Allison J Smith, MPA Michelle Burcin, PhD, MPH, MCHES #HealthyCampus



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Allison J Smith, MPA Manager of Public Health Initiatives and Assessment, New York University Chair, Health Campus 2020 Coalition, American College Health Association Assistant Director, National College Depression Partnership allison.smith@nyu.edu Michelle Burcin, PhD, MPH, MCHES Program Director, UG Programs, School of Health Sciences, Walden University Immediate Past Chair, Health Campus 2020 Coalition, American College Health Association michelle.burcin@waldenu.edu

1. Describe Healthy Campus 2020 principles and action model for achieving improved population-level improvements 2. Discuss strategies for communicating to key stakeholders the value of investing in effective public health interventions on college and university campuses

Perla RJ, Bradbury E, Gunther-Murphy C. Large-scale initiatives in healthcare: a scan of the literature. J Healthc Qual. 2013;35(1):30 40. doi: 10.1111/j.1945-1474.2011.00164.x

Motivation Foundation Aim Nature of the intervention / initiative Nature of the social system Network building (communication and support) McCannon CJ, Schall MW, Perla RJ. Planning for Scale: A Guide for Designing Large-Scale Improvement Initiatives. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2008. (Available on www.ihi.org)

Comprehensive sets of national health objectives (US Health & Human Services) Designed to measure progress over time Public tools and resources

... further improvements in the health of the American people can and will be achieved - not alone through increased medical care and greater health expenditures - but through a renewed national commitment to efforts designed to prevent disease and to promote health.... and.... the potential to reduce these tragic and avoidable deaths lies less with improved medical care than with better Federal, State, and local actions to foster more careful behavior, and provide safer environments. Healthy People: The Surgeon General s Report on Health Promotion and Disease Prevention (1979)..., it has become clear that individual health is closely linked to community health - the health of the community and environment in which individuals live, work, and play. Healthy People 2010 (2000)

George Brown, University of Alabama (NIRSA/NASPA) Michelle Burcin, Walden University (ACHA) Cynthia Burwell, Norfolk State University (ACHA) Jim Grizzell, CSU-Pomona (ACHA, NASPA) Katie Vatalaro Hill, Virginia Commonwealth University (ACHA) Jacque Hamilton, Texas A & M- Corpus Christi (NIRSA) Allison Smith, New York University (ACHA) Sara Stahlman, UNC- Chapel Hill (ACPA) Eric Stein, Stanford University (NIRSA) Ann Quinn-Zobeck, The BACCHUS Network

Background Recruitment of other partners Formation of writing work group o Face-to-face meetings Monthly calls Healthy Campus 2020 Coalition Feedback from Healthy Campus 2020 Survey and ACHA 2010 and 2011 Annual Meeting presentations Compromising/Collaborating/Hard decisions Final Product Web-based (flexibility) Data-sources

Healthy People Healthy Campus 1990 226 N/A 2000 319 134 2010 969 178 2020 1,200 75 12

Multi-disciplinary working/writing group Web-based format Academic Impact specific objectives Inclusion of faculty/staff objectives All objectives linked to data sources (e.g. measurable) Three formats for objectives: Web-based Excel Spreadsheet Word Document Inclusion of action model to guide implementation with corresponding worksheets (the how to sheets)

Campus communities in which all members live long, healthy lives.

Overarching goals: Create social and physical environments that promote good health for all. Support efforts to increase academic success, productivity, student and faculty/staff retention, and life-long learning. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of the entire campus community. Promote quality of life, healthy development, and positive health behaviors.

Student Objectives (54 objectives) Academic Impediments (5 objectives) Family Planning (3 objectives) Health Communication/Health Information Technology (10 objectives) Immunization and Infectious Diseases (6 objectives) Injury and Violence Prevention (9 objectives) Mental Health and Mental Disorders (4 objectives) Nutrition and Weight Status (3 objectives) Physical Activity/Fitness (2 objectives) STD and HIV (5 objectives) Substance Abuse (4 objectives) Tobacco Use (3 objectives) Faculty and Staff (21 objectives) Nutrition and Weight Status (10 objectives) Physical Activity/Fitness (3 objectives) Stress Management (2 objectives) Tobacco Use (3 objectives) Miscellaneous (3 objectives)

ACHA-NCHA II Spring 2010 (baseline) ACHA CY 2010 Pap and STI Survey Core Alcohol and Other Drug Survey CDC National Immunization Survey

To enhance the organization s expertise and voice on health objective issues at the national level. To be a mechanism for the exchange of information, resources, and tools to determine priority health issues topics. To provide a framework for achieving national objectives. To participate in national, regional, state and local activities that support health objectives related to campus-community health. To identify and disseminate best practices addressing priority health topics. To provide continuing education and professional development across higher education.

