National Prevention and Health Strategy (06/16/2011 Panel)


Uploaded by USGOVHHS on 16.06.2011

Transcript:
>> IT'S BEEN A GREAT DAY SO FAR. 1 LET'S NOT REST ON OUR LAURELS.
IT'S TIME TO START 2 IMPLEMENTATION.
TO KICK US OFF WE HAVE A GREAT 3 GROUP OF PANELISTS TODAY WHO AS
WE WERE TALKING ABOUT BEFORE AND 4 FRANKLY EACH OF OUR SPEAKERS HAS
TALKED ABOUT THIS MORNING, 5 SECRETARY DIRECTOR BARNES,
SURGEON GENERAL, SENATOR HARKIN, 6 GREAT TO BE HERE.
SECRETARY JACKSON, DIRECTOR GIL 7 KERLIKOWSKE, ROBERT VELASCO.
IT WAS SO WONDERFUL THAT 8 EVERYONE REALLY STRESSED THE
FACT THAT WE ALL HAVE TO WORK 9 TOGETHER ON IMPLEMENTATION AND
THAT'S WHAT WE ARE GOING TO BE 10 TALKING ABOUT TODAY.
SO THANKS FOR SITTING HERE AND 11 I'M GOING SIT TOO.
AS WE HEARD THIS MORNING THAT WE 12 REALLY ALL NEED TO WORK TOGETHER
TO WEAVE PREVENTION INTO THE 13 FABRIC OF OUR LIVES WHERE WE
LIVE, WORK, LEARN AND PLAY. 14 AND HOW TO DO THAT, THE STRATEGY
PRESENTS SPECIFIC 15 RECOMMENDATIONS AND A SET OF
ACTION THAT IS MANY OF OUR 16 PARTNERS CAN TAKE BOTH ACTIONS
THAT OUR FEDERAL GOVERNMENT WILL 17 TAKE BECAUSE IT'S INCUMBENT UPON
US AS WE LEAD THE ADMINISTRATE 18 GEE TO PROVIDE THAT LEADERSHIP,
BUT PARTNERS WHETHER THEY BE 19 PUBLIC, PRIVATE, AT EVERY LEVEL
OF GOVERNMENT, HAVE SOMETHING TO 20 DO WHETHER IN SERVICES PROVIDE
THE POLICIES THEY MAKE, AS AN 21 EMPLOYER, SO MUCH TO BE DONE
WHETHER YOU'RE A HEALTH 22 COMMISSIONER FROM A BUSINESS
SECTOR -- ON THE GROUND 23 DELIVERING SERVICES.
THERE IS SO MUCH TO BE DONE. 24 I AM REALLY GLAD TO HEAR ABOUT
YOU WHAT BRING TO US, THE IDEAS 25 YOU-ALL HAVE FOR ALL OF US AND
OUR LAST QUESTION ABOUT THE 26 OBSTACLES, THE CHALLENGES THAT
WE FACE EVERY DAY AND WE WILL 27 FACE IMPLEMENTING THIS AND HOW
WE CAN DO THAT. 28 SO IMPLEMENTATION IS THE KEY.
AND I JUST WANTED TO INTRODUCE 29 VERY QUICKLY AND THEN WE'LL HAVE
INDIVIDUAL PRESENTATIONS AND 30 THEN QUESTION AND ANSWER.
SUZANNE COOPER IS COMMISSIONER 31 OF THE TENNESSEE DEPARTMENT OF
HEALTH WHO HAS DONE WONDERFUL 32 THINGS.
SHE IS A REGISTERED NURSE. 33 REAL WORK ON THE GROUND.
AS WELL AS THE POLICY WORKING 34 YOU DO IN CREATING IN TENNESSEE.
A FACULTY MEMBER ASSISTANT DEAN 35 OF PRACTICE AT VANDERBILT
UNIVERSITY AND EXTENSIVE 36 EXPERIENCE.
DR. CHAUDHRY IS THE MEDICAL 37 SCIENTIST FROM IBM BUT ALSO HAS
A PHENOMENAL CAREER AND 38 EXPERTISE IN HELPING TECHNOLOGY.
WE WILL CAPITALIZE ON YOUR 39 KNOWLEDGE FROM THE PRIVATE
SECTOR AND HOW TECHNOLOGY CAN 40 HELP US ALONG THE WAY.
COLLEEN HAYDON IS THE PROGRAM 41 MANAGER FOR PROJECT UNIFORM AND
I WILL READ NOW, UNDOING 42 NICOTINE INFLUENCE FROM OUR
RESPECTED MILITARY. 43 AS AMERICAN CITIZEN, I THINK A
HEALTHY MILITARY IS REALLY, 44 REALLY IMPORTANT.
AS WE WORKED ACROSS THE COUNCIL, 45 OUR COUNCILMEMBER AND PARTNER AT
DOD, MANY OF US ARE THE PROVIDER 46 OF SERVICES OR POLICIES BUT IN A
CERTAIN SENSE, HEALTH IS 47 IMPORTANT FOR INPUT IN THE
MILITARY. 48 YOUR INPUT BEING THE GREATEST
RESEARCH WE HAVE, THE LABOR OF 49 OUR MILITARY FORCES, THE PEOPLE
WHO SERVE. 50 SO THANK YOU VERY MUCH AND WE'LL
HEAR MORE ABOUT YOUR EXPERIENCE 51 THERE.
JONATHAN LEVER WHO IS 52 VICE PRESIDENT FOR HEALTH
STRATEGY INNOVATIONS AT THE 53 YMCA.
I DID GROW UP WITH A TRADITIONAL 54 NOTION OF Y AND HAVE LEARNED SO
MUCH IN MY ADULT LIFE ABOUT THE 55 GREAT SERVICES YOU PROVIDE, AND
THE LIFESTYLE SERVICES YOU 56 REALLY PROVIDE AND AS WE TALK
ABOUT THE TRANSFORMATION OF OUR 57 HEALTH SYSTEM IN THE DOCTOR'S
OFFICE AND OUTSIDE, THE Y 58 PROVIDES GREAT OPPORTUNITIES,
OBVIOUSLY WE WORK TOGETHER ON 59 DIABETES PREVENTION PROGRAM AND
OTHERS WILL HEAR FROM YOU ON HOW 60 THESE THINGS CAN WORK.
DR. BAROBT, THE COMMISSIONER OF 61 HEALTH FOR THE CITY OF BALTIMORE
THE PAST YEAR. 62 SHE WAS THE SCHOOL DIRECTOR OF
OUR MEDICAL HEALTH PROM. 63 WE WORKED ON THAT TOGETHER AND
SHE IS WONDERFUL IN SO MANY 64 AREAS AND WE'LL HEAR ABOUT YOUR
WORK THERE IN BALTIMORE AND ON 65 THE CHALLENGES OF REALLY
ADDRESSING THE HEALTH DISPARITY 66 ISSUES AS WELL AND I'LL COUNT ON
YOU AS WE GO. 67 THANK YOU ALL FOR BEING HERE.
THANK YOU FOR BEING HERE. 68 AND I'LL TURN IT OVER TO
COMMISSIONER COOPER TO START US 69 OFF.
>> THANK YOU. 70 AND THANK YOU EVERYBODY.
WE'RE REALLY EXITED AS HEALTH 71 OFFICIALS TO COME TO THIS
FEDERAL KICKOFF OF THE NATIONAL 72 PLAN FOR PREVENTION AND HEALTH
PROMOTION. 73 FROM THE GOVERNMENTAL PUBLIC
HEALTH SECTION AT THE STATE 74 LEVEL, WE HAVE BEEN DOING THIS
FOR A LONG TIME. 75 AND IT IT'S REALLY GREAT TO HAVE
NATIONAL ATTENTION BREAKING DOWN 76 THE SILOS WE HAVE BEEN WORKING
ON IN EACH AND EVERY ONE OF OUR 77 STATES.
YOU HAVE BEEN ASKED TO TALK A 78 LITTLE BIT ABOUT THE INNOVATIVE
PROGRAMS WE HAVE IN TENNESSEE. 79 AND MANY OF YOU WOULD SAY, WHY
IN THE WORLD WOULD YOU HAVE 80 SOMEBODY FROM TENNESSEE TALKING
ABOUT HEALTH AND FITNESS? 81 BECAUSE IF YOU LOOK AT EVERY
MAP, WE SEEM TO BE IN THE ZONE, 82 THE STROKE ZONE, HEART ATTACK
ZONE, OBESITY ZONE. 83 YOU CALL IT THE STROKE BELT.
WE USED TO CALL IT THE LOOSENING 84 BELT WHERE WE LIVE.
BUT I'M HERE TO TELL YOU THAT 85 FOLKS IN TENNESSEE HAVE REALLY
MADE A COMMITMENT NOT JUST AT 86 THE STATE LEVEL BECAUSE
IMPROVING HEALTH DOESN'T SIT 87 WITH THE DEPARTMENT.
IT SITS WITH EACH AND EVERY 88 RESIDENT THAT WE HAVE IN OUR
STATE. 89 SO LEADERSHIP CAME FROM THE TOP.
OUR GOVERNOR KICKED OFF HIS 90 GOVERNOR'S TASK FORCE ON HEALTH
AND WELLNESS. 91 I WANT TO TALK ABOUT JUST A FEW
THINGS THAT HAPPENED OVER THE 92 PAST FOUR YEARS.
WE MADE A STRATEGIC DECISION IN 93 OUR STATE.
NOBODY WANTED TO TALK ABOUT 94 DIABETES.
NOBODY WANTED TO TALK ABOUT 95 OBESITY.
SO WHAT WE DECIDED TO TALK ABOUT 96 WAS FITNESS AND HEALTH IN
FITNESS IN TRYING TO FIND 97 SOMETHING THAT WOULD RESINATE
WITH EVERY SINGLE PERSON IN OUR 98 STATE.
AND WE SET OUR STRATEGIES JUST 99 VERY, VERY SIMPLE.
SOMETHING THAT THE AVERAGE 100 TENNESSEE AN COULD UNDERSTAND.
WE WERE GOING TO WORK ON 101 PHYSICAL ACTIVITY, NUTRITION AND
DECREASING TOBACCO USE IN OUR 102 STATE.
AND AGAIN, IN CONTEXT BEING ONE 103 OF THE THOSE STATES THAT GROWS
TOBACCO, THESE WERE MONUMENTAL 104 CHALLENGES FOR ALL OF US.
AND OUR PLAN WAS TO CREATE WHAT 105 WE CALLED SOCIAL CHANGE.
