1 New Tools and Approaches to Promoting Healthy Communities WORLD CONGRESS ON ENVIRONMENTAL HEALTH Vancouver, BC, September 8, 2010
2 About Us Public health officials across Canada have taken notice of the links between health and the built environment, and have to started to take action. However, there have been few attempts to unite these efforts under a strategic, integrated network of analysis and action.
3 About Us In summer, 2009 we came together to address this gap:
4 Our goals Together, we are: 1) Piloting different approaches to translating the latest research in this field into state-ofthe-art tools to support policy-makers and practitioners in creating healthier built environments. 2) Exchanging knowledge, lessons learned and looking for opportunities to adapt practices from one city or region to another. 3) Cultivating the building of a cross-sectoral community of practice.
5 Description of Projects under our CLASP initiative
6 Heart and Stroke Foundation Activities Shaping Active, Healthy Communities Workshop Guide & Template Powerpoint Presentation
7 Heart and Stroke Foundation Activities Built Environment Research Synthesis & Dissemination
8 Activities in the Region of Peel Developing the content and criteria for a health background study to be implemented at the municipal and/or regional levels: The framework will be developed with input from: Municipal planners Regional planners Local developers Public health staff
9 Activities in the Region of Peel Working with municipal and regional planning departments to develop processes and policies that would facilitate the implementation of a Healthy Development Index tool: Potential areas for policy change include: Municipal and Regional Official Plans Municipal and Regional Master Plans Selected Secondary Plans Zoning bylaw standards Traffic bylaws Urban design guidelines
10 Activities in the Region of Peel Regional Official Plan amendment 24 (adopted April 2010): The Region will work with the area municipalities to: 1) Raise awareness of the public health issues related to planning through public and private partnerships; and 2) Prepare an assessment tool to evaluate the public health impacts of developments as part of the approval process Regional Official Plan amendment 25 (adopted February 2010): The Region may: 1) Require health impact studies as part of the development application process; and 2) Develop public health indicators to analyze the effectiveness of the Official Plan s policies and serve as a basis for policy adjustments.
11 Activities in Montreal Inventorying, mapping and evaluating community-based interventions to promote greener, more walkable neighbourhoods: Produce a map of the location of the different interventions Conduct a survey of citizen and community groups; Administrate environmental walkability audits of the different neighbourhoods; Conduct interviews with key informants; Examine the associations between the extent of implementation of different interventions and citizen and community mobilisation around green neighbourhoods.
12 Activities in Toronto Urban Environments & Health Inequalities Report The Toronto Specific Report will: Explore relationships between socio- economic status, health outcomes, and the urban built environment in the City of Toronto Complement initiative already being undertaken by the Canadian Institute for Health Information (CIHI) Provide new information about how socioeconomic and health relationships are modified by the urban physical environment
13 Activities in Toronto Software Tool Dr. Lawrence Frank of Urban Design 4 Health, LTD. (UD4H) will enhance a publicly accessible, already developed software tool (I-PLACE3S) Software tool can be used to evaluate the extent to which proposed land use and transportation options promote or hinder health Enhanced software tool will be built on Toronto-specific geo-coded data Pilot tests will take place in Greater Toronto and Metro Vancouver.
14 Activities in Toronto Residential Preferences Survey Purpose: to document demand for various types of residential community environments ranging from walkable to more auto - oriented environments in Greater Toronto and Vancouver regions.
15 Activities in BC Working with local governments to support them in integrating a health lens to their community planning projects and policies. Internal capacity building, organizational learning and strategic planning.
