Rush University Medical Center, Department of Preventive Medicine Grand Rounds
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A Healthy Chicago Overview presented by Commissioner Choucair at Rush University Medical Center, Department of Preventive Medicine Grand Rounds on September 24, 2013
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Rush University Medical Center, Department of Preventive Medicine Grand Rounds
- 1. Chicago Department of Public Health Commissioner Bechara Choucair, M.D. City of Chicago Mayor Rahm Emanuel Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair #HealthyChicago Rush University Medical Center Department of Preventative Medicine Grand Rounds September 24, 2013
- 2. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Healthy Chicago Academic & Research Partners
- 3. HEALTHY CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH TRANSFORMING THE HEALTH OF OUR CITY CHICAGO ANSWERS THE CALL
- 4. HEALTHY CHICAGO PUBLIC HEALTH AGENDA• Released in August 2011 • Identifies priorities for action for next 5 years • Identifies health status targets for 2020 • Shifts work from one-time programmatic interventions to sustainable system, policy and environmental changes
- 7. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
- 8. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes
- 9. TOBACCO USE
- 10. TOBACCO USE SMOKE-FREE CAMPUSES 3 Colleges / Universities 6 Hospitals 6 Behavioral Health Organizations 686 Public Housing Units Over 3,250 units of private smoke-free housing
- 12. OBESITY PREVENTION Chicago Streets for Cycling Plan 2020
- 13. Over 200 miles of on-street bikeways, including almost 35 miles of barrier and buffer protected bike lanes. 3000 bikes to share at 300 stations by end of summer. OBESITY PREVENTION
- 14. Dearborn Street - Before Dearborn Street - After OBESITY PREVENTION
- 15. Bike Sharing in Chicago 3,000 bikes 300 stations by the end of summer 2013 OBESITY PREVENTION
- 16. Health Goals Increase the number of pedestrian trips for enjoyment, school, work, and daily errands Increase the mode share of pedestrian trips for enjoyment, school, work, and daily errands OBESITY PREVENTION
- 18. 14 licensed carts operating 41 vendors trained 30 carts planned for 2013 OBESITY PREVENTION
- 20. A Recipe for Healthy Places •Released in January 2013 •Includes six community- based planning strategies to support healthy eating OBESITY PREVENTION
- 21. A Recipe for Healthy Places: Strategies 1. Build Healthier Neighborhoods 2. Grow Food 3. Expand Healthy Food Enterprises 4. Strengthen the Food Safety Net 5. Serve Healthy Food and Beverages 6. Improve Eating Habits Check out the food plan - www.cityofchicago.org/hed OBESITY PREVENTION
- 22. HEALTHY MOTHERS & BABIES 15 hospitals working towards Baby-Friendly Designation
- 23. ADOLESCENT HEALTH CPS hires chief health officer Dually reports to CDPH CDPH creates Adolescent and School Health Office
- 24. ADOLESCENT HEALTH Revised Wellness Policy Competitive Foods Policy Expanded STI Screening $26M New grants • CTG – Healthy CPS • Teen Dating Matters • Teen Pregnancy • Farm to School • Wellness Champions
- 25. BUILDING ON POLICY SUCCESSES Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes
- 26. BUILDING ON & ENGAGING PARTNERSHIPS
- 27. PRESENTATION OUTLINE • Healthy Chicago Public Health Agenda • Healthy Chicago Partner-supported Successes • Healthy Chicago Academic & Research Partners
- 29. PUBLIC HEALTH & ECONOMIC DEVELOPMENT
- 30. ACADEMIC AND RESEARCH PARTNERSHIPS • Data Portal • Chicago Health Atlas • CHAMP • Chicago Center for Diabetes Translational Research • Keep Your Heart Healthy • Tobacco Policy Evaluation • Epidemiology Advisory Group
- 32. Public Health Context • Most frequent requests are for statistics by neighborhood • Neighborhood summaries published once every 3-4 years by paper/PDF • Many data objects generated in response to requests
- 33. Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013
- 34. CHICAGO HEALTH ATLAS IS A COLLABORATION • Informatics researchers from multiple healthcare institutions • Chicago Regional Extension Center (CHITREC) • Chicago Community Trust • Chicago Department of Public Health
- 35. CHICAGO HEALTH ATLAS IS A DATABASE • De-identified electronic health record data for ~1 million Chicagoans (3 million Metro-Chicago residents) • In-patient and out-patient visits spanning 2006-2011 • Individual patient records matched across institutions
