fleet health promotion

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Fleet Health Fleet Health Promotion Promotion

Atlantic Fleet

Medical Leadership

CPG2

20 SEPT 2006

Nancy Von Tersch, RN, MSN

Public Health Educator (GS-1725-13)

NEPMU2 757.444.7671, EXT. 3051

[email protected]

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Definition of Definition of Health PromotionHealth Promotion

““Health Promotion is the Health Promotion is the science and art of helping science and art of helping

people change their people change their lifestyle to move toward a lifestyle to move toward a state of optimal health.”state of optimal health.”

Source: Am. Journal of Health Promotion, 1989, Source: Am. Journal of Health Promotion, 1989, 3,3,53,3,5

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7 Benchmarks of Success7 Benchmarks of Success Top Leadership Support

Cohesive Wellness Teams

Data Collection

An Operating Plan

Appropriate Interventions

A Supportive Environment

Evaluation of Outcomes

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Goals of the Green H Goals of the Green H ProgramProgram

To Enhance Battle Readiness through Command Health Promotion Programs

To Provide Formal Recognition by SURFOR to units that have excelled in establishing and promoting work site health promotion

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Objectives of the Objectives of the Green H ProgramGreen H Program

To Promote Health, Fitness, and Mental Well-Being of ADSM assigned to SURFOR

To Encourage Participation in Health Promotion Activities provided at each SURFOR Unit.

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COMNAVSURFORINST COMNAVSURFORINST 6100.1A 3 MAY 066100.1A 3 MAY 06

Nomination Form

Grading Criteria

Use as a Check Off Sheet to Determine Eligibility

3 Ring-Binder – Divide into 10 Sections

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CY 06 Green H AwardCY 06 Green H Award Award package from unit to Award package from unit to ISIC due NLT 1 JAN 2007 ISIC due NLT 1 JAN 2007 ISICs endorse and forward to ISICs endorse and forward to COMNASURFOR NLT 31 Jan COMNASURFOR NLT 31 Jan COMNAVSURFOR announces COMNAVSURFOR announces previous years’ winners by 1 previous years’ winners by 1 APRILAPRIL Paint over Green H if previous Paint over Green H if previous awardee failed to qualifyawardee failed to qualify

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CY 06 Green H AwardCY 06 Green H Award

Green H Painted on Bridge Green H Painted on Bridge WingWing Sequential Awards = Green Sequential Awards = Green Hash Marks Hash Marks 5 Consecutive Awards = 5 Consecutive Awards = Green Star Green Star

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Must Earn 90% of the Must Earn 90% of the Total Possible PointsTotal Possible Points

Total Points Possible = Total Points Possible = 140140

or 90% = 126 Pointsor 90% = 126 Points

+ 4 Bonus Point Possible+ 4 Bonus Point Possible

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4 Possible Bonus Points4 Possible Bonus Points DAPA Training Certificate DAPA Training Certificate (+1)(+1)

CFL Training Certificate (+1)CFL Training Certificate (+1)

Health Promotion Trainer Health Promotion Trainer Certificate for 3 Day HP Certificate for 3 Day HP Facilitator Course ( + 2 points)Facilitator Course ( + 2 points)

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CY 06 Green H AwardCY 06 Green H Award Point System Point System

Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 Section 7 Section 8 Section 9 Section 10

1 Points - Admin

17 Points – Support (+4)

13 Points - N/A PHA

27 Points - Goals/PHA

13 Points - PFA/FEP

50 Points - Programs

4 Points - Tobacco

5 Points - Dental

5 Points - IMR

5 Points - Best Practices

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Health Promotion GoalsHealth Promotion Goals Based on a Data Driven Needs Assessment

Individual vs Command “Needs”

“Needs” vs Interests of Crew

Examples of HP Needs Assessments

Personal Interviews with Key Leaders

Surveys (Questionnaires) – HRA, HART, PARF-Q, Command Program Metrics (Events)

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Section Three (13 Points)Section Three (13 Points) Needs Assessments / PHA Needs Assessments / PHA

Data Sources for Screening

DD 2766 Form/ SF 600 NAVMED 6120/4

PARFQ – Framingham Risk Screening

PRIMS

HRA / HART-R

AUDIT (Alcohol Abuse Risk Score)

SAMS Report vs IMR Lite = % PHA done

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Section Four (27 Points)Section Four (27 Points) Goals & Evaluation Goals & Evaluation

HP Committee Must Identify 3 Goals Utilizing the PHA Screening Process.

