provides goals and current resources for each priority area. It aims to unite the community and improve health through collaborative efforts.
The document provides an overview of a community health improvement plan for Clare and Gladwin Counties in Michigan. It discusses forming a working group to assess health needs, determine priority areas, and set goals. The priority areas identified are: health services, nutrition/weight status, violence, substance abuse, maternal/infant health, and transportation. For each priority, goals and objectives are outlined, such as establishing new primary care clinics, increasing access to health screenings and education, and expanding access to healthy foods through farmers markets. The plan aims to unite partners across the region to improve health in central Michigan.
The COA is an independent, nonprofit organization that accredits over 1500 social service and behavioral health organizations across North America. The accreditation process takes 12-18 months and involves a self-study, site visit, and review of the organization's practices against COA standards. Accreditation provides benefits like governmental recognition, funding opportunities, and enhanced reputation in the social services field.
This document provides a summary of the 2015 Community Health Needs Assessment conducted by Lake Regional Health System. Key findings from the assessment include:
1) The leading causes of death in the community as defined by Camden, Miller, and Morgan counties are heart disease, cancer, and smoking-related illness. Rates of premature death are higher than the state average.
2) Overweight and obesity rates are high, with over one-third of adults considered overweight or obese. This puts residents at risk for other health issues.
3) Through a community survey and focus groups, the top four prioritized health needs were identified as access to primary/specialty care, mental health, smoking/tobacco use,
This document summarizes resources from the National Diabetes Education Program (NDEP) to address the diabetes epidemic. It outlines that nearly 26 million Americans have diabetes and 79 million have prediabetes. The NDEP is a partnership between the CDC and NIH that provides public education on diabetes prevention, treatment, and control through various materials and campaigns. It discusses resources available on their websites for consumers, healthcare providers, and businesses to promote diabetes management and reduce complications and costs.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process, findings, and recommendations. Key findings include high rates of poverty, lack of access to healthcare, and chronic health issues like diabetes and respiratory disease. Mental health and substance abuse were also areas of concern. The assessment identified poverty as a root cause impacting many health issues. It recommended addressing gaps in chronic disease management, care coordination, prevention education, and related social determinants of health.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Community ProblemThe community issue addressed is the high preva.docxtemplestewart19
Community Problem
The community issue addressed is the high prevalence rates of obesity and overweight. In this regard, the challenge is comprehensive, owing to categorizing the aspect as a lifestyle condition. Subsequently, other factors, such as nutrition, inadequate physical exercise, and sedentary lives contribute to the issue. The problem is significant, owing to substantial correlations between obesity, overweight, and other comorbidities. The implication is that obesity is a risk factor for other illnesses, including cardiovascular diseases, obesity, cancer, and other issues. In such a case, programs and initiatives implemented to reduce prevalence should be adequate. Accurate evaluation is critical in attaining the best outcomes, including follow-up, adherence, and addressing elements that require a change to meet emerging needs.
Structure
The evaluation structure follows a pre-and post-intervention approach. In this regard, the emphasis is on the initiatives and their ability to meet the set goals. According to the CDC (2016), obesity evaluation measures often employ baseline data to compare progress at the post-implementation phase. In this regard, the structure entails collecting baseline data of the metrics, such as BMI, waistline, and weight, among other anthropometric factors. After the intervention, such as a community education program sensitizing users on the risk factors associated with obesity and overweight, the evaluation will compare the baseline measures to assess any progress. To illustrate, evaluating how the BMI changed after a participant implements recommended steps will help determine efficacy. As a result, the suggested structure focuses on a pre-and post-intervention approach.
Process
The evaluation process will be goal-based. Subsequently, the procedure will focus on specific objectives determined by the set metrics. According to Seral-Cortes et al. (2021), an effective evaluation process should emphasize knowing the goals and project outcomes, testing them against set results. Additionally, precise objectives and measurable data are also vital in promoting an effective process of assessment. Other components or steps incorporate using a logic model to describe the intervention or program, formulating the project's acceptability criteria, and developing required questions. In the proposed process, a goal-based method will apply. Subsequently, post-intervention, goals will be formulated or indicators of success, such as reducing the prevalence levels by 25% in the first three months. Behavioral changes, including nutritional awareness assessed by selecting at least three healthy diets after four weeks of community education, will be helpful.
Outcome Standards
The outcomes will focus on behavior and prevalence levels in the long-term from the example of community education and awareness. As described, after three months, disease prevalence at the community level will reduce by 25%. Additionally, behavioral.
Community ProblemThe community issue addressed is the high preva.docxjanthony65
The document discusses evaluating a community program aimed at addressing high rates of obesity and overweight. It describes the evaluation structure as using a pre-and post-intervention approach to collect baseline data on metrics like BMI before the program and compare to post-program. The evaluation process will focus on specific, measurable goals set in advance. Outcome standards will focus on reducing prevalence levels, improving behaviors like exercise and nutrition, and decreasing BMI and weight.
This document discusses the Medicare Diabetes Screening Project (MDSP), a national coalition founded in 2006 to promote diabetes screening among Medicare beneficiaries. It aimed to encourage seniors at high risk for diabetes to utilize their free annual diabetes screening benefit. The MDSP partnered with over 20 national organizations and hundreds of local groups to conduct community pilots, develop educational resources, and test strategies to increase screening rates. Over time, the MDSP expanded its focus beyond just screening to also emphasize diabetes prevention. The goals were to help seniors receive needed care or preventive services to fight diabetes and reduce the associated burden.
