1. Communities Putting Prevention to Work Information Meeting Public Health Seattle & King County November 2, 2009

2. Agenda Welcome (Kathie Huus) Review objectives (Tom Byers) Overview of CPPW grant, Public Health role, and RFP process (Jim Krieger) Define terms Review selected MAPPS Strategies (Jim Krieger) Break Small group discussion (Tom Byers, PH staff) Next Steps, Close (Tom Byers)

3. Objectives of Meeting Understand the CPPW initiative Understand the selected strategies Identify ways to participate in CPPW Provide comments on strategies Generate ideas on how to implement strategies

4. Overview Large city health departments: –$10 to $20 million for obesity, physical activity and nutrition –$10 to $20 million for tobacco prevention and control Two year grant: rapid implementation Focus on environment, policy and system changes Does not fund programs and services Majority of funds sub-awarded to partners

5. Telling Our Story King County is one of the healthiest metro areas in the nation We have accomplished much in promoting healthy eating, active living and tobacco avoidance Hidden are large health inequities CPPW will allow us to: –Accelerate change by supporting actions ready to roll –Focus resources to reduce inequities

6. Specific Goals of CPPW Increase levels of physical activity, Improve nutrition (e.g. increase fruit/vegetable consumption, reduce salt and transfats), Decrease overweight/obesity prevalence Decrease smoking prevalence and teen smoking initiation, Decrease exposure to secondhand smoke

7. MAPPS Strategies-Media (Bold selected by PHSKC) TobaccoNutritionPhysical Activity MediaMedia and advertising restrictions consistent with federal law Hard hitting counter-advertising Ban brand-name sponsorship Ban branded promotional items and prizes Media and advertising restrictions consistent with federal law Promote healthy food/drink choices Counter- advertising for unhealthy choices Promote increased physical activity Promote use of public transit Promote active transportation (bicycling and walking for commuting and leisure activities) Counter-advertising for screen time

8. Access (Bold selected by PHSKC) TobaccoNutritionPhysical Activity AccessUsage bans (i.e. 100% smoke-free policies or 100% tobacco- free policies) Usage bans (tobacco-free school campuses) Zoning restrictions Healthy food/drink availability (e.g., incentives to food retailers to locate/offer healthier choices in underserved areas, healthier choices in childcare, schools, worksites) Safe, attractive accessible places for activity (i.e., access to outdoor recreation facilities, enhance bicycling and walking infrastructure, place schools within residential areas, increase access to and coverage area of public transportation, Etc.)

9. Access (Bold selected by PHSKC) TobaccoNutritionPhysical Activity AccessRestrict sales (e.g., internet; sales to minors; stores/events w/o tobacco) Ban self- service displays & vending Limit unhealthy food/drink availability (whole milk, sugar sweetened beverages, high-fat snacks) Reduce density of fast foods establishments City planning, zoning and transportation (e.g., planning to include the provisions of sidewalks. Parks, mixed use, parks with adequate crime prevention measures. And Health Impact Assessments)

10. Tobacco NutritionPhysical Activity AccessEliminate transfat through purchasing actions, labeling initiatives, restaurant standards Reduce sodium through purchasing actions, labeling initiatives, restaurant standards Require daily quality PE in schools Require physical activity in afterschool/ childcare settings Restrict screen time (afterschool/ childcare) Access (Bold selected by PHSKC)

11. TobaccoNutritionPhysical Activity AccessProcurement policies and practices Farm to institution, including schools, worksites, hospitals, and other community institutions

12. Point of Purchase/Promotion (Bold selected by PHSKC) TobaccoNutritionPhysical Activity Point of Purchase/ Promotion Restrict point of purchase advertising Product placement Signage for healthy vs. less healthy items Product placement & attractiveness (e.g. as part of healthy corner store) Menu labeling Signage for neighborhood destinations in walkable/mixed-use areas (library, park, shops, etc.) Signage for public transportation, bike lanes/boulevards

13. Price (Bold selected by PHSKC) TobaccoNutritionPhysical Activity PriceUse evidence- based pricing strategies to discourage tobacco use Ban free samples and price discounts Changing relative prices of healthy vs. unhealthy items (e.g. through bulk purchase/ procurement/ competitive pricing) Reduce price for park/facility use Incentives for active transit Subsidized memberships to recreational facilities

14. Social Support & Services (Bold selected by PHSKC) TobaccoNutritionPhysical Activity Social Support & Services Quitline and other cessation services Support breastfeeding through policy change and maternity care practices Safe routes to school Workplace, faith, park, neighborho od activity groups (e.g., walking, hiking, biking)

15. What do we mean by… Policy change- changing and enforcing local or state laws/regulations that facilitate healthier behaviors. System change- changing the policies and practices of institutions to facilitate healthier behaviors. Environmental change- modifying the environment (social or physical) to facilitate healthier behavior

16. What do we mean by… Strategy - a plan of action designed to achieve a particular goal. It describes in broad terms how things will be accomplished, how we are going to get things done. Activity- What exactly we will do. A specific action that directly impacts a particular strategy.

17. Example of Environmental, Systems and Policy Changes Smoke Free Housing Smoke Free Parks Tobacco Free Pharmacies City planning, zoning, and transportation

18. Example of Environmental, Systems and Policy Changes Quality physical education in schools Schools and childcare sites offering healthy foods Corner stores with healthy options

19. How are decisions being made? Comments from tonight and from other partners will be discussed at Public Health. Director of Public Health will make final decision on strategies that are submitted to CDC. Public Health will suggest sets of activities to implement strategies RFP process will solicit proposal to implement activities Proposals can include suggested activities or additional innovative activities

20. PHSKC Central Support Overall management of Project Leadership team and Coalition administrative support Contract support Sector Coordination and Technical Assistance Policy Coordination and Technical Assistance Evaluation

21. Funding for Change Majority of funds will be awarded to organizations that can help us successfully implement our strategies through RFPs. There will be some direct funding (sole source) of organizations that have a unique expertise (e.g. evaluation, media strategy, worksite, legal analysis).

22. RFP Process Multiple funding streams –Community –Schools –Local government –Economic development

23. RFP Process RFP selection process –A panel of experts will review RFPs and make recommendations. –The steering committee (with no conflict of interest) will review and make final recommendations to Public Health. –Public Health will make final decisions on awards.

24. Tentative Criteria for RFP Selection Impact on target behaviors Feasibility Ready for rapid implementation Achievable in 2 years Impact sustained after 2 years Reduction of disparities Innovation Integrated with other activities

25. Focus Communities Direct portion of resources to communities most affected Highest rates of inadequate physical activity and nutrition Highest rates of obesity and diabetes Highest poverty rates Highest proportion of non-whites 50% of RFA funds

26. Tentative Timeline for RFPs Applications due to CDC on December 1, 2009 Awards are announced February 26, 2010 Public Health issues RFPs on March 15, 2010 RFPs are due April 30, 2010 Awards are announced May 15, 2010 Implementation begins June

27. Small Group Discussion: What we would like from you… Please review the selected MAPPS strategies and answer the following questions –How do these strategies align with your work? –Possible activities that you would be able to implement? –Are there any gaps we need to consider? Complete interest/involvement form

28. Next Steps- How you can get involved… Levels of Involvement CPPW Coalition –Steering Committee Letters of support –General –Interest in applying for RFPs

29. Thank You Stay tuned at www.kingcounty.gov/health/cppw www.kingcounty.gov/health/cppw Email us at cppw@kingcounty.gov