Examples of Specific Target Areas

Alcohol Abuse / Binge Drinking

Nutrition

Tobacco Use

Fitness

Bio Metrics: BMI, BP, CHOLESTEROL

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Section Four (27 Points)Section Four (27 Points)Example: Goals & EvaluationExample: Goals & Evaluation

Priority Area: Tobacco

Program Goal: Decrease Tobacco Use

Process Objective: by 30 Sep 2006, at least 90% of all crew members will have completed a training session on tobacco use awareness as evidenced by class rosters.

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Section Four (27 Points)Section Four (27 Points)Example: Goals & EvaluationExample: Goals & Evaluation

Priority Area: Tobacco

Program Goal: Decrease Tobacco Use

Outcome Objective: By 30 Sep 2006, decrease of cigarette smoking (%) by ship’s Sailors, by 5% , as evidenced by comparing the PRIMS tobacco rate data from Sept 2005 and Sept 2006.

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Section FourSection FourWriting Measurable ObjectivesWriting Measurable Objectives

By (when), (who) will (what) as evidenced by (how will you know)?

Note: Worksheet Template is Available

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Section Four Section Four Description of the PlanDescription of the Plan

Describe how the plan was implemented within the command:

Site TV

Flyers

Intranet

Command Orientation; Class Room

Face - to – Face Counseling

Safety Health And Wellness (SHAW) Fair

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Section Four Section Four Evaluation of the PlanEvaluation of the Plan

Describe Results of Each Program Goal Over the Year

Source or Type of Data?

When Data Will be Collected, by Whom?

When Will Data be Analyzed, by Whom?

How Results Will be Reported and Used?

Note: Worksheet Template is Available

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Section Four Section Four Evaluation of the PlanEvaluation of the Plan

Provide Data Demonstrating Results of the Goals, Plan, and Evaluation

Was the Program Effective?

Did the Program Reach Target Population and Target Goals?

If Program did NOT meet target goals, what recommended action was taken by the HP Committee?

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Health Promotion TrainingHealth Promotion Training1. Hypertension

2. Anger / Stress Management (Mental Health)

3. Suicide Awareness & Prevention

4. Tobacco Use Prevention and Cessation

5. Nutrition

6. STD & Pregnancy Awareness

7. Substance Abuse

8. Injury Prevention

9. Violence Prevention

10. Men’s & Women’s Health (PHA ~ CPS)

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Health Promotion Training Health Promotion Training = 50 POINTS= 50 POINTS

Method of Training = (10 Points)

% of Crew Trained = (30 Points)

Dates of Documented Training AND Results of Progress Reaching Training Target Population

= (10 Points)

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Strategy & ImplementationStrategy & ImplementationSection Six = 50 PointsSection Six = 50 Points

Plan the Work, Work the Plan!

Awareness Campaigns (General Info)

Education / Motivation

Intervention

(Note: Annual Planning Calendar and HP Tool Box is Available)

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Low Hanging FruitLow Hanging Fruit Command SOP (HP Instruction) Active HP Committee/Minutes Letters of Designation HP Committee Members Training PFA / FEP Active Programs Tobacco Use Cessation Program Dental Readiness / PHA / IMR

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CY 06 Green H Award CY 06 Green H Award

Section Ten:Section Ten:

Best Practices!!!Best Practices!!!

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Best PracticesBest Practices Reduction in ARI

Reduction in Injury Rates

Increase in Healthy Nutrition

Increase in PRT scores

Know Your Numbers:

BMI, BP, Cholesterol, IMR

Decrease in Work Related Stress

SOP to Implement PHA

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Green H AwardGreen H Award

Best Practices!Best Practices!

Preparation of the Preparation of the PackagePackage

Plan Early Plan Early

Divide and ConquerDivide and Conquer

Team WorkTeam Work

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Leading Health Leading Health Indicators (LHIs)Indicators (LHIs)

1. Physical Activity

2. Overweight and Obesity

3. Tobacco use

4. Substance Abuse

5. Responsible Sexual Behavior

6. Mental Health

7. Injury and Violence

8. Environmental Quality

9. Immunization

10. Access to Health Care

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2002 DoD Survey of Health Related Behaviors Among

Military Personnel reported:

“widespread indicators of potential readiness compromising health

habits and behaviors.”