SOCIAL CHANGE, NOT JUST BY 106 RAISING AWARENESS BUT HELPING
EVERY TENNESSEE AN TAKE THAT 107 FIRST STEP TO IMPROVING THEIR
PERSONAL HEALTH BY STARTING 108 THEIR JOURNEY.
, IT WOULD CREATE A CHANGE IN 109 THE HEALTH OF TENNESSEE.
WHEN WE PUT OUR INITIATIVES 110 TOGETHER, WE KIND OF USED THE
FRAME OF THE THREE Ps, NOT 111 WHAT YOU USED IN BUSINESS SCHOOL
ABOUT PRICE AND PLACEMENT AND 112 THOSE THINGS BUT POLICY,
PROGRAMS AND PARTNERSHIPS. 113 FIRST, WE WANTED TO INTEGRATE
HEALTH INTO ALL POLICIES ACROSS 114 ALL THE DIVISIONS OF STATE
GOVERNMENT. 115 AND THEN ASSESS THE IMPACTS OF
THOSE POLICIES. 116 SECOND, WE WANTED TO BUILD AND
UTILIZE THE EVIDENCE BASE BY THE 117 PROGRAM THAT IS WE WERE GOING TO
DESIGN AND THEN PARTNERSHIP, 118 BUILDING COALITIONS THAT COULD
WORK AND SUCCEED TOGETHER. 119 AND WE IN BUILDING THESE
COALITIONS, OUR FOCUS WAS NOT ON 120 WHO YOU WERE AND WHO YOU
REPRESENTED, BUT WHAT WAS THE 121 OUTCOME WE DESIRED?
AND I LOOKED AT JONATHAN DOWN 122 HERE BECAUSE ONE OF THE EXAMPLES
IN TENNESSEE, I ACTUALLY COACHED 123 THE PRIMARY HEALTHIER
COMMUNITIES PROJECT IN THE STATE 124 AND SO, THESE WERE SOME
NONTRADITIONAL RELATIONSHIPS 125 THAT STARTED TO BUILD.
WHEN WE LOOKED AT THE STATE, OUR 126 MESSAGE WAS SIMPLE.
IF OUR MISSION AT THE DEPARTMENT 127 OF HEALTH WAS TO PROTECT,
PROMOTE AND IMPROVE THE HEALTH 128 OF ALL TENNESSEE, WE NEEDED TO
COMMIT TO, AS A STATE, TO 129 IMPROVING THE HEALTH OF
EVERYONE. 130 AND OUR RELEVANT MESSAGE AND OUR
PLATFORM WAS, LET'S GET FIT 131 TENNESSEE.
VERY SIMPLE. 132 AND WE NEEDED EVERYONE TO DO
THEIR JOB. 133 EVERYONE.
IT WAS AN EXTRAORDINARY JOURNEY. 134 SO A FEW OF THE PROGRAMS THAT
CAME OUT, WE HAVE GET FIT 135 TENNESSEE, WHICH STARTED
AWARENESS CAMPAIGN. 136 NOW IT'S AN INTERACTIVE TOOL
ONLINE. 137 SO ANY TENNESSEAN FREE OF CHARGE
CAN LOG ON TO OUR WEBSITE. 138 WE HAVE HEALTH AND FITNESS TOOLS
THAT ARE INTERACTIVE. 139 WE HAVE KIDS AND THEIR PARENTS
ROLLING THEIR FITNESS DICE ON 140 THE COMPUTER AND THEN DOING
JUMPING JACKS OR PUSHUPS. 141 I ALWAYS HAPPEN TO GET THE SIT
UPS. 142 TO TRY TO EDUCATE THE FAMILIES
THAT FITNESS CAN BE FUN. 143 WE HAVE ONE 100 DIFFERENT
ACTIVITIES LOADED IN WHERE YOU 144 CAN GET FITNESS POINTS.
THERE IS TIME, NUMBER OF STEPS, 145 DISTANCE HAVE YOU GONE.
FOR AN ELDER AMERICAN, IF YOU 146 WANT TO CLEAN THE HOUSE OR WASH
THE CAR OR PLAY WITH YOUR 147 GRANDKIDS, YOU CAN GET SOME
FITNESS POINTS. 148 AND YOU CAN CREATE FAMILY
CHALLENGES. 149 THOUSANDS OF TENNESSEANS ARE
USING THIS IN THEIR HOMES AND 150 SMALL BUSINESSES FOR HEALTH AND
WELLNESS PROGRAMS. 151 AS THE ECONOMY IS GONE SOUGHT A
LITTLE BIT, WELLNESS PROGRAMS 152 WERE THE FIRST TO GO AND WE
BELIEVE TENNESSEE SHOULD MAKE A 153 COMMITMENT TO SMALL BUSINESSES
TO HELP THEM SUCCEED. 154 WE HAVE JUST LAUNCHED THIS PAST
SEPTEMBER, PHYSICAL ACTIVITY AND 155 NUTRITION PLANS FOR THE STATE
WHICH IS MODELED JUST LIKE THIS 156 PREVENTION STRATEGY.
IT'S CALLED EAT WELL, PLAY MORE, 157 TENNESSEE.
WHAT COULD BE MORE FUN THAN 158 PLAYING MORE?
AND ON OUR WEB WEBSITE IT'S 159 DIVIDED INTO SECTIONS ABOUT
WHERE YOU WORK, WHERE YOU PLAY, 160 WHERE YOU LIVE, WHERE YOU LEARN,
WHERE YOU WORSHIP. 161 AND THERE ARE ALSO STRATEGIES
FOR VULNERABLE ADULTS BECAUSE 162 OFTENTIMES WE DON'T THINK ABOUT
FITNESS IN THE CONTEXT OF OTHER 163 PEOPLE'S SHOES WHEN OTHER
CHALLENGES EXIST. 164 WE ALSO HAVE A BIRTH-TO DEATH
VIEW ON THINGS OF THE WE STRUCK 165 OUT ON OUR BREAST FEEDING
INITIATIVE TO RAISE THE MOTHER'S 166 MILK SHOULD BE THE FIRST MILK
FOR EVERY BABY IN THE STATE OF 167 TENNESSEE, INCLUDING A HUMAN
MILK PROJECT FOR BABIES IN THE 168 NEONATAL INTENSIVE CARE UNIT.
PARTNERING ON TOP OF THAT WE 169 HAVE A VOLUNTARY PROGRAM CALLED
THE GOLDEN SNEAKER INITIATIVE 170 WHERE WE WILL PARTNER WITH ANY
LICENSED DAY CARE IN THE STATE 171 TO PROMOTE PHYSICAL ACTIVITY,
NEW DIRECTION AND TOBACCOO-FREE 172 POLICIES IF THE DAY CARES
IMPLEMENT, THEY GET A GOLDEN 173 SNEAKER AWARD THEY CAN USE IN
MARKETING. 174 DOESN'T COST ANYTHING BUT AGAIN,
IT IS DAY CARE, DEPARTMENT OF 175 HEALTH, DEPARTMENT OF HUMAN
SERVICES, THE PARENTS THAT ARE 176 REALLY DRIVING THIS PROCESS AND
ENCOURAGING THEIR DAY CARES TO 177 GET FIT.
AND IN OUR SCHOOLS, WE LOOKED AT 178 POLICIES AROUND OUR VENDING
MACHINES, WHAT CAN BE SOLD AT 179 DAY CARES, GETTING
FISCAL -- PHYSICAL ACTIVITY BACK 180 INTO THE SCHOOL.
WE THAN HEALTH IS NOT ONLY AN 181 OUTCOME BUT IT'S A DRIVER.
CHILDREN ARE HEALTHY WHEN THEY 182 ENTER SCHOOL AND THEY GRADUATE
AT A HEALTHY WEIGHT, WE KNOW 183 DURING SCHOOL THEY SCORE BETTER
ON THEIR TESTS. 184 MORE LIKELY TO GRADUATE.
IF THEY GRADUATE AT A HEALTHY 185 WEIGHT, THEY BECOME A MEMBER OF
THE HEALTHY WORKFORCE. 186 SO JUST -- I COULD GO ON AND ON.
OVER THE PAST YEARS I WILL TELL 187 YOU AS JUST FOCUSING ON
TOBACCO-FREE POLICY, PHYSICAL 188 ACTIVITY AND NUTRITION, WE HAVE
SEEN OUR STATE IN FOUR SHORT 189 YEARS MOVE FROM 48 IN THE NATION
IN HEALTH OUTCOMES AND HEALTH 190 STATUS, TO 42nd IN THE
NATION. 191 AND THE GOOD NEWS IS, WE DIDN'T
GET BETTER BECAUSE SOMEBODY ELSE 192 GOT WORSE.
WE GOT BETTER BECAUSE WE GOT 193 BETTER.
SIGNIFICANT DECLINES IN 194 DIABETES, SIGNIFICANT DECLINES
IN DEATHS FROM CARDIOVASCULAR 195 DISEASE.
SIGNIFICANT DECLINES IN TOBACCO 196 USE IN OUR STATE.
AND WE THINK THIS IS TENNESSEE'S 197 JOURNEY TO START FOR BETTER
HEALTH. 198 SO WAY TO GO FEDERAL GOVERNMENT.
WE NEED YOUR HELP IN HELPING US 199 HELP OUR COMMUNITY.
[APPLAUSE] 200 THIS IS OUR GET FIT TENNESSEE
HAT. 201 BECAUSE WE BELIEVE YOU SHOULD
MODEL. 202 GET FIT TENNESSEE!
>> YOU HAVE DONE WONDERFUL WORK 203 IN TENNESSEE.
AND YOU'RE AN INSPIRATION TO SO 204 MANY OF US.
AND I THANK YOU FOR THAT. 205 I TAKE AWAY A COUPLE OF THINGS
IN TERMS OF SIMPLICITY, FIRST 206 STEPS, SOME OF THESE THINGS ARE
CHALLENGING SO GIVING PEOPLE AN 207 ENTREE IS VERY IMPORTANT.
SPECIFIC INITIATIVES ISN'T 208 SOMETHING TO GRAB ON TO.
VERY INTERESTED WHEN YOU TALK 209 ABOUT SPREADING POLICIES THROUGH
OTHER DEPARTMENTS AS YOU KNOW 210 THE NATIONAL PREVENTION STRATEGY
IS ACROSS THE FEDERAL 211 GOVERNMENT.
THE KEY REALLY IS TO EDUCATION, 212 TO HOUSING, TO TRANSPORTATION.
