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HomeMy WebLinkAboutStaff Report 2.A 03/16/2009CITY OF PETALUMA, CALIFORNIA AGENDA BILL Agenda Title: Resolution Endorsing the Goals of Health Action and Supporting Community Walking. 2.A March 16, 2009 Meetine Date: March 16, 2009 Meetine Time: ® 7:00 PM Categorv: ❑ Presentation ® Consent Calendar ❑ Public Hearing ❑ Unfinished Business ❑ New Business Department: City Manager Cost of Proposal: n/a Amount Budgeted: Director: Contact Person: Phone Number: John C. Brown John C. Brown 778-4345 Name of Fund: Account Number: Recommendation: It is recommended that the City Council take the following action: Approve resolution endorsing the goals of Health Action and supporting community walking. Summary Statement: Health Action is a council of community leaders, convened by Sonoma County's Department of Health Services, whose mission is to improve health and health care in Sonoma County. Representatives from each city, as well as other community members, participate on the Health Action Council, which has a goal to engage the community in a dialogue about health issues and solutions and to develop and implement collaborative recommendations to promote and protect community health. Dr. Mary Maddux - Gonzalez, the county's Public Health officer, is making the presentation before Council in an effort to engage the community in this effort. Health Action is sponsoring a countywide iWALKSonoma initiative and hopes to enlist City Councilmembers to become local 'action heroes' to encourage community walking and physical activity to Petaluma residents. Other suggested ways to support the iWALKSononm initiative include: • Sponsor and promote monthly "city walks" led by mayor and other city council members • City council members or other community leaders can volunteer as adult walking leaders for a weekly "Walking School Bus." A walking school bus is a group of children walking to school with one or more adults • Support Safe Routes to School programs to enable and encourage more children to safely walk and bicycle to school • Parks and recreation programming and services to support walking • Support worksite wellness walking program for city employees Attachments to Agenda Packet Item: 1. Health Action's 3020 Visions for Sononna County: Action Plan (2009-2012) 2. Resolution Reviewed by Admin. Svcs. Dir: Reviewed by City Attornev: Anprov[_ye—d—by� C i ty Manager: d6w' IG�Iti1. Date': _D/3/oq Date: Date: Rev. # Date Last Revised: File: Action Plan (2009-2012) November 2008 1. Background In August 2007, the Sonoma County Board of Supervisors authorized the Department of Health Services to convene a health action council (now called "Health Action") to work on improving health and health care for all Sonoma County residents. Health Action's over- arching mission is community health improvement. Building on the interest and commitment of many community leaders, the Department of Health Services has recruited and convened a diverse, multidisciplinary group to identify priority health and health care issues and to develop specific recommendations on local approaches to promote the health of our community and improve the health care delivery system. Over the past year Health Action assessed data on health issues impacting Sonoma County, created a shared vision for community health improvement that is based on the multiple determinants of health, developed criteria for focusing its efforts, developed an initial set of health improvement strategies, received input on these strategies from the community, and has begun the process of developing implementation plans. Health Action members and partners engaged through the planning and community outreach process will work together to create the agreements and secure the resources necessary to implement specific projects beginning in the spring of 2009. This Action Plan presents the recommendations developed by Health Action during its first year. First, it presents a vision for a healthy Sonoma County and identifies specific goals that will serve as a framework to build upon the efforts of the many agencies and organizations in our community that are working toward common health improvement goals. Second, it presents Health Action's initial health improvement agenda, called Priorities for Action, which represents first steps for focused and effective local action. Finally, this plan calls for development of a funding strategy to identify adequate and sustainable resources for investments in community health in Sonoma County. 2. 2020 Vision for Sonoma County s nn that-Sdnoma County W l be the )rnia It will be a healthy dace to lave, . Nh'eT people Thrive and acti�eve tt►e�r For many people in Sonoma County, the basic conditions that support health and well-being seem to be out of reach. Many families struggle to make ends meet and over 25% of our youth do not graduate from high school on time, thus reducing their chances of becoming productive and healthy adults. Sedentary lifestyles and unhealthy eating contribute to increasing levels of obesity and overweight in our community, yet many residents lack access to affordable healthy foods and opportunities for physical activity. Other unhealthy behaviors, such as tobacco use and substance abuse, and lack of access to health care services further contribute to preventable illness and death in our community each year. To achieve our 2020 vision, Sonoma County must address key social, economic, and environmental determinants of health, must support healthy behaviors and lifestyles, and must assure access to quality health care services. To move aggressively in this direction, Health Action drew upon existing research to identify the following 10 health goals that would significantly contribute to improved health status in Sonoma County. For each of these goals, Health Action has set ambitious targets to help align community efforts and to help assess our