This document summarizes a presentation on integrating public health into clinical systems. It discusses how chronic illnesses are leading causes of death in Minnesota due to preventable behaviors like smoking, poor diet, and inactivity. Two-thirds of Minnesota adults are overweight or obese, and tobacco use remains high. The Minnesota Solution established a Statewide Health Improvement Program to make healthy choices easier through policy, systems, and environmental changes. This program helped lower obesity rates compared to other states. A new federal grant will help four Minnesota communities address obesity, diabetes and heart disease through healthcare and community strategies.
BUILDing Multi-Sector Collaborations to Advance Community HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
BUILDing Multi-Sector Collaborations to Advance Community HealthPractical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
EOA2016: Integrating Care for Whole Person HealthPIHCSnohomish
During the 2nd session of Edge of Amazing 2016, this session highlighted the work being accomplished under fully integrated managed care in WW Wa., progress in other regions and at a state level to integrate behavioral health, and the role of community in ensuring whole-person care. While highlighting work from the North Sound ACH.
Vanessa Gaston, Clark County Human Services
Isabel Jones - Washington State Health Care Authority
Joe Valentine - North Sound Behavioral Health Organization
A detailed approach to an integrated health care system in Scotland presented by Dr. Anne Hendry from National Clinical Lead for Integrated Care.
Source Page:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
'Wicked' Policy Challenges: Tools, Strategies and Directions for Driving Ment...Wellesley Institute
This presentation provides critical insights on how to drive mental health and health equity strategy into action.
Bob Gardner, Director of Policy
Nimira Lalani
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
EOA2016: Integrating Care for Whole Person HealthPIHCSnohomish
During the 2nd session of Edge of Amazing 2016, this session highlighted the work being accomplished under fully integrated managed care in WW Wa., progress in other regions and at a state level to integrate behavioral health, and the role of community in ensuring whole-person care. While highlighting work from the North Sound ACH.
Vanessa Gaston, Clark County Human Services
Isabel Jones - Washington State Health Care Authority
Joe Valentine - North Sound Behavioral Health Organization
A detailed approach to an integrated health care system in Scotland presented by Dr. Anne Hendry from National Clinical Lead for Integrated Care.
Source Page:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
This presentation is about the Healthy Choices program and the Grocery Store initiative
in South Milwaukee. Community and advocacy groups worked together in creating programs to improve the health of the community.
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
'Wicked' Policy Challenges: Tools, Strategies and Directions for Driving Ment...Wellesley Institute
This presentation provides critical insights on how to drive mental health and health equity strategy into action.
Bob Gardner, Director of Policy
Nimira Lalani
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Presentation by Commissioner Choucair at Northwestern University Feinberg School of Medicine Physician Assistant Program for a Public Health Presentation in Behavioral and Preventive Medicine I Course.
Wendy Davis: Leveraging Public Health Capacity to Improve Health System Effic...NASHP HealthPolicy
Many provisions of the ACA hold promise for public health agencies. The reorganization of the healthcare system in the wake of health reform also poses challenges for the public health system. This session will address how public health agency roles may change, opportunities to use public health agencies to lower health costs and improve health outcomes, and the integration of categorical funding streams to build a comprehensive public health system in a post-health reform world.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
WHAT is the Ottawa County Community Health Improvement Plan?
A plan that focuses on the greatest health needs in Ottawa County. Community members, including people from health care and human service agencies, identified three priority health areas based on data from the Community Health Needs Assessment (CHNA).
WHY a CHIP?
Public health challenges are too great for a single person, organization or sector to solve alone. The CHIP is a guide for the community to work together and meet its health needs.
Community engagement and policy advocacy approaches to obesity and chronic disease prevention
Présentation de Kim Raine au colloque "Recherche interventionnelle contre le cancer : Réunir chercheurs, décideurs et acteurs de terrain » - 17 et 18 novembre 2014, BnF, Paris
Oral health promotion is a comprehensive approach to enhancing the oral health of
families, communities and populations which both
complements and challenges the approach on which formal
health care systems are based.
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
1. Integrating Public Health into Clinical Systems - NDSU
Prevention In The Primary Care Setting - October 15, 2015
Kristin Erickson, MS, APHN-BC, RN
kerickso@co.ottertail.mn.us
2. The Problem
Factors that influence Health
The Minnesota Solution
Statewide Health Improvement Program
PartnerSHIP 4 Health
The Federal Solution
CDC 1422 Community Wellness Grant
The Outcomes
Tonight’s Roadmap
3. The Problem: Chronic illnesses
account for four of the top seven causes of death in
MN…
4. The Problem: The “real” causes of
these deaths are behaviors that are preventable,
such as tobacco use/exposure, poor diet, and
sedentary living…
5. Obesity is epidemic in Minnesota.
• Nearly 2/3 of adults
are overweight or
obese
• Only one out of four
adults eats enough
fruits and vegetables
• Only slightly more than
half of Minnesota
adults get at least a
moderate level of
exercise
Percent of Minnesota Adults Obese
6. Tobacco continues to be a problem in
Minnesota.
