1. Focusing on the Moved and the Shaken
Kansas University School of Medicine – Wichita
Quality Improvement Conference
Becky Tuttle, MA
Shelley Rich, ME

2. Today Equality versus Equity
Health & Wellness Coalition of Wichita overview
Systems and environmental change focus!
Call to action
Questions

3. Equality versus Equity

4. Why Health Equity Matters
Reducing health inequities is important because health is a fundamental human right and its progressive realization will eliminate inequalities that result from differences in health status (such as disease or disability) in the opportunity to enjoy life and pursue one's life plans.
In a culture of health, everyone has the opportunity to live a healthier life, no matter who we are, where we live, or how much money we make. Personal responsibility plays a key role in health, but the choices we make depend on the choices we have available to us. While we can’t ensure that each of us will be healthy, we can make it much more possible for everyone to have the opportunity to make healthy choices, and for health to be much more accessible to all.
Inequities are created when barriers prevent individuals and communities from accessing these conditions and reaching their full potential. Inequities differ from health disparities, which are differences in health status between people related to social or demographic factors such as race, gender, income or geographic region. Health disparities are one way we can measure our progress toward achieving health equity.

5. How will we achieve health equity?
We value all people equally.
We will pause and be intentional.
We optimize the conditions in which people are born, grow, live, work, learn and age.
We work with other sectors to address the factors that influence health, including employment, housing, education, health care, public safety and food access. 

7. What should community organizations do?
Bring together professionals from a range of sectors (e.g., transportation, health, environment, labor, education, and housing) with community representatives to ensure that community health needs are identified and that needs and barriers are addressed.
Help ensure that prevention strategies are culturally, linguistically, and age appropriate, and that they match people’s health literacy skills.
Provide skill-building to help residents find reliable health information and services.

8. HWC Vision and Mission
Vision – Our entire community lives a healthy lifestyle.
Mission – We will promote physical activity and good nutrition for every generation living in the Greater Wichita area through people, programs and policies.

9. HWC History
Fall of 2003 – Grant from the Kansas Health Foundation to Wichita YMCA to develop a coalition
Focus areas – healthy eating and physical activity
First meeting in January 2004
16 individuals representing 12 organizations
Has met consistently for 13 years
Serves as a role model across the state/nation
fit campaign

10. The HWC today… www.hwcwichita.org Strong Leadership Team
2 City Council Members, Assistant City Manger and County Commissioner
135+ individuals
95 organizations
PARTNERS, PARTNERS, PARTNERS!!!
Physical activity and healthy eating still core
Monthly newsletter sent to 8000+

11. Who we are… Membership is FREE www.hwcwichita.org
Varied levels of membership…WELCOME!!!
Many levels of involvement
NETWORKING!!!

12. HWC Action Areas Bike Month Physical Activity Healthy Eating
Healthy School
Worksite Wellness

13. National Bike Month Celebrated annually in May
10 month planning
Safe and viable transportation – health equity
Bike to School Day/Bike to Work Day

14. Physical Activity Walk to School Walk at Work Day Walktober
Work Well, Live Well
Bike Share ICT
Support active transportation

15. Healthy Eating Wichita Food Deserts. Why We Should Care.
The Hurdles to Healthy Food Access
Food Policy Committee
Healthy Food Donation Policy
Feed Your Active Faith
Healthy Bites, Healthy Worksites
National Kids Eat Right Month
Food Day (Pantry Raids, Flip Your Fridge)
Try Day Friday
National Healthy Eating Day
Food Tour
Double Up Food Bucks
We All Eat! March 29, 2018

16. Worksite Wellness Initiatives
Working Well Conference
Working Well Award
Think Tank

17. Kansas Health Foundation
Health Communities Initiative Grant
3.5 years
Health & Wellness Coalition of Wichita
Greater Wichita YMCA fiduciary agent
1 FTE

18. HCI Grant Objectives Objective 1:
By July 15, 2017, a full-time employee will be hired to lead the efforts of achieving health equity in the greater Wichita area.
Objective 2:
By November 30, 2017, develop an advisory committee of the “moved & shaken” in our community to provide advice on health equity issues.
Objective 3:
By December 31, 2017, assess and understand health equity issues in our community and identify potential priority populations using key informant interviews, walking tours, and other quantitative and qualitative methods.
Objective 4:
By February 28, 2018, four community convenings will be held with priority population partners to identify health needs and actionable items where residents live, learn, earn, play and pray.
Objective 5:
By May 31, 2018, three new HWC Leadership Team members will be added who represent different voices/audiences from current members.
Objective 6:
By May 1, 2018, Sedgwick County will have finalized their Community Action Plan for the Healthy Communities Initiative: Improving Health Equity in Kansas work.

19. Where we live, learn, earn, play and pray!
Policy Focus
Where we live, learn, earn, play and pray!
Policy is inclusive!
Food Policy Committee
Support for active transportation/living
Worksites and key institutions

20. What is the value of policy?
Supportive health policies affect large groups/ALL employees (equity)
Make adopting healthy behaviors easier
Creates and fosters a culture of health
Sustainability
Community mobilization starts at the organizational level
Not “add-on” benefits, but basic investments in human capital, similar to training, mentoring, and other employee development programs

21. Why have health policies?
Organizational policy (little p) plays a key role in:
Securing multilevel support with an organization
Providing a basic foundation for building comprehensive worksite wellness programs
Rational
Expectations
Resources

22. Program, practice, policy
Programs (interventions) can:
Gather baseline data
Build support/buy-in for comprehensive wellness programs
Offer “fun and creative” methods to lifestyle changes
Programs (interventions) can’t:
Ensure sustainability
Ensure inclusion of all
Ensure consistency from all levels of
Engagement (top-down/bottom-up)

23. What is an policy?
Any plan or course of action designed to influence and determine decisions –
Written
Easy to understand and follow
Able to enforce consistently
Revisited frequently
Easy to access/locate
Accomplishes goals of comprehensive wellness program

24. AAFP Guidance
Educate, train, and equip family physicians and chapters to address social determinants of health and diversity within the context of the medical home and medical neighborhood.
Advocate for policies at the national, state, and local levels to address social determinants of health and support health equity.
Collaborate with key stakeholders and organizations to strategically amplify a synergistic approach for raising awareness and developing solutions to address social determinants of health, diversity, and health equity to improve the health of the population.
Communicate prolifically about social determinants of health, health equity and diversity, and the AAFP's leadership role in working to advance these issues.
Increase diversity of the family physician workforce by increasing the representation of students from underrepresented populations in U.S. medical schools.
Advance evidence addressing social determinants of health in clinical practice and through the medical neighborhood and transform evidence into practice.
Promote primary care integration and collaboration with public health, behavioral health, oral health, and other key stakeholder organizations to develop synergy to improve health equity and promote diversity.

25. Call to ACTION! Join a local health coalition
Understand resources in the community to refer
Understand that not everyone has/knows what you do
As leaders in your communities, physicians can advocate for public policies at the national, state, and local levels that protect all individuals from health risk. These might include promoting:
The restriction of environmental contamination
Access to high-quality health care and insurance coverage
Access to healthy food options
The use of vaccinations and other public health initiatives
Economic development and fair access to employment
Equal opportunities for high-quality education for all

26. Becky Tuttle, MA Community Development, Director Greater Wichita YMCA Health & Wellness Coalition of Wichita, Chair Shelley Rich Director of Health Equity ext. 7765