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NCIOM Prevention Task Force

Joanne Rinker MS, RD, CDE, LDN Director of Training and Technical Assistance Center for Healthy North Carolina. NCIOM Prevention Task Force. Prevention for the Health of North Carolina released on October 8, 2009

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NCIOM Prevention Task Force

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  1. Joanne Rinker MS, RD, CDE, LDNDirector of Training and Technical Assistance Center for Healthy North Carolina

  2. NCIOM Prevention Task Force Prevention for the Health of North Carolina released on October 8, 2009 At the release, Gov. Beverly Perdue voiced her desire for NC to be the healthiest state in the nation by 2020.  Goal - a Better State of Health! http://www.nciom.org/projects/prevention/prevention_report.shtml

  3. North Carolina: A Better State of Health America’s Health Rankings http://www.americashealthrankings.org/

  4. North Carolina: A Better State of HealthThe Next Step in the Journey... We have the Prevention Action Plan, now what? Healthy North Carolina 2020 Objectives Governor’s Task Force for Healthy Carolinians asked NCIOM to help develop NC’s 2020 objectives and targets.

  5. Healthy North Carolina 2020 Three primary steps in setting Healthy North Carolina 2020 objectives: 1) Identify appropriate focus (priority) areas, building off Prevention Action Plan. 2) Identify limited number of objectives 3) Identify appropriate targets

  6. Healthy NC 2020 Focus Areas Tobacco use Nutrition and physical activity Sexually transmitted infections/Unintended pregnancy Substance abuse Environmental risks Injury Mental health Infectious disease/ Food-borne illness Social determinants of health Dental health Maternal and infant health Chronic disease Cross-areameasures

  7. Healthy North Carolina 2020:Moving Ahead • Focus on prevention and reducing risk factors that contribute to the leading causes of death in North Carolina • We cannot measure everything that is important in public health work • Identify a limited number of health objectives to work toward across the state • 40 objectives: limited, manageable, concise • Allow for meaningful impact • Pull together to make progress

  8. Healthy North Carolina 2020:2013 Annual Report Results • The NC Division of Public Health/NC State Center for Health Statistics produces annual reports measuring progress towards the targets of improving population health. • For 2013, of the 31* objectives for which we have updated data, 7 are not comparable. • Of the 31 that are comparable to the baseline, trends may indicate: • 15 (48%) are moving in the right direction • 1 (3%) stayed the same • 15 (48%) are moving in the wrong direction All data provided by the NC State Center for Health Statistics *Not all data are available every year. Note: Total does not equal 100% due to rounding

  9. Healthy North Carolina 2020 • * Data for this indicator is collected only in odd numbered years. • ¹ In 2011, the BRFSS methodology changed, so results are not directly comparable to previous years’ results.

  10. Healthy North Carolina 2020 * Data for this indicator is collected only in odd numbered years. ² In 2011, the definition for recommended amount of physical activity and fruit and vegetable consumption changed. Therefore, comparable data for these measures are not available at this time.

  11. Healthy North Carolina 2020

  12. Healthy North Carolina 2020 ³ North Carolina implemented the revised U.S. Standard birth certificate in 2011. The methodology for collecting smoking data was modified, therefore values presented for 2011 are not comparable to prior years.

  13. Healthy North Carolina 2020

  14. Healthy North Carolina 2020 * Data for this indicator is collected only in odd numbered years.

  15. Healthy North Carolina 2020 • ¹ In 2011, the BRFSS methodology changed, so results are not directly comparable to previous years’ results.

  16. Healthy North Carolina 2020

  17. Healthy North Carolina 2020

  18. Healthy North Carolina 2020 **Data update not available

  19. Healthy North Carolina 2020

  20. Healthy North Carolina 2020 • ¹ In 2011, the BRFSS methodology changed, so results are not directly comparable to previous years’ results.

  21. Healthy North Carolina 2020 • ¹ In 2011, the BRFSS methodology changed, so results are not directly comparable to previous years’ results.

  22. County Health Rankings: 2014North Carolina 1 Wake 2 Watauga 3 Orange 4 Union 5 Camden 6 Mecklenburg 7 Davie 8 Dare 9 Cabarrus New Hanover Bladen Lenoir Martin Swain Bertie Vance Robeson Scotland Halifax Columbus Source: County Health Rankings and Roadmaps, 2014. http://www.countyhealthrankings.org/

  23. Healthy North Carolina 2020:Moving Forward Where would we be if we met our HNC 2020 Goals? Objective Current Ranking Rank if 2020 Goal Met Diabetes Prevalence 33 13 Immunization Rates 22 1 High School Graduation 32 1 Adult Tobacco Use 33 13 Cardiovascular Mortality 32 3 Infant Mortality 40 25 The individual state’s ranking and score was determined for each of these measures using the 2013 America’s Health Rankings. The Healthy NC 2020 goal for each measure was then compared to the current ranking and a new ranking was determined based on the goal score. Source: Personal email, Kelly Kimple, MD, MPH, UNC Preventive Medicine, Chief Resident, June 18, 2014.

  24. Healthy North Carolina 2020:Moving Forward • The Prevention Action Plan and the Healthy North Carolina 2020 objectives form the basis of a larger campaign to promote a “Better State of Health” in North Carolina. • Community engagement • Locally implemented, community appropriate, evidence based strategies

  25. Community Health Assessment and Technical Assistance Continuum Technical Assistance from CHNC Technical Assistance from NC DPH The Center for Healthy North Carolina can provide technical assistance related to the identification, selection, implementation, evaluation and sustainability of evidence based strategies for community identified health priorities that relate to the Healthy North Carolina 2020 objectives. Adapted from North Carolina Division of Public Health Community Health Assessment http://publichealth.nc.gov/lhd/cha/

  26. IMPROVED POPULATION HEALTH Coalition Development EBS Awareness Technical Assistance Action Plan Implementation Evaluation Sustainability Population Health Initiatives

  27. Healthy North Carolina 2020:The Campaign • Working to improve individual, environmental and policy changes that will have a meaningful impact on health in NC • Increase public awareness and community support • Increase community capacity • Engage boards, organizations and community groups

  28. Healthy North Carolina 2020:What Can You Do Today? • Sign the Resolution in Support of Making NC a Healthier State: http://www.publichealth.nc.gov/hnc2020/resolution.asp • Commit as an individual • Commit as an organization • Ask for an HNC2020 presentation to your organization, board or community group

  29. Credits/Thanks • Thanks to the NC State Center for Health Statistics for providing the HNC2020 data • Thanks to CHNC’s funder - The Duke Endowment

  30. Healthy North Carolina 2020:How Can You Find Out More? Visit the HNC2020 website http://publichealth.nc.gov/hnc2020 Contact: Joanne Rinker 919-699-5886 Joanne.rinker@centerforhealthync.org

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