Today s Focus Brief history Connections, contributions, lessons learned, Overview and key features of HW2020 Relevance to community and academic partnerships 1 2 Healthiest Wisconsin 2020 Everyone Living Better, Longer Brief History Healthier People in Wisconsin: A Public Health Agenda for the Year 2000 Patricia Guhleman, MS Director, Office of Policy and Practice Alignment Division of Public Health, Wisconsin DHS Margaret Schmelzer, MS, RN State Health Plan Director Public Health Nursing Director Division of Public Health, Wisconsin DHS Healthiest Wisconsin 2010: A Partnership Plan to Improve the Health of the Public Healthiest Wisconsin 2020: Everyone Living Better, Longer 3 4 1
Wisconsin State Health Plans Strategic Processes Agenda of public health priorities produced by the Wisconsin public health community, with shared accountability for implementation Strategic planning Science and evidence with wisdom of community Quality Improvement Collaborative diverse partnerships 6 Development & implementation of HW2010 Participation in development of HW2020 Data Expert Advisory Group All major educational institutions invited Strategic Leadership Team Focus Area Teams Implementation of HW2020 7 8 2
Contributions of HW2010 Contributions of HW2010 Provided a common language Partnerships have become a core business practice Increased focus on preventable risk factors Recognition by many of the powerful influence of the social determinants of health 9 Recognition that we must move beyond behavior and clinical interventions Identifying how and who will be critical to collective impact is the new big challenge Statutory updates requiring community health improvement plans and essential service Alignment of priorities in the funding requirements of the HWPP and the WPP 10 Contributions of HW2010 Lessons Learned from HW2010 Strong continuing alliance between the UWSMPH, Population Health Institute and Division of Public Health Healthiest State Initiative County Health Rankings What works Strong linkages between local and state health plans to the federal plan (Healthy People 2010 and Healthy People 2010) 11 Build upon the HW2010 processes to avoid wasting time reinventing an already exemplar process. Continue focus on underlying determinants of health Need specific, measurable goals and objectives 12 3
Lessons Learned from HW2010 What is HW2020? Participation of the broad community is critical to shared ownership must see yourself in the plan. Shared accountability is as important as shared leadership. To truly be stakeholder driven, ask what the partners see as the most important objectives to achieve the goals. Flexible public health agenda designed by many to be implemented by all from 2010 2020. Systematic approach to Align policies and systems. Contain health care costs. Improve health outcomes. 13 14 What is HW2020? Intent of HW2020 Call to action to work together to improve health where we live, grow, work, learn, and play. Fulfill the statutory requirement to the Wisconsin Department of Health Services to produce a public health agenda at least every ten years Wisconsin Statute, Chapter 250.07 (1)(a) Provide an agreed upon framework to work together to assure conditions in which people can be healthy and members of healthy, safe, and resilient families and communities. 15 16 4
Aligning Policies and Systems for Better Health Health Outcomes Health Factors or Determinants Reduced Mortality, Morbidity, and Disability Health Across the Life Span Eliminate Health Disparities and Achieve Health Equity Health Behaviors and Skills Social, Economic and Educational Factors Health Services and Systems Policies and Programs Physical Environment Adapted with modifications from University of Wisconsin School of Medicine and Public Health, Mobilizing Action Toward Community Health, County Health Rankings, accessed at http://www.counthealthrankings.org/aboutproject/background 17 18 Overview and Key Features Slides Framework Focus areas and objectives Source: DePablo M, Abraham B, 2009 19 Review front page of HW2020 web site Profiles Implementation Plan Evidence- and science-based practices Endorsement form Links to national and federal sources 20 5
HW2020 Framework A list of Focus Area Objectives directly tied to the HW2020 goals that: Span health and infrastructure Are crosscutting Are measurable and outcome-driven Foster integrated thinking and action by the partners described in the HW2020 Partnership Model A call to action to work together to improve health. 21 22 HW2020 Framework Values / Principles Vision Everyone Living Better, Longer Mission Assure conditions in which people can be healthy and members of healthy, safe and resilient families and communities Shared Accountability Alignment Collaboration Community Assets Evidence Fairness Infrastructure Justice Leverage Performance Improvement Prevention Science Shared Leadership 23 24 6
Goals Focus Areas and Objectives 1. Improve health across the life span 2. Eliminate health disparities and achieve health equity 25 23 Focus Areas Each Focus Area has 2-5 objectives Each objective is directly tied to one of the two HW2020 goals The Focus Areas and objectives span 3 categories: Crosscutting Health Infrastructure 26 Infrastructure, Health, Crosscutting Interdependent Focus Areas Infrastructure Focus Areas (9) Crosscutting Focus Areas (2) Health Focus Areas (12) Framework Crosscutting Focus Areas (2) 1. Eliminate health disparities 2. Social, educational, and economic factors that impact health 27 28 7
Framework Health Focus Areas (12) 1. Adequate, appropriate and safe food and nutrition 2. Alcohol and other drug use 3. Chronic disease prevention and management 4. Communicable disease prevention / control 5. Environmental and occupational health 6. Healthy growth and development 7. Injury and violence 8. Mental health 9. Oral health 10. Physical Activity 11. Reproductive and sexual health 12. Tobacco use and exposure Focus Areas Infrastructure (9) 1. Access to high-quality health services 2. Collaborative partnerships for community health improvement 3. Diverse, sufficient, and competent workforce that promotes and protects health 4. Emergency preparedness, response, and recovery 5. Equitable, adequate, and stable public health funding 6. Health literacy 7. Public health capacity and quality 8. Public health research and evaluation 9. Systems to manage and share health information and knowledge 29 30 Focus Area Profiles Definition (scope) of the focus area Importance Wisconsin data highlights Objectives Indicators Data sources Evidence- or science-based actions References Reduce disease, injury and adverse health conditions due to risky behaviors Reduce preventable illness and disability Reduce preventable death Align policies and systems for better health Eliminate disparities Achieve health equity Balance policies and actions based on all 4 drivers of health 31 32 8
HW2020 Action Model Taking Action / Making a Difference Evaluate & report results Implement strategies Assess strengths needs & resources Healthy People in Healthy Wisconsin Communities Find / use programs & policies that work Engage community partners Select priorities & align to HW2020 33 34 The HW2020 Web Site http://www.dhs.wisconsin.gov/hw2020/index.htm HW2020 Relevance in Community-Academic Partnerships 35 36 9
HW2020-CAP Connections HW2020-CAP Connections Catalyst to spur research questions and collaboration Framing for research projects Leverages funding Community engagement Prioritize workforce development initiatives Education / training of health science professionals and researchers HW2020-CAP Connections Contribute to research agenda Example: WI Public Health Practice Based Research Network Guide policy research / evidence syntheses Wisconsin Department of Health Services Division of Public Health Healthiest Wisconsin 2020 PO Box 2659 Madison, Wisconsin 53701-2659 On the Web: http://www.dhs.wisconsin.gov/hw2020/index.htm Email: DHSHW2020@wisconsin.gov 40 10
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