This document discusses strategies to promote population health in the United States. It provides data showing poor control of health conditions like high blood pressure and cholesterol. It also discusses how employers can play a key role in wellness since most Americans get health insurance through work. The document proposes several strategic directions for a National Prevention Strategy including promoting active lifestyles, healthy eating, strong public health infrastructure, and making clinical preventive services more accessible. It seeks input on draft strategic directions to guide federal prevention activities.
Challenges towards health care & Nursing personnel due to Covid 19Mounika Bhallam
CHALLENGES TOWARDS HEALTH CARE & NURSING PERSONNEL DUE TO COVID -19: this topic will provide knowledge regarding Challenges and overcoming of covid issues in Hospital and community.
Health Promotion and Population Health: an Health Promotion Clearinghouse Re...Rafa Cofiño
Within the “Health Promotion and Population Health” resource list, you will find a variety of
information from provincial, national and international sources on the topic population health. This
resource list is organized into five sections: Overview, Documents, Organizational Links, Other Tools
and Resources, and Funding Opportunities.
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
Health promotion is directed towards action on the determinants or causes of health. Health promotion, therefore, requires a close co-operation of sectors beyond health services, reflecting the diversity of conditions which influence health. Government at both local and national levels has a unique responsibility to act appropriately and in a timely way to ensure that the ‘total’ environment, which is beyond the control of individuals and groups, is conducive to health. It is a positive concept emphasizing personal, social, political and institutional resources, as well as physical capacities. Health promotion is any combination of health, education, economic, political, spiritual or organizational initiative designed to bring about positive attitudinal, behavioral, social or environmental changes conducive to improving the health of populations.
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
A tremendous need exists to engage hard-to-reach populations in HIV/AIDS care. That’s because numerous factors prevent people living with HIV/AIDS (PLWHA)—especially disadvantaged and disproportionately affected populations—from engaging in care or remaining in care.
This Webcast introduces providers to several successful strategies for reaching the most vulnerable populations:
Howell Strauss, DMD, AIDS Care Group, discusses traditional street outreach, as well as his involvement with both the SPNS Oral Health Initiative and the SPNS Jail Initiative.
Lisa Hightow-Weidman, MD, MPH, Department of Infectious Diseases University of North Carolina at Chapel Hill, shares best practices in social marketing outreach in the context of her work as a SPNS Young Men who Have Sex with Men of Color Initiative grantee.
Ageing is an important physiological phenomenon faced by all living individuals that is multifactorial and complex. The causation is still a matter of controversy. There is a lack of consensus regarding the appropriate age of ageing, though most of the countries uses chronological ages.
This presentation is regarding active ageing that builds up framework that will help the elderly mass to live a disease free active life with active participation and security in life.
This presentation also describes the different challenges faced by the elderly population for active ageing.
Government of India has been working for the aged population and there has been a number of policies and programmes that are solely dedicated to the elderly masses that has been also described here.
Concept and definitions
Health education
Beliefs and approaches in health promotion
Health promotion strategies and priority actions
Public health, social movement, health inequity and millennium goals
Canadian experience in health promotion
Conclusion
Social Determinants and Global Health
Julius Global Health, Julius Center, University Medical Center Utrecht, The Netherlands.
For more information: www.globalhealth.eu
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...ExternalEvents
"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium
The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 2.2: Information and education for healthy food behaviours"
Challenges towards health care & Nursing personnel due to Covid 19Mounika Bhallam
CHALLENGES TOWARDS HEALTH CARE & NURSING PERSONNEL DUE TO COVID -19: this topic will provide knowledge regarding Challenges and overcoming of covid issues in Hospital and community.
Health Promotion and Population Health: an Health Promotion Clearinghouse Re...Rafa Cofiño
Within the “Health Promotion and Population Health” resource list, you will find a variety of
information from provincial, national and international sources on the topic population health. This
resource list is organized into five sections: Overview, Documents, Organizational Links, Other Tools
and Resources, and Funding Opportunities.
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
Health promotion is directed towards action on the determinants or causes of health. Health promotion, therefore, requires a close co-operation of sectors beyond health services, reflecting the diversity of conditions which influence health. Government at both local and national levels has a unique responsibility to act appropriately and in a timely way to ensure that the ‘total’ environment, which is beyond the control of individuals and groups, is conducive to health. It is a positive concept emphasizing personal, social, political and institutional resources, as well as physical capacities. Health promotion is any combination of health, education, economic, political, spiritual or organizational initiative designed to bring about positive attitudinal, behavioral, social or environmental changes conducive to improving the health of populations.
