Decision Accelerator Report Out

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• Decision Accelerator Report Out
• January 31, 2007

www.Alegent.com/childhoodfitnessandnutrition
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Current Situation
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OHCP Circle of Progress
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The Epidemic

• It is a growing epidemic
• 1 in 6 youth was identified as overweight, while
  1 in 3 was identified as either overweight or at
  risk for becoming overweight
• Significant differences exist across
  socioeconomic status, race, and ethnicity
• Those communities with the highest poverty rates
  and the least education are most at risk
• Native American, African American, and Mexican
  American youth are at the greatest risk
• Access to affordable healthy food and safety of
  neighborhoods have an impact

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Implications

• Being overweight or obese can have serious health
  implications
• Significant factor in the dramatic increase of
  Type II diabetes
• Hypertension is nine times more likely to occur
• Orthopedic complications can arise
• May result in negative psychosocial effects
• Related to higher rates of morbidity and
  mortality later in life
• Obesity-related annual costs have increased
  dramatically
• Annual hospital costs tripled over a twenty year
  period for youth
• Total expenses related to adult
  obesity/overweight is estimated to be between
  98 and 129 billion

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Ecological Model
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Decision Accelerator
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Background

• Decision Accelerator (DA) held on December 7th
  and 8th, 2006
• 75 people from the community attended
• Represented a variety of stakeholder groups
• Vision was developed
• Horizon map with one-, three-, and five-year
  horizons was generated
• The Horizon Map concentrated on six key focus
  areas for addressing childhood obesity
• The focus areas are referred to as Planks

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Vision of Coalition

• In 2011, Omaha is nationally recognized as a
  collaborative model achieving measurable
  improvement in the fitness and nutrition of
  children.

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Horizon Map
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Transition Team
Since the conclusion of the DA, a transition team
has been meeting regularly to distill all of the
hard work generated throughout the two day
process

• The Members of the team include
• Dr. Molly ODell
• Mikki Frost
• Dr. Fred Hosler
• Shirley Hosler, RN
• Craig Kulawik
• Pat Masek

• Heidi May
• Kerri Peterson
• Stephanie Sharma
• Dr. Jeffry Strohmyer
• Ad hoc members

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Plank Committee Horizons
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Physical Environment

• Horizon One
• Develop master plan to increase awareness,
  collaboration, policy change, implementation
• Horizon Two
• Implement master plan at the neighborhood level
• Horizon Three
• Observe significant improvement in physical
  environment and community health indicators

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Nutrition

• Horizon One
• Establish a nutritional plan
• Horizon Two
• Create measurable awareness
• Horizon Three
• Observe positive changes in awareness, behavior,
  and BMI

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Physical Activity

• Horizon One
• Assess the needs of the community
• Increase awareness and buy-in
• Form a collaboration
• Horizon Two
• Demonstrate measurable changes
• Continue education
• Disseminate progress and best practices
• Horizon Three
• Continue to demonstrate measurable change
• Maintain continued awareness, dissemination, and
  education

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Evaluation

• Horizon One
• Establish and begin to evaluate three outcome
  measures
• BMI
• Prevalence of obesity
• Morbidity related to obesity
• Horizon Two
• Reassess and modify the evaluation measures
• Horizon Three
• Establish an evaluation system that yields
  results that are valid and useful

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Social Marketing

• Horizon One
• Create awareness of the initiative
• Horizon Two
• Launch the program
• Horizon Three
• Maintain the message

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Funding and Resources

• Horizon One
• Establish a 4C model of collaboration
• Ensure donors are informed and that options are
  available
• Scan potential government resources
• Engage individual and community level giving
• Horizon Two
• Establish long-term commitment
• Obtain funding at all governmental levels
• Horizon Three
• Demonstrate a positive ROI
• Receive community recognition of donors
• Achieve sustainable funding

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Leadership Structure
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Keys to Success

• Keys to Success and lessons learned from other
  models
• Participation from high level, respected and
  committed community leaders
• Overall management by subject matter experts
• Opportunities for participation by the community
  at large
• An overriding commitment to put the interests of
  the coalition above the interests of any one
  member
• Staff support

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Leadership Structure
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Executive Committee

• Role
• Provide management and broad subject matter
  expertise to the coalition
• The work of the Plank Committees will be
  coordinated through this structure
• The Plank Chairs will serve on the Executive
  Committee, as well as chair their Plank Committee
• Selection Criteria
• Recognized expert
• Existing leadership role in the area
• Ability to bring people together
• Commitment/passion for childrens health

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Executive Committee

• Members
• Rev. Dr. Larry Brown Alegent Health Clinics
• Dr. Christina Fernandez Creighton Pediatrics
• Dr. David Filipi Methodist Health System
• Dr. David Finken UNMC Pediatrics
• Nancy Nielsen, RN Millard Public Schools
• Dr. Adi Pour Douglas County Health Department
• Dr. Jeffry Strohmyer Alegent Health
• Dr. Thomas Tonniges Boys Town Pediatrics

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Executive Committee

• Members/Committee Chairs
• Marty Shukert Physical Environment Chair, RDg
  Planning and Design
• Kerri Peterson Social Marketing Chair, OHCP
• Dr. Jennifer White Physical Activity Chair, UNO
  HPER
• Mary Balluff Nutrition Chair, Douglas County
  Health Department
• Anne Camp Funding/Resources Chair, Alegent
  Health
• Dr. Magda Peck Evaluation Chair, UNMC

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Plank Committee Chairs

• Overview
• Implementation of the Horizon and action plans
  will be overseen by the plank committees
• Comprised of program and subject matter experts
• Chair of the plank committee will serve on the
  Executive Committee
• Organizational meetings for the plank committees
  will be scheduled soon
• OHCP and Alegent Health has committed staff and
  offices to support the organizational work of
  the initiative

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Evaluation
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Demographic Cultural Relevance
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Ecological Model
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Q A
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• Decision Accelerator Report Out
• January 31, 2007

www.Alegent.com/childhoodfitnessandnutrition