The goal of SHIPThe Statewide Health Improvement Program (SHIP) seeks to:• Improve health• Decrease costs

Our goal: • Increase healthy

weight adults by 9 percent

• Reduce young adult tobacco use by 9 percent

Cause of Death, Minnesota 2010

Number of Deaths

Cancer 9599Heart Disease 7144Stroke 2154Unintentional injuries 2087Chronic lower respiratory disease

2012

Alzheimer’s Disease 1450Diabetes 1036Nephritis 895Suicide 599Influenza/pneumonia 591

SHIP works to reduce chronic diseases such as heart disease, cancer and diabetes

Source: Mokdad et al, JAMA 2004 March 10; 291 (10):1238-45 U.S. 2000

The “Real” Causes of Death: U.S. estimate, 2000

Number of Deaths Percentage

Tobacco 435,000 18%Diet/activity 365,000 15%Alcohol 85,000 4%Microbial agents 75,000 3%Toxic agents 55,000 2%Firearms 29,000 1%Sexual behavior 20,000 <1%Motor vehicles 43,000 <1%Illicit use of drugs 17,000 <1%

It does this through prevention—reducing the behaviors that lead to chronic disease

Percent of Minnesota Adults Obese

Health in Minnesota

• Nearly 2/3 of adults are overweight or obese

• Only one out of four adults eats enough fruits and vegetables

• Only slightly more than half of Minnesota adults get at least a moderate level of exercise.

Obesity is epidemic in Minnesota

Percent of Minnesota Adult Current Smokers

Health in Minnesota

• 15% of adults smoke, and many others are subjected to secondhand smoke.

• In high school, over a quarter of students used tobacco in the past 30 days.

Tobacco continues to be a problem

Health in Minnesota

Health Care Spending in Minnesota from 1996-2008

All contributing to health care costs that are out of control

$2.9 billion in annual medical costs (2007)Tobacco

Obesity $2.8 billionestimated annual financial burden (2006)

Health in MinnesotaThe financial burden on Minnesota is enormous

Source: Center for Disease Control and Prevention, University of California at San Francisco, Institute for the Future, thanks to Dakota SHIP

Minnesota spends annually per-capita:• Health care:

almost $7000 • SHIP: less than $4

Health in MinnesotaYet prevention is a tiny percent of health spending

The goal of SHIP:• The goal of the Statewide Health Improvement

Program (SHIP) is to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease.

How SHIP WorksThe solution: prevent chronic disease and thereby reduce health care spending

How SHIP WorksThe SHIP model: improving health by increasing opportunities for healthy choicesIncreased opportunities for physical activity, nutritious food, and tobacco- free living…

…means more people get physical activity, better nutrition, and less tobacco exposure…

…leading to Improved health…

…lowering health care costs, and improving quality of life.

Working toward policy change, not individual change• Rather than tell kids about good nutrition, work

with schools to serve more locally grown produce.

• Rather than tell people to get more physical activity, help employers build opportunities into the day.

• Rather than tell students to avoid second-hand smoke, help college campuses to become smoke-free.

How it works

SHIP for 2012-13• 18 grantees• 55 counties and cities

and one tribal community

SHIP for 2012-13Results• Through year three

A healthy start for young children through more physical activity and healthier eating in childcare

Healthy eating at school through “Farm to School” programs, school gardens and healthier snacks.

Physical activity for kids by walking and biking to school, “Active Classrooms” and PE

Tobacco-free colleges, including help quitting

Helping families avoid tobacco smoke at home through smoke-free multi-unit housing

Results from the First Two YearsFarmers marketsSupported or created 71 farmers markets

More access to healthy eating, including farmers markets and corner store initiatives

Encouraging active living through more sidewalks, bike paths and safe crosswalks

Partnering with healthcare providers to encourage referrals, breastfeeding, and cessation services

Good health at work through workplace wellness programs

– Local control– Strong partnerships– Evidence-based strategies– Sustainability– Strong evaluation

Keys to success