progress (Table 1). See Appendix 1 for information on the methodology for selecting indicators and data sources. Health Action will stimulate and support steps that individuals, health care providers, businesses, and community organizations can take help reach our ambitious goals by 2020. Goals and Tarqets By the year 2020, we envision the following: • Sonoma County youth graduate from high-school on time • Sonoma County families have the economic resources to make ends meet • Sonoma County residents are connected to their communities and participate in community life • Sonoma County residents eat healthy food • Sonoma County residents are physically active • Sonoma County residents do not abuse alcohol or prescription drugs and do not use tobacco or illicit drugs • Sonoma County residents enjoy good mental health • Sonoma County residents take steps to prevent injury • Sonoma County residents have health care coverage • Sonoma County residents are connected with a trusted source of prevention-focusec primary care Table 1: A 2020 Vision for Sonoma County - Goals and Targets Sonoma County youth graduate • Reduce rate of deaths due to motor vehicle collisions (deaths per 100,000) Increase proportion of Sonoma County 9`" graders that graduate from high school 4 years later 90016 72016 from high school 1.0 Increase the proportion of Sonoma County 4'h graders that are proficient or advanced in 90% 61% 416 811 English language arts Increase proportion of persons under age 65 with health insurance 100% Sonoma County families have the health care coveraqe Increase proportion of Sonoma County residents that live in households above 300% of the 75% 61% economic resources to make ends Increase proportion of Sonoma County residents with a usual source of care federal poverty level 93% connected with a trusted source of meet 90% Decrease proportion of renters who spend 30% or more of household income on rent 25% 52% Sonoma County residents are connected to their communities Increase in percent of eligible voters that are registered to vote 90% 71% and participate in community life (Additional indicators to be developed) Sonoma County residents eat Increase proportion of Sonoma County residents who eat 5 or more fruits or vegetables/day 75% 56% healthy food Decrease the proportion of Sonoma County adults that are obese 15% 24% Sonoma County residents are Increase the proportion of Sonoma County adults who engage regularly, preferably daily, in 50% 38% physically active moderate or vigorous physical activity • Increase proportion of 7°i graders that achieve the Healthy Fitness Zone for all 6 areas of the 75% 35% annual California physical fitness test • Increase proportion of adolescents and children who walked, biked, or skated to or from school 50% 22% in the past week Sonoma County residents do not Increase proportion of adolescents (ages 12-17) not using alcohol or any illicit drug during the 90% 55% abuse alcohol or prescription past the past 30 days drugs and do not use tobacco or Reduce proportion of adults binge drinking alcoholic beverages during past 30 days 6% 20% illicit drugs Decrease proportion of adults smoking a cigarette in past 30 days 10% 13% Sonoma County residents enjoy Increase proportion of adults who report needing help for mental/emotional problems who saw 75% 50% good mental health a mental health professional • Eliminate suicide deaths for Sonoma County youth, age 10-24 (annual number) 0 6 Sonoma County residents take • Reduce rate of deaths due to motor vehicle collisions (deaths per 100,000) 9.2 11.7 steps to prevent injury • Reduce rate of pedestrian deaths (per 100,000) 1.0 1.4 • Reduce rate of hip fractures due to falls for women aqes 65+ (per 100,000) 416 811 Sonoma County residents have Increase proportion of persons under age 65 with health insurance 100% 85% health care coveraqe Sonoma County residents are Increase proportion of Sonoma County residents with a usual source of care 96% 93% connected with a trusted source of Increase proportion of Sonoma County children who have a dental visit within the past year 90% 83% prevention -focused primary care (Additional indicators to be developed) LS \ Guidino Principles to Achieve our 2020 Vision The following principles are intended to guide the development and implementation of an effective action agenda for Health Action's 2020 Vision for Sonoma County. Recognize that health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity: Our efforts must embrace the multiple determinants of health and support the health and healthy development for people of all ages over the lifespan. This includes nurturing vital connections between community members to reduce stigma and isolation. Maximize impact by focusing on prevention and primary care: Taking action to avoid or remove the root causes of health problems will help us focus our efforts and resources "upstream" where they have the greatest potential for community health promotion and improvement. Identify and build partnerships: The entire community shares responsibility for improving the health and health care of Sonoma County. Long-term improvements in community health will require the involvement of individuals, employers, local government, health care providers, health insurers, community-based organizations, schools, faith community, and others. Promote evidence -based interventions and evaluation: We base our interventions on what has been proven to work. Health Action is designed to promote best practices known to improve health, based upon the best available scientific evidence. For each health improvement priority, we will create a series of benchmarks for measuring and tracking improvements in the health of the county. Prioritize populations in greatest need: Many health problems are experienced in varying degrees among people in different neighborhoods, income levels, age groups, and racial/ethnic groups. Recognizing that some communities and