COMMUNITY TRANSFORMATION GRANT (CTG) NOVEMBER 12, 2012 Makeda Harris, MPM Director, Office of Policy Planning and Evaluation Louisville Metro Department of Public Health & Wellness

LMPHW Priorities Creating a Culture of Health and Wellness in Metro Louisville Continued focus on Social Determinants of Health and Health Equity Strengthening Public-Private Partnerships Increased connection between public health and clinical medicine Outcomes driven approach to program and policy development

Snapshot of Louisville Metro Health Status 1 in 3 adults in Louisville are overweight or obese – Increased risk for high blood pressure, diabetes, some cancers, arthritis/joint pain 25% of Louisville Metro adults still use tobacco products – Increased risk for lung disease, cancer, heart attack and stroke, and poor wound healing Louisville Metro’s rate of deaths for heart disease, cancer, diabetes, stroke are higher than the death rates for Kentucky and the US

How Do We Improve Health?

Community Transformation Grant CTG PRIORITY AREAS: SD 1: tobacco-free living SD 2: active living & healthy eating SD 3: evidence-based, quality clinical, preventive services – focus on prevention and control of high blood pressure and high cholesterol. Maximize Public Health Impact & Reach Maximize Health Equity – proactively address – measure and track in ALL strategies

CTG & National Prevention Strategy REACH REACH

CTG Application v. Award! $2.2M $ 721K Required Strategies

CTG Strategic Directions: Required Strategies Tobacco Free LivingHealthy Eating & Active Living Quality Clinical & Preventative TRANSFORMATIONAL

Evidence Based Strategies Community-wide and Equity-driven DEMONSTRATE REACH Negotiating CTG POLICY, SYSTEMS & ENVIRONMENTAL CHANGE TRANSFORMATIONAL CHANGE

CTG Strategic Directions Tobacco Free LivingHealthy Eating & Active Living Quality Clinical & Preventative 1. Community Activity Fully engaged community Widespread awareness/education 2. Stand Alone Projects World-class service/efficiency Quality performance measures 3. Scale Projects Population Health & Prevention Equity-Driven Comprehensive Solutions 4. Integrated Policy High Expectations are the norm Raise bar for next health challenge TRANSFORMATIONAL INCREMENTAL AMBITIOUS HOW TO ACHIEVE AMBITIOUS CHANGE? POLICY, SYSTEMS & ENVIRONMENTAL CHANGE

Louisville’s CTG Strategies SD1 Smoke Free Multi-Family Housing SD2 Strategy for Healthy Schools SD3 Patient Centered Medical Home Tobacco Free Living Quality Clinical Preventative Healthy Eating & Active Living Cooper Clayton Smoking Cessation Urban & Community Gardens National Diabetes Prevention

Louisville’s CTG Strategies SD1 Smoke Free Multi-Family Housing SD2 SD3 Tobacco Free Living Quality Clinical Preventative Healthy Eating & Active Living Cooper Clayton Smoking Cessation Louisville Smoke Free Coalition: Grow Demand for Smoke Free Living Both Public & Private Rental Louisville Metro Housing Authority - 15% of Units Private % - TBD Kentucky Cancer Program: Social Support to Quit for Individuals

Louisville’s CTG Strategies SD2 Strategy for Healthy Schools SD2 SD3 Healthy Eating & Active Living Quality Clinical Preventative Tobacco Free Living Urban & Community Gardens Jefferson County Public Schools: Strategic Taskforce for Integrated Healthy Schools Solutions Opportunities to include: Healthy Eating Healthy Vending Student Activity Staff Wellness UofL-CEPM & KY Extension: Urban Home & Community Gardens Program Econ Dev & Innovation Community Gardens Master Plan

Louisville’s CTG Strategies SD3 Patient Centered Medical Home SD2 SD3 Quality Clinical Preventative Tobacco Free Living Healthy Eating & Active Living National Diabetes Prevention Family Health Centers Inc.: Leverage EMR Installation Provide Proactive team based Patient Centered Care Focus on Population Health/ Prevention of Chronic Disease YMCA of Greater Louisville Expand Diabetes Prevention Work with disparate populations

Louisville’s CTG Reach: = 170,000 People

Louisville’s CTG Strategies SD1SD2SD3 Tobacco Free Living Quality Clinical Preventative Healthy Eating & Active Living

Mayor’s Healthy Hometown Movement Expanded, Restructured & Re-launched Strategic Integration of Health Equity for Community Transformation

Mayor’s Healthy Hometown Movement Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities Tobacco Prevention and Control Healthy EatingActive Living Chronic Disease Prevention and Management Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities Health Equity

MHHM Infrastructure LMPHW Leadership Team Community Coalition

Leadership Team “Health-in-All-Policies” Public Health & Wellness Metro Parks Public Works Codes & Regulations Human Resources Economic Growth & Innovation LMPD Community Services & Revitalization TARC JCPS Human Relations Commission Metro Council Housing Authority Mayor’s Office

Community Coalition Primary mechanism for individuals, community-based organizations, businesses, and faith-based institutions to share their ideas and concerns with LMPHW Any individual who resides in or is a member /employee of an organization doing business in Louisville Metro is eligible to join the community coalition

Community Coalition: Roles & Responsibilities Advise LMPHW on grant activities related to the four focus areas Recommend policies, programs, and practices related to the four focus areas Develop a community-wide 5-year strategic plan for Ensuring a Healthy Community Support the development of a learning collaborative

Community Coalition: Executive Committee A group of eight individuals who will provide general oversight and structure for the community coalition Meets with MHHM Leadership Team quarterly to provide updates and advise on policy and programmatic matters relevant to the scope of the community coalition Receives support from LMPHW program staff

Community Coalition Executive Committee Tobacco Prevention & Control Active Living Healthy Eating Chronic Disease Prevention & Management

What’s a Policy, Program, or Practice? Policy Clean air for workplaces Requiring posting of caloric information at food retail establishments Program Cooper-Clayton smoking cessation courses National Diabetes Prevention Program Practice Collection of health behavior data in JCPS middle and high schools Contracting with health insurance plans that offer wellness benefits

How Do We Improve Health?