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Master Slide Set - With Notes for Partners The HW2020 Framework July 2012 Margaret Schmelzer, MS, RN

Healthiest Wisconsin 2020: Everyone Living Better, Longer Aligning and Engaging Wisconsin Partners in Protecting and Improving the Health of All. Master Slide Set - With Notes for Partners The HW2020 Framework July 2012 Margaret Schmelzer, MS, RN

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Master Slide Set - With Notes for Partners The HW2020 Framework July 2012 Margaret Schmelzer, MS, RN

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  1. Healthiest Wisconsin 2020: Everyone Living Better, Longer Aligning and Engaging Wisconsin Partners in Protecting and Improving the Health of All Master Slide Set - With Notes for Partners The HW2020 Framework July 2012 Margaret Schmelzer, MS, RN State Health Plan Director, Public Health Nursing Director Wisconsin Department of Health Services, Division of Public Health Madison, Wisconsin

  2. 2 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  3. A View From the PartnersEssential Elements for Success Source: DePablo M, Abraham B, 2009 3 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  4. What is HW2020? HW2020 is a “call to action” to work together to improve health where we live, grow, work, learn, and play. HW2020 is about creating conditions in which people can be healthy by giving everyone the opportunityto live a healthy life. 4 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  5. What is HW2020? It is a flexible public health agenda designed by many to be implemented by all. It used systematic approaches designed to: Align policies and systems. Contain health care costs. Improve health outcomes. 5 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  6. Intent of HW2020 Fulfill the statutory requirement to the Wisconsin Department of Health Services from the legislature to produce a public health agenda at least every ten years Wisconsin Statute, Chapter 250.07 (1)(a) Provide an agreed-upon framework to work together to assure conditions in which people can be healthy and members of healthy, safe, and resilient families and communities. 6 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  7. Brief History Healthier People in Wisconsin: A Public Health Agenda for the Year 2000 Healthiest Wisconsin 2010: A Partnership Plan to Improve the Health of the Public Healthiest Wisconsin 2020: Everyone Living Better, Longer 7 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  8. Strategic Processes Strategic planning Science and evidence tempered with wisdom of communities Quality improvement Collaborative, diverse partnerships 8 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  9. 9 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  10. Who are the HW2020 Partners? 10 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  11. Core Functions / Essential Services of Wisconsin’s Public Health System Source: Public Health Functions Steering Committee, July 1995 http://www.health.gov/phfunctions/public.htm http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  12. HW2020 Overview and Key Features Framework Focus areas and objectives 12 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  13. HW2020 Framework Vision Mission Values Goal 1 Goal 2 Focus Areas and Objectives CrosscuttingHealthInfrastructure Outcomes 13 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  14. HW2020 FrameworkVision and Mission Vision Everyone Living Better, Longer Mission Assure conditions in which people can be healthy and members of healthy, safe and resilient families and communities 14 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  15. HW2020 FrameworkValues / Principles Shared Accountability Alignment Collaboration Community Assets Evidence Fairness Infrastructure Justice Leverage Performance Improvement Prevention Science Shared Leadership 15 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  16. HW2020 Framework Goals Improve health across the life span Eliminate health disparities and achieve health equity 16 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  17. HW2020 Framework Focus Areas and Objectives 23 Focus Areas Each Focus Area has 2-3 objectives Each objective is directly tied to one of the two HW2020 goals The Focus Areas and objectives span 3 categories: Crosscutting (2) Health (12) Infrastructure (9) 17 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  18. Crosscutting Focus Areas (2) HW2020 FrameworkFocus Area Categories -Pairing focus areas as an approach to “systems thinking” Infrastructure Focus Areas (9) Health Focus Areas (12) 18 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  19. HW2020 Framework 12 Health Focus Areas Adequate, appropriate and safe food and nutrition Alcohol and other drug use Chronic disease prevention and management Communicable disease