• 14.4% of adults
smoke, and many
others are
subjected to
secondhand smoke.
• Over a quarter of
high school
students used
tobacco in the past
30 days. www.mnadulttobaccosurvey.org
8. What Influences Our Health?
• Socio-Ecological Model:
– Individual: knowledge, attitudes,
beliefs
– Interpersonal: family, peers, social
networks
– Organizational: employers, schools,
etc.
– Community: social norms and
standards
– Policy: a law, rule at an employer,
college, or multi-unit housing
Wherewe’vetraditionallyspentourefforts
9. What Influences Our Health?
• Socio-Ecological Model:
– Individual: knowledge, attitudes,
beliefs
– Interpersonal: family, peers, social
networks
– Organizational: employers, schools,
etc.
– Community: social norms and
standards
– Policy: a law, rule at an employer,
college, or multi-unit housing
Wherewe’vetraditionallyspentourefforts
Whatismosteffective
10. 2009 - present day
https://www.youtube.com/watch?v=SMymFKsix6A
Making the Healthy Choice the Easy Choice
Statewide Health
Improvement Program
(SHIP)
11. What is Policy Change?
• Policies include laws, ordinances,
resolutions, mandates,
regulations, or rules (both formal
and informal)
– Policy change includes the passing of
laws, ordinances, resolutions,
mandates, regulations, or rules
– Example: organizational policy that
allows the use of flex-time to
accommodate physical activity
12. What is System Change?
• Systems impact all elements of an
organization, institution, or system
– Systems change impacts all elements
of an organization and often focuses
on changing infrastructure within a
school, park, worksite or healthcare
setting
– Example: Implementation of the WHO
10 Steps to Successful Breastfeeding
and becoming a baby-friendly hospital
system
13. What is Environmental
Change?
• The environment involves physical
or material elements of the
economic, social, or physical
environment
– Environmental change is a change
made to the physical or material
elements
– Example: Incorporating sidewalks,
paths, and/or recreation areas into
community design
14. Policy, systems, and environmental changes…
supporting healthy individual behaviors…
How it
works
• work with schools to serve more
locally grown produce
Rather than just telling
kids about good
nutrition
• help employers build
opportunities into the day
Rather than just telling
people to get more
physical activity
• help college campuses become
smoke-free
Rather than just telling
students to avoid
second-hand smoke
15. PartnerSHIP 4 Health
Community and public health partners in Becker,
Clay, Otter Tail and Wilkin counties working
together to create an environment that supports
improved health for all
Funded by the Statewide Health Improvement
Program (SHIP) as well as multiple additional
funding streams
16. Multiple funding streams
• Statewide Health Improvement Program - SHIP
• SHIP Innovation
• CTG, CDC 1422 Community Wellness Grant
• ClearWay
• UCare
• Otto Bremer Foundation
• BCBS Foundation
• MN GreenCorps
• BCBS Center for Prevention
• NW Regional Sustainable Development
18. Walking Alongside Our Partners…
• Human Service Organizations
• Schools
• Worksites
• Communities
• Healthcare
• Childcare
Creating a Culture of Health
Environmental
Changes
Policy Changes
System
Changes
19. It Takes a Team
• Multi-agency, multi-county, multi-disciplinary staff
• The right people doing the right work
• Supported by decision-makers
• Multiple funding partners
20. Complete Streets Active Transportation Safe Routes to School
Active School Day:
Active Recess and
Active Classrooms
Comprehensive School
Physical Activity Programs:
Bike Fleet
Worksite Wellness
INCREASING PHYSICAL ACTIVITY FOR ALL
21. Worksite Wellness:
Lactation Room
Farmers Markets
Fresh Connect Food Hub
and Farm to School
Human Service
Organizations
Community Gardens Healthy Food Pantry
Donations
INCREASING HEALTHY FOOD ACCESS FOR ALL
23. Encourage
Clinical
Obesity and
Tobacco
Guidelines
Encourage
Worksite
Wellness to
Foster Healthy
Role Models
HEALTH CARE STRATEGY #1
ELEVEN PARTNERS
Community Health
Service, Inc. (Migrant
Health)
Family HealthCare
Center (FQHC)
Orthopedic and Sports
Physical Therapy, Inc.
