2. The Alliance Jason Barker, St. Vincent Healthcare John Felton, RiverStone Health Nick Wolter, MD, Billings Clinic

3. 2006 CHA Results Five years ago, Yellowstone County residents were struggling with these modifiable health risks: 62.7% were overweight or obese Only 41.4% met physical activity recommendations Only 34.9% consumed the recommended five+ servings of fruits and vegetables daily 89.1% presented one or more cardiovascular disease risk factors

4. 2011 CHA Results 72.9% are overweight or obese This is over a 10% jump in five years! Higher than MT & US Significant increase

5. Action: Form the Healthy by Design Advisory Committee Vision: A community that is Healthy By Design Mission: Collaborate across sectors to create healthier lifestyles Alliance Response to 2006 CHA

6. Systems Change The Concern: Only 35.3% of obese patients received advice about weight in past year from health care provider Alliance Strength: Billings Clinic, RiverStone Health, and St. Vincent Healthcare represent the majority of primary care providers in Billings, Yellowstone County and the region

7. Healthy Weight Collaborative: Systems Change Collaborative Actions: 1.Measure weight status at primary care visits 2.Inform patient of weight status 3.Talk to patients about modifiable health risks 4.Complete Healthy Weight Plan 68

10. Link to Healthy By Design Work Other Work – Complete Streets – Worksite Nutrition and Physical Activity Guidelines – Farmer’s Market – Event Recognition ONE LOGO – ONE NAME!

11. WEBSITE www.healthbydesignyellowstone.org

12. Hillary Hanson hillary.han@riverstonehealth.org Tracy Neary Tracy.Neary@svh-mt.org