CAN YOU SAY MORE ABOUT THAT ALSO 213 AND IN MY NORMAL CHALLENGING
STYLE, GIVE US EXAMPLES WHERE 214 PEOPLE WEREN'T NECESSARILY SO
ALONE IN THE HEALTH CRITERIA IN 215 THEIR 50s HOW CAN GOT THEM
ONBOARD? 216 >> SO CERTAINLY ONE OF THE FIRST
THINGS WE DID BACK SEVERAL YEARS 217 AGO WAS WE LAUNCHED SOMETHING
CALLED PROJECT DIABETES BECAUSE 218 WE HAD ONE OF THE HIGHEST
DIABETES RATES IN THE NATION. 219 AND IN BUILDING THOSE
STRATEGIES, WE REALLY WANTED TO 220 FUND COMMUNITY-BASED ACTIVITIES
THAT WOULD EITHER PREVENT OR 221 DELAY THE ONSET OF TYPE II
DIABETES IN OUR STATE. 222 BUT IF YOU THINK ABOUT IT, THE
TWO WAYS TO DO THAT IS REALLY 223 ABOUT PHYSICAL ACTIVITY AND
NUTRITION. 224 AND THESE ARE BOTH PREVENTIVE
HEALTH STRATEGIES AND TREATMENT 225 STRATEGIES.
WE KNEW WE COULDN'T DO IT ALONE 226 BECAUSE IF WE WANTED TO ATTACK
THE ADULT DIABETES RATE, WE HAD 227 TO WORK WITH THE SCHOOL.
BECAUSE WE KNEW WE HAD A GROWING 228 CHILDHOOD OBESITY RATE.
BUT AT THE SAME TIME, WE WERE 229 FUNDING COMMUNITY-BASED
INITIATIVES. 230 WE WORKED WITH THE LEGISLATURE
AND THEY PASSED THE SCHOOL 231 VENDING MACHINE LAW THAT
ACTUALLY SAID IN THE ELEMENTARY 232 SCHOOLS, WE TOOK OUT THE LESS
NUTRITIOUS FOODS DURING SCHOOL 233 HOURS AND THEN WE ALSO PASSED
WORKING WITH EDUCATION, WHICH 234 WAS REALLY A HEALTH INITIATIVE.
LOOKING AT WHAT COULD BE SOLD. 235 GETTING PHYSICAL ACTIVITY BACK
IN THE SCHOOLS. 236 YOU THINK ABOUT THE CHALLENGES,
EDUCATORS HAVE WITH MEETING THE 237 NO CHILD LEFT BEHIND RULES, AND
THEY HAVE TO GET SO MUCH INTO A 238 DAY.
HOW DO YOU BUILD PHYSICAL 239 ACTIVITY INTO THAT?
WE USED SOME MONEY, OTHER THAN 240 THE LEGISLATIVE 90 MINUTES OF
PHYSICAL ACTIVITY A WEEK. 241 WE FUNDED PROGRAMS THROUGH
PROJECT DIABETES WHERE WE WORKED 242 WAY COMPANY IN THIS STATE AND
BUILT AN ONLINE PROGRAM THAT WAS 243 CALLED, GO FOR DIABETES
TENNESSEE. 244 WE BUILT IT FOR TEACHERS.
AND IT HAS A PHYSICAL ACTIVITY 245 SECTION AND NUTRITION SECTION
AND WELLNESS SECTION WHERE THEY 246 CAN DO THREE MINUTE, FIVE
MINUTE, TEN MINUTE BRAIN BREAKS 247 WITHIN THEIR CLASSROOM DAY TO
SHOW PEOPLE ARE GETTING PHYSICAL 248 ACTIVITY DURING THE DAY.
SO WE TRIED TO MAKE IT 249 USER-FRIENDLY AND EASY WHERE
THEY SAID WE DON'T HAVE 90 250 MINUTES DURING THE WEEK.
WE COULD FIND FIVE MINUTES IN 251 THE COURSE OF THE DAY FOR THE
KIDS TO GET UP AND WATCH 252 PEER-LEAD EXERCISES.
YOU WILL FIND THEM PASSIONATE 253 ABOUT IT.
YOU HAVE TO FIND CREATIVE 254 SOLUTIONS.
IT'S NOT THAT TENNESSEANS DIDN'T 255 WANT TO DO THE RIGHT THING, THEY
DIDN'T KNOW HOW TO DO IT. 256 SO WE WANTED TO BE THAT KIND OF
SUPPORT SYSTEM THAT GAVE THEM 257 TOOLS TO HELP THEM BE
SUCCESSFUL. 258 >> I THINK IT'S A GREAT PLAN OF
POWER AND PEOPLE WITH TOOLS SO 259 THEY CAN TAKE THAT WITH THEM.
DR. CHAUDHRY, TALK TO US A 260 LITTLE BIT ABOUT YOUR
EXPERIENCES AND THE CHALLENGES 261 YOU FACE AND HOW WE SHOULD
OVERCOME THEM. 262 >> THANK YOU.
I'D LIKE TO THANK SECRETARY 263 SEBELIUS AND SURGEON GENERAL
BENJAMIN FOR THE OPPORTUNITY TO 264 PARTICIPATE IN THIS ANNOUNCEMENT
AND THEIR LEADERSHIP AND THANK 265 SENATOR HARKIN FOR HIS
LONGSTANDING LEADERSHIP IN THIS 266 AREA.
THE U.S. HEALTHCARE SYSTEM IS 267 VERY GOOD AT PRODUCING CARE FOR
COMPLEX ADVANCED DISEASE. 268 WHAT WE ARE FAR LESS PROFICIENT
AT ELIMINATING THE SOURCES OF 269 DISEASE BY PREVENTING THEM AND
PRODUCING BETTER HEALTH. 270 AND PRODUCING BETTER HEALTH IS
THE PURPOSE FOR ANY SYSTEM OF 271 CARE IN HEALING.
PREVENTION OR WELLNESS HAVE BEEN 272 TOUCHED STONES FOR IBM ACROSS
ALL OUR ACTIVITIES AND 273 HEALTHCARE AND TODAY I'D LIKE TO
FOCUS ON THREE OF THOSE AREAS. 274 FIRST, THERE IS ONE OF THE
WORLD'S LARGEST EMPLOYERS, IBM 275 MADE A COMMITMENT TO CREATING A
CULTURE OF HEALTH TO PREVENTION 276 AND EMPLOYEE WELLNESS.
SPECIFIC PROGRAMS WE DEVELOPED 277 TO SUPPORT THESE INITIATIVES
INCLUDE THINGS SUCH AS 278 DEDUCTIBLE-FREE COVERAGE FOR
PREVENTIVE SERVICES, HEALTHY 279 LIVING REBATE PROGRAMS,
INCLUDING CHILDREN'S HEALTH 280 REBATES WHICH ENCOURAGE FAMILIES
TO EAT HEALTHIER AND EXERCISE 281 TOGETHER TO REDUCE THE RISK OF
OBESITY IN CHILDREN. 282 FOR THESE TYPES OF HEALTH CARE
REBATE PROGRAMS, WE FOUND THAT 283 EMPLOYEES PARTICIPATING IN THE
PROGRAMS HAVE HAD 19% LOWER 284 INCREASES IN THEIR HEALTHCARE
COSTS. 285 COMPARED TO EMPLOYEES WHO DO NOT
PARTICIPATE. 286 OVER 90,000 EMPLOYEES AT IBM NOW
PARTICIPATE IN THE FITNESS 287 ACTIVITIES.
WE FOUND THAT EMPLOYEES WERE 288 ACTIVE FOR EVEN ONE DAY A WEEK
HAVE HEALTHCARE COSTS WHICH ARE 289 $535 LOWER PER YEAR THAN
SEDENTARY EMPLOYEES. 290 OVERALL, THE NUMBER OF EMPLOYEES
WHO WERE IN HIGH-RISK HEALTH 291 GROUPS DECREASED BY OVER 50% DUE
TO THE FOCUS ON WELLNESS AND 292 PREVENTION.
SECOND AREA I'D LIKE TO TOUCH ON 293 IS OUR SUPPORT FOR SHIFTING THE
HEALTHCARE SYSTEM TOWARDS 294 PREVENTION AND WELLNESS.
NATIONALLY THROUGH PARTNERSHIPS 295 WHICH SEEK TO SUPPORT PRIMARY
CARE. 296 THIS SAN AREA THAT IBM HAS BEEN
VERY STRONG ON AND WE FEEL IS 297 QUITE IMPORTANT TOWARDS THE
TRANSFORMATION OF THE OVERALL 298 HEALTHCARE SYSTEM.
AND IN PARTICULAR, WE HAVE 299 SUPPORTED THE ADVANCEMENT OF
PRIMARY CARE MEDICAL HOMES 300 ACROSS THE COUNTRY.
WE HAVE SUPPORTED INITIATIVES 301 RANGING FROM ARIZONA TO VERMONT
TO HELP SUPPORT THE DEVELOPMENT 302 OF MEDICAL HOMES ACROSS THE
COUNTRY. 303 THE THIRD AREA OF SUPPORT AND
PREVENTION AND WELLNESS IS BY 304 BRINGING IN OVATION IN THESE
AREAS TO THE MARKETPLACE SUCH AS 305 CREATING ADVANCED TECHNOLOGIES,
WHICH FOCUS ON IDENTIFYING 306 ILLNESS, DECADES BEFORE THEY
OCCUR. 307 IBM SUPPORTS THE NATIONAL
PREVENTION STRATEGY'S GOALS FROM 308 LOSING THE COUNTRY FROM A
HEALTHCARE SYSTEM STRUCTURED 309 AROUND DISEASE TO PREVENTION AND
WELL-BEING. 310 THE OPPORTUNITIES BEFORE US ARE
SIGNIFICANT. 311 THERE IS NUMEROUS CHALLENGES WE
NEED TO OVERCOME TOGETHER. 312 PERHAPS THE MOST FUNDAMENTAL OF
THESE IS TO INTEGRATE PREVENTION 313 AND WELLNESS ACROSS ALL LEVELS
OF HEALTHCARE AND SOCIETY. 314 TOO OFTEN PREVENTION AND
WELLNESS ARE CONSIDERED SEPARATE 315 ISLANDS INSIDE OF THE HEALTHCARE
SYSTEM. 316 SOMETHING THAT IS ONLY THE
RESPONSIBILITY OF PUBLIC HEALTH 317 OR PRIMARY CARE.