Title: Level of Service F for Grade A Streets
Track: Prosper
Format: 90 minute panel
Abstract: Relying solely on Level of Service criteria for street design, which evaluates vehicle congestion, leads to poor outcomes on many of our roadways. LOS F, far from a failure, creates opportunities to reallocate roadway space for more livable street designs. In this session, learn about projects in Cambridge and San Francisco that overcame opposition and generated community support in prioritizing better bicycling and walking over vehicle capacity during the peak hour of travel.
Presenters:
Presenter: Michael Sallaberry San Francisco Municipal Transportation Agency
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
Title: A Systematic Approach to Bicycle Parking Planning for Cities
Track: Connect
Format: 60 minute panel
Abstract: Cambridge, MA and Washington, DC have taken a strategic approach to bicycle parking. This session will focus on their planning tools and lessons learned from both the public and private sector.
Presenters:
Presenter: Megan Kanagy Downtown DC Business Improvement District
Co-Presenter: Daniel Clark Dero Bike Rack Company
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
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The document provides an overview of a communication plan developed by a student team for the Alabama Medicaid Agency. The plan's goals are to communicate about new Regional Care Organizations (RCOs) being implemented and maximize the number of Medicaid recipients who choose an RCO. The key publics are Medicaid recipients, healthcare providers, and elected officials/the general public. The team created a name, logo, and identity guide for RCOs to generate awareness by July 2016. The communication messages tailored the changes to each audience to improve understanding and support of the new system.
Childhood Obesity Grant Recommendations ReportAdam Poser
This document provides an overview of childhood obesity indicators in Marion and Vanderburgh counties in Indiana. It discusses the definition of overweight and obesity, national childhood obesity rates, causes of obesity such as poor nutrition and lack of physical activity, and consequences such as increased risk of health issues. Community indicators like smoking rates, poverty levels, and access to healthy foods are examined. The document concludes Marion county has greater needs based on a community indicator scorecard, making it the recommended target for childhood obesity funding.
This document presents a needs assessment and strategic prevention plan for Midland County, Michigan. It identifies underage drinking, alcohol-related crashes, increased illicit drug use, and smoking as priority substance abuse problems based on an analysis of local data. Intervening factors like peer pressure and personal views of the future are also examined. Based on this analysis and a review of current prevention efforts, the plan proposes expanding asset-based programs through local agencies to reduce substance abuse among youth.
The document provides findings and recommendations from a committee on developing a state plan to support individuals with autism spectrum disorder (ASD) in Michigan. Key findings include a lack of: a state autism council, a central information resource, best practice guidelines, timely affordable diagnosis, coordinated services across systems, consistent educational supports, trained professionals statewide, providers for behavioral crises, and parent training. Recommendations focus on improving infrastructure, coordination, access to evidence-based practices, family engagement, early identification and intervention, education, adult services, healthcare, and training. The overall goal is a comprehensive lifespan system of supports through coordinated services and resources.
Examining The Health of Williams CountyAvaWilson88
This executive summary provides an overview of the 2019 Williams County community health needs assessment. Key points include:
1) The assessment was conducted to meet IRS requirements for local hospitals and align with state health assessment processes.
2) Data was collected through surveys of adults and youth in the county to understand health issues, behaviors, and needs.
3) A partnership of local organizations was engaged throughout the process using the MAPP framework to identify and prioritize strategic issues.
4) The assessment provides data on a range of health topics to inform the development of goals and strategies to address priority needs in the community health improvement plan.
Health Equity Investments: Opportunities and Challenges in 2023Health Catalyst
Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions. Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions.
Practical Playbook: Making the Connection Between Public Health and Primary CarePractical Playbook
This document provides an overview of a practical playbook for making connections between public health and primary care to address obesity. It discusses recognizing best practices for clinical and community integration and identifying opportunities to connect patients with community resources. The document outlines the ACA's impacts on healthcare and Medicaid coverage in Illinois. It presents frameworks for integrated clinical and community systems of care and provides resources and success stories for collaboration between sectors.
Acc, aha update guidelines for treatment of high cholesterol (printer friendly)drucsamal
The new guidelines from the ACC and AHA for treatment of high cholesterol:
1. No longer recommend specific LDL or non-HDL cholesterol targets, as evidence from trials does not support treating to a specific target level.
2. Identify four major groups that should receive statin therapy based on cardiovascular risk, including those with cardiovascular disease, LDL ≥190 mg/dL, diabetes with LDL 70-189 mg/dL, and 10-year risk ≥7.5% with LDL 70-189 mg/dL.
3. Recommend high- or moderate-intensity statin therapy for these groups based on risk level, with a goal of at least a 50% reduction in LDL rather than achieving a specific
This document outlines a community health improvement plan for Clare and Gladwin Counties in Michigan. It discusses forming a cross-county health council and county-level working groups to assess local health needs and priorities. The working groups used various health data sources and a community survey to identify priority areas. The top priorities identified were: 1) obesity, nutrition, and physical activity, 2) mental health and substance abuse, and 3) access to healthcare. The document provides goals and current resources for each priority area. It aims to unite the community and improve health through collaborative efforts.
The document provides an overview of a community health improvement plan for Clare and Gladwin Counties in Michigan. It discusses forming a working group to assess health needs, determine priority areas, and set goals. The priority areas identified are: health services, nutrition/weight status, violence, substance abuse, maternal/infant health, and transportation. For each priority, goals and objectives are outlined, such as establishing new primary care clinics, increasing access to health screenings and education, and expanding access to healthy foods through farmers markets. The plan aims to unite partners across the region to improve health in central Michigan.
The COA is an independent, nonprofit organization that accredits over 1500 social service and behavioral health organizations across North America. The accreditation process takes 12-18 months and involves a self-study, site visit, and review of the organization's practices against COA standards. Accreditation provides benefits like governmental recognition, funding opportunities, and enhanced reputation in the social services field.
