Healthy Anne Arundel Coalition “A Ripple Effect” Updated October 16, 2012 Healthy Anne Arundel Coalition 1 Healthy Anne Arundel Coalition VISION Healthy County, Healthy People! Updated October 16, 2012 Healthy Anne Arundel Coalition 2 Healthy Anne Arundel Coalition MISSION Working together as a community to promote the health and wellness of Anne Arundel County residents Updated October 16, 2012 Healthy Anne Arundel Coalition 3 Anne Arundel County ~ Who Are We? Area: 416 square miles Population 537,656 (2010) § Geography: Rural south county Urban/suburban northern and mid-county Anne Arundel Maryland U.S. White 72.4% 54.7% 63.7% Black 15.2% 29.0% 12.2% Hispanic 6.1% 8.2% 16.3% Asian 3.4% 5.5% 4.7% $79,843 $69,193 $50,221 Unemployment (January 2011) † 6.5% 7.5% 9.8% Uninsured Adults (2010) ¶ 10.3% 12.9% 17.8% Individuals Below Poverty (2010) 6.8 % 9.2% 14.3% Racial/Ethnic Breakdown: Median Household Income (2010) * § US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011 Updated October 16, 2012 Healthy Anne Arundel Coalition 4 Public Health Context Reductions in federal, state and local funding for public health has required a collaborative approach to leveraging local resources to improve the public’s health Economic and policy incentives (including Health Care Reform) will require public and private sector providers to promote: Prevention and wellness Health equity and reduction in health disparities Patient satisfaction Updated October 16, 2012 Healthy Anne Arundel Coalition 5 State Health Improvement Process (SHIP) Provides a framework for accountability, local action, and public engagement Identifies 39 critical health measures Requires each County to develop a Local Health Improvement Coalition (LHIC) Requires each LHIC to develop and implement a Local Health Improvement Action Plan Updated October 16, 2012 Healthy Anne Arundel Coalition 6 State Health Improvement Process (SHIP) Maryland’s Health Reform Coordinating Council has recognized the importance LHICs The Maryland Governor and Legislature committed State support to LHICs in SFY 2012 budget The Maryland Hospital Association provided start-up funds to LHICs The Maryland Community Health Resources Commission provided implementation funding to LHICs Local health improvement plans are a prerequisite for local health department accreditation Updated October 16, 2012 Healthy Anne Arundel Coalition 7 Rationale for SHIP and LHICs Federal goals related to Healthy People 2020 Reductions in federal, state and local funding for public health Increased health care costs related to preventable health conditions Increased focus on prevention and wellness Increased focus on health equity and reduction of health disparities Increased demand for public health accreditation Updated October 16, 2012 Healthy Anne Arundel Coalition 8 What Affects “Good Health?” Management of Illness Human Biology Environment Lifestyle Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007 Updated October 16, 2012 Healthy Anne Arundel Coalition 9 Public Monies Spent on “Good Health” Lifestyle Human Biology Environment Management of Illness Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007 Updated October 16, 2012 Healthy Anne Arundel Coalition 10 A Paradigm Shift “From Treatment To Prevention” Pay Now for PREVENTION Instead of Paying Later for Care and Treatment Updated October 16, 2012 Healthy Anne Arundel Coalition 11 Anne Arundel County SHIP Data Anne Arundel County High Impact Objectives High Morbidity Impact Reduce ED visits from: • • • • Asthma Diabetes Hypertension Behavioral health conditions (mental health and substance abuse) High Mortality Impact Reduce deaths from cancer and heart disease Multiple Impact Reduce overweight/obesity Improve maternal and infant health Reduce tobacco use Increase access to health care Updated October 16, 2012 Healthy Anne Arundel Coalition 12 Selected SHIP Measures (1) Anne Arundel County Baseline Maryland Baseline Maryland 2014 Target Percentage of adults who are at healthy weight (not overweight or obese) (BRFSS 2008-2010) 33.5% 34.0% 35.7% Percentage of youth (ages 12-19) who are obese (MYTS 2008) 10.8% 11.9% 11.3% Rate of cancer deaths per 100,000 age-adjusted population (VSA, 2007-2009) 195.2 177.7 169.2 Rate of heart disease deaths