CEOMPH Capstone Exit Presentation

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CEOMPH Capstone Exit Presentation

• Cheryl Sofonia
• April 26, 2007

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Overview

• Introduction
• Acknowledgements
• Practicum Project
• Capstone Project Summary
• Literature Review
• Core Courses Public Health Competencies
• Elective Courses Public Health Competencies
• Questions

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Introduction

• Class of 2002, Fall semester MPH program
• Director Firelands Regional Medical Center-Wound
  Care Center
• BBA-Marketing major
• No experience in public health led to working
  with the Erie County Health Department
• Future goals Work in program development in
  public health setting or hospital

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Acknowledgements

• Peter Schade, MPH, Health Commissioner-Erie
  County Health Department
• Jill Black, PhD, Health Education
  Department-Cleveland State University
• NEOUCOM MPH Administration Amy Lee,
  MD, Jon Jenny, MPH, Mona Adorni

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Practicum ProjectFall Semester 2006

• Selection of Project Womens health obesity
  and related heath disorders
• Based on needs of the community, interests of the
  health department and MPH student
• Practicum project to serve as foundation for
  capstone project

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Practicum Project Fall Semester 2006

• Utilized 2004 Community Health Assessment report
• Developed an obesity workshop with Bariatric
  physician, Registered dietician, Adult female
  with weight loss success story
• Invited community organizations, medical
  community, female Erie County residents

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Practicum Project Fall Semester 2006

• Determined possible community resource partners
  for capstone project program development
• Conducted focus group with women on issues with
  weight loss, program needs, barriers

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Targeting Obesity and Related Health
Disorders in Erie County CEOMPH Capstone
Project Spring Semester 2007
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Capstone Project Summary

• Develop a written program for the Erie County
  Health Department
• Targeting Obesity Related Disorders in Erie
  County
• A Community Based Program
• Literature Review An overview of the scope of
  the problem and current research

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Capstone Project Summary

• The Prevalence of Obesity
• CDC Approximately 65 of adults are overweight
  or obese defined by a BMI of gt30
• Obesity rate among women nationally is 23
• Obesity rate among women in Erie County is 29
• 300,000 deaths each year attributed to obesity, a
  death rate exceeded only by that for smoking

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Capstone Project Literature Review

• The prevalence and affect of obesity
• Why are we fat? Pathophysiology of obesity
• Environmental influences of obesity
• Public health law regulating obesity
• Governmental programs CDC, HHS, NIH, FDA, NIEHS
• Prevention strategies

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Capstone Project Literature Review

• The cost of obesity and value of weight loss
  programs
• Diet and chronic disease
• Dietary and pharmacotherapy interventions
• Behavioral interventions
• Community based and worksite programs
• Conclusions

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Capstone Project Literature Review

• Current research concludes
• Successful weight loss programs consist of
  dietary plan/meal replacement, physical activity,
  behavior modification strategies, long-term
  support.
• Worksite and school health and wellness programs
  are the best way to access 65 of the targeted
  at-risk population.
• Community based programs have had modest impact
  on long-term weight loss and have yet to affect
  the prevalence of obesity.
• Worksite programs show positive affects on weight
  management, chronic illness, absenteeism and
  productivity, employee satisfaction, cost savings
  in health care coverage and lost work days.

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Capstone Project Summary

• CDCynergy Health Planning Model
• Phase 1 Problem definition and description
• Phase 2 Problem analysis
• Phase 3 Communication program planning
• Phase 4 Program and evaluation development
• Phase 5 Program implementation management
• Phase 6 Feedback

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Capstone Project Summary

• Health Risk Associated with Obesity
• ? Type II Diabetes
• ? Insulin Resistance
  
• ? Gallstones
• ? Cancer-Colon, Endometrial, Breast
  
• ? High Blood Pressure
• ? High Blood Cholesterol
  
• ? Chest Pain
• ? Stroke
• ? Heart Disease
• ? Congestive Heart Failure
  
• ? Pregnancy Complications
• ? Infertility-Poor Reproductive Health
  
• ? Poor Bladder Control
• ? Osteoarthritis
• ? Gout
• ? Obstructive Sleep Apnea
• ? Psychological Disorders