PREVENTION AND HEALTH CAN NO 318 LONGER BE CONSIDERED IN A SILOED
FASHION. 319 THEY CANNOT OPERATE SEPARATE
PARTS OF THE SYSTEM. 320 THEY MUST BECOME FUNDAMENTAL
PROPERTIES OF THE SYSTEM ITSELF. 321 IBM LOOKS FORWARD TO CONTINUING
TO MEET THESE CHALLENGES AND TO 322 SUPPORT THE TRANSFORMATION OF
HEALTHY UNITED STATES PREVENTION 323 AND WELLNESS.
THANK YOU VERY MUCH. 324 [APPLAUSE]
>> IT'S WONDERFUL AND AN 325 INSPIRATION AT IBM.
THANK YOU FOR SHARING THAT. 326 I'M GOING TO LIMIT MY OWN
QUESTIONS TO ONE AS I'M LOOKING 327 AT THE TIME.
WE WANT TO MAKE SURE WE HAVE 328 ENOUGH DISCUSSIONS AND QUESTIONS
AFTER. 329 BUT I DO IN LIMITING TO ONE
REQUEST, AND THEN ONE QUESTION. 330 IF YOU HAVE NOT DOCUMENTED THOSE
ADVANCES AND PEER-REVIEWED 331 JOURNALS OR WHATEVER, I THINK IT
IS REALLY GREAT WHAT HAVE YOU 332 DONE TO REALLY REDUCE HEALTHCARE
COSTS BECAUSE THE QUEST IS 333 LEADING TO MY NEXT QUESTION, HOW
CAN WE GET ALL EMPLOYERS, NOT 334 ONLY PRIVATE, NONPROFIT, ALL
EMPLOYERS, HOW CAN YOU GET 335 BUSINESSES AND EMPLOYERS TO BE
MORE ACTIVE IN THIS AREA? 336 SOME GREAT LEADERS AT IBM, IT'S
PRETTY COMPLICATED AS HEALTHCARE 337 COSTS RISE AS THE ECONOMY IS
TIGHT. 338 HOW CAN WE GET PEOPLE TO PARTNER
WITH US TO IMPLEMENT THE 339 STRATEGY?
>> WHEN WE DESCRIBE A CULTURE OF 340 HEALTH AT IBM, ONE OF THE
SPECIFIC DIMENSIONS OF THAT IS 341 WHAT WE DESCRIBED AS CREATING
HEALTHY PEOPLE FOR HIGH 342 PERFORMANCE.
THAT REALLY FOCUSES IN ON HOW DO 343 YOU STRUCTURE WORKFORCE FOR
21st CENTURY ECONOMY IN 344 TERMS OF OVER ALL HEALTH AND
HEALTH STATUS AND PRODUCTIVITY. 345 IBM BELIEVES AN IMPORTANT ASPECT
OF HOW WE OPERATE AS AN 346 ORGANIZATION.
THERE IS THAT INSIGHT INTO WHAT 347 HEALTH AND WELLNESS PROVIDES TO
US AS A COMPANY. 348 I THINK OBVIOUSLY IT TAKES GREAT
LEADERSHIP WHICH WE ARE 349 FORTUNATE TO HAVE AT MANY, MANY
LEVELS THROUGHOUT THE 350 ENTERPRISE.
AND I THINK THAT FOR EMPLOYERS, 351 THERE IS AGAIN, A GROWING BODY
OF RESEARCH LITERATURE AROUND 352 THE BENEFITS OF INVESTING IN
EMPLOYEE WELLNESS PROGRAMS. 353 SO OVERALL, THERE IS MANY
POSITIVE DIMENSIONS TO ADOPTING 354 THESE TYPES OF PROGRAMS AND DAVE
HAS BEEN VERY BENEFICIAL TO US 355 IN OUR EXPERIENCE.
>> THANK YOU. 356 I'LL HOLD MY QUESTIONS BUT ROUND
EVERYONE UP AFTER SO I CAN LEARN 357 AND SHARE WITH EVERYONE.
COLLEEN, WHY DON'T YOU TELL US A 358 LITTLE BIT ABOUT PROJECT UNIFORM
AND SPEAK OF YOUR EMPLOYEES AND 359 HOW THIS WORKS.
>> IT WORKS WITH ME BECAUSE I'M 360 IT.
BUT FIRST I WANTED TO THANK 361 EVERYONE FOR STILL BEING HERE.
AND ALSO JUST THANK YOU FOR THE 362 OPPORTUNITY TO BE A PART OF THIS
EXCITING DAY AND TO TALK ABOUT 363 PROJECT UNIFORM.
I COME FROM A REALLY SMALL 364 NONPROFIT SO THIS A GREAT
OPPORTUNITY. 365 I ALSO WANT TO TAKE A MOMENT TO
THANK THE MEN AND WOMEN WHO ARE 366 CURRENTLY SERVING OR WHO HAVE
SERVED OUR NATION IN THE 367 MILITARY.
I WOULDN'T BE HERE FOR A NUMBER 368 OF REASONS IF IT WEREN'T FOR
YOU. 369 SO THANK YOU.
AS I SAID, MY NAME IS COLLEEN 370 HADE ON FROM PROJECT UNIFORM.
PROJECT UNIFORM WAS BORNE OUT OF 371 A STUDY THAT WAS DONE IN THE
STATE OF CALIFORNIA A FEW YEARS 372 BACK WHERE WE FOUND THAT ACTIVE
DUTY MILITARY MEMBERS LIVE 373 INNING IN CALIFORNIA HAD A
TOBACCO USE RATE TWICE THAT OF 374 OUR ADULT PREVALENCE.
THE STATE OF CALIFORNIA TOBACCO 375 CONTROL PROGRAM BEING THE
INNOVATORS THAT THEY ARE, SAW 376 THIS AS AN OPPORTUNITY TO WORK
WITH A REALLY IMPORTANT 377 POPULATION WITHIN OUR STATE.
WE HAVE A VERY LARGE MILITARY 378 COMMUNITY THERE.
AND THAT IS HOW OUR WORK BEGAN. 379 A COUPLE OF YEARS AGO, WE WERE
ALSO REALLY FORTUNATE TO RECEIVE 380 GRANT FUNDING FROM THE AMERICAN
LEGACY FOUNDATION TO THEN TAKE 381 OUR PROJECT AND THE MODEL AND
EXTEND IT NATIONALLY. 382 SO THAT GIVES US THE OPPORTUNITY
FOR US AS WELL. 383 OUR AIM IS TO CREATE MILITARY
CIVILIAN PARTNERSHIPS AS A MEANS 384 TO ADDRESS TOBACCO USE WITHIN
THE MILITARY COMMUNITIES. 385 AND JUST, I SAY MILITARY
COMMUNITIES BECAUSE ALTHOUGH WE 386 DO VERY MUCH WORK WITH ACTIVE
DUTY SERVICEMEMBERS, WE ALSO 387 WORK WITH THEIR FAMILIES, WE
WORK WITH RESERVISTS AND WORK 388 WITH GUARDS MEN AND WOMEN.
OUR APPROACH HAS BEEN PRETTY 389 MUCH GET IN WHERE YOU FIT IN.
WE INITIALLY STARTED OFF MEETING 390 WITH PEOPLE WHO WOULD MEET WITH
US AND THEN IT JUST BLOSSOMED 391 AND IT'S BECOME A BIGGER PROGRAM
THAN WE EVER ANTICIPATED. 392 THE WORK ON PROVIDING CULTURALLY
APPROPRIATE CESSATION 393 INFORMATION AND TRAINING TO
MILITARY CESSATION PROGRAMS AND 394 THE CULTURALLY APPROPRIATE PART,
YOU'LL HEAR ME MENTION 395 FREQUENTLY BECAUSE IT'S A VERY
IMPORTANT PART WHEN YOU'RE 396 WORKING WITHIN MILITARY
INSTALLATIONS AND ALSO WHEN 397 YOU'RE WORKING WITH MILITARY
SERVICEMEMBERS AS WELL. 398 WE ENCOURAGE NONTRADITIONAL
PARTNER DEVELOPMENT AND THIS IS 399 VERY IMPORTANT BECAUSE SOMETIMES
THERE WILL BE SOME ONE PERSON ON 400 AN INSTALLATION OF 50,000 PEOPLE
AND THAT ONE PERSON IS PROVIDING 401 ALL OF THE TOBACCO CESSATION FOR
ANYONE WHO WANTS IT. 402 WE KNOW MONEY IS TIGHT FOR
EVERYONE. 403 WE REALLY ENCOURAGE
NONTRADITIONAL PARTNERS SO THAT 404 PEOPLE YOU MIGHT NOT NORMALLY
THINK OF COULD BECOME BRIEF 405 INTERVENTIONISTS.
THEY COULD GIVE INFORMATION 406 ABOUT HOW TO GET THE MESSAGE OUT
ABOUT TOBACCO CESSATION AND HOW 407 TOBACCO REALLY DOES AFFECT
READINESS AND ONES ABILITY TO DO 408 ONES JOB.
WE REALLY VERY ACTIVELY 409 COLLABORATE WITH MILITARY
SUPPORT NETWORKS AND THIS IS 410 VITAL.
WHEN SOMEONE IS IN THE MILITARY, 411 IT EFFECTS THEM AND ALL THEIR
FAMILY AND IT'S IMPORTANT TO BE 412 INCLUSIVE OF THOSE FOLKS.