per 100,000 age-adjusted population (VSA, 2007-2009) 198.8 194 173.4 Indicator Updated October 16, 2012 Healthy Anne Arundel Coalition 13 Selected SHIP Measures (2) Anne Arundel County Baseline Maryland Baseline Maryland 2014 Target Rate of emergency department visits for a behavioral health condition per 100,000 population (HSCRC, 2010) 1,134.9 1206.3 1146.0 Percentage of children ages 4-20 years enrolled in Medicaid that received a dental service in past year (Medicaid CY 2009) 52.6% 59.0% 62.0% 6.7 7.2 6.6 Indicator Infant mortality rate per 1,000 births (VSA 2007-2009) Updated October 16, 2012 Healthy Anne Arundel Coalition 14 Selected SHIP Measures (3) For many indicators, the story is in the healthrelated disparities (race/ethnic, gender, age, location etc.) Anne Arundel County Indicator White Black Hispanic Rate of diabetes-related emergency department visits per 100,000 population (HSCRC 2010) 255.0 728.3 63.8 Proportion of pregnant women starting prenatal care in the first trimester (VSA 2007-2009) 92.2% 82.3% 74.4% Updated October 16, 2012 Healthy Anne Arundel Coalition 15 Leading Causes of Death Anne Arundel County, 2010 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Heart Disease Cancer Stroke Chronic Lower Respiratory Diseases Diabetes Unintentional Injuries Influenza and Pneumonia Septicemia Alzheimer’s Disease Suicide Anne Arundel County Report Card available at www.aahealth.org/statistics Updated October 16, 2012 Healthy Anne Arundel Coalition 16 Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Health Outcomes Howard Montgomery Queen Anne's Frederick Carroll Calvert St. Mary's Talbot Harford Anne Arundel Charles Washington Baltimore Worcester Prince George's Garrett Kent Cecil Wicomico Caroline Somerset Dorchester Allegany Baltimore City Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Health Factor Howard Montgomery Frederick Talbot Carroll Calvert Anne Arundel Harford Queen Anne's Baltimore Charles St. Mary's Kent Garrett Worcester Washington Prince George's Allegany Wicomico Cecil Caroline Dorchester Somerset Baltimore City Source: County Health Rankings 2012, available at www.countyhealthrankings.org Updated October 16, 2012 Healthy Anne Arundel Coalition 17 Source: County Health Rankings 2012, available at www.countyhealthrankings.org Updated October 16, 2012 Healthy Anne Arundel Coalition 18 Public Health Partnerships Successful public health initiatives often have multiple and diverse partners including: 1. 2. 3. 4. 5. 6. Public Sector ** Health Care Providers/Payers Health Care • Hospitals Providers/Payers ** • FQHCs • Pharmacies Community Based Partners • Insurers Employers/Business • Community Health Centers Community • Physical and Academic Partners Behavioral Health Care Professionals Philanthropy Updated October 16, 2012 Healthy Anne Arundel Coalition 19 Structure of the Healthy Anne Arundel Coalition Updated October 16, 2012 Healthy Anne Arundel Coalition 20 Healthy Anne Arundel Coalition Academia Health Care Providers Government Agencies Philanthropy Community Outreach Subcommittee Obesity Prevention Subcommittee Steering Co-Occurring Disorders Subcommittee Leadership & Finance Subcommittee Community-Based Organizations Committee Existing Boards, Committees & Coalitions Community Health Needs Assessment Subcommittee Promotion and Publicity Subcommittee Faith-Based Organizations Coalition Network Businesses Updated October 16, 2012 Healthy Anne Arundel Coalition 21 Healthy Anne Arundel Coalition Levels of Engagement Steering Committee Member Subcommittee Member Network Group Member Network-Steering Committee Liaison Updated October 16, 2012 Resource Partner Consumer/Client/ Former Patient Community Representative Observer Volunteer Technical Assistance Presenter Healthy Anne Arundel Coalition 22 Healthy Anne Arundel Coalition Management and Staffing Chair Vice and Chair Designees Chairs Steering Committee Subcommittees Network Staffing Members Support Implementing Updated October 16, 2012 Organizations Healthy Anne Arundel Coalition 23 Healthy Anne Arundel Coalition Guiding Principles Utilize Existing Groups Flexibility Inclusive and Welcoming Embrace Change Transparent Updated October 16, 2012 Healthy Anne Arundel Coalition 24 Healthy Anne Arundel Coalition Collaborative