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Capstone Project Summary

• Analyzed comparison statistics of obesity rates,
  health issues, causes of death in Erie county,
  Ohio, U.S.
• Identified primary and secondary community
  resources
• Identified target population group for pilot
  program- City and County employees of Erie
  County
• WHIP-Wellness and Health Incentive Plan
• Individual Health Assessment
• Determined number of adult female employees and
  dependents as target population

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Capstone Project Summary

• Worked with primary community resources in
  development of program content
• Steven Sparks, D.O., Board Certified Bariatric
  Physician
• Pete Schade, Health Commissioner and ECHD
  clinical staff-RNs, RDs, Community Health
  Division
• Erie County Commissioners staff
• Karen Polvinale-Fitness instructor
• Donna Green-Ohio State University Extension
  Family Nutrition Program
• Quest Diagnostics and North Coast Clinical Labs

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Capstone Project Summary

• Used the focus group information from the obesity
  workshop
• Identified secondary community resources
  YMCA-Steps Program, Curves for Women
• Developed a health questionnaire for target
  population to help design program content

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Capstone Project Summary

• The focus group and the respondents to the health
  questionnaire were helpful in giving their input
  for program content.
• Results mirror the literature review research in
  the most effective programs.
• The group revealed that they wanted physician
  involvement, help with meal planning, ongoing
  support, and health education.

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Program Implementation

• The Erie Co. Health Dept. Division of Community
  Health will develop and implement this program
  this summer of 2007.
• Other partnerships will be reviewed for future
  program content such as the YMCA Steps program
  for fitness.
• Pilot program testing the program will begin with
  the city and county employees then rolled out to
  the entire county.

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Public Health Competency Domains

• Analytic assessment skills
• Policy development/program planning
• Communication skills
• Cultural competency skills
• Community dimensions of practice
• Basic public health sciences
• Financial planning
• Leadership and systems thinking

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Core Courses Public HealthCompetencies

• Public Health Concepts-Domains 1-8
• Biostatistics-Domains 1,3,4,6,
• Epidemiology-Domains 1,2,3,4,6
• Social Behavioral Sciences-Domains 1,2,3,4,6,8
• Health Services Administration-Domains 1-8
• Capstone Project-Domains 1,2,3,4,5,6,8

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Elective Courses and Public Health Competencies

• Management Organizational Behavior
• Mgt. concepts, organizational structure and
  history, psychological theory of work production,
  job-description, development and duties, human
  resources
• Midterm and final exams, in-class group
  discussion-interviewing techniques
• PH Competencies Domains 1-6

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Elective Courses and Public Health Competencies

• Grant Writing
• Online course taught from Kent State by Elizabeth
  Kinion.
• Wrote a Minority public health grant , submitted
  weekly pieces of the grant, online chats with
  feedback from other students
• Highly useful course in understanding funding
  streams and experience in writing a real grant.
• PH Competencies 1-8

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Elective Courses and Public Health Competencies

• Obesity Related Disorders
• taught at CSU by Dr. Rafiroiu
• An overview course of all areas relating to
  obesity and related chronic disease
• Online chat rooms, literature review, ppt.
  presentation on bariatric surgery, final exam
• This class was essential for my choice in
  capstone project topic.
• PH Competencies1-6

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Elective Courses and Public Health Competencies

• Management Evaluation of Health Programs
• Taught by Jill Black, PhD, CSU
• An overview of the concepts of qualitative and
  quantitative design of health programs, health
  questionnaires, assessment of collected data,
  program development.
• Designed a health questionnaire, in-class
  development and critique, 3 papers, poster
  presentation, final exam.
• Very helpful course to capstone project
• Instructor became faculty preceptor of capstone
  project
• PH Competencies 1-6

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Elective Courses and Public Health Competencies

• MPH Practicum
• CSU faculty preceptor Brenda Marshall, PhD, MPH
• Community preceptor Pete Schade, MPH, Health
  Commissioner
• Conducted community needs analysis from health
  assessment data, Conducted forum/workshop on
  obesity and related health disorders, focus
  group, literature review of community based
  programs
• PH Competencies 1-6

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Questions ?