AND THEN POSSIBLY ONE OF THE 413 MOST CHALLENGING PARTS OF MY
JOB, BUT I LOVE IT, IS TO 414 EDUCATE TO THE CIVILIANS ABOUT
CONTROL AND PUBLIC HEALTH 415 PROFESSIONALS AND PERSONNEL, TO
THE CULTURE AND EXISTING 416 SERVICES WITHIN THE ARMED FORCES
OF THE UNITED STATES. 417 THIS IS SOMETHING THAT IS NEAR
AND DEAR TO MY HEART AND IT IS A 418 VERY IMPORTANT PART OF THE WORK
THAT WE DO. 419 AND COLLABORATING WITH SO MANY
PARTNERS. 420 EVERYONE FROM DOD TO INDIVIDUAL
INSTALLATIONS IN CALIFORNIA AND 421 THROUGHOUT THE COUNTRY, TO
WORKING SPECIFICALLY WITH 422 TOBACCO QUIT LINES AND HAVING
THE COUNCILORS AT THAT LEVEL, 423 UNDERSTAND THAT 22-YEAR-OLD WHO
IS GRADUATING FROM COLLEGE AND 424 WHO LIVED IN HIS PARENT'S
BASEMENT FOR THEIR ENTIRE LIFE, 425 MAY BE DIFFERENT THAN A
22-YEAR-OLD FORMER MARINE WHO IS 426 JUST GETTING OUT OF THE MARINE
CORP AND HAD A FEW TOURS OF 427 ACTIVE DUTY AND POSSIBLY IN
COMBAT. 428 IT'S IMPORTANT TO UNDERSTAND
THOSE CULTURAL DIFFERENCES. 429 WE HAVE DONE A LOT OF WORK WITH
THE QUIT LINES. 430 WE HAVE ALSO STARTED
COLLABORATIONS THAT ADDRESS VERY 431 SPECIFIC QUIT MEANS OF STUDENT
VETERANS AND IF YOU ALL HAVEN'T 432 SEEN THAT INCREASE IN YOUR
STATE, GET READY. 433 THE NUMBER OF STUDENT VETERANS
IS IN CREASING DRAMATICALLY. 434 AND WHAT WE HAVE FOUND IS THAT
HEALTH CENTERS ON COLLEGE 435 CAMPUSES ARE HAVING A VERY
DIFFICULT TIME REACHING OUT TO 436 STUDENT VETERANS IN THE WORLD OF
TOBACCO CESSATION AND 437 PREVENTION.
AND IN THE END, THESE 438 COLLABORATIONS WE BELIEVE ARE
GOING TO CREATE THE HEALTHIER 439 ENVIRONMENT AND OFFER TOBACCO
QUIT RESOURCES TO MILITARY 440 COMMUNITIES WHILE ENCOURAGING
CIVILIAN PROGRAMS TO BE 441 INCLUSIVE OF CURRENT AND FORMER
SERVICEMEMBERS. 442 AT THE LOCAL, COMMUNITY AND
STATE LEVELS. 443 MY PARENT ORGANIZATION IS CYAN,
AND WE WORK WITH YOUTH, YOUNG 444 ADULTS AND COLLEGE STUDENTS IN
TOBACCO PREVENTION AND ADVOCACY 445 AND SOCIAL MEDIA.
SO WE JUST BY NATURE, ARE USED 446 TO HAVING AN INTERDISCIPLINARY
APPROACH. 447 SO I'M SO THRILLED AFTER HEARING
EVERYTHING TODAY, THAT EVERYONE, 448 ESPECIALLY NATIONALLY, IS
SUPPORTIVE OF INTERDISCIPLINARY 449 WORK BECAUSE FOR US, AND I KNOW
FOR PROJECT UNIFORM, IT'S THE 450 ONLY WAY WE ARE ABLE TO
SUCCESSFULLY ACCOMPLISH WHAT WE 451 LIKE.
SO THANKS. 452 [APPLAUSE]
>> AND MY TWO OBSERVATION. 453 ONE, AGAIN THE PARTNERSHIPS ARE
KEY. 454 SO WE HEAR IT AGAIN AND AGAIN
AND AS WE OPEN UP THE DISCUSSION 455 LATER, I'D LOVE TO HEAR
DISCUSSION BUSY THAT. 456 I WILL TAKE AWAY THIS PHRASE,
GET IN WHERE YOU FIT IN, WHICH 457 SOUNDS A LOT MORE
STRAIGHTFORWARD THAN 458 OPPORTUNISTIC.
SO I REALLY, I THANK YOU FOR 459 THAT.
IF WE COULD FOR A SECOND TALK 460 ABOUT COMMUNITY-BASED
ORGANIZATIONS. 461 LIKE SMALL BUSINESSES, BUSY WITH
THEIR OWN MISSION. 462 WHAT DO YOU THINK IS THE BEST
WAY THAT WE CAN TAKE OWNERSHIP 463 OF THIS STRATEGY AND THAT WE CAN
PARTNER WITH COMMUNITY-BASED 464 ORGANIZATIONS, ALL OF US, TO
IMPLEMENT ACTIVITIES ALLIANCES 465 AND STRATEGIES?
>> YOU KNOW, I THINK THE BEST 466 THING ANYBODY CAN DO WHEN
WORKING WITH COMMUNITY-BASED 467 ORGANIZATIONS IS TO GET THE
COMMUNITY-BASED ORGANIZATIONS 468 INVOLVED.
A LOT OF TIMES PEOPLE, I INCLUDE 469 MYSELF, YOU THINK, I HAVE GOT
ALL THESE GREAT IDEAS AND I MAY 470 BE HAVE INITIALS AFTER MY NAME.
I'M AN EXPERT IN WHAT I DO. 471 NONE OF THAT REALLY MATTERS A
WHOLE LOT TO SOMEBODY WHO IS IN 472 A COMMUNITY WHO IS IN THE
TRENCHES AND WHO IS LIVING THE 473 REALITY.
SO, YOU HAVE TO KIND OF PUT THAT 474 STUFF ASIDE AND GET DOWN AND GET
PEOPLE INVOLVED IN WHAT YOU'RE 475 DOING.
SO IF YOU HAVE A BOARD, FOR 476 EXAMPLE, WITH PROJECT UNIFORM,
YOU HAVE A BOARD, IT'S IMPORTANT 477 THAT YOU HAVE PEOPLE WHO
REPRESENT THE COMMUNITY YOU'RE 478 WORKING WITH ON YOUR BOARD.
IF YOU'RE TRYING TO WORK WITHIN 479 A COMMUNITY ON ANY OF THE THINGS
MENTIONED IN THE PREVENTION 480 STRATEGY, YOU NEED TO REALLY GET
REAL WITH PEOPLE AND SIT DOWN 481 WITH THEM AND ASK THEM THEIR
OPINION. 482 AND TALK TO THEM ABOUT THE
DOCUMENT AND TALK TO THEM ABOUT 483 WHAT DO THEY THINK?
BECAUSE THEY ARE THE EXPERTS. 484 THEY ARE THERE.
WHAT DO THEY THINK? 485 AND KIND OF START MEET PEOPLE
WHERE THEY ARE AT AND NOT WHERE 486 WE WISH THEY WERE.
THAT'S PROBABLY MY BEST ADVICE. 487 >> AND IT'S GREAT ADVICE.
THANK YOU. 488 THANK YOU VERY MUCH.
I JUST WANT TO SAY, IT'S SUCH A 489 GREAT PANEL OF COMMITTED PEOPLE
WHO HAD TO STEP FROM DIVERSE 490 PLACES.
TO THE Y, IT IS PRETTY BIG. 491 SO LET'S HEAR JONATHAN.
YOU CAN SHARE SOME OF YOUR 492 EXPERIENCES FROM THE LARGER SIDE
OF THE WORLD. 493 >> THANK YOU.
I'M REALLY HUMBLED AND HONORED 494 TO BE HERE TO TALK ABOUT THE
YMCA'S PREVENTION EFFORTS. 495 ABOUT 60% OF U.S. HOUSEHOLD ARE
LOCATED WITHIN 3 MILES OF A 496 YMCA.
SO WE FEEL LIKE WE HAVE AN 497 OPPORTUNITY BUT ALSO A
SIGNIFICANT OBLIGATION TO REALLY 498 STEP UP OUR WORK IN PREVENTION
AND I REALLY APPRECIATE YOUR 499 COMMENTS AT THE BEGINNING WHERE
YOU SAID YOU THOUGHT ABOUT THE Y 500 AND YOU DIDN'T ALWAYS THINK
ABOUT IT AS A PLACE WHERE YOU 501 MAY BE GO FOR PREVENTION.
FOR NEARLY THE LAST DECADE, THE 502 Y HAS REALLY BEEN WORKING HARD
TO REALLY TRANSFORM ITSELF INTO 503 NOT JUST A GREAT FACILITY, BUT A
REAL FORCE IN PUBLIC HEALTH. 504 SO, THAT'S BEEN ON OUR AGENDA
AND I THINK WE HAVE BEEN 505 RELATIVELY QUIET WHEN WE ARE
TRYING TO DO THAT. 506 I WANT TO TALK ABOUT
PARTNERSHIPS BECAUSE THAT'S WHAT 507 I WAS ASKED TO TALK ABOUT.
BUT I REALLY WANT TO TALK ABOUT 508 IT IN TWO BUCKETS.
PARTNERSHIPS THAT RELATE TO WHAT 509 I WOULD DESCRIBE AS
COMMUNITY-FOCUSED EFFORTS OF THE 510 Y.
SO THINGS THAT HAPPEN AT LARGE 511 IN THE COMMUNITY AND THEN THE
SECOND BUCKET IS REALLY AROUND 512 PREVENTION EFFORTS THAT FOCUS ON
INDIVIDUALS AND FAMILIES RELATED 513 TO BEHAVIOR CHANGE.
SO LET ME TALK ABOUT THE 514 PARTNERSHIPS IN THOSE TWO
BUCKETS WITH THE RECOGNITION 515 THAT WE BELIEVE THAT YOU HAVE TO
HAVE BOTH. 516 YOU HAVE TO HAVE THE
COMMUNITY-WIDE EFFORTS TO MAKE 517 THE HEALTHY CHOICES AND EASY
CHOICES. 518 IF YOU JUST HAVE ALL THESE
WALKING TRAILS AND JUST GREAT 519 ZONING LAWS, THAT DOESN'T MEAN
NECESSARILY THAT PEOPLE ARE 520 GOING TO TAKE ADVANTAGE OF THE
OPPORTUNITIES. 521 SO YOU REALLY HAVE TO HAVE TO
YOUR POINT, POLICY AND PROGRAMS. 522 SO, WHEN WE THINK ABOUT
COMMUNITY-WIDE EFFORTS IN TERMS 523 OF THE Y'S PARTNERSHIP, I THINK
WE HAVE BEEN REALLY BLESSED TO 524 BE WORKING WITH THE CDC FOR
ALMOST EIGHT YEARS IN OUR 525 HEALTHIER COMMUNITIES WORK SOME
OF THE WORK YOU HAD MENTIONED 526 EARLIER, THANKS TO THAT
PARTNERSHIP, WE HAVE GOT OVER 527 190 COMMUNITIES AROUND THE
COUNTRY, FOCUSED ON SIX -- IN 528 ADDITION SIX STATES REALLY
FOCUSED ON POLICY SYSTEMS AND 529 ENVIRONMENTAL CHANGE WORK.