populations are in greater need and potentially have the most to gain from public health and health care services than others, Health Action prioritizes its efforts where there is greatest potential to increase quality and years of healthy life and eliminate health disparities. Address policy barriers: A wide range of community and health care system conditions are barriers to health, health care access, and optimal use of preventive services. To address those, Health Action provides a framework for a local, state, and federal policy agenda with legislative, regulatory, and administrative proposals to improve health. Identify adequate and sustainable resources for community health improvement: A dedicated and sustainable effort toward community health improvement will require a paradigm shift in how health system resources are invested. Stable funding for health improvement initiatives is needed to support lasting, systemic changes that can address the broad determinants of health. Health Action provides leadership to identify strategies and mechanisms for meaningful and sustainable investments in community health promotion and improvement. 3. Priorities for Action Health Action's 2020 Vision will serve as a long-term guide for community health improvement efforts in Sonoma County. Many local groups and organizations are already working on these issues and the 2020 Vision will help align these efforts and increase awareness and support for these issues in the community. In the short-term (2009-2012), Health Action has developed Priorities for Action, which represent first steps and strategies for the following 3 initial goal areas: • Sonoma County residents eat healthy foods • Sonoma County residents are physically active • Sonoma County residents are connected with a trusted source of prevention -focused primary care. Health Action will focus its initial health improvement agenda on these 3 goals because they are seen as an opportunity to engage and mobilize a very broad cross-section of individuals and communities throughout the county, while also stimulating changes in the health care delivery system to address the significant and growing health problems (such as obesity and diabetes) caused by unhealthy eating and sedentary lifestyles. Focusing on these initial goal areas will offer significant opportunities to engage the entire community in health improvement efforts and to leverage local resources and energy to improve individual and community health. Two task forces with community experts in these topics were convened from April through September 2008 to develop specific strategies to achieve these 3 goals. A Community Health Task Force focused on community conditions that contribute to unhealthy eating and sedentary lifestyles and developed recommendations for improvement. A Health Care Delivery System Task Force focused on identifying potential improvements to the health care delivery system to support healthy eating and physical activity. The task forces worked collaboratively to: • Assess community's health needs in these areas • Assess existing community and health system barriers/conditions that prevent or hinder health improvement in these areas • Identify potential community partners • Research best/promising practices • Look for opportunities to support existing efforts or create new local initiatives to fill the gaps • Develop specific goals, objectives, and strategies to address identified barriers and achieve specific outcomes The task forces drafted short-term strategies, called Priorities for Action, to facilitate focused and effective local action over the next 3 years (2009-2012). These draft strategies were discussed in 21 community meetings across Sonoma County during the summer of 2008 and feedback from the community will be incorporated into the final strategies and work plans to be developed during the implementation planning phase of this project. Appendix 2 provides a complete listing of the proposed strategies developed by the task forces. Figure 1 presents a visual representation of the proposed goals, objectives and expected outcomes. Figure 1: Priorities for Action — Goals, Objectives and Expected Outcomes We Expect These Steps ... """""'"""" "" "" ""' """"' "' To Achieve These Results... GOALS Objectives Short-term and intermediate outcomes LONG-TERM OUTCOMES Strengthen and support a culture of active, healthy livinq • Engage and mobilize entire community in a communitywide campaign • Social marketing campaign designed and to support a culture of active, healthy living implemented • Residents and community -.A organizations engaged in • Engage and mobilize community organizations, business leaders, r • Public of all ages engaged in grassroots campaign culture of healthy living policymakers, and other partners to support Health Action's vision and efforts action agenda marketing campaign • Core partnerships created in community • Identify areas and populations with limited access to affordable healthy food • Access to affordable healthy food assessed and desired • Increased consumption of fruits Increase and identify opportunities to improve access changes identified • Increase purchase ordistribution points for affordable fresh fruits and • Community policies and programs in place lead to and vegetables consumption of vegetables im roved access to affordable, quality food for underserved i ' Decrease in proportion of healthy food r " p g y residents who are overweight • Increase availability of healthy food in schools areas and populations. • Increase availability of healthy food during the work day School and worksite policies and programs in place to or obese • Increase availability of affordable healthy food for seniors and others with improve healthy food options limited access Increase School and worksite policies and programs in place to • Increased proportion of physical activity Increase opportunities for physical activity before, during