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
A tremendous need exists to engage hard-to-reach populations in HIV/AIDS care. That’s because numerous factors prevent people living with HIV/AIDS (PLWHA)—especially disadvantaged and disproportionately affected populations—from engaging in care or remaining in care.
This Webcast introduces providers to several successful strategies for reaching the most vulnerable populations:
Howell Strauss, DMD, AIDS Care Group, discusses traditional street outreach, as well as his involvement with both the SPNS Oral Health Initiative and the SPNS Jail Initiative.
Lisa Hightow-Weidman, MD, MPH, Department of Infectious Diseases University of North Carolina at Chapel Hill, shares best practices in social marketing outreach in the context of her work as a SPNS Young Men who Have Sex with Men of Color Initiative grantee.
Ageing is an important physiological phenomenon faced by all living individuals that is multifactorial and complex. The causation is still a matter of controversy. There is a lack of consensus regarding the appropriate age of ageing, though most of the countries uses chronological ages.
This presentation is regarding active ageing that builds up framework that will help the elderly mass to live a disease free active life with active participation and security in life.
This presentation also describes the different challenges faced by the elderly population for active ageing.
Government of India has been working for the aged population and there has been a number of policies and programmes that are solely dedicated to the elderly masses that has been also described here.
Concept and definitions
Health education
Beliefs and approaches in health promotion
Health promotion strategies and priority actions
Public health, social movement, health inequity and millennium goals
Canadian experience in health promotion
Conclusion
Social Determinants and Global Health
Julius Global Health, Julius Center, University Medical Center Utrecht, The Netherlands.
For more information: www.globalhealth.eu
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...ExternalEvents
"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium
The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 2.2: Information and education for healthy food behaviours"
The Intersection of Medical Research and Public Healthkmbrown08
The purpose of this project is to show the necessity of collaboration between medical research and public health to improve the outlook of our nation’s future. Case studies focusing on influenza, childhood obesity and HIV/AIDS show how the fields have intersected to address health problems in the past, and how they can continue to intersect in the present and the future. Finally, this study identifies key public health advocacy messages that need to be heard on a national level in order to bolster the intersection of medical research and public health.
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
John Middleton: A public health view on commissioningNuffield Trust
Dr John Middleton, Sandwell Primary Care Trust, offers a public health view on the challenges of commissioning in the context of the Government’s NHS reforms.
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.
Harm Reduction february 2013 Nursing Education Saskatchewangriehl
Here is a basic presentation on Harm Reduction, for Nursing Students, that can easily be adapted for health care providers in various fields of practice.
All Our Health - A Call to Action to All Healthcare ProfessionalsViv Bennett
A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap,
contribute to a radical upgrade in prevention and public health and develop a social movement for health
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
Place matters for health! A growing body of research over the last several decades has shown the connections between place and health. From obesity and chronic disease to depression, social isolation, or increased exposure to environmental toxins and pollutants, a person’s zip code can be a more reliable determinant of health than their genetic code.
In 2016, Project for Public Spaces compiled a report of peer-reviewed research that found key factors linking pubic spaces and peoples’ health. And public spaces are more than just parks and plazas – our streets represent the largest area of public space a community has!
This webinar will introduce participants to the placemaking process, the research behind the findings linking place and health, and how to envision streets as places – not just their function in transporting people and goods, but the vital role they play in animating the social and economic life of communities.
Using case problems, this webinar will give attendees real-world examples of workplace wellness situations and help attendees learn from those situations so that they can design and implement a compliant wellness program. Through case problems, attendees will review compliance mistakes concerning HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws. Participants will learn how to use those laws to build a better workplace wellness program.
Learning Objectives:
* Understand how to apply laws to specific factual situations.
* Identify red flags in certain common workplace wellness practices.
* Learn the basics of HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws as those laws relate to workplace wellness programs.
