The Heart of New Ulm: Population Health Takes a Village Webinar Slides 3 21 2018.pdf ·...
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The Heart of New Ulm: Population Health Takes a Village Rebecca Lindberg, MPH, RDN Karen Moritz, RN, BSN, PHN Cindy Winters March 21, 2018
Transcript of The Heart of New Ulm: Population Health Takes a Village Webinar Slides 3 21 2018.pdf ·...
The Heart of New Ulm:
Population Health Takes a Village
Rebecca Lindberg, MPH, RDN
Karen Moritz, RN, BSN, PHN
Cindy Winters
March 21, 2018
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We improve public health and population health practice to support healthier communities
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Improving public health and population health practice to support healthier communities
Poll #1
Tell Us About Your Organization
Poll #2
Tell Us About Your Partnerships
Today’s Webinar Presenters
Rebecca Lindberg, MPH, RDN Director, Population Health & Professional Education
Minneapolis Heart Institute Foundation
Cindy Winters Manager, Heart of New Ulm Project
Minneapolis Heart Institute Foundation
Karen Moritz, RN, BSN PHN
Director, Brown County Public Health
Objectives
Understand how to drive a community
transformation agenda to propel
health as a shared value across community
partnerships
Identify strategies for leveraging data
to target and engage those most at risk and sharing data for community engagement and
impact
Summarize a sustainable
framework for community
transformation guided by the social
determinants of health
“A healthy person over a given decade will spend about two hours with their doctor. The idea that that two hours will determine their health for that decade is pretty unreasonable.”
Initial Partnerships Established
Primary Objectives
Improve the proportion of 56073 zip code residents (age 40-79 years; active Allina health record) with controlled modifiable heart disease risk factors over 5 years. *
1. Elevated blood lipids (i.e., total/LDL/HDL cholesterol, triglycerides) 2. High blood pressure 3. Uncontrolled glucose (i.e., type 2 diabetes, pre-diabetes) 4. Obesity 5. Tobacco use 6. Physical inactivity 7. Low fruit/vegetable consumption 8. Uncontrolled stress 9. Medication underutilization/non-adherence
2009 Community Diagnosis | New Ulm
41%
Obese
35%
Overweight
38%
Metabolic
syndrome
17%
Consumed 5
fruits and
vegetables a day
Electronic Health Record & Community
Surveillance
Over 90% of New Ulm’s
population has an active EHR
Photo Credit : https://www.eclinicalworks.com/products-services/eclinicalworks-v10-ehr-suite/
Data Collection Strategy
Community Needs
• Resident
surveys
• Focus groups
• CNA
Environmental assessments
• Physical environment
• Nutrition environment
• Policy and environmental
assessment
Screening
data
• Behavioral
• Health-related data
Electronic health
record
• Risk factors
• MI
• Demographics
Data Integration Plan
for assessment, monitoring and
communication
Desired Impact
National/
State/Local Data
• MI
• Police
• Public health
5 Year Changes in Risk Factors
2008/09
n = 6082
2012/13
n = 6388
Total Cholesterol (mg/dL) 193.4 ± 0.5 187.8 ± 0.5
Cholesterol at Goal (< 200 mg/dL) 58.3 65.1
Triglycerides (mg/dL) 140.4 ± 1.1 132.4 ± 1.2
Triglycerides at Goal (<150 mg/dL) 66.4 70.1
Lipid medication 22.9 31.8
* Continuous outcomes are reported as mean ±standard error, and categorical outcomes are reported as percent.
** Residents age 40-79, adjusted for age and gender
Behavior Changes Among
Screening Participants age 40-79
Measure 2009
(n = 3,123)
2011
(n = 1,976)
2014/15
(n = 1,008)
Smoking 7.9 7.4 5.5
Physical Activity
(at least 150 minutes
per week)
63.9 73.1 76.2
Fruit and Vegetables
(5 or more servings
per day)
16.3 26.6 30.2
Screening analysis is age and gender adjusted to account for differential age and
gender distributions in each screening time period.
Comparison of HONU Changes to NHANES
NHANES
2009-10
NHANES
2011-12
NHANES
Change
HONU
2008-09
HONU
2012-13
HONU
Change
BP at goal
(<140/90 mmHg)
83.1% 82.5% -0.6 79.3% 86.0% +6.7
BP medication 35.2% 36.8% +1.6 38.3% 47.6% +9.3
LDL at goal
(< 130 mg/dL)
64.3% 63.7% -0.6 68.0% 72.0% +4.0
Cholesterol at goal
(<200 mg/dL)
47.5% 46.9% -0.6 58.3% 65.1% +6.8
Not Obese
(BMI <30)
62.5% 62.3% -0.2 55.9% 55.2% -0.7
NHANES data selected for participants age 40-79, white non-Hispanic to provide a comparison group similar to New Ulm resident demographics, sample weights applied for analysis
New Ulm versus Comparison Community
Managed better:
Blood pressure
Total cholesterol
Triglycerides
Healthcare
Community Worksite
10 Year + Project
Intervention Strategy
Smoking policies, Complete Streets Policy,
City Comprehensive Plan
Program partnerships, community events, community-wide health challenges, social marketing campaigns
Interventions delivered through healthcare, employers, restaurants, grocery stores, convenience stores, and schools
Interventions provide social connection opportunities, business leader engagement opportunities,
Phone coaching, provider education & training, lipid clinic
Improving community health will require new models of
collaboration
Sustainability Strategy
From the beginning define:
Agenda around common
values and goals
Partners’ roles and
responsibilities
Cost sharing responsibilities
How interventions/strategies
integrate into existing
community structure
Measureable outcomes
Communication strategies
Training needs
Photo by rawpixel.com on Unsplash
Community Leadership
HONU Vision
Schools Grocery Store Chamber
Restaurant
Health System
Medical Center
Foundation Large Business City
Community Rep.
