These slides were presented at the Annual Meeting for the Institute of Medicine in Chicago on 6/4/2012. Over 200 health care leaders attended this meeting.

1. Healthy Chicago Public Health Agenda
Institute of Medicine of Chicago
June 4, 2012
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair on

2. HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL

3. HEALTHY CHICAGO
Chicago Department of Public Health
IT MATTERS

4. IT MATTERS
A healthy city is a city that:
»Offers healthier food options
»Provides places to be physically active
»Responds to public health threats
»Creates healthy and safe environments
»Ensures access to care for all residents
»Eliminates health disparities for all communities

5. A COMPREHENSIVE
PUBLIC HEALTH AGENDA
A blueprint for action to create:
»Healthy City
»Healthy Neighborhoods
»Healthy Homes
»Healthy People

6. HEALTHY CHICAGO
Chicago Department of Public Health

7. HEALTHY CHICAGO
Chicago Department of Public Health
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY

8. IT DEMANDS THAT WE MAKE CHANGES
» In programs
» In health education
» In policies

9. IT’S ABOUT CHANGING SYSTEMS
» It’s about creating accountability
» It’s about communicating what’s expected of all of us
» It’s about measuring outcomes and success

10. HEALTHY CHICAGO
Chicago Department of Public Health
HEALTHY CHICAGO STRATEGIES BY
INTERVENTION TYPE (n=193)

11. TRACKING PROGRESS
» Individual Work Plans
» Performance Management

12. HEALTHY CHICAGO
Chicago Department of Public Health
MOVING TOWARD A
HEALTHY CHICAGO

13. HEALTHY CHICAGO
Chicago Department of Public Health
TOBACCO USE

14. HEALTHY CHICAGO
Chicago Department of Public Health
TOBACCO USE

15. TOBACCO USE ACCOMPLISHMENTS
Policy: Create More Smoke Free Environments
» Housing
• 1638 units of private smoke-free housing
• 4 CHA smoke-free developments
» Hospitals
• 5 smoke-free campuses
» Campuses
• 2 colleges, City Colleges, &
catholic schools

16. TOBACCO USE ACCOMPLISHMENTS
Policy: Limit Access to Tobacco
» Prohibit Tobacco Vending Machines
» Increase fines for illegal cigarette sales (minors
& unstamped)
» Increase access for City investigators

17. TOBACCO USE ACOMPLISHMENTS
Programs & Education: Select Interventions
» Ask Advise Refer
• 33 clinics; 25+ EHR systems
• NRT Distribution to 5,000
» Tobacco Quit Line – 70% increase (20,400 calls)
» Citywide Media Campaign
» Signage at Beaches and Playlots
» Ads on CTA Buses

18. HEALTHY CHICAGO
Chicago Department of Public Health
OBESITY PREVENTION

19. OBESITY PREVENTION ACCOMPLISHMENTS
» Urban agriculture ordinance was passed by City Council
» CDPH obtained and is analyzing CPS student health
records
» Healthy vending contract for City
» Healthy Produce Carts
» Healthy Corner Stores
» Healthy YMCA policies

20. HEALTHY CHICAGO
Chicago Department of Public Health
HIV PREVENTION

21. HIV PREVENTION ACCOMPLISHMENTS
» Comprehensive prevention funding of $2.3M
» Advanced HIV prevention training to over 1100 providers
annually
» Enhanced policy and planning
» Initiated the Chicago community condom project

22. HEALTHY CHICAGO
Chicago Department of Public Health
ADOLESCENT HEALTH

23. ADOLESCENT HEALTH ACCOMPLISHMENTS
» Established Office of Adolescent and School Health
» Hired CPS Chief Health Officer
» Drafted Healthy CPS document in partnership with CPS
» Received 1.75M grant to support teen dating violence
prevention efforts

24. HEALTHY CHICAGO
Chicago Department of Public Health
CANCER DISPARITIES

25. CANCER DISPARITIES ACCOMPLISHMENTS
» Strengthened collaboration with Metropolitan Chicago
Breast Cancer Task Force
» Completed mammogram reminder pilot project
» Initiated collaboration with CHA to increase mammography
among CHA residents

26. HEALTHY CHICAGO
Chicago Department of Public Health
HEALTHY MOTHERS AND BABIES

27. HEALTHY MOTHERS AND BABIES
ACCOMPLISHMENTS
» Nine hospitals are registered with Baby-Friendly USA
» Increased WIC support for breastfeeding through
lactation counselor training

28. HEALTHY CHICAGO
Chicago Department of Public Health
VIOLENCE PREVENTION

29. VIOLENCE PREVENTION ACCOMPLISHMENTS
» Established data collection partnership with police
department
» Anti-violence community stabilization
» Chicago Youth Violence Prevention Plan

30. HEALTHY CHICAGO
Chicago Department of Public Health
HEART DISEASE AND STROKE

31. HEART DISEASE & STROKE
ACCOMPLISHMENTS
» Facilitated linkage between American Heart Association
and CPS
» Policy development on Hands-Only CPR and AEDs

32. HEALTHY CHICAGO
Chicago Department of Public Health
COMMUNICABLE DISEASE CONTROL & PREVENTION

33. COMMUNICABLE DISEASE CONTROL &
PREVENTION ACCOMPLISHMENTS
» State passed legislation requiring infection control training
for staff in long term care facilities
» TB clinical partnership with Cook County

34. HEALTHY CHICAGO
Chicago Department of Public Health
ACCESS TO CARE

35. ACCESS TO CARE ACCOMPLISHMENTS
» During the 2010-2011 school year, 112,334 students at
656 schools received dental services through our
school-based oral health program
» Initiated collaboration to expand school health centers

36. HEALTHY CHICAGO
Chicago Department of Public Health
HEALTHY HOMES

37. HEALTHY HOMES ACCOMPLISHMENTS
» Successful advocacy to change Torrens Indemnity Fund
» $3M abatement grant awarded
» Healthy Homes strategic planning

38. PUBLIC HEALTH INFRASTRUCUTRE
ACCOMPLISHMENTS
» New Office of Epidemiology and Public Health Informatics
» Expanded Epidemiology programmatic capacity
» Largest local public health department pursuing first
time accreditation

39. OTHER ACCOMPLISHMENTS
» LGBT Action Plan
» Working with philanthropies to develop philanthropy for
Healthy Chicago document
» Advancing to City Council, “Policies for a Healthy
Chicago”

40. HEALTHY CHICAGO
Chicago Department of Public Health
OVERALL HEALTHY CHICAGO
IMPLEMENTATION STATUS
Overall Healthy Chicago
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Implementation Status
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140
120
100
80
60
40
20
0
Completed In progress Pending initiation
Completed In progress Pending initiation

41. STATUS OF PRIORITIES, 4th QUARTER 2011
» Policy: 16% Completed; 68% in Progress
» Program: 20% Completed; 66% in Progress
» Education/Public Awareness: 20% Completed; 65% in
Progress

42. INSTITUTE OF MEDICINE OF CHICAGO
&
HEALTHY CHICAGO
» Policy: Advocacy Efforts
» Program: Grants & Partnerships
» Education/Public Awareness: Outreach Efforts