Putting the Health in Healthcare: Partnerships with Hospitals Hospitals and active transportation advocates are working together to make their communities healthier. Hear from health professionals in Ohio, Pennsylvania and Washington, DC who are linking the healthy lifestyle expertise of hospitals with active transportation facilities. Presenters: Presenter: David Pauer Cleveland Clinic Co-Presenter: Bonnie Coyle St. Luke's University Health Network Co-Presenter: Elissa Garofalo Delaware & Lehigh National Heritage Corridor Co-Presenter: Elissa Southward Rails-to-Trails Conservancy

1. Putting the Health in Healthcare: Partnerships with Hospitals
David Pauer, MNO
Director, EHP Wellness
Cleveland Clinic
Bonnie S. Coyle, MD, MS
Director, Community Health
St Luke’s University Health Network
Elissa M. Garofalo President
Delaware & Lehigh National Heritage Corridor
Elissa Southward, PhD
Healthy Communities Manager Rails-to-Trails Conservancy

2. David Pauer, MNO
Director, EHP Wellness
Cleveland Clinic
pauerd@ccf.org
www.linkedin.com/in/davidpauer

3. Outline
•Health crisis of chronic disease in US
•Increase in chronic disease has increased healthcare costs
•Moderate physical activity improves health (and lowers healthcare costs)
•Biking and walking are an excellent source for daily physical activity

4. Vision for Wellness
•“Cleveland Clinic has taken the lead, advocating for wellness and prevention nationally, in our community and among our own employees.” - Dr. Toby Cosgrove

6. Gyms Serve Small Group
•Gym memberships = 50m (only about 16% of US population).
•Only one third of those members go once a week.
•30,000 gyms (only 1 gym per 10,000 people in US).
•Gyms encourage the “only here” mentality.
•We need more strategies and options for daily physical activity.

7. Other flaws with fit centers
•Only people in the center observe the healthy behavior
•Not part of fabric of community – like walking or biking can be
•The thought that only need to focus on increasing activity to lose weight and improve health

8. Food is Factor Too
•Would take 3 hours of biking at 12mph to burn off big mac meal (180lb adult, 1350 calorie meal)
•Takes hours to burn off extra calories but only seconds to eat them
•Focus today is on activity (moderate biking)

9. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1985
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

10. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14%

11. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1991
No Data <10% 10%–14% 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

12. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%

13. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%

14. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%

15. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%

16. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%

17. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1997
No Data <10% 10%–14% 15%–19% ≥20
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

18. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1998
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20

19. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1999
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20

20. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2000
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20

21. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2001
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

22. Source: Behavioral Risk Factor Surveillance System, CDC.
(*BMI 30, or ~ 30 lbs overweight for 5’4” person)
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Obesity Trends* Among U.S. Adults BRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

23. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity* Trends Among U.S. Adults BRFSS, 2003
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

24. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2004
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

25. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

26. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

27. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

28. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

29. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

30. Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

31. Source: Behavioral Risk Factor Surveillance System, CDC.

32. Source: Behavioral Risk Factor Surveillance System, CDC.

33. Source: Behavioral Risk Factor Surveillance System, CDC.
Prevalence* of Self-Reported Obesity Among U.S. Adults BRFSS, 2011
*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to previous years.
15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

34. Source: Behavioral Risk Factor Surveillance System, CDC.
Prevalence* of Self-Reported Obesity Among U.S. Adults BRFSS, 2012
*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to those before 2011.
15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

35. Source: Behavioral Risk Factor Surveillance System, CDC.
Children Ages 10-17 Obese and Overweight

36. Consequences of Childhood Obesity
•Metabolic complications such as diabetes, hypertension, dyslipidemia and non-alcoholic fatty liver disease.
•Mechanical problems such as obstructive sleep apnea syndrome and orthopedic disorders.
•Psychological and social consequences are prevalent (depression, anxiety, etc.)
Yung Seng Lee,1MMed (Paed Med), MRCP (UK), MRCPCH