This document provides a summary of the 2015 Community Health Needs Assessment conducted by Lake Regional Health System. Key findings from the assessment include:
1) The leading causes of death in the community as defined by Camden, Miller, and Morgan counties are heart disease, cancer, and smoking-related illness. Rates of premature death are higher than the state average.
2) Overweight and obesity rates are high, with over one-third of adults considered overweight or obese. This puts residents at risk for other health issues.
3) Through a community survey and focus groups, the top four prioritized health needs were identified as access to primary/specialty care, mental health, smoking/tobacco use,
This document summarizes resources from the National Diabetes Education Program (NDEP) to address the diabetes epidemic. It outlines that nearly 26 million Americans have diabetes and 79 million have prediabetes. The NDEP is a partnership between the CDC and NIH that provides public education on diabetes prevention, treatment, and control through various materials and campaigns. It discusses resources available on their websites for consumers, healthcare providers, and businesses to promote diabetes management and reduce complications and costs.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process, findings, and recommendations. Key findings include high rates of poverty, lack of access to healthcare, and chronic health issues like diabetes and respiratory disease. Mental health and substance abuse were also areas of concern. The assessment identified poverty as a root cause impacting many health issues. It recommended addressing gaps in chronic disease management, care coordination, prevention education, and related social determinants of health.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Community ProblemThe community issue addressed is the high preva.docxtemplestewart19
Community Problem
The community issue addressed is the high prevalence rates of obesity and overweight. In this regard, the challenge is comprehensive, owing to categorizing the aspect as a lifestyle condition. Subsequently, other factors, such as nutrition, inadequate physical exercise, and sedentary lives contribute to the issue. The problem is significant, owing to substantial correlations between obesity, overweight, and other comorbidities. The implication is that obesity is a risk factor for other illnesses, including cardiovascular diseases, obesity, cancer, and other issues. In such a case, programs and initiatives implemented to reduce prevalence should be adequate. Accurate evaluation is critical in attaining the best outcomes, including follow-up, adherence, and addressing elements that require a change to meet emerging needs.
Structure
The evaluation structure follows a pre-and post-intervention approach. In this regard, the emphasis is on the initiatives and their ability to meet the set goals. According to the CDC (2016), obesity evaluation measures often employ baseline data to compare progress at the post-implementation phase. In this regard, the structure entails collecting baseline data of the metrics, such as BMI, waistline, and weight, among other anthropometric factors. After the intervention, such as a community education program sensitizing users on the risk factors associated with obesity and overweight, the evaluation will compare the baseline measures to assess any progress. To illustrate, evaluating how the BMI changed after a participant implements recommended steps will help determine efficacy. As a result, the suggested structure focuses on a pre-and post-intervention approach.
Process
The evaluation process will be goal-based. Subsequently, the procedure will focus on specific objectives determined by the set metrics. According to Seral-Cortes et al. (2021), an effective evaluation process should emphasize knowing the goals and project outcomes, testing them against set results. Additionally, precise objectives and measurable data are also vital in promoting an effective process of assessment. Other components or steps incorporate using a logic model to describe the intervention or program, formulating the project's acceptability criteria, and developing required questions. In the proposed process, a goal-based method will apply. Subsequently, post-intervention, goals will be formulated or indicators of success, such as reducing the prevalence levels by 25% in the first three months. Behavioral changes, including nutritional awareness assessed by selecting at least three healthy diets after four weeks of community education, will be helpful.
Outcome Standards
The outcomes will focus on behavior and prevalence levels in the long-term from the example of community education and awareness. As described, after three months, disease prevalence at the community level will reduce by 25%. Additionally, behavioral.
Community ProblemThe community issue addressed is the high preva.docxjanthony65
The document discusses evaluating a community program aimed at addressing high rates of obesity and overweight. It describes the evaluation structure as using a pre-and post-intervention approach to collect baseline data on metrics like BMI before the program and compare to post-program. The evaluation process will focus on specific, measurable goals set in advance. Outcome standards will focus on reducing prevalence levels, improving behaviors like exercise and nutrition, and decreasing BMI and weight.
This document discusses the Medicare Diabetes Screening Project (MDSP), a national coalition founded in 2006 to promote diabetes screening among Medicare beneficiaries. It aimed to encourage seniors at high risk for diabetes to utilize their free annual diabetes screening benefit. The MDSP partnered with over 20 national organizations and hundreds of local groups to conduct community pilots, develop educational resources, and test strategies to increase screening rates. Over time, the MDSP expanded its focus beyond just screening to also emphasize diabetes prevention. The goals were to help seniors receive needed care or preventive services to fight diabetes and reduce the associated burden.
Title: Level of Service F for Grade A Streets
Track: Prosper
Format: 90 minute panel
Abstract: Relying solely on Level of Service criteria for street design, which evaluates vehicle congestion, leads to poor outcomes on many of our roadways. LOS F, far from a failure, creates opportunities to reallocate roadway space for more livable street designs. In this session, learn about projects in Cambridge and San Francisco that overcame opposition and generated community support in prioritizing better bicycling and walking over vehicle capacity during the peak hour of travel.
Presenters:
Presenter: Michael Sallaberry San Francisco Municipal Transportation Agency
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
Title: A Systematic Approach to Bicycle Parking Planning for Cities
Track: Connect
Format: 60 minute panel
Abstract: Cambridge, MA and Washington, DC have taken a strategic approach to bicycle parking. This session will focus on their planning tools and lessons learned from both the public and private sector.
