Community Transformation Grant
HEART: Health Engagement and Action
for Rochester’s Transformation
Thomas A. Pearson, MD, MPH, PhD
Chair, HEART Expert Team
Target Population:
Monroe County, New York
• 2010 Population: 744,344
– Demographics similar to U.S. including poverty, minorities.
– Prevalence of deaf persons using sign language one of
highest in the world.
• Economics
– Recovery from loss of dominant employer (Kodak)
– Financial Times: One of world’s 50 strongest economies
for 2011, based on high technology, education, healthcare
• Health Infrastructure
– Strong municipal health department
– One medical school (Univ. of Rochester)
– Three hospital systems
– Two major health insurers
Federal Grants Supporting HEART
Partners in Community-Wide
Prevention Programs
Grant Program
Funding
Agency
Recipient
Community Transformation Grant
CDC
URMC Center for Community
Health/Monroe Co. Dept. of
Public Health
Clinical and Translational Science
Award Community Engagement Key
Function
NIH/
NCATS
URMC Center for Community
Health
Prevention Research Center
CDC
URMC/Dept. of Public Health
Sciences
Care Management/Payment
Demonstration Grant
CMMI
Finger Lakes Health Systems
Agency
Preventive Medicine Residency
HRSA
URMC/Dept. of Public Health
Sciences
Preventive Cardiology Training Grant NIH/
NHLBI
URMC/Dept. of Public Health
Sciences
Health
Engagement &
Action for
Rochester’s
Transformation
Transforming communities
to make healthy living
EASY!
Figure 4. Conceptual framework for population-wide cardiovascular risk
behavior change, showing three dimensions for consideration: the risk factor or
risk behavior targeted for change, the community setting in which the
intervention would be implemented; and the type of public health intervention or
service used, including policy legislative strategies. Ref (11).
FOCUS POPULATIONS:
Our efforts will reach Monroe
County
residents, with a focus on
 Rochester’s “crescent”
 The deaf community
FOUR KEY VENUES:
Community
Worksites
Schools
Health Care
Rochester’s Deaf Community
in HEART
• Linguistic (American Sign Language) and cultural
minority group
• Little prior engagement in public health programs
• Inclusion in multiple HEART programs
– Coordinator for the Deaf Community
– School Health Programs include Rochester School for
the Deaf
– Deaf coaches for the Diabetes Prevention Program
– Food hub creates first farmer’s market for deaf persons
• National model for community-based health
promotion in Deaf persons
H.E.A.R.T.’s Core Principles:
•Maximize health impact through
prevention
•Advanced health equity and reduce
health disparities
•Use and expand evidence base for
implementing policy, environmental,
and infrastructure change
HEART Overarching Goals
1) Weight – 5% decrease in expected percentage of
population who would be obese by 2016
2) Nutrition – 5% increase in average daily number of
servings of fruits and vegetables
3) Physical Activity – 5% increase in percentage of
adults achieving 150 minutes/week
4) Tobacco – 5% decrease in the prevalence of
tobacco use
5) High blood pressure – 5% increase in the
percentage of adults with HBP at goal
6) Cholesterol – 5% increase in the proportion of
adults with hyperlipidemia at goal
H.E.A.R.T.’s Initiatives:
•
•
•
•
•
•
•
•
•
•
Active Transportation
Breastfeeding Supportive Policies
Coordinated School Health Programs
Diabetes Prevention
Food Hub
High Blood Pressure Ambassador
Program
Safe Public Spaces
Tobacco Free Living
Virtual Clinician
Workplace Wellness
ACTIVE TRANSPORTATION
Identify needs and gaps,
and improve supports
for active transportation.
ACTIVE TRANSPORTATION
Objectives:
Increase the number of
•municipalities with active transportation plans
•municipalities that include active
transportation plans in capital budgets
•community active transportation events
•bike racks for public use
•schools with “safe routes to school” programs
•signed walking routes and walking groups in
Rochester
COORDINATED SCHOOL
HEALTH PROGRAMS
Identify and engage schools to assess and improve health
and wellness policies and environments
COORDINATED SCHOOL
HEALTH PROGRAMS
Objectives:
Rochester City Schools and School for the
Deaf:
•
•
•
•
Establish school health teams in 31 schools
Create plan to improve health in each
Implement plans
Implement District-wide improvement plan
SAFE PUBLIC SPACES
Citizen/City teams create and enact plans to
make “Crescent” parks and play areas safe
SAFE PUBLIC SPACES
Objectives:
• Train 29 City staff and neighborhood
leaders in Crime Prevention Through
Environmental Design
• Form City/resident teams
• Create safe plans for each park/play
space in Crescent
• Implement plan recommendations
DIABETES PREVENTION
Training target
community members to
deliver evidence-based
diabetes prevention
program
DIABETES PREVENTION
Objectives:
• Double number of Diabetes
Prevention Program community
coaches (13 to 29)
• Add 32 groups for pre-diabetic
adults in Crescent and Deaf
community
FOOD HUB
Provide start-up costs for a Food Hub to bring
affordable, healthy food to the Rochester Crescent and
the Deaf Community.
FOOD HUB
Objectives:
• Link local producers with inner city
consumers to increase markets for
fresh, healthy, affordable food
• Build volume to achieve
sustainability
HIGH BLOOD PRESSURE
AMBASSADOR PROGRAM
Train volunteer outreach workers to promote self
management of high blood pressure in their
organizations.
HIGH BLOOD PRESSURE
AMBASSADOR PROGRAM
Objectives:
• Recruit and train 150 community
“High Blood Pressure
Ambassadors”
• Create 900 blood pressure selfmanagement plans for at-risk
adults
TOBACCO FREE LIVING
Work to establish
smoke free policies at
parks, beaches,
college campuses and
multi-unit housing
TOBACCO FREE LIVING
Objectives:
Increase tobacco free policies in
•multi-unit housing
•outdoor spaces
•college campuses
VIRTUAL CLINICIAN
Implement interactive
software program to
deliver behavioral
counseling to patients in
health care settings
serving the focus
populations
VIRTUAL CLINICIAN
Objectives:
• Develop interactive computer module
to counsel patients with high
cholesterol
• Adapt for African-American, Latino
and deaf patients
• Place in community health center and
deaf health practice to help patients
make healthy behavior changes
WORKPLACE WELLNESS
Develop a web-based assessment tool for employers to assess,
improve, and evaluate their wellness efforts, and provide
community recognition for companies that
support workplace wellness.
WORKPLACE WELLNESS
Objectives:
• Finalize employee wellness
assessment and improvement tool
for companies
• Create links to local wellness
resources
• Focuses on local health priorities
• Implement across the community
Future HEART Initiatives
• Evaluation of impact in partnership with Regional
Health Information Organization
• Expert Team to implement Million Hearts
– Engage healthcare community (payers, systems,
practices, providers)
– Focus on the ABC’s
– Three strategies
• Develop performance metrics
• Utilize health information technologies
• Innovate care models
– Support community-wide implementation of NHLBI
Guidelines (ATP4, JNC8, Obesity2)
THE PARTNERS
Rochester, New York
has
H.E.A.R.T.!