37. National Cost of Chronic Illness
•75% spent on healthcare on preventable illness in U.S.*
•Annual medical costs for a person with a BMI of 35 or over is 76% higher than a healthy weight individual**
•Obesity adds 20 days of lost productivity per year/per obese employee, a cost of $5,350***
•17.6% of GDP spent on healthcare now - will go to 20% by 2020 if we do nothing to change our health.****
Sources:
*Kaiser Permanente, “Health Services use and Healthcare costs of obese and non-obese individuals”. Arch of Internal Medicine 10/04
**Present Dangers: Disability, Risk & Insurance, March 2004
***Centers for Disease Control and Prevention. Chronic Disease Overview: Costs of Chronic Disease. Atlanta: CDC, 2005.
****Health Affairs January 2011 vol 30 11-22

38. National Trend Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2003-2013
SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2003-2013.
80% Total Premium Increase
89% Worker Contribution Increase

39. Future Health Insurance Costs

40. How did things get so bad?
1.Increased stress
2.Decreased sleep
3.Easier to eat unhealthy foods
4.Difficult to get physical activity – but activity helps and can improve 1-3

41. It Starts Early
•Encourage sedentary behaviors.
•Drive even for short trips.
•Restrict playing outdoors.
•Confined to school, work or home for most of the day.
•Constant treats.
•Setting up for a lifetime of chronic illness.

42. Game Off
•Kids do not play outside.
•Most play is organized sports
•“Treat culture” associated with organized sports.
•Injuries in organized sports.
•Even kids in sports are not as active as we think. (too much standing around waiting for playing time)
Resource: Michael F. Bergeron, director of the environmental physiology laboratory at the Medical College of Georgia.

43. School Commute
US Department of Transportation; Federal Highway Administration. 1969 National Personal Transportation Survey: travel to school.
•In 1969, 87% of children living within 1 mile of school walked or bicycled.
•Today, fewer than 12% of children use active modes of transportation.

44. We Used to Call Exercise “Work”
•Past generations viewed physical activity as necessary for labor/work.
•Leisure time was for not being active/working.
•You were successful when no need to labor for your employment.
•We have continued to try to reduce physical labor in any way possible.

45. Mowing the lawn

46. Mowing the lawn?

47. Raking the leaves

48. Raking the leaves?

49. Riding a bike

50. Riding a bike?

51. Riding a scooter

52. Riding a scooter?

53. Walking

54. Walking?

55. Walking?

56. Walking the Dog

57. Walking the dog?

59. Epidemic of Car Dog Walking

60. Complete Street?

61. Don’t Walk

62. Don’t Walk Here Either

63. Don’t Bike

65. Obesogenic Environment

66. There is hope..

67. Bonnie S. Coyle, MD, MS Director, Community Health St Luke’s University Health Network
67

68. St. Luke’s University Health Network
Health Care Reform – PPACA mandates
Nonprofit hospitals conduct Community Health Needs Assessment (CHNA) every three years
Implementation plan developed to address priorities identified
Community members and public health experts participate in process
Implementation plan approved by Board and widely available to public
Plans approved and implementation started by June 30, 2013
68

69. St. Luke’s University Health Network
Key Findings
1.Social Determinants of Health
1.Health disparities by race/ethnicity and income
2.Urban residents in poorer health
3.Access to care problems for vision, dental and preventive services
2.Mental Health
3.Healthy Living/Chronic Disease prevention
a.Diabetes rates high
b.Poor nutrition and PA levels
4.Vulnerable Population Groups
a.Children and adolescents
b.Elderly
69
SLUHN Community Health Needs Assessment

70. St. Luke’s University Health Network
SLUHN Community Health Assessment
70
Health Indicator
Lehigh Valley
Subgroup
Health Disparities
VG or Excellent health
47%
37% Hispanic
23% Income< $25,000
Access to care
No Insurance
No Vision Service/yr
No Dental Care last 2 yrs
10%
22%
18%
20% Hispanic
20% Low income
63% Hispanic
31% Low income
Mental Health
1 or 2 sick days/mo
3+ sick days/mo
2+ wk depression/yr
19%
21%
32%
62% Hispanic
41% Allentown
Diabetes
14%
17% Low income
19% Allentown
Nutrition (5+FV/d)
9%
24% National
Exercise (None)
28%
26% National
Elder Health
Worse – High BP, chol, DM, arthritis, dental care
Better – Colon ca screen, flu, pneumonia vaccine

