2011 Community Transformation Grant Program Highlights
In September 2011, the Community Transformation Grant (CTG) Program awarded $103 million to 61 state and local government agencies, tribes and territories, and nonprofit organizations. Below are highlights focusing on:
- Tobacco-free living — Reducing tobacco use and protecting people from secondhand smoke exposure by helping ensure access to smoke-free indoors and parks are important ways awardees are helping improve the nation’s health.
- Active living and healthy eating — Programs to make healthy living easier include increasing opportunities for physical activity and promoting nutrition guidelines that encourage healthy vending options.
- Clinical and community preventive services — Using clinical and community preventive services to address leading causes of disease and death, awardees focus on chronic illnesses such as heart disease, diabetes, and cancer, with particular emphasis on improving control of high blood pressure and high cholesterol.
- Healthy and safe physical environments — Expanding access to public transportation, and supporting sidewalk improvements — making healthier and safer physical environments —are some of the ways awardees are encouraging physical activity within their communities.
Oklahoma County – Oklahoma City, Oklahoma
The Challenge: Oklahoma ranks 48th nationally in smoking prevalence and has one of the highest rates of smoking related- deaths in the nation.
The Goal: By September 29, 2016, 700,000 people who work and reside in Oklahoma County will have access to completely tobacco-free or smoke-free environments.
Current Activities: Oklahoma County is establishing smoke-free multi-housing (MUH) for more than 80,000 units in the community, reducing exposure to secondhand smoke for thousands of individuals. Additionally, the county is partnering with the largest employers to implement tobacco-free worksites, helping to reduce exposure to secondhand smoke for approximately 60,000 residents and others.
Active Living and Healthy Eating – Nutrition
Austin/Travis County – Austin, Texas
The Challenge: An estimated 16% of school-aged children within the state of Texas are obese, including an estimated 19% of Hispanic school aged children.
The Goal: By September 29, 2016, increase the number of schools in Austin/Travis County with new healthy food options that are consistent with the Institute of Medicine’s Nutrition Standards for Foods in Schools.
Current Activities: Austin/Travis County is working with school districts to increase healthy food and beverage consumption through the use of Healthy Food Zone initiatives that reduce access to competitive, low-nutrition foods and beverages in close proximity to K-12 schools in Austin/Travis County. These efforts will ensure that approximately 86,000 4- to 18- year-olds in the county have access to healthy food options.
Pierce County - Tacoma, Washington
The Challenge: An estimated 31% of adults in Pierce County are obese, more than the national and state prevalence levels.
The Goal: By September 29, 2016, 229,500 residents of Pierce County will have improved access to healthy food and beverage options.
Current Activities: Pierce County is working to improve the availability of nutritious foods and beverages by strengthening institutional and organizational food procurement practices. This will provide residents with the opportunity to have access to healthy foods: Pierce County has already seen success toward this goal. More than 11,000 students and 1,500 staff within the Clover Park School District now have access to vending machines that offer healthy options that meet the USDA’s sodium and sugar guidelines.
Active Living and Healthy Eating – Physical Activity
The Challenge: Only 38.8 % of high school students in Maryland engage in recommended physical activity levels. In addition, 27.9 % of high school students are overweight or obese.
The Goal: By September 29, 2016, 739,000 people, including school-age children and teens, will have access to physical activity opportunities throughout the state.
Current Activities: The state of Maryland is working with 19 school districts (including both urban and rural districts) to implement and monitor USDA local wellness initiatives that include comprehensive physical activity practices. In addition to advancing physical education strategies, Maryland is working to implement strategies that involve other physical activity opportunities, including the creation of walking-/biking-to- school programs, physical activity breaks, and intramural or physical activity clubs.
Clinical and Community Preventive Services
The Challenge: Twenty-six rural Iowa counties have been identified as having high stroke mortality rates. High stroke morality is especially concentrated in an area in southeast Iowa.
The Goal: By September, 2016, Iowa will increase the number of dental practices having systems in place for blood pressure and tobacco use screening and referral.
Current Activities: The state of Iowa is building on a previous strategy (“2009-2011 Iowa Dental Pilot”) in asking dental practices throughout southeast Iowa counties to voluntarily participate in blood pressure and tobacco use screening and referral training. This activity may help to ensure that more than 300,000 individuals are screened for risk factors and referred to necessary resources. In addition, this training will be offered to community health center dental clinics to ensure these activities are extended to reach low-income and uninsured populations.
The Challenge: Nearly 32% of adult South Carolinians have high blood pressure and 36% have high cholesterol, levels that have increased in recent years.
The Goal: By September 29, 2016, 1.4 million patients will have access to high impact quality preventive services.
Current Activities: South Carolina is increasing the number of primary care practices who adopt model policies consistent with U.S. Preventative Services Task Force guidelines in order to improve control of high blood pressure and high cholesterol. South Carolina has already seen success: approximately 300,000 adults and 150,000 pediatric patients will be provided evidence-based high blood pressure and high cholesterol care as a result of an additional 75 primary care physicians who have signed a Business Associates Agreement.
The Challenge: Approximately 14% of Summit County residents lack health insurance and 13% of residents are in poor or fair health.
The Goal: By September 29, 2016, Summit County will achieve improvements in population health and close gaps in health care delivery, through coordinated efforts and pioneering approaches.
Current Activities: Work has already begun through the Accountable Care Community (ACC), a coalition of employers, health systems and clinics, medical and pharmacy schools, institutions of higher education, faith-based organizations, and numerous social service and philanthropic agencies. The ACC is working to bring improvement in population health through a growing collaboration with more than 60 partners from all sectors of the community. Tremendous success has already been had, as 85% of the people in the Summit County community are now receiving health-related services including primary care services like diabetes management and immunizations from either the health systems or an entity involved with the ACC or both.
Healthy and Safe Physical Environment
Broward County, Florida
The Challenge: Obesity in America has reached epidemic proportions in recent years and health experts agree that physical inactivity is a major contributing factor. Currently, none of Broward County’s 31 municipalities have implemented Complete Streets standards or Smart Growth principles.
The Goal: By September 2016, 700,000 residents of Broward County will have access to healthy and safe physical environments in municipalities where they live.
Current Activities: Broward County is working to develop and implement Complete Streets standards and Smart Growth principles in at least 55% of its municipalities. Additionally, it will increase the opportunities for physical activity, thereby improving overall health. Broward County is partnering with experts and leaders to ensure integration of these initiatives.
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