Explore the measures and metrics that aided the Snohomish County Health Leadership Coalition, in their search of a Strategic Focus and how the LiveHealthy2020 initiative came to be. Consider the ways that Snohomish County can work together and measure their success of a Countywide scale.
1. Panelists
Tao Kwan – Gett
Director, Northwest Center for Public Health Practice
Gary Goldbaum, MD, MPH
Director & Health Officer, Snohomish Health District
Gina Clark
LiveHealthy2020 Strategic Program Manager
LiveHealthy2020
How We’ll Measure Success Together
4. This is just the beginning! We will add mental and emotional health, as well as civic health to this agenda as we move forward.
• In 2014, the Coalition’s statewide advisory council engaged a series of conversations and developed a theory of change
to achieve its mission.
• Intermediate outcomes: better nutrition, physical activity, mental/emotional well-being, civic health.
• Strategic shift: from individual initiatives to a countywide portfolio approach building on a common agenda.
• 2015 objective: Launch countywide effort focused on nutrition and activity.
Improve Nutrition
• ENHANCE ACCESS: Nearly 1 in 5 youth do not have secure access to affordable and nutritious food
• STRIKE BALANCE: Only 15% of adults and 24% of kids get the recommended daily
servings of fruits and vegetables
• CONTROL PORTION: 29% of county residents are clinically obese ; 2/3 are overweight
Increase Activity
• GET MOVING: 1 in 5 residents report no physical exercise in the past month
• YOUTH: MOVE ENOUGH! 60 minutes of vigorous activity every day to build bones, brains and
self-esteem. Only 1 in 4 actually get it
• ADULTS: MOVE ENOUGH! 30 minutes of moderate to vigorous activity at least five times a
week. Only 1 in 3 actually get it
Building on Success
5.
6. Life expectancy of females at birth in 2012. Source: UW Institute for Health Metrics and Evaluation
7. Health is a state of complete physical,
mental and social well-being and not
merely the absence of disease or
infirmity.
- World Health Organization
8.
9. Improve Nutrition
• ENHANCE ACCESS: Nearly 1 in 5 youth do not have secure access to affordable and
nutritious food
• STRIKE BALANCE: Only 15% of adults and 24% of kids get the recommended daily servings
of fruits and vegetables
• CONTROL PORTION: 29% of county residents are clinically obese ; 2/3 are overweight
Increase Activity
• GET MOVING: 1 in 5 residents report no physical exercise in the past month
• YOUTH: MOVE ENOUGH! 60 minutes of vigorous activity every day to build bones, brains and self-
esteem. Only 1 in 4 actually get it
• ADULTS: MOVE ENOUGH! 30 minutes of moderate to vigorous activity at least five times a week. Only 1
in 3 actually get it
Measures of Nutrition and Physical Activity
10. Measures of health should:
•Be linked to better health
•Have a track record
•Be widely used
11.
12. 2009-2012 Behavioral and Risk Factor Surveillance System data
Nearly 2 in 3 Snohomish County adults are
overweight or obese
28. Reducing Obesity
• County wide messaging on
Health & Nutrition
• More than 20 community
partners involved in Obesity
CHIP
29.
30. • Goal: Community action resulting in Collective Impact
• Strategy mapping platform
• Multiple partners provide data and share strategies
• Showcases numerous efforts all impacting health issue (lead, team, data, reach)
• Scoreboard shows real-time changes
InsightVision Summary
31. Initial Goal: 50 organizations representing 50,000
Snohomish County Residents
We’ve already surpassed that goal!
67 organizations!
Representing at least 80,000 residents!
