Statewide Health Improvement Program (SHIP) - PowerPoint PPT Presentation

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Statewide Health Improvement Program (SHIP)

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Statewide Health Improvement Program (SHIP) Minnesota Department of Health Cara McNulty, MS SHIP Manager Cara.McNulty_at_state.mn.us Initial Legislation and Plan In ... – PowerPoint PPT presentation

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Title: Statewide Health Improvement Program (SHIP)


1
Statewide Health Improvement Program (SHIP)
  • Minnesota Department of Health
  • Cara McNulty, MS
  • SHIP Manager
  • Cara.McNulty_at_state.mn.us

2
Setting the Stage for SHIP
  • Health care costs increased 60 since 2000 in
    Minnesota
  • Minnesotas historically strong private health
    insurance market has eroded, and uninsured has
    risen
  • Quality of health care is unevenly distributed
    for different segments of the state and
    population
  • For many, quality is well below a level we should
    expect for the money we are spending
  • Rising rates of unhealthy behaviors (tobacco use,
    poor nutrition and physical inactivity) and
    prevalence of chronic illness
  • Chronic diseases are among the most prevalent,
    costly, and preventable of all health problems

3
Initial Legislation and Plan
  • In response to increasing rates of chronic
    disease and rising health care costs, legislation
    passed in 2007 called for creation of plan to
    fund and implement comprehensive statewide health
    improvement
  • Plan developed in consultation with State
    Community Health Services Advisory Committee
    (SCHSAC) and MDH Executive Office
  • Addresses risk factors for preventable deaths,
    decreased quality of life and financial costs
    from chronic diseases in four settings
  • Community
  • Worksites
  • Schools
  • Health care
  • Incorporates expert knowledge from the state and
    local level
  • Based on federally funded Steps to a HealthierMN

4
Model for Statewide Health Improvement
  • Community input into planning, implementation and
    evaluation
  • Adherence to socio-ecological model
  • Health promotion in four settings community,
    schools, worksites, health care
  • Local program advocates
  • Informed by evidence-based interventions
  • Focus on common risk factors
  • Extensive and comprehensive evaluation linked to
    program planning
  • Policy, systems, and environmental change that
    supports healthy behavior
  • Accountability and oversight

5
The Process Summer and Fall 2007
  • MDH developed plan for SHIP based on Steps to a
    HealthierMN model in Summer 2007
  • MDH Executive Office and advisory committee
    (SCHSAC) adopted plan Fall 2007
  • Plan presented to Governors Health Care
    Transformation Task Force and legislative
    committees including Health Care Access Committee
  • Details of evidence, cost-effectiveness of
    prevention, and examples of state/local policies
    provided to committees
  • Governors Task Force included plan in
    recommendations to Governor Pawlenty for health
    care reform
  • Plan introduced by legislature as part of broader
    health reform bill

6
The Process 2008 and 2009
  • 2008 Minnesota State Legislative Session
  • Plan included in both House and Senate versions
    of health reform bill
  • Public health element in addition to other
    reforms in
  • Health care coverage/affordability
  • Chronic care management
  • Payment reform and price/quality transparency
  • Administrative efficiency
  • Health care cost containment
  • Signed into law May 2008 as part of health reform
    bill
  • 2009 Minnesota State Legislative Session
  • Funding sustained by legislature
  • Final budget completed by Governor Pawlenty on
    June 30, 2009

7
Description of SHIP
  • Signed into law as integral public health
    component of Health Reform Initiative
  • SHIP intended to reduce obesity and tobacco use
    in Minnesota through policy, systems, and
    environmental changes
  • 47 million appropriated for fiscal years 2010
    and 2011
  • Competitive grants to Community Health Boards and
    tribal governments rolled out beginning July 1,
    2009
  • SHIP funding will not supplant other funds

8
SHIP Description Continued
  • Community Health Boards and Tribal Governments
    required to
  • Match 10 of funding
  • Submit community action plans, establish
    partnerships, and develop community leadership
    team
  • Implement policy, systems, and environmental
    changes in four settings
  • Work with MDH to evaluate programs

9
SHIP Description Continued
  • MDH will
  • Set outcomes to support obesity and tobacco goals
  • Measure baseline status
  • Provide content expertise, technical expertise,
    and training
  • Conduct comprehensive biennial evaluation
  • Provide biennial reports to legislature

10
SHIP Internal Structure
11
SHIP Planning and Implementation
  • Workgroups began meeting in Fall 2008
  • Involved key stakeholders such as local public
    health, tribal governments, CDC, and others
    including SCHSAC SHIP Ad Hoc Workgroup
  • Utilizing/modifying existing data collection,
    assessment, and reporting systems
  • Explicit guidance provided for implementing and
    evaluating evidence-based policy, systems, and
    environmental interventions to reduce obesity and
    tobacco use and exposure
  • Technical assistance and training opportunities
    previously offered and more under development
  • Internal and external communications put in place

12
Opportunities
  • Building on existing prevention efforts to expand
    and not duplicate work that is already being done
  • Enhancing capacity of local public health and
    tribal governments to implement policy, systems,
    and environmental changes
  • Integrating with other Health Reform Initiative
    components to support overall health reform
    transformation
  • Developing a statewide system to demonstrate that
    reductions in risk factors ? decreases in chronic
    disease ? substantial health care savings!

13
SHIP Applications and Grant Awards
  • Request for Proposals (RFP) released February
    2009
  • Applications due April 2009
  • Applications received from all 53 CHBs and 8/11
    tribes, including up to 14 counties collaborating
    on policy, systems, and environmental change
  • 39 grant awards made based on 47 million in
    funding
  • Grant agreements signed and rolled out July 2009

14
SHIP Next Steps
  • Continue planning and implementation with our
    partners
  • Provide technical assistance to grantees to
    ensure successful implementation
  • Secure future funding to achieve goals of
    reducing obesity and tobacco use and exposure in
    Minnesota
  • Reduce the burden of chronic disease to generate
    future health care-related cost savings

15
Lessons Learned
  • Contact legislators and ask them to ask YOU to
    prepare a plan or report
  • Expect to work hard and quickly
  • Expect to partner with and incorporate input from
    stakeholders and experts at every stage (plan ?
    program implementation ? evaluation ? reporting)
  • Expect multiple revisions of all documents

16
Lessons Learned, continued
  • Prepare for process with legislative committees,
    legislative session, and planning - Do not be
    discouraged
  • Allow sufficient time to plan for program
    implementation
  • Prepare high quality communications systems and
    materials (which require resources) to make sure
    interested parties can access information easily
  • Prepare sound justification for program ready to
    share with interested parties

17
QUESTIONS?
  • Contact Information
  • Cara McNulty, MS
  • Statewide Health Improvement
  • Initiatives Manager
  • Cara.mcnulty_at_health.state.mn.us
  • (651) 201-5438
  • SHIP Website
  • http//www.health.state.mn.us/healthreform/ship.ht
    ml
  • SHIP Email
  • Health.ship_at_state.mn.us

18

THANK YOU!
  • Contact Information
  • Cara McNulty, MS
  • Statewide Health Improvement
  • Initiatives (SHIP) Manager
  • Cara.mcnulty_at_health.state.mn.us
  • (651) 201-5438
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