The document outlines plans for a Healthy Ontario Initiative to improve population health in Ontario, California. It discusses establishing work groups to focus on priority areas like access to healthcare, education, prevention/wellness, and safe neighborhoods. The initiative will be led by a collaborative of community partners and aim to empower residents, improve health outcomes, and serve as a model for other cities. Progress will be tracked through clear objectives and an evaluation framework.

1. Linda Angona, Partners for Better Health Julie Dorey, City of Ontario Dora Barilla, Loma Linda University/ Partners for Better Health

2. Healthy People 2010/ Healthy Ontario Initiative VISION Healthy people in healthy communities Understanding and improving health Objectives for improving health

3. Healthy People 2010 Leading Health Indicators Physical activity Overweight and obesity Tobacco use Substance abuse Responsible sexual behavior Mental health Injury and violence Environmental quality Immunization Access to health care

4. Healthy People 2010 Community health is profoundly affected by the collective beliefs, attitudes, and behaviors of everyone who lives in the community. Partnerships are effective tools for improving health in communities.

5. A Healthy Community Safe Neighborhood Prevention & Wellness Parks & Open Space Opportunity for Socializing Transportation Access to affordable quality health care Availability of Adequate Housing Physical activity Access to Nutritious Foods Employment Opportunities

6. History Group of people convened in 2003 concerned about the health of Ontario residents Future Search 2004/2005 West-End Community Assessment Project American Health Care Congress 2004/2005/2006 WE-CAN – Focusing on health care Healthy Communities Initiative Countywide April 2006 Planning Session for Health Ontario June 2006 Healthy Ontario Initiative 2007

7. Future Search Vision for health care Care for all Culturally sensitive health care providers Affordable services Accessible High quality and mission driven Focus on prevention – Chronic disease management Designed by the community and healthcare providers built on existing resources

8. Future Search/Needs Lack of transportation Facility closures Culturally competent providers Affordability of specialty services Lack of integrated systems Lack of faith-based involvement in healthcare Inappropriate utilization of services in comparison to community needs

9. Healthy Ontario First Steps Develop a customized framework for a Health Ontario Initiative Marketing campaign Monitoring and Evaluation component of the initiative Compile the community needs assessment data into a report to be disseminated Coordinate and facilitate a city-wide collaborative

10. Report to the Community Action oriented document Compilation of data on health indicators coupled with opportunities (where we are, where we want to be & how we can get there) Process and analysis to inform the general public and create a feedback mechanism Help inform the General Plan process June 2007

11. Race/Ethnicity Source: U.S. Census Bureau, 2000 Census

12. Percent high school graduates and with bachelor’s degree or higher: Ontario, San Bernardino County, California, and United States, 2005 Source: U.S. Census Bureau, 2000 Census

13. Percent of households with children: Ontario, San Bernardino County, California, and United States Source: U.S. Census Bureau, 2000 Census

14. 15 leading causes of death Ontario residents, 2004 Source: California Department of Health Services, Death Files. Prepared by San Bernardino County Department of Public Health.

15. Death rates due to obesity related causes, 1999-2001 Ontario, San Bernardino County, and California residents Source: California Department of Health Services, Death Files; U.S. Census Bureau, 2000 Census, Summary File 1, Table P14. Prepared by San Bernardino County Department of Public Health.

16. Ontario resident hospitalizations for ACS diagnoses: Top 10 total charges, 2004 ACS=ambulatory care sensitive. Source: California Office of Statewide Health Planning and Development, Patient Discharge Data. Prepared by San Bernardino County Department of Public Health.

17. Note: Cause of hospitalization classified per Family Health Outcomes Project, EpiHosp Manual , table ICD-9 Principal Diagnosis Groupings. Source: California Office of Statewide Health Planning and Development, Patient Discharge Data. Prepared by San Bernardino County Department of Public Health, 03/2004.

18. Healthy Ontario 2007 Expand the vision of health to be more comprehensive and launch a citywide Healthy Ontario Initiative

19. Purpose Statement Healthy Ontario Initiative Empower the community of Ontario to take ownership of its health and make Ontario a model city by improving physical, social, and economic health and well-being.

20. Healthy Ontario Initiative Chan Agent Monitoring and Evaluation Assessment and Collaborative Planning Widespread Behavior Change Improvement in Population-Level Outcomes Community & Systems Change Targeted Action & Intervention

21. Framework for Healthy Ontario Convene executive advisory council Determine the vision Identify priority areas Meet two times per year Convene collaborative (May 17 th 9:00 – 11:00) Convene work groups to address priority areas Develop objectives Develop specific strategies – How will objectives be accomplished? Marketing Monitoring and evaluation

22. Defined Priority Areas Advisory committee (April 12, 2007) Website survey Community events

23. Healthy Ontario Collaborative Meeting Meet 6 times per year Feedback mechanism Community input from diverse sources Work groups for priority areas Objectives Strategies to achieve objectives

24. Healthy Ontario Initiative San Bernardino County Healthy Community Program Advisory Council Partners for Better Health (Vehicle) City of Ontario Healthy Ontario Collaborative Work Group #1 Work Group #2 Work Group #3 Work Group #4

25. Advisory Council Paul Leon – Mayor

26. Marketing Ongoing marketing campaign throughout the Healthy Ontario Initiative Healthy Ontario Ambassadors Kick-off event Newsletter Web presence Ongoing presence at community events

27. Community Partners

28. Evaluation Set up an evaluation framework from the beginning Set clear objectives and measure them Loma Linda University School of Public Health

29. Healthy Ontario Initiative Priority Areas Safe Neighborhood Prevention & Wellness Access to affordable quality health care (Emergency preparedness & mental health) Education/ Life long learning

30. Work Groups Access to healthcare Liaison – Dora Barilla Facilitator – Beverly Speak Education/lifelong learning Liaison – Linda Angona Facilitator – Linda Braatz-Brown Prevention/Wellness Liaison – Julie Dorey Facilitator – Scott Melendrez Safe Neighborhoods Liaison – Robyn Hockenhull Facilitator – Ann Garcia

31. Thank you! Linda Angona, Healthy Ontario (909) 984- 9153 Dora Barilla, Loma Linda University, School of Public Health (909) 984-9153 Julie Dorey, City of Ontario (909) 395-2366 Robyn Hockenhull, City of Ontario (909) 395-2368