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December 6, 2017

Implementing Health Across All Policies

in New York State

Update for Ad Hoc Committee to Lead the Prevention Agenda and the PHHPC Public Health Committee

Health In All Policies is a multi-sectoral approach to improving health

The New York Academy of Medicine, developed for the International Society for Urban Health. 2016.

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• Advance a Health Across All Policies approach to incorporate health considerations into policies, programs and initiatives led by non-health agencies.

• Consider how policies, programs and initiatives support achieving the Governor’s goal of becoming an age friendly state.

• Long term goal is to embed Health in all Policies and considerations for Healthy Aging into all aspects of our government work, including the state’s Prevention Agenda, to support our Prevention Agenda goals and to promote equity and reduce disparities.

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Make New York the Healthiest State for People of All Ages

The Governor’s Vision

Updates and Discussion

• Healthy Aging: NY recognized as first Age Friendly State!

• Identifying and Implementing Interagency Projects that

Support HAAP and Healthy Aging Across the Lifespan

• Incorporating HAAP and Healthy Aging into the Prevention

Agenda

• Agency Example: Focus on NYS Department of Agriculture

and Markets

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New York is officially the First Age Friendly State in the Nation!

Age-Friendly Communities in New York State

Of the 16 NYS communities that have been designated as Age-Friendly, 7 are currently in the planning phase:

• Albany County• Brookhaven• Erie County

• Great Neck Plaza• North Hempstead

• Oneida County• Suffolk County

Of the remaining 10 communities, 9 are currently in the implementation phase with 6 communities evaluating their efforts. These communities have identified key priorities and are working toward making tangible changes in their neighborhoods. Communities currently in the implementation phase include:

• Big Flats • Ithaca • Tompkins County

Communities currently in both the implementation and evaluation phase of Age-Friendly improvements include:

• Chemung County• City of Elmira• Town of Elmira

• New York City• Southport

• Westchester County

Healthy Aging Update

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Age Friendly Communities - Chemung County

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https://aging.ny.gov/NYSOFA/LocalOffices.cfm

Local Area Offices for the Aging

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Office for the Aging App

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Prevention Agenda Priorities and Focus Areas 8 Age-Friendly Domains

PA Total

8 Domains

Total

Chronic Disease Healthy Environment Maternal Child Health Mental Health Infectious Disease 1 2 3 4 5 6 7 8

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OPHRP (Parks) 7 - - - - 3 - - 4 - 4 - - - - - 8 - - 6 5 2 4 - 18 25

OASAS 1 3 1 1 - 1 - - 1 1 - 4 2 - - - - - 3 3 3 2 7 7 15 25

DAM 19 - 14 - - 6 - - 11 1 1 - - - - - 3 7 1 4 4 5 18 17 52 59

DOS 1 - - 5 6 8 4 2 1 - 7 - 2 - - - 10 7 6 7 6 7 7 8 36 58

OMH - - - - - - - - - - 1 1 1 - - - - 1 1 1 1 1 1 1 3 7

OTDA 2 - 3 - 4 - - 2 5 - - - - - - - - - 3 4 3 1 4 4 16 19

NYSERDA - - - 10 1 9 4 - - - - - - - - - - - 7 - 2 - 6 1 24 16

HCR 1 - 1 2 - 2 3 - - - - - 1 - - 4 1 7 4 4 1 2 4 10 27

OCFS 4 - 1 1 - 1 - 4 2 - 3 1 - - - 1 1 - 3 4 4 2 9 9 18 32

OGS 3 1 - - - 1 - - - - - - - - - - 2 - - - - - - 3 5 5

DEC 2 - - 2 3 13 1 - - - - - - - - - 10 1 - - 1 1 7 2 21 22

DOT - - - 1 - 4 3 - 1 - - - - - - - 4 4 - 2 2 - 1 - 9 13

NYSOFA - - 1 - - 1 3 - - - 2 1 - - - - - 3 2 4 3 3 4 5 8 24

Totals 40 4 21 22 14 49 18 8 25 2 18 7 6 0 0 1 42 24 33 39 38 25 70 61 235 332

NYS Agency Projects Supporting HAAP-HA

Inter-Agency Projects for HAAP-HA

Questions ?

