USING DATA FORUSING DATA FOR ACTIONACTION

HEAL STRATEGIC PLAN

DATA Planning Process:

Reviews data, community

t

Creates 3 Year Vision for HE/AL

HEAL staff reviews

it d t

assets, identifies gaps

Community members share

diti f

community data, risk and protective factors, and literature

conditions for a healthy community

Given limited funds and personnel, how will we choose the “most important” issues in our

community on which to focus limited resources?

DATA PROCESS TODAYDATA PROCESS TODAYREVIEW COMMUNITY INPUT

AND STATISTICS

ASSESS WHERE DISPARITIES EXIST

ASSESS CURRENT ASSETS AND GAPSAND GAPS

WHAT COMMUNITY ENVIRONMENT CHANGES ARE NEEDED• “UPSTREAM FOCUS”

COMMUNITYCOMMUNITY

BARHII UPSTREAM FRAMEWORKPOLICYPOLICY INDIVIDUALINDIVIDUAL HEALTHHEALTHCOMMUNITY COMMUNITY

FACTORSFACTORS

WELL PAYING JOBS

POLICY POLICY OPPORTUNITIES OPPORTUNITIES

Land Use

INDIVIDUAL INDIVIDUAL FACTORSFACTORS

Physical A ti it

HEALTH HEALTH OUTCOMESOUTCOMES

Overweight/ Ob it

AFFORDABLE HOUSING

AFFORDABLE HEALTHY FOODS

Food Policies

Housing Policies

Activity

Diet

Stress

Obesity

High Cholesterol

High Blood PressureHEALTHY FOODS

COMMUNITY GARDENS

TRANSPORTATION

Policies

Education Policies

Transpor-

Pressure

Arthritis

Cancers

Coronar HeartTRANSPORTATION

PHYSICAL ACTIVITY FOR ALL/YOUTH

COMMUNITY COMING

Transportation

Coronary Heart Disease

Osteoporosis

StrokeTOGETHER

WALKING / BIKING ROUTES

Stroke

Diabetes

CONDENSED UPSTREAM FRAMEWORKFRAMEWORK

Community Factors

Individual Factors

Health Outcomes

OVERWEIGHT•WALKING •OVERWEIGHT OR OBESITY

•HEART

•DIET

•PHYSICAL ACTIVITY

•WALKING PATHS

•COMMUNITY DISEASE

•DIABETES

ACTIVITY

•STRESS

GARDENS

•FOOD ACCESSACCESS

INTENTIONAL

Why is Jason Sick?

HOUSING INJURY

PARNETS CAN’T

IS EXPENSIVE

UN

INTENTIONAL

CUT ON LEG

PLAY IN JUNK YARD

RUN DOWN 

NEIGHBOR‐HOOD

CAN’T AFFORD NICER PLACE

MOTHER OFTEN SICK

FATHER WORKS TWO JOBS

BEHAVIORBEHAVIOR PHYSICAL/ ECONOMIC ENVIORNMNET

PHYSICAL/ ECONOMIC ENVIORNMNET

PHYSICAL/ ECONOMIC ENVIORNMNET

PHYSICAL/ ECONOMIC ENVIORNMNET

LIVING CONDITIONSLIVING CONDITIONS

SOCIAL INEQUITIESSOCIAL INEQUITIES

INSTITUTIONAL POWERINSTITUTIONAL POWER

PHYSICAL/ ENVIORNMNETPHYSICAL/ ENVIORNMNET

WHY ‘UPSTREAM’? We now know that the community where we live, work, play and

learn strongly influences our behavior how we live our lives and ourlearn strongly influences our behavior, how we live our lives and our health.

90% of our HEAL work has focused on educating individuals to change their behavior. Need interventions that will affect an entire community, not just individuals.

As a community, in addition to encouraging individuals or groups to adopt healthy behaviors, we must move beyond to creating an

i t th t k it EASY f i di id l t k th h lthenvironment that makes it EASY for individuals to make the healthy choice.

The community needs to move toward more innovative, broadly focused strategies for prevention.

TOBACCO SUCCESSTOBACCO SUCCESS Educational Strategies / Management of Nicotine

Addi tiAddiction

Regulatory Efforts Advertising and PromotionAdvertising and Promotion Product Regulation Clean Indoor Air Regulation Minors' Access to TobaccoMinors Access to Tobacco

In the 1990s, it became increasingly apparent that a public health success in reducing tobacco use requires activity on all fronts. A

h i h th t ti i fcomprehensive approach---one that optimizes synergy from a mix of strategies---has emerged as the guiding principle for future efforts to reduce tobacco use.

TOBACCO SUCCESSCommunity

FactorsIndividual Factors

Health OutcomesFactors Factors Outcomes

ff•Individual Education

•Lung Cancer •Other Respiratory Issues

Regulatory Efforts•Advertising and Promotion•Product Regulation

•Management of Nicotine Addiction

Product Regulation•Clean Indoor Air Regulation•Minors' Access to T bTobaccoEconomic Approaches•Taxes, supply, pricing

Success in reducing tobacco use requires activity on all fronts. A comprehensive approach---one that optimizes synergy from a mix of strategies---has emerged as the guiding principle for future efforts to reduce tobacco use.

Community Factors

Individual Factors

Health Outcomes

H lth F d N t

48%50%

30% Eat Fast Food 1 in 2 overweightHealthy Food Not Available

48%

44%

46%

48%

 of Adults 

42%

38%

40%

42%

Percent

38%2001 2003 2005 2007 2009

Year

Community Factors

Individual Factors

Health Outcomes

HALF f kid t L th HALFC it t HALF of kids get little or no exercise

Less than HALF physically FIT

Community not Safe

Marin County 5th, 7th and 9th Grade Students Meeting all 6 Fitness Criteria

54%55%

60%

ts

5th Grade

7th Grade

It’s not always safe t lk

52% Some or No Exercise

42%

35%

45%44%

46%

54%

35%

40%

45%

50%

Perc

ent o

f Stu

den 7th Grade

9th Gradeto walk around the community 48% Daily

E i 30%

2005‐2006 2006‐2007 2007‐2008 2008‐2009 2009‐2010 2010‐2011

Years

Exercise

STRATEGIC PLAN FOCUSED ‘UPSTREAM’UPSTREAM

Community Factors

Poor Diet and No Exercise

High Cholesterol

Educate adults withEducate

Work with large

Create policies to improve access to adults with

high cholesterol to prevent

Educate Individuals to eat healthy and exercise

large organizations in Marin to build healthy

k

healthy foods, create food buying clubs, reduce costs of to prevent

heart attackswork environments

reduce costs of healthy foods

What does the data tell us about community changesabout community changes that can stimulate HEAL?

Look at the Data to see what story the data is telling us about our communityabout our community.

Make sense of the data from your experience in the communitycommunity.

Think about how we can improve where we live, work, play and learn so our community is designed toplay and learn, so our community is designed to support healthy lives.

HEAL STAFF Review

DATADATA Hundreds of

Pieces of

DATA•Reflects Needs/Assets

•Risk and Protective Factors

HEAL VISIONPieces of

Information on

Health of C it

•Literature

•AVAILABLE

•Local Community Voice

VISION

Community

HEAL Planning Group

Review Assets and Gaps