Looking for a healthier investment strategy? A new study by The Health Project (THP) finds that a portfolio of stock in companies that have won the prestigious C. Everett Koop National Health Award -- recognizing effective workplace health promotion programs -- has significantly outperformed the Standard & Poor's (S&P) 500 Index over the past 14 years. Since 2000, investing in Koop Award winners would have produced more than double the returns of the S&P 500, according to the new research led by THP President and CEO Dr. Ron Goetzel. Tune in to this webinar to hear more about this and related studies.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
John Weaver, Psy.D. is a Licensed Psychologist who received his Doctor of Psychology degree from the Wisconsin School of Professional Psychology. He also has a Master of Science degree in Clinical Psychology from Marquette University and a Master of Divinity degree from St. Francis School of Pastoral Ministry.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
The way you communicate, and what you communicate, shapes how your employees feel about working there. Yet organizations often fail to prioritize corporate communication, to the detriment of their entire workplace culture.
Regular communication with employees sends the message that you value them as whole people. And consistent, meaningful communication can strengthen the employee-employer relationship. And when that relationship is strong, everyone wins: the employees, the employer, and the customers, clients, or patients.
You’ll come away from this webinar with immediately-useful tips and insider tricks from our 30+ years of experience producing engaging employee communications and leave with a blueprint of how to produce your own communications, or evaluate a vendor’s options, plus creative options.
We are reminded of the risk of workplace violence every time we hear of a tragic shooting on the news. As wellness professionals, we often have a broad contact with individuals who are struggling and with the structures of organizations that can have an influence on whether those individuals get help or act out their anger and frustration. In this session we will look at risk factors that can be identified to indicate that an individual needs additional assessment and help and at the organizational structures that can be implemented to reduce the risk of violence in your workplace. It is important that, as wellness professionals, we look at how to address this extreme form of unhealthy behavior.
Wellness is who we are, not what we do. As Oklahoma State University’s Chief Wellness Officer, Dr. Suzy Harrington shares a comprehensive, evidence based, wellness strategy model, driving America’s Healthiest Campus®. This model is transferrable to any setting to strategize the collaboration and vision for students, employees, and in the communities in which we live, learn, work, play, and pray. In addition to the model, Dr. Harrington will share the foundational structures that must be in place to support a sustainable culture of wellness.
Have you ever wondered why it is that even people who desperately want to adopt healthier lifestyles don’t stick with them once their initial burst of motivation fades? This provocative webinar will discuss the surprising reasons this is true and also showcase a new science-based paradigm to motivate healthy behavior so it is maintained over time. Dr. Michelle Segar will explain why logic-based reasons for behavior change (e.g., better heath, disease prevention, etc.) keep people stuck in cycles of starting and stopping but not behavioral sustainability. Using story and science, she will describe an easy-to-adopt, novel approach to promoting health, wellness, and fitness behaviors that leading organizations are starting to adopt. Attendees will leave this webinar with a more strategic way to communicate about and promote the sustainable behavior necessary for achieving improved health and well-being.
This webinar will discuss the major federal laws that impact workplace wellness program design, including the Affordable Care Act/HIPAA Nondiscrimination rules on the use of financial incentives, the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act (GINA), federal tax laws as well as recent EEOC action such as the proposed ADA rules and lawsuits against Honeywell, Flambeau and Orion Energy Systems. Through case examples, the speaker will explain how each of these laws interact with one another, who enforces these laws, what to expect in terms of future guidance, and how health promotion professionals can use these laws as tools in designing more effective and inclusive workplace wellness programs.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Samantha Harden discuss provides an overview of the RE_AIM framework which evaluates the effectiveness of interventions based on the following five dimensions:
Reach into the target population
Effectiveness or efficacy
Adoption by target settings, institutions and staff
Implementation - consistency and cost of delivery of intervention
Maintenance of intervention effects in individuals and settings over time.
We will also practice using RE-AIM in planning, implementation, and evaluation and share resources available on RE-AIM.org.
Learning Objectives
1. Understand the five RE-AIM dimensions
2. Practice using RE-AIM for planning, implementation, and evaluation
3. Explore available resources found at RE-AIM.org
Simply applying knowledge we have reliably in hand, we could prevent fully 80% of all chronic disease and premature death in modernized and modernizing countries. Standing between us and that prize is an obstacle course of competing claims, false promises, and profit-driven, pop culture nonsense. The case will be made for True Health Coalition to rally diverse voices to the cause of using what we know, even as we pursue what we do not. The challenges, operations, and promise of the endeavor will be discussed.