prevention / control Environmental and occupational health Healthy growth and development Injury and violence Mental health Oral health Physical activity Reproductive and sexual health Tobacco use and exposure 19 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  20. HW2020 Framework9 Infrastructure Areas Access to high-quality health services Collaborative partnerships for community health improvement Diverse, sufficient, and competent workforce that promotes and protects health Emergency preparedness, response, and recovery Equitable, adequate, and stable public health funding Health literacy Public health capacity and quality Public health research and evaluation Systems to manage and share health information and knowledge 20 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  21. HW2020 Framework 2 Crosscutting Focus Areas Health disparities Social, educational, and economic factors that influence health 21 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  22. Crosscutting Focus Areas (2) Focus Area CategoriesRequires Systems Thinking andKeeping Your Eyes on All Three Categories Infrastructure Focus Areas (9) Health Focus Areas (12) 22 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  23. Reduce disease, injury and adverse health conditions due to risky behaviors Reduce preventable illness and disability Reduce preventable death Align policies and systems for better health Eliminate disparities Achieve health equity Strengthen Wisconsin’s public health system HW2020 FrameworkHealth and Systems Outcomes 23 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  24. HW2020 FrameworkImplementation Model http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  25. HW2020 Action ModelTaking Action, Making a Difference Assess strengths needs & resources Evaluate & report results Engage community partners Healthy People in Healthy Wisconsin Communities Implement strategies Select priorities & align to HW2020 Find / use programs & policies that work 25 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  26. Aligning Policies and Systems for Better Health Health Across the Life Span Eliminate Health Disparities and Achieve Health Equity Reduced Mortality, Morbidity, and Disability Health Outcomes Health Behaviors and Skills Social, Economic and Educational Factors Health Services and Systems Physical Environment Health Factors or Determinants Policies and Programs Adapted with modifications from University of Wisconsin School of Medicine and Public Health, “Mobilizing Action Toward Community Health, County Health Rankings,” accessed at http://www.countyhealthrankings.org/about-project/background 26 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  27. The Drivers of HealthAccelerating progress often requires a focus on all four and not just some of these “drivers.” • Health Behaviors and Skills • Social, Economic and Educational Factors • Health Services and Systems • Physical Environment http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  28. Social Environment Physical Environment Genetic Endowment Individual Response Behavior Biology Health &Function Health Care Disease Well-Being Prosperity Determinants of Health Model Source: R.G. Evans and G.L. Stoddart, 1990, Predicting Health, Consuming Health Care; Social Science Medicine 31:1347-1363, with permission from Elsevier Science Ltd., Kidlington, United Kingdom. http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  29. Determinants of Health Individual-level health education efforts Health Outcomes Determinants of Health Health-supporting systems Healthy environments Employment Education Housing Income http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  30. Determinants of Health Individual-level health education efforts Determinants of Health Inadequate systems Health Outcomes Unhealthy environments Unemployment Lack of education Poor Housing Poverty http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  31. Source: Centers for Disease Control and Prevention http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  32. Toolbox • Focus Area Profiles • Evidence-Based Sources • Additional Resources • National Prevention Strategy • Leading Health Indicators for the Nation http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  33. Focus Area ProfilesThe launching point for collective action / impact Each Focus Area Profile contains: • Definition (scope) of the focus area • Importance • Wisconsin data highlights • Objectives • Indicators • Data sources • Evidence- or science-based actions • References Note: Profiles will be updated as science / practice change http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  34. Evidence-Based ResourcesEssential for effective actions Healthy People 2020 – U.S. Department of Health and Human Services http://healthypeople.gov/2020/topicsobjectives2020/default.aspx National Partnership for