Presenters:
Presenter: Megan Kanagy Downtown DC Business Improvement District
Co-Presenter: Daniel Clark Dero Bike Rack Company
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
Title: Policies for Pupils: Working with School Boards on Walking and Bicycling Policies
Track: Change
Format: 90 minute panel
Abstract: Engaging schools in walking and bicycling efforts can be difficult given competing education priorities and frequent staff and volunteer turn-over. Attendees will learn about strategies for influencing school boards and policy opportunities at the district level.
Presenters:
Presenter: Sara Zimmerman Safe Routes to School National Partnership
Co-Presenter: Diane Dohm ChangeLab Solutions
Co-Presenter: Bree Romero Leadership Conference on Civil and Human Rights
Co-Presenter: Leigh Ann Von Hagen Voorhees Transportation Center, Rutgers University
Title: Policies for Pupils: Working with School Boards on Walking and Bicycling Policies
Track: Change
Format: 90 minute panel
Abstract: Engaging schools in walking and bicycling efforts can be difficult given competing education priorities and frequent staff and volunteer turn-over. Attendees will learn about strategies for influencing school boards and policy opportunities at the district level.
Presenters:
Presenter: Sara Zimmerman Safe Routes to School National Partnership
Co-Presenter: Diane Dohm ChangeLab Solutions
Co-Presenter: Bree Romero Leadership Conference on Civil and Human Rights
Co-Presenter: Leigh Ann Von Hagen Voorhees Transportation Center, Rutgers University
Title: Policies for Pupils: Working with School Boards on Walking and Bicycling Policies
Track: Change
Format: 90 minute panel
Abstract: Engaging schools in walking and bicycling efforts can be difficult given competing education priorities and frequent staff and volunteer turn-over. Attendees will learn about strategies for influencing school boards and policy opportunities at the district level.
Presenters:
Presenter: Sara Zimmerman Safe Routes to School National Partnership
Co-Presenter: Diane Dohm ChangeLab Solutions
Co-Presenter: Bree Romero Leadership Conference on Civil and Human Rights
Co-Presenter: Leigh Ann Von Hagen Voorhees Transportation Center, Rutgers University
This document discusses livability, transportation alternative programs (TAP), and safe routes to school (SRTS) funding. It defines livability as tying transportation to access to jobs, housing, schools, and safe streets. TAP and SRTS funding can be used for byways projects like historic preservation, bicycle and pedestrian infrastructure, and visitor centers. Examples of SRTS infrastructure projects include pedestrian bulb-outs, wider sidewalks, and underground utilities. Contact information is provided for livability, byways, and SRTS programs at the DOT.
The document discusses proposed updates to a city's zoning regulations regarding bicycle parking. It aims to increase the quantity and quality of bicycle parking required for new developments to better support the city's goal of 10% of trips by bicycle. The proposed changes would modify definitions, design standards, access requirements, and quantities of both long-term secured and short-term bicycle parking. It also allows for special permit modifications to requirements to accommodate new ideas and technologies.
Cycle Oregon provides grants from its $2 million fund to support projects in communities where its bicycle tours travel through and for statewide bicycling advocacy. It distributes around $100,000 annually in grants and gives approximately $130,000 yearly to communities that host its summer and September tours to help with event planning and volunteer support from residents, which are critical to the tours' success.
Title: A Systematic Approach to Bicycle Parking Planning for Cities
Track: Connect
Format: 60 minute panel
Abstract: Cambridge, MA and Washington, DC have taken a strategic approach to bicycle parking. This session will focus on their planning tools and lessons learned from both the public and private sector.
Presenters:
Presenter: Megan Kanagy Downtown DC Business Improvement District
Co-Presenter: Daniel Clark Dero Bike Rack Company
Co-Presenter: Jeffrey Rosenblum City of Cambridge, MA
Schedule:
Wednesday 9/10 3:00 PM - 4:00 PM in Breakout Rooms, 316
Title: Taking Pedestrian and Bicycle Counting Programs to the Next Level
Track: Connect
Format: 90 minute panel
Abstract: Panelists will provide practical guidance for pedestrian and bicycle counting programs based on findings from NCHRP Project 07-19, "Methods and Technologies for Collecting Pedestrian and Bicycle Volume Data."
Presenters:
Presenter: Robert Schneider University of Wisconsin-Milwaukee
Co-Presenter: RJ Eldridge Toole Design Group, LLC
Co-Presenter: Conor Semler Kittelson & Associates, Inc.
Policies for Pupils: Working with School Boards on Walking and Bicycling Policies
Track: Change
Format: 90 minute panel
Abstract: Engaging schools in walking and bicycling efforts can be difficult given competing education priorities and frequent staff and volunteer turn-over. Attendees will learn about strategies for influencing school boards and policy opportunities at the district level.
Presenters:
Presenter: Sara Zimmerman Safe Routes to School National Partnership
Co-Presenter: Diane Dohm ChangeLab Solutions
Co-Presenter: Bree Romero Leadership Conference on Civil and Human Rights
Co-Presenter: Leigh Ann Von Hagen Voorhees Transportation Center, Rutgers University
Federal Funding for Active Transportation and Recreation
Track: Connect
Format: 60 minute panel
Abstract: This session will provide an overview about federal transportation programs that can fund infrastructure for walking and bicycling.
Full Description: Federal programs provide funds to develop transportation, community, and recreation infrastructure for walking and bicycling and to connect communities and promote active living. Attendees will learn how about Federal programs to promote sustainable communities.
Learning Objectives:
Participants will learn about the Federal Partnership for Sustainable Communities.
Participants will learn about the Federal-aid surface transportation programs that benefit pedestrians and bicyclists.
Participants will be able to successfully write a competitive proposal.
Participants will understand how Federal, State, and local programs interact.