16 Fraser Health Authority Structure Responsibility for healthy built environment work shared between Health Protection and Primary Care (Healthy Living/Healthy Community) with the support of the Office of the Medical Health Officer Healthy Living/Health Protection Healthier Community Partnerships Population Health Focus Community Development Approach Health Protection Recent Healthy Built Environment core program review HBE strategy development Review of community plans, neighbourhood concept plans Healthy Canada by Design is supporting this transition
17 Fraser Health Authority 1) Building Internal Capacity Activities Create info briefs on key issues for health & built environment for municipalities & Fraser Health reference library for future HBE work Develop & implement an internal workshop to build Health Authorities s skills, capacity and roles in healthy built environment
18 Fraser Health Authority 2) Developing Capacity to work with Municipalities Develop a map that indicates which departments, when, and how Fraser Health can become involved in planning and decision-making processes, to contribute to policy development and decision making that supports positive health outcomes and rationale Participate in the current Official Community Plan and Neighbourhood Community Plan update process, (a) working relationship, (b) gain expertise, (c) inform development of the plans Activities
19 Fraser Health Authority Collaboration with Vancouver Coastal Health and Metro Vancouver knowledge exchange project that will link researchers, planners, health authorities and others Vision: To enable, support, and maintain the development of healthy, low-carbon, and equitable communities across British Columbia s Lower Mainland. Objectives: Encourage the development of multi-scale tools and policies around healthy, sustainable land use and transportation planning. Enable knowledge translation and exchange between cross-disciplinary stakeholders. Identify opportunities, constraints, and gaps within related and pertinent research, practice and resources and provide support for collaborative work and projects. Activities
20 Fraser Health Authority Sustainability Structure Healthy Community Partnerships Health Protection Expertise Content Process Core Program Ongoing programmatic development and review
21 Fraser Health Authority Barriers Municipalities Downloading of responsibility to municipalities Potentially increased costs of development Health Authorities Resources Unclear role of HA in HBE Facilitators Education/advocacy Supportive structures Human resources Tools Cross ministerial coordination and support Lessons Learned
22 Vancouver Coastal Health Structure Population Health Team: Reports to the Chief Medical Health Officer Works with a variety of partner organizations to influence the creation of healthy public policies that support the health and well-being of our communities.
23 Vancouver Coastal Health VCH Population Health Team in context: Structure
24 Vancouver Coastal Health 1) District of North Vancouver Official Community Plan Memorandum of Understanding with District of North Vancouver Health input and influence in each step of the plan-making process Involvement with different audiences - municipal staff, community contributed health information - Medical Health Officer keynote speaker - participated in creating the vision Health info and relevance was included in planning context papers & discussions with stakeholder groups Activities Further involvement to come as the process unfolds!
25 Vancouver Coastal Health Activities 2) Supporting Richmond s review of the City s Official Community Plan Medical Health Officer call to participation in the planning process (news article, etc.) Public health perspective on public input and key issues in the plan - for reference on the City s website discussion forum for the plan: LetsTALKrichmond.ca Co facilitated a planning policy session with local social service agencies Our participation is evolving with the planning process
26 Joint Project VCH & FH Activities Vancouver Coastal Health and Fraser Health have provided advice on the Regional Growth Strategy land use health outcomes Knowledge exchange project that will link researchers, planners, health authorities and others (mentioned by Fraser Health earlier)
27 Vancouver Coastal Health Sustainability How to sustain over the longer-term? 4 strategies 1. Leadership 2. Partnership 3. Advocacy 4. Policy development
28 Vancouver Coastal Health Lessons Learned Different audiences: elected, public and professional staff (planners). We need to strategically determine the time for each. The scope of feedback is challenging. What are our most important key messages? Communities are using environmental lens. We are adding health and equity. The Public values health. How to best work with that?
29 Vancouver Island Health Authority Structure
30 Vancouver Island Health Authority Structure
31 Vancouver Island Health Authority Activities Meeting with Municipal Planners March 24, 2010: Planners already have a good understanding of healthy built environments Planners need help finding/interpreting scientific evidence Planners were interested in learning more about air quality and health Planners were interested in exploring opportunities to improve the built environment through the Hospital Campus Master Plan.
32 Main Objective: To document successes and challenges of the Patient Care Centre and Hospital Campus Master Plan. Method: Semi-structured interviews of stakeholders. Activities in BC : Vancouver Island Health Authority Activities Project #1: Putting health back into Health Care Facility Planning Outputs: A set of considerations for future health care facility and campus development. Strengthened relationships with municipal/regional government staff and community partners.
33 Vancouver Island Health Authority Activities Project #2: Incorporating Air Quality and Health into Transportation Planning & Greenhouse Gas (GHG) Reduction Strategies Objectives: Teach planners how to incorporate air quality and health evidence into transportation planning and GHG management. Build and strengthen relationships with planners, air quality experts, and others. Method: Air Pollution, Greenhouse Gases, and Population Health: Local Planning Implications and Actions Workshop Propose a method for on-going collaboration between health and planning
34 Vancouver Island Health Authority Project #2 cont d Outputs: Workshop presentations and discussion notes Greater understanding and depth of knowledge about intersection between air quality, transportation planning, GHG reduction strategies, and health. Terms of reference for collaborative group of planners and health professionals.