Process – Values 1. COMMUNICATING - exchanging information through networking for mutual benefit and to achieve a common purpose 2. COORDINATING - exchanging information and altering activities for mutual benefit and to achieve a common purpose 3. COOPERATING - exchanging information, altering activities, & sharing resources for mutual benefit and to achieve a common purpose 4. COLLABORATING - exchanging information, altering activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose Updated October 16, 2012 Healthy Anne Arundel Coalition 25 Healthy Anne Arundel Coalition Intervention Framework Individual/Group level Community/Societal Structural/Policy Updated October 16, 2012 Healthy Anne Arundel Coalition 26 Healthy Anne Arundel Coalition Social-Ecological Model Source: Marjorie Buchanan, RN, MS, CPH, Clinical Director, Community and Public Health Nursing, University of Health School of Nursing Updated October 16, 2012 Healthy Anne Arundel Coalition 27 Healthy Anne Arundel Coalition Measures of Success Decreased prevalence of: overweight, obesity and other related chronic health conditions (e.g. diabetes, cancer) behavioral health disorders Decreased ER visits, preventable hospitalizations and readmissions Increased quality of life Joint Community Needs Assessment to gain a baseline and monitor success Updated October 16, 2012 Healthy Anne Arundel Coalition 28 Coalition Influence and Reach (1) Organization Employees Reach Wellness Program A.A. Co. Dept. of Health 710+ All Co. residents Yes Anne Arundel Health System 3,600 80,000+ ED visits; 25,000+ inpatient Yes Baltimore Washington Medical Center 2,600 100,000+ ED visits; Yes 30,000 in outreach A.A. Co. Public Schools 8,000+ 76,000+ students Yes A.A. Community College 1,000+ 15,000+ students Yes Preliminary Data – Healthy Anne Arundel Coalition May 2012 Updated October 16, 2012 Healthy Anne Arundel Coalition 29 Coalition Influence and Reach (2) Organization Employees Reach Wellness Program A.A. Co. Dept. of Aging & Disabilities ?<100 Older and disabled Yes Co. residents A.C. Co. Dept. of Detention Facilities 400 7,800 inmates/year Yes A.A. Co. Dept. of Recreation & Parks 250-300 500,000+ County Yes residents & visitors A.A. Co. Dept. of Social Services 350 60,000+ families Yes A.A. Co. Executive’s Office 19 500,000+ County residents Yes City of Annapolis 600 38000 Yes Preliminary Data – Healthy Anne Arundel Coalition May 2012 Updated October 16, 2012 Healthy Anne Arundel Coalition 30 Coalition Influence and Reach (3) Organization Employees Reach Wellness Program MedStar Harbor Hospital 1,400 Approx. 185,000 County residents Yes Rite Aid Corporation 150 in Co. 15,000 customers Yes per week in County CareFirst BlueCross BlueShield 5,000 in Baltimore/ DC area 3.4 million in MD Yes People’s Community Health Centers, Inc. 121 14,600 unduplicated clients/ year Yes ~ 300,000+ ALL! TOTAL ~ 20,000 Preliminary Data – Healthy Anne Arundel Coalition May 2012 Updated October 16, 2012 Healthy Anne Arundel Coalition 31 Healthy Anne Arundel Coalition Health Improvement Focus Areas Obesity* Mental Health & Substance Abuse as Co-Occurring Disorders* Cancer and Tobacco Use Dental Care Sexual Health Housing and Environmental Conditions *Designated Priority Areas Updated October 16, 2012 Healthy Anne Arundel Coalition 32 Priority # 1 Obesity Prevention Eat Healthier Updated October 16, 2012 Healthy Anne Arundel Coalition Move More 33 Obesity Prevention Baseline and Goal for 2015 MD SHIP OBJECTIVE MD BASELINE COUNTY BASELINE COUNTY BY RACE/ ETHNICITY MD 2014 GOAL COUNTY 2015 GOAL DATA SOURCE Increase the proportion of adults who are at a healthy weight 34.0% 33.5% White, NonHispanic: 33.9% Black: 30.0% 35.7% 35.2% BRFSS 20082010 Reduce the proportion of young children and adolescents who are obese 11.9% 10.8% N/A 11.3% 10.36% MYTS 2008 Updated October 16, 2012 Healthy Anne Arundel Coalition 34 Obesity Prevention Subcommittee Creating survey to identify evidence-based obesity/wellness/fitness programs in the County Developing Healthy Meeting guidelines and other tools for County businesses and other organizations Researching existing obesity prevention programs in the County for collaboration Launching the AACPS/DOH “Healthiest Schools, Healthiest Workplaces and Healthiest Communities” Initiative under the Million Hearts Campaign® Updated October 16, 2012 Healthy Anne Arundel Coalition 35 Adult Obesity – Not Sustainable! Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US Data source: National BRFSS Bend the obesity curve ~ a call to action! Updated October 16, 2012 Healthy Anne Arundel Coalition 36 Adult Obesity Weight Status by Race for Anne Arundel County, 2007 Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007 Updated October 16, 2012 Healthy Anne Arundel Coalition 37 Childhood Obesity Weight Distribution by Age Group for Children and Adolescents, 2006 Data source: Anne Arundel County Department of Health Provider-based County Survey of Children and Adolescents, 2006 Updated October 16, 2012 Healthy Anne Arundel Coalition 38 Health Disparity: Diabetes disparities Source: Maryland Health Services Cost Review Commission Updated October 16, 2012 Healthy Anne Arundel Coalition 39 Health Disparity: Hypertension disparities Source: Maryland Health Services Cost Review Commission Updated October 16, 2012 Healthy Anne Arundel Coalition 40 Obesity Prevention: Individual Level Six Target Behaviors: Eat Healthier… 1. Increase consumption of fruits and vegetables 2. Increase breastfeeding initiation, duration, and exclusivity 3. Decrease consumption of sugar sweetened beverages 4. Decrease consumption of high energy dense, nutrient poor, foods Move More… 5. Increase physical activity 6. Decrease television viewing Source: CDC Updated October 16, 2012 Healthy Anne Arundel Coalition 41 Obesity Prevention: Workplace Level Eat Healthier! Move More! Increase Access to Promote Physical Healthy Foods Activity Healthy food Walking options at meetings programs/courses and events Onsite fitness Healthy wending classes/ equipment options Subsidized gym memberships Updated October 16, 2012 Healthy Anne Arundel Coalition 42 Workplace Wellness Programs Resources for starting or strengthening worksite wellness programs include: Benefit Administration, Human Resources and Workplace Wellness Firms Centers for Disease Control and Prevention State and Local Health Departments Local Health Improvement Coalitions Updated October 16, 2012 Healthy Anne Arundel Coalition 43 Anne Arundel County DOH Healthy Business Resources http://www.aahealth.org/ltl_healthybus.asp Updated October 16, 2012 Healthy Anne Arundel Coalition 44 Anne Arundel County DOH Healthy Business Resources http://www.aahealth.org/ltl_50ways.asp Updated October 16, 2012 Healthy Anne Arundel Coalition 45 Anne Arundel County DOH Healthy Ways to Fitness Challenge! Based on the DOH’s Fitness Challenge available at www.aahealth.org/fitnesschallenge Updated October 16, 2012 Healthy Anne Arundel Coalition 46 Anne Arundel County DOH Healthy Ways to Fitness Challenge! 6 week program to increase healthy eating and physical activity 47 teams of 5; total of 235 participants (1/3 of DOH employees) Complemented by other activities: healthy eating class introduction to container gardening stress reduction workshop Department-wide potluck at a local park Updated October 16, 2012 Healthy Anne Arundel Coalition 47 Anne Arundel County DOH Healthy Meetings & Events Policy Note: Policy currently under revision. Updated October 16, 2012 Healthy Anne Arundel Coalition 48 Anne Arundel County DOH Healthy Business Resources Learn to Live Healthy Living Resources: http://www.learntolivehealthy.org 410-222-7979 Available resources include Healthy Eating, Cancer Prevention and Smoking Cessation Information Kits and other materials Anyone can download materials, but Learn to Live can only mail materials to Anne Arundel County addresses Updated October 16, 2012 Healthy Anne Arundel Coalition 49 Obesity Prevention Federal Initiatives Updated October 16, 2012 Healthy Anne Arundel Coalition 50 President’s Initiative President’s Challenge www.presidentschallenge.org Presidential Active Lifestyle Award (PALA+) • PALA+ is for people who want to better their health by making healthier choices related to eating and physical activity • Good for beginners Presidential Champions • Aimed at individuals who are already physically active • Good for people who already get regular exercise or a next step for people who complete PALA+. Updated October 16, 2012 Healthy Anne Arundel Coalition 