Statewide Health Improvement Program (SHIP)

Cottonwood, Jackson, Faribault, Martin & Watonwan Counties

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

What is SHIP?
SHIP is a state funded initiative to reduce chronic diseases associated with tobacco use and exposure and obesity

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Program Built on Prior Success

Steps to a Healthier Minnesota
Federal initiative Four Minnesota Communities

Evidence-based strategies to engage policy, systems and environmental changes in:

Communities Health Care Organizations Schools Worksites

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Goals
1. To support, promote, implement, and evaluate health interventions that lead to sustainable improvements in health by creating changes in policies, systems, and environments where individuals live, work, play, and seek health care services. 2. To reduce the overall cost of health care in Minnesota. CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

What are policy, systems and environmental changes?

Policy interventions may be a law, ordinance, resolution, mandate, regulation, or rule (both formal and informal). Systems interventions are changes that impact all elements of an organization, institution, or system. Environmental interventions involve physical or material changes to the economic, social, or physical environment.

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Why focus on policy, systems and environmental change?

Sustainability of change Broad Reach: Major health problems will not be solved solely by individual health promotion programs. Health problems are influenced by societal policies and environments that in some way either sustain behaviors or fail to foster healthier choices Where you live affects how you live By addressing the causes of poor health and improving our environments, we can prevent many people from becoming chronically ill

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Make changes to policies, practices and environments where people live, work, play and seek health care services

Reduce tobacco use/exposure and obesity

Reduce chronic diseases

Reduce health care costs in Minnesota

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Combating Obesity
American society has become 'obesogenic,' characterized by environments that promote increased food intake, non-healthful foods, and physical inactivity. Policy and environmental change initiatives that make healthy choices in nutrition and physical activity available, affordable, and easy will likely prove most effective in combating obesity. Centers for Disease Control & Prevention CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Crisis in the U.S.

$78,500,000,000 Estimated cost of physical inactivity and poor nutrition nationally
The Economic Cost of Obesity, Finkelstein, Fiebelkorn, and Wang, 2003; www.cdc.gov/nccdphp/dnpa

$40,000,000,000 Approximate direct annual medical expenditures due to physical inactivity & poor nutrition, borne by taxpayers.
Obesity Research, Finkelstein et.al., Jan, 04 www.cdc.gov/nccdphp/dnpa/

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Crisis in Minnesota

$1,300,000,000 In Minnesota, the medical costs associated with adult obesity were $1.3 billion dollars in 2003.

http://www.cdc.gov/obesity/stateprograms/fundedstates/minnesota.html (Minnesota Obesity Data, Roberts, M. 2009)

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 1985

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 1990

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 1995

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2000

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2005

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%24%

25%29%

30%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2007

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%24%

25%29%

30%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2008

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%24%

25%29%

30%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2009

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%24%

25%29%

30%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Obesity Trends* Among U.S. Adults BRFSS, 2010

(*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

No Data

<10%

10%14%

15%19%

20%24%

25%29%

30%

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Tobacco Use

Tobacco use is the leading cause of premature death in the United States.

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Tobacco Use
More than one in five Americans smoke.
21 % are adults and; More than 22% are high school students

Approximately 438,000 Americans die as a result of smoking or exposure to secondhand smoke each year. For each person who dies from a smokingrelated disease, about 20 more are living with a smoking-attributable illness. The estimated costs of smoking-related medical expenses and loss of productivity exceed $167 billion annually.
Sustaining State Programs for Tobacco Control: Data Highlights 2006

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Tobacco Use in Adults

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Structure of SHIP in CJFMW Counties Minnesota

Department of Health

SHIP Supervisor & Human Services

SHIP Staff

Community Leadership Team

County Steering Committees

Mini Grants & Strategy Specific Projects

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Community Selection of SHIP Initiatives

Initiate a comprehensive community assessment
Community survey to assess knowledge, attitudes, behaviors and barriers associated with tobacco use, physical activity and diet. Youth Survey Focus Groups Key Informant Interviews Community Mapping Existing Data
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Dissemination of Mini-Grants
Request for Proposal developed and disseminated in communities Review Process by Community Leadership Team & County Steering Committees

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Community Healthy Food Environment

Implement policies and practices that create a community healthy food environment by working to convene a council designed to assess the communitys need for improved food literacy and access to healthier food choices (through farm to fork, healthier food outlets and nutrition labeling). Working with Rural Advantage Mini-Grants later in 2012.

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Active Transportation
Working with communities to provide safe and convenient opportunities people to walk and bike to and from destinations. Strategy aims to work with communities to incorporate policies and practices which impacts community design, land use, site planning, and facility access
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

CJFMW SHIP Active Transportation Mini-Grantees

Wells Area Active Living Coalition, Wells MN City of Jackson, MN City of Lakefield, MN Blue Earth Area Active Living Coalition Watonwan County (A Collaboration with the City of Madelia, City of St. James and Watonwan County) City of Fairmont, MN
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

School Nutrition & Physical Activity

Working with schools to increase opportunities for physical activity and improve access to nutritious foods
Farm to School Safe Routes to School Active School Day School Nutrition Policies/Practices
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

School Mini-Grantees
Blue Earth Area Schools United South Central Fairmont Area School St. James Public School Martin County West Jackson County Central Windom Area Schools
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Worksite Wellness
Implement policies and practices that help employees be physically active, eat healthier and quit tobacco. SHIP will focus on establishing a worksite wellness committee, addressing company wellness policies and establishing evidence-based practices that are proven to better employee health.

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Worksite Mini-Grantees
3M-Fairmont Mayo Health Systems Fairmont Tony Downs Foods Madelia Community Hospital Wells Area Chamber of Commerce Jackson County Blue Earth Area Schools United South Central Schools
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Health Care Referral

Working with health care organizations to implement the screen-counsel-refer and follow-up process Identifying patients with high body mass index or tobacco use and providing referrals to services for weight loss and tobacco cessation within the community. Providing resources directly to children enrolled in the Woman Infant Children Program (WIC)
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Health Care Referral Grantees

Mayo Health Systems Fairmont Faribault-Martin County WIC Cottonwood-Jackson County WIC Watonwan County WIC Wellspring Faith in Action

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Healthy Childcare
Working with childcare providers to implement policies and curriculum related to incorporating fruits and vegetables and physical activity into the day. Two curriculum will be utilized LANA, Learning about Nutrition through Activities and IMIL, I am Moving, I am Learning. Trainings
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Childcare Mini-Grantees
Watonwan County ECFE Jackson County Central ECFE Truman ECFE Martin County West ECFE Little Giants Daycare Center

Curriculum for LANA will be made available in the library systems in each county.
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Tobacco Free Post Secondary Campus

Working with campuses to implement tobacco-free grounds policies and connect students and staff to tobacco cessation services. Presentation College and Minnesota West Campus in Jackson/Fairmont.
CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Smoke Free Multi-Unit Housing

Aims to help property owners, who are ready and willing, implement smoke-free policies within their complexes.

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!

Thank you!! Questions?

Any

shipfmw.blogspot.com

http://www.facebook.com/#!/CJFMWSHIP

CJFMW SHIP: Encouraging Healthy Lifestyles in Diverse, Rural Communities!