35 Vancouver Island Health Authority Sustainability Build/strengthen relationships for ongoing collaboration with municipal and regional planning staff. Formalize mode/structure for collaborative work between planning and health. Continue to support regional government where necessary and when possible (e.g., Feedback on Regional Sustainability Strategy)
36 Vancouver Island Health Authority Lessons Learned Many planners understand healthy built environment principles. Health could help by providing the evidence to help them rationalize and strengthen their policy recommendations to politicians and the public. Planners have a strong interest in working with health on healthy built environment issues, but are unsure about how we can work together. External groups find it difficult to navigate the health authority, and don t know what services or expertise are available. Likewise, health doesn t always know how to navigate regional governments or what expertise is available. Provincial and federal government staff are interested in opportunities to work with the health authorities as well as local and regional governments on healthy built environment issues.
37 Vancouver Island Health Authority Lessons Learned The acute care culture, which drives the development of acute health care facilities, is not always respectful of the general community development approaches often used to create healthy built environments. Health has tended to approach healthy built environment issues as an expert instead of a participant we sometimes forget that we also help shape the built environment. In general, health authorities aren t used to mitigating the diverse demands of the many external groups which is a central part of healthy built environment.
38 Thanks to our funders! Production of this presentation has been made possible through a financial contribution from Health Canada, through the Canadian Partnership Against Cancer. The views expressed in this presentation represent the views of Healthy Canada by Design and do not necessarily represent the views of the project funder.
39 Keep in touch! Alice Miro Project Manager, CLASP Initiative, Built Environment and Health Responsable de projet, initiative CPAS, environnement bâti et santé Heart and Stroke Foundation of Canada Fondation des maladies du cœur du Canada Cel: SEE WHAT HAPPENS WHEN YOU PUT YOUR HEART INTO IT TOUT EST POSSIBLE QUAND ON Y MET DU CŒUR
Case Study: Population and Public Health Program of the BC Provincial Health Services Authority i Wayne Foster and Christopher Wilson. Originally published in Illustrations in Public Health of a More Collaborative
BCNPHA Resources for Non-Profit Housing Providers April 12, 2011 Expression of Interest, Partnering and Housing Needs Workshop Presentation by Margaret Eberle, BCNPHA Acting Research Director Jim Woodward,
A C T C A N A D A 1 I D E A S I N M O T I O N Mobilizing Knowledge on Active Transportation BUILDING CAPACITY: Active Transportation Information and Promotion February 5, 2015 12:00 Welcome and Overview
A Seat at the Table: Resource Guide for Local Governments to Promote Food Secure Communities How It Started In June 2008, the Provincial Health Services Authority, Union of BC Municipalities, and BC Healthy
CANADA S COOLEST CITIES Calgary & CMA Cool Factor: imaginecalgary Sustainable Energy Solutions Canada s Coolest Cities looked at the question: What are Canada s large cities doing to encourage low-carbon
Background Enhancing Pan-Canadian Performance Reporting at CIHI Many countries are now regularly releasing public reports on the performance of their health system, with an increased emphasis on measuring
EMERGENCY MANAGEMENT BRITISH COLUMBIA A STRATEGY TO ADVANCE SUPPORT FOR LOCAL AUTHORITY EMERGENCY MANAGEMENT PROGRAMS OCTOBER 14, 2015 1 MESSAGE FROM THE ASSISTANT DEPUTY MINISTER I am pleased to introduce
Public Health Association of BC CORE AND TECHNICAL COMPETENCIES FOR PUBLIC HEALTH IN BC Final Report December, 2008 Funding Provided by: This publication was produced by PHABC with funding from the Public
PARKING INITIATIVES Attachment I Corridor Program Descriptions Corridor Program Pilot Though the Corridor Program will officially launch in the fall, this summer, The City will pilot the first phase of
B.C.- Alberta Social Economy Research Alliance (BALTA) Project A6 Fraser Valley Social Economy Research Required Information A. Title of project: The Fraser Valley 1 social economy with reference to affordable
February 2006 Towards a POPULATION HEALTH PROMOTION APPROACH A Framework and Recommendations for Action EXECUTIVE SUMMARY Population health is an approach to health that aims to improve the health of the
