1. Investing in the health of NE Iowa children and their families Ann Mansfield, RN, MSN Project Coordinator

2. Introduction to NE Iowa

3. Today: Opportunity for a conversation to align efforts; Employers, health care, schools, early childhood and communities FFI – W.K. Kellogg Foundation Investment NE Iowa BMI project - Regional Head Start BMI CDC 2014 Obesity Maps, F/V Consumption CHNA – HIP 2015 – NE Iowa – Obesity top priority Community Hospitals – Affordable Care Act – Changing Reimbursement – Population Health Surgeon General’s Call to Action – Walking & Walkability

4. Employers are members of a diverse group of community health stakeholders 2015-16 – FFI Planning, data review, reflection, community forums… – We need to expand the community health and business partnerships and deepen the collaboration… – We (schools, early childhood, core partners, community-driven FFI)… cannot achieve a shift to a “culture of health” alone – A couple of new data/maps validating this…

5. Prevalence of Self-Reported Obesity among U.S. Adults, BRFSS, 2014

6. Iowa ranks 49 th for Fruit & Vegetable Consumption Source: Gallup-Healthways Well-Being Index

7. What we know… Contributing factors to health o utcomes: 20% Genetic 20% Environment 10% Access to care 50% Behavior

8. Key behaviors contributing to poor health outcomes Physical inactivity Poor nutrition Use of tobacco

9. Key equity factors affecting health outcomes in our region Poverty High school graduation

10. Diabetes, Cancer, Heart Disease Irrefutable link to obesity 2/3 of the cancer diagnosis are related to obesity and tobacco = preventable 8.83% of NE Iowans are diabetic (2013) – Annual individual health care cost of diabetes = $7,900. Annual regional cost = $61,000,000 80% of cardiovascular disease is preventable/curable

11. Children If obese at age 8 ; – life long obesity with the chronic conditions and health care costs – reported decreased quality of life – reduced life-long productivity

12. NE Iowa young children Head Start – 2013-14 – 38.9 % overweight or obese vs. 28.5 % nationally WIC – Above state and national average

14. Population health impact of healthy eating and physical activity – Investing in Healthy Food Will Save Lives and Dollars – USCUSA 2013 – “Physical inactivity is the major public health issue of our time.” Surgeon General Vivek Murthy - Call to Action - September 2015

15. Benefits of F/V consumption Investing in Healthy Food Will Save Lives and Dollars – UCS 2013 Medical costs of treating heart disease and stroke were estimated at $94 billion in 2010, and this figure is projected to nearly triple by 2030. If Americans ate just one more serving of fruits or vegetables per day, this would save more than 30,000 lives and $5 billion in medical costs each year. If Americans were to follow current USDA recommendations for daily consumption of fruits and vegetables, those numbers would go up to more than 127,000 lives and $17 billion saved. According to methods commonly used by economists, the increased longevity that would result if Americans ate the recommended amount of fruits and vegetables is worth over $11 trillion.

16. Benefits of Walking/Physical Activity – Benefits of Walking- 150 min/week, 22 min/day Decrease Heart Attack by 50% Decrease Breast Cancer by 43%, recurrence by 53% Decrease Dementia/Alzheimers by 50% Decrease Depression by 55% Decrease Diabetes (Type 2) by 58% Decrease Knee Arthritis by 47% Decrease Premature Death by 23% – Benefits of Physical Activity for Children Improved health status Improved school performance Improved behavior

17. When we know all of this… … Maybe it’s time for an expanded regional conversation about how we might work together to improve our health across the region… … Maybe that’s why you – as business wellness stakeholders - agreed to be here today… Thank you for taking the time to be in this important discussion… for your business, for your employees and their families in our region!