MDH COMMUNITY
TRANSFORMATION GRANT
KATE FRANKEN AND CHRIS KIMBER
MDH OFFICE OF STATEWIDE HEALTH IMPROVEMENT
PRESENTATION OVERVIEW
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Framework for CTG
MDH grant and strategies
Focus on rural/frontier areas and health equity
Plan for identifying community grantees
Regional and statewide partners and resources
Dissemination to rest of state
Evaluation plans
Timeline for activities
Q and A
NATIONAL COMMUNITY
TRANSFORMATION GRANT
• The Community Transformation Grants (CTG)
program was created by the Patient Protection and
Affordable Care Act of 2010.
• Grants administered by CDC.
• The five-year CTG project period is 9/30/2011 –
9/29/2016.
CTG Guiding Principles
• Maximize health impact through prevention
• Improve health equity
• Expand the evidence base for policy, systems and
environmental changes that improve health
CTG 5 STRATEGIC DIRECTIONS
• Tobacco-free living
• Active living and healthy eating
• Evidence-based quality clinical and other
preventive services, specifically prevention and
control of high blood pressure and high cholesterol
• Social and emotional wellness
• Healthy and safe physical environment
• More information may be found at
http://www.cdc.gov/communitytransformation
MDH GRANT AWARD
• Funding coverage: Entire state of Minnesota
excluding Hennepin and Ramsey County
• Funding amount: $3,603,724 (based on CDC’s
formula of $1 per capita) *MDH applied for $10 M
• Rural requirement: Because 37% of Minnesota’s
total population resides in rural locations, 37% of the
total MDH award is required to be used in rural
locations. This will be fulfilled through local grants
totaling $1.4 million.
www.health.state.mn.us/divs/oshii/ctg
MINNESOTA AND HEALTH EQUITY
• Rural area residents are more likely to be obese; less
likely to report exercising in the previous month and
more likely to be current smokers (Health Status of Rural Minnesotans report)
• MSS data show rural counties all in highest quartile
percentages of overweight and obese; cigarette
smoking; and low fruit and vegetable consumption
• Although Minnesota consistently ranks as one of the
healthiest states, we also have some of the greatest
disparities in health status between populations of
color/American Indians and whites
MDH GRANT BUILDING
ON OTHER EFFORTS
• The MDH grant will coordinate, integrate and/or
blend to the best extent possible with existing health
improvement initiatives including the Statewide
Health Improvement Program (SHIP), Tobacco
Prevention and Control initiatives, Eliminating Health
Disparities Initiative (EHDI) and other existing health
improvement initiatives occurring within the state.
• Hennepin County was also awarded a CTG grant in
the amount of $1,156,212. MDH and Hennepin
County will coordinate grant implementation to the
best extent possible.
FRAMEWORK FOR CTG
•Provide local grants
•Develop regional systems
•Provide state-level
coordination
LOCAL GRANTS
• MDH will provide local grants, through
approximately four SHIP grantees, to
target communities with the greatest
need based on poverty, smoking and
obesity rates, chronic diseases and
mental health burden, and race and
ethnicity
• We plan to award approximately 2
CHB grantees and 2 tribal grantees.
REGIONAL SYSTEMS
Develop regional systems and partnerships to
support strategies to:
• Reduce tobacco use and exposure,
• Create active living/transportation systems,
• Improve access to healthy food, and
• Improve clinical prevention and care coordination
systems.
REGIONAL PARTNERS
Regional systems will be developed through:
• General contractors and consultants to address evaluation, legal
research and expert policy development support, and health
behaviors and social determinants of health
• Tobacco free living contactors and consultants to provide training
and technical assistance on best practices to reduce tobacco
use and exposure in various settings
• Active living contactors and consultants to provide training and
technical assistance on best practices in the school setting,
regional planning, transportation and community design
• Healthy eating contractors and consultants to provide training
and technical assistance on best practices in the school setting,
regional food systems, and food policy councils
• Clinical preventive services contractors and consultants to provide
training and technical assistance on best practices in clinical
learning collaboratives in local clinics, clinical-community coalition
building, and clinical measurement systems
STATE-LEVEL COORDINATION
• Provide state-level coordination of grant efforts
including overall administration, grants and
contract management, evaluation,
communications, training and technical assistance.
• In addition, state coordination of clinical preventive
services will address chronic disease measurement
systems, reimbursement, community measures
reporting, and quality improvement.
TWIN APPROACH
• CDC has charged grantees with using a twin
approach
Jurisdiction-wide impact
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Targeted community impact
DISSEMINATION THROUGHOUT STATE
• Training, technical assistance made available
through SHIP and CTG will be available to all
communities
• The state and regional systems will help disseminate
lessons learned, best practices, etc.
• We expect that the local community efforts will
inform broader state work and state-level efforts will
inform local community work
EVALUATION PLANS
• Currently revising our work plans for the grant
• Evaluation plan will be comprehensive and will
coordinate with SHIP evaluation plan to measure
effect of layering
• High expectations for grant outcomes
• Reduce death and disability due to tobacco use by 5%
• Reduce the rate of obesity through nutrition and physical
activity interventions by 5%
• Reduce death and disability due to heart disease and
stroke by 5%
TIMELINE FOR CTG
• Year 1: 9/30/2011 – 9/29/2012
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Revise budget
Hire/reassign staff
Revise implementation plan
Create evaluation plan
Select and award grantees
Convene stakeholders
Convene CT Leadership Team
Secure CTG contractors
Offer training and technical assistance
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QUESTIONS AND ANSWERS
• Kate Franken, MPH, RD
Supervisor, State Initiatives and Great Trays
Office of Statewide Health Improvement (OSHII)
[email protected]
651-201-5392
• Chris Kimber, MS, RD, PHPHS
Supervisor, Physical Activity and Nutrition
Office of Statewide Health Improvement (OSHII)
[email protected]
651-201-5497