Primary Prevention Plans...Primary Prevention Plans Annual Report | 2018-2019 4 Foreword Dear...

Primary Prevention Plans Annual Report | 2018-2019 1

Primary Prevention Plans

2018-2019 Annual Report

OfficeofPrimaryPrevention TennesseeDepartmentofHealth


Primary Prevention Plans Annual Report | 2018-2019

March 2020

Office of Primary Prevention | Tennessee Department of Healthwww.tn.gov/primaryprevention

Reportauthoredby:JohnVick,PhDMSEvaluationandAssessmentDirectorMatthewColeman,MPHCHESCoordinatorLeslieMeehan,MPAAICPDirector

Cover Photo: Youth participants in a physical activity club in Pickett County, Tennessee.


Table of Contents

ForewordfromDr.LisaPiercey,TennesseeCommissionerofHealth 4

ThePrimaryPreventionPlans 5

TheBigPicture 6

APrimaryPreventionApproach 7

AssessingNeed 8

HealthFocusAreas 9

PrimaryPreventionPlansHighlightedAccomplishments 10

FocusArea|PhysicalInactivity 11

FocusArea|Obesity 12

FocusArea|Tobacco 13

FocusArea|SubstanceMisuse 14 CollaborationandPartnerships 15

HealthEquity 16

BrightSpotAwards 17

AbouttheOfficeofPrimaryPrevention 18


Foreword

Dear colleagues,

LastyeartheTennesseeDepartmentofHealthdevelopedanewstrategicplanwithtwomainfocusareas:accessandprevention.ConcentratingoureffortsonbothoftheseareasiscriticalforhelpingTennesseansgetaccesstocarewhentheyneedit,andforpreventingthemfromgettingsickinthefirstplace.TDHisworkinghardandinnovatingonbothofthesefronts,andthePrimaryPreventionPlansareacriticaltoolforhelpingourcountyandregionalhealthleaderstosuccessfullyplanandimplementupstreampreventionworkintheircommunities.

The2018-2019PrimaryPreventionPlansmarkedthesecondyearinarowthatall95countiesinTennessee,includingourmetrohealthdepartmentpartners,createdandimplementedaplan.Together,theinitiativesintheseplansareeducatingcommunitiesaboutAdverseChildhoodExperiences(ACEs),mobilizingpartnershipstoreduceopioidaddiction,gettingkidsoutdoorsandphysicallyactivetoreduceyouthobesity,workingtoreducetobaccouseandvapingamongteens,encouraginghealthyeatinghabits,andsomuchmore.

Addressingtherootcausesofdiseasemeansweneedtoreachoutbeyondourclinicsandevenbeyondpublichealthtoothergovernmentandcommunitypartners.Ourpartnershipsarethekeytoensuringwehavehealthyandlivablecommunitiesacrossourstate,inplacesbothurbanandrural.Thispastyear,ourPrimaryPreventionPlansweresupportedbyover1,100organizationalpartnerships,andmorethan1,900communityvolunteersgenerouslydonatedtheirtimetotheseinitiatives.Wecertainlycouldnotdothisimportantworkwithoutthetirelesseffortsofourpartnersandourcountyandregionalhealthdepartmentstaffeachandeveryday.

Wehopeyouenjoythisannualreportwhichprovideshighlightsandaccomplishmentsfromthispastyear’sPrimaryPreventionPlans.Thankyouforyourcontributionsandyoursupport!

Sincerely,

Lisa Piercey, MD, MBA, FAAPCommissioner,TennesseeDepartmentofHealth


The Primary Prevention Plans

Cross-sectorandcommunitypartnershipsareakeycomponentoftheplans.Theplansaredevelopedthroughacollaborativeeffortamonghealthdepartmentstaffandpartners.EachplanconsiderslocalprioritiesdevelopedthroughCountyHealthAssessmentsledbyeachcounty’slocalhealthcouncil,alongwithothercommunityhealthprioritiesidentifiedbystaffandpartners.Theseneedsandprioritiesinformtheselectionoffocusareasforeachplan.

