Decision accelerator report out january 31 2007
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Decision Accelerator Report Out January 31, 2007. www.Alegent.com/childhoodfitnessandnutrition. Current Situation. OHCP Circle of Progress. The Epidemic. It is a growing epidemic

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Decision Accelerator Report Out January 31, 2007

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Decision accelerator report out january 31 2007

Decision Accelerator Report Out

January 31, 2007

www.Alegent.com/childhoodfitnessandnutrition


Current situation

Current Situation


Ohcp circle of progress

OHCP Circle of Progress


The epidemic

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

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

Ecological Model


Decision accelerator

Decision Accelerator


Background

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

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

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

Transition Team

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

Plank Committee Horizons


Physical environment

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

Nutrition

Horizon One

  • Establish a nutritional plan

    Horizon Two

  • Create measurable awareness

    Horizon Three

  • Observe positive changes in awareness, behavior, and BMI


Physical activity

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

Evaluation

Horizon One

  • Establish and begin to evaluate three outcome measures

    • BMI

    • Prevalence of obesity

    • 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

    Social Marketing

    Horizon One

    • Create awareness of the initiative

      Horizon Two

    • Launch the program

      Horizon Three

    • Maintain the message


    Funding and resources

    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

    Leadership Structure


    Keys to success

    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 structure1

    Leadership Structure


    Executive committee

    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 Committee

      Selection Criteria

    • Recognized expert

    • Existing leadership role in the area

    • Ability to bring people together

    • Commitment/passion for children’s health


    Executive committee1

    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 committee2

    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 – EvaluationChair, UNMC


    Plank committee chairs

    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


    Evaluation1

    Evaluation


    Demographic cultural relevance

    Demographic & Cultural Relevance


    Ecological model1

    Ecological Model


    Decision accelerator report out january 31 2007

    Q & A


    Decision accelerator report out january 31 20071

    Decision Accelerator Report Out

    January 31, 2007

    www.Alegent.com/childhoodfitnessandnutrition


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