CAPITAL PROJECT PLAN CLINICAL AND SYSTEMS TRANSFORMATION PROJECT AUGUST 14, 2013 1. Project Background The primary purpose of the Clinical and Systems Transformation (CST) Project is to establish a common
Performance Measurement and Reporting in Primary Care June 2016 General Uses of Performance Measurement Practice Quality Improvement Pay for Performance Reporting and Accountability Research to Improve
Maidstone Local Strategic Partnership Draft Communications Strategy (amended October 2009) Introduction The purpose of this strategy is to effectively communicate the aims and achievements of the Maidstone
Insights and Lessons Learned From the PHC VRS Prototype Our Vision Better data. Better decisions. Healthier Canadians. Our Mandate To lead the development and maintenance of comprehensive and integrated
Title Consultation Process to Determine Priority Information Needs for the Canadian Multiple Sclerosis Monitoring System Subtitle Summary of Feedback From Participating CMSMS Advisory Committee Members
The Sustainable Campus: A Comparison of Comprehensive Sustainability Policies in the Campus Master Plans of the University of Guelph and Queen s University A report submitted to the School of Urban and
STRATEGIC COMMUNICATION PLAN Our City s Vision, Mission, Values Vision A growing, world-class community bringing talent, technology and a great northern lifestyle together. Mission We provide excellent
Population Health Data and Measurement for Health System Planning and Policy Making Dr. Cory Neudorf Assistant Professor, University of Saskatchewan Chief Medical Health Officer, Saskatoon Health Region
March 2015 Table of Contents Introduction... 4 CIHI Overview... 5 Our Plans... 6 Goal 1: Improve the comprehensiveness, quality and availability of data... 7 Goal 2: Support population health and health
PROMs and PREMs at CIHI Measuring Patient-Centered Care Calgary, Alberta November 27, 2014 1 Agenda CIHI Background PREMs and PROMs Overview CIHI s Role in Patient Reported Measures CPERS (PREMs) at CIHI
Project Work Plan Template Goal: The essence of this outcome is to facilitate, demonstrate and implement climate smart protection and restoration planning to enhance the resiliency of the Bay watershed
Academic Health Science Systems The British Columbia Context Presenters: Dr. Rob Liston Executive Associate Dean, UBC Faculty of Medicine Carl Roy Executive Vice President & Chief Administrative Officer
Cost of Police Education and Learning in Canada Rachel Huggins Public Safety Canada September 2013 RDIMS 917369 The results summarized herein reflect the analysis of the author and the nature of the data
Transport Canada s Departmental Sustainable Development Strategy 2012 2013 Reporting Update 1 For more information, please visit Transport Canada s website at http://www.tc.gc.ca/eng/policy/acs-sd-dsds-2615.htm
CAMCD s Medical Cannabis Dispensary Certification Pilot Program Baseline Data Summary Report Prepared by : Rielle Capler, Kim Crosby, Zach Walsh on behalf of the SEED Project November, 2014 Contact: email@example.com
Central coast regional district integrated strategic plan 2015 2019 Adopted & Endorsed: March 12, 2015 FOREWORD The Central Coast Regional District is very appreciative and grateful for all participation,
Tripartite First Nations Health Plan Between The First Nations Leadership Council Representing the BC Assembly of First Nations, the First Nations Summit and the Union of BC Indian Chiefs And Government
United Nations FCCC/SBI/2012/L.47 Distr.: Limited 1 December 2012 Original: English Subsidiary Body for Implementation Thirty-seventh session Doha, 26 November to 1 December 2012 Agenda item 14 Article
The Bangkok Charter for Health Promotion in a Globalized World Introduction Scope The Bangkok Charter identifies actions, commitments and pledges required to address the determinants of health in a globalized
MedIT Strategic Plan 2010 2013 Mission: To support excellence in health education, research, and service with innovative and sustainable technology solutions. The UBC Faculty of Medicine and MedIT work
The Montréal Public Health Department s approach to reducing public health impacts of the built environment Alberta Health Services Speakers Series Direction de santé publique Richard Lessard, director
LGLA Certificate Program Application Form Please note: The information on this form is collected for the purposes of awarding a certificate to recognize the completion of educational courses provided by
END OF LIFE PROGRAM PRIORITIES UPDATE June 2014 Island Health End of Life Program Priorities Update 2014 Page 1 Background: Every year, approximately 6,000 people die of natural causes on Vancouver Island.
