1. An Analysis of Case Studies for the Baltimore City Health Department By: Ashley Brown

2.  Background: Healthy Baltimore 2015  Methodology  Case Studies ◦ Oakland, CA ◦ Fort Worth, TX ◦ Los Angeles, CA  Lessons Learned

3.  In May 2011, Mayor Stephanie Rawlings-Blake released her plan to improve the health of Baltimore residents.  “Redesign communities to prevent obesity”  The Cross Agency Health Taskforce (CAHT): A coalition of government agencies  Create policies to improve increase physical activity.

4.  Increase percent of adults getting recommended levels of physical activity by 20%  Decrease percent of adults who are obese by 15%

5. Promote physical activity within government agencies and the community as a whole. Feasibility Implementation StrategiesChallenges

6. Arkansas Colorado North Carolina mi Georgia CALIFORNIA TEXAS Los Angeles Boulder Fort Worth Oakland Michigan Case Study Locations Cities Oakland, CA Los Angeles, CA Fort Worth, TX

7.  The case studies were included if they matched at least one of the following criteria: ◦ Low-income communities ◦ Urban areas ◦ High prevalence of minorities, especially African American ◦ Limited infrastructure to support physical activity

8.  Government should adopt policies and regulations that support active environments.  Government’s should model “healthy fit” workplace. ◦ A “Healthy Fit” workplace is a workplace environment that promotes healthy eating and physical activity.

9.  Complete sidewalks and streets to support walking and biking and decrease car dependence in all communities.  Pedestrian Master Plan It focuses on improvements in public spaces to become more convenient, safe, and attractive.  Bicycle and Pedestrian Facilities Program  Plans, secures funds for, and implements bicycle projects throughout Oakland.

10.  Oakland’s Pedestrian plan was adopted in 2002, and there has been great progress.  For example, more of Oakland’s traffic signal video cameras are being configured to respond to bicyclists.

11. Retrieved from: City of Oakland Department of Public Works

12.  Implementation Strategy:  Adequate staff for support.  Community engagement.  Coordinate with scheduled projects for street re-paving, streetscaping, etc.  Invest in retail or commercial centers.

13.  I “Bike” Oakland is a biannual newsletter of the Bicycle and Pedestrian Facilities Program.  The newsletter provides an overview of accomplishments in the previous six months on the implementation of Oakland’s Bicycle Master Plan.  “Suggest a bike rack” or join “Oakland’s Bicycle and Pedestrian Advisory Committee”

14.  Challenges:  Large traffic volume  Inadequate sidewalks  Freeways as barriers  Limited benches, bus shelters, and trees, etc.

15.  Reimburse employees for preventive health and wellness services.  Worksite wellness: The City of Fort Worth designed a wellness program to improve the health of employees and reduce health claim costs.  Employees who meet a number of health behavior criteria can receive: ◦ Up to $250 in cash ◦ 15 hours in additional vacation time

16.  Healthy Behavior: ◦ 30 continuous minutes of aerobic exercise most days ◦ Participate in a physical activity program  Outcomes: ◦ When the program began, 56 % of participants were in the high risk category, 3 years later only 22 % were still high risk.

17.  Implementation Strategy: ◦ Make it a competition among departments. ◦ Top management support is critical. ◦ Confidentiality of data is necessary.  You must ensure a firewall between personnel and wellness data.  Challenges: ◦ The major challenge of a worksite wellness program is having employees stay with the program long enough to realize its benefits.

18.  Physical Activity and Safety  The Office of Gang Reduction and Youth Development (GRYD)  Summer night lights (SNL): Keep parks open after dark. ◦ Activities, such as sports leagues, dancing competitions, nutrition classes, etc.  Community engagement: Youth and the police department were involved throughout the school year.

19. SNL 2010 Outcomes

21. Remember the 3 C’s  Community Engagement  Collaboration  Commitment