AND WE OF COURSE ABLE TO ATTRACT 530 ADDITIONAL FUNDING WITH THE
ROBERT WOOD JOHNSON FOUNDATION 531 AND WE DID SOME ANALYSIS OF THIS
WORK OVER THE PAST FEW YEARS AND 532 WE DOCUMENTED 14,000 POLICY
SYSTEMS AND ENVIRONMENTAL 533 CHANGES IMPACTING 34 MILLION
LIVES. 534 PRY PRIMARILY IN THE AREAS OF
PHYSICAL ACTIVITY, AND HEALTHY 535 EATING AND TOBACCO CESSATION.
AND THE BEAUTY OF THIS IS KNOWN 536 THAT THIS HAPPENED.
RIGHT? 537 IT IS IN THE BACKGROUND.
IT'S POLICY SYSTEMS 538 ENVIRONMENTAL CHANGE WORK AND SO
CHANGES HAVE BEEN MADE AND NOW 539 PEOPLE JUST ARE HAVING MORE
OPPORTUNITIES AND THEY MAY NOT 540 EVEN KNOW ABOUT IT.
SO THE CDC REALLY HAS BEEN AN 541 ABSOLUTE PILLAR FOR US IN OUR
WORK. 542 THE OTHER ONE WHICH IS OR
ANOTHER ONE WHICH FOLKS MAY NOT 543 KNOW ABOUT, MAY SEEM A LITTLE
ATYPICAL, IS WE HAVE BEEN 544 WORKING VERY ACTIVELY WITH THE
DEPARTMENT OF DEFENSE PROVIDING 545 MILITARY FAMILIES AND ACTIVE
DUTY MEN AND WOMEN, MAY BE AND 546 RESPITE CARE SERVICES THROUGH
THE Y. 547 SO MILITARY FAMILIES AS WELL AS
ACTIVE DUTY CAN TAKE ADVANTAGE 548 OF FREE MEMBERSHIPS AT THE Y AS
WELL AS IN OUR CHILD CARE 549 PROGRAMS.
THAT HAS SERVED 44,000 MILITARY 550 FAMILIES AND 68,000 CHILDREN.
AND WE ARE VERY PROUD OF THE 551 WORK WE HAVE BEEN ABLE TO DO
WITH THE DEPARTMENT OF DEFENSE. 552 ANOTHER REALLY COOL PARTNERSHIP
THAT IS RELATED TO THAT IS SOME 553 WORK WE HAVE BEEN DOING WITH THE
SIERRA CLUB AND THE NATIONAL 554 MILITARY FAMILY ASSOCIATION THAT
PROVIDES 7,000 MILITARY CHILDREN 555 THE OPPORTUNITY TO GO TO YMCA
CAMP. 556 AND I'M ABOUT TO GO TO Y CAMP
WITH MY FAMILY NEXT WEEK AND 557 THERE IS NO BETTER, RICHER, MORE
EXCITING EXPERIENCE THAN GOING 558 TO CAMP.
OUR ARMED SERVICES, YMCA WORKED 559 WITH THE NAVY TO HELP SOLVE THE
FITNESS ISSUE BECAUSE MANY FOLKS 560 THAT WERE COMING WERE NOT
PREPARED TO DO THEIR JOB AND SO, 561 WE HAVE BEEN WORKING FOR
INSTANCE WITH THE SEALS TO HELP 562 THEM PASS THEIR FITNESS TESTS
AND THAT WORK HAS HELPED THEM 563 MOVE FROM A PASS RATE OF 34% TO
93%. 564 AND WE ALL LOVE OUR NAVY SEALS.
SO THAT HAS BEEN FABULOUS WORK. 565 WE ALSO HAVE BEEN WORKING WITH
THE COMMUNITY LEVELS WITH THE 566 U.S. DA EXPANDING THE NATIONAL
SUMMER FOOD SERVICE PROGRAM SO 567 THAT KIDS WHO GET HEALTHY MEALS
DURING THE SCHOOL YEAR CAN 568 CONTINUE TO GET THOSE MEALS EVEN
DURING THE SUMMER. 569 AND WE HAVE ALSO WORKED WITH THE
DEPARTMENT OF IN INTERIOR 570 THROUGH THE OUTDOOR ALLIANCE FOR
KIDS REAL TOW GET -- WE HAVE A 571 PHRASE, TO GET THEIR NATURE ON.
TO HELP KIDS GET OUTSIDE AND 572 TAKE ADVANTAGE OF THE OUTDOORS.
I THINK IT WAS JUST LAST WEEK 573 THE ALLIANCE WAS ON THE WHITE
HOUSE LAWN AND THERE WAS A HUGE 574 ROCK CLIMBING WALL.
SO THAT HAS BEEN ABLE TO 575 INFILTRATE THE PUBLIC PERCEPTION
AS WELL. 576 SO THAT'S RELATED TO THE
COMMUNITY. 577 WE ALSO HAVE BEEN WORKING AT THE
INDIVIDUAL AND FAMILY LEVELS 578 WITH A NUMBER OF PARTNERSHIPS.
AGAIN BACK TO CDC, WE HAVE BEEN 579 WORKING VERY INTENSELY WITH THE
CDC. 580 ON THE YMCA DIABETES PREVENTION
PROGRAM, PART OF THE CDC'S 581 NATIONAL DIABETES PREVENTION
PROGRAM. 582 AND WHAT WE REALLY HAVE BEEN
ABLE TO DO IS TAKE AN EVIDENCE 583 BASED PROGRAM THAT NIH PROVED
WORKED, TRANSLATE THAT INTO A 584 COMMUNITY SETTING AND OFFER THE
PROGRAM IN A GROUP-BASED FORMAT 585 AND PREVENT, REDUCE THE RISK OF
PEOPLE DEVELOPING DIABETES BY 586 NEARLY 60%.
WE HAVE BEEN ABLE TO ATTRACT 587 PRIVATE PAYORS SO THAT PAYORS
ARE SUBSIDIZING THIS PROGRAM FOR 588 INSURED AND BEEN ABLE TO ATTRACT
EMPLOYERS PAYING FOR THIS FOR 589 THEIR EMPLOYEES.
IT'S AN EVIDENCE-BASED PROGRAM. 590 THIS PROGRAM HAS BEEN SHOWN TO
ACTUALLY HAVE COST SAVINGS. 591 THE URBAN INSTITUTE ESTIMATED
THAT ABOUT $100 BILLION CAN BE 592 SAVED THROUGH IMPLEMENTING THIS
PROGRAM AND DR. THORPE WAS ABOUT 593 READY TO RELEASE A PAPER SHOWING
STAGGERING NUMBERS RELATED TO 594 MEDICARE.
IT'S ALSO A PERFORMANCE-BASED 595 PROGRAM SO FOR EMPLOYERS OR
INSURERS WHO PAY FOR THEIR 596 PEOPLE, IF THE YMCA DOESN'T GET
RESULTS, MEANING IF THE 597 INDIVIDUAL DOESN'T LOSE WEIGHT,
THE EMPLOYER DOESN'T PAY WHAT 598 THEY WOULD PAY IF THEY ACTUALLY
DIDN'T GET THE RESULTS. 599 SO EVERYONE INTEREST ARE
ALIGNED, PARTICIPANT, EMPLOYER 600 AND THE Y.
WE ARE WORKING ON INJURY 601 PREVENTION WITH THE CDC AND THE
A NUMBER OF PARTNERS AROUND 602 CHILDHOOD OBESITY PREVENTION
PROGRAMS AND WITH THE LIVE 603 STRONG FOUNDATION, FORMERLY THE
LANCE ARMSTRONG FOUNDATION, TO 604 HELP PEOPLE WHO ARE CANCER
SURVIVORS RECLAIM THEIR HEALTH 605 AND WELL-BEING.
AND THE ONE LAST POINT I'D LIKE 606 TO LEAVE IS FOR EVERY ONE OF
THESE PARTNERSHIPS, WE LEVERAGED 607 SIGNIFICANT PRIVATE RESOURCES
CLOSE TO $100 MILLION OVER THE 608 LAST FIVE OR SIX YEARS, THAT
LEVERAGE THESE FEDERAL DOLLARS 609 IN WAYS THAT IF YOU JUST OPERATE
IN THE SILO OF GOVERNMENT, OR 610 JUST IN THE SILO OF THE
COMMUNITY-BASED ORGANIZATION, 611 YOU DON'T HAVE THOSE LEVERAGING
OPPORTUNITIES. 612 SO IF I WERE REALLY GOOD, I'D
GET TO YOU STAND UP AND DO THE 613 YMCA THEME BUT I DON'T HAVE
MUSIC SO I'LL TURN IT BACK TO 614 ANDREW.
>> WELL, AND WE ARE SHORT ON 615 TIME.
SO I WON'T ENCOURAGE TO YOU DO 616 IT.
AND GIVEN TIME, I'LL SKIP TO 617 DR. BARBOT WITH THE LESSON YOU
PROVIDED US IN TERMS OF 618 LEVERAGING PRIVATE DOLLARS.
THERE IS LOTS OF BROAD INTEREST 619 IN HOW TO DO THAT AND ALSO COME
BACK TO YOU TO DISCUSS THE 620 TRANSFORMATION INTO THE Y
BECAUSE AS WE WORK WITH OTHER 621 ORGANIZATIONS TRYING TO LEARN
THOSE LESSONS ON HOW TO FOCUS ON 622 PREVENTION IN A DIFFERENT WAY
THAN PREVIOUSLY WITH THIS 623 HISTORY, WHAT MOTIVATES THAT.
WE CAN TALK ABOUT FOLLOW-UP AND 624 SHOW YOU THAT IMPORTANT
STORY&WHY DON'T YOU TELL US 625 ABOUT YOUR WORK DOCTOR?
>> I WANT TO ECHO SENTIMENTS 626 WHAT AN HONOR IT IS DURING THIS
HIS HISTORIC LAUNCH. 627 I WANT TO COMMEND THE OBAMA
ADMINISTRATION FOR ITS VISIONARY 628 LEADERSHIP IN CODIFYING THE
IMPORTANCE OF REALLY PROMOTING 629 HEALTH ACROSS ALL SECTORS OF
SOCIETY. 630 SO TODAY I'M HERE AS
COMMISSIONER OF BALTIMORE CITY 631 AND REPRESENTING THE NATIONAL
ASSOCIATION OF COUNTY AND CITY 632 HEALTH OFFICIALS, A GROUP THAT
REPRESENTS THE NATION'S MORE 633 THAN 2800 PUBLIC HEALTH
DEPARTMENTS. 634 AND IT'S THE CITY, COUNTY,
METROPOLITAN DISTRICT, TRIBAL 635 DEPARTMENTS THAT WORK EVERY DAY
TO PROTECT THE HEALTH AND 636 WELL-BEING OF PEOPLE IN THEIR
COMMUNITIES. 637 AND WE ALL RECOGNIZE THAT LOCAL
HEALTH DEPARTMENTS ARE ESSENTIAL 638 TO SEEING THAT THE STRATEGIC
DIRECTIONS AND THE PRIORITIES 639 WITHIN THE STRATEGY RESULT
IMPROVED OUTCOMES AND THE 640 CENTRAL HOLE FOR HEALTH
DEPARTMENTS WILL BE DOING WHAT 641 WE DO BEST, WHICH IS EMPHASIZING
PREVENTION AND QUALITY 642 HEALTHCARE EXPANDING ACCESS TO
CARE FOR ALL POPULATIONS AND 643 ENGAGING COMMUNITIES.
