2013 UGA State of Public Health Conference Program by University of Georgia College of Education

College of Public Health University of Georgia

The Reality. The Dialogue. The Future. Georgia Public Health Training Center College of Public Health University of Georgia March 21, 2013

WELCOME FROM THE COLLEGE OF PUBLIC HEALTH Welcome to the inaugural State of Public Health in Georgia Conference! We are pleased that you have joined us, and we look forward to sharing important information with you on developments in public health at the local, state, and national levels. This event is designed to be a dialogue among us, and we hope to hear from you during the conference as we have opportunities for discussion and networking. We know that the population health status of Georgians living across this great state is not what it could be. Health indicators in Georgia show persistent challenges as indicated by our high rates of chronic disease, obesity and smoking. Throughout Georgia’s 159 counties, dramatic differences in health status exist, often varying by race, zip code, and economic status. We have lower high school graduation rates than many states, and higher unemployment. Per capita investments in public health remain very low. We know these important determinants of health must be addressed so that we can create the conditions for health. At the same time, Georgia has many assets. At this conference, we want to acknowledge our challenges and transcend them by leveraging our assets and working, collectively and collaboratively, to improve health outcomes for all Georgians. The conference today is sponsored by the Georgia Public Health Training Center (GPHTC), located in our College’s Office of Outreach and Engagement. Funded in 2010 by a grant from HRSA, the GPHTC delivers training to the public health workforce, places students in internships throughout the state, conducts faculty and student collaborative projects, and provides technical assistance for public health projects. We are pleased to have such a remarkable array of accomplished and distinguished speakers. We hope that today’s information and dialogue will energize us all for the work ahead. Over the longer term we hope, too, that the learning opportunities provided by the GPHTC will continue to inform and prepare us to create measurable change in Georgia. Thank you for being with us today and your passion about public health in Georgia.

Phillip L. Williams Dean

Marsha Davis Associate Dean, Outreach & Engagement Director, GPHTC

KEYNOTE SESSION Healthy, Wealthy and Wise: Leadership for a Thriving Georgia Tyler Norris, M.Div., Vice President, Total Health Partnerships, Kaiser Permanente The burden of preventable chronic disease is straining the physical and fiscal health of Georgia and the nation. Nothing less than the long-term well-being of the state and country is at stake. It is incumbent on leaders across the public, private, non-profit and community sectors to collaborate on actions that can reduce demand on health care services, and contribute to population health as a central element of providing value. This session will address “total health” as a way to rethink quality – via concurrently promoting clinical, educational, environmental and social actions that improve the health of all people.

KEYNOTE SPEAKER

TYLER NORRIS

Vice President, Total Health Partnerships at Kaiser Permanente Tyler Norris, M.Div., serves as vice president, Total Health Partnerships at Kaiser Permanente. Tyler helps implement Kaiser’s aspiration for the complete physical, mental and social well-being of our members, our workforce, and our communities -- through the services we provide and by promoting the health of all people. Additionally, Tyler leads Kaiser Permanente’s portfolio of integrated physical activity and active transportation initiatives. Among his voluntary roles, Tyler serves as board chair of IP3, a non-profit technology venture that powers The Community Commons, CHNA.org, and an array of data platforms for leading health philanthropies and governmental agencies. He is a long-time social entrepreneur, and founder of over a dozen businesses and social ventures. His three decades of service in the public, private and non-profit sectors have focused on growing the impact of the healthy communities movement and has included work with over 350 communities and with scores of organizations in the US and around the world. Previously Tyler has served as founding CEO of Community Initiatives Inc.; convener of Advancing the Movement; founding co-chair of the W.K. Kellogg Foundation's National Leadership Alliance; founding director of the national "Convergence Partnership" (a consortium of philanthropies, Kaiser Permanente, and the Centers for Disease Control and Prevention); NAC chair of the Robert Wood Johnson Foundation's Active Living by Design initiative; as a Fellow of Estes Park Institute and the Public Health Institute; and as head coach of the YMCA's award-winning Pioneering Healthier Communities initiative.

PLENARY SESSION Public Health: Moving Forward Brenda Fitzgerald, M.D., Commissioner and State Health Officer, Georgia Department of Public Health Commissioner Fitzgerald will highlight changes in public health since the Department of Public Health became a stand-alone agency on July 1, 2011. These include reducing the infant mortality rate, reducing pre-term birth rates and launching the Georgia SHAPE program to prevent childhood obesity.

