MidAtlantic College Health Association Lancaster, Pennsylvania October 2004

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Mid-Atlantic College Health AssociationLancaster
, Pennsylvania October 2004
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Healthy Campus 2010Putting Concepts into
Practice

• National Health Objectives in Higher Education
  Task Force members and presenters
• Alan J. Barnes, MDCM University of Florida
• Karen A. Gordon, MPH The College of New Jersey
• Sandra Samuels, MD-Rutgers University/Newark
• Lynne Logatto, FNP- Rutgers University/Newark
• Beth Poore-Bowman, FNP-Longwood University, Va.

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Blueprints for Healthier Educational Experiences
in Higher Education
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Putting Concepts into Practice Outline

• Develop data-based objectives with measurable
  outcomes
• Access and use data sources and national
  standards
• Illustrate concepts and practices

• Describe the linkages-Healthy People 2010
  Healthy Campus 2010
• Outline- what to assess, how to use Healthy
  Campus 2010 to develop strategies and
  interventions

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Health Campus 2010Healthy People 2010

• A basis for
• Defining health priorities of students, faculty
  and staff
• Curriculum guides for degree- oriented or
  continuing education programs
• Planning tool for development of services,
  facilities and funding
• Fostering campus/ community partnerships

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What is Healthy Campus 2010?

• A document based on a national plan
• A program and planning guide
• A collaborative process
• A systematic approach

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What are Healthy People 2010 and Healthy Campus
2010?

• Healthy People 2010
• A national effort and prevention blueprint
  with two goals, 467 health objectives and ten
  leading health indicators to improve the health
  of all individuals and communities.
• Two National Goals
• Increase quality and years of healthy life
• Eliminate health disparities
• Healthy Campus 2010 An adaptation of the HP2010
  that addresses higher education communities. The
  178 health objectives selected are relevant for
  student populations and people working in campus
  settings.
• Goals for Higher Education

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Healthy People 2010 A Brief History

• 1979 Healthy People The Surgeon Generals
  Report on Health Promotion and Disease Prevention
• 1980 Promoting Health/Preventing Disease
  Objectives for the Nation 226 targeted health
  objectives for the decade, 1980 to 1990.
• 1987 The 1990 Health Objectives for the Nation
  A Mid-course Review Half of objectives likely
  to be achieved, problems and disparities persist

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Healthy People 2010 A Brief History

• 1990 Healthy People 2000 National Health
  Promotion and Disease Prevention Objectives
  
• 2000 Healthy People 2010Understanding and
  Improving Health Objectives for Improving Health
  3 goals, 4 domains, 22 health priority areas, 319
  objectives
• Tracking Healthy People 2010
• 2 goals, 10 leading health indicators, 28 focus
  areas, 467 objectives

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Healthy People 2010 Key Elements

• Goals Provide general
  focus and direction
• Objectives Specify desired measurable
  changes
• Determinants of Health
• Health Status

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A Systematic Approach to Health Improvement
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Health StatusI. Leading Causes of Death

• Overall 1999
• Heart Disease
• Malignant Neoplasm
• Cerebrovascular
• Chronic Respiratory
• Unintentional Injury
• Diabetes
• Pneumonia/Influenza
• Alzheimers
• Nephritis
• Septicemia

• 15 to 24 - 1999
• Unintentional Injury
• Homicide
• Suicide
• Malignant Neoplasm
• Heart Disease
• Congenital Anomalies
• Chronic Respiratory
• HIV
• Cerebrovascular
• Pneumonia/Influenza

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Health StatusII. Leading Causes of Death - 2000

• Tobacco use 435,000
• Poor diet and physical inactivity 400,000
• Alcohol Consumption 85,000
• Microbial Agents 75,000
• Toxic Agents 55,000
• Motor vehicle accidents 43,000
• Firearm use 29,000
• Sexual behavior 20,000
• Illicit drug use 17,000

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Why Healthy Campus 2010?What influences student
educational experience and campus health?

• List four situations, problems, or events that
  influence a students campus experience, academic
  participation or ability to stay in school.
• 1.
• 2.
• 3.
• 4.
• Action Step 1 Check which relate to HP2010
  goals,
• leading health indicators or focus areas?

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Leading Health IndicatorsTen Major Public Health
Issues

• Physical activity
• Overweight and obesity
• Tobacco use
• Substance abuse
• Responsible sexual behavior

• Mental health
• Injury and violence
• Environmental quality
• Immunization
• Access to health care

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From Healthy People 2010 to Healthy Campus
201028 Focus Areas

• Access to Quality Health Services (16/6/1)
• Arthritis, Osteoporosis Chronic Back Conditions
  (11/0/0)
• Cancer (15/3/2)
• Chronic Kidney Disease (8/0/0)
• Diabetes (17/4/3)
• Disability Secondary Conditions (13/2/1)
• Educational Community-Based Programs (12/5/1)

• Environmental Health (30/8/0)
• Family Planning (13/6/5)
• Food Safety (7/3/0)
• Health Communication (6/3/0)
• Heart Disease Stroke (16/6/2)
• HIV (17/4/3)
• Injury and Violence Prevention (39/20/13)

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From Healthy People 2010 to Healthy Campus
201028 Focus Areas

• Maternal, Infant, Child Health (23/3/0)
• Immunization Infectious Diseases (31/8/1)
• Medical Product Safety (6/6/0)
• Mental Health Mental Disorders (14/6/2)
• Nutrition Overweight (18/15/4)
• Occupational Safety Health (11/6/0)

• Oral Health (17/3/1)
• Physical Activity Fitness (15/11/3)
• Public Health Infrastructure (17/11/0)
• Respiratory Diseases (17/4/1)
• Sexually Transmitted Diseases (19/9/6)
• Substance Abuse (25/17/5)
• Tobacco Use (21/8/1)
• Vision and Hearing (18/3/0)

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Why Healthy Campus 2010 ?