Balochistan Partnerships for Sustainable Development Gender Action Plan PAKISTAN PROGRAMME 1. Introduction The Balochistan Partnerships for Sustainable Development (BPSD), a six-year (2007-2013) programme
A Discussion on the Approaches to Affecting Development 1. Using projects to effect immediate change: a discussion on Project Management 2. The Evolution from Projects to Multi-country Frameworks 3. Measuring
CHAPTER 0. EXECUTIVE SUMMARY NATMAP 2050 SYNOPSIS UPDATE DRAFT REPORT / EXECUTIVE SUMMARY PAGE 0-1 NATMAP 2050 offers a national transport system for South Africa that PAGE 0-2 NATMAP 2050 SYNOPSIS UPDATE
Green Marine: A Voluntary Environmental Program for the Marine Industry May 2013 Introductions Ray Johnston President Green Marine Management Corp. David Bolduc Executive Director Green Marine Management
1. Planning and Heritage This theme is examining the current built form, policy framework and zoning in the Study Area to help inform the larger Revitalization Initiative. Staff will bring forward recommendations
The Working on Wellness Project Canadian Public Health Association Conference May 27, 2014 Fionna Blackman Project Manager Working on Wellness Canadian Cancer Society, BC & Yukon WoW is made possible through
Educational Tools & Resources for Family Caregivers Resource Guides and Handbooks Websites Tele-workshops and workshops Self-care Resources Communicating with Family Members Care Plans Hospice and Palliative
Manager, Corporate Planning & Reporting BC Oil & Gas Commission, Victoria Applied Leadership Office of the Commissioner - Corporate Affairs The Manager, Corporate Planning & Reporting is responsible for
Population Health Research Strategy 2012-2015 Population Health Division ACT Health 1. Foreword The shift in policy direction towards prevention and early intervention, and the associated funding for preventive
The samples provided are not complete log books submissions and should not be taken as a representation of an applicant s fulfilled demonstration of responsible professional planning experience. Sample
PROJECT MANAGER (P.4) PROJECT COORDINATION UNIT, IMO-EC PROJECT ON CAPACITY BUILDING FOR CLIMATE MITIGATION IN THE MARITIME INDUSTRY, MARINE ENVIRONMENT DIVISION Circular letter No: 3621 Vacancy announcement:
Info Source Sources of Federal Government and Employee Information 2015 Vancouver Fraser Port Authority Table of Contents Introduction to Info Source General Information Background Responsibilities Institutional
This Carbon Neutral Plan will guide the District of 100 Mile House decision making process in terms of reducing corporate energy consumption and greenhouse gas emissions and in achieving carbon neutrality.
Educating for Practice Using collaborative leadership to improve health education and practice Institute of Medicine Global Forum on Innovation in Health Professional Education November 29 th, 2012 Sarita
Registered Nurse: Alternative Careers A guide for newcomers to British Columbia Contents 1. Registered Nurse: Alternative Careers... 2 2. Employment Outlook... 6 3. Retraining... 7 4. Searching for Jobs...
