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Healthy Chicago Public Health Agenda
        Urban Health Initiative Summit
               April 17, 2012

             Bechara Choucair, MD
                 Commissioner
       Chicago Department of Public Health
               @ChiPublicHealth on
HEALTHY CHICAGO
  CHICAGO DEPARTMENT OF PUBLIC HEALTH




TRANSFORMING THE
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL
HEALTHY CHICAGO
Chicago Department of Public Health




                                      IT MATTERS
HEALTHY CHICAGO
Chicago Department of Public Health




                                      IT MATTERS

         A healthy city is a city that:
         »Offers healthier food options
         »Provides places to be physically active
         »Responds to public health threats
         »Creates healthy and safe environments
         »Ensures access to care for all residents
         »Eliminates health disparities for all communities
HEALTHY CHICAGO
Chicago Department of Public Health




   A COMPREHENSIVE PUBLIC HEALTH AGENDA

         A blueprint for action to create:
         »Healthy City
         »Healthy Neighborhoods
         »Healthy Homes
         »Healthy People
HEALTHY CHICAGO
Chicago Department of Public Health
HEALTHY CHICAGO
Chicago Department of Public Health

                                      IT’S NOT JUST ABOUT
                                      INDIVIDUAL BEHAVIOR

                                      IT’S ABOUT HOW WE
                                      BEHAVE AS A CITY
HEALTHY CHICAGO
Chicago Department of Public Health




         IT DEMANDS THAT WE MAKE CHANGES

            » In programs
            » In health education
            » In policies
HEALTHY CHICAGO
Chicago Department of Public Health




         IT’S ABOUT CHANGING SYSTEMS
            » It’s about creating accountability
            » It’s about communicating what’s expected of all of us
            » It’s about measuring outcomes and success
HEALTHY CHICAGO
Chicago Department of Public Health




               HEALTHY CHICAGO STRATEGIES BY
                  INTERVENTION TYPE (n=193)
HEALTHY CHICAGO
Chicago Department of Public Health




            TRACKING PROGRESS

               » Individual work plans
               » Performance management
HEALTHY CHICAGO
Chicago Department of Public Health

                               MOVING TOWARD A
                               HEALTHY CHICAGO
HEALTHY CHICAGO
Chicago Department of Public Health




              TOBACCO USE
HEALTHY CHICAGO
Chicago Department of Public Health




               TOBACCO USE
HEALTHY CHICAGO
Chicago Department of Public Health




          TOBACCO USE ACCOMPLISHMENTS
               » 4 CHA developments smoke-free
               » All City colleges, Roosevelt & Robert Morris are
                    smoke-free
               » 3 of 5 hospitals smoke-free
               » Catholic schools smoke-free
               » NRT to over 12,000 persons
               » Expanded YMCA smoke-free policy
HEALTHY CHICAGO
Chicago Department of Public Health




              OBESITY PREVENTION
HEALTHY CHICAGO
Chicago Department of Public Health




       OBESITY PREVENTION ACCOMPLISHMENTS
          » Urban agriculture ordinance was passed by City Council
          » CDPH obtained and is analyzing CPS student health records
          » Healthy vending contract for City
          » Healthy Produce Carts
          » Healthy Corner Stores
          » Healthy YMCA policies
HEALTHY CHICAGO
Chicago Department of Public Health




              HIV PREVENTION
HEALTHY CHICAGO
Chicago Department of Public Health




          HIV PREVENTION ACCOMPLISHMENTS
             » Comprehensive prevention funding of $2.3M
             » Advanced HIV prevention training to over 1100 providers
                 annually
             » Enhanced policy and planning
             » Initiated the Chicago community condom project
HEALTHY CHICAGO
Chicago Department of Public Health




              ADOLESCENT HEALTH
HEALTHY CHICAGO
Chicago Department of Public Health




        ADOLESCENT HEALTH ACCOMPLISHMENTS
           » Established Office of Adolescent and School Health
           » Hired CPS Chief Health Officer
           » Drafted Healthy CPS document in partnership with CPS
           » Received 1.75M grant to support teen dating violence
               prevention efforts
HEALTHY CHICAGO
Chicago Department of Public Health