About This ReportThisreportprovidesanoverviewofthePrimaryPreventionPlansfor2018-2019,showcasingtheimportantprimarypreventonworkofhealthdepartmentstaffandtheirpartnersoverthepastyear.Thereporthighightsselectedaccomplishments,metrics,andcasestudiesoflocalprimarypreventionworkacrossTennessee.

TheTennesseeDepartmentofHealthprioritizesandengagesinprimarypreventionworkacrosstheenterprise,ThePrimaryPreventionPlanshelpfocustheseeffortsatthelocallevelbutnumerousprogramsacrossthedepartment’sofficesanddivisionsworktoaddressthesocialdriversofhealth,shapingpolicies,systems,andenvironmentstomakehealthychoiceseasierincommunitiesacrossTennessee.

Countiescanincludeanyhealthrelatedfocusareasintheirplanthatalignswithlocalneedsandpriorities.However,thedepartmentrecommendsthateachcountyincludeatleasttwoofthefollowingTennesseeVitalSignsasfocusareas:PhysicalInactivity,TobaccoUse,Obesity,orSubstanceMisuse.Countiesdevelopimplementationstrategiesforaddressingeacharea,includingSMARTobjectivesanddetailedactionsteps.Metricsforevaluatingeachstrategyarealsoidentifiedandincludedineachplan.

TheTennesseeDepartmentofHealthestablishedthePrimaryPreventionPlansasawaytomoreclearlyfocusthedepartment’sprimarypreventionefforts.EachofTennessee’s95countyhealthdepartmentsdevelopsandimplementsanannualPrimaryPreventionPlan.Theplansprovideanopportunityforeachlocalhealthdepartmenttoassesshealth-relatedneedsintheircommunities,thenidentifyandimplementstrategiestoaddressthem.

EverypersonwhoworksattheTennesseeDepartmentofHealthhastheopportunitytoparticipateinprimarypreventionworkaspartoftheircountyorregion’sPrimaryPreventionPlan.Healtheducators,clinicalstaff,directors,andadministrativestaffeachplayaroleintheircountyorregionalplanbasedontheirinterestorexpertise.

Staffcanassistinimplementationthroughplanningorfacilitatingactivities,providingeducationtoprogramparticipants,buildingrelationshipswiththecommunityandpartners,developingpolicychanges,administeringvaccines,leadingtrainings,presentingtocommunitymembersorstakeholders,andevaluation.

1,573 healthdepartment

staffwereinvolvedinimplementationofprimaryprevention

initiatives


The Big Picture

Filling in the GapsThePrimaryPreventionPlansalloweachlocalhealthdepartmenttoplanandimplementinitiativesthatareimportanttothecommunitiestheyserve.TheseinitiativescanincludeportionsofthehealthcouncilactionplansoractivitiesoutlinedintheDepartmentStrategicPlan,butalsoprovideanopportunitytofocusonneedsidentifiedduringtheCHAprocessorthroughothermeans.Theyprovideanavenueforlocalhealthdepartmentstoimplementworkthatmaynotbeprioritizedinotheractionplansorsupportedbyexistingfundingsources,andallowlocalhealthdepartmentsto

leveragethepoweroftheirstaffandcommunitypartnerstoaffectchangesintheircommunities.

Department Strategic PlanIn2019,theTennesseeDepartmentofHealthdevelopedaStrategicPlanthatoutlineskeyprioritiesandgoalsforthedepartmentforthecomingyear.Theplanincludestwoareasofstrategicfocus:preventionand

acces.Preventionremainsfrontandcenter,aspreventingdiseasebeforeitoccursisfundamentaltopublichealthpractice.Access iscriticalwhenpeopledoneedhealthcare

services.Thedepartmentisfocusedonimprovingaccessthroughpartnership,coordination,and

innovation.

Tennessee’s Vital SignsTennessee’sVitalSignsare12

metricsthatmeasurethepulseofTennessee’spopulationhealth.

