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Decision Accelerator Report OutJanuary 31, 2007
www.Alegent.com/childhoodfitnessandnutrition
Current Situation
OHCP Circle of Progress
The Epidemic
It is a growing epidemic– 1 in 6 youth was identified as overweight, while 1 in 3 was
identified as either overweight or at risk for becoming overweight
Significant differences exist across socioeconomic status, race, and ethnicity
– Those communities with the highest poverty rates and the least education are most at risk
– Native American, African American, and Mexican American youth are at the greatest risk
– Access to affordable healthy food and safety of neighborhoods have an impact
Implications
Being overweight or obese can have serious health implications
– Significant factor in the dramatic increase of Type II diabetes – Hypertension is nine times more likely to occur– Orthopedic complications can arise– May result in negative psychosocial effects– Related to higher rates of morbidity and mortality later in life
Obesity-related annual costs have increased dramatically– Annual hospital costs tripled over a twenty year period for youth– Total expenses related to adult obesity/overweight is estimated
to be between $98 and $129 billion
Ecological Model
Child orAdolescent
Decision Accelerator
Background
Decision Accelerator (“DA”) held on December 7th and 8th, 2006
– 75 people from the community attended
• Represented a variety of stakeholder groups
– Vision was developed – Horizon map with one-, three-, and
five-year horizons was generated– The Horizon Map concentrated on
six key focus areas for addressing childhood obesity
• The focus areas are referred to as Planks
Vision of Coalition
In 2011, Omaha is nationally recognized as a collaborative model achieving
measurable improvement in the fitness and nutrition of children.
Horizon Map
Transition Team
The Members of the team include:– Dr. Molly O’Dell– Mikki Frost– Dr. Fred Hosler– Shirley Hosler, RN– Craig Kulawik– Pat Masek
– Heidi May– Kerri Peterson– Stephanie Sharma– Dr. Jeffry Strohmyer– Ad hoc members
Since the conclusion of the DA, a transition team has been meeting regularly to distill all of the hard work generated throughout the two day process
Plank Committee Horizons
Physical Environment
Horizon One– Develop master plan to increase awareness, collaboration, policy
change, & implementation
Horizon Two– Implement master plan at the neighborhood level
Horizon Three– Observe significant improvement in physical environment and
community health indicators
Nutrition
Horizon One– Establish a nutritional plan
Horizon Two– Create measurable awareness
Horizon Three– Observe positive changes in awareness, behavior, and BMI
Physical Activity
Horizon One– Assess the needs of the community – Increase awareness and buy-in– Form a collaboration
Horizon Two– Demonstrate measurable changes– Continue education – Disseminate progress and best practices
Horizon Three– Continue to demonstrate measurable change– Maintain continued awareness, dissemination, and education
Evaluation
Horizon One– Establish and begin to evaluate three outcome measures
1. BMI 2. Prevalence of obesity3. Morbidity related to obesity
Horizon Two– Reassess and modify the evaluation measures
Horizon Three– Establish an evaluation system that yields results that are valid
and useful
Social Marketing
Horizon One– Create awareness of the initiative
Horizon Two– Launch the program
Horizon Three– Maintain the message
Funding and Resources
Horizon One– Establish a “4C” model of collaboration – Ensure donors are informed and that options are available– Scan potential government resources– Engage individual and community level giving
Horizon Two– Establish long-term commitment – Obtain funding at all governmental levels
Horizon Three– Demonstrate a positive ROI– Receive community recognition of donors– Achieve sustainable funding
Leadership Structure
Keys to Success
Keys to Success and lessons learned from other models:– Participation from high level, respected and committed
community leaders– Overall management by subject matter experts– Opportunities for participation by the community at large– An overriding commitment to put the interests of the coalition
above the interests of any one member– Staff support
Leadership Structure
NutritionCommittee
Executive CommitteeSteering Committee
PhysicalActivity
Committee
Funding andResourcesCommittee
PhysicalEnvironmentCommittee
SocialMarketingCommittee
EVALUATION
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
DEMOGRAPHIC & CULTURAL RELEVANCE
EvaluationCommittee
Chair Co-chair Committee
Members
Executive Committee
Role– Provide management and broad subject matter expertise to the
coalition– The work of the Plank Committees will be coordinated through
this structure– The Plank Chairs will serve on the Executive Committee, as well
as chair their Plank CommitteeSelection Criteria
– Recognized expert– Existing leadership role in the area– Ability to bring people together– Commitment/passion for children’s health
Executive Committee
Members– Rev. Dr. Larry Brown – Alegent Health Clinics– Dr. Christina Fernandez – Creighton Pediatrics– Dr. David Filipi – Methodist Health System– Dr. David Finken – UNMC Pediatrics – Nancy Nielsen, RN – Millard Public Schools– Dr. Adi Pour – Douglas County Health Department– Dr. Jeffry Strohmyer – Alegent Health – Dr. Thomas Tonniges – Boys Town Pediatrics
Executive Committee
Members/Committee Chairs:– Marty Shukert – Physical Environment Chair, RDg Planning and
Design – Kerri Peterson – Social Marketing Chair, OHCP– Dr. Jennifer White – Physical Activity Chair, UNO HPER– Mary Balluff – Nutrition Chair, Douglas County Health Department– Anne Camp – Funding/Resources Chair, Alegent Health– Dr. Magda Peck – Evaluation Chair, UNMC
Plank Committee Chairs
Overview– Implementation of the Horizon and action plans will be
overseen by the plank committees– Comprised of program and subject matter experts– Chair of the plank committee will serve on the Executive
Committee– Organizational meetings for the plank committees will be
scheduled soon– OHCP and Alegent Health has committed staff and offices
to support the organizational work of the initiative
Evaluation
NutritionCommittee
Executive CommitteeSteering Committee
PhysicalActivity
Committee
Funding andResourcesCommittee
PhysicalEnvironmentCommittee
SocialMarketingCommittee
EVALUATION
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
DEMOGRAPHIC & CULTURAL RELEVANCE
EvaluationCommittee
Chair Co-chair Committee
Members
Demographic & Cultural Relevance
NutritionCommittee
Executive CommitteeSteering Committee
PhysicalActivity
Committee
Funding andResourcesCommittee
PhysicalEnvironmentCommittee
SocialMarketingCommittee
EVALUATION
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
Chair Co-chair Committee
Members
DEMOGRAPHIC & CULTURAL RELEVANCE
EvaluationCommittee
Chair Co-chair Committee
Members
Ecological Model
Child orAdolescent
Q & A
Decision Accelerator Report OutJanuary 31, 2007
www.Alegent.com/childhoodfitnessandnutrition