              CANCER DISPARITIES
HEALTHY CHICAGO
Chicago Department of Public Health




      CANCER DISPARITIES ACCOMPLISHMENTS
           » Strengthened collaboration with Metropolitan Chicago
                Breast Cancer Task Force
           » Completed mammogram reminder pilot project
           » Initiated collaboration with CHA to increase
                mammography among CHA residents
HEALTHY CHICAGO
Chicago Department of Public Health




              HEALTHY MOTHERS AND BABIES
HEALTHY CHICAGO
Chicago Department of Public Health




           HEALTHY MOTHERS AND BABIES
           ACCOMPLISHMENTS
              » Nine hospitals are registered with Baby-Friendly USA
              » Increased WIC support for breastfeeding through
                  lactation counselor training
HEALTHY CHICAGO
Chicago Department of Public Health




              VIOLENCE PREVENTION
HEALTHY CHICAGO
Chicago Department of Public Health




          VIOLENCE PREVENTION ACCOMPLISHMENTS
              » Established data collection partnership with police
                  department
              » Anti-violence community stabilization
              » Chicago Youth Violence Prevention Plan
HEALTHY CHICAGO
Chicago Department of Public Health




              HEART DISEASE AND STROKE
HEALTHY CHICAGO
Chicago Department of Public Health




            HEART DISEASE & STROKE
            ACCOMPLISHMENTS
               » Facilitated linkage between American Heart
                    Association and CPS
               » Policy development on Hands-Only CPR and AEDs
HEALTHY CHICAGO
Chicago Department of Public Health




               COMMUNICABLE DISEASE CONTROL & PREVENTION
HEALTHY CHICAGO
Chicago Department of Public Health




          COMMUNICABLE DISEASE CONTROL &
          PREVENTION ACCOMPLISHMENTS
              » State passed legislation requiring infection control
                  training for staff in long term care facilities
              » TB clinical partnership with Cook County
HEALTHY CHICAGO
Chicago Department of Public Health




               ACCESS TO CARE
HEALTHY CHICAGO
Chicago Department of Public Health




         ACCESS TO CARE ACCOMPLISHMENTS
             » During the 2010-2011 school year, 112,334 students
                  at 656 schools received dental services through our
                  school-based oral health program
             » Initiated collaboration to expand school health centers
HEALTHY CHICAGO
Chicago Department of Public Health




              HEALTHY HOMES
HEALTHY CHICAGO
Chicago Department of Public Health




           HEALTHY HOMES ACCOMPLISHMENTS
               » Successful advocacy efforts to change Torrens
                   Indemnity Fund
               »            $3M abatement grant awarded
               » Healthy Homes strategic planning
HEALTHY CHICAGO
Chicago Department of Public Health




            PUBLIC HEALTH INFRASTRUCTURE
            ACCOMPLISHMENTS
              » New Office of Epidemiology and Public Health Informatics
              » Expanded Epidemiology programmatic capacity
              » Largest local public health department pursuing first
                    time accreditation
HEALTHY CHICAGO
Chicago Department of Public Health




            OTHER ACCOMPLISHMENTS
               » LGBT Action Plan
               » Working with philanthropies to develop philanthropy
                    for Healthy Chicago document
               » Advancing to City Council, “Policies for a Healthy
                    Chicago”
HEALTHY CHICAGO
Chicago Department of Public Health




                      OVERALL HEALTHY CHICAGO
                       IMPLEMENTATION STATUS
                                            Overall Healthy Chicago
                                        jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj
                                             Implementation Status
                                        jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj
                          140

                          120

                          100

                           80

                           60

                           40

                           20

                            0

                                      Completed               In progress            Pending initiation
                                            Completed      In progress     Pending initiation
HEALTHY CHICAGO
Chicago Department of Public Health