DoD Needs Assessment DoD Needs Assessment “Done” Every 3 Years“Done” Every 3 Years

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Navy and Marine Corps“Unhealthy” Habits and Behaviors

3639

44

5457

44

21

36 35

5457

0

10

20

30

40

50

60

%Navy

Marines

Target HP 2010

Command Data

2002 DoD Worldwide Survey

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Data SourcesData Sources

PRIMS

SAMS

CHCS (II)

HART

Safety Center

IMR LITE

HRAs

Sick Call Logs

DD 2766

Internal Forms

DENCAS

DAPA

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HP Program Integration Tricare Benefits ~ Healthy Lifestyles

FFSC, Chaps, MWR, DAPA, CFL, Medical

Local Health Promotion Services (BMC, MTF, NEPMU2): Naval Base, RLC

PHA/Worksite/Community HP programs should compliment each other.

Training Requirements / GMT

NPC/ BUMED /NEHC ~ DoD

USMC ~ SEMPER FIT

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Best PracticesBest PracticesPHYSICAL FITNESSPHYSICAL FITNESS

24 Weeks to Success

Beyond 24 Weeks http://www.rotamwr.com/marketing/beyond24wks/startup.html

CFL Certification Course: MWR / PERS

POC: Lisa Sibelius 444-7348

Nov 2, 3 Northwest Chesapeake

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Assessment ToolsAssessment Tools to Support PHA to Support PHA

HRA Tool: https://164.167.141.46/pls/newhra/hra

Password: UIC

NEPMU2 – Atlantic Fleet

[email protected]

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On-Line Assessments On-Line Assessments to Support PHAto Support PHA

Cardiovascular Risk: Framingham http://hp2010.nhlbihin.net/atpiii/calculator.asp?usertype=prof

Body Mass Index (BMI) http://www.nhlbisupport.com/bmi/

Alcohol Abuse Screening/Mental Health

https://www.militarymentalhealth.org

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Military ResourcesMilitary Resources DoD (Tricare)

www.tricare.osd.mil/healthychoices

NEHC http://www-nehc.med.navy.mil/hp/HP_Toolbox.htm

Army’s Center for Health Promotion & PM http://chppm-www.apgea.army.mil/dhpw/Wellness/Dietary.aspx

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Useful Websites Useful Websites to Support PHAto Support PHA

Agency for Healthcare Research and Quality

AHRQ/USPSTF

http://www.ahrq.gov/clinic/cps3dix.htm

Healthy People 2010

Leading Health Indicators

CDC

NIH

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Useful Websites Useful Websites to Support PHAto Support PHA

Healthfinder http://www.healthypeople.gov/healthfinder/

Medline Plus

http://medlineplus.gov/ (See link to Drugs, Herbs, Supplements)

My Pyramid

http://www.mypyramid.gov

Office of Dietary Supplements, NIH

http://dietary-supplements.info.nih.gov/

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National Heart Lung Blood National Heart Lung Blood Institute (NHLBI)Institute (NHLBI)

Obesity Education Initiative (OEI)

National Cholesterol Education Program

National High Blood Pressure Education

Framingham Risk Scores – What you Need to Know

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Navy One SourceNavy One Source

www.navyonesource.com

User ID: Navy

Password: Sailor

From the U.S. 1-800-540-1233

From OCONUS: 800-5404-1233

Collect Call from OCONUS: 484-530-5914

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Navy Health Promotion Navy Health Promotion Training ResourcesTraining Resources

Swank on Line

HP at the Deckplate (3 days)

HP Director’s Course

CFL Course

Prevention Specialist (DAPMA)

Skill Building

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Health Promotion Program Health Promotion Program Planning ProcessPlanning Process

Define CustomerDefine Customer

Plan & Conduct Plan & Conduct Needs Assessment, Report ResultsNeeds Assessment, Report Results

Develop Mission, Vision & GoalsDevelop Mission, Vision & Goals

Form HP CommitteeForm HP Committee

Develop Measurable ObjectivesDevelop Measurable ObjectivesDevelop Strategies and Action StepsDevelop Strategies and Action Steps

Develop Evaluation PlanDevelop Evaluation Plan

Develop BudgetDevelop Budget

Implement ProgramsImplement Programs

Evaluate & Report Progress

Evaluate & Report Evaluate & Report ProgressProgress

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COMNAVSURFLANCOMNAVSURFLANTT

HMCM(SW/FMF) Robert Searles II COMNAVSURFLANT COMMAND MASTER CHIEF 1430 MITSCHER AVE NORFOLK, VA 23551-2494 COM (757) 836-3077 DSN 836-3077 CELL 621-5474 FAX 836-3274

fleet health promotion

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