PLENARY SPEAKER

BRENDA FITZGERALD

Commissioner & State Health Officer, Georgia Department of Public Health Brenda Fitzgerald, M.D., serves as the Commissioner of the Georgia Department of Public Health and State Health Officer. Dr. Fitzgerald, a board-certified Obstetrician-Gynecologist and a Fellow in AntiAging Medicine, has practiced medicine for three decades. As Commissioner, Dr. Fitzgerald oversees various state public health programs including Health Promotion and Disease Prevention, Maternal and Child Health, Infectious Disease and Immunization, Environmental Health, Epidemiology, Emergency Preparedness and Response, Emergency Medical Services, Pharmacy, Nursing, Volunteer Health Care, the Office of Health Equity, Vital Records and the State Public Health Laboratory. Dr. Fitzgerald also directs the stateâ&#x20AC;&#x2122;s 18 public health districts and 159 county health departments. Prior to joining DPH, Dr. Fitzgerald held numerous leadership positions. Fitzgerald served on the board and as president of the Georgia OB-GYN Society and she worked as a health care policy advisor with House Speaker Newt Gingrich and Senator Paul Coverdell. She has served as Chairman of the Board for the Georgia Public Policy Foundation and remains a Senior Fellow. Additionally, she served on the Military Academy Selection Boards for Senators Paul Coverdell and Saxby Chambliss, and was a founding board member for the Paul Coverdell Leadership Institute. She also contributed to Leadership Georgia serving as a program chair, served as the 7th District Representative to the Georgia State School Board, and held board posts with Voices for Georgiaâ&#x20AC;&#x2122;s Children, the Advanced Academy of West Georgia, the University of West Georgia Foundation, and the Carrollton Rotary Club.

AGENDA Time

Activity and Speaker

Location

7:30-9:00

Registration/Coffee ............................................................................................. Conference Registration Desk

9:00-10:15

Welcome .............................................................................................................................................. Mahler Hall Phillip L. Williams, Dean, College of Public Health Marsha Davis, Associate Dean for Outreach and Engagement, College of Public Health Keynote Speaker Tyler Norris, Vice President of Total Health Partnerships at Kaiser Permanente Healthy, Wealthy, and Wise: Leadership for a Thriving Georgia

10:15-10:45

Refreshment Break ................................................................................................................................ Hill Atrium

10:45-12:00

Workshops Embracing Quality Improvement ..................................................................................................Room Q Grace Gorenflo—Gorenflo Consulting Engaging Communities to Promote Public Health .......................................................................Room R Alpha Bryan, Sonya Crutchfield, Gail Webb—Clayton County Angela Castellow, Emily Watson—Colquitt County Marsha Davis—College of Public Health Is Your Health Department PHABulous? Say it with Accreditation! .................................... Room V/W Jeff Lake—Public Health Accreditation Board Public Health and Primary Care: Partnering for a Healthier Georgia ...................................... Room K Michelle Gourdine—Michelle Gourdine and Associates Strategies for Implementing Effective Tobacco Control Programs ............................................ Room L Tonia Moore—Louisiana Public Health Institute

12:00-2:00

Lunch ....................................................................................................................................... Magnolia Ballroom Plenary Speaker Introduction by Phillip L. Williams, Dean, College of Public Health Brenda Fitzgerald, Commissioner and State Health Officer, Department of Public Health Public Health: Moving Forward

2:00-3:15

3:15-3:30

Refreshment Break ................................................................................................................................ Hill Atrium

3:30-4:30

Closing Panel ....................................................................................................................................... Mahler Hall Moderated by Marsha Davis, Associate Dean, College of Public Health Claude Burnett, District Health Officer, Northeast Health District (Athens) Andy Miller, CEO and editor, Georgia Health News Phillip L. Williams, Dean, College of Public Health Cindy Zeldin, Georgians for a Healthy Future

WORKSHOP DESCRIPTIONS Embracing Quality Improvement Grace Gorenflo, Principal, Gorenflo Consulting, Inc. Many public health agencies are beginning to engage in quality improvement (QI) initiatives for the first time, largely as a result of the advent of public health accreditation. Participants in this session will understand the fundamentals of quality improvement as well as strategies to establish a foundation of a QI culture in their agencies.

Engaging Communities to Promote Public Health Alpha Bryan, District Health Director, Clayton County Board of Health; Sonya Crutchfield, Clayton County Public Health Professional, College of Public Health; Gail Webb, Clayton County Archway Professional, Archway Partnership; Angela Castellow, Executive Director, United Way of Colquitt County; Emily Watson, Colquitt County Public Health Professional, College of Public Health; Marsha Davis, Associate Dean, College of Public Health Public health issues we face in Georgia today require collaboration among multiple sectors of the community in order to improve health outcomes. Moreover, health promotion programs and policies are more effective and sustainable when they are community-driven. The goal of this workshop is to show how two communities engaged key partners to address public health priority issues and discuss strategies for successful, broad sector, community engagement.

