ship powerpoint

Statewide Health Improvement Program

A collaboration ofBecker, Clay, Otter Tail and Wilkin Counties

July 1, 2009-June 30, 2011

SHIP is……A component of the overall health care reform

initiative passed by the 2008 MN State Legislature.

Designed to help Minnesotans live longer, healthier, better lives by preventing risk factors that lead to chronic disease.

Intended to enhance patient experience and contain spiraling health care costs.

Why Do We Need SHIP?Tobacco use and exposure and obesity are the two leading

causes of chronic disease

38% of MN adults are overweight, 25% obese

76% of adults consume less than 5 or more fruits & vegetables/day

49% of adults get fewer than 30 or more minutes of physical activity/day

18% of adults are current smokers

Center for Disease Control and Prevention

1998

Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1998, 2006

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2006

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

What makes SHIP different?

Instead of taking an individual and programmatic approach, SHIP engages in a comprehensive effort to improve the health of the environment.

SHIP aims to create sustainable, systemic changes that make it easier for Minnesotans to choose healthy behaviors.

How will change be accomplished? By implementing evidenced-based strategies

to make policy, system and environmental changes in four settings:

Schools

Healthcare

Worksites

Community

What are policy, system and environmental changes?

Policy Interventions include changes in laws and regulations such as tobacco free public places or providing time off during work hours for physical activity.

System Interventions create change in organizations and institutions such as school districts offering healthy snacks or more time for physical education.

Environmental Interventions include decisions about land use, zoning and community design such as neighborhoods having access to healthy foods and sufficient opportunities for activities such as walking and biking.

School InterventionsBreckenridge, Detroit Lakes- Roosevelt ,DGF-Dilworth, Perham

1. Implement policies and practices that create active schools by increasing

opportunities for non-motorized transportation (walking and biking to and from school) and access to

recreation facilities.

School Interventions 2. Implement

comprehensive nutrition policies including: breakfast promotion, healthy lunch and snacks, including classroom celebrations and incentives, fundraising, concessions, and vending; school gardens; Farm to School initiatives.

Community InterventionBreckenridge, Detroit Lakes, Dilworth, Perham

Implement policies and practices that create active communities by increasing opportunities for non-motorized transportation (walking and biking) and access to community recreation facilities.

Worksite Intervention Becker County, City of Perham Moorhead School District, Wilkin County

Implement a comprehensive employee wellness initiative that provides health assessment with follow-up-coaching, ongoing health education, and has policies and an environment that promote healthy weight and healthy behaviors.

Health Care InterventionFamily Healthcare Center-Fargo, Lake Region Hospital/Fergus Falls Medical Group, Innovis ER/Urgent Care Fargo, MeritCare Clinic System

Support implementation

of ICSI guidelines for “Prevention and Management of Obesity” and “Primary Prevention of Chronic Disease Risk Factors” by healthcare providers

Maximizing OpportunitiesTo maximize opportunities and impact,

multiple interventions will be implemented in the following communities:

Becker County - Detroit LakesClay County- Dilworth

Otter Tail County- PerhamWilkin County- Breckenridge

How will we know SHIP is effective?Short‐Term Outcomes (1‐3 years)

↑policy, systems, and environmental changes in the 4 sectors: school, community, worksite, and healthcare

Intermediate Outcomes (3‐10 years)↓tobacco use & exposure ↑physical activity↑nutritious eating

Long‐Term Outcomes (10‐25 years)↓tobacco use & exposure↓obesity

For More Information ContactJason Bergstrand

SHIP Project ManagerPhone: 701-306-5280

jason.bergstrand@co.clay.mn.us

Minnesota Department of Health Websitehttp://www.health.state.mn.us/healthreform/ship/index.html