SO IN BALTIMORE CITY, WE HAVE 644 TWO NEIGHBORHOODS THAT ARE FIVE
MILES APART AND HAVE LIFE 645 EXPECTANCIES THAT ARE 20 YEARS
APART. 646 AND THEY MAY AS WELL BE WORLDS
APART BECAUSE THEY ARE SOCIO, 647 ECONOMIC, DEMOGRAPHICS ARE SO
DIFFERENT. 648 IT'S STATISTICS LIKE THESE THAT
GIVE URGENCY TO THE WORK THAT WE 649 DO.
AND IT GIVES IMPORTANCE TO 650 HAVING STRATEGY THAT COMMUNITIES
LIKE MINE CAN UTILIZE ACROSS THE 651 COUNTRY.
AND SO IN APRIL, THE MAYOR AND I 652 REVEALED OR ANNOUNCED -- IN MANY
WAYS MIRRORS THE NATIONAL 653 PREVENTION STRATEGY.
HEALTHY BALTIMORE 2015 IS AN 654 AGGRESSIVE PLAN FOR IMPROVING
HEALTH OUTCOMES AND ELIMINATING 655 HEALTH DISPARITIES IN BALTIMORE
CITY. 656 IT HIGHLIGHTS TEN PRIORITY AREAS
FOR ACTION THAT ACCOUNTS FOR THE 657 GREATEST MORBIDITY AND MORTALITY
IN BALTIMORE CITY. 658 AND WITHIN EACH OF THESE TEN
AREAS, WE IDENTIFIED AGGRESSIVE 659 BENCH MARKS FOR IMPROVEMENT
BECAUSE THEY HELP TO SET THE 660 LEVEL OF URGENCY IN ADDRESSING
ONGOING DISPARITIES AND HEALTH 661 INEQUITIES.
AND SO, IN ADDITION TO REPORTING 662 ON CITY-WIDE DATA FOR EACH OF
THE LEADING INDICATORS WITHIN 663 THESE TEN PRIORITY AREAS, WE
ALSO INCLUDE SUBANALYSIS ON 664 DISPARITIES BETWEEN GROUPS, FOR
EXAMPLE, SOME OF THE GREATEST 665 DISPARITIES EXIST BETWEEN RACIAL
GROUPS, BUT WE ALSO FIND THAT 666 SOME OF THE MORE SIGNIFICANT
DISPARITIES ARE BETWEEN GROUPS 667 WHO HAVE DIFFERENCES IN
EDUCATIONAL ATTAINMENT AS WELL 668 AS ECONOMIC ATTAINMENT.
AND SO, THE REASON FOR US DOING 669 THIS IS TO HELP OUR COMMUNITIES
IDENTIFY LEVERAGED POINTS FOR 670 ACTION BECAUSE PART OF HEALTHY
BALTIMORE 2015 IS NOT JUST 671 REVEALING A PLAN AND THROWING
OUT DATA FOR ACADEMIC PURPOSES 672 BUT IT'S TO REALLY ENGAGE
COMMUNITIES AND TO HELP BARRIER 673 SECTORS OUR SOCIETY FIGURE OUT
WHAT YOU -- WHERE YOU FIT IN AND 674 GET TO WORK.
AND SO, THE LEADING INDICATORS 675 THAT WE HAVE CHOSEN GO BEYOND
TRADITIONAL HEALTH MEASURES AND 676 THEY EXPLORE THE ROOT CAUSE THAT
IS TENDS TO DRIVE HEALTH 677 INEQUITIES SUCH AS ACCESS TO
HEALTHY FOODS, LIQUOR OUTLET 678 DENSITY AND VACANT BUILDING
DENSITY. 679 SO THESE ARE SOME OF THE THINGS
THAT OUR CITY IS FOCUSED ON IN 680 TERMS OF REDUCING DISPARITIES.
AND WE ARE ADOPTING A POLICY 681 APPROACH BECAUSE IT IS CLEAR
THAT IN ADDRESSING THESE 682 LONG-STANDING DISPARITIES AND IN
EQUITIES, YOU CAN'T GO ABOUT 683 DOING IT THROUGH A TRADITIONAL
MEDICAL MODEL, NOR THROUGH A 684 TRADITIONAL PUBLIC HEALTH MODEL.
AND SO, AS PART OF HEALTHY 685 BALTIMORE 2015, WE HAVE CONVENED
ACROSS AGENCY HEALTH TASK FORCE 686 WHERE THE MAYOR HAS BASICALLY
DIRECTED EVERY AGENCY TO ASSIGN 687 A SENIOR LEVEL DECISION-MAKER TO
BE AT THE TABLE AND IN 688 COOPERATING HEALTH INTO THEIR
DAILY BUSINESS. 689 SO IT SOUNDS A LOT LIKE WHAT IS
HAPPENING AT THE FEDERAL LEVEL. 690 SO I THINK THAT THERE ARE
OPPORTUNITIES FOR US TO LOOK AT 691 THE MODELS AND ALSO PERHAPS GIVE
SOME FEEDBACK ABOUT WHAT WORKS 692 AND WHAT DOESN'T WORK AT THE
LOCAL LEVEL. 693 AND SO, PART OF THIS PROCESS OF
ENGAGING THE VARIOUS AGENCIES IS 694 TO DOCUMENT WHAT AGENCIES ARE
CURRENTLY DOING IN SERVICE OF 695 HEALTHY BALTIMORE 2015, AS WELL
AS OUTLINING WHAT THEY CAN BE 696 DOING OVER THE COURSE OF THE
NEXT YEAR AND THE NEXT COUPLE OF 697 YEARS IN SERVICE OF HEALTH
BALTIMORE 2015. 698 AND WE ARE WORKING WITH THE
JOHN'S HOPKINS UNIVERSITY 699 BLOOMBERG SCHOOL OF PUBLIC
HEALTH, BLOOMBERG BEING A COMMON 700 NAME HERE FOR US.
AND TO DEVELOP METRICS, 701 EVALUATION METRICS, ABOUT WHAT
DIFFERENCE THIS APPROACH REALLY 702 MAKES.
ARE WE SUCCESSFUL IN GETTING 703 POLICIES CHANGED?
NOT JUST INTERIM BUT POLICIES AT 704 THE CITY, STATE AND FEDERAL
LEVEL. 705 SO, BALTIMORE CITY, WE ARE ALL
ABOUT PUSHING THE ENVELOPE. 706 AND WE CONVENED A SIMILAR GROUP
OF CLINICAL PROVIDERS. 707 AND SO, I THINK ONE OF THE OTHER
THINGS I'D LIKE TO SHARE WITH 708 THE AUDIENCE IS THAT WE ALSO
HAVE EMBARKED ON WHAT I THINK 709 ARE PRETTY INNOVATIVE
PRIVATE-PUBLIC PARTNERSHIPS. 710 AND ONE IN PARTICULAR IS AIMED
AT REDUCING DISPARITIES AND 711 ACCESS TO HEALTHY FOODS.
AND IT'S OUR VIRTUAL SUPERMARKET 712 KNOWN AS BALT MARKET.
AND LET ME GIVE YOU THE SHORT 713 ASPECT.
WE PARTNERED WITH AN INDEPENDENT 714 GROCER WITH THE LIBRARIES, WITH
THE DEPARTMENT OF SOCIAL 715 SERVICES, WITH MIKE WHO IS OUR
ART SCHOOL NATIONALLY RENOWNED 716 ART SCHOOL, AND WE ALL PARTNERED
IN CREATING OPPORTUNITIES WHERE 717 INDIVIDUALS CAN GO TO THEIR
LOCAL LIBRARY. 718 Y.
WE HAVE THREE OF THEM SO FAR. 719 WE ALSO HAVE A SCHOOL.
AND GO ONLINE, DO THEIR FOOD 720 SHOPPING, AND PLAY EITHER BY
CASH, CREDIT OR THEIR EBT CARD. 721 AND SO, WE HAVE WORKED WITH THE
USDA TO REALLY REMOVE BARRIERS 722 ABOUT DOING THIS AT THE LOCAL
LEVEL BUT THE NEXT STEP WILL BE 723 HELPING THE USDA FIGURE OUT HOW
WE CAN REMOVE THAT IF I'M 724 BARRIER AND HAVE EBT PAYMENT
ONLINE AS OPPOSED TO HAVING TO 725 HAVE SOMEONE IN YOUR FACE TO
PAY. 726 SO, I THINK IN THE INTEREST OF
GETTING OR KEEPING IT ON TIME, I 727 JUST WANT TO SAY THAT WE STAND,
BALTIMORE CITY STANDS WITH OTHER 728 LOCAL HEALTH DEPARTMENTS IN
APPLAUDING THE WORK OF THE OBAMA 729 ADMINISTRATION AND WE LOOK
FORWARD TO REALLY BEING INTEGRAL 730 PART OF MOVING THE AGENDA
FORWARD. 731 THANK YOU.
>> THANK YOU VERY MUCH. 732 [APPLAUSE]
S ALWAYS LOVE PUBLIC HEALTH 733 STARTING WITH THE DATA.
AND FIGURING OUT WHAT WE NEED TO 734 LEARN FROM YOU, ONGOING, AND
WE'LL HAVE TIME FOR A FEW 735 QUESTIONS, MAYBE ONE OR TWO IF
PEOPLE FEEL FREE TO COME UP TO 736 THE MIC.
WHAT I'D LOVE TO FOLLOW-UP WITH 737 YOU ON IS HOW TO ENGAGE OTHER
SECTORS IN ADDRESSING HEALTH 738 DISPARITIES.