Is Your Health Department PHABulous? Say it with Accreditation! Jeff Lake, Volunteer Services Manager, Public Health Accreditation Board For the past five years, the Public Health Accreditation Board (PHAB) has been working to develop a national voluntary public health accreditation program for state, local, tribal and territorial health departments. This workshop will describe the PHAB national accreditation program process, provide an update on the current status of the national public health accreditation program, describe observations and lessons learned by PHAB to date, and provide practical tips for being a successful accreditation applicant.

Public Health and Primary Care: Partnering for a Healthier Georgia Michelle Gourdine, CEO, Michelle Gourdine and Associates Despite the mutual goal of disease prevention and health promotion for the people they serve, public health and primary care often work in silos. This workshop will explore strategies to effectively coordinate the efforts between clinic and community to achieve better population health.

Strategies for Implementing Effective Tobacco Control Programs Tonia Moore, Associate Director, Louisiana Campaign for Tobacco-Free Living This workshop will provide the audience with best practices and other effective strategies for developing a statewide tobacco control program. The presenter will discuss tobacco control programs in Louisiana, the goals and objectives, shifting from prevention to policy, evaluation and research projects, media campaigns and working with diverse communities. The presenter will also discuss the importance for sustained program funding and developing community partnerships.

WORKSHOP PRESENTERS Alpha Fowler Bryan, MD is a native of Texas and received her medical degree from Meharry Medical College (Nashville, TN). In 1985, Dr. Bryan became Medical Director for the Southern Illinois Healthcare Foundation, a federally funded Community Health Center in Centreville, IL. Dr. Bryan became the Director of the St. Louis County Department of Health in 1991 and provided management oversight for the county’s largest department. In 1998, she was appointed Assistant Division Director for the Department of Human Resources, Division of Public Health (DPH). She has since served as the District Health Director in Cobb-Douglas and currently serves as the District Health Director for the Clayton County Board of Health. In 2010 and 2011, Dr. Bryan served as president of the Georgia Public Health Association (GPHA). With her leadership, vision and values, she has developed sound policies and procedures, defined district-wide goals and actively advocates for public health at the local and state levels.

Angela Castellow has been a member of the Healthy Colquitt Coalition since it was formed in 2009 and she continues to play an active role in the organization today. Elected in 2003, Angela is in her third term serving on the Council for the City of Moultrie. She is also the Executive Director of the United Way of Colquitt County. Sonya Crutchfield, MPH is a public service faculty member in the UGA College of Public Health, joining the faculty in October 2012. In her position as the Public Health Professional for Clayton County, she works with community stakeholders to identity, organize, and address the county’s public health issues and training needs. Previously, Sonya was the Program Manager for Georgia’s Nutrition and Physical Activity Initiative within the Georgia Department of Public Health; working to attain the program goal of decreasing obesity and chronic disease in Georgia by engaging partners, promoting positive health messages, advocating for policy change, and working across sectors, settings, and social economic levels to make healthy options available for all Georgians. Sonya is passionate about working with communities to make their homes a healthier and more equitable place to live, work, learn and play. Marsha Davis, PhD is Associate Dean for Outreach and Engagement in the College of Public Health and Director of the Georgia Public Health Training Center at the University of Georgia. In this role, she provides strategic direction to expand the capacity of the Georgia Public Health Training Center and the Outreach and Engagement administrative unit within the College of Public Health. Prior to coming to UGA in 2006, Dr. Davis served on the faculty at the Rollins School of Public Health and the University of Minnesota School of Public Health. She has worked on several landmark community intervention health studies: the Minnesota Heart Health Program, the Child and Adolescent Trial for Cardiovascular Health (CATCH), the National Cancer Institute’s 5-a-Day initiatives, and the National Heart, Lung, and Blood Institute’s multisite study of the prevention of obesity in African American girls. Currently, with funding from USDA, HRSA, and Healthcare Georgia Foundation she and her team are working on projects and collaborations ranging from a five-year longitudinal study in Colquitt County on childhood obesity, a multisite school based health clinic evaluation technical assistance project, and an evaluation of barriers and facilitators of promoting physical activity in children throughout the school day.

Grace Gorenflo, MPH, RN established Gorenflo Consulting, Inc., following a 20-year career with the National Association of County and City Health Officials (NACCHO). While at NACCHO, Grace served for five years as the deputy director and nine years as the Senior Director of Performance Improvement. She also played several key roles in the development of the Public Health Accreditation Board. Grace led a number of teams at NACCHO through quality improvement (QI) processes, and now provides coaching, training and technical assistance to health departments around the country that are engaged in QI and seeking to establish a QI culture in their agencies.