Challenges and Barriers to Community Participation in Policy Development Rural Communities Impacting Policy 2002 Challenges and Barriers to Community Participation in Policy Development Prepared by Steven
EMERGENCY COMMUNICATIONS SERVICE DELIVERY IN BRITISH COLUMBIA Police Communication Centres and 911 Public Safety Answering Points STRATEGIC VISION SUMMARY OF CONSULTATION COMMENTS JULY 2015 Copyright 2015,
The State of Health Equity in Ontario Dennis Raphael, PhD Introduction Working towards health equity is about creating the circumstances where avoidable differences or inequalities in health that is health
The Fire-Rescue Plan 2012 2015 A Community Driven Future Endorsed by the Mayor and Council of the City of Richmond, March 2012 Table of Contents Executive Summary... 3 Alignment with Corporate Vision...3
UNITED NATIONS Framework Convention on Climate Change Distr. GENERAL FCCC/CP/1995/7/Add.1 6 June 1995 Original: ENGLISH CONFERENCE OF THE PARTIES First session Berlin, 28 March - 7 April 1995 REPORT OF
Healthy Families BC Communities Initiative Vancouver Island Local Government Consultations Feedback Summary May 2012 Healthy Families BC Communities Initiative Vancouver Island Local Government Consultations
Core Competencies for Public Health Professionals Revisions Adopted: May 2010 Available from: http://www.phf.org/programs/corecompetencies A collaborative activity of the Centers for Disease Control and
POLICIES AND REGULATIONS Policy #54 EQUITY AND INCLUSIVE EDUCATION Statement The Peel District School Board is committed to providing and maintaining safe and healthy environments conducive to learning
Advancing the field: Developing a Framework for Chronic Condition Self-management Support Sue Mills, PhD, Teresa Brady, PhD, Peter Sargious, MD, Shabnam Ziabakhsh, PhD, Janaki Jayanthan, MPH(c) May 2011
Best practice in lung cancer care: Lung cancer demonstration project Lung Summit 14th November 2014 Caroline Nehill General Manager, Service Development and Clinical Practice Building the foundation Building
HEALTHY COMMUNITIES Legislative Comparison Surve y Report DECEMBER 2013 Prepared by: Production of this report has been made possible through a financial contribution from Health Canada, through the Canadian
1 P a g e PROVINCIAL ABORIGINAL LHIN REPORT 2013/2014 HIGHLIGHTS 1 Place Photo Here, 2 P a g e MOVING FORWARD: A COLLABORATIVE APPROACH INTRODUCTION Over the past year, the Local Health Integration Networks
Leadership for Change Flying Squad Program Review and New Approach to Organizational Development September 19, 2013 Bringing the arts to life Contents I. What is the purpose of this Context Document?...
BS, MS, DNP and PhD in Nursing Competencies The competencies arise from the understanding of nursing as a theory-guided, evidenced -based discipline. Graduates from the curriculum are expected to possess
How does a community weigh the benefits and liabilities of change driven by demand for land use? Tim Pringle explains what Settlement in Balance with Ecology means Published on the Water Bucket Website
Vancouver s Housing and Homelessness Strategy 2012-2021 A home for everyone A home for everyone Vancouver s Housing and Homelessness Strategy 2012-2021 Prepared by Context Ltd. June 2011 ACKNOWLEDGEMENTS:
Primary Health Care Evaluation Framewo Alberta Health Primary Health Care Evaluation Framework Primary Health Care Branch November 2013 Primary Health Care Evaluation Framework, Primary Health Care Branch,
www.ncdalliance.org NCD ALLIANCE PLAN for the UNITED NATIONS HIGH LEVEL SUMMIT ON NON-COMMUNICABLE DISEASES (Summary Version) EXECUTIVE SUMMARY On 13th May 2010, the United Nations, led by Caribbean Community
POLICY SECTION: SUB-SECTION: POLICY NAME: POLICY NO: Board of Trustees Director Performance Appraisal: Director of Education H.C.06 Date Approved: September 26, 2013 Date of Next Review: September 2015
CapacityDevelopment RESOURCE GUIDE DATA ANALYSIS AND USE July 2014 The s highlight the key technical areas of expertise needed to effectively influence health policy design, implementation, and monitoring
WHAT WORKS IN INNOVATION AND EDUCATION IMPROVING TEACHING AND LEARNING FOR ADULTS WITH BASIC SKILL NEEDS THROUGH FORMATIVE ASSESSMENT STUDY OUTLINE The OECD s Centre for Educational Research and Innovation
Educating for a Comprehensive Nursing System: An Action Framework for Nursing Education in British Columbia Prepared by: Nursing Education Council of BC March 2008 Background The Nursing Education Council
Health and active transportation: an inventory of municipal data collection and needs in the Lower Mainland of B.C. Erna van Balen, MSc, MPhil Meghan Winters, PhD Acknowledgements We would like to thank
PROJECT SUMMARY Enhancing Capacity for a Palliative Approach in Rural Nursing: Educational Innovations for Nurses and Healthcare Assistants January 31, 2015 Team Members Researcher Co-Leader Barbara Pesut,
CARNA - Uniquely RN Members respond to help identify what makes RNs unique and valuable to healthcare in Alberta. RNs have expressed that their role is not always understood by colleagues, employers and