Shannon Polly will lead a webinar on teaching tangible techniques and exercises that help people cultivate presence. The hour-long webinar will also include information on what science is telling us about presence. Shannon Polly brings both her expertise as a professional actor, playwright and Broadway producer and her background in positive psychology as a teacher, facilitator and coach to this somatic approach to well-being and thriving.
“It’s a common myth that you either have ‘executive presence’ – that essence that helps you to command a room – or you don’t”, says Polly, “but that is simply not true. As an actor, I know there are tricks and techniques, and as a Positive Psychology Expert, I also know that how you carry yourself physically has a big impact.”
More from HPCareer.Net / State of Wellness Inc. (20)
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Instructions for Submissions thorugh G- Classroom.pptx
State of Wellness - CDC
1. CDC
State of Wellness
Wendy Heaps MPH, CHES.
Senior Advisor
Policy Research, Analysis, and Development Office
Office of the Associate Director for Policy
Office of the Director, CDC
wah9@cdc.gov
Office of the Director
Office of the Associate Director for Policy
3. On ABCS, the USA gets an “F”
People at increased risk of CVD who are taking
Aspirin – 33%
People with hypertension who have adequately
controlled blood pressure –44%
People with high Cholesterol who have adequately
controlled hyperlipidemia – 29%
Smokers who try to quit and get help – 20%
Despite spending nearly $0.71/$1
on direct health care provision
3
4. Assuring the Conditions for Population Health
Commun-
ities
Governmental Healthcare
Public Health Delivery
Infrastructure System
Employers &
Academia
Businesses
The Media
Source: IOM. 2003. Assuring the Public’s Health in the 21st Century. Washington, D.C.: NAS; p. 30.
4
5. Employers
• 143 million full- and part- time workers
• Employees spend most of their day at the
workplace
• Employer based health insurance provided
coverage to 159 million Americans (63.4% of
those under age 65) in 2003
• Employers pay for 36% of the nation’s
healthcare expenditures
• Over half of employers with 500+ employees
offer some sort of wellness program
6. Key: Text in white
indicates OPTH target
Health Impact Pyramid
Increasing
Individual • Ongoing interventions: personalized HRA, health information,
Counseling education, counseling and support
Effort & Education • Lifestyle interventions connecting personal health services with
Required community-based services: obesity, smoking, YMCA-DPP, etc.
• Ongoing interventions: CVD prevention has greatest impact,
A1C testing and reporting
Clinical • Medication adherence and personalized behavioral
Interventions interventions
• Care coordination, particularly multiple chronic
comordibities
Long-Lasting • One-time or infrequent interventions:
Protective immunizations, colonoscopy
Increasing • Smoking cessation
Population
Interventions
Impact •Healthy air, water, food
Changing Context To Make •Salt iodization
Individuals’ Default •Water fluoridation
• Essential HI benefits packages:
Decisions Healthy high value services
•Poverty reduction
•Improved education
Socioeconomic Factors • Health insurance/access to
care
Source: Adapted from Frieden TR. A Framework for Public Health Action: The Health Impact Pyramid. Am
J Public Health. 2010;100(4):590-5.
7. Affordable Care Act: Pillars of Prevention
Key preventive services now covered without cost
sharing
Prevention and Public Health Fund
Public health policies and programs
National Prevention Council/National Prevention Strategy
8. More People Will Have Access to
Clinical Preventive Services
Key preventive services
now covered without cost
sharing
Focused on quality and
utilization of services
9. The National Prevention Council
Established by the Affordable Care Act
A unique opportunity to prioritize and align
prevention activities
Chaired by the Surgeon General
Council members: 17 federal departments
Advisory Group: 25 non-federal members
10. National Prevention Strategy
Ground activities in evidence-based practices
Set specific actions and timelines
Align and focus federal prevention and health promotion
activities
Align with existing strategies and initiatives, including:
Healthy People 2020
National Quality Strategy
First Lady’s “Let’s Move!” campaign
Surgeon General’s Vision for a Healthy and Fit Nation 2010
National HIV/AIDS Strategy
11. Key Deliverables
The National Prevention and Health Promotion Strategy
Ongoing leadership and coordination of federal
prevention activities
Annual status report
12. Approach
Work across sectors
Catalyze public and private partnerships
Federal, state, local, territorial, and tribal
Private, nonprofit, faith, community, labor
Focus on where people live, learn, work, and play
Community, worksite, institutions, etc.
