Decision Accelerator Report OutJanuary 31, 2007

www.Alegent.com/childhoodfitnessandnutrition

Current Situation

OHCP Circle of Progress

The Epidemic

It is a growing epidemic– 1 in 6 youth was identified as overweight, while 1 in 3 was

identified as either overweight or at risk for becoming overweight

Significant differences exist across socioeconomic status, race, and ethnicity

– Those communities with the highest poverty rates and the least education are most at risk

– Native American, African American, and Mexican American youth are at the greatest risk

– Access to affordable healthy food and safety of neighborhoods have an impact

Implications

Being overweight or obese can have serious health implications

– Significant factor in the dramatic increase of Type II diabetes – Hypertension is nine times more likely to occur– Orthopedic complications can arise– May result in negative psychosocial effects– Related to higher rates of morbidity and mortality later in life

Obesity-related annual costs have increased dramatically– Annual hospital costs tripled over a twenty year period for youth– Total expenses related to adult obesity/overweight is estimated

to be between $98 and $129 billion

Ecological Model

Child orAdolescent

Decision Accelerator

Background

Decision Accelerator (“DA”) held on December 7th and 8th, 2006

– 75 people from the community attended

• Represented a variety of stakeholder groups

– Vision was developed – Horizon map with one-, three-, and

five-year horizons was generated– The Horizon Map concentrated on

six key focus areas for addressing childhood obesity

• The focus areas are referred to as Planks

Vision of Coalition

In 2011, Omaha is nationally recognized as a collaborative model achieving

measurable improvement in the fitness and nutrition of children.

Horizon Map

Transition Team

The Members of the team include:– Dr. Molly O’Dell– Mikki Frost– Dr. Fred Hosler– Shirley Hosler, RN– Craig Kulawik– Pat Masek

– Heidi May– Kerri Peterson– Stephanie Sharma– Dr. Jeffry Strohmyer– Ad hoc members

Since the conclusion of the DA, a transition team has been meeting regularly to distill all of the hard work generated throughout the two day process

Plank Committee Horizons

Physical Environment

Horizon One– Develop master plan to increase awareness, collaboration, policy

change, & implementation

Horizon Two– Implement master plan at the neighborhood level

Horizon Three– Observe significant improvement in physical environment and

community health indicators

Nutrition

Horizon One– Establish a nutritional plan

Horizon Two– Create measurable awareness

Horizon Three– Observe positive changes in awareness, behavior, and BMI

Physical Activity

Horizon One– Assess the needs of the community – Increase awareness and buy-in– Form a collaboration

Horizon Two– Demonstrate measurable changes– Continue education – Disseminate progress and best practices

Horizon Three– Continue to demonstrate measurable change– Maintain continued awareness, dissemination, and education

Evaluation

Horizon One– Establish and begin to evaluate three outcome measures

1. BMI 2. Prevalence of obesity3. Morbidity related to obesity

Horizon Two– Reassess and modify the evaluation measures

Horizon Three– Establish an evaluation system that yields results that are valid

and useful

Social Marketing

Horizon One– Create awareness of the initiative

Horizon Two– Launch the program

Horizon Three– Maintain the message

Funding and Resources

Horizon One– Establish a “4C” model of collaboration – Ensure donors are informed and that options are available– Scan potential government resources– Engage individual and community level giving

Horizon Two– Establish long-term commitment – Obtain funding at all governmental levels

Horizon Three– Demonstrate a positive ROI– Receive community recognition of donors– Achieve sustainable funding

Leadership Structure

Keys to Success

Keys to Success and lessons learned from other models:– Participation from high level, respected and committed

community leaders– Overall management by subject matter experts– Opportunities for participation by the community at large– An overriding commitment to put the interests of the coalition

above the interests of any one member– Staff support

Leadership Structure

NutritionCommittee

Executive CommitteeSteering Committee

PhysicalActivity

Committee

Funding andResourcesCommittee

PhysicalEnvironmentCommittee

SocialMarketingCommittee

EVALUATION

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

DEMOGRAPHIC & CULTURAL RELEVANCE

EvaluationCommittee

Chair Co-chair Committee

Members

Executive Committee

Role– Provide management and broad subject matter expertise to the

coalition– The work of the Plank Committees will be coordinated through

this structure– The Plank Chairs will serve on the Executive Committee, as well

as chair their Plank CommitteeSelection Criteria

– Recognized expert– Existing leadership role in the area– Ability to bring people together– Commitment/passion for children’s health

Executive Committee

Members– Rev. Dr. Larry Brown – Alegent Health Clinics– Dr. Christina Fernandez – Creighton Pediatrics– Dr. David Filipi – Methodist Health System– Dr. David Finken – UNMC Pediatrics – Nancy Nielsen, RN – Millard Public Schools– Dr. Adi Pour – Douglas County Health Department– Dr. Jeffry Strohmyer – Alegent Health – Dr. Thomas Tonniges – Boys Town Pediatrics

Executive Committee

Members/Committee Chairs:– Marty Shukert – Physical Environment Chair, RDg Planning and

Design – Kerri Peterson – Social Marketing Chair, OHCP– Dr. Jennifer White – Physical Activity Chair, UNO HPER– Mary Balluff – Nutrition Chair, Douglas County Health Department– Anne Camp – Funding/Resources Chair, Alegent Health– Dr. Magda Peck – Evaluation Chair, UNMC

Plank Committee Chairs

Overview– Implementation of the Horizon and action plans will be

overseen by the plank committees– Comprised of program and subject matter experts– Chair of the plank committee will serve on the Executive

Committee– Organizational meetings for the plank committees will be

scheduled soon– OHCP and Alegent Health has committed staff and offices

to support the organizational work of the initiative

Evaluation

NutritionCommittee

Executive CommitteeSteering Committee

PhysicalActivity

Committee

Funding andResourcesCommittee

PhysicalEnvironmentCommittee

SocialMarketingCommittee

EVALUATION

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

DEMOGRAPHIC & CULTURAL RELEVANCE

EvaluationCommittee

Chair Co-chair Committee

Members

Demographic & Cultural Relevance

NutritionCommittee

Executive CommitteeSteering Committee

PhysicalActivity

Committee

Funding andResourcesCommittee

PhysicalEnvironmentCommittee

SocialMarketingCommittee

EVALUATION

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

Chair Co-chair Committee

Members

DEMOGRAPHIC & CULTURAL RELEVANCE

EvaluationCommittee

Chair Co-chair Committee

Members

Ecological Model

Child orAdolescent

Q & A

Decision Accelerator Report OutJanuary 31, 2007

www.Alegent.com/childhoodfitnessandnutrition