1. What Does Public Health Mean by PSE Change?
Connecticut Cancer Partnership
13th Annual Meeting
December 6, 2016
Lisa Strelez McCooey, MPH, Director
DPH Comprehensive Cancer Program
Connecticut Department of Public Health
Keeping Connecticut Healthy

2. What is PSE short for? PSE Change = Policy Systems
Environmental Change

3. What is PSE change?
An approach on how to effectively improve health in a community
Prioritizes creating or changing infrastructure to support healthy behavior across populations
Focuses on modifying context in which people live through changing policy, systems, and/or environment to make healthy choices available and easy for everyone

4. Why is PSE change important?
Where you live affects how you live – you simply cannot make healthy decisions if healthy options are not available to you
Makes healthier choices a real, feasible option for every community member by looking at laws, rules, and environments that impact our behavior

5. What’s the difference between a program and a PSE change?
Hold a low-cost community mammography event
Change appointment hours to include nights and weekends
Provide a healthy lunch at a work meeting
Adopt a healthy food meeting policy
Sponsor a screening fair at work
Allow time off every year for employees to get screened
Hold free breastfeeding courses for new moms
Implement WHO 10 Steps to Successful Breastfeeding and become a baby friendly hospital

6. About Policy Change
Policy change includes passing of laws, ordinances, resolutions, mandates, regulations, or rules
Examples:
Adding a tax on unhealthy foods
Passing an ordinance allowing residents to plant community gardens in vacant lots
Schools establishing a policy that prohibits junk food in school fundraising drives

7. About Systems Change
Systems change involves change made to the rules within an organization
Examples:
Creating a community plan to account for health impacts of new projects
Creating a certification system of school bake sales to ensure they are in line with school wellness policy

8. About Environmental Change
Environmental change is change made to the physical environment
Examples:
Municipality undertakes a planning process to ensure better pedestrian and bicycle access to main roads and parks
Community development includes neighborhood corridors with pedestrian accommodations meeting needs of seniors (e.g., adequate benches and ramped sidewalks)

9. How does PSE change relate to cancer control?
Maximizes public health cancer control resources by extending impact of interventions to reach populations instead of individuals
Applicable to all stages of cancer control continuum, and to various settings including communities, neighborhoods, schools, workplaces, and healthcare settings

10. What can CT Cancer Partnership members do to affect PSE change?
Examples from CT Cancer Plan, :
Promote use of environmental changes, such as shade structures, to reduce risk of harmful UV exposure
Implement evidence-based physician and employer reminder systems and incentives for routine cancer screenings
Support patient navigation programs
Support efforts of CT stakeholders to develop collaborative initiatives that provide culturally appropriate palliative care education in all settings, including colleges, hospitals, out-patient settings, long-term care, pediatric care and veteran care
Advance efforts for policies that support survivorship services (such as cancer rehabilitation) to be reimbursed by public and private insurance
Advocate for policy and systems changes that provide for adequate federal, state, and private funding of hospice care, especially for underserved populations

11. Who does what? CT Cancer Partnership Roles
Convener
Communicator
Guide
Educator
Planner
Supporter

12. Ask yourself…
What role do you see your organization (or you) playing in the following scenarios?
Establishing a patient reminder system?
A policy to assure survivorship care plans?
Encouraging municipalities to adopt policies requiring shade structures at town- or city-owned recreational facilities?

13. And remember…
The Power of Unity!

14. Thank you Lisa Strelez McCooey, MPH Comprehensive Cancer Program
Connecticut Department of Public Health
(860)