1. REACHING OUR POTENTIAL HEALTH EQUITY FORUM WASHINGTON, DC October 9, 2013

2. QUICK HISTORY 2 Founded in London in 1844 in response to unhealthy social conditions in big cities during the Industrial Revolution. –Common activities were reading, prayer and Bible study. Today the Y serves more than 58 million people in 120 countries on six continents.

3. BY THE NUMBERS 3 250,000 full-time and part-time staff. 554,000 volunteers. 20.6 million members and participants. 128 Ys are located where the population within a one mile radius is majority Latino population. 172 Ys are located where the population within a one mile radius is majority African American population.

4. STRENGTHENING COMMUNITIES THROUGH Youth Development – Nurturing the potential of every child and teen Healthy Living – Improving the nation’s health and well-being Social Responsibility – Giving Back and providing support to our neighbors

5. Impacting INDIVIDUALS Impacting ORGANIZATIONS Impacting COMMUNITIES Impacting SOCIETY TO RECLAIM HEALTH (tertiary) TO REDUCE RISK (secondary) Impacting FAMILIES Childhood Obesity Prevention Diabetes Prevention Falls Prevention Cancer Survivorship Arthritis Treatment Worksite Wellness Parenting for Healthy Living Health Navigation (clinical preventive services) Keep Sharp (preventing cognitive decline) Cardiac Rehab Healthy Eating and Physical Activity in Early Childhood and Afterschool Programs Diabetes Control Building Healthier Communities and States through policy and environmental changes (with a focus on less-resourced Communities and States) Smoking Cessation Million Hearts (cardiovascular health risks) Parkinson’s Management Childhood Obesity Treatment Asthma Control Autism Support Swim lesson (for at risk populations ) Behavior Change Programs (general or specialized pops.) Childhood Obesity Intervention Impacting INDIVIDUALS Impacting ORGANIZATIONS Impacting COMMUNITIES Impacting SOCIETY Impacting FAMILIES HEALTHY LIVING AT THE Y Potential Portfolio of Health Innovation © 2012 YMCA of the USA. All rights reserved. To PROMOTE WELLNESS (Primary) To RECLAIM HEALTH (Tertiary) To REDUCE RISK (Secondary) FACILITY MEMBERSHIP

6. Impacting INDIVIDUALS Impacting ORGANIZATIONS Impacting COMMUNITIES Impacting SOCIETY Impacting FAMILIES © 2012 YMCA of the USA. All rights reserved. To PROMOTE WELLNESS (Primary) To RECLAIM HEALTH (Tertiary) To REDUCE RISK (Secondary) HEALTHY LIVING STRATEGIC AREAS

7. HISTORY OF SERVICE 1853192519712004200720082009201020112012 Global Centers of Excellence Multicultural Executive Development Institute Newcomer Immigrant Work African American and Hispanic/Latino Collaborative Urban Education and Development PHC Health Equity Pilot Community Transformation Grants Heritage YMCAs REACH College YMCAs Black Achievers Multicultural Mentoring Program Strong Communities Agenda

8. HEALTH EQUITY Everyone, regardless of the color of their skin, where they live or their economic status, has the opportunity to achieve his or her full potential. Health Equity is the core of REACH. To get there we must impact the social determinants of health.

9. 9| ORIENTATION FOR NEW COACHES | ©2013 YMCA of the USA

10. HEALTH EQUITY EVERYWHERE 10 Ref ere nce: Inst itut e of Med icin e 201 3

11. HCI ACCOMPLISHMENTS N=224 35,970 systems and environmental improvements in jurisdictions including 65 million people Over 9,000 changes to improve food options and increase physical activity options in schools 1407 strategies that provide greater access to healthier foods 895 strategies that provide greater access to physical activity through changes in the built environment 1208 strategies that led to smoke-free environments 472 strategies to prevent chronic disease $5.96 brought in for every $1 of funding

12. HEALTH EQUITY IN ACTION 12 Making a difference in Broward, FL… http://www.youtube.com/watch?v=NFGSNNX6JHA&feature=youtu.be

13. HEALTH EQUITY IN ACTION 13 The REACH initiative in collaboration with The Healthy Syracuse Coalition is working with the top 5 large employers along with non-profit service organizations. These organizations are the largest employers of the African/American and Hispanic/Latino populations. The non-profit service agencies were also targeted to create potential impact on the communities they serve through policy and environmental changes that would impact both employees and individuals served. These employers represent over 30,000 individuals with an additional service reach of over 100,000 individuals. With a current unemployment rate of 8.5%, most Syracuse residents hold connection to some form of employment but yet 42.2% of the population show earning below $25,000. The employers learned and began planning changes to the employee wellness policies and practices to directly decrease health disparities in the Greater Syracuse community.

14. OUR NATIONAL PARTNERS National Association for the Advancement of Colored People (NAACP) National Council of La Raza (NCLR) NCLR/California State University at Long Beach Center for Latino Community Health, Evaluation and Leadership Training American Psychological Association (APA) Health Equity Panel National Networks: American Lung Association, National REACH Coalition, Asian Pacific Islander Health Forum, University of Colorado at Denver, Hidalgo Medical Systems, University of California at Los Angeles

15. THANK YOU Shannon Cosgrove, MHA YMCA of the USA Shannon.cosgrove@ymca.net 202-688-4748 15