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Prevention Agenda

2008-2012

Prevention Agenda 2013-2018

Prevention Agenda 2019-2024

Prevention Agenda Update

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Fall – Winter 2017

•Reviewed current demographics and health factors that contribute to health burden and health disparities including social determinants of health.

•From preliminary review, DOH proposes that the updated Prevention Agenda should retain the same five current priority areas.

•Update PA Vision: NY is the Healthiest State for People of All Ages

•Work with NYS SMEs to propose focus areas for each priority.

Winter 2018

• Summarize health assessment and progress-to-date on Prevention Agenda objectives and current status of local planning process.

• Use summary information to obtain feedback on what went well and challenges in current Prevention Agenda.

• Obtain feedback to finalize focus areas based on health assessment, progress to date and current challenges.

• Role for Ad Hoc members: organize sessions to solicit feedback from your organizations.

Spring-Summer 2018

• Engage subject matter experts at the state/local from public/private sectors including non-health agencies to update priority specific action plans with recommended evidence-based policies, interventions and actions.

• Identify and include policies and actions that support HAAP and Healthy Aging.

• Use existing committees (e.g. MCHBG Advisory Committee) for each priority.

• Role for Ad Hoc members: join priority specific discussions to contribute to action plans.

Fall 2018

• Finalize Updated Prevention Agenda with Public Health and Health Planning Council.

• Establish and issue guidance for next New Local Collaborative Planning Cycle.

• Role for Ad Hoc members: Promote updated Prevention Agenda within your networks

Incorporate HAAP and Healthy Aging into Prevention Agenda 2019-24

Prevention Agenda Dashboard measures progress on 96 statewide outcome indicators, including reductions in health disparities.

https://health.ny.gov/preventionagendadashboard

As of June 2017:

▪ 22 of the objectives were met

▪ 71 not met

▪ 17 indicators show progress (12

with significant improvement)

▪ 39 staying the same

▪ 15 going in wrong direction

▪ 3 no updated data available

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Improve HealthStatus and ReduceHealth Disparities

Promote a Healthyand Safe

Environment

Prevent ChronicDiseases

Prevent HIV/STD,VPD and Health-Care Associated

Infections

Promote HealthWomen, Infants,

and Children

Promote MentalHealth and Prevent

Substance Abuse

Progress on 96 Prevention Agenda Indicators

Improved Unchanged Worsened No Data

Prevention Agenda 2013-2018

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Incorporate HAAP and Healthy Aging into Prevention Agenda

Prevention Agenda Priorities Age Friendly Domains of Livability Examples: NYS Policies and Programs

Prevent Chronic DiseaseOutdoor Spaces and Buildings Fresh Food Rx Program (DAM)

Transportation Complete Streets (DOT)

Promote Healthy and Safe Environment

Outdoor Spaces and Buildings Housing Healthy Homes Initiative (NYSERDA)

Respect and Social Inclusion Adventure NY (DEC)

Promote Healthy Women Infants and Children

Community and Health Services Healthy Families New York (OCFS)

Promote Mental Health and Prevent Substance Abuse

Respect and Social Inclusion Social Participation

Geriatric Service Demonstration Program (OMH)

Outdoor Spaces and Buildings NY Parks 2020 (Parks)

Prevent HIV, STDs, Vaccine Preventable Diseases and HAI

Community and Health ServicesSouth Shore Estuary Reserve Program (DOS/DEC)

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Support for HAAP and Healthy Aging

Questions ?

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Focus on Agriculture and Markets

Prevention Through Agricultural Interventions

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Focus on Agriculture and Markets

State Investment in a Regional Food Hub in the Bronx

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Focus on Agriculture and Markets

Buffalo Farm to School: Urban and Rural Linkages

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Rochester Public Market: SNAP & FreshConnect

Focus on Agriculture and Markets

SNAP & FreshConnect Success

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Focus on Agriculture and Markets

Hunger Prevention as a Focus Area

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Focus on Agriculture and Markets

Takeaways for Planning at a County Level

Questions ?

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