51 President’s Initiative President’s Challenge (cont.) Online tracker allows groups to take the President’s Challenge together Can register a group together and access progress reports Can also register individually Updated October 16, 2012 Healthy Anne Arundel Coalition 52 Let’s Move Initiative http://www.letsmove.gov/ Updated October 16, 2012 Healthy Anne Arundel Coalition 53 My Plate MyPlate SuperTracker https://www.choosemyplate.gov/ SuperTracker/default.aspx Get a personalized nutrition and physical activity plan Track foods and physical activities to see how they stack up Get tips and support Updated October 16, 2012 Healthy Anne Arundel Coalition 54 America on the Move America on the Move www.americaonthemove.org Provides web-based programs, tools, and resources. Encourages people to make realistic small lifestyle changes. Can compete in group challenges or complete at your own pace Offers a similar component for kids under age 13 (America on the Move Kids). Updated October 16, 2012 Healthy Anne Arundel Coalition 55 Priority # 2 Mental Health and Substance Abuse as Co-Occurring Disorders Updated October 16, 2012 Healthy Anne Arundel Coalition 56 Co-Occurring Disorders Subcommittee Pre-existing group in Anne Arundel County Created to bridge gap between mental health & substance abuse service providers Current Projects: Assess needs of medical community to handle substance abuse patients Mapping of mental health and substance abuse services Creation/utilization of a substance abuse screening tool for physicians Updated October 16, 2012 Healthy Anne Arundel Coalition 57 Co-Occurring Disorders Baseline and Goal 2015 MD SHIP OBJECTIVE MD BASELINE COUNTY BASELINE COUNTY BY RACE/ ETHNICITY MD 2014 GOAL COUNTY 2015 GOAL DATA SOURCE Reduce the rate of emergency department visits related to behavioral health conditions per 100,000 population 1,206.3 1,134.9 White: 1,146.9 Black: 1,450.6 Asian: 152.7 Hispanic: 203.6 1,46.0 1,078.2 HSCRC 2010 Reduce the rate of drug-induced deaths per 100,000 population 13.4 15.0 N/A 12.4 13.9 VSA 20072009 Decrease the rate of alcohol impaired driving fatalities 0.29 17 (count only due to rate instability) N/A 0.27 15 SHA 2009 Reduce the rate of suicides per 100,000 population 9.6 9.6 N/A 9.1 9.1 VSA 20072009 Updated October 16, 2012 Healthy Anne Arundel Coalition 58 Rate of Emergency Department Visits for Substance Abuse* by ZIP Code of Residence, Anne Arundel County, July 2010 – June 2011 Substance Abuse *Includes alcohol, illegal drugs and nonmedical use of prescription drugs. Data Source: Rates calculated based on 2010 U.S. Census; MD Health Services Cost Review Commission. Updated October 16, 2012 Healthy Anne Arundel Coalition 59 Suicide Rate per 100,000 persons Rate* of Suicide-related Emergency Department Visits by Age Group. Anne Arundel County, July 2010 – June 2011 * Crude rate calculated based on 2010 U.S. Census. Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission Updated October 16, 2012 Healthy Anne Arundel Coalition 60 Suicide Rate per 100,000 persons Age-Adjusted Suicide Death Rates, Anne Arundel and Maryland, 2005-2010 Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission Updated October 16, 2012 Healthy Anne Arundel Coalition 61 Health Disparity: Behavioral Health Conditions disparities Source: Maryland Health Services Cost Review Commission Updated October 16, 2012 Healthy Anne Arundel Coalition 62 Co-occurring Disorders Targeted Behaviors/Interventions: Stress Reduction Identify suicidal ideation among youth Reduce attempted suicides Reduce completed suicides Identify prescription drug abuse Reduce driving under the influence of alcohol and drugs Manage untreated mental health conditions Increase recovery support among adults and adolescent peers Screening, Brief Intervention, Referral and Treatment (SBIRT) Updated October 16, 2012 Healthy Anne Arundel Coalition 63 Individual Stress Management Managing stress is about taking charge of your emotions, thoughts, schedule and how you respond to challenges Identify triggers of stress Ask family and friends for help and support when you feel stressed Learn relaxation techniques and other healthy ways to mange stress Updated October 16, 2012 Healthy Anne Arundel Coalition 64 Individual Stress Management Learn 1. 