WORKSHOP PRESENTERS Michelle A. Gourdine, MD is a Board-certified Pediatrician and health policy specialist whose work focuses on addressing the cultural and social forces that contribute to health inequities. She is a Clinical Assistant Professor in the Departments of Epidemiology and Preventive Medicine and Pediatrics at the University of Maryland School of Medicine, and a Senior Associate in the Department of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. Dr. Gourdine’s career in medicine and public health leadership has spanned nearly 20 years, beginning in 1995 as the Baltimore County Health Officer. She was appointed Deputy Secretary for Public Health Services for the Maryland Department of Health and Mental Hygiene (DHMH) in January 2005. One of her most significant contributions to healthcare delivery was the creation of the Partner’s Health Improvement Program, an innovative collaboration between two hospitals, Kaiser Permanente, and the Baltimore County Department of Health that offered comprehensive health coverage to Baltimore County’s low income, uninsured residents who did not qualify for Medicaid or other public assistance. A graduate of the Johns Hopkins School of Medicine in Baltimore, Maryland, Dr. Gourdine served her residency in the Department of Pediatrics at the Johns Hopkins Hospital. Upon completion of her specialty training, she worked as a pediatrician in private practice in Mississippi. In 1993, she joined the Johns Hopkins Medical Services Corporation, Johnson Medical Center in Baltimore. Her new book, Reclaiming Our Health: A Guide to African American Wellness (Yale University Press), reveals the unique cultural and environmental factors that influence African American health, and provides motivation and practical steps for the readers to follow to live longer, healthier lives. Her advice and book have been recently highlighted in the Philadelphia Inquirer, USA Today, Essence Magazine, and the New York Times. Dr. Gourdine is the recipient of numerous awards and honors. In 1997, Dr. Gourdine was appointed one of forty national scholars to the Public Health Leadership Institute. The Johns Hopkins University Bloomberg School Public Health awarded Dr. Gourdine the 2001 Public Health Service Award.

Jeff Lake, MS joined the Public Health Accreditation Board as Volunteer Services Manager in January 2013 where he recruits, assigns, and supports peer reviewers and other volunteers. He has been actively involved with public health accreditation since its inception serving on various committees and expert panels; as a consultant; and chair for Site Visitor Teams during the beta test phase and in Fall 2012. Jeff has more than 33 years of experience in public health practice at the state and local level. Immediately prior to joining PHAB, he served as Deputy Commissioner for Community Health Services in the Virginia Department of Health for 16 years. Jeff has held leadership positions in a variety of national organizations dedicated to improving health. These include Founding Board Chair for the National Network of Public Health Institutes and former Chair of the Association of State and Territorial Health Officials (ASTHO) Senior Deputies Committee. Jeff is a 1998 Fellow of the National Public Health Leadership Institute and a 2003 graduate of the Virginia Executive Institute. He is the recipient of ASTHO's Noble J. Swearingen 2010 Award for Excellence in Public Health Administrative Management and the 2011 recipient of the Dandoy Medallion for Public Health Excellence from the Eastern Virginia Medical School's MPH Program.

Tonia R. Moore, MSCHM is the Associate Director of the Louisiana Campaign for Tobacco-Free Living (TFL), an affiliated program of The Louisiana Public Health Institute (LPHI) located in New Orleans, LA. She has over six years of experience in tobacco control and prevention, and over five years in health care administration. She is also a political science adjunct professor at Delgado Community College (American Government). Tonia is also very active with her professional and community organizations as well. She currently serves as president of the New Orleans Chapter of the National Black MBA Association, Inc., as a board member and treasurer for Innovators in Milestone, Inc., a high-performing charter school in New Orleans, a member of the American Public Health Association, and a member of the Funders Alliance for State-based Tobacco Control. Community involvement is important to Tonia as she gives a great deal of her time to volunteering with professional, community and political organizations.

WORKSHOP PRESENTERS Emily Watson serves as the Public Health Professional for Colquitt County.

She is a public service faculty member in the UGA College of Public Health and is involved in the coordination of trainings for the Georgia Public Health Training Center. Emily works closely with the Healthy Colquitt Coalition and seeks opportunities for community collaboration with the College of Public Health.

Gail Webb became the Archway Professional for Clayton County on June 1, 2008. In this position, she promotes community economic development; assists with the county’s unique, expressed needs; and provides leadership by partnering with other higher education institutions, state agencies and local communities. Previously, Gail was the director of the Governor’s Mentor Protégé Program under the Governor’s Entrepreneur and Small Business Office, a unit of the Georgia Department of Economic Development (GDEcD).

THE UGA COLLEGE OF PUBLIC HEALTH The UGA College of Public Health (CPH) was formed in 2005 and received full CEPH accreditation in 2009. It is home to four academic departments, three institutes and one center: The Department of Environmental Health Science, the Department of Epidemiology and Biostatistics, the Department of Health Policy and Management, the Department of Health Promotion and Behavior, the Institute for Health Management and Mass Destruction Defense, the Institute of Gerontology, the Institute for Evidence-Based Health Professions Education and the Center for Global Health. CPH also houses the Georgia Public Health Training Center. By bringing together many of UGA’s research, teaching and outreach programs in the areas of health and medicine, the