1. 1 Making Healthy Living Easier Shannon Griffin-Blake, PhD Branch Chief for Program Implementation and Development October 17, 2012 CDC’s Division of Community Health

2. 2 Of our $2.5 trillion annual health care spending focused on chronic diseases 75% 2

3. 3 Our Commitment Division of Community Health Core Principles:  Maximize health impact  Achieve health equity  Use and expand the evidence base

4. 4 Our “TWIN” Approach

5. 5 Maximizing Impact  Population reach  Potency/Dose/Exposure (Effect size)

6. 6 Evidence-Based Strategies  Public Health’s greatest achievements originated through policy efforts at the local level that maximizes impact  Policy development is a core function of public health  Conducting rigorous analyses to identify and report on strategies and policies that can protect health and prevent disease  Educating the public and stakeholders about these strategies  Policy development and education are not lobbying  Federal law prohibits the use of federal funds to lobby at the federal, state or local level

7. 7 Community Transformation Grants

8. 8. Our Community Health Portfolio Addresses weight, nutrition, physical activity, tobacco use, and emotional wellbeing and overall mental health for potentially 130 million Americans. Community Transformation Grants (CTG) Since 1999 has had a focus on reducing disparities in racial and ethnic population REACH (Racial and Ethnic Approaches to Community Health) Drives local initiatives that is making healthy living easier, for more than 50M people, through sustainable strategies and environmental improvements. Communities Putting Prevention to Work (CPPW) Includes Pioneering Healthier Communities, Achieve (Action Communities for Health, Innovation, and EnVironmental changE), Steps to a Healthier US, and Strategic Alliance for Health Healthy Communities

9. 9 Reaching 4 in 10 Americans Through Community Transformation Grants Goal of CDC’s Community Transformation Grants (CTG) – Help make healthy living easier for Americans by:  Building capacity to implement evidence- and practice-based sustainable strategies to prevent chronic diseases and chronic illnesses  Supporting implementation of interventions across five broad areas:  Tobacco-Free Living  Active Living and Healthy Eating  Clinical and Community Preventive Services  Social and Emotional Wellness  Healthy and Safe Physical Environment

10. 10 Key Milestones Program Key Milestones Program Accomplishments to date Awardees on track to meet program requirements  Awardees formed multi-sectoral leadership teams, bringing in local partners from education, planning, business, agriculture, transportation and other sectors to improve community health  Action Institutes in November and December 2011 prepared awardees to develop Community Transformation Implementation Plans) that reflect evidence and practice based strategies  Awardees submitted implementation plans to CDC for approval; Approval of all plans to be complete by March 31.  Awardees have developed mechanisms to invest CTG funds in local communities CTG communities are implementing or building plans to make healthy living easier for Americans by increasing access to:  Smoke-free or tobacco-free environments  Healthy food and beverage options  Physical activity opportunities  Systems that support control of high blood pressure and high cholesterol CTG Anticipated Outcomes

11. 11 Components of CTG CTG Implementation Capacity Building National Network Acceleration National Network Dissemination Small Communities

12. 12  29 Counties (>500,000)  24 States (entire states & states >large counties)  7 Tribes  1 Territory (Palau)  6 National Networks of Community- Based Organizations  40 Small Communities 107 CTG Awardees *May be statewide effort or state effort focused on small communities

13. 13 Early Accomplishments  Oklahoma County, Oklahoma – Approximately 60,000 residents are protected from secondhand smoke exposure in more than 80,000 multi-unit housing units.  Maryland – In partnership with 19 school districts, Maryland is implementing and monitoring USDA local wellness initiatives that include comprehensive physical activity practices.  Pierce County, Washington – More than 11,000 students and 1,500 staff now have access to vending machines that offer healthy options and meet USDA guidelines.  Broward County, Florida – About 700,000 residents have opportunities to increase their level of physical activity through the Complete Streets Standards and Smart Growth principles.

14. 14  Goal: Support areas with less than 500,000 people in neighborhoods, school districts, villages, towns, cities, and counties  Funding: Over $70M to 40 communities, reaching 9.2 million Americans CTG Small Communities

15. 15 Education 10% Health Care 25% Faith-Based 2.5% Community 30% Government 7.5% Public Health 17.5% CTG Small Communities 7.5% of the awardees are tribal organizations Sectors

16. 16 REACH Initiative

17. 17 Racial and Ethnic Approaches to Community Health Initiative Focus on initiatives to improve health and reduce and eliminate disparities related to chronic diseases in African Americans, Hispanics, American Indians, Asian Americans, and other Pacific Islanders.

18. 18 REACH Community Change  Charleston and Georgetown Counties, South Carolina - healthcare education delivery system improvements for African Americans with diabetes resulted in a 44% reduction in amputations among African Americans.  Merrimack Valley of Massachusetts - community- based systems of care and education related to cardiovascular disease and other chronic conditions improved cholesterol levels for Latino patients such that 71.9% of those with diabetes were able to bring their total cholesterol under 200mg/dL.

19. 19 New REACH Program Awardees  Apply evidence- and practice-based initiatives that reduce health disparities for those experiencing high burden of chronic disease and its risk factors.  Funding: Nearly $22 million  6 awards ($2.8M-$3.8M per award), with 90 sub-grantees *Awardees announced September 2012

20. 20 REACH Obesity and Hypertension Demonstration Projects (Demo)  Apply strategies to prevent obesity and hypertension, two of the leading risk factors for chronic diseases.  Funding: Approximately $12.3M over three years  Number: 2 awards ($4.6M and $7.7 million per award)  Boston Public Health Commission  Community Health Councils, Inc. *Awardees announced September 2012

21. 21 Thank You!