ONE OF THE CHALLENGES MAYBE FOR 739 AFTER, SO WE CAN TAKE QUESTIONS,
BUT I THINK IT REALLY IS ONE OF 740 THE CHALLENGES IN PUBLIC HEALTH,
A VERY COMMON FOCUS, THE 741 QUESTION IS AS YOU WORK ACROSS
SECTORS AND WORKING ON THIS 742 POLICY.
SO WHY DON'T I LET SOMEONE HAVE 743 THE QUESTION.
INTRODUCE THAT CONCEPT FOR 744 PEOPLE TO THINK ABOUT AND TALK
ABOUT LATER. 745 >> EXCELLENT PANEL.
I'M FROM THE OFFICE MINORITY 746 HEALTH.
I HAVE ONE MAJOR QUESTION. 747 YOU-ALL TALKED ABOUT THE
DIFFERENT INITIATIVES AND I'M 748 IMPRESSED.
I'D LIKE TO KNOW ABOUT WHAT 749 BASELINE DATA MEASURES DO YOU
HAVE TO COMPARE TO WHAT YOU HOPE 750 TO ACCOMPLISH IN TERMS OF
OUTCOMES? 751 AND I WANT TO PREFACE IT BY
SAYING THAT IF YOU'RE NOT 752 FAMILIAR WITH THE HEALTHCARE
REFORM, GET FAMILIAR WITH THE 753 DAY CARE COMPONENT.
WE ARE LOO LOOKING TO COLLECT 754 MORE DATA.
SO YOU CAN INCLUDE THAT IN YOUR 755 DATA COLLECTION IF YOU HAVEN'T
ALREADY. 756 WE ARE REALLY HELPING US OUT.
THANK YOU. 757 >> I COULDN'T AGREE WITH YOU
MORE. 758 IN MY PROGRESSION IN PUBLIC
HEALTH, STARTING OFF WITH THE 759 PEDIATRICIAN ANALYSIS, I HAVE
COME TO LEARN THAT DATA IS KING. 760 AND THERE ARE A MULTITUDE OF
REASONS TO HAVE REALLY GOOD 761 DATA.
AND SO, AS PART OF HEALTHY 762 BALTIMORE 2015, WE TOOK GREAT
PAINS TO HAVE GOOD DATA THAT 763 REFLECTS NOT ONLY TRADITIONAL
PUBLIC HEALTH OUTCOMES BUT THE 764 SOCIAL DETERMINANTS OF HEALTH
AND WE ALSO WORKED ON 765 IDENTIFYING DATA VOICED LIKE
WORKING WITH THE HOPKINS SCHOOL 766 OF PUBLIC HEALTH AND THEIR
CENTER FOR LIVEABLE FUTURE ON 767 DEFINING WHAT GETTING A REALLY
GOOD DEFINITION ABOUT WHAT A 768 FOOD DESERT IS AND HOW IT
EFFECTS OUR COMMUNITIES AND HOW 769 WE EVALUATE SUCCESS IN TERMS OF
GETTING SUPER MARKETS TO OUR 770 COMMUNITIES.
THIS IS BASIC AS THAT. 771 SO I APPLAUD THAT.
THANK YOU. 772 >> ONE LAST QUESTION.
A QUESTION ABOUT BUDGETS. 773 I KNOW, SORRY, CARL, WITH THE
CAM 59 FOR PUBLIC HEALTH 774 FOUNDATION.
I WAS CURIOUS ABOUT BUDGETS. 775 I KNOW THERE IS ABOUT 44,000
JOBS LOST AT THIS STATE AND 776 LOCAL LEVEL FOR HEALTH
DEPARTMENTS ACROSS THE COUNTRY. 777 THE CDC'S BUDGET WAS RECENTLY
CUT BY 11% OR 1.3 BILLION. 778 SOME OF THOSE FUNDS MADE OFF
WITH OTHER AREAS OF FUNDING BUT 779 STILL A MASSIVE CUT TO BUDGET
AUTHORITY AND TALK OF AUSTERITY, 780 LOOKING FORWARD TO 2012 AND
MAYBE ADDITIONAL CUTS HEADED 781 DEPENDING ON TAX REVENUES AND
WHAT NOT. 782 OLDSMOBILE THERE ARE A LOST
THINGS HAPPENING ON THE PANEL 783 FROM VOLUNTEERING AND WORKING
WITH CORPORATE PARTNERS AND WHAT 784 NOT.
COULD YOU TALK A LITTLE BIT 785 ABOUT BUDGETS AND HOW YOUR STATE
OR LOCAL BUDGETS ARE FAIRING AND 786 HOW IMPLEMENTING IS GOING TO
HAPPEN IN PARTNERSHIP WITH THE 787 MEASURES WE ARE LOOKING AT
MOVING FORWARD? 788 >> LET THE STATE HEALTH OFFICIAL
START. 789 >> SO, YOU'RE RIGHT.
STATE BUDGETS HAVE -- OVER THE 790 COURSE OF A NUMBER OF YEARS NOW,
HAVE BEEN TAKING SIGNIFICANT 791 REDUCTIONS.
AND IN MY STATE OF TENNESSEE, WE 792 ARE A NO-INCOME TAX STATE ON TOP
OF THAT. 793 SO WE WENT INTO THE DECLINE
EARLIER THAN THE REST OF THE 794 COUNTRY.
THE WAY WE LOOKED AT OUR BUDGET 795 WERE, WHAT PERHAPS DO WE HAVE
THAT WERE NOT YIELDING ANY 796 RETURN ON INVESTMENT EITHER IN
COST AVOIDANCE OR IN HEALTH 797 OUTCOMES AND WE GOT RID OF THEM
AND THEN WE SET PRIORITIES ON, 798 WHAT ARE THE MOST IMPORTANT
THINGS? 799 WHAT ARE THOSE CORE PROGRAMS
THAT WE HAVE TO KEEP IN PLACE? 800 AND WE HAVE BEEN GOOD FISCAL
STEWARDS OF THE MONEY. 801 THE CURRENT GOVERNOR AND THE
FORMER GOVERNOR BOTH COME FROM A 802 BUSINESS BACKGROUND AND SO, THEY
MADE SOME HARD DECISIONS RELATED 803 TO THE OVERALL BUDGET, THE TOTAL
BUDGET. 804 FOR US, THE NEWEST ROUNDS OF
CUTS, NOT JUST WITH ALL RESPECT 805 TO OUR CDC PARTNERS AT THE SAME
TIME WE ARE GETTING CUTS FROM 806 HERSA, WE ARE GETTING THE SAME
LEVEL OF CUTS PERHAPS FROM ASPR, 807 THE SAME LEVEL OF CUTS FROM LIKE
DEPARTMENT OF HOMELAND SECURITY. 808 SO WHERE IT MAY LOOK LIKE YOU
HAVE A 20% CUT OVER HERE, WHEN 809 YOU MULTIPLY IT ACROSS AN ENTIRE
BUDGET, IT COULD HAVE A 810 SIGNIFICANT IMPACT OF ABOUT 20%
JUST ON THE LAST QUARTER OF THIS 811 FISCAL YEAR.
WHICH CREATES ADDITIONAL JOB 812 LOSSES, PROGRAMS SHUT DOWNS AND
YOU JUST HAVE TO SET YOUR 813 PRIORITIES.
IN THIS NEXT FISCAL YEAR, WE 814 HAVE SOME ONE-TIME MONIES THAT
WILL SHOW UP. 815 THE FOLLOWING YEAR ALL THOSE
WILL GO AWAY. 816 WHICH WILL RESULT IN OUR STATE
IN SEVERAL TENS OF MILLIONS OF 817 DOLLARS INTO OUR STATE-ONLY
DOLLARS THAT WILL BE GOING AWAY. 818 SO I THINK YOU WHAT NEED TO KNOW
IS THAT STATE AND LOCAL PUBLIC 819 HEALTH, ON BEHALF OF ALL MY
COLLEAGUES, AND I AM THE LOCAL 820 HEALTH DEPARTMENT.
EIGHTY-NINE OF OUR 95 COUNTIES. 821 THEY GET UP EVERY DAY.
THEY ARE THE FIRST ONES WHO SHOW 822 UP WHEN THERE IS AN EMERGENCY
AND THEY ARE THE LAST ONES TO 823 LEAVE.
AND WE ARE RELYING ON OUR 824 EMPLOYEES TO BRING US INNOVATIVE
SOLUTIONS. 825 WE DON'T HAVE ALL THE ANSWERS.
BUT AT SOME POINT, THERE HAS GOT 826 TO BE A CRITICAL MASS THAT HAS
TO BE IN PLACE IN ORDER TO 827 CONTINUE TO CARRY OUT THIS WORK.
AND SO WE ARE HOPEFUL THINGS 828 WILL CHANGE.
>> I APPRECIATE -- I'LL LET YOU. 829 I MEAN, JUST BRINGING IT BACK.
IT'S A VERY IMPORTANT QUESTION. 830 OUR FISCAL ENVIRONMENT TODAY AND
BRINGING AS IT RELATES TO THE 831 STRATEGY, AGAIN AS YOU SAID,
YOUR BUDGET MANAGEMENT IS TO 832 FOCUS ON PRIORITIES AND WORK
WITH PARTNERS TO GET THINGS DONE 833 AND THE STRATEGY OF THE DAY AND
ALL OF YOUR EXPERIENCES THAT YOU 834 SHARED AND I THANK YOU VERY MUCH
FOR THAT. 835 REALLY TALKING ABOUT THE IMPACT
AND MAXIMIZING THE VALUE OF 836 FOCUSING ON PRIORITIES AND
WORKING WITH PARTNERS. 837 SO I JUST WANT TO THANK YOU ALL
VERY MUCH. 838 I WANT TO THANK ALL OF YOU FOR
STAYING. 839 IT'S REALLY A HISTORIC DAY WITH
THE RELEASE OF THE NATIONAL 840 PREVENTION STRATEGY AND MAUL MY
COLLEAGUES AT THE FEDERAL 841 GOVERNMENT AND OUR PARTNERS AND
ALL OF YOU, IT'S BEEN WONDERFUL. 842 AND WE LOOK FORWARD TO WORKING
WITH ALL OF YOU. 843 AND I WANT TO AT THE END OF
THIS, EVENT, THANK THE DEDICATED 844 STAFF AT HHS AND CDC WHO WORKED
TOGETHER TO PRODUCE THIS 845 STRATEGY.
[APPLAUSE] 846 IT'S BEEN A REAL TEAM EFFORT AND
THANK YOU ALL FOR COMING. 847 HAVE A GREAT DAY.
848
849