71. St. Luke’s University Health Network
SLUHN Implementation Plan
Network Healthy Living Initiative
–FP Residency Childhood Obesity Program
–Diabetes Education Program
–Diabetes Prevention Program
–CSA Program
–Employee Wellness Initiative
–Vive tu Vida
–School-Based Programs
•Nutrition Education
•Community Gardens
–Partnership with Rodale Institute for Hospital Organic Farm
–Get Your Tail on the Trail

72. 72
What if there was
one prescription
that could
prevent and treat
dozens of diseases,
such as diabetes, hypertension
and obesity?
-Robert E. Sallis, M.D., M.P.H., FACSM,
Exercise is Medicine™ Task Force Chairman

73. St. Luke’s University Health Network
Promoting Community Health
Tremendous health benefits are seen with even low levels of exercise.
Amount of exercise needed to benefit health is much lower than amount needed for fitness.

74. 74
To make physical activity and exercise a standard part of a disease prevention and treatment medical paradigm in the US.
Vision
Launched in November 2007 by the American College of Sports Medicine (ACSM) and the American Medical Association (AMA).
Committed to the belief that exercise and physical activity are integral in the prevention and treatment of diseases, and should be assessed as part of medical care and integrated into every primary care office visit.
Background
Exercise is Medicine™

75. St. Luke’s University Health Network
Exercise is the best medicine!
Reduces risk of heart disease by 40%
Reduces incidence of diabetes by almost 50%
Lowers risk of stroke by 27%
Reduces incidence of high blood pressure by almost 50%
Can reduce mortality and risk of recurrent breast cancer by almost 50%
Can lower risk of colon cancer by over 60%
Can reduce risk of developing Alzheimer’s disease by one-third
Can decrease depression as effectively as medications or
behavioral therapy

76. St. Luke’s University Health Network
Improving Population Health Through Physical
Activity Interventions
 Partnerships
 Community-wide
 School- based
 Environmental/Policy
 Health-Care based

77. Connecting the Circuit
Building Greater Philadelphia’s Regional Trail Network
Elissa Fay Southward, PhD
Healthy Communities Manager
Rails-to-Trails Conservancy

79. Walk out your door.
Head north or south, east or west, and you can spend all day on trails.

80. The Partnership for Active Transportation is a unique collaboration of organizations working at the intersection of transportation, public health and community vitality to promote greater investment in creating safe trail, walking and bicycling networks for all, and facilitating greater physical activity through active transportation.

81. Partnership’s Federal Policy Platform
Americans need safe routes to walk and bicycle, and such active transportation networks connecting community destinations are critical to making it safe and practical to routinely walk and bicycle. Supporting active transportation should be a national priority because it provides affordable mobility, promotes public health through physical activity and cleaner air, and creates jobs and community vitality. To realize these benefits to the nation, we call on the federal government to:
Increase federal investment dedicated to safe active transportation networks;
•Use innovative financing to leverage the private value of infrastructure to stretch limited public dollars and accelerate projects; and
•Integrate health concerns into transportation decisions, and active transportation opportunities into health policies.

82. Trail Benefits
Families
Seniors
Children
Underserved
Communities
Commuting
Fights Obesity
Active Transportation
Healthier Lifestyles
Recreation
Quality of Life
Covers Medical Costs
Enhances Real Estate
Attracts Employers
Economic Development
Outdoors
Moves Millions
Access
Transit
Safer Routes
Jobs
Connections

83. TRAILS 101
Multi-use – mostly paved in asphalt or crushed limestone
Access – street crossings or formal trailhead; see connectthecircuit.org
Funding – municipal capital budgets; county open space funds; state grants and federal grants.
Owner/Operator – most time the same, but Trail Organizations are very important
Trail Organizations - “Friends of” and “Development Corporations"

88. 250 MILES IN PLACE

89. 50 MILES IN PROGRESS

90. 450 MILES TO GO

91. Schuylkill Banks Boardwalk
Just the one-mile section below the Art Museum realized 827,309 user trips in 2012.

97. Traditional Prevention Has Focused on Modifying Individuals’ Lifestyles
•Nutrition
•Physical activity
•Alcohol
•Tobacco
•Safety
•Obesity
•Diabetes
•Heart disease
•Cancer
•Injury
Lifestyle
Health
•Regulation
•Family
•Schools
•Worksite
•Community
•Parks
•Streets
Environment