Presenter(s)
Presenter: Christopher Douwes Transportation Alternatives Program / Recreational Trails Program, FHWA
Co-Presenter: Wesley Blount Office of Planning, Environment & Realty FHWA
Title: Not Your Grandfather's DOT: The FDOT District 5 and PennDOT Experiences
Track: Connect
Format: 90 minute moderated discussion
Abstract: Today's economic realities require the rethinking of conventional transportation approaches. Learn about how Florida and Pennsylvania's Department of Transportation are using new tools, policies, and guides to proactively plan multi-modal transportation solutions.
Presenters:
Presenter: Jane Lim-Yap Kittelson & Associates, Inc.
Co-Presenter: Steven Deck Parsons Brinckerhoff
Co-Presenter: Brian Hare PennDOT Program Center
Co-Presenter: Mary Raulerson Kittelson & Associates, Inc.
Title: Transportation Studies in the 21st Century: Incorporating all Modes
Track: Sustain
Format: 90 minute panel
Abstract: In the 21st century, the basic purpose of transportation studies needs to change from making it easier to drive to giving people options other than driving. This session will present case studies of alternatives to the auto-dominated Level of Service traffic impact studies in order to better address bicycling, transit and walking.
Presenters:
Presenter: Michelle DeRobertis Transportation Choices for Sustainable Communities
Co-Presenter: Peter Albert San Francisco Municipal Transportation Agency
Co-Presenter: Patrick Lynch Transpo Group
Co-Presenter: David Thompson City of Boulder, Colorado
Title: Transportation Studies in the 21st Century: Incorporating all Modes
Track: Sustain
Format: 90 minute panel
Abstract: In the 21st century, the basic purpose of transportation studies needs to change from making it easier to drive to giving people options other than driving. This session will present case studies of alternatives to the auto-dominated Level of Service traffic impact studies in order to better address bicycling, transit and walking.
Presenters:
Presenter: Michelle DeRobertis Transportation Choices for Sustainable Communities
Co-Presenter: Peter Albert San Francisco Municipal Transportation Agency
Co-Presenter: Patrick Lynch Transpo Group
Co-Presenter: David Thompson City of Boulder, Colorado
Title: Integrating a Health Impact Assessment into District-Wide School Travel Planning
Track: Prosper
Format: 60 minute panel
Abstract: Learn about how a Health Impact Assessment (HIA) was used for the first time to guide the formulation of the Safe Routes to School (SRTS) Columbus City Schools District-Wide School Travel Plan, which focused on schools and neighborhoods with health inequities.
Presenters:
Presenter: Brian Butler Columbus Public Health
Co-Presenter: Kate Moening Safe Routes to School National Partnership
Co-Presenter: Alex Smith Columbus Public Health
Co-Presenter: Julie Walcoff Ohio DOT
Title: Safer People, Safer Streets, and Safer Policies at USDOT
Track: Connect
Format: 90 minute moderated discussion
Abstract: This USDOT panel will provide details on the Department’s new bicycle and pedestrian safety initiative, including information on the Ped-Bike Safety Action Agenda, Road Safety for Transit Patrons initiative, bike-walk assessments, Road Diet Guide, an aggressive research agenda, and local partnerships, including how community members can get involved.
Presenters:
Presenter: Barbara McCann Office of Secretary, USDOT
Co-Presenter: Heidi Coleman National Highway Traffic Safety Administration
Co-Presenter: Dan Goodman Office of Human Environment, Livability Team, FHWA
Co-Presenter: Joanne Waszczak Special Assistant, FTA Office of Budget and Policy
Title: Transportation Studies in the 21st Century: Incorporating all Modes
Track: Sustain
Format: 90 minute panel
Abstract: In the 21st century, the basic purpose of transportation studies needs to change from making it easier to drive to giving people options other than driving. This session will present case studies of alternatives to the auto-dominated Level of Service traffic impact studies in order to better address bicycling, transit and walking.
Presenters:
Presenter: Michelle DeRobertis Transportation Choices for Sustainable Communities
Co-Presenter: Peter Albert San Francisco Municipal Transportation Agency
Co-Presenter: Patrick Lynch Transpo Group
Co-Presenter: David Thompson City of Boulder, Colorado
This document discusses Safe Kids' Photovoice program, which uses photography to document children's perspectives on road safety issues in their communities. The program has been implemented in 10 countries. It aims to raise awareness, educate children, and improve pedestrian environments through community-identified solutions. Evaluation found the program increased children's road safety knowledge and some countries made environmental changes like adding crosswalks in response to the children's photos and concerns. The case study from Vietnam showed how children's photos were exhibited to influence road planning and design.
Safer People, Safer Streets, and Safer Policies at USDOT
Track: Connect
Format: 90 minute moderated discussion
Abstract: This USDOT panel will provide details on the Department’s new bicycle and pedestrian safety initiative, including information on the Ped-Bike Safety Action Agenda, Road Safety for Transit Patrons initiative, bike-walk assessments, Road Diet Guide, an aggressive research agenda, and local partnerships, including how community members can get involved.
