Destination Integration Issue 4 | March 2010
In This Issue: Center Integration Update Moving Forward on Tribal Health Integration Success Stories On the Job On Funding Moving Forward at the Legislature
State government works – at least at this Center “State government works” is the headline we all want to see in bold, 24-point type across the top of the Denver Post. In a teamwork exercise at February’s Center staff meeting, one of the table teams presented this headline as the best way to describe the team approach to this year’s integrated work plan.
To kick off the meeting, DeLeeuw presented a kind of “how we got here” history of the reorganization and integration process that led to this year’s plan. The
The CDC-backed integration pilot began last year and continues through 2013. Lessons learned during the first year were applied to this year’s work plan and include efforts to prioritize strategies, align staff with tactics, develop strategic project plans and “just say no” to work not in the plan. With those lessons learned and incorporated and the work plan largely in place, Andrea Poniers laid out next steps. The newly formed leadership team will work with Human Resources to confirm the new organization and everyone’s place in it. The leadership team will also propose a new meeting structure and review the leads for each work plan tactic to ensure the right person is leading the right tactic and no one lead has too much on his or her plate.
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The Center’s four new branches: Healthy Living Branch, led by Jason Vahling: Supports Coloradans’ policy and environmental choices for healthy living Chronic Disease Branch, led by Sara R. Rodriguez: Supports Coloradans’ screening and management of chronic disease and its risk factors Planning and Resource Development Branch, led by Andrea Poniers: Supports Center branches and partners through communication, health equity and resource development Fiscal Management and Operations Branch, led by Susan Brunofer: Supports Center branches and partners by managing incoming and outgoing financial resources
Center Integration Update
The teamwork exercise, led by Jason Vahling, capped off a series of meetings celebrating the completion of the new work plan. Built brick by brick by every person and program in the Center, the new plan relies on dedicated teams from across the Center to meet its strategic goals aimed at improving the health of Coloradans. “How can we do the most good for the most people most of the time?” asked Center Director Karen DeLeeuw.
process began as a holistic approach to improve health outcomes for Coloradans based on evidence-based best practices. It led to the creation of a separate EPE unit and two centers sharing PSD staff and strategies.
Destination Integration Issue 4 | March 2010
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Moving forward on tribal health Working through his contacts with Ute tribal leaders, the Colorado Commission on Indian Affairs and PSD colleagues, Interagency Prevention Systems Director José Esquibel was instrumental in moving forward the effort to identify and increase prevention services for Southern Colorado’s Ute tribes. Esquibel has served as the CDPHE’s representative on the Indian affairs commission for five years, championing the case for prevention services for tribes facing high rates of obesity and diabetes. In coordination with Ernest House, Jr., former executive secretary of the CCIA, he helped establish and leads the commission’s Health and Wellness Committee. During the past several months, Esquibel gathered information from PSD colleagues on the services and resources available to the tribes. He funneled this information to the tribes, which led to an unprecedented meeting between tribal leaders and
Dear Me campaign: During these times of lean budgets, we must do more with less. As we all know, smoking remains the leading cause of preventable death and disease, and the effects of smoking continue to be the greatest driver of healthcare costs. Limited funds were leveraged to purchase a research-based television campaign that targets low-income Coloradans to quit smoking and call the Colorado Quitline. The commercials, which feature real people reading letters written to themselves about how they want to quit smoking, will run from March through June in Denver, Grand Junction and Colorado Springs.
Tribal leaders hailed the effort that led to agreement on 19 actions to work with CDPHE on tribal health issues. Among other actions, tribal leaders and health directors agreed to formalize the process for working together on health issues, to utilize government to government fund transfers to support tribal health services and to work with the Albuquerque Area Tribal Epidemiology Center on completing community health profiles for the Southern Indian Ute Tribe and the Ute Mountain Ute Tribe. Esquibel credits the integrated effort with moving tribal health issues to the forefront and establishing an ongoing dialogue on how to provide evidence-based prevention services to Colorado’s Ute tribes. “It takes patience,” he said, “but working together, we found a way forward.”
Do you have a success story to share? Have a success story to share about our integration efforts or other success stories that highlight how our work and funds are making a difference in communities across the state? Send it to Dave Brendsel at David.Brendsel@ state.co.us or Karen Phelan at Karen.Phelan@ state.co.us Heart Health Month: Developing a news release for February’s American Heart Month provided an opportunity to work with Marsha Wilde, Eric Aakko and Deb Osborne to include cross-cutting messages related to heart health.
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Please see Success stories on page 3
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Tribal Health | Integration Success
More integration success stories…
health directors, including Jillian Jacobellis (PSD), Lisa Miller (DCEED) and Chris Lindley (EPRD) on Jan. 20.
