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

Statewide Health Improvement Program

(SHIP)Cottonwood, Jackson,

Faribault, Martin & Watonwan Counties


What is SHIP?

SHIP is a state funded initiative to reduce chronic diseases

associated with tobacco use and exposure and obesity


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


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.


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.


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


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


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


Obesity Crisis in the U.S.

$78,500,000,000Estimated cost of physical inactivity

and poor nutrition nationallyThe Economic Cost of Obesity, Finkelstein, Fiebelkorn, and Wang, 2003; www.cdc.gov/nccdphp/dnpa

$40,000,000,000Approximate 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/

http://www.cdc.gov/nccdphp/dnpa

http://www.cdc.gov/nccdphp/dnpa/


Obesity Crisis in Minnesota

$1,300,000,000In 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)


Obesity Trends* Among U.S. AdultsBRFSS, 1985

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

No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%


Tobacco Use

Tobacco use is the leading cause of

premature death in the United States.


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 smoking-related 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


Tobacco Use in Adults


Structure of SHIP in CJFMW Counties

Community Leadership Team

Mini Grants & Strategy Specific

Projects

SHIP Supervisor & Human Services

Minnesota Department of

Health

SHIP Staff

County Steering

Committees


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


Dissemination of Mini-Grants

• Request for Proposal developed and disseminated in communities

• Review Process by Community Leadership Team & County Steering Committees


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 community’s 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.


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 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


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


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


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.


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


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)


Health Care Referral Grantees

• Mayo Health System’s Fairmont• Faribault-Martin County WIC• Cottonwood-Jackson County

WIC• Watonwan County WIC• Wellspring Faith in Action


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


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.


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.


Smoke Free Multi-Unit Housing

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


Thank you!! Any Questions?

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

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