Lake Region Healthcare,
Essentia Health,
Sanford Health, and
Perham Health Clinics
Local Public Health
Departments
24. HEALTH CARE STRATEGY
Five Partners
• Essentia Health St.
Mary’s in Detroit Lakes
• Lake Region Healthcare
in Fergus Falls
• Perham Health in
Perham
• St. Francis in
Breckenridge
• Essentia Health and
Sanford Health in
Fargo-Moorhead
Participate with Local
Hospitals in their
Community Health Needs
Assessment and Strategic
Planning Process
Health Care Strategy #2
25. • Minnesota bent the curve and outperformed nearby states
• Significant health care savings linked to 60,000 more Minnesotans at a healthy weight
U.S. and Regional Obesity Rates
Data source: CDC Behavioral Risk Factor Surveillance System
http://www.health.state.mn.us/news/pressrel/2015/ship042015.html
Initial Results:
Minnesota Alone Trims Obesity Rates Among Upper Midwest States
26. 2015
A NEW CDC GRANT
OPPORTUNITY
“Community Wellness Grant”
(CWG)
27. FUNDING TO PREVENT OBESITY, DIABETES,
AND HEART DISEASE AND STROKE
The Minnesota Department of Health (MDH) received new Centers for
Disease Control & Prevention (CDC) funding to support local communities to
improve health.
PartnerSHIP 4 Health is one of FOUR selected communities to receive funding
targeted for cross-cutting, creative approaches that can positively impact the
health of residents, especially those with the greatest health needs.
The key components and strategies of this grant enhance communities’
current efforts through the Statewide Health Improvement Program (SHIP),
The Minnesota Accountable Health Model or SIM, and Health Care Homes.
Four Components - Fifteen Strategies – 11/15 related to healthcare
28. Improve the Quality of Health Systems, Care Systems, and Care
Delivery for People w/Hypertension and Pre-Diabetes Disparities
2.1 Increase electronic health records (EHR) adoption and the use of health information
technology (HIT) to improve performance (e.g., implement advanced Meaningful
Use data strategies to identify patient populations who experience CVD-related
disparities)
2.2 Increase the institutionalization and monitoring of aggregated/standardized quality
measures at the provider level (e.g., use dashboard measures to monitor
healthcare disparities and implement activities to eliminate healthcare disparities)
2.3 Increase engagement of non-physician team members (i.e., nurses, pharmacists,
nutritionists, physical therapists and patient navigators/community health workers)
in hypertension management in community health care systems
2.4 Increase use of self-measured blood pressure monitoring tied with clinical support
2.5 Implement systems to facilitate identification of patients with undiagnosed
hypertension and people with prediabetes
29. Link Clinical and Community Resources to Support
Heart Disease, Stroke and Type 2 Diabetes Prevention
2.6 Increase engagement of CHWs (such as Community Paramedics) to
promote linkages between health systems and community
resources for adults with high blood pressure and adults with
prediabetes or at high risk for type 2 diabetes
2.7 Increase engagement of community pharmacists in the provision of
medication-self management for adults with high blood pressure
2.8 Implement systems to facilitate bi-directional referral between
community resources and health systems, including lifestyle change
programs (e.g., EHRs, 800 numbers, 211 referral systems, etc.)
30. • Washington, D.C., September 21, 2015 – At 27.6 percent, Minnesota now has the
36th highest adult obesity rate in the nation, according to The State of Obesity:
Better Policies for a Healthier America, a report from the Trust for America’s Health
(TFAH) and the Robert Wood Johnson Foundation (RWJF).
• Across the country, rates increased in five states (Kansas, Minnesota, New Mexico,
Ohio and Utah) and remained stable in the rest.
• Minnesota’s increase in 2014 comes despite investments in the very areas advocated
by the Trust organization and the Robert Wood Johnson Foundation, which co-
released Monday’s report.
• Minnesota’s Statewide Health Improvement Program, or SHIP, has spent nearly $100
million since 2009 on projects to get people to eat better, exercise more and smoke
less.
http://healthyamericans.org/reports/stateofobesity2015/release.php?stateid=MN
http://healthyamericans.org/reports/stateofobesity2015/
http://stateofobesity.org/
http://www.startribune.com/minnesota-one-of-five-states-with-more-obese-adults-in-2014/328583361/
Current Outcomes: September 2015 Data
Obesity Rates Remain High