Presenter: Barbara McCann Office of Secretary, USDOT
Co-Presenter: Heidi Coleman National Highway Traffic Safety Administration
Co-Presenter: Dan Goodman Office of Human Environment, Livability Team, FHWA
Co-Presenter: Joanne Waszczak Special Assistant, FTA Office of Budget and Policy
More from Project for Public Spaces & National Center for Biking and Walking (20)
Safer People, Safer Streets, and Safer Policies at USDOT
#35 Bridging Sectors: Fostering Collaboration between Health and Transportation Professionals - Hubsmith
1. Health and Transportation
Pro Walk Pro Bike, September 2012
CDR Arthur Wendel, MD, MPH
NCEH/EEHS/HCDI
dvq6@cdc.gov
www.cdc.gov/healthyplaces
National Center for Environmental Health
Division of Emergency and Environmental Health Services
2. Healthy Community Design Initiative (HCDI):
Mission: To understand and improve the relationship
between community design and public health through:
Surveillance
Health impact assessment and other mechanisms to improve
policies
Research, evaluation and best practice dissemination
Live Longer / Walk More
3. Case Patient – “Pete”
10 year old male is brought to his physician by his
parents because of difficulty in his classroom
4. Problem List
Teacher describes fidgeting, being
boisterous, but notes sustained
effort with tasks
Overweight
BP 120/81 - prehypertensive
No exercise – recess and gym cut
due to budget problems, mom
drives to school
Symptoms of depression
Daily intake of cola
Images:
http://managetheunmanageable.blogspot.com/2011/03/students-who-are-easily-distracted.html
http://catherinelramstetter.wordpress.com/research-on-school-recess/
5. Treatment Plan
Join sports team
Meet with nutritionist
Teacher fills out ADHD assessment
6. Three Month Follow-Up
No major improvements
Baseball team requires 40 minutes more driving. Lack
of time leads to fast food consumption
ADHD assessment reflects some problems, but not
diagnostic
Still has some symptoms of depression
7. 30 Years Later
On multiple medications for hypertension, diabetes,
cholesterol
Drives kids to school for safety concerns
8. Percent of U.S. GDP spent on Health Care
25%
20%
15%
10%
5%
0%
1960 1970 1980 1990 2001 Projected Projected
2010 2019
https://www.cms.gov/NationalHealthExpendData/25_NHE_Fact_Sheet.asp
9. Public Health Impacts of Physical Inactivity
36% of adults report no leisure-time physical activity and
82% do not meet current federal guidelines for physical
activity and muscle strengthening.1
88% of U.S. adolescents do not meet current aerobic and
muscle strengthening guidelines.2
Estimated medical cost of physical inactivity: $75 billion per
year.3
Physical activity lowers risk for4
•Premature death •Depression
•Coronary heart disease •Colon cancer
•Stroke •Breast cancer
•Hypertension, •Unhealthy weight gain
•Type 2 diabetes
1. CDC National Health Interview Survey
2. CDC Youth Risk Behavior Surveillance System 2009
3. http://www.cdc.gov/chronicdisease/resources/publications/aag/nutrition.htm
4. U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. October 2008.
http://www.health.gov/paguidelines/.
10. How do people get exercise?
Leisure
They walk
They ride bicycles
Utilitarian
They walk
They ride bicycles
Ham, J of Physical Activity and Health, 2009.
ACS, 2007
11. Cost Effectiveness
Bonus! IPCC finds that active transportation
interventions are cost-effective measures for
mitigating climate change
http://www.who.int/hia/examples/trspt_comms/hge_transport_lowresdurban_30_11_2011.pdf
13. Concordant Health Strategies
CDC’s Winnable Battles
Motor vehicle injuries
Nutrition, physical activity, and obesity
National Prevention Strategy
Creating safe and healthy community environments
Active living
Healthy eating
Injury- and violence-free living
www.cdc.gov/winnablebattles
www.healthcare.gov/prevention/nphpphc/strategy/report.pdf
14. CDC’s Transportation Policy Recommendations
Make cars safer and less polluting
Support robust public transportation
Create infrastructure and programs to increase active
transportation
Design communities for health – e.g. Complete Streets
Protect healthy choices
Require research and surveillance
Support professional development and job creation
www.cdc.gov/transportation
15. Surveillance
Benchmarking Bicycling and Walking
http://www.peoplepoweredmovement.org/site/index.php/site/memberservices/2012_benchmarking_report/
Community Design Module in the National
Environmental Public Health Tracking Network
http://ephtracking.cdc.gov/showCommunityDesign.action
16. Deaths per 100,000 population
0.5
1
1.5
2
2.5
3
0
Florida
Louisiana
District of Columbia
Maryland
Mississippi
South Carolina
New Mexico
Arizona
New Jersey
Delaware
New York
North Carolina
Montana
Georgia
California
Rhode Island
Texas
Alabama
Nevada
Alaska
Arkansas
Hawaii
Michigan
West Virginia
Missouri
Tennessee
Pennsylvania
Kentucky
Colorado
Virginia
by State, 2009
Washington
Oregon
Illinois
Oklahoma
Maine
Minnesota
Vermont
Indiana
Kansas
Connecticut
Ohio
Massachusetts
Iowa
Utah
2009 (ARF). Available at http://www-fars.nhtsa.dot.gov/States/StatesCrashesAndAllVictims.aspx
Wisconsin
Idaho
North Dakota
New Hampshire
Source: National Highway Traffic Safety Administration (NHTSA). Fatality Analysis Reporting System (FARS).
Nebraska
Per Capita Pedestrian Deaths from Motor Vehicles
South Dakota
Wyoming
17. Aligned Solutions
Proven Safety Countermeasures (FHWA)
Medians and Pedestrian Refuge Areas in Urban and Suburban Areas
Road diets
Pedestrian hybrid beacons
Corridor access management
Physical Activity and Community Design:
Recommended Strategies from the Community Guide
Community scale urban design and land-use policies are
recommended
Street scale urban design and land-use policies are recommended
http://safety.fhwa.dot.gov/provencountermeasures/
http://www.thecommunityguide.org/pa/environmental-policy/index.html
18. Health Impact Assessments
Health Impact Assessment (HIA)
HIA is a systematic process that uses an array of data sources and
analytic methods and considers input from stakeholders to
determine the potential effects of a proposed policy, plan,
program, or project on the health of a population and the
distribution of those effects within the population. HIA provides
recommendations on monitoring and managing those effects.