Overall,theyprovideanat-a-glanceviewofleadingindicatorsofhealthandprosperityinthestate.TheVitalSignsincludehealthoutcomessuch

as Youth ObesityandPreventable Hospitalizations,aswellasmetricsoutsidethedirectcontrolofpublichealthsuchasThird Grade Reading

Level andAccess to Parks and Greenways.TheVitalSignsmetricsemphasizetheimportanceofacollaborativeprimarypreventionapproachtopreventingdiease.

County Health AssessmentsLastyeartheTennessee

DepartmentofHealthpilotedCountyHealthAssessments(CHAs)in16counties.Ledbylocalcountyhealthcouncils,theseassessmentsprovideastructuredanduniformprocessforlocalstakeholderstoidentifyupto3sharedprioritiesthatareuniquetoeachcounty.Anadditional26countiesare

currentlyconductingCHAsin2020,withallcountiesinTennesseescheduledtocompletean

assessmentby2022.EachcountywillconductaCHAevery3years.

Health Council Action PlansUsingthefindingsfromtheCHAs,

eachcountyhealthcouncildevelopsanactionplantoaddressthetop

healthprioritiesintheircounty.Theactionplansaretheresponsibilityoftheeachcountyhealthcounciltoimplement.HealthcouncilsareresponsiblefortheimplementationoftheirCHAactionplans.However,countyhealthdepartmentsplayaroleindevelopmentoftheplan.Localhealthdepartmentsmayberesponsibleforpartsoftheactionplans,whichcanbeincludedinthecounty’sPrimaryPreventionPlan.

Primary Prevention PlansThePrimaryPreventionPlansoutlinetheself-identifiedresponsibilitiesofeachlocalhealthdepartmentforengaginginprimarypreventionwork.Theplansaredevelopedannuallyandreflectlocalprioritiesidentifiedthroughlocalassessmentsincludingthedepartment’sCountyHealthAssessments,andtheresultingactionplansthataredevelopedandledbylocalcountyhealthcouncils.ThePrimaryPreventionPlansarealsoinformedbyhigh-level

strategicprioritiesdevelopedbythestateincludingtheTennesseeDepartmentofHealth’sStrategicPlanandTennessee’sVitalSigns.


A Primary Prevention Approach

TheTennesseeDepartmentofHealthiscommittedtoacceleratingpopulationhealthimprovementinTennessee.TheleadingcausesofdeathinTennesseereflectanepidemicofpreventablechronicdiseases.

Healthconditionsthatdrivetheseleadingcausesofdeathareobesity,physical inactivity,tobacco and nicotine addiction,andother substance misuse disorders.Takentogether,thesehealthconditionsrepresentthegreatesthealthchallengesfacingTennessee.ThePrimaryPreventionPlansguidelocalhealthdepartmenteffortstoaddresstheseconditionsintheircommunities.

AddressingTennessee’sleadingcausesofdeathrequiresaprimarypreventionapproach,targetingtheroot causes of disease so people arelesslikelytogetsickandneedclinicalservices.Primarypreventionoftenrequireschangingpolicies,systems,andenvironmentsthatinfluenceourchoicesandbehaviors.Creatinghealthiercommunitiescanreducepreventableillnessbyprovidingeveryonewiththeopportunitytobeheatlhy.

Obesity

Physical Inactivity

Tobacco and Nicotine Addiction

Other Substance Misuse Disorders

Contributors to Leading Causes of Death

Primary Prevention

Aninterventionimplementedbeforethereisevidenceofadiseaseorinjury

Example:Encourage exercise and healthy

eating to prevent obesity

Secondary Prevention

Aninterventionimplementedafteradiseasehasbegunbutbeforeitissyptomatic

Example:Check Body Mass Index (BMI) to

identify obese individuals

Tertiary Prevention

Aninterventionimplementedafteradiseaseorinjuryis

established

Example:Help obese individuals

lose weight

The Levels of Prevention

Leading Causes of Death in Tennessee*

1.HeartDisease2.Cancer3.ChronicLowerRespiratoryDisease4.Accidents5.Stroke6.Alzheimer’sDisease7.Diabetes8.Flu/Pneumonia9.KidneyDisease10.Suicide