- 36. CHICAGO HEALTH ATLAS IS A WEBSITE
- 37. Health Information Exchange NEIGHBORHOOD PAGES
- 38. Health Information Exchange CITY LEVEL COMPARISONS
- 40. CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM • Recruit children who are seen in ED due to asthma • Piloting program to use CHWs and address housing- based hazards and triggers • Partnering with University of Illinois Hospital to improve pediatric asthma control and reduce the ED visits
- 41. • CDPH’s Healthy Homes Program inspectors will assess housing-based hazards and triggers • CHWs to educate and assist families with changes • Also partnering with Asthampolis to obtain GIS data when child is using inhaler CHAMP: PEDIATRIC ASTHMA ED PILOT PROGRAM
- 42. DIABETES TRANSLATIONAL RESEARCH • CDPH is partnering with Chicago Center for Diabetes Translation Research in its mission to conduct innovative high-impact research to reduce morbidity and mortality related to diabetes • Analyze data from multiple sources (EHR, hospital discharge data, vital statistics, and Healthy Chicago Community Survey) to better understand diabetes and related behaviors
- 43. KEEP YOUR HEART HEALTHY • Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease • Pilot in two Chicago neighborhoods
- 44. • Three main components: – Identify individuals most at risk for developing heart disease – Link individuals to medical care and direct services through referrals so risk factors can be brought under control – Work with individuals on ongoing basis to make changes to diet, exercise, and other areas to reduce their risk KEEP YOUR HEART HEALTHY
- 45. TOBACCO EVALUATION University of Illinois at Chicago Institute for Health Research and Policy and the Tobacco Prevention Project Three Tiers of Evaluation: 1.Community Partner Evaluation 2.Mental Health and Substance Abuse Survey 3.Courage to Quit Evaluation
- 46. EPIDEMIOLOGY ADVISORY GROUP• CDPH established Advisory Group as forum for academic and practice partners to discuss data and methods • Member Organizations: – Chapin Hall – Cook County Health & Hospitals System – Illinois Department of Public Health – Lurie Children’s Hospital—Child Health Data Lab – Northwestern University – Sinai Urban Health Institute – University of Chicago – University of Illinois at Chicago
- 47. IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY
Editor's Notes
- Next I will present our successes, which would not be possible without our many partners.
- Healthy vending, austin farmers market/link urban ag
- Chicago Health Atlas is a big database, too. It has de-identified electronic health record data for about one million Chicagoans, with in-patient and out-patient visits spanning from 2006 through 2011, and individual patient records matched across institutions. Much more detail is on the way about all this.
- Thanks to the work at Chicago Community Trust, the collaborative has a website that's up and running at ChicagoHealthAtlas.org This serves as the public face of the project - the place where can make data about public health indicators - as well as community assets - available to the public.
- Another academic medical partnership is with the University of Illinois Hospital & Health Sciences System. Both of us are concerned about the number of uncontrolled pediatric asthma patients and that they were seeking expensive care in the Emergency Department. Building on other studies and our expertise in Healthy Homes and housing-based hazard inspections, we are collaborating in a pilot program aimed to reduce ED visits and improve asthma control. Pediatric asthma patients who are seen in the UI Health’s ED will be recruited to this pilot project (CHAMPS: Chicago Home Asthma Pediatric Pilot Program).
- CDPH established Advisory Group as forum for academic and practice partners to discuss data and methods Member Organizations: Chapin Hall Cook County Health & Hospitals System Illinois Department of Public Health Lurie Children’s Hospital—Child Health Data Lab Northwestern University Sinai Urban Health Institute University of Chicago University of Illinois at Chicago The Advisory Group meets quarterly. Examples of topics for discussion include: Analysis of CPS BMI data Childhood exposure to violence surveillance Small area interpolation
- So as you can see, we work closely with partners to forward the goals of Healthy Chicago and assist with innovative research to improve the health of Chicagoans.