Comprehensive Statewide Health Promotion Plan Updates

1
Comprehensive Statewide Health Promotion Plan
Updates

• Prepared by the Minnesota Department of Health
• Presented by Brooke A. Ahlquist, M.A., M.P.H.

2
Legislation

• Legislation passed in 2007 called for the
  creation of a plan to fund and implement
  comprehensive statewide health promotion
• Developed in consultation with SCHSAC and
  executive office of MDH
• Legislation specifics
• Sustainable, long-term approach to promote
  population health
• Cost-effective, evidence-based strategies
• Address obesity, physical inactivity, tobacco and
  substance abuse
• Funding based upon size of population served

3
The Plan

• Addresses risk factors for premature and
  preventable deaths, decreased quality of life and
  financial costs resulting from chronic diseases
  through four settings
• Community
• Worksites
• Schools
• Health care
• Utilizes proven techniques to improve population
  health and reduce chronic disease incidence and
  prevalence
• Incorporates expert knowledge from the state and
  local level

4
A Model for Statewide Health Promotion

• Community input into planning, implementation and
  evaluation
• Adherence to socio-ecological model
• Health promotion in four settings community,
  schools, worksites, health care
• Local program advocates
• Informed by evidence-based interventions

• Focus on common risk factors
• Extensive and comprehensive evaluation linked to
  program planning
• Policy, systems, and environmental change that
  supports healthy behavior
• Accountability and oversight

5
Implementation

• Minnesota Department of Health
• State-level oversight and guidance of programs
• Provide data, expertise, training, tools and
  consultation
• Local Public Health
• Roles and responsibilities are consistent with
  essential local public health activities
• At a minimum a Community Coordinator would be
  provided

6
Comprehensive Statewide Health Promotion Plan -
Outcomes

• Short-term (1-3 years)
• Increased awareness of healthy behavior
• Increased physical activity
• Increased consumption of healthy food
• Intermediate (3-5 years)
• Improved blood glucose, blood pressure and blood
  cholesterol level
• Reduced obesity and overweight
• Reduced alcohol and tobacco use
• Long-term (10 years)
• Reduced prevalence of chronic diseases
• Reduced days of missed school and work due to
  chronic diseases
• Reduced disparities in health status and outcomes
  
• Reduced hospitalizations and emergency department
  visits
• Transformative
• Changing norms

7
Funding

• Estimated at 26.5 - 57.5 million yearly to
  achieve measurable improvements in the behaviors
  and health of Minnesotans
• Estimate based on Steps to a HealthierUS model
  with cost of 3.89 - 9 per person for
  comprehensive health promotion interventions
• Derived by allocating a base to CHBs plus
  population
• Adequate percent of funds distributed to the
  local level to support staffing, consultants,
  contractors, materials, resources, travel and
  associated expenses to implement and evaluate
  intervention activities
• Remaining funds would be used by MDH to support
  the local level in technical assistance,
  evaluation and staffing

8
Update

• Approved by SCHSAC and Commissioner of Health
  (end of September)
• Given to Health Care Access Committee (October 1)
• Presented to multiple legislative committees and
  workgroups (October - November)
• Presented five times to Governors Health Care
  Transformation Task Force (October - December)
• Detailed information (including a full Detail
  Report) with every presentation requested with
  each presentation
• Local and state level policy suggestions
• Goals, strategies, and outcomes
• Potential cost savings
• Alcohol and illicit drugs

9
Update

• Renamed Statewide Health Improvement Plan (SHIP)
  by Commissioner Magnan
• Governors Health Care Transformation Task Force
  included Plan in recommendations for budget at
  57.5 million on January 1, 2008
• Healthcare Access Committee (legislative
  committee) also putting forward to state
  legislature
• MDH announcement is pending

10
Update Health Care Transformation Task Force

• Governor accepted report on Feb. 5
• Report has five focus areas
• Improving population health (the Plan)
• Improving the quality, cost, and
  patient-centeredness of the health care system
• Restructuring the payment system
• Reducing the overall size and cost of the health
  care system
• Increasing health care access and affordability

11
Improve Population Health

• For Minnesota adults
• Increase healthy weight and decrease overweight
  and obesity
• Increase tobacco-free
• Reduce binge drinking
• Reduce illicit drug use

12
Next Steps

• Governors budget released on Feb. 21
• Minnesota State Legislature
• Talk to you local legislators!
• In development Marketing and communications
  plan
• Fact sheets, talking points, advertisements,
  presentations, etc.
• We need your support!