Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.

City of ChicagoMayor Rahm Emanuel

Bechara Choucair, MDCommissioner

Chicago Department of Public Health

@choucair #APHA13

Advancing the Reintegration of Public Health and Primary Care

APHA 141st Annual MeetingNovember 4, 2013

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

• Academic and Research Partnerships

HEALTHY CHICAGOCHICAGO DEPARTMENT OF PUBLIC HEALTH

TRANSFORMING THE HEALTH OF OUR CITYCHICAGO ANSWERS THE CALL

HEALTHY CHICAGOPUBLIC 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

HEALTHY CHICAGO TARGETS

IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR

IT’S ABOUT HOW WE BEHAVE AS A CITY

PHAB ACCREDITATION

1st Big City Health

Department toReceiveNational

Accreditation

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

• Academic and Research Partnerships

TOBACCO USE

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

TOBACCO USE

Joint Enforcement

Reducing Tobacco Access

and Affordability

OBESITY PREVENTION

ChicagoStreets for Cycling Plan 2020

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

Dearborn Street - Before Dearborn Street - After

OBESITY PREVENTION

Bike Sharing in Chicago

3,000 bikes

300 stationsby the end of summer 2013

OBESITY PREVENTION

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

OBESITY PREVENTION

14 licensed carts operating 41 vendors trained 30 carts planned for 2013

OBESITY PREVENTION

Increasing Healthy Food Access

OBESITY PREVENTION

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

BUILDING ON POLICY SUCCESSES

Mayor Emanuel Takes Action to Protect Chicago’s Kids from Menthol Cigarettes

BUILDING ON & ENGAGING PARTNERSHIPS

PRESENTATION OUTLINE

• Healthy Chicago Public Health Agenda

• Healthy Chicago Partner-supported Successes

• Academic and Research Partnerships

Public Health

Clinical Medicine

Health Outcomes

PUBLIC HEALTH & MEDICINE

PUBLIC HEALTH & ECONOMIC DEVELOPMENT

Public Health

Economic Development

Health Outcome

s

ACADEMIC AND RESEARCH PARTNERSHIPS• Data Portal

• Chicago Health Atlas

• CHAMP

• Chicago Center for Diabetes Translational Research

• Keep Your Heart Healthy

• Tobacco Policy Evaluation

• Predictive Analytics

Open Data Portal

data.cityofchicago.org

Number of customized data objects released to individuals or institutions (rather than to public), cumulative, 2011 – May 2013

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

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

CHICAGO HEALTH ATLAS IS A WEBSITE

Health Information Exchange

NEIGHBORHOOD PAGES

Health Information Exchange

CITY LEVEL COMPARISONS

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

DIABETES TRANSLATIONALRESEARCH• 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

KEEP YOUR HEART HEALTHY

• Collaboration among CDPH, Northwestern University, and GE Foundation to reduce the risk of heart disease

• Pilot in two Chicago neighborhoods

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 Evaluation2. Mental Health and Substance

Abuse Survey3. Courage to Quit Evaluation

Predictive Analytics – Making Data Actionable Food Inspections

Optimizing

Cigarette Sales ViolationsPredicting

Enhanced Partnerships with Health SystemsAllocating Resources & Predicting Community Need

Food Inspections• Prediction of number of violations to optimize

inspections• Using social media as data points for predictive

modeling

Cigarette Sales Violations• Identifying retailers of unstamped cigarettes • Analysis to determine variables that predict likelihood

of retailer selling unstamped cigarettes

Enhanced Partnerships with Health Systems• Developing a patient risk score to help allocate care

management resources more effectively• Predicting where city residents need access to

community resources

Predictive Analytics – Making Data Actionable

@ChiPublicHealth

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HealthyChicago@CityofChicago.org

www.CityofChicago.org/Health