*CalculatedbytheNationalCenterforHealthStatistics,U.S.CentersforDiseaseControlandPrevention,2014


Assessing Need

EachcountyandregionalhealthdepartmentassessedandprioritizedtheneedsintheircommunitytoinformthefocusareasfortheirPrimaryPreventionPlan.Basedontheidentifiedneeds,eachcountyorregiondevelopedgoalsandactionstepstoincludeintheirplans.

87

49

32 31 30 2924 24

20

10 95 4

CountyHealth

Rankings andRoadmaps

CDCResources

Data fromTDH CentralOffice Staff

Data fromTDH Regional

Office Staff

Health CareCouncil or

Health CareCoalition

Data fromTDH website

CommunityCommons

CommunityHealth

Assessmentor County

HealthAssessment

TDH VitalSigns

US CensusBureau

Website

ResearchLiterature

AnotherSource

CommunityGuide to

PreventiveServices

Num

ber o

f Cou

ntie

s or R

egio

ns

Resources Used to Assess Community Needs

Themostcommonly-usedresourceforassessingcommunityneedswasCountyHealthRankings,followedbyresourcesprovidedbytheU.S.CentersforDiseaseControlandPreventionandresourcesfromstaffattheTennesseeDepartmentofHealth’sCentralandRegionalOffices.

County Health Assessments

In2019,theTennesseeDepartmentofHealthpilotedCountyHealthAssessments(CHAs)in16counties,withagoalofall89ruralcountiescompletingaCHAby2022.Ledbylocalcountyhealthcouncils,theCHAprocessengagedabroadbaseofcommunitystakeholderstoassessneedsandidentifyprioritiesforthecounty.TheseprioritiesinformedthedevelopmentofthecountyPrimaryPreventionPlans.TheTennesseeDepartmentofHealthdevelopedadataprofileforeachcountytouseintheirCHAinadditiontoanycommunitydatacollectedaspartoftheprocess.


Health Focus Areas

92 90

74 73

61

24

5 5 4 4 4 4 3 3 3 3

Primary Prevention Health Focus Areas

>Focusareasarenotmutually-exclusive

Eachcountyandregionalhealthdepartmentselectedhealthfocusareastoaddresstheneedsandprioritiesintheircommunity.EachimplementationstrategyinthePrimaryPreventionPlansidentifiedatleastonehealthfocusareatargetedbythestrategy.

ThedepartmentrecommendedthateachplanincludeatleasttwoofthefollowingTennesseeVitalSigns:1)PhysicalInactivity,2)Obesity,3)TobaccoUse,and4)SubstanceMisuse.Healthfocusareasforthe2018-2019PrimaryPreventionPlansareshowninthegraphicbelow.

Thefocusareasarenotmutually-exclusive,withsomestrategiestargetingmultiplehealthconditions.Tobaccowasthehealthfocusareatargetedbythegreatestnumberofstrategies,followedbyobesity,immunizations,substancemisuse,andphysicalactivity.

Otherfocusareasincludedmentalhealth,infantmortality,workplacewellness,injuryprevention,anti-bullying,suicideprevention,domesticviolence,teenpregnancy,communityviolenceandsafety,oralhealth,andliteracy,amongothers.