and after school increase opportunities for physical activity residents who participate in for all residents • Increase opportunities for physical activity before, during and after work �� s„ Community policies and programs in place lead to regular physical activity =s • Engage entire community in communitywide efforts to support regular improved opportunities for physical activity ONwalking, biking, and physical activity Community policies and programs in place to support • Increase in number of trips regular walking and biking made by bike or walking • Increase in proportion who Connect _-A • Identify and support opportunities to expand primary care capacity and Medical home pilot projects implemented report a regular source of residents to Wte., ..'"' access to a medical home Pilot projects address selected capacity issues health care .g trusted source of Increase public awareness of importance of regular, preventive primary care � Local health workers trained to support healthy living °Improved health outcomes for prevention- and motivate community members to seek that connection Importance of primary cam recognized in community those connected to a medical focused primary Connect residents with community health promotion resources Residents have access to health promotion resources home care Identify and advocate for enhanced funding for primary care Funding opportunities for primary care identified 4. Resource Development In order to carry out the strategic initiatives identified in the Priorities for Action and the 2020 Vision, it is necessary to identify adequate and sustainable resources for investments in community health in Sonoma County. A dedicated and sustainable effort toward community health improvement will require a paradigm shift in how health system resources are invested. Research has demonstrated that substantial amounts could be saved on health care costs if we invest strategically in community-based disease prevention'. Health Action recognizes that stable funding for health improvement initiatives is needed to support lasting, systemic changes that can address the broad determinants of health. In order to carry out the strategic initiatives identified in this report, Health Action will provide leadership to identify strategies and mechanisms for meaningful and sustainable investments in community health promotion and improvement. Toward this end, Health Action will: 1. Develop a diverse funding strategy with community partners to identify funding opportunities for identified short-term strategic initiatives. 2. Explore the options for development of longer-term resources for a sustained community investment in health promotion and disease prevention. 'Trust for America's Health, Prevention for a Healthier America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities, Issue Report, July 2008, www.healthvamericans.ora GT iI Acknowledgements Thank you to the many individuals listed below who participated in vigorous dialogue over the past year about the many challenges and opportunities for improving the health of Sonoma County residents. Health Action Members Tim Smith, Sonoma County Board of Supervisors, co-chair Rita Scardaci, Sonoma County Department of Health Services (DHS), co-chair Bob Anderson, Executive Director, United Winegrowers for Sonoma County of Sonoma Jane Bender, Santa Rosa City Council Oscar Chavez, Executive Director, Community Action Partnership Judy Coffee, Senior Vice President, Kaiser Permanente Stanley Cohen, Sonoma City Council Mike Cohill, CEO, Sutter Medical Center of Santa Rosa Walter Collins, President & CEO, United Way Sonoma -Mendocino -Lake Terry Davis, Community Volunteer Nancy Dobbs, CEO, KRCB Television and Radio Brad Drexler, MD, Sonoma County Medical Association Jerry Dunn, Assistant Director, Human Services Department Heather Foote, Political and Community Support Coordinator, SEIU-UHW Naomi Fuchs, CEO, Southwest Community Health Center Bo Greaves, MD, President, Primary Care Associates Judy House, CEO, PsychStrategies Pat Kilkenny, Principal, Kilkenny Advisors Bruce Kyse, Publisher & CEO, Santa Rosa Press Democrat Mary Maddux -Gonzalez, MD, Sonoma County Public Health Officer Tom Maloney, MD, Area Agency on Aging Advisory Council Suzy Marzalek, Community Volunteer Andrew McGuire, Executive Director, Trauma Foundation and Health Care for All Cynthia Murray, President & CEO, North Bay Leadership Council George Perez, CEO, St. Joseph's Health System Sonoma County David Rabbitt, Petaluma City Council Lisa Wittke Schaffner, Healdsburg City Council Ben Stone, Director, Economic Development Board Mary Szecsey, Executive Director, West County Health Centers Rev. Lee Turner, Community Baptist Church Carl Wong, Superintendent, Sonoma County Office of Education Community Health Task Force Members Community Members Mark Charnas, PyschStrategies Mary Clemens, Program Manager, Sonoma County Regional Parks Ginny Doyle, Program Planner, Area Agency on Aging David Goodman, Executive Director, Redwood Empire Food Bank Mark Ihde, President & CEO, Goodwill Industries Redwood Empire Grayson James, Executive Director, Petaluma Bounty James Johnson, Environmental Health Specialist, Permit & Resource Management Dept, Cathy Luellen-Aflague, Director of Child Nutrition, Santa Rosa City Schools ld Shan Magnuson, Program Manager, Family Service Agency Molin Malicay, CEO, Sonoma County Indian Health Project Lynn March, Transportation Planner, Sonoma County Transportation Authority Karen Miller, Occupational Health Manager, Agilent Technologies Kirk Pappas, MD, Kaiser Permanente, President, Sonoma County Medical Association Terese Voge, Program Coordinator, Family Action of Sonoma County Elizabeth Chicoine, Director of Nursing, DHS, Public Health Division Lynn Walton, Program Manager, DHS, Prevention & Planning Division Health Care Delivery System Task Force Members Community Members Efren Carrillo, Education & Government Relations