• The Campus as a Community
• Students, Faculty, Staff
• Residences
• Health Care Facilities
• Recreational and Cultural Facilities
• Social Centers
• Employers
• Research and Production Facilities

• The Students
• 2/3 of high school graduates
• More than 15 million students
• Annual turnover
• Lives in transition
• Future leaders, policymakers, role models
• International students

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What do you Have?Students Campus
ExperienceAssets Inventory

• Action Step2
• Individual assets
• How do YOU influence or affect students
  educational experience?
• List two ways
• What professional skills, talents or resources to
  do you contribute to a students educational
  experience?
• List two skills

• Action Step 3
• Organizational
• assets
• How does your
• office, department or service contribute to a
  healthy educational experience or campus
  environment?
• List two contributions

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Develop Campus-Specific Goals and Objectives

• Review mission in the institution
• Review objectives in Healthy Campus 2010
• Select focus areas and objectives relevant to
  your campus
• Conduct needs assessment for target populations
  use valid data sources
• Connect objectives with priority campus health
  problems, institutional mission

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From Healthy People 2010 to Healthy Campus 2010

• Review selected Objectives from
• Healthy Campus 2010
• Identify which health risk areas and objectives
  are relevant to your campus, because of
• Student academic performance
• Campus atmosphere
• Image of school
• Safety concerns
• Patterns of use for health services
• Insurance claims

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Examples of HP2010 Objectives for Higher Education

• 7-3b2. Increase the proportion of college
  students who have received information on alcohol
  and other drug use prevention.
• Baseline 47.5, 2010 Target 55
• 26-11b. Reduce the proportion of college students
  engage in episodic high risk (binge) drinking of
  alcoholic beverages in the past two weeks.
• Baseline 39, 2010 Target 20

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From Healthy People 2010 to Healthy Campus
2010Assessing Relevance and Priority

• Example
• HP2010 Focus Area 1 Access to Quality Health
  Services
• Goal Improve access to comprehensive,
  high-quality health care services
• Objective-Clinical Preventive Care
• 1-1Increase the proportion of persons (and
  college students) with health insurance.
• -Primary Care
• 1-4 Increase the proportion of persons )and
  college students) who have a specific source of
  ongoing care 1-4c adults aged 18 years and older

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Identify target population for each objective
StudentsWhat data do you have?

• Ethnicity
• Race
• Religion
• Fraternities/ Sororities
• Athletes
• High Risk

• Gender
• Age
• School Status Undergraduate/ Graduate
• Academic Program
• Housing On campus/Off campus

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Healthy Campus 2010 Priorities

• Social and emotional health
• Coping with stress
• Psychological relationship to food
• Sexual health
• Nutrition
• Unintentional and Intentional Injury

• Alcohol and other drugs
• Tobacco
• Health services cost
• Insurance availability
• Institutional links

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From Healthy People 2010 to Healthy Campus 2010

• Sample objectives 1-1,1-4, 7-3, 26-11b, 27 1/2
• Action Step 4 How do they apply to your campus?
• For whom is 7.3 a priority?
• For whom is. 27 1/2 a priority?
• What data from your campus do you have to support
  or describe these objectives?

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From Healthy People 2010 to Healthy Campus 2010

• Action Step 5
• Who is aware of health priorities?
• What data from your campus do you have to support
  or describe these objectives?
• Who is ready for action?

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Establishing awareness, priorities and action

• Action Step 6
• List and connect to identified health priorities
• Existing structures college council, student
  government, faculty senate, student life, health
  services, academic affairs, athletics,
  presidents office
• New structures staff working committees,
  student organizations, student/faculty committee,
  special interest groups

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Generate Campus Interest and Involvement

• Establish Healthy Campus 2010 Task Force
• Initiate future-oriented dialogue across
  departments
• Offer a course on National Health Objectives
• Recommend Healthy People 2010 as a textbook for a
  course
• Promote awareness of health priorities through
  news media
• Administer National College Health Assessment or
  other established instrument

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Summary

• Data needed?
• Conduct more detailed analyses use health
  problems worksheet.
• Describe most important health problems to be
  addressed in the short term (this year) and long
  term (over the next two to five years.)
• Develop a working team or committee to address
  the problems selected.
• Identify goals and write health objectives that
  are relevant to your institution.

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HP2010 Campus examples

• Longwood University-Rural campus
• Tobacco
• Sexual Assault
• Rutgers University/Newark-Urban campus
• -HP2010 as a basis for planning interventions

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ResourcesOffice of Disease Prevention and
Health Promotion ACHA

• U.S. Department of Health and Human
  ServicesHubert H. Humphrey Building, Room 738G
• 200 Independence Avenue, S.W.
• Washington, DC 20201
• http//odphp.osophs.dhhs.gov
• Healthy People 2010
• www.health.gov/healthypeople
• www.cdc.gov/nchs/hphome.htm
• WONDER provides a single point of access to a
  wide variety of reports and numeric public health
  data.
• http//wonder.cdc.gov/

American College Health Association P.O. Box
28937 Baltimore, MD 21240-8937 410-859-1500 www.ac
ha.org Healthy Campus 2010 www.acha.org
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Your next steps.

• Purchase a manual
• Establish a health committee
• Collect data
• Assess influences
• Determine available resources
• Determine campus health priorities
• Set objectives
• Develop action plan
• Implement
• Measure your success