Primary Prevention Plan Highlighted AccomplishmentsThe Tennessee Department of Health Primary Prevention Plans for 2018-2019

50policiesadopted

56new groups or

coalitions formed

406strategies implemented

by local health departments

95counties implemented

primary prevention plans

1,149organizational partnerships

supported initiatives

1,911volunteers

supported initiatives

17,816flu vaccines

administered

9,808children vaccinated

at school located clinics

6,975youth participants in physical activity clubs

10,782 participants in community

fitness classes

12,682pounds of prescription drugs collected at sites and events

559 new prescription drug

disposal sites

TheTennesseeDepartmentofHealth’sPrimaryPreventionPlansfor2018-2019includedawiderangeofinitiativestoaddresshealthprioritiesineachcounty.Acrossthestate,countyandregionalinitiativesengagedcommunitiesandpartners,builtrelationshipsandcoalitions,anddeliveredprevention

educationandservices.Someofthemanyaccomplishmentsoverthepastyeararehighlightedbelow.


Focus Area | Physical Inactivity

61 physical activity

strategies implemented

52 counties implemented

physical activity strategies

Healthy Built Environment Projects | Lincoln County

TheMcBurgCommunityCenterinLincolnCountyhasinvestedinnewbuiltenvironmentprojectstopromotehealthyeatingandactivelivingintheircommunity.Overthepast3yearsthecommunitycenterbuilt a farmer’s market pavillion and playground, installed outdoor exercise equipment, and added a water bottle refill station.AProjectDiabetesgrantfromtheTennesseeDepartmentofHealthfundedtheimprovements.Communitypartnersimplementprogrammingatthecommunitycen-tertocomplimentthenewfeatures,includingtheLincolnCountyHealthDepartmentwhichsponsorsawalkingclubandbikingevents,andDiningwithDiabeteseventsinpartnershipwithUTExtension.Addi-tionally,theMcBurgCommunityCenteradoptedseveralhealth-focused policies and practices,imple-mentingsmoke-freegrounds,removingthesodamachine,hostingfitnessclassesatleasttwiceperweek,andofferingfruitandwateratallpublicfunctionsandevents.

182 organizational partnerships

supported the initiatives

171 volunteers


24 programsdelivered

631 Healthy Parks, Healthy Person

park prescriptions written

48 youth physical activity clubs

6,975 youth participants in physical activity clubs


Focus Area | Obesity

90 obesity strategies

implemented


obesity strategies

261organizational partnerships


514 volunteers


10,782 participants in

community fitness classes

34 new Breastfeeding

Welcomed Here businesses

18 community gardens and school gardens created

34 new Gold Sneaker certified facilities

Hydration Campaign: Bring Tap Back | Campbell County

TheCampbellCountyHealthDepartment,inpartnershipwiththeCampbellCountyHealthCouncil,CampbellGetsFit!,andCampbellCountySchools,helpedtoimplementtheHydrationCampaign:BringTapBack.Thecampaigninvolvedprovidingnutritional educational sessions and water bottles to all 5,316 students in Campbell County Schools.Communitypartnersdonatedfundingfornew water bottle refill stations in all 11 county schools. Teachersandschoolstaffweretrainedonthehealthbenefitsofwateranddevelopingclassroomroutinesforfillingwaterbottlesduringtheschoolday.Additionally,healthdepartmentstaffpromotetheimportanceofdrinkingwaterratherthansugar-sweetenedbeveragestochildrenandfamiliesparticipatingintheWICprogram.


Focus Area | Tobacco Use

92 tobacco use


71 counties implementedtobacco use strategies

318 organizational partnerships


674 volunteers


18 tobacco-free facility

policies enacted

19 smoke-free multi-unit

housing policies enacted

8 new groups or

coalitions formed

35 media

campaigns

Juvenile Court Alternative Tobacco Program | Loudon County

TheLoudonCountyJuvenileCourtAlternativeTobaccoProgramoffersstudentscitedforusingtobaccoorvapingproductsonschoolgroundsanalternativetobeingprocessedthroughthejuvenilecourtsystem.Throughtheprogram,studentsparticipateina6-weektobaccoeducationcoursecalledProjectConnect.Duringthe2018-2019schoolyear,atotalof139 students participated in the programinLoudonCounty.Theinitiativewasimplementedthrougha collaboration between the Loudon County Health Department and community partnersincludingtheLoudonCountyJuvenileCenter,LoudonCountySheriff’sDepartment,andCoordinatedSchoolHealthforLoudonCountyandLenoirCity.