- National Research Council, 2011
Steps
Screening
Scoping
Risk Assessment
Recommendations
Reporting
Evaluation
19. HIA as a Pre-op Physical for
Communities
http://www.phoenix5.org/hum
or/CartoonOperation.html
20. HIA of the Tumalo Community Plan
Deschutes County, OR (2010)
Examined: Health impacts of the draft Tumalo Community Plan,
which was a part of the County Comprehensive Plan Update
Findings:
Need to implement safety measures for pedestrians/bicyclists
crossing US Hwy 20 and to decrease traffic collisions
Development of trail system linking recreational areas would
decrease environmental pollution, preserve natural areas, and
increase physical activity
Impact: Revised plan was adopted by the
Board of County Commissioners; temporary
recommendations started
Notable: Worked closely with
transportation to ensure recommendations
were feasible
21. Next Steps
Define a metric
Develop surveillance
Look for Health Impact Assessment opportunities
Help with selection criteria
Connect with health officers
22. Health Impact Pyramid
Education
Increasing
Increasing Clinical
Interventions Individual
Population
Effort Needed
Impact
Long-lasting Protective
Interventions
Changing the Context to make
Individuals’ Default Decisions
Healthy
Socio-Economic Factors
Frieden, AJPH, 2010
23. Thank You
CDR Arthur M. Wendel, MD, MPH
dvq6@cdc.gov
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333
Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
E-mail: cdcinfo@cdc.gov Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official
position of the Centers for Disease Control and Prevention.
National Center for Environmental Health
Division of Emergency and Environmental Health Services
24. Resources for more information
Online course, built in partnership with APA:
http://professional.captus.com/Planning/hia
Minimum Elements and Practice Standards for Health
Impact Assessment: (http://www.humanimpact.org/doc-
lib/finish/11/9)
National Research Council report on HIAs in the US:
(http://www.nap.edu/catalog.php?record_id=13229)
http://www.healthimpactproject.org/
http://www.cdc.gov/healthyplaces/hia.htm
25. LA County’s Approach to
Health in All Policies
LA County Dept. of Public Health
PLACE Program
Policies for Livable Active Communities and Environments
Louisa Franco, MPH
Policy Analyst
lfranco@ph.lacounty.gov
September 2012
26. LA County Strategic Goals
County: Create a physical
environment that is conducive to
good health by encouraging and
enabling residents to make
healthy choices
DPH: Address elements of the
physical environment to improve
population health and reduce
disparities.
PLACE: Foster policy change that
supports the development of
healthy, active environments
27. Cities/Communities with Lowest and Highest
Childhood Obesity Prevalence, 2008
Top 10* Bottom 10*
Rank of Rank of
Obesity Obesity
Economic Economic
City/Community Name Prevalence City/Community Name Prevalence
Hardship Hardship
(%) (%)
(1 - 128) (1 - 128)
Manhattan Beach 3.4 2 West Athens 30.6 94
Calabasas 5.0 8 South Gate 30.7 110
Hermosa Beach 5.1 1 Florence-Graham 31.0 128
Agoura Hills 5.3 10 West Whittier-Los Nietos 31.1 81
Beverly Hills 5.4 19 West Carson 31.4 56
Malibu 5.9 4 Vincent 32.2 69
Palos Verdes Estates 7.3 5 East Los Angeles 32.9 117
San Marino 7.8 15 Hawaiian Gardens 33.4 107
Rolling Hills Estate 8.4 9 South El Monte 34.5 111
La Canada Flintridge 8.5 18 Walnut Park 38.7 113
Average 10 lowest 6.2% Average 10 highest 32.7%
Ave Median Household Income $99,555 Ave Median Household Income $37,747
3
*Table excludes cities/communities where number of students with BMI data < 500. 3
Source: California Physical Fitness Testing Program, California Department of Education. Includes
5th, 7th, and 9th graders enrolled in LA County public schools; 2000 Census
28. Foster Change in
Cities & Communities
1. Comment on city,
county and
regional plans
2. Fund cities and
nonprofits
3. Partner with cities
The Whittier Greenway Trail
4
29. 1. Comment on City, County
and Regional Plans
• County’s General Plan
• Southern California Association of
Government (SCAG) Regional
Transportation Plan (RTP)
– Dept. of Public Health estimated cost to build
bikeable, walkable communities in SCAG
region: $37 Billion to $59 Billion
5
30. 2. Fund Cities and Nonprofits to
Create Healthy Environments
• County funds
• Federal grant funds
– First CDC grant $16 million (2 years)
– Second CDC grant $10 million (5 years)
6
31. What Have We Funded?
• Bicycle and Pedestrian Master Plan
• Health Element of a General Plan
• Complete Streets Policies
• Joint-Use Policies
• Healthy Vending, Corner Store
Conversions
7
32. Upcoming HEAL Grants
• Funded by Community Transformation
Grant
―Part of the Affordable Care Act
• Fund up to 8 agencies to develop HEAL
strategies
―Active Transportation Plans
―Open Streets Events
• $125K per year for approx. 4 years
• Grantees announced in late 2012
8
33. Additional Active Living
Strategies Funded by CTG
• Promote increased transportation funding
for pedestrian and bike infrastructure
• Adopt and implement a health and
wellness element in LA City General Plan
and enact health-enabling ordinances
• Expand the Parks After Dark Program
9
35. Childhood Obesity Prevalence in Los Angeles
County Cities (2008)
10 Lowest* 10 HPI Cities*
Obesity Obesity
City Prevalence City Prevalence
(%) (%)
Manhattan Beach 3.4 Palmdale 23.1
Calabasas 5.0 Inglewood 26.8
Agoura Hills 5.3 Gardena 27.3
Beverly Hills 5.4 San Fernando 27.4
Palos Verdes Estates 7.3 Lynwood 27.7
Rolling Hills Estates 8.4 La Puente 27.8
Arcadia 10.1 Pomona 28.6
South Pasadena 10.2 Compton 29.0
Glendora 10.9 Huntington Park 30.3
El Segundo 11.4 South Gate 30.7
Average 10 lowest 7.7% Average 27.9%
*Table excludes cities/communities where number of students with BMI data < 500. 11
Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th
graders enrolled in LA County public schools.