Manager, Redwood Credit Union Damon Doss, CEO, Petaluma Health Care District Ezbon Jen, Dean of Instruction, Health Sciences, Santa Rosa Junior College Kathryn King, Licensed Social Worker, Veteran's Administration Outpatient Clinic Bud Martin, Martin Financial Insurance Services Barbara Mackenzie, Community member Victor McKnight, Senior Consultant, Stizman, Morris and Lavis Maureen Middlebrook, Director of Communications, Redwood Regional Medical Group Walt Mills, MD, Kaiser Permanente, Associate Program Director, Family Medicine Residency Consortium, Interim CMO Southwest Community Health Center Greg Rosa, MD, Sonoma County Medical Association/Palm Drive Hospital Alena Wall, Executive Director, Northern California Center for Well -Being Lynn Scuri, Manager, DHS, Public Health Division Community meeting hosts Alexander Valley Clinic, Cloverdale Community Action Partnership — Padres Unidos Community Baptist Church Concerned Citizens of Rohnert Park (C -CORP) Council on Aging - Healdsburg Senior Center Council on Aging - Guerneville Senior Center Graton Day Labor Center La Luz and Nuestra Voz, Boyes Hot Springs Our Lady of Guadalupe Church, Windsor Petaluma Ecumenical Properties and Vallejo Street Senior Apartments Santa Rosa Chamber of Commerce Santa Rosa Teen Council Sebastopol Community Church Sonoma County Alliance Sonoma County Department of Health Services Sonoma County Indian Health Project St. Joseph Health System St. Philip's Church, Occidental St. Vincent's Church, Petaluma United Winegrowers for Sonoma County Vintage House, Sonoma ,6 Staff and Consultants Ellen Bauer, Program Manager, DHS, Prevention and Planning Division Barbara Graves, Division Director, DHS, Prevention and Planning Division Selena Polston, Facilitator for community meetings Bobbie Wunsch, Pacific Health Consulting Group ,Y Appendix 1 Notes about the Selected Indicators and Targets Many organizations concerned about health improvement have identified indicators to measure community health and well- being. Most notable is the U.S. Department of Health and Human Services (DHHS), in its publication Healthy People 2010 (HP2010). HP2010 establishes national health improvement goals and it challenges individuals, communities, and professionals to take specific steps to ensure that good health is enjoyed by all. HP2010 specifies a wide range of health improvement objectives and indicators that can be used to assess the effectiveness of health improvement efforts across the country.z Many of the indicators and targets selected in the 2020 Vision for Sonoma County are taken from the HP2010 objectives and are noted as such in the table below. An additional group of indicators were included to address the growing body of research that documents the significant impact of key socioeconomic determinants on health status.3 Ultimately, three criteria were used in identifying indicators and targets for the 2020 Vision for Sonoma County: 1. Communication Power: Does the indicator communicate to a broad range of audiences? 2. Proxy Power: Does the indicator say something of central importance about the desired goal or result? 3. Data Power: Can we get quality data on a timely basis? Proportion of ninth graders that graduate from high school 4 years later Proportion of Sonoma County 4`" graders that are proficient or advanced in English language arts Proportion of Sonoma County residents that live in households above 300% of the federal poverty level California Department of Education, DataQuest, http://da. cde. ca.00v/dataa u esU Data for Sonoma County class of 2007, high school completion. California Department of Education, California Standardized Testing and Reporting (STAR), Test scores for Sonoma County, 2008 http://da. cde. ca.00v/datao uest1 U.S. Census Bureau, 2007 American Community Survey Key socioeconomic determinant of health; also included in United Way Goals for the Common Good Key socioeconomic determinant of health; also included in United Way Goals for the Common Good Key socioeconomic determinant of health; similar indicator in United Way Goals for the Common Good 2 Healthy People 2020 objectives and targets will be released in January 2010 along with guidance for achieving the new 10 -year targets. See http://www.healthvDeoDle.aov/ho202O/ for more information. 3 The John D. and Catherine T. MacArthur Foundation Research Network on Socioecnomic Status and Health, Reaching fora Healthier Life: Facts on Socioeconomic Status and Health in the U.S., 2008. Proportion of renters spending 30% or more of household income on rent Percent of eligible voters that are registered to vote Percent of Sonoma County adults that volunteer in their community or participate in community organizations Proportion of Sonoma County residents who eat 5 or more fruits or vegetables per day Proportion of Sonoma County adults that are obese Proportion of Sonoma County adults who engage regularly, preferably daily, in moderate or vigorous physical activity Proportion of 7"' graders that achieve the Healthy Fitness Zone for all 6 areas of the annual California physical fitness test Proportion of adolescents and children who walked, biked, or skated to or from school in the past week Proportion of adolescents (ages 12-17) not using alcohol or any illicit drug during the past the past 30 days Proportion of adults engaging in binge drinking of alcoholic beverages during past 30 days Proportion of adults smoking a cigarette in past 30 days U.S. Census Bureau, 2007 American Community Survey California Secretary of State, September 5, 2008 Report of Registration. http://www.sos.ca.gov/elections/ror/60day_presge n_08/county.xls To be developed. California Health Interview Survey, 2005 California Health Interview Survey, 2005 California Health Interview Survey, 2005 California Department of Education, 2006-2007 California Physical Fitness Report California Health Interview Survey, 2005 California Healthy Kids Survey (average of 