Focus Area | Substance Misuse

73 substance misuse



substance misuse strategies

Regional Opioid Summit | West Regional Health Office

TheWestTennesseeRegionalOpioidSummitconvened 102 community leaders todiscusspoliciestopreventopioidmisuseamongstudentathletesintheregion.ThesummithighlightedamandatorydrugtestingpolicyforhighschoolstudentathletesatCamdenCentralHighinBentonCounty,Tennesseeasabestpracticethatcouldbereplicatedinotherschoolsanddescribedtheprocesstheschooldistrictwentthroughtoadoptthepolicy.Asurveyofsummitparticipantsfoundthat91% were supportive of the recommended policy changes.A multi-disciplinary group of partners develped and supported the summit, includingtheMadisonCountyHealthDepartment,theTennesseeDepartmentofMentalHealthandSubstanceAbuseServices,theJackson-MadisonCountyGeneralHospital,andTennesseeCommissionerofHealthDr.LisaPiercey.

224organizational partnerships


466 volunteers


56 drug take back

events

559 new prescription drug

disposal sites

5,558 educated on Neonatal Abstinence

Syndrome prevention

12,682pounds of prescription drugs collected at sites and events


Collaboration and Partnerships

Collaborationandpartnershipsarekeytoprimarypreventionwork.Manyoftheconditionsthatinfluencecommunityhealtharecomplexandinvolveanumberoffactorsnotdirectlyimpactedbypublichealthpractitioners.Theseconditionsrequireactionfrommultiplesectorsanddisciplinestoaddress.

In2018-2019,1,149 organizational partnerships supportedcountyandregionalprimarypreventioninitiativesweresupportedby.Ofthese,13%werenewpartnershipsdevelopedbythecountyandregionalhealthdepartmentstoimplementtheirinitiatives,and45%ofpartnershipsexpandedthescopeofanexistingpartnership.

Overall,87% of the inititiaves in the 2018-2019 plans were supported by at least one partnership.Inaddition,1,911 volunteersacrossthestatededicatedtheirtimetosupporttheimplementationofprimarypreventioninitiatives.

1,149

organizationalpartnershipssupportedinitiatives

13%

42%

45%

Types of Partnerships Supporting Primary Prevention Initiatives

Developed New Partnerships

Utilized Existing Partnerships

Expanded Existing Partnerships

1,911

communityvolunteerssupportedinitiatives


262

169

127

8974 71

5541

28 22 19

Children Under 18 Adult Women Low-Income orLiving in Poverty

Elderly 65+ People who areIncarcerated

Racial or EthnicMinorities

Adults without aHigh School

Degree

Disabled Mentallyor Physically

PeopleExperiencing

Homelessness

Military Veterans Immigrants orRefugees

Num

ber o

f Str

ateg

ies

Groups Targeted by Primary Prevention Strategies

Health Equity

>Groupsarenotmutually-exclusive

Consideringandaddressinghealthinequitiesisanessentialpartofprimarypreventionwork.ThePrimaryPreventionPlansincludeanumberofinitiativesforgroupswhomayexperiencesystemicandpersistenthealthinequities.Groupsinclude:

People with low-income or living in poverty

People with a physical or mental disability

Racial or ethnic minorities

Women

Children and youth

Aging adults

Adults without a high school degree

People who are incarcerated

Immigrants or Refugees

Military Veterans

People experiencing homelessness

ACEs Committee | East Regional Health Office

TheEastRegionalHealthOfficeformedanAdverseChildhoodExperiences(ACEs)workingcommitteetohelpcombatthegrowingnumberofchildrenintheirregionexperiencingahighnumberofACEs.TheideaforthecommitteewasbornoutofconcernsraisedbyHomeVisitingProgramstaffwhosawtheimpactofACEsintheircommunitiesfirsthand.Committeemembersincludenurses,nutritionists,socialworkers,andotherswhointeractwithchildrenthroughtheirwork.TheTennesseeCommissiononChildrenandYouthtrainedhealthdepartmentstafftobecomeBuildingStrongBrainsfacilitators,equippingthemtobringawarenesstoACEsinlocalcommunities.Thecommitteepresented on ACEs to all 15 local County Health Councilsandtolocal Coodinated School Health staff intheEastRegion.AllhealthdepartmentstaffintheEastRegionhavenowreceivedACEstrainingandcontinuetoeducatecommunitypartnersontheimportanceofpreventingandaddressingACEs.