100. Moderate Physical Activity Does Work
•Walking 30 minutes most days a week is enough to reduce the risk of metabolic syndrome.
•Running gained only slightly more benefit in terms of lowered metabolic syndrome scores.
American Journal of Cardiology,
December 15, 2007

101. Walk Minimum = 10 minutes/day
Tim Church, MD

102. Positive (and immediate) Outcomes from Physical Activity
•Mood and motivation improve
•Stress and anxiety are reduced
•Energy and creativity increase
•Sleep and self-image improve
•Bones and muscles are stronger
•Memory, learning, attention, decision-making and multi-tasking improve
•Pain decreases
•Plus disease prevention

103. Cleveland Clinic Walks
•Shape Up & Go
•Walk at Work events
•Walking meetings
•Walking break
•Walking maps/logs
•Take the Stairs
•Pedometers

106. Walking Meetings

107. Count Your Steps
•2,000 more steps every day (one extra mile).
•statistically meaningful drops in body mass index and blood pressure.
•Visible sign of culture of wellness and activity.
•Monitor calories burned too.
Journal of the American Medical Association.

108. Pebble by Fitlinxx

109. Walk with a Doc

111. Bicycle Prescription

112. Bicycles
•Weight loss machines that work!
•Place for healthy social influence
•Moderate low impact activity
•To reduce unhealthy behavior queues
•To relax and reduce stress – biophilia effect – vit D, sounds, smells of nature.

113. Cleveland Clinic Bikes
•Regular communications on cycling
•Maps where to park bike (patients too)
•Showers at fitness centers
•Biking around main campus
•Encouragement to join teams on health partner rides (Cancer, Diabetes, etc.)
•Park n ride to work with Metroparks

115. What did not work so well
•Shower location list
•Events during after work and weekends (families busy and better strategy to plug into existing community events)
•Walking shuttle with police escort
•Stressing disease prevention only
•Stressing safety instead of enjoyment

117. Trended EHP-Paid PMPM by Quarter
EHP primary members only
PMPM normalized for ASC Grouper, PBB and 09/01/2010 Rate Change
PBB = Provider Based Billing
ASC = Ambulatory Surgery Center
**Q2 12 is a preliminary estimate
Expon. (Q2 09 to Q2 12 PMPM)
$220
$240
$260
$280
$300
$320
$340
$360
$380
$400
Q1 04
Q2 04
Q3 04
Q4 04
Q1 05
Q2 05
Q3 05
Q4 05
Q1 06
Q2 06
Q3 06
Q4 06
Q1 07
Q2 07
Q3 07
Q4 07
Q1 08
Q2 08
Q3 08
Q4 08
Q1 09
Q2 09
Q3 09
Q4 09
Q1 10
Q2 10
Q3 10
Q4 10
Q1 11
Q2 11
Q3 11
Q4 11
Q1 12
Q2 12***
Q1 04 to Q1 09 PMPM Q2 09 to Q2 12 PMPM
Expon. (Q1 04 to Q1 09 PMPM)

118. Programs that Help Members Meet Healthy Choice Requirements
Coordinated Care:
•Weight Management
•Diabetes
•Hypertension
•High Cholesterol
•Tobacco
•Asthma
Physical Activity:
•Cleveland Clinic owned fitness centers
•Curves fitness centers
•Shape up and Go (NEW: Pebble)

119. 2014 EHP Premiums (based on 2013 participation in Healthy Choice)
•Bronze - standard premium – employees NOT participating in Healthy Choice
•Silver – 15% lower premium - employees participating but NOT meeting Healthy Choice goals
•Gold – 30% lower premium - employees meeting Healthy Choice goals

120. Vision for Wellness
“Our nation faces two grave challenges. The federal deficit and the rising cost of healthcare….these challenges can be addressed by a single transformation. I truly believe that if we can get our nation healthy we can save a lot of money and a lot of lives. This is not an easy task, but one we, as a team, need to start working on- government, food vendors, schools, parents, healthcare organizations all need to work together to create a healthier America”
- Dr. Toby Cosgrove, CEO, Cleveland Clinic

121. St. Luke’s University Health Network
Partnering with
St. Luke’s University Health Network
For Health & Wellness
Connect ● Preserve ● Revitalize ● Celebrate
Elissa M. Garofalo
President
Delaware & Lehigh National Heritage Corridor

122. St. Luke’s University Health Network
Established in 1988 to preserve the historic path that carried anthracite coal
from Wilkes-Barre to Philadelphia, PA.
Today, the D&L Trail connects people to nature, culture, communities, recreation and
our industrial heritage.
Connect ● Preserve ● Revitalize ● Celebrate
Delaware & Lehigh National Heritage Corridor

123. St. Luke’s University Health Network
.
Overlapping coverage area.
D&L Trail
165 Miles
85% Complete
5 Counties
Wilkes Barre to
Philadelphia
(The Circuit)

124. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
165 Mile Challenge
A fun and effective family wellness initiative

125. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Overlapping Heritage.
.

126. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
May 2013
St. Luke’s & D&L partnered to bring the community a fun and effective family wellness challenge —
Get off the couch and get active.

127. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor

128. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
By linking St. Luke’s healthy lifestyle expertise with D&L’s recreational and heritage leadership, community members participated in our challenge through structured group and individual hike and bike outings.
Why?
To expand the awareness
D&L Trail, membership,
volunteer and donor base.

129. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Champion Leaders

130. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Heathy Lifestyle Education

131. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Heritage & Environment

132. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Intro to ‘backyard’ resources

133. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Champion Leaders
Heathy Lifestyle Education
Heritage & Environment
Intro to their ‘backyard’ resources
Participants receive cool incentives
Total Registrants: 2,900 TOTAL MILES: 299,443
 Used both D&L and SLUHN databases
 Website www.tailonthetrail.org
 Highly Interactive Facebook Page
 Trail Tracker
 Ladies Auxiliary
 Editorial
 PEAK TV
 PR
Participant Interaction

134. St. Luke’s University Health Network
Delaware & Lehigh National Heritage Corridor
Champion Leaders
Heathy Lifestyle Education
Heritage & Environment
Intro to their ‘backyard’ resources
Participants receive cool incentives
Total Registrants: 2,900
TOTAL MILES: 299,443
 Initial challenge ended Nov 2013, due to HUGE DEMAND:
 Created 30/30 winter challenge
 New BIG Challenge started May 2014.
 St. Luke’s employees to participate as walkers, hikers, and bikers on the D&L Trail as well as other paths throughout the greater Lehigh Valley and register departmental walks as part of the Tail on the Trail program.
Incorporate Live Your Life Themes into monthly activities
Conduct HRA to measure health impacts – weight, blood pressure, diabetes, better nutrition
Next Steps:

135. St. Luke’s University Health Network
Champion Leaders
Heathy Lifestyle Education
Heritage & Environment
Intro to their ‘backyard’ resources
Participants receive cool incentives
Delaware & Lehigh National Heritage Corridor

136. St. Luke’s University Health Network
Champion Leaders
Heritage & Environment
Intro to their
‘backyard’ resources
Participants receive cool incentives
2014 Participation
Registrants: 4,136
Miles Complete: 340,287
Challenges Completed
165 Mile: 708
330 Mile: 313
495: 163
Most miles logged: 3,790
Delaware & Lehigh National Heritage Corridor

137. St. Luke’s University Health Network
Health Survey Preliminary Findings:
587 Participants completed survey

138. St. Luke’s University Health Network
BMI for Participants

139. St. Luke’s University Health Network
Nutrition – Fruits and Vegetables

140. St. Luke’s University Health Network
Physical Activity Levels

141. St. Luke’s University Health Network
Chronic Health Conditions

142. St. Luke’s University Health Network
Participation to Date:
First Year Challenge –
–2,400 Participants
–~250,000 Miles logged
Winter Mini Challenge –
–>3,000 Participants
–> 300,000 miles logged
Second Year Challenge-
–4,136 Participants
–6 Schools take School Challenge
–340,287 miles logged
Delaware & Lehigh National Heritage Corridor

143. THANK YOU!!!
David Pauer, MNO
Director, EHP Wellness
Cleveland Clinic
pauerd@ccf.org
Bonnie S. Coyle, MD, MS
Director, Community Health
St Luke’s University Health Network
Bonnie.Coyle@sluhn.org
Elissa M. Garofalo,
President
Delaware & Lehigh National Heritage Corridor
elissa@delawareandlehigh.org
Elissa Southward, PhD Healthy Communities Manager Rails-to-Trails Conservancy elissa@railstotrails.org