1. Expand advocacy to facilitate campuses across higher education in achieving Healthy Campus 2020 goals 2. Increase the capability and capacity of higher education professionals to lead effective Healthy Campus initiatives 3. Create a community of Healthy Campus leaders

Advocacy Tips PowerPoint Template Promotion of Pledge Social Media Media Kit Congratulations letter Posters Internal press releases Web badge

Healthy Campus 2020 (group) bit.ly/hc2020-linkedin ACHAHealthyCampus ACHAHC2020

Healthy Campus 2020 is a framework to support campuses in improving the health of their students, staff, and faculty Measurable, data driven objectives Strategy and tools to achieve targets 29

1. A network of people working toward a common vision 2. Priority health needs of your community 3. A plan with strategies and action steps 4. Community- and individual-focused interventions 5. Tracking progress

Benefits of Taking the Pledge 1. National visibility for our work 2. Listed on the ACHA Healthy Campus website 3. Exclusive tools 4. Opportunities to: Work collaboratively with other campuses Showcase our campus efforts

No 18% Yes 82%

Mobilize Assess Plan Implement Track Does your institution have a multidisciplinary coalition, committee, or task force (whose membership is beyond student health and wellness services)? Has your institution assessed both the needs and resources of your campus, and set priorities based on this assessment? Has your institution developed a campus-wide plan with goals, objectives, targets, and action steps to improve student and/or faculty/staff behaviors? Has your institution implemented population-level, evidence-based policies, programs, or health communication strategies? Does your institution track data-driven outcomes to monitor progress and to motivate, guide, and focus action? Yes % 90 81 64 72 95

6% 22% Students Only Combined faculty, staff, students Other 72%

% Health Impediments to Academic Performance 82 Health Communication/Health IT/ECBP 27 Injury and Violence Prevention 59 Mental Health and Mental Disorders 100 Nutrition and Weight Status 77 Physical Activity and Fitness 81 Sexually Transmitted Diseases and HIV 50 Family Planning 18 Substance Abuse 73 Tobacco Use 68 Immunization and Infectious Disease 50 Other 32

Nutrition and Weight Status 86 Physical Activity/Fitness 86 Stress Management 78 Tobacco 71 Seasonal Influenza Vaccination 50 % Other (please describe): finances, stress, very rich EAP service, resilience, sleep; yearly Physicals and screenings 29

% A campus-wide coalition or taskforce 83 Student Health Services Administration 50 Health Promotion or Wellness Department 38 Human Resources Department 22 Vice President for Student Affairs 63 Provost or Academic Affairs 16 Board of Governors 11 President or Chancellor 38 Other (please describe): 11

% Grant(s) 50 Operational budget, designated allocation of funds 23 Operational budget, not-designated allocation of funds 45 Other 18

ACHA-NCHA II 68 Core Alcohol and Drug Survey 27 Healthy Minds 5 Patient records/ehr data 50 Pap Test and STI Survey 27 Self-developed instrument 36 Other: NSSE; Undergraduate Student Survey; EBI Survey; Attitudes and Perceptions of Tobacco ; Everfi My institution does not track population-level, data-driven STUDENT outcomes % 27 5

Unsure 5% Insurance claims data 70 % Yes 45% Health Risk Appraisal 70 Self-developed instrument 50 Standardized Instrument(s) 10 No 50% Other: Absenteeism, Campus Engagement Survey, Program Participation, Program Satisfaction 20

Stakeholders perceptions of what defines healthy More than physical activity and runny noses How to frame goals to stakeholders not about the SHS/Recreation but ENTIRE campus Where to get started People like to brainstorm, not talk about indicators and evaluate evidence-base solutions Implementation of actions Prioritizing ideas Who is going to do the work Organizational Structure

Healthy Campus 2020 (group) bit.ly/hc2020-linkedin ACHAHealthyCampus ACHAHC2020