TRANSFORMATION OF THE HEART Experiencing the Blessing of God.
Community Transformation Grant HEART: Health Engagement and Action for Rochester’s Transformation...
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Transcript of Community Transformation Grant HEART: Health Engagement and Action for Rochester’s Transformation...
Community Transformation Grant
HEART: Health Engagement and Action for Rochester’s Transformation
Thomas A. Pearson, MD, MPH, PhDChair, HEART Expert Team
Target Population: Monroe County, New York
• 2010 Population: 744,344– Demographics similar to U.S. including poverty, minorities.– Prevalence of deaf persons using sign language one of
highest in the world.• Economics
– Recovery from loss of dominant employer (Kodak)– Financial Times: One of world’s 50 strongest economies
for 2011, based on high technology, education, healthcare• Health Infrastructure
– Strong municipal health department– One medical school (Univ. of Rochester)– Three hospital systems– Two major health insurers
Federal Grants Supporting HEART Partners in Community-Wide
Prevention ProgramsGrant Program Funding
AgencyRecipient
Community Transformation Grant CDC URMC Center for Community Health/Monroe Co. Dept. of Public Health
Clinical and Translational Science Award Community Engagement Key Function
NIH/NCATS
URMC Center for Community Health
Prevention Research Center CDC URMC/Dept. of Public Health Sciences
Care Management/Payment Demonstration Grant
CMMI Finger Lakes Health Systems Agency
Preventive Medicine Residency HRSA URMC/Dept. of Public Health Sciences
Preventive Cardiology Training Grant NIH/NHLBI
URMC/Dept. of Public Health Sciences
Health
Engagement &
Action for
Rochester’s
Transformation
Transforming communities to make healthy living
EASY!
Figure 4. Conceptual framework for population-wide cardiovascular risk behavior change, showing three dimensions for consideration: the risk factor or risk behavior targeted for change, the community setting in which the intervention would be implemented; and the type of public health intervention or service used, including policy legislative strategies. Ref (11).
FOCUS POPULATIONS:Our efforts will reach Monroe County residents, with a focus on
Rochester’s “crescent”
The deaf communityFOUR KEY VENUES:CommunityWorksitesSchoolsHealth Care
Rochester’s Deaf Community in HEART
• Linguistic (American Sign Language) and cultural minority group
• Little prior engagement in public health programs• Inclusion in multiple HEART programs
– Coordinator for the Deaf Community – School Health Programs include Rochester School for
the Deaf– Deaf coaches for the Diabetes Prevention Program– Food hub creates first farmer’s market for deaf persons
• National model for community-based health promotion in Deaf persons
H.E.A.R.T.’s Core Principles: •Maximize health impact through prevention
•Advanced health equity and reduce health disparities
•Use and expand evidence base for implementing policy, environmental, and infrastructure change
HEART Overarching Goals1) Weight – 5% decrease in expected percentage of population who would be obese by 20162) Nutrition – 5% increase in average daily number of servings of fruits and vegetables3) Physical Activity – 5% increase in percentage of adults achieving 150 minutes/week4) Tobacco – 5% decrease in the prevalence of tobacco use5) High blood pressure – 5% increase in the percentage of adults with HBP at goal6) Cholesterol – 5% increase in the proportion of adults with hyperlipidemia at goal
H.E.A.R.T.’s Initiatives:
• Active Transportation• Breastfeeding Supportive
Policies • Coordinated School Health
Programs• Diabetes Prevention• Food Hub• High Blood Pressure
Ambassador Program• Safe Public Spaces• Tobacco Free Living• Virtual Clinician• Workplace Wellness
ACTIVE TRANSPORTATION
Identify needs and gaps, and improve
supports for active
transportation.
ACTIVE TRANSPORTATIONObjectives:
Increase the number of •municipalities with active transportation plans•municipalities that include active transportation plans in capital budgets •community active transportation events•bike racks for public use •schools with “safe routes to school” programs •signed walking routes and walking groups in Rochester
COORDINATED SCHOOL HEALTH PROGRAMS
Identify and engage schools to assess and improve health and wellness policies and
environments
COORDINATED SCHOOL HEALTH PROGRAMS
Objectives:
Rochester City Schools and School for the Deaf:
• Establish school health teams in 31 schools
• Create plan to improve health in each
• Implement plans• Implement District-wide
improvement plan
SAFE PUBLIC SPACES
Citizen/City teams create and enact plans to make “Crescent” parks and
play areas safe
SAFE PUBLIC SPACES
Objectives:• Train 29 City staff and
neighborhood leaders in Crime Prevention Through Environmental Design
• Form City/resident teams• Create safe plans for each
park/play space in Crescent• Implement plan
recommendations
DIABETES PREVENTIONTraining target
community members to deliver
evidence-based diabetes
prevention program
DIABETES PREVENTION
Objectives:• Double number of
Diabetes Prevention Program community coaches (13 to 29)
• Add 32 groups for pre-diabetic adults in Crescent and Deaf community
FOOD HUB
Provide start-up costs for a Food Hub to bring affordable, healthy food to the
Rochester Crescent and the Deaf Community.
FOOD HUB
Objectives:• Link local producers with
inner city consumers to increase markets for fresh, healthy, affordable food
• Build volume to achieve sustainability
HIGH BLOOD PRESSURE AMBASSADOR PROGRAM
Train volunteer outreach workers to promote self management of high blood
pressure in their organizations.
HIGH BLOOD PRESSURE AMBASSADOR PROGRAM
Objectives:• Recruit and train 150
community “High Blood Pressure Ambassadors”
• Create 900 blood pressure self-management plans for at-risk adults
TOBACCO FREE LIVING
Work to establish smoke free
policies at parks, beaches, college
campuses and multi-unit housing
TOBACCO FREE LIVING
Objectives:
Increase tobacco free policies in •multi-unit housing •outdoor spaces •college campuses
VIRTUAL CLINICIAN
Implement interactive
software program to deliver behavioral
counseling to patients in health
care settings serving the focus
populations
VIRTUAL CLINICIAN
Objectives:• Develop interactive computer
module to counsel patients with high cholesterol
• Adapt for African-American, Latino and deaf patients
• Place in community health center and deaf health practice to help patients make healthy behavior changes
WORKPLACE WELLNESS
Develop a web-based assessment tool for employers to assess, improve, and evaluate their
wellness efforts, and provide community recognition for companies that support workplace wellness.
WORKPLACE WELLNESS
Objectives:• Finalize employee
wellness assessment and improvement tool for companies
• Create links to local wellness resources
• Focuses on local health priorities
• Implement across the community
Future HEART Initiatives
• Evaluation of impact in partnership with Regional Health Information Organization
• Expert Team to implement Million Hearts– Engage healthcare community (payers, systems,
practices, providers)– Focus on the ABC’s– Three strategies
• Develop performance metrics • Utilize health information technologies• Innovate care models
– Support community-wide implementation of NHLBI Guidelines (ATP4, JNC8, Obesity2)
THE PARTNERS
Rochester, New Yorkhas
H.E.A.R.T.!