7" 9'" and 11`h grade rates), 2004-2006 California Health Interview Survey, 2005 California Health Interview Survey, 2005 Appendix 1 Key socioeconomic determinant of health; similar indicator in United Way Goals for the Common Good Social isolation is associated with poor health outcomes. Indicator is a rough measure of participation in community life. Measure of participation in community life. HP2010 target = 75% for fruit, 50% for vegetables (Objectives #19-5 and 19-6) HP2010 target= 15% (Objective # 19-2) HP2010 target = 50% (Objective # 22-2) HP2010, target not comparable due to different definition of HP2010 indicator HP2010 target = 50% for walking, 5% for biking (Objectives #22-14 and 22-15) HP2010 target = 89% (Objective # 26-10a) HP2010 target = 6% (Objective # 26-11 c) Better than HP2010 goal of 12% (Objective # 27-1 a) Proportion of adults who report needing help for mental/emotional problems who saw a mental health professional Suicide deaths for Sonoma County youth, age 10-24 (annual number) California Health Interview Survey, 2005 Appendix 1 HP2010, target not comparable due to different definition of HP2010 indicator California Department of Public Health, Center for HP2010 target = 5.0 per 100,000; due Health Statistics, Death Records, 2004-2006 to small numbers, local target set using annual number. Rate of deaths due to motor vehicle collisions California Department of Health Services, County HP2010 target = 9.2 per 100,000 (deaths per 100,000) 1 Health Status Profiles 2008 (Objective #15-15a) Rate of pedestrian deaths (per 100,000) California Department of Public Health, Center for HP2010 target = 1 Health Statistics, Death Records, 2004-2006 (Objective # 15-16) Rate of hip fractures due to falls for women Office of Statewide Health Planning and HP2010 target = 416 ages 65+ (per 100,000) Development, Patient discharge data, 2003-2005 (Objective # 15-28a) Proportion of persons under age 65 with health insurance Proportion of persons with a usual source of health care Proportion of Sonoma County children who had a dental visit within the past year California Health Interview Survey, 2005 California Health Interview Survey, 2005 California Health Interview Survey, 2005 HP2010 target = 100% (Objective #1-1) HP2010 target = 96% (Objective #1-4a) Better than HP2010 target of 56% (Objective #21-10) Appendix 2 Priorities for Action: 2009-2012 Goal 1: Strengthen and support a culture of active, healthy living in Sonoma County Objectives: 1.1 Engage and mobilize the entire community in a communitywide campaign to strengthen and support a culture of active, healthy living Pr000sed strateaies: a. Design and implement social marketing campaign that promotes Health Action's vision and action agenda and is designed to support a culture of active, healthy living in Sonoma County. b. Engage public of all ages to get involved in grassroots efforts to support Health Action's community campaign. 1.2 Engage and mobilize community organizations, business leaders, policymakers, and other partners to actively support Health Action's vision and action agenda Pr000sed strateaies: a. Create core partnerships with a broad array of community organizations, business leaders, and other partners to implement Health Action's vision and action agenda. b. Advocate for cities, community organizations, neighborhoods, and other partners to endorse and actively support Health Action's vision and action agenda. Appendix 2 Goal 2: Increase consumption of healthy food Objectives: 2.1 Identify areas and populations of the county with limited access to affordable healthy food and identify opportunities to improve access Proposed strateaies: a. Conduct countywide food system assessment to identify areas of the county and populations (e.g., seniors, recent immigrants) with limited access to affordable healthy food and to identify opportunities to improve access to affordable healthy food in low access areas. (Will include assessment of community assets and resources) b. Assess the feasibility and benefit of creating a multi -stakeholder "Food System Alliance" to work on improving access to healthy food in Sonoma County and promoting the sustainability and resiliency of the local food system. c. Identify and advocate for local policies that could improve access to affordable healthy food for Sonoma County residents, especially those in low access areas (as identified in Strategy 2.1.a; link to Strategies 2.2, 2.3, and 2.4 below). 2.2 Increase number of purchase or distribution points for affordable fresh fruits and vegetables in the community Proposed strateaies: a. Support community-based projects that expand availability of affordable fresh produce in the community, especially for areas and populations with identified low access. (Could include both market-based projects as well as those that expand home and community gardens and gleaning/exchange of fresh produce). Appendix 2 2.3 Increase availability of healthy food and educational opportunities about healthy food in schools Pr000sed strategies: Mobilize and engage parents, teachers, school board members and other community stakeholders to implement and monitor school wellness policies that increase availability of healthy food and educational opportunities about healthy food in school (link to Strategy 3.1.a). (Would include policies and practices for fundraising that emphasize healthy food and physical activity) b. Support school districts to improve the healthy choices offered in school meal programs, including development of farm -to -school initiatives that incorporate fresh, local produce into school meals while teaching students about local agriculture. c. Support schools to integrate nutrition education into their curriculum (both required and elective subjects) that is consistent with the CDE Health Framework for California public schools, including expansion of school gardens, cooking programs, and salad bars that are integrated with nutrition education efforts. 