Prioritize scalable activities
13. Examples of National Prevention Strategy:
Guiding Principles
Strategic Interventions:
Focus on preventing leading causes of death and their
underlying risk factors
Prioritize high impact, evidence-based, scalable
interventions
Promote high value preventive care practices
14. Examples of National Prevention Strategy:
Guiding Principles
Maximize Impact:
Establish a cohesive federal response
Promote alignment between the public and private
sectors:
– Federal, state, local, territorial, and tribal
– Private, nonprofit, faith, community, labor
Obtain stakeholder input
15. Draft Strategic Directions
Active Lifestyles High Impact Quality
Clinical Preventive
Eliminate Health Services
Disparities
Injury-Free Living
Counter Alcohol/
Substance Misuse Mental and Emotional
Wellbeing
Healthy Eating
Strong Public Health
Healthy Physical and Infrastructure
Social Environment
Tobacco-Free Living
16. Draft Strategic Directions: Purpose
Creates a structure from which to develop specific
recommendations and actions.
Establishes priorities that best prevent the leading
causes of death and disease.
Serves as a guide to assist policymakers, practitioners,
and communities in focusing prevention and wellness
activities.
17. National Prevention Strategy:
We Welcome Your Continued Input.
To provide input, go to:
http://www.healthcare.gov/nationalpreventioncouncil
18. Winnable Battles
Healthcare-associated infections (HAIs)
HIV
Motor vehicle injuries
Obesity/Nutrition/Physical Activity/Food Safety
Teen pregnancy
Tobacco
18
20. Obesity, Nutrition, Physical Activity and Food Safety
Continue to support ••Let’s Move and the National
Plan to Prevent Obesity
Advance sodium and ••trans fat reduction strategies
Improve the ability to identify and reduce incidences
of ••Salmonella by implementing new identification
tests in public health labs
Develop and help promote national standards on
food marketing to children
20
21. Per Capita Expenses Due to Excess Weight
Obesity Grade I II III
Men (total) $1,143 $2,491 $6,078
Medical $475 $824 $1,269
Absenteeism $277 $657 $1,026
Presenteeism $391 $1,010 $3,792
Women (total) $2,524 $4,112 $6,694
Medical $1,274 $2,532 $2,395
Absenteeism $407 $67 $1,262
Presenteeism $843 $1,513 $3,037
Finkelstein EA et al. J Occupational Environ Med 2010;52:971
22. Costs of Obesity – 1998 vs 2008
1998 2008
Total costs $78.5 B/y $147 B/y
Medical costs 6.5% 9.1%
Finkelstein et al. Health Affairs 2009; 28:w822
23. Obesity Trends Among U.S. Adults
BRFSS, 1990, 1999, 2009
1990 1999
2009
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
24. Principal Targets
Pregnancy: pre-pregnant weight, weight gain, diabetes,
smoking
Reduce energy intake
Decrease high and increase low ED foods
Increase fruit and vegetable intake
Reduce sugar-sweetened beverages
Decrease television time
Breastfeeding
Increase energy expenditure
Increase daily physical activity
25. Priority Strategies to Address Target
Behaviors
Energy density
Apply nutrition standards in child care and schools
Promote menu labeling in states and communities
Increase retail food stores in underserved areas
Fruits and vegetables
Increase access through retail stores
Farm to where you are policies
Food policy councils
Sugar-sweetened beverages
Ensure access to safe and good tasting water
Limit access
Differential pricing strategies
26. Priority Strategies to Address Target Behaviors
Television viewing
Regulations to limit TV time in child care settings
Limit food advertising directed at children
Breastfeeding
Policies and environmental supports in maternity care
Policy and environmental supports in worksites
State and national coalitions to support breastfeeding
Physical activity
Community-wide campaigns
Increase access with informational outreach
Increase opportunities for PA in school settings
Resource: Breastfeeding Report Card,
http://www.cdc.gov/breastfeeding/data/reportcard.htm
27. Breastfeeding in the Workplace
Providing education for parents-to-be on the
importance of breastfeeding
Providing support to new mothers after delivery with
unlimited phone counseling with a lactation
consultant
Meeting the needs of mothers returning to work by
providing a return-to-work consultation and a
lactation room
Equipment at the worksite that will allow mothers to
continue supplying the important nutritional benefits
of breast milk
28. Settings for the Prevention and Treatment of
Obesity
Industry
Child care
Medical Settings
School
Work Site
Community
32. About 438,000 U.S. Deaths per Year
Attributable to Cigarette Smoking*
Stroke Other cancers
17,400 34,700
Other diagnoses
84,600
Lung cancer
123,800
Chronic lung
disease
90,600
Coronary heart disease
84,600
*Average number of deaths, 1997-2001.