2. 3. 4. 5. 6. Strategies for Stress Management: Avoid unnecessary stress Alter the situation Adapt to the stressor Accept the things you cannot change Make time for fun and relaxation Adopt a healthy lifestyle Adapted fromhttp://www.helpguide.org/mental/stress_management_relief_coping.htm Updated October 16, 2012 Healthy Anne Arundel Coalition 65 Workplace Stress Management Promote healthy lifestyles, including healthy eating and physical activity Encourage stress relief breaks Meditation Walking Check-ins with family/friends Provide stress management tips by newsletters, e-mail or Lunch and Learns Updated October 16, 2012 Healthy Anne Arundel Coalition 66 Workplace Stress Management Consider offering options that promote work-life balance including telecommuting and flexible schedules Encourage employees to use earned time off for personal time and vacations Encourage employees to use sick leave when ill or for health care appointments Updated October 16, 2012 Healthy Anne Arundel Coalition 67 Additional Resources Medline Plus: Stress Management http://www.nlm.nih.gov/medlineplus/ency/articl e/001942.htm Overview of stress management Tips for a stress management program Stress Management from Mind Tools http://www.mindtools.com/smpage.html Interactive modules for coping with stress Links to additional resources Updated October 16, 2012 Healthy Anne Arundel Coalition 68 Join the Healthy Anne Arundel Movement Updated October 16, 2012 Healthy Anne Arundel Coalition 69 What Can You Do? Step 1: Determine your healthy weight and make weekly goals to reach it Step 2: “Eat healthier” by choosing healthier foods for you and your family Step 3: “Move more” during your leisure time or through workplace initiatives Step 4: Get a mental health screening for depression or post-traumatic stress Step 5: Get screened for alcohol, opioid or prescription drug abuse Updated October 16, 2012 Healthy Anne Arundel Coalition 70 What Can You Do? Step 6: Review your family history and get screened for cancer Step 7: Visit your dental health provider every six months Step 8: Get tested for sexually transmitted infections and HIV Step 9: Schedule your annual health visit with your primary care doctor Step 10: Keep your home, community and work space free of clutter Updated October 16, 2012 Healthy Anne Arundel Coalition 71 HealthyAnneArundel.org Updated October 16, 2012 Healthy Anne Arundel Coalition 72 Healthy Anne Arundel Coalition Contacts www.HealthyAnneArundel.org HealthyAnneArundel@aacounty.org Laurie B. Fetterman, MSW Phone: 410-222-7203 Email: hdfett00@aacounty.org Brandon J. Johnson, MHS Phone: 410-222-7244 Email: hdjohn33@aacounty.org Updated October 16, 2012 Healthy Anne Arundel Coalition 73 County Executive John R. Leopold Department of Health J. Howard Beard Health Services Building 3 Harry S. Truman Parkway Annapolis, Maryland 21401 Phone: 410-222-7375 Fax: 410-222-4433 Maryland Relay (TTY): 1-800-735-2258 www.aahealth.org www.HealthyAnneArundel.org HealthyAnneArundel@aacounty.org Anne Arundel County Department of Health Representatives: Jinlene Chan, M.D., M.P.H., Acting Health Officer, Antigone Vickery, M.P.H., Director, Office of Assessment, Planning and Response Laurie Fetterman, M.S.W., Health Planner, Office of Assessment, Planning and Response Brandon Johnson, M.H.S., Community Engagement Coordinator, Office of Assessment, Planning and Response Updated January 29, 2013 Steering Committee Member Organizations: A.A. Co. Office of the County Executive A.A. Co. Dept. of Aging and Disabilities A.A. Co. Dept. of Detention Facilities A.A. Co. Dept. of Health A.A. Co. Dept. of Recreation & Parks A.A. Co. Dept. of Social Services A.A. Co. Public Schools A.A. Co. Mental Health Agency, Inc. Anne Arundel Community College Anne Arunde l County NAACP Anne Arundel Economic Development Corporation Anne Arundel Health System Arundel Community Development Services, Inc. Baltimore Washington Medical Center Care First Blue Cross Blue Shield City of Annapolis Mayor’s Office Community Foundation of Anne Arundel County Housing Authority of the City of Annapolis MedStar Harbor Hospital People’s Community Health Centers, Inc. Rite Aid Corporation School of Public Heath, University of Maryland Walmart Healthy Anne Arundel Coalition 74