           STATUS OF PRIORITIES, 4th QUARTER 2011
             » Policy: 16% Completed; 68% in Progress
             » Program: 20% Completed; 66% in Progress
             » Education/Public Awareness: 20% Completed;
                  65% in Progress
HEALTHY CHICAGO
Chicago Department of Public Health




                             QUESTIONS/COMMENTS?
Healthy Chicago Update- April 2012

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Healthy Chicago Update- April 2012

  • 1. Healthy Chicago Public Health Agenda Urban Health Initiative Summit April 17, 2012 Bechara Choucair, MD Commissioner Chicago Department of Public Health @ChiPublicHealth on
  • 2. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THE HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL
  • 3. HEALTHY CHICAGO Chicago Department of Public Health IT MATTERS
  • 4. HEALTHY CHICAGO Chicago Department of Public Health IT MATTERS A healthy city is a city that: »Offers healthier food options »Provides places to be physically active »Responds to public health threats »Creates healthy and safe environments »Ensures access to care for all residents »Eliminates health disparities for all communities
  • 5. HEALTHY CHICAGO Chicago Department of Public Health A COMPREHENSIVE PUBLIC HEALTH AGENDA A blueprint for action to create: »Healthy City »Healthy Neighborhoods »Healthy Homes »Healthy People
  • 7. HEALTHY CHICAGO Chicago Department of Public Health IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
  • 8. HEALTHY CHICAGO Chicago Department of Public Health IT DEMANDS THAT WE MAKE CHANGES » In programs » In health education » In policies
  • 9. HEALTHY CHICAGO Chicago Department of Public Health IT’S ABOUT CHANGING SYSTEMS » It’s about creating accountability » It’s about communicating what’s expected of all of us » It’s about measuring outcomes and success
  • 10. HEALTHY CHICAGO Chicago Department of Public Health HEALTHY CHICAGO STRATEGIES BY INTERVENTION TYPE (n=193)
  • 11. HEALTHY CHICAGO Chicago Department of Public Health TRACKING PROGRESS » Individual work plans » Performance management
  • 12. HEALTHY CHICAGO Chicago Department of Public Health MOVING TOWARD A HEALTHY CHICAGO
  • 13. HEALTHY CHICAGO Chicago Department of Public Health TOBACCO USE
  • 14. HEALTHY CHICAGO Chicago Department of Public Health TOBACCO USE
  • 15. HEALTHY CHICAGO Chicago Department of Public Health TOBACCO USE ACCOMPLISHMENTS » 4 CHA developments smoke-free » All City colleges, Roosevelt & Robert Morris are smoke-free » 3 of 5 hospitals smoke-free » Catholic schools smoke-free » NRT to over 12,000 persons » Expanded YMCA smoke-free policy
  • 16. HEALTHY CHICAGO Chicago Department of Public Health OBESITY PREVENTION
  • 17. HEALTHY CHICAGO Chicago Department of Public Health OBESITY PREVENTION ACCOMPLISHMENTS » Urban agriculture ordinance was passed by City Council » CDPH obtained and is analyzing CPS student health records » Healthy vending contract for City » Healthy Produce Carts » Healthy Corner Stores » Healthy YMCA policies
  • 18. HEALTHY CHICAGO Chicago Department of Public Health HIV PREVENTION
  • 19. HEALTHY CHICAGO Chicago Department of Public Health HIV PREVENTION ACCOMPLISHMENTS » Comprehensive prevention funding of $2.3M » Advanced HIV prevention training to over 1100 providers annually » Enhanced policy and planning » Initiated the Chicago community condom project
  • 20. HEALTHY CHICAGO Chicago Department of Public Health ADOLESCENT HEALTH
  • 21. HEALTHY CHICAGO Chicago Department of Public Health ADOLESCENT HEALTH ACCOMPLISHMENTS » Established Office of Adolescent and School Health » Hired CPS Chief Health Officer » Drafted Healthy CPS document in partnership with CPS » Received 1.75M grant to support teen dating violence prevention efforts