Source: MMWR 2005;54(25):625-8.
33. Productivity, Absenteeism, Disability, Cost
• Smokers incur higher costs related to disability, lost
productivity, and absenteeism
• Smoking costs about $92 billion per year in lost
productivity due to premature death
• Men incur nearly $16,000 and women nearly $17,000
more in lifetime medical expenses than nonsmokers
• Smokers: 1-2 more years of disability than nonsmokers
• Sick days: Men use four more, women use two more than
nonsmokers
34. Tobacco
Implement and evaluate tobacco control programs
funded through the American Recovery and
Reinvestment Act
Promote anti-tobacco education campaigns•
Continue progress on smoke-free laws and price
increases
Support the implementation of the Family Smoking
Prevention and Tobacco Control Act
Promote new cessation services through health
reform
34
35. Federal Employee Health
Benefits 2011
• Cover all seven FDA-approved cessation medications
and individual, group, and telephone counseling -- the
treatments found to be effective in the 2008 update of
the Clinical Practice Guideline on Treating Tobacco
Use and Dependence.
• No copayments or coinsurance and not subject to
deductibles or annual/lifetime dollar limits.
36. Case Study: CDC’s Tobacco Free
Campus Initiative
• Significant policy change in 2005
• Completely smoke free
campuses, indoors and out
• Collaboration of health promotion,
clinical, EAP staff and “quit-lines”
• Personal quit plan, free nicotine
replacement
• Support for multiple quit attempts
• Link annually with the Great
American Smokeout®
36
38. Policy Horizons: Does Your Organization Have
These in Place?
Tobacco-free campus or worksite
Flexible work/schedule policies
parental/dependent care
Nutritious foods-at-meetings policy
Healthy transportation policies
Smoke-free meetings policy
Time during work hours for wellness activities
Physical activity
Training or educational opportunities, health fairs,
events
Screenings, health coaching, EAP
39. Does Your Built Environment Allow Health to
Thrive?
Safe, hazard-free workplace
Welcoming, user-friendly workspaces
Stairs, walkways, paths, trails that are safe and
inviting
Onsite food choices that make eating healthier easy
Lactation rooms
Transportation and parking options that enhance
health
Onsite or nearby health clinic or access to
healthcare providers
Fitness facilities or opportunities for physical
activity
39
41. Lean Works
• Leading Employees to Activity and Nutrition
– CDC LEAN Works! is a FREE website that offers a
comprehensive, one-stop resource for planning,
designing, building, promoting, and assessing worksite
obesity management programs
41
41
42. Federal Initiatives
Let’s Move
Empower parents
Healthier foods in schools
Physical activity
Access to affordable healthy food
Childhood Obesity Task Force
HHS Healthy Weight Task Force
National Action Plan for Physical Activity
Dietary Guidelines for Americans
Communities Putting Prevention to Work (CPPW)
Child Nutrition Reauthorization
Surgeon General’s Call to Action on Breastfeeding
FTC Guidelines for Foods Marketed to Children
National Prevention, Health Promotion and Public Health Council
43. Resources
www.cdc.gov/workplacehealthpromotion
www.cdc.gov/workplacehealthpromotion/healthtopic
s/index.html
Webber A, Mercure S. Improving population health:
the business community imperative. Prev Chronic
Dis 2010;7(6).
www.cdc.gov/pcd/issues/2010/nov/10_0086.htm.
www.cdc.gov/communitiesputtingpreventiontowork
http://www.healthcare.gov/nationalpreventioncouncil
44. Acknowledgements
Pam Allweiss , National Center for Chronic Disease
Prevention and Health Promotion , CDC
Casey Chosewood National Institute for
Occupational Safety and Health CDC
Jason Lang, National Center for Chronic Disease
Prevention and Health Promotion , CDC
Lydia Ogden, Office of Prevention Through
Healthcare, CDC
Abby Rosenthal, National Center for Chornic
Disease Prevention and Health Promotion , CDC
45. Thank You!
Questions?
Comments?
Contact information :
WHeaps@CDC.Gov