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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Lloyd Michener, MD, Susan D. Epstein, MPA, Michelle Lyn, MBA, MHA, and Maggie Sauer, MS. Department of Community and Family Medicine, Duke University Medical Center, DUMC 2910, Durham, NC 27710
Seven of every ten Americans die from chronic diseases. In addition to their impact on mortality, these conditions result in premature disability, diminished functional status and lessened quality of life as well as accounting for more 60 percent of total medical care expenditures. The three health behaviors of physical inactivity, poor nutrition, and tobacco use underlie 80% of all chronic diseases.
Given the high prevalence of poor nutrition, physical inactivity, obesity, and smoking in North Carolina, and the even higher prevalence among its minority and low-income residents, Kate B. Reynolds Charitable Trust developed a $10 million initiative focusing on the critical core health behaviors that cause premature and avoidable illness, diminished quality of life, and premature death. The initiative represents a culmination of input from critical stakeholders statewide, review of chronic disease intervention/policy locally and nationally, and substantive discussion of how such an initiative could be sustained. The result was a five-year commitment by the Trust to fund community-based projects demonstrating community commitment, partnerships and strong indicators for sustainability. The Department of Community and Family Medicine,Duke University Medical Center was contracted by the Trust to manage the initiative. An Advisory Board was constructed to provide guidance to the Management Team. After a series of technical assistance/training sessions and a competitive application process, 16 projects were selected statewide, representing coalitions that include churches, schools, municipalities, public health departments, hospitals, and the NC Department of Public Health. This discussion will focus on the strategies utilized to launch the initiative and its relationship to state and national trends.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to
Keywords: Community Health Planning, Chronic Diseases
Related Web page: KBRSELFimprove.mc.duke.edu
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.