Take Care New York 2016: An Agenda for Healthier New York City

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1 Take Care New York 2016: An Agenda for Healthier New York City Presentation to the Health Committee of Community Board 6 Camellia Mortezazadeh, MPH, Executive Director, Take Care New York and Ewel Napier, Director Community Partnerships Office of External Affairs New York City Department of Health and Mental Hygiene January 28, 2014

2 Take Care New York: A History City-wide strategy with identified priorities and goals Initially launched in 2004 with ambitious and measurable goals in 10 areas to prioritize action Take Care New York 2012 launched in Over five-years we achieved: Progress in 32/42 indicators (76%) Goals met or exceeded in 17/42 indicators (40%) Life expectancy at an all-time high and infant mortality rates at an all-time low

3 Best-Practice Sharing Across Jurisdictions

4 Life Expectancy Among New Yorkers at All-Time High

5 Life Expectancy at Birth by Race/Ethnicity in NYC Hispanic Increased 2.2 years to 81.9 Life Expectancy at Birth in Years White, non-hispanic Black, non-hispanic Increased 3.2 years to 81.4 Increased 3.8 years to Year December 04, 2012 Bureau of Vital Statistics New York City Department of Health and Mental Hygiene

6 Strategies for Success Policies Government or organizational policy changes that shape the broader environment in ways that affect health Prevention, Quality and Access Initiatives focused on the delivery of high-quality, coordinated preventive health services or on changing the accessibility of products or facilities that affect health Health Promotion Initiatives that inform, educate and engage New Yorkers in improving their health Partnership engagement in all strategies is critical to meeting our goals

7 Focusing our City-wide Priorities: Factors that Affect Health Counseling and Education Quality and expanded access to care Health Promotion Long-lasting protective interventions Prevention, Quality, Access Largest Impact Changing the context - environmental, economic and social conditions to make the healthy choice the easy choice Socioeconomic Factors Policy Adapted from: Frieden T. A framework for public health action: the health impact pyramid. Am J Public Health. 2010;100:590 5

8 Example: Strategic Approaches to Smoking Prevention in NYC, Percent of adults % 21.5% 21.7% 3-yr average 3-yr average 3-yr average 21.5% NYC and NYS tax increases 19.2% Smoke-free workplaces Free patch programs start Hard-hitting media campaigns 18.3% 18.9% 17.5% 16.9% NYS tax increase Federal tax increase 15.8%15.8% NYS tax increase 14.0% 14.8% Source: New NYC York Community City Health Survey

9 Development of the Preliminary Agenda Planning began in 2012, with goal of improving the health status of all New Yorkers through strengthened and sustained collaborations Assessment of latest data on leading causes of death and disease in NYC Borough-wide listening sessions to gather feedback, reports available online at:

10 Data Informed Process: Leading Causes of Death among New Yorkers, 2011

11 Top Preventable Risk Factors Among New Yorkers Risk Factors Smoking Overweight-Obesity (High BMI) High Blood Pressure High Blood Glucose Physical Inactivity High LDL Cholesterol Alcohol Use High Dietary Sodium (salt) High Dietary Trans Fatty Acids Low dietary Omega - 3 Fatty Acids Low Intake of Fruits, Vegetables *(Avg , among NYC adults, years Deaths

12 Take Care New York 2016: Ten Priority Areas for Intervention 35 indicators total tracked in Take Care New York Including 10 Children and Youth indicators One core indicator per priority area

13 TCNY Aligns with New York State and National Prevention Strategy New York State Prevention Agenda Priorities Take Care New York Priorities 1. Prevent Chronic Diseases 1. Tobacco-Free Living, 2. Healthy Eating, 3. Active Living, 4. Heart Health, 10. Quality Preventive Care 2. Promote a Healthy and Safe Environment 9. Healthy Indoor and Outdoor Air, Children and Youth Agenda Active Living Injury and Violence Free Living 3. Promote Healthy Women, Infants, and Children 4. Promote Mental Health and Prevent Substance Abuse 5. Prevent HIV, STDs, Vaccine- Preventable Diseases, and Health- Care Associated Infections Children and Youth Agenda 6. Promote Mental Health, 7. Reduce Alcohol and Substance Abuse 5. HIV Prevention, 8. Prevent and Treat Cancer Tobacco Free Living Preventing Drug Abuse and Excessive Alcohol Use Reproductive and Sexual Health Mental and Emotional Well Being Healthy Eating

14 10 Core Indicators 1. Adults who currently smoke 6. Outpatient visits for mental health within 30 days of hospital discharge 2. Adults who consume one or more SSBs per day 7. Unintentional and accidental overdose rates 3. Adults who are physically inactive 8. Colonoscopy screening rates 4. Premature Deaths from Major CVD 9. Levels of fine particulates in outdoor air 5. Viral Suppression among all HIV- Infected adults in care 10. Ambulatory care sensitive hospitalizations

15 Select Indicators for CB 6 TCNY Indicators NYC UHF 304/307 - Upper East Side/ Gramercy (10010, 10016, 10017, 10021, 10022, 10028, 10044, 10065, 10075, 10128, 10162, 10165, 10170, 10171) 1. Current Smoker 15.5% 13.4% 2. SSB consumption (1 or more per day) 28.2% 11.6% 3. Physical Inactivity 22.2% 14.3% 7. Binge Drinking Rates 19.6% 29.5% 8. Colon Cancer Screening among adults % 77.6% 10. Adults who did not get needed medical care 11.1% 7.0% Other Flu vaccination 51.6% 59.9%

16 New Feature of 2016 : A Focus on Neighborhood Poverty TCNY 2016 tracks selected health measures both citywide and among New Yorkers residing in highpoverty neighborhoods

17 New Feature of 2016: A Focus on Children and Youth Across the Lifespan Birth Childhood Adolescence Adulthood Breastfeeding Childhood Immunizations Asthma Obesity Prevention Mental Health Pregnancy Prevention Mental Health HPV Vaccination Smoking & Binge Drinking Prevention Violence Prevention

18 Opportunities for Engagement: Interventions for Partners (IFPs) DOHMH developed over 70 achievable, measurable actions partners can implement to advance TCNY goals Range in difficulty Corresponding NYC Health resources and tools to help organizations implement and assess progress. Online at nyc.gov/health/tcny for review

19

20 Engagement Tools and Strategies Ewel Napier, Director of Community Partnerships Office of External Affairs New York City Department of Health and Mental Hygiene January 28, 2014

21 Moving Forward on 2016 Agenda: Partnerships Critical to Success Engagement among 600+ partners across the city City agencies, community and faith-based organizations, providers, insurers and businesses all of a role in making NYC healthier

22 Tools for Engagement Launching January 2014

23 Partner Portal Preview

24 Shared Events Among Partners

25 Partner Search By Priority Area and IFPs

26 Additional Events for 2014 Quarterly partner symposiums Quarterly briefs, by issue area Best practices and case studies of Partners in Action... And more!

27 Questions and Further Information Please visit the Take Care New York page at: Questions? Camellia Mortezazadeh at or Ewel Napier

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