The goal of SHIP The Statewide Health Improvement Program (SHIP) seeks to: Improve health Decrease costs Our goal: Increase healthy weight adults by 9 percent Reduce young adult tobacco use by 9 percent Our goal: Increase healthy weight adults by 9 percent Reduce young adult tobacco use by 9 percent

Cause of Death, Minnesota 2010Number of Deaths Cancer9599 Heart Disease7144 Stroke2154 Unintentional injuries2087 Chronic lower respiratory disease2012 Alzheimer’s Disease1450 Diabetes1036 Nephritis895 Suicide599 Influenza/pneumonia591 SHIP works to reduce chronic diseases such as heart disease, cancer and diabetes

Source: Mokdad et al, JAMA 2004 March 10; 291 (10): U.S The “Real” Causes of Death: U.S. estimate, 2000 Number of DeathsPercentage Tobacco435,00018% Diet/activity365,00015% Alcohol85,0004% Microbial agents75,0003% Toxic agents55,0002% Firearms29,0001% Sexual behavior20,000<1% Motor vehicles43,000<1% Illicit use of drugs17,000<1% It does this through prevention—reducing the behaviors that lead to chronic disease

Percent of Minnesota Adults Obese Health 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. Obesity is epidemic in Minnesota

Percent of Minnesota Adult Current Smokers Health in Minnesota 15% of adults smoke, and many others are subjected to secondhand smoke. In high school, over a quarter of students used tobacco in the past 30 days. Tobacco continues to be a problem

Health in Minnesota Health Care Spending in Minnesota from All contributing to health care costs that are out of control

$2.9 billion in annual medical costs (2007) Tobacco Obesity $2.8 billion estimated annual financial burden (2006) Health in Minnesota The financial burden on Minnesota is enormous

Source: Center for Disease Control and Prevention, University of California at San Francisco, Institute for the Future, thanks to Dakota SHIP Minnesota spends annually per-capita: Health care: almost $7000 SHIP: less than $4 Health in Minnesota Yet prevention is a tiny percent of health spending

The goal of SHIP: The goal of the Statewide Health Improvement Program (SHIP) is to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease. How SHIP Works The solution: prevent chronic disease and thereby reduce health care spending

How SHIP Works The SHIP model: improving health by increasing opportunities for healthy choices Increased opportunities for physical activity, nutritious food, and tobacco- free living… …means more people get physical activity, better nutrition, and less tobacco exposure… …leading to Improved health… …lowering health care costs, and improving quality of life.

Working toward policy change, not individual change Rather than tell kids about good nutrition, work with schools to serve more locally grown produce. Rather than tell people to get more physical activity, help employers build opportunities into the day. Rather than tell students to avoid second-hand smoke, help college campuses to become smoke-free. How it works

SHIP for grantees 55 counties and cities and one tribal community

SHIP for Results Through year three

A healthy start for young children through more physical activity and healthier eating in childcare

Healthy eating at school through “Farm to School” programs, school gardens and healthier snacks.

Physical activity for kids by walking and biking to school, “Active Classrooms” and PE

Tobacco-free colleges, including help quitting

Helping families avoid tobacco smoke at home through smoke-free multi-unit housing

Results from the First Two Years Farmers markets Supported or created 71 farmers markets More access to healthy eating, including farmers markets and corner store initiatives

Encouraging active living through more sidewalks, bike paths and safe crosswalks

Partnering with healthcare providers to encourage referrals, breastfeeding, and cessation services

Good health at work through workplace wellness programs

– Local control – Strong partnerships – Evidence-based strategies – Sustainability – Strong evaluation Keys to success