36. Healthy Policies Initiative
• 10 cities with high childhood obesity
rates – outreach and presentations
• 4 of these cities – free technical
assistance for policy change efforts
• PLACE staff working with City staff (and
electeds) to offer assistance to make
one policy change
12
40. Focus Bike and Ped Efforts in
High Need Communities
• Low-income communities with high rates
of childhood obesity need the most help
• Crime and violence (real or perceived)
• Cities have limited resources
– Matching funds
– Grant writers
• Bike and pedestrian issues are not a top
priority for residents
16
42. Health and Transportation:
A City Perspective
ProWalk ProBike ‐ September 2012
Erika Lewis‐Huntley
City of Rancho Cucamonga
43. Healthy RC Strategies
Healthy RC Strategies
§ Lead by Example
§ Comprehensive Approach to
Health
§ Mobilize Public‐Private Resources
§ Empower Resident Leaders
§ Advance Policies and Programs
that Support Healthy &
Sustainable Lifestyles
44. Commitment to Community Health
Commitment to Community Health
§ Rancho Cucamonga population: ~170,000
(grown 350% since incorporation in 1977)
§ 40.2 square miles
§ Health indicators parallel those of San
Bernardino County
– th
4 most obese
– th
9 highest death rate from heart disease
– 2 out of 3 residents are obese or overweight
– 2 out of 4 students do not meet fitness
standards
§ Recognize public health is under City
purview
45. The Road to Healthy RC
§ City‐wide initiative to encourage healthy
and sustainable lifestyles
– Comprehensive and integrated approach
– Multi‐departmental effort coordinated by
City Manager’s Office
§ Broad definition of health
– Impacted by how we develop our
communities
Healthy RC inspires a lifestyle that embraces a Healthy Mind, Body,
and Earth, through lifelong learning and enrichment, active and healthy
living and environmental sustainability.
47. Healthy RC Institutionalization
§ Minimize reliance on General Fund
– Integrate into existing and new
programming
– Leverage resources
§ Health in ALL Policies approach:
identify policy opportunities to
Community Events Facilities
increase healthy lifestyles
– Long‐term sustainability
– City is in an excellent position to
modify environments that directly
affect health
§ Emphasis on areas at highest risk
for obesity and least amount of
resources to address the problem Employee Programs Newsletters
50. Health in All Policies
§ What is the General Plan?
– Long‐range policy document
(“Blueprint”) for the development of the
city
– Overarching goal to maintain & enhance
the health of Rancho Cucamonga
§ Spirit of Rancho Cucamonga
– Reflect the City’s pursuit of a Healthy
Mind, Body, & Earth
– Defines the way we want to work
together to create a healthy more livable
community
51. Healthy RC Overarching Theme of General Plan
Healthy RC Overarching Theme of General Plan
General Plan Chapters That Reference Healthy RC
General Plan Chapter Mind Body Earth
Managing Land Use, Community Design, and
œ œ œ
Historic Resources
Housing œ œ œ
Community Mobility œ œ
Economic Development œ œ
Community Services œ œ œ
Resource Conservation œ
Public Facilities and Infrastructure œ œ œ
Public Health and Safety œ œ œ
53. Mobilizing Public/Private Resources to
Improve Community Mobility
§ Optimize community resources
§ Healthy RC Collaborative:
‐ Residents (youth & adults)
‐ City staff
‐ Public health professionals
‐ Community organizations
‐ Faith‐based institutions
‐ Hospitals
‐ Schools
‐ Local businesses
‐ Universities
(Randall Lewis Health Policy Fellow)
54. Community Engagement
§ Community Forums for youth and
adults
§ Identify barriers and challenges to
healthy eating and active living in
their neighborhood; i.e., lack of
curbs, sidewalks, and bike lanes
§ Propose strategies to mitigate
challenges, i.e., Active
Transportation, SRTS
§ Formed Subcommittees made up
of City staff, community
organizations, and residents
55. Empowering Community Leaders
Empowering Community Leaders
§ Community‐based Participatory
Approach
§ Building “Community Champions”
§ Recognizes that EVERYONE has
something to contribute to the process
§ Participate in decisions that affect their
community
§ Meaningful participation
§ Sense of ownership
§ Increases trust and bridges cultural
gaps
§ Long‐term sustainability
56. Empowering Youth Leaders
§ Modeled after “Community
Champions”
§ Competitive process
§ Branding Workshops
§ Youth empowerment
workshops
§ Activities:
– Walkability audits
– Video development (PSA’s)
– Park Assessments
– Assessments for Nutrition &
Beverage Standards
– Farmer’s market evaluation
57. Programs Promoting Community Mobility
§ Improving health, safety, & transportation
§ 13 schools
§ City management tool – creating safer,
more accessible settings for walking and
bicycling
Stakeholder Workshops Safety Education Special Events
69. For More Information about Healthy RC
Visit the Healthy RC Website:
www.HealthyRC.info
Contact:
Erika.Lewis‐Huntley@CityofRC.us
(909) 477‐2700 ext.2008