![Page 1: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/1.jpg)
1
Making Healthy Living Easier
Shannon Griffin-Blake, PhDBranch Chief for Program Implementation and Development October 17, 2012
CDC’s Division of Community Health
![Page 2: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/2.jpg)
2
Of our $2.5 trillion annual health carespending
focused on chronic
diseases
75%
2
![Page 3: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/3.jpg)
3
Our Commitment
Division of Community Health Core Principles:
Maximize health impact
Achieve health equity
Use and expand the
evidence base
![Page 4: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/4.jpg)
4
Both And
Targeted interventions
as needed
Population-wide interventions with a
health equity lens
Our “TWIN” Approach
![Page 5: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/5.jpg)
5
Maximizing Impact
Population reach Potency/Dose/Exposure (Effect size)
![Page 6: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/6.jpg)
6
Evidence-Based Strategies Public Health’s greatest achievements
originated through policy efforts at the local level that maximizes impact
Policy development is a core function of public health
Conducting rigorous analyses to identify and report on strategies and policies that can protect health and prevent disease
Educating the public and stakeholders about these strategies
Policy development and education are not lobbying
Federal law prohibits the use of federal funds to lobby at the federal, state or local level
![Page 7: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/7.jpg)
7
Community Transformation Grants
![Page 8: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/8.jpg)
8
.
Our Community Health Portfolio
• Addresses weight, nutrition, physical activity, tobacco use, and emotional wellbeing and overall mental health for potentially 130 million Americans.
Community Transformation Grants (CTG)
• Since 1999 has had a focus on reducing disparities in racial and ethnic population
REACH (Racial and Ethnic Approaches to Community Health)
• Drives local initiatives that is making healthy living easier, for more than 50M people, through sustainable strategies and environmental improvements.
Communities Putting Prevention to Work (CPPW)
• Includes Pioneering Healthier Communities, Achieve (Action Communities for Health, Innovation, and EnVironmental changE), Steps to a Healthier US, and Strategic Alliance for Health
Healthy Communities
![Page 9: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/9.jpg)
9
Reaching 4 in 10 Americans Through Community Transformation Grants
Goal of CDC’s Community Transformation Grants (CTG) – Help make healthy living easier for Americans by:
Building capacity to implement evidence- and practice-based sustainable strategies to prevent chronic diseases and chronic illnesses
Supporting implementation of interventions across five broad areas: Tobacco-Free Living Active Living and Healthy Eating Clinical and Community Preventive Services Social and Emotional Wellness Healthy and Safe Physical Environment
![Page 10: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/10.jpg)
10
Key Milestones Program Accomplishments to date
Awardees on track to meet program requirements Awardees formed multi-sectoral leadership teams, bringing
in local partners from education, planning, business, agriculture, transportation and other sectors to improve community health
Action Institutes in November and December 2011 prepared awardees to develop Community Transformation Implementation Plans) that reflect evidence and practice based strategies
Awardees submitted implementation plans to CDC for approval; Approval of all plans to be complete by March 31.
Awardees have developed mechanisms to invest CTG funds in local communities
CTG communities are implementing or building plans to make healthy living easier for Americans by increasing access to:
Smoke-free or tobacco-free environments
Healthy food and beverage options
Physical activity opportunities
Systems that support control of high blood pressure and high cholesterol
CTG Anticipated Outcomes
![Page 11: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/11.jpg)
11
Components of CTG
CTGImplementation
Capacity Building
National Network
AccelerationNational Network
Dissemination
Small Communities
![Page 12: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/12.jpg)
12
29 Counties (>500,000) 24 States (entire states &
states >large counties) 7 Tribes 1 Territory (Palau) 6 National Networks of
Community-Based Organizations
40 Small Communities
107CTG Awardees
*May be statewide effort or state effort focused on small communities
![Page 13: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/13.jpg)
13
Early Accomplishments Oklahoma County, Oklahoma – Approximately 60,000
residents are protected from secondhand smoke exposure in more than 80,000 multi-unit housing units.
Maryland – In partnership with 19 school districts, Maryland is implementing and monitoring USDA local wellness initiatives that include comprehensive physical activity practices.
Pierce County, Washington – More than 11,000 students and 1,500 staff now have access to vending machines that offer healthy options and meet USDA guidelines.
Broward County, Florida – About 700,000 residents have opportunities to increase their level of physical activity through the Complete Streets Standards and Smart Growth principles.
![Page 14: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/14.jpg)
14
Goal: Support areas with less than 500,000 people in neighborhoods, school districts, villages, towns, cities, and counties
Funding: Over $70M to 40 communities, reaching 9.2 million Americans
CTG Small Communities
![Page 15: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/15.jpg)
15
Education 10%
Health Care 25%
Faith-Based 2.5%
Community 30%
Government 7.5%
Public Health 17.5%
CTG Small Communities
7.5% of the awardees are tribal organizations
Sectors
![Page 16: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/16.jpg)
16
REACH Initiative
![Page 17: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/17.jpg)
17
Racial and Ethnic Approaches to Community Health
InitiativeFocus on initiatives to improve health and reduce and eliminate disparities related to
chronic diseases in African Americans, Hispanics, American Indians, Asian
Americans, and other Pacific Islanders.
![Page 18: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/18.jpg)
18
REACH Community Change
Charleston and Georgetown Counties, South Carolina - healthcare education delivery system improvements for African Americans with diabetes resulted in a 44% reduction in amputations among African Americans.
Merrimack Valley of Massachusetts - community-based systems of care and education related to cardiovascular disease and other chronic conditions improved cholesterol levels for Latino patients such that 71.9% of those with diabetes were able to bring their total cholesterol under 200mg/dL.
![Page 19: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/19.jpg)
19
New REACH Program Awardees
Apply evidence- and practice-based initiatives that reduce health disparities for those experiencing high burden of chronic disease and its risk factors.
Funding: Nearly $22 million 6 awards ($2.8M-$3.8M per award),
with 90 sub-grantees
*Awardees announced September 2012
![Page 20: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/20.jpg)
20
REACH Obesity and Hypertension Demonstration
Projects (Demo) Apply strategies to prevent obesity and hypertension, two of the leading risk factors for chronic diseases.
Funding: Approximately $12.3M over three years
Number: 2 awards ($4.6M and $7.7 million per award) Boston Public Health Commission Community Health Councils, Inc.
*Awardees announced September 2012
![Page 21: 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community](https://reader036.vdocument.in/reader036/viewer/2022062517/56649ef25503460f94c0395b/html5/thumbnails/21.jpg)
21
Thank You!