26

28

30

49

56

Other Racial or Ethnic Group

Asian

Native American

Hispanic

Black or African-American

Racial or Ethnic Minorities Targeted


Bright Spot Awards

Onceayear,theTennesseeDepartmentofHealthrecognizesoutstandingprimarypreventionworkinTennesseewithBrightSpotAwards.AcommitteeofpublichealthstafffromacrossthestatereviewnominationsandhonortopnomineeswithPlatinum,Gold,Silver,orBronzeawards.

In2018-2019,twelvecountyorregionalhealthdepartmentsreceivedBrightSpotAwardsfortheirinnovativeandimpactfulprimarypreventionwork.Theyfocusedonavarietyofareasincludingbuiltenviornment,AdverseChildhoodExpereinces,tobaccocessation,healthyeating,andinjuryprevention,amongothers.

Gold Level Awardees

Lincoln County Health Department

HealthyBuiltEnviornmentProjects

East Regional HealthOffice

StoptheBleed

Loudon County Health Department

JuvenilleCourtAlternative:TobaccoProgram

Marion County Health Department

BreatheEasyTrackMeet

West Regional HealthOffice

RegionalOpioidSummit

Silver Level Awardees

Campbell County Health Department

HydrationCampaign:BrinkTapBack

Carter County HealthDepartment

StorybookTrail

East Regional HealthOffice

ACEsCommittee

Franklin County Health Department

HealthyHorizons

Bronze Level Awardees

Johnson County Health Department

HelmetUseSafetyandAwareness

Lawrence County Health Department

HealthyKidsSummit

Marshall County Health Department

SodaFreeSummer

“The work we are doing to address ACEs is focused on educating stakeholders in order to empower community members to make meaningful changes such as policy changes in the school systems and to help improve the health of their communities.” - Jodi Stott EastRegionalHealthOffice

“Trauma is the #1 cause of death in the US for persons between the ages of 1-46. Life threateningbleeding can be fatal within 5 minutes, and this is particularly disconcerting for rural areas were immediate medical response may not be available.” - Wanda Roberts EastRegionalHealthOffice

“This initiative seeks to expand and bring expertise of health department clinicians outside the organization’s walls to help influence physical activity along with safety for our youth.”

- Caroline Hurt JohnsonCountyHealthDept

“We used the opioid use data to justify that there was room for a primary prevention initiative that could address this need and get upstream of this potential problem.”

- Catherine Sedergren WestRegionalHealthOffice


About the Office of Primary Prevention

MissionTheOfficeofPrimaryPreventionworkstoeducateothersaboutthepurposeandimpactofprimaryprevention,supportcommunityprimarypreventionactivities,andfosterchangethroughcross-sectorcollaborationwithinandexternaltotheTennesseeDepartmentofHealth.

VisionEveryoneinTennesseecanmakehealthychoiceswherevertheylive,learn,work,playandpray.

WebsiteLearnmoreabouttheOfficeofPrimaryPreventionat:www.tn.gov/primaryprevention

Leslie Meehan MPA AICPDirector

John Vick PhD MSEvaluationandAssessmentDirector

Matt Coleman MPH CHESCoordinator

Patti Scott DNP RN PMP NCSNClinicalDirector

Shannon Velasquez BSBuiltEnvironmentCoordinator

Staff

Cross-Sector Collaboration

Health + Built Environment

Resource Development

Evaluation + Assessment

Grant Funding Partnership

Building


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