32. Alzeheimer’s Association, American Diabetes Association, American Heart Association, Arbonne,
Arlington Public Schools, Bean Fields Snacks, Bethany Christian Assembly, Boys & Girls Clubs of
Snohomish County, Campbell’s Stockpot, City of Lynnwood, City of Mukilteo, Coastal Community
Bank, Community Resources Foundation, Community Transit, Compass Health, Corporate Health
Alliance, D.A. Davidson, Diamond Veterinary Associates, Domestic Violence Services of Snohomish
County, Economic Alliance Snohomish County, Edmonds Community College, Edmonds Community
College Foundation, Edmonds Senior Center, Everett Farmers Market LLC, Everett Public Schools,
Farmer Frog, Food Lifeline, Gear Up & Go!, Girl Scouts of Western Washington, Greater Everett
Community Foundation, Hoff Foundation, Hope Family Medical Clinic, PLLC, Housing Hope,
Integrated Rehabilitation Group, Lutheran Community Services NW, Marysville School District,
Mercy Housing Northwest, Mukilteo School District, Neighbors in Need, Northwest Ambulance
Critical Care Transport, Premera Blue Cross, Providence Northwest Region, Puget Sound Kidney
Centers, Refugee & Immigrant Services NW, Seattle CityClub, Senior Services of Snohomish County,
Snohomish County, Snohomish County Assessor, Snohomish County ECEAP, Snohomish County Fire
District 1, Snohomish Health District, Sno-Isles Libraries, Sodexo, The Boeing Company, The Daily
Herald, The Everett Clinic, The Health Revolution, Tulalip Tribes, United Way of Snohomish County,
University of Washington Bothell, Verdant Health Commission, Washington Alliance for Better
Schools, WSU – North Puget Sound, Western Washington Medical Group, YMCA of Snohomish
County, YWCA of Seattle-King-Snohomish, Wendy Roullier, Shannon Kessler, Melody Young, Ute
Padilla
Who’s Joined LiveHealthy2020?
34. • What’s your passion? Nutrition, activity or both?
• What great work are you already doing that you’re dedicating to
LiveHealthy2020?
• How do you measure? What tools are you using?
• Do you want to expand a current program or create a new one?
• If yes, what’s standing in your way?
Landscape Survey of Signatories
35. Activity
1) Reducing sedentary behavior and
help get people moving
2) Increasing adult activity to 30
minutes five days per week
3) Increasing youth activity to 60
minutes per day
4) Other
Nutrition
1) Promoting the right
balance/variety of nutritious food
in daily diets
2) Improving access to nutritious and
affordable food/reducing food
insecurity
3) Ensuring the right amount of food
to achieve/maintain a healthy
weight
4) Other
What’s Your Passion?
37. 77%
31%
38%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Reducing sedentary
behavior and help get
people moving
Increasing youth
activity
Increasing Adult
activity
Increasing Activity
40%
80%
48%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Improving Access to
nutritious and
affordable
food/reducing food
insecurity
Promoting the right
balance/variety of
nutritious food in daily
diets
Ensuring the right
amount of food to
achieve/maintain a
healthy weight
Improving Nutrition
38. YWCA: Emergency food
Farmer Frog: Edible school gardens
Compass Health: Free and nutritious meals to mentally-ill
Alzheimer’s Association: Dementia prevention through nutrition
Western Washington Medical Group: LifeStyle Medical Program
Coastal Community Bank: Klesick Farms partnership
Everett School District, Boeing, Sno-Isle Libraries: Employee wellness
Examples of Great Work
You’re Already Doing
39. United Way: Project Homeless Connect
City of Mukilteo: Transportation plan to increase safe places to bike
and walk
Sodexo: Cooking and nutrition classes in Hispanic communities
Lutheran Community Services: Healthy Families Program
Edmonds Community College: Healthcare training for low-income
residents
Stanwood/Camano Community Resources Foundation: Teen exercise
and community gardens for food banks
More Great Work…
40. How You’re Measuring
There’s no common way you’re measuring. And that’s OK!
Incentive programs
Amount of food boxed and distributed
Counting steps of participants
Tracking time spent active and type of activities
Employee logs/event logs (using FitBit and other apps)
Clinical dashboards (BMI, weight, measurements, cholesterol, blood pressure, etc.)
Surveys and forums
The initiative is honoring the work already taking place and will give space and time for shared
measurements to develop…TOGETHER
41. There’s a lot of great work already happening in our county
The building blocks are solidly in place
Our community is eager to be engaged, break down silos and align
We’re honoring YOUR work as we co-create systemic change together
What We’re Learning
