Changing the Landscape to Prevent Childhood Obesity

1. Changing the Landscape to Prevent Childhood Obesity Kansas City’s Childhood Obesity Collaborative-Weighing In KC Capacity Inventory

2. Trends and Healthy People Targets HP 2020-10%  HP 2010  to 5%

3. Past Year Activities and Accomplishments • Published 11 Weighing In updates • Hosted and expanded quarterly meeting attendance by 62% • Increased number on e-mail list by 42% • Launched WI Website - (www.kcweighingin.org) • Conducted Member Survey • Updated Strategic Plan • Aligning Working Group and compiling action plans • Adopted Operations Guide for Weighing In - November 2010.

4. Past Year Activities and Accomplishments, cont. • Conducted review of capacity to address childhood obesity • Compiled inventory of assets and resources • Compiled report for recommendations for population groups—pregnancy, breastfeeding, early childhood and school-age and infrastructure supports • Secured funding for core operations through 2013 • Competed in pool of 200 applications to become designated as one of 10 Healthy Weight Collaborative Teams—representing Region VII

5. Childhood Obesity Prevention Capacity • Conducted inventory of current capacity • Population based • Prenatal • Early Childhood • School-age • Identified current and sustainable capacity, information needs and priorities

6. KC Collaboratives Addressing Childhood Obesity

7. Agencies by Population Group Prenatal Mother and Child Health Coalition 0-5 years KC Childhood Obesity Collaborative-Weighing In Mid America Regional Council (MARC)-Head Start Mother and Child Health Coalition K-12 Alliance for a Healthier Generation Energy Balance for Kids Junior League of Kansas City, MO Kansas Coordinated School Health KC Childhood Obesity Collaborative-Weighing In PE4Life Score 1 for Health General Blue Cross/Blue Shield Children’s Mercy Family Health Partners Greater Kansas City Food Policy Coalition Health Care Foundation of Greater KC Independence City Health Department Jackson County Health Department Kansas City Health Department KC Healthy Kids Menorah Legacy Foundation Mid America Coalition on Health Care Mid America Regional Council (MARC) Public Health Department-Unified Government of Wyandotte Regional Office-US Department of Health and Human University of Kansas University of Missouri-Extension YMCA of Greater Kansas City

8. Information What you want: • What is effective • Obesity prevalence data • Programs and efforts in my area Distribution opportunities • Half have constituent newsletters • All had websites • One-third used social media • All willing to distribute information on childhood obesity

9. Number of Programs by Strategies

11. Priorities

12. Anticipated Changes

13. Build on our current capacity and assets Population Recommendations • Healthy weight pregnancies • Infants and Early Childhood • School-age General Recommendations • Information Needs • Capacity to Track Childhood Obesity Indicators • Consistent messaging • Systems Approach • Governance Framework • Treatment

14. School-age Recommendations Highlights • 44 % collaborate with schools • 10 interviewees had school-specific programs • 15 of all 75 programs/initiatives for schools What’s happening on a broader scale • New insights regarding what is effective to support healthy school environment

15. Healthy Hunger Free Kids Act, 2010 • USDA will set nutrition standards for all foods regularly sold during school day • Funding to meet updated nutritional standards • Supports local farm to school networks, school gardens, local foods • Expands access to drinking water • Standards for local wellness policies • Increase number eligible—direct certification • Universal meal access in high poverty communities

16. School Recommendations • Compile list of agencies serving schools-build on current rich capacity • Bi-state policy inventory • Collaborate on 1-2 priorities regionally for action plan to support implementation of Healthy Hunger Free Kids Act, 2010 • Link with broader community efforts • Position paper • Consistent Messages

17. Breastfeeding-Everyone Supports Breastfeeding rate at 6 months (CDC Report Card-2010) US: 44.3% KS: 41.0 MO: 35.1 Strive to have Kansas City Hospital(s) on the Baby Friendly Designation Map: http://www.babyfriendlyusa.org/eng/03.html • White House Task Force on Childhood Obesity • Healthy People 2020 Goals • Surgeon General-Call to Action • Healthy Hunger Free Kids Act, 2010 • Health Care Reform • Centers for Disease Control and Prevention

18. Much more …. Pregnant women Mothers’ pre-conception weight and weight gain during pregnancy are two of the most important prenatal determinants of childhood obesity. Early childhood Development is more rapid during these early years than at any other time after birth, and young children’s early experiences are “built into their bodies,” affecting neural, metabolic, and behavioral systems in ways that can influence the risk for obesity, health, and well-being through the life span.

19. …and still more. • Information Needs • Track Childhood Obesity Indicators • Communication-impressive untapped capacity for coordinated communication • Systems Approach • Childhood obesity is a large complex, multi-sector issue • Treatment

20. Greater Kansas City Obesity Collaborative

21. HWC Phase One Teams Kansas City is one of ten teams nationally selected to participate in the Healthy Weight Collaborative-created by the Affordable Care Act and supported through the Prevention and Public Health Fund Region 1: Massachusetts Region 2: New York Region 3: Virginia Region 4: Florida Region 5: Ohio Region 6: Arkansas Region 7: Missouri-Greater Kansas City Obesity Collaborative Region 8: Montana Region 9: California Region 10: Washington

22. Who We Are Community Organizations • Deborah Markenson, MS, RD, LD Team Leader KC Childhood Obesity Collaborative-Weighing In 816-234-9223 dmarkenson@cmh.edu Children’s Mercy Family Health Partners: • Greg Hanley, FACHE, MBA • Beth McElwain, RD, LD, MPH YMCA: • Gail Vessels KC Healthy Kids: • Gretchen Kunkel, MBA, MHA • Erika Devore, MS, RD, LD Primary Care Weight Management Services, Children’s Mercy Hospital • Sarah Hampl, MD • Kerri Wade, PNP-BC • Shelly Summar, MSEd, RD, LD Public Health KC (MO) Health Department • Clyde Bolton, BGS, MSA • Christine Riederer, PhD

23. HWC Model for Improvement AIM: What are we trying to accomplish? MEASURES: How will we know if a change is an improvement? CHANGE: What changes can we make that will result in improvement?

25. Kansas City HWC Target Population • Children 2-5 years of age • Targeted lower income zip code areas of Kansas City • Preliminary targeted area: N – Missouri River W – Kansas State Line E – 435 (N-S) S – 435 (E-W) Overweight + Obesity Rates Adult = 63.1% (2007-Jackson Co BRFSS) Young Children = 30.7% (2009-Jackson Co PedNSS) CMH primary care clinic = 27.7% (2010, 2-5 year olds) CMH Primary Care Clinic-32.6% (2010, 2-12 year olds)

26. Baseline Data on Target Population

27. Preliminary Targeted Changes for KC

28. …we’ll keep you posted on what works and doesn’t work. Stay Tuned….

29. …we present at a national meeting 9/13-15/11 and would love your thoughts and questions. We welcome your comments and suggestions….