Public Health Local
College
Allina Health
Board
NUMC Foundation NUMC Board
Quality Committee
Allina Associated
Foundation Board
Finance Committee Executive
Committee
MHIF
Action
Team Action
Team
Action
Team
Action
Team
Sustainable Structure
HONU
Action
Team
Action
Team
Action
Team Action
Team Action
Team
Action
Team
Action
Team
Capacity Building
National Leadership Academy for
the Public’s Health
DO frame your messages
DO be teachable
DON’T pull the obligation
card
President Chamber of Commerce
School Superintendent
“It takes all community members and
families working together to promote
healthy lifestyles. Through MHIF’s
Heart of New Ulm Project we’re
working on Safe Routes to School,
Complete Streets, promoting fitness
options, healthier concessions, and
much more.”
City Government
Healthcare public health challenge
Systems and Environmental
Improvements
2013 2014 2015 2016 2017
Conventional Bike
Lanes
0 miles 1.5 miles 0 added 0 added 0 added
Shared Lane
Markings-
Designated bike
routes
0 markings 0 markings 165 blocks
approved
47 blocks of
sharrows
painted
49 blocks of
sharrows
painted
Percent of children
commuting to
school by bike
NA 4% Safe Routes to
School Plan
launched
4% 4%
Signage on bike
circle route
5 miles 5 miles 11 miles
(completed)
Enhanced
pedestrian
crossings
0 1 0 0 Signage
added at 2
Complete Streets
Policy
Adopted
October
2016
Systems and Environmental
Improvements
2009 2014 2015 2016 2017
Runs offered in
New Ulm
2 8 8 8 8
Pieces of
outdoor fitness
equipment
0 pieces 5 pieces in
one park
0 added 9 pieces in three parks
0
Safe Routes to
School
Program
NA Developed
plan
Plan
launched
• walking & biking routes
mapped and distributed
• Pilot testing wayfinding
signs to schools
• 2 Walk to
School Days
• Pop-Up
Project at 1
school
HONU Bike
Racks
Installed 25 bike racks
throughout community
Bicycle
Friendly
Designation
NA NA Honorable
Mention
Bronze level
designation
Secured snow removal on 2 different trails
Outdoor fitness equipment in 3 parks
Community Communications Strategy
Communications
Example: Program Outcomes
Project Awareness Earned & Purchased Media
Funding Strategy
Federal
Grants Foundation
Grants Philanthropy
Allina
Health
Corporate &
Industry Grants
Poll #3
Tell Us How it is Going
Poll #4
What Gets in the Way?
Lessons Learned
Understand the health needs and readiness for change in your community
Engage key stakeholders around a common agenda – speak their language
Leveraging community resources will advance agenda more efficiently and cost effectively
Realize communications is a key strategy throughout the process
Build community capacity
Think sustainability from the start
Realize this is a marathon and not a sprint
Celebrate successes
“Just as ripples spread out when a single
pebble is dropped into water, the actions of
individuals can have far reaching effects.”
– 14th Dalai Lama
Rebecca Lindberg, MPH, RDN Director, Population Health & Professional Education
Minneapolis Heart Institute Foundation
P: 612-863-4087
mhifpopulationhealth.org/heart-of-new-ulm (documentary)
Heartsbeatback.org (Hearts Beat Back: The Heart of New Ulm Project)
populationhealthimpact.org (MHIF Population Health Work)
@PopHealthMHIF
@relindberg
@ckwinters
Cindy Winters Manager, Heart of New Ulm Project Minneapolis Heart Institute Foundation P: 507-217-5548 [email protected]
Contact Us:
Karen Moritz, RN, BSN PHN
Director, Brown County Public Health
P: 507-233-6820
Sustainable Population Health Improvement Solutions
PHF helps organizations improve population health outcomes and lead
change initiatives.
Services available:
• Are You Ready for Innovation?
• Transformational Leadership Training
• Developing the Population Health Workforce
• Mapping Solutions with Population Health Driver Diagrams
• Implementing Innovative Solutions
• Strategic Communications Planning Workshop
• Comprehensive Solution Package: Solving a Population Health Challenge
To learn more:
Contact Margie Beaudry at (202)218-4415 or [email protected]
Explore these services in detail at www.phf.org/hospitalservices
Questions for Our Speakers?
Type your question in the Questions panel
We will get to as many questions as possible while we are
live
Answers to all questions submitted will be available online a
few days following the webinar
Thank you for attending
The Heart of New Ulm:
Population Health Takes a Village
March 21, 2018
