COMMUNITY TRANSFORMATION GRANT (CTG)

NOVEMBER 12 , 2012

Makeda Harris, MPMDirector, Office of Policy Planning and Evaluation

Louisville Metro Department of Public Health & Wellness

LMPHW Priorities

• Creating a Culture of Health and Wellness in Metro Louisville

• Continued focus on Social Determinants of Health and Health Equity

• Strengthening Public-Private Partnerships• Increased connection between public health

and clinical medicine• Outcomes driven approach to program and

policy development

Snapshot of Louisville Metro Health Status

• 1 in 3 adults in Louisville are overweight or obese– Increased risk for high blood pressure, diabetes, some

cancers, arthritis/joint pain• 25% of Louisville Metro adults still use tobacco

products– Increased risk for lung disease, cancer, heart attack and

stroke, and poor wound healing• Louisville Metro’s rate of deaths for heart disease,

cancer, diabetes, stroke are higher than the death rates for Kentucky and the US

How Do We Improve Health?

Community Transformation Grant CTG PRIORITY AREAS:• SD 1: tobacco-free living • SD 2: active living & healthy eating• SD 3: evidence-based, quality clinical,

preventive services – focus on prevention and control of high

blood pressure and high cholesterol.

• Maximize Public Health Impact & Reach

• Maximize Health Equity– proactively address– measure and track in ALL strategies

CTG & National Prevention Strategy

RE

AC

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CTG Application v. Award!$2.2M

$ 721K

Required Strategies

CTG Strategic Directions:Required Strategies

Tobacco Free Living

Healthy Eating & Active Living

Quality Clinical & Preventative

TRANSFORMATIONAL

Evidence Based Strategies

Community-wide and Equity-driven

DEMONSTRATE REACH

Negotiating CTG

POLICY, SYSTEMS & ENVIRONMENTAL CHANGE

TRANSFORMATIONAL CHANGE

CTG Strategic Directions

Tobacco Free Living

Healthy Eating & Active Living

Quality Clinical & Preventative1. Community Activity• Fully engaged community• Widespread awareness/education

2. Stand Alone Projects• World-class service/efficiency• Quality performance measures

3. Scale Projects• Population Health & Prevention• Equity-Driven Comprehensive Solutions

4. Integrated Policy•High Expectations are the norm•Raise bar for next health challenge

TRANSFORMATIONALINCREMENTAL

HOW TO ACHIEVE AMBITIOUS CHANGE?

ROI=

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POLICY, SYSTEMS & ENVIRONMENTAL CHANGE

Louisville’s CTG Strategies

SD1

• Smoke Free Multi-Family Housing

SD2

• Strategy for Healthy Schools

SD3

• Patient Centered Medical Home

Tobacco Free Living

Quality Clinical Preventative

Healthy Eating & Active Living

Cooper Clayton Smoking Cessation

Urban & Community Gardens

National DiabetesPrevention

Louisville’s CTG Strategies

SD1

• Smoke Free Multi-Family Housing

SD2SD3

Tobacco Free Living

Quality Clinical Preventative

Healthy Eating & Active Living

Cooper Clayton Smoking Cessation

Louisville Smoke Free Coalition:• Grow Demand for Smoke Free Living• Both Public & Private Rental • Louisville Metro Housing Authority - 15% of Units• Private % - TBD

Kentucky Cancer Program:• Social Support to Quit for Individuals

Louisville’s CTG Strategies

SD2

• Strategy for Healthy Schools

SD2SD3

Healthy Eating & Active Living

Quality Clinical Preventative

Tobacco Free Living

Urban & Community Gardens

Jefferson County Public Schools:• Strategic Taskforce for Integrated Healthy Schools Solutions• Opportunities to include: Healthy Eating Healthy Vending Student Activity Staff Wellness

UofL-CEPM & KY Extension:• Urban Home & Community Gardens ProgramEcon Dev & Innovation• Community Gardens Master Plan

Louisville’s CTG Strategies

SD3

• Patient Centered Medical Home

SD2SD3

Quality Clinical Preventative

Tobacco Free Living

Healthy Eating & Active Living

National DiabetesPrevention

Family Health Centers Inc.:• Leverage EMR Installation • Provide Proactive team based Patient Centered Care• Focus on Population Health/ Prevention of Chronic Disease

YMCA of Greater Louisville• Expand Diabetes Prevention • Work with disparate populations

Louisville’s CTG Reach:

2012 2013 2014 2015 2016 0

20000

40000

60000

80000

100000

120000

140000

160000

180000

PatientsStudentsResidents

= 170,000 People

Louisville’s CTG Strategies

SD1

SD2

SD3

Tobacco Free Living

Quality Clinical Preventative

Healthy Eating & Active Living

Mayor’s Healthy Hometown MovementExpanded, Restructured

& Re-launched

Strategic Integration of Health Equity for Community

Transformation

Mayor’s Healthy Hometown Movement

Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities

Tobacco Prevention and

ControlHealthy Eating Active Living

Chronic Disease

Prevention and Management

Homes, Schools, Workplaces, Faith Based Institutions, Health Facilities

Health Equity

MHHM Infrastructure

LMPHW

Leadership Team

CommunityCoalition

Leadership Team“Health-in-All-Policies”

• Public Health & Wellness• Metro Parks• Public Works• Codes & Regulations• Human Resources• Economic Growth &

Innovation• LMPD• Community Services &

Revitalization

• TARC• JCPS• Human Relations

Commission• Metro Council• Housing Authority• Mayor’s Office

Community Coalition

• Primary mechanism for individuals, community-based organizations, businesses, and faith-based institutions to share their ideas and concerns with LMPHW

• Any individual who resides in or is a member /employee of an organization doing business in Louisville Metro is eligible to join the community coalition

Community Coalition: Roles & Responsibilities

• Advise LMPHW on grant activities related to the four focus areas

• Recommend policies, programs, and practices related to the four focus areas

• Develop a community-wide 5-year strategic plan for Ensuring a Healthy Community

• Support the development of a learning collaborative

Community Coalition: Executive Committee

• A group of eight individuals who will provide general oversight and structure for the community coalition

• Meets with MHHM Leadership Team quarterly to provide updates and advise on policy and programmatic matters relevant to the scope of the community coalition

• Receives support from LMPHW program staff

What’s a Policy, Program, or Practice?

Policy•Clean air for workplaces•Requiring posting of caloric information at food retail establishments

Program•Cooper-Clayton smoking cessation courses•National Diabetes Prevention Program

Practice•Collection of health behavior data in JCPS middle and high schools•Contracting with health insurance plans that offer wellness benefits

How Do We Improve Health?