2.4 Increase availability of healthy food during the work day Pr000sed strategies: Develop countywide "Healthy Business" program to support employers in Sonoma County to implement programs, policies, or activities that promote worksite wellness and increase opportunities for healthy eating, such as healthy food options at worksite meetings, vending machines, cafeterias, and surrounding food venues (link to Strategy 3.2.a). 2.5 Increase availability of affordable healthy food for seniors and others with limited access Pr000sed strategies: Support efforts to expand access to affordable healthy food choices for seniors and others with limited access Appendix 2 Goal 3: Increase physical activity for all residents Objectives: 3.1 Increase opportunities for physical activity before, during and after school Proposed strateaies: a. Mobilize and engage parents, teachers, school board members and other community stakeholders to implement and monitor school wellness policies that increase opportunities for physical activity before, during, and after school (link to Strategy 2.3.a). (Would include policies and practices for fundraising that emphasize healthy food and physical activity) b. Support schools to implement daily physical education for all Sonoma County children. C. Collaborate with schools to implement a countywide Safe Routes to School program. 3.2 Increase opportunities for physical activity before, during, and after work Proposed strateaies: a. Develop countywide "Healthy Business" program to support employers in Sonoma County to implement programs, policies, or activities that increase opportunities for physical activity before, during or after work for employees (link to Strategy 2.4.a). 3.3 Engage the entire community in communitywide efforts to support regular walking, biking, and physical activity Proposed strateaies: a. Conduct countywide assessment of existing community infrastructure to support regular walking and biking and identify priority areas where infrastructure improvements are needed. b. Create and launch a countywide walking program (link to Strategy 1.1.a). c. Support efforts to establish alternative/public transportation programs to encourage walking and biking. Appendix 2 d. Support efforts to expand physical activity opportunities for seniors, including those in communal living arrangements. e. Mobilize community residents to advocate for community infrastructure improvements to support walking, biking and other physical activity and reduce dependence on cars. f. Promote walking and biking concepts in city and county government planning processes (including General Plans, Specific Plans, and Redevelopment Plans) in Sonoma County. Appendix 2 Goal 4: Connect all residents with a trusted source of prevention -focused primary care and community resources to support healthy living Objectives: 4.1 Identify and support opportunities to expand primary care capacity and access to a medical home Proposed strateaies: a. Establish a "Sonoma County Primary Care Collaborative" to provide technical assistance, support, and evaluation for local medical home pilot projects and measure outcomes in the areas of: improved health of a defined population, enhanced patient experience of care, and economic performance. b. Identify and support opportunities to enhance or expand primary care to underserved areas or populations. c. Identify and support opportunities to recruit and retain primary care providers in Sonoma County. d. Train health workers in effective, culturally -appropriate methods of teaching and supporting healthy behaviors in their patients (e.g., motivational interviewing) (link to Strategy 4.1.a). 4.2 Increase public awareness of the importance of regular, preventive, primary care and motivate community members to seek that connection Proposed strateaies: a. Develop approaches and tools to educate and engage the public, health care providers and employers about the importance of primary care and preventive health services and its relationship to positive health outcomes. 4.3 Connect residents with community-based health promotion resources appropriate to all ages, cultures, and ethnicities Proposed strateaies: a. Work with community partners to market existing health promotion resources and to develop new resources that address unmet needs. J'` Appendix 2 4.4 Identify and advocate for opportunities to enhance funding for primary care Pr000sed strategies: a. Convene a local "Employer Group for Primary Care' (with employer groups, insurers/payers and health care providers) to identify opportunities to enhance payment to primary care providers and to support prevention -focused health care delivery (link to Strategy 4.1.a). b. Advocate for state and national public policy changes to increase reimbursement for primary care and to expand investment in prevention. Health Action: Planning for a Healthy Sonoma County SCHEDULE OF MEETINGS — 2009 (updated 11i5i2008) Health Action Meetings: Date Time February 6, 2009 8:00 — 10:00 a.m. March 6, 2009 8:00 — 10:00 a.m. April 3, 2009 8:00 — 10:00 a.m. May 1, 2009 8:00 — 10:00 a.m. June 5, 2009 8:00 — 10:00 a.m. July 10, 2009 8:00 — 10:00 a.m. September 4, 2009 8:00 — 10:00 a.m. October 2, 2009 8:00 — 10:00 a.m. November 6, 2009 8:00 — 10:00 a.m. December 4, 2009 8:00 — 10:00 a.m. Location* 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR 1030 Apollo Way, SR Focus Review project and funding options - tentative Review project and funding options Financing Strategy Workgroup: Date Time Location Focus January 9, 2009 8:00 — 10:00 a.m. 490 Mendocino Ave, SR Explore funding options for Health Action priorities February 12, 2009 8:00 — 10:00 a.m. 490 Mendocino Ave, SR Explore funding options for Health Action priorities ) Turn over for directions to meeting locations.......... Directions to Meetina Location: North Coast Builders Exchange Training Center, 1030 Apollo Way, Santa Rosa, 95407 From Hwy 101 North or South: Merge onto CA -12 W toward Sebastopol. Take the Stony Point Road exit. Turn LEFT onto Stony Point Road. Turn RIGHT onto Sebastopol Road. Turn LEFT onto Corporate Center Parkway. Turn LEFT onto Challenger Way. Turn LEFT onto Capricorn Way. Turn Right onto Apollo Way. Department of Health Services, Prevention and Planning Division, 490 Mendocino Ave, Santa Rosa 95401 Located at the corner of Mendocino and 7`h in downtown Santa Rosa. Enter Prevention and Planning (P&P) from 7th Street; go up the stairs to the second floor; take a right at the top of the stairs to the Manzanita Meeting Rm. - Suite 204. 