1. 1 2013 NACBHDD Annual Legislative and Policy Conference John Francis, MPH, Division of Community Health Acting Deputy, Office of Policy and Partnerships The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the CDC.

2. 2 Overview Intro and Welcome Chronic Disease Burden Core Principles Community Health Portfolio and Investment Community Transformation Grants Priority Interventions Successful Communities Engaging CTG Dialogue

3. 3 Of our $2.5 trillion annual health care spending focused on chronic diseases 75% 3

4. 4 Community Health Community Transformation Grants Prevention and Public Health Fund The Affordable Care Act

5. 5 Our Charge To promote sustainable community action to improve health and achieve health equity

6. 6 Focus is on Where We… LIVE LEARN WORK PLAY

7. 7 Largest Impact Smallest Impact Factors that Affect Health Socioeconomic Factors Changing the Context to make individuals’ default decisions healthy Long-lasting Protective Interventions Clinical Interventions Counseling & Education

8. 8 Our Commitment Core Principles: Maximize health impact Advance health equity and reduce health disparities Use and expand the evidence base

9. 9 DCH “TWIN” Approach

10. 10 Community Health Portfolio and Investment

11. 11. Our Community Health Portfolio Includes Pioneering Healthier Communities, Achieve (Action Communities for Health, Innovation, and EnVironmental changE), Steps to a Healthier US, and Strategic Alliance for Health. Healthy Communities Drives local initiatives making healthy living easier for more than 50M people, through sustainable strategies and environmental improvements. Communities Putting Prevention to Work (CPPW) Since 1999 has had a focus on reducing disparities in racial and ethnic population. REACH (Racial and Ethnic Approaches to Community Health) Addresses weight, nutrition, physical activity, tobacco use, and emotional wellbeing and overall mental health for potentially 130 million Americans. Community Transformation Grants (CTG)

12. 12 Community Transformation Grants

13. 13 Components of CTG CTG Implementation Capacity Building National Network Acceleration National Network Dissemination Small Communities

14. 14  29 Counties (>500,000)  24 States (entire states & states >large counties)  7 Tribes  1 Territory (Palau)  6 National Networks of Community- Based Organizations  40 Small Communities 107 CTG Awardees *May be statewide effort or state effort focused on small communities

15. 15 Reaching 4 in 10 U.S. Citizens Through Community Transformation Grants Goal of CDC’s Community Transformation Grants (CTG): Make healthy living easier: Building capacity to implement evidence- and practice-based sustainable strategies to prevent chronic diseases and chronic illnesses Supporting implementation of interventions across five broad Strategic Directions Tobacco–Free Living Active Living and Healthy Eating Clinical and Community Preventive Services Social and Emotional Wellness Healthy and Safe Physical Environment

16. 16 Commitment to Rural/Frontier Health CDC Directs 20% of Funds to Rural and Frontier Areas Why Rural? Health improvements in rural areas face higher challenges than their urban counterparts. A few examples include: Limited or no public transportation Limited access to recreational exercise facilities and full- service grocery stores Limited success with recruiting and retaining qualified public health personnel

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19. 19 Education 10% Health Care 25% Faith-Based 2.5% Community 30% Government 7.5% Public Health 17.5% CTG Small Communities 7.5% of the awardees are tribal organizations Sectors

20. 20 Tobacco–Free Living Active Living and Healthy Eating Clinical and Community Preventive Services Social and Emotional Wellness Healthy and Safe Physical Environment Strategic Directions

21. 21 Communities in Action

22. 22 The City of Beaverton will increase the number of smoke-free private mental health provider campuses from 0 to 3 by September 2014 Beaverton, Oregon

23. 23 CADCA will conduct behavioral/mental health and substance abuse community trainings Community Anti-Drug Coalitions of America

24. 24 Leadership Teams Health Impact Pyramid Sustainable change Grants.gov Engaging CTG

25. 25 Additional Information CDC’s Division of Community Health Web site http://www.cdc.gov/nccdphp/dch/

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27. 27 Thank You!