Action – U.S. Department of Health and Human Services – Office of Minority Health http://minorityhealth.hhs.gov/npa/files/Plans/Toolkit/NPA_Toolkit.pdf http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  35. Evidence-Based ResourcesEssential for effective actions Area Health Education Centers (AHEC) – Informed Caring http://www.informedcaring.org/Home.aspx What Works: Policies and Programs to Improve Wisconsin’s Health http://whatworksforhealth.wisc.edu/ http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  36. Evidence-Based ResourcesEssential for effective actions The Community Guide – U.S. Centers for Disease Control and Prevention http://www.thecommunityguide.org/index.html U.S. Preventive Health Services Task Force http://www.uspreventiveservicestaskforce.org/ http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  37. Additional Resources National Prevention Strategy, Office of the U.S. Surgeon General (2011) http://www.healthcare.gov/prevention/nphpphc/strategy/report.pdf Leading Health Indicators, Healthy People 2020, U.S. http://healthypeople.gov/2020/LHI/default.aspx http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  38. Local Community Health Improvement Plans All Wisconsin local health departments are required by state law to develop a community health improvement plan (CHIP). Healthiest Wisconsin 2020 links directly to local community health improvement plans and Healthy People 2020. Contact your local health department to get involved and help make a difference. http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  39. Endorsement FormIt takes the work of many to improve the health of all Review and complete the form available at the HW2020 website (see Spotlight Box) http://www.dhs.wisconsin.gov/hw2020/index.htm • Become a champion • Share leadership and accountability for the public’s health • Non-binding http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  40. Monitoring and Reporting Progress Wisconsin Public Health Council is charged with reporting and monitoring the state health plan Other features of monitoring and reporting are under development in the Wisconsin Department of Health Services. See: HW2010 Data Report: Tracking a Decade’s Progress: Summary Data for Healthiest Wisconsin 2010 (January 2012) http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  41. Contact Information Web Link: http://dhs.wisconsin.gov/hw2020/ HW2020 Mailbox: DHSHW2020@dhs.wisconsin.gov Margaret Schmelzer, MS, RN State Health Plan Director Director of Public Health Nursing Division of Public Health Wisconsin Department of Health Services Voice: 608-266-0877 Email: margareto.schmelzer@dhs.wisconsin.gov http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  42. 42 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  43. Supplemental Data Slides The slides that follow provide a “snapshot / tip of the iceberg” view of Wisconsin health. These slides highlight many but not all of the 23 Focus Areas. Learn More and Become Engaged in HW2020 Go to the HW2020 web site, review the main plan and review the focus area profiles that interest you. Ask your agency / organization to submit a HW2020 Endorsement Form and become a HW2020 Champion. http://www.dhs.wisconsin.gov/hw2020/index.htm http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  44. Health of Wisconsin Source: University of Wisconsin, School of Medicine & Public Health, 2010 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  45. Nutrition & Healthy FoodsWhy do we need HW2020? Wisconsin’s 3rd Graders Source: Wisconsin Department of Health Services, Oral Health/ BMI Surveillance Project, 2008 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  46. Nutrition & Healthy FoodsWhy do we need HW2020? Wisconsin’s Adults $1,400 Annual increase in health care costs for every obese adult Source: Wisconsin Department of Health Services, Web-published Nutrition Profile, 2010 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  47. Bars vs. Grocery StoresPlace Matters! Source: Wisconsin Division of Mental Health & Substance Abuse, 2011 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  48. Chronic DiseaseWhy do we need HW2020? Risk Factors: The Epidemic of Chronic Disease in Wisconsin Source: Wisconsin Department of Health Services, Bureau of Community Health Promotion, 2012 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  49. Reportable Diseases and Other Notifiable Conditions, 2009 Sexual Health & Communicable Disease Why do we need HW2020? STDs Source: Bureau of Communicable Diseases and Emergency Response, 2012 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

  50. Injury & ViolenceWhy do we need HW2020? Source: Wisconsin Department of Health Services, Injury Prevention Program, 2011 http://www.dhs.wisconsin.gov/hw2020/index.htm Mailbox: dhshw2020@dhs.wisconsin.gov

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