1. Community Health Issues Assignment Casey Cleveland RN BS NUR 503 Health Policy Fall 2012

2. Community Health Care Issues  Community Health Issues  3 Community Health Care Experts  Healthy People 2020  Nutrition and weight status  Current Research  Recommendations  Theoretical Underpinnings  Role of the Advanced Practice Nurse

3. Community Health Care Expert #1  Timothy Cleveland RN for 27 years  Works in Emergency Department at Syracuse Veteran’s Affairs Medical Center  Issues:  Obesity [Healthy People 2020- Nutrition & Weight Status]  Diabetes [Healthy People 2020- Diabetes]  Joint diseases [Healthy People 2020- Arthritis, Osteoporosis and Chronic Back Conditions] Personal interview from Timothy Cleveland

4. Community Health Care Expert # 2  Dr. Antonino T. DiMarco, MD FACP  Internal Medicine and Clinical Cardiology since 1978  Issues: “ People are too fat!”  Obesity [Healthy People 2020- Nutrition & Weight Status]  Diabetes [Healthy People 2020- Diabetes]  Old age [Healthy People 2020- Older Adults] Personal interview with Dr. DiMarco

5. Community Health Care Expert # 3  Nannette Cowen MS, APRN-BC, FNP  Family Practice Nurse Practitioner since 1998  Issues:  Obesity [Healthy People 2020- Nutrition & Weight Status]  Diabetes [Healthy People 2020- Diabetes]  Health Literacy [Healthy People 2020- Educational and Community- Based Programs] Personal Interview with Nannette Cowen

6. Nutrition and Weight Status  Position of Healthy People 2020:  Promote health & reduce chronic disease through healthy diets  Achievement and Maintenance of Healthy Body Weights  Support behaviors in schools, work sites, health care organizations and communities

7. Current Research Literature  Systematic Review of the Impact of Worksite Wellness Programs  Written by Karen Chan Osilla, PhD; Kristin Van Busum, MPA; Christopher Schnyer, MPP; Jody Wozar Larkin, BSN, MLIS; Christine Eibner, PhD; and Soeren Mattke, MD, DSc

8. Clinical Recommendations  U.S. Preventive Services Task Force (USPSTF Clinical Recommendations:  Behavioral Counseling in Primary Care to Promote a Healthy Diet  Screening for Iron Deficiency Anemia—Including Iron Supplementation for Children and Pregnant Women  Screening for Obesity in Adults  Screening for Obesity in Children and Adolescents

9. Action by the Community  Healthy People 2020 Community Interventions  1. Obesity Prevention and Control, Interventions in Community Settings: Worksite Programs

10. Action by the Community Continued  Healthy People 2020 Community Interventions  2. Obesity Prevention and Control: Behavioral Interventions to Reduce Screen Time

11. Action by the Community Continued  Healthy People 2020 Community Interventions  3. Worksite Health Promotion: Assessment of Health Risks with Feedback to Change Employees’ Health

12. Theoretical Underpinnings  Results from the Systemic Reviews  Supporting Materials  Publications  Promotional Materials

13. Role of the Advanced Practice Nurse  Implementing Healthy People 2020  Framework for Implementation  MAP-IT  Screening for obesity  Counseling in weight loss  Promoting healthy weight  “Acting the part”  Political

14. Summary  Community Health Issues  3 Community Health Care Experts  Healthy People 2020  Nutrition and weight status  Current Research  Recommendations  Theoretical Underpinnings  Role of the Advanced Practice Nurse

15. Questions/Comments?

16. References  Community Preventative Services Task Force. (2007, February). Assessment of Health Risks with Feedback to Change Employees’ Health. The Community Guide. Retrieved from http://www.thecommunityguide.org/worksite/ahrf.html  Community Preventative Services Task Force. (2008, January). Obesity Prevention and Control: Behavioral Interventions to Reduce Screen Time. The Community Guide. Retrieved October 6, 2012, from http://www.thecommunityguide.org/obesity/behavioral.html  Community Preventative Services Task Force. (2007, February). Obesity Prevention and Control: Worksite Programs. The Community Guide. Retrieved from http://www.thecommunityguide.org/obesity/workprograms.html

17. References  Osilla, K. C., Van Busum, K., Schnyer, C., Larkin, J. W., Eibner, C., & Mattke, S. (2012, February). Systematic Review of the Impact of Worksite Wellness Programs. THE AMERICAN JOURNAL OF MANAGED CARE, 18(2), e68-e81. Retrieved from Cinahl Plus.  U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2010. 2020 Topics and Objectives. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx  U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2010. Nutrition and Weight Status. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.as px?topicId=29