90 -minute metered parking is available at the front of the building and is strictly enforced from 8-6. Longer term parking is located at the 7th Street Garage, west of P&P and areas along 7th, Mendocino and Humboldt. Please do not park in the billiards parking lot across the street (tow away area). r�� Sector Last First Title Organization Email Business Anderson Bob United Winegrowers for Executive Director Sonoma County b.andersson(d)comcast.net lBusiness Davis Terry Community Volunteer tdavis6630omail.com lBusiness Kilkenny Pat Principal Kilkenny Advisors kilkenny27(cDmsn.com (Business Kyse Bruce CEO Press Democrat bruce.kyseppressdemocrat.com Business Murray Cynthia President and CEO North Bay Leadership Council cmurray(a)northbayleadershio.org (Business Schaffner Lisa Wittke Executive Director Sonoma County Alliance IisaschaffnerRvbbn.com (Business Stone Ben Director Economic Development Board bstone(iDsonoma-county.org (City Bender Jane City Council Member Santa Rosa City Council jbender(cDsrcity.org City Cohen Stanley CPA and Mayor Sonoma City Council cohencpa(a)ix.netcom.com City Rabbitt David City Council Member Petaluma City Council david(a)davidrabbitt.com .. , ,y,....r ... , .y...y (Community Maloney Tom Member Advisory Council malonewille14(cDsbcglobal.net (Community Marzalek Suzy Community Volunteer suzymarz(a)sonic.net Trauma Foundation and Community McGuire Andrew Executive Director Health Care for All - California am(o)traumaf.org County Dunn Jerry Assistant Director Human Services Department idunn(a)schsd.om rv,avuun- uun.n ua ..uw..y vcrn. .., (County Gonzalez Mary Public Health Officer Health Services mmaddux(a)sonoma-county.org Sonoma County Dept. of County Scardaci Rita Director Health Services rscardac(a)sonoma-county.org Sonoma County Board of County Smith Tim Supervisor Supervisors tsmithna.sonoma-county.org (Education Sonoma County Office of Wong Carl Superintendent Education cwong(a)scoe.org Faith Turner Lee Reverend Community Baptist Church revlt sbcglobal.net (Health House Judy CEO PsychStrategies judyh(opsychstrategies.com I Southwest Community Health Health - Clinics Fuchs Naomi CEO Center naomif(a)swhealthcenter.org Health - Clinics Szecsey Mary Executive Director West County Health Centers mszecsey(a),wchealth.org Health - Hospital Coffey Judy Senior Vice President Kaiser Permanente IUdy.coffey(a7kp.orq Utll Uc l cl ul (OULLUI Health - Hospital Cohill Mike CEO Santa Rosa cohilim(a)sutterhealth.org Area Vice President, St. Joseph's Health System Health - Hospital Sandersfeld Jo Mission Integration Sonoma County lo.sandersfeld(cbstioe.orq (Health - JPA Dobbs Nancy CEO KRCB Television and Radio nancy dobbs(a),krcb.org Sonoma County Medical Health - SCMA Drexler Brad President Association b9drexler(o)omail.com (Health Sutter Medical Group of the -SCMA Greaves Bo President Redwoods bgreaves(a)pcagroup.org (Labor Political/ Commumity Foote Heather Support Coordinator SEIU-UHW hfoote(o)seiu-uhw.org Community Action Partnership Non-profit Chavez Oscar Executive Director Sonoma County ochavez(a)capsonoma.org United Way Sonoma- Non-profit Collins Walter President and CEO Mendocino-Lake walter.collins(cDuwsmi.org Membership Roster 12-12-08 Short.xls {' RESOLUTION OF THE CITE' OF PETALUMA ENDORSING THE GOALS OF HEALTH ACTION, AND SUPPORTING COMMUNITY WALKING WHEREAS, the City ot'Petaluma is concerned about the health and well-being of its residents and seeks to create a healthy, sustainable, and livable community; and WHEREAS, Health Action, a council of community leaders whose mission is to improve health and health care in Sonoma County, is a key partner in improving the health of the community; and WHEREAS, Health Action's 2020 Vision for Sonoma Cotmtv:.tiction Plan (2009-2012) recommends local action to increase consumption of healthy food, increase physical activity, and connect all residents with prevention -focused primary health care; and WHEREAS, regular walking is a simple and effective way to improve the health of City residents of all ages; and WHEREAS, local governments greatly influence the walkability of communities through key powers over planning. land use, transportation, economic and community development, and other community services. NOW, THEREFORE, BE IT RESOLVED that the Citv of Petaluma supports health Action's 2020 Vision and action agenda, and will strive to: • Support the Health Action's countywide MALK Sonoma initiative and local MALK activities within the City of Petaluma. • Enlist City Council members to personally become local "Action Heroes" and engage participation oftheir constituents by becoming walk leaders and visible community walking champions. `l� • Support city programming that encourages community walking and physical activity. • Take steps to improve the walkability of the city to support safe walking, biking and other physical activity and to reduce dependence on cars. O Support alternative/public transportation policies and programs that encourage walking and biking to work and school, such as Safe Routes to School programs. BE IT FURTHER RESOLVED that the City of Petaluma actively participates in the official launch of the iWALK Sonoma campaign by declaring May lb, 2004 as iWALK Day in Petaluma, as we work together to make Sonoma County the healthiest county in the State of California.