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Success stories Continued from page 2
Health Communications featured messages about smoking cessation, obesity, nutrition and physical activity in the release, which was distributed Feb.1 and led to a few media placements. Burden of Obesity report: This report became another opportunity to communicate cross-cutting messages and work across Center silos to produce a strong news release which resulted in more than a dozen media placements, including prominent news stories on CBS4 television, KOA and KUNC radio and several Web sites. Karen
DeLeeuw, Eric Aakko and members of the EPE unit along with Health Communications worked together to produce the release. Asian Quitline: Tobacco Cessation, Tobacco Disparities and Health Communications worked with Asian community partners to produce a release announcing the Asian Quitline during the recent Chinese New Year. The new service allows Coloradoâ&#x20AC;&#x2122;s Asian population to receive help to quit smoking in four different languages.
on the Job Jennie Munthali has been appointed to the posi-
On the Job
tion of Senior Fiscal Officer for the Center for Healthy Living and Chronic Disease Prevention. Previously, she worked for one year as a program fiscal officer overseeing STEPP and Oral Health program budgets. Jennie has more than 10 years of professional public health experience, managing programs in the United States and Africa. She is excited to bring her grantmanagement, supervisory, planning and budgeting skills to this expanding role in the Fiscal and Grants Branch.
Genevieve Rowden left the CHLCDP Fiscal and Grants Management Branch to take a position with another state agency.
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Destination Integration Issue 4 | March 2010
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on Funding ARRA grants
Colorado received $2.7 million in American Recovery and Reinvestment Act funds to support smoking cessation, school-based nutrition programs and education on youth access issues. The money came in three Centers for Disease Control grants, which will be managed by Colorado Department of Public Health and Environment programs. The programs will use this money in 2010 and 2011 to support specific initiatives.
Youth nutrition, physical activity and tobacco control - $793,946
In an integrated strategy to promote healthy kids, the STEPP Youth and Young Adult program and COPAN will work together and separately to build awareness and educate statewide community partners and youth advocacy groups on policies to reduce youth access to tobacco and consumption of sodium and sugar-sweetened beverages. COPAN will also work to increase youth physical activity by supporting landuse decisions that ensure access to safe, pedestrianfriendly neighborhoods, parks and trails. COPAN will allocate the funds from this competitive grant program to improve the nutritional quality of school food and reduce the consumption of sugarsweetened drinks and sodium. Working with LiveWell Colorado partners, COPAN will improve operational efficiencies in the purchase and preparation of whole foods in schools, train school food service directors and cooks on procuring and preparing nutritional food and develop model nutritional standards for schools. The program and its coalition will also develop training for city and county planners and
Smoking Cessation - $759,976
STEPP will be using this money to promote and provide quit-smoking services and materials for pregnant women and low-income populations. STEPP will target pregnant women in Colorado QuitLine promotions and enhance QuitLine protocols to allow pregnant women to use the same coach throughout their quit-smoking sessions. The program will also increase outreach to Medicaid providers and participants to encourage QuitLine use.
Colorado Health Foundation, Smart Meal expansion - $866,000
COPAN and Health Communications will work together during the next two years to expand the reach of the Smart Meal and Smart Meal for Kids programs. They will provide promotions, training and incentives to local communities, health agencies and others on the benefits of the programs. They will also market the program to additional restaurants and implement a media campaign to increase consumer demand for Smart Meal and Smart Meal for Kids.
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On Funding
School-based nutrition - $1,198,785
model land-use policies to promote access to locally grown food and creation of community and school gardens.
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Moving forward at the legislature SJR10-010, Declare fiscal emergency:
This resolution would declare a state fiscal emergency to allow the legislature to appropriate Amendment 35 tobacco taxes for health-related expenses replacing General Fund in Medicaid and CHP+ funding.
HB1320, Use of tobacco tax:
This house bill expands the purposes for which tobacco taxes can be used. It would take $42.7 million from the Health Care Expansion Fund and $1.1 million from the Health Disparities Grant Program to pay for services in the Childrenâ&#x20AC;&#x2122;s Basic Health Plan and Colorado Medicaid Assistance Program. The bill is close to being passed by the legislature.
SB10-106, Food Systems Advisory Council:
This Senate bill would create a 17-member council to research food systems studies and best practice to develop and recommend policies that government, business, agriculture and consumers can use to build robust, sustainable food economies. The bill has been introduced and is scheduled for the Senate Appropriations Committee.
SB10-081, Farm-to-school Interagency Task Force:
This Senate bill would work in tandem with SB10-106 to create a task force to develop a state farm-to-school program that promotes the consumption of locally grown, nutritious food. It has been passed by the Senate and assigned to the House Education Committee.
Legislative Update
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