  • 22. HEALTHY CHICAGO Chicago Department of Public Health CANCER DISPARITIES
  • 23. HEALTHY CHICAGO Chicago Department of Public Health CANCER DISPARITIES ACCOMPLISHMENTS » Strengthened collaboration with Metropolitan Chicago Breast Cancer Task Force » Completed mammogram reminder pilot project » Initiated collaboration with CHA to increase mammography among CHA residents
  • 24. HEALTHY CHICAGO Chicago Department of Public Health HEALTHY MOTHERS AND BABIES
  • 25. HEALTHY CHICAGO Chicago Department of Public Health HEALTHY MOTHERS AND BABIES ACCOMPLISHMENTS » Nine hospitals are registered with Baby-Friendly USA » Increased WIC support for breastfeeding through lactation counselor training
  • 26. HEALTHY CHICAGO Chicago Department of Public Health VIOLENCE PREVENTION
  • 27. HEALTHY CHICAGO Chicago Department of Public Health VIOLENCE PREVENTION ACCOMPLISHMENTS » Established data collection partnership with police department » Anti-violence community stabilization » Chicago Youth Violence Prevention Plan
  • 28. HEALTHY CHICAGO Chicago Department of Public Health HEART DISEASE AND STROKE
  • 29. HEALTHY CHICAGO Chicago Department of Public Health HEART DISEASE & STROKE ACCOMPLISHMENTS » Facilitated linkage between American Heart Association and CPS » Policy development on Hands-Only CPR and AEDs
  • 30. HEALTHY CHICAGO Chicago Department of Public Health COMMUNICABLE DISEASE CONTROL & PREVENTION
  • 31. HEALTHY CHICAGO Chicago Department of Public Health COMMUNICABLE DISEASE CONTROL & PREVENTION ACCOMPLISHMENTS » State passed legislation requiring infection control training for staff in long term care facilities » TB clinical partnership with Cook County
  • 32. HEALTHY CHICAGO Chicago Department of Public Health ACCESS TO CARE
  • 33. HEALTHY CHICAGO Chicago Department of Public Health ACCESS TO CARE ACCOMPLISHMENTS » During the 2010-2011 school year, 112,334 students at 656 schools received dental services through our school-based oral health program » Initiated collaboration to expand school health centers
  • 34. HEALTHY CHICAGO Chicago Department of Public Health HEALTHY HOMES
  • 35. HEALTHY CHICAGO Chicago Department of Public Health HEALTHY HOMES ACCOMPLISHMENTS » Successful advocacy efforts to change Torrens Indemnity Fund » $3M abatement grant awarded » Healthy Homes strategic planning
  • 36. HEALTHY CHICAGO Chicago Department of Public Health PUBLIC HEALTH INFRASTRUCTURE ACCOMPLISHMENTS » New Office of Epidemiology and Public Health Informatics » Expanded Epidemiology programmatic capacity » Largest local public health department pursuing first time accreditation
  • 37. HEALTHY CHICAGO Chicago Department of Public Health OTHER ACCOMPLISHMENTS » LGBT Action Plan » Working with philanthropies to develop philanthropy for Healthy Chicago document » Advancing to City Council, “Policies for a Healthy Chicago”
  • 38. HEALTHY CHICAGO Chicago Department of Public Health OVERALL HEALTHY CHICAGO IMPLEMENTATION STATUS Overall Healthy Chicago jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj Implementation Status jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj 140 120 100 80 60 40 20 0 Completed In progress Pending initiation Completed In progress Pending initiation
  • 39. HEALTHY CHICAGO Chicago Department of Public Health STATUS OF PRIORITIES, 4th QUARTER 2011 » Policy: 16% Completed; 68% in Progress » Program: 20% Completed; 66% in Progress » Education/Public Awareness: 20% Completed; 65% in Progress
  • 40. HEALTHY CHICAGO Chicago Department of Public Health QUESTIONS/COMMENTS?