Co-Champions: Angela Swartzman Scott Kashman Pastor William Glover Healthy Lifestyles Update Our Community is Committed to a Culture of Healthy Lifestyles Co-Champions: Angela Swartzman Scott Kashman Pastor William Glover

Healthy Lifestyles Encourage Lee County residents to pursue a culture of healthy lifestyles including access to nutritional information, physical activity and exercise, stress management, routine medical exams/check-ups, and information on prevention of risk factors for disease. Develop accessible community programs for health literacy, population management, system and policy changes to support a healthy and safe environment while improving the economics of health care in our community.

Healthy Lifestyles Scorecard % of Population Obese When a statistically significant increase in obesity was seen from 2007 to 2011 PRC surveys, Healthy Lifestyles was adopted as the top priority for Healthy Lee. By 2014, a 15% reduction in adult obesity was reported. This exceeds HP 2020. Goal here is to stay better than HP2020 at 23% Tobacco Use Lee County has improved and is better than both national and Florida Tobacco use rates but still not achieving HP 2020 goal.

Scorecard Cont. Infant Mortality Lee County has improved and is better than HP 2020 goal or national and state averages for Infant Mortality. Prenatal Care in the First Trimester We lag Florida and the HP 2020 goal for prenatal care. Very little improvement here. Low Birthweight We continue to hover slightly higher than the HP 2020 goal. Need continued effort to improve. Data is for the FL 3-year average. No statewide data available after 2014.

Healthy Lifestyles Update “Our Story” Awareness Collaboration Intervention Measured Outcomes

Healthy Lifestyles: Overview Encourage Lee County residents to pursue a culture of healthy lifestyles. A focus on healthier lifestyles helps serve as an economic catalyst for our community Focus Areas include: Expanding Commitment to Healthy Lee Encouraging Healthy Lifestyles and Wellness Initiative in the Workplace, Neighborhoods, and Churches Improving Nutritional Habits of the People in Lee County Increasing Physical Activity of the People in Lee County Influencing Policy and Environmental changes in support of healthier lifestyles Awareness The annual Work Plan of the HL Coalition is included in the 10 Year Narrative on page 13.

Healthy Lee Coalition: Momentum Focused on creating and sustaining a community culture of healthier lifestyles Meets Quarterly New Co-Chairs: Angela Swartzman and Scott Kashman Several New Goal Area Owners and revised Plan Document Sally Jackson: Expand Commitment to Healthy Lee Christin Collins and Leslie Amick: Encourage Healthy Lifestyles and Wellness Initiative in the Workplace, Neighborhoods, and Churches Roy Beckford, Diana Giraldo and Brad Ward: Improve Nutritional Habits of the People in Lee County Tracy Siekmann: Increase Physical Activity of the People in Lee County Tessa Lesage and Dan Moser: Influence Policy and Environmental changes in support of healthier lifestyles Priority 1: Focus on Nutrition and Physical Activity Priority 2: Recruit Healthy Lifestyle Ambassadors Collaboration

Accomplishments & Observations Measured Outcomes Intervention 5-2-1-0 Pledge Campaign Million Mile Movement Engagement with Statewide Greenway Trails Harry Chapin served over 6.5 million pounds of fresh produce Malnutrition pilot reduced hospital length of stay by 30% and readmission by 39% More outreach from UF Extension Service Lee Community Healthcare: Good Food is Good Medicine Food is Medicine Group (community wide, physicians and clinicians) focused on intentionally integrating nutrition into wellness plans National Speaker Series Horizon Council Healthcare Task Force engagement

Accomplishments & Observations Updated www.healthylee.com content and links Fit-friendly Companies Grew beginner and family activities Critical Mass Rides YMCA Couch to 5K More bicycle-friendly or walk-friendly communities Engaged Lee County Schools including “Healthy Me” Supported TIGER Grant and ongoing government policies to promote healthy lifestyles, expand transit, bicycle and pedestrian network Increased participation of government influencers and policymakers in Healthy Lee Supported Lee County Sustainability Plan & SWFL Community Foundation Intervention Measured Outcomes

Observations Measured Outcomes 2014 PRC Nutrition Data shows we are getting worse and we could be so much better Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Daily Recommendation of Fruits/Vegetables Measured Outcomes Observations 17% fewer eat recommended fruit/vegetables 2007- 14 Daily Recommendation of Fruits/Vegetables Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Observations Statistically similar 2007- 14 Measured Outcomes Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Measured Outcomes Observations While Obesity improved 15% total overweight has stayed the same Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Observations Those with NO activity Improved 25% 2007- 14 Measured Outcomes Observations Those with NO activity Improved 25% 2007- 14 Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Observations Improved 34.5% 2007- 14 Measured Outcomes Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years. 2012 data for PCPs. 2013 data for Dentists. 2014 data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

Next Steps: All About Relationships Build on current Goal Area’s Momentum Recruit More Healthy Lifestyle Ambassadors Stay focused on nutrition and physical activity as priorities Continue to show the economic impact healthy lifestyles has on our community, businesses and residents…that starts with our Relationships. Please contact Scott Kashman, Angela Swartzman or the goal owners if you want to get more involved.

Healthy Lifestyles Discussion