A Healthy Chicago Overview presented by Commissioner Choucair at Rush University Medical Center, Department of Preventive Medicine Grand Rounds on September 24, 2013
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Rush University Medical Center, Department of Preventive Medicine Grand Rounds
1. Chicago Department of Public Health
Commissioner Bechara Choucair, M.D.
City of Chicago
Mayor Rahm Emanuel
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair #HealthyChicago
Rush University Medical Center
Department of Preventative Medicine
Grand Rounds
September 24, 2013
2. PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Healthy Chicago Academic & Research Partners
4. HEALTHY CHICAGO
PUBLIC HEALTH
AGENDA• Released in August 2011
• Identifies priorities for action
for next 5 years
• Identifies health status targets
for 2020
• Shifts work from one-time
programmatic interventions to
sustainable system, policy and
environmental changes
10. TOBACCO USE
SMOKE-FREE CAMPUSES
3 Colleges / Universities
6 Hospitals
6 Behavioral Health Organizations
686 Public Housing Units
Over 3,250 units of private smoke-free
housing
13. Over 200 miles of on-street
bikeways, including almost 35 miles
of barrier and buffer protected bike
lanes.
3000 bikes to share at 300 stations
by end of summer.
OBESITY PREVENTION
15. Bike Sharing in Chicago
3,000 bikes
300 stations
by the end of summer 2013
OBESITY PREVENTION
16. Health Goals
Increase the number of
pedestrian trips for
enjoyment, school, work,
and daily errands
Increase the mode share of
pedestrian trips for
enjoyment, school, work,
and daily errands
OBESITY PREVENTION
20. A Recipe for Healthy Places
•Released in January 2013
•Includes six community- based
planning strategies to support
healthy eating
OBESITY PREVENTION
21. A Recipe for Healthy Places: Strategies
1. Build Healthier Neighborhoods
2. Grow Food
3. Expand Healthy Food Enterprises
4. Strengthen the Food Safety Net
5. Serve Healthy Food and Beverages
6. Improve Eating Habits
Check out the food plan - www.cityofchicago.org/hed
OBESITY PREVENTION
23. ADOLESCENT
HEALTH
CPS hires chief health officer
Dually reports to CDPH
CDPH creates Adolescent and
School Health Office
24. ADOLESCENT
HEALTH
Revised Wellness Policy
Competitive Foods Policy
Expanded STI Screening
$26M New grants
• CTG – Healthy CPS
• Teen Dating Matters
• Teen Pregnancy
• Farm to School
• Wellness Champions
27. PRESENTATION OUTLINE
• Healthy Chicago Public Health Agenda
• Healthy Chicago Partner-supported Successes
• Healthy Chicago Academic & Research Partners
30. ACADEMIC AND RESEARCH
PARTNERSHIPS
• Data Portal
• Chicago Health Atlas
• CHAMP
• Chicago Center for Diabetes Translational Research
• Keep Your Heart Healthy
• Tobacco Policy Evaluation
• Epidemiology Advisory Group
32. Public Health Context
• Most frequent requests are for statistics by
neighborhood
• Neighborhood summaries published once
every 3-4 years by paper/PDF
• Many data objects generated in response
to requests
33. Number of customized data objects
released to individuals or institutions
(rather than to public), cumulative, 2011
– May 2013
34. CHICAGO HEALTH ATLAS IS
A COLLABORATION
• Informatics researchers from multiple healthcare
institutions
• Chicago Regional Extension Center (CHITREC)
• Chicago Community Trust
• Chicago Department of Public Health
35. CHICAGO HEALTH ATLAS IS
A
DATABASE
• De-identified electronic health record data for ~1
million Chicagoans (3 million Metro-Chicago
residents)
• In-patient and out-patient visits spanning 2006-2011
• Individual patient records matched across institutions
40. CHAMP: PEDIATRIC ASTHMA
ED PILOT PROGRAM
• Recruit children who are seen in ED due to asthma
• Piloting program to use CHWs and address housing-
based hazards and triggers
• Partnering with University of
Illinois Hospital to improve
pediatric asthma control and
reduce the ED visits
41. • CDPH’s Healthy Homes Program inspectors will assess
housing-based hazards and triggers
• CHWs to educate and assist families with changes
• Also partnering with Asthampolis to obtain GIS data
when child is using inhaler
CHAMP: PEDIATRIC ASTHMA
ED PILOT PROGRAM
42. DIABETES
TRANSLATIONAL
RESEARCH
• CDPH is partnering with
Chicago Center for Diabetes Translation Research in its
mission to conduct innovative high-impact research to
reduce morbidity and mortality related to diabetes
• Analyze data from multiple sources (EHR, hospital
discharge data, vital statistics, and Healthy Chicago
Community Survey) to better understand diabetes and
related behaviors
43. KEEP YOUR HEART HEALTHY
• Collaboration among
CDPH, Northwestern
University, and GE
Foundation to reduce the
risk of heart disease
• Pilot in two Chicago
neighborhoods
44. • Three main components:
– Identify individuals most at risk for developing
heart disease
– Link individuals to medical care and direct services
through referrals so risk factors can be brought
under control
– Work with individuals on ongoing basis to make
changes to diet, exercise, and other areas to
reduce their risk
KEEP YOUR HEART
HEALTHY
45. TOBACCO EVALUATION
University of Illinois at Chicago Institute for Health
Research and Policy
and the Tobacco Prevention Project
Three Tiers of Evaluation:
1.Community Partner Evaluation
2.Mental Health and Substance Abuse Survey
3.Courage to Quit Evaluation
46. EPIDEMIOLOGY ADVISORY
GROUP• CDPH established Advisory Group as forum for
academic and practice partners to discuss data and
methods
• Member Organizations:
– Chapin Hall
– Cook County Health & Hospitals System
– Illinois Department of Public Health
– Lurie Children’s Hospital—Child Health Data Lab
– Northwestern University
– Sinai Urban Health Institute
– University of Chicago
– University of Illinois at Chicago
47. IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
IT’S ABOUT HOW WE
BEHAVE AS A CITY
Next I will present our successes, which would not be possible without our many partners.
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Chicago Health Atlas is a big database, too. It has de-identified electronic health record data for about one million Chicagoans, with in-patient and out-patient visits spanning from 2006 through 2011, and individual patient records matched across institutions. Much more detail is on the way about all this.
Thanks to the work at Chicago Community Trust, the collaborative has a website that's up and running at ChicagoHealthAtlas.org This serves as the public face of the project - the place where can make data about public health indicators - as well as community assets - available to the public.
Another academic medical partnership is with the University of Illinois Hospital & Health Sciences System. Both of us are concerned about the number of uncontrolled pediatric asthma patients and that they were seeking expensive care in the Emergency Department. Building on other studies and our expertise in Healthy Homes and housing-based hazard inspections, we are collaborating in a pilot program aimed to reduce ED visits and improve asthma control. Pediatric asthma patients who are seen in the UI Health’s ED will be recruited to this pilot project (CHAMPS: Chicago Home Asthma Pediatric Pilot Program).
CDPH established Advisory Group as forum for academic and practice partners to discuss data and methods Member Organizations: Chapin Hall Cook County Health & Hospitals System Illinois Department of Public Health Lurie Children’s Hospital—Child Health Data Lab Northwestern University Sinai Urban Health Institute University of Chicago University of Illinois at Chicago The Advisory Group meets quarterly. Examples of topics for discussion include: Analysis of CPS BMI data Childhood exposure to violence surveillance Small area interpolation
So as you can see, we work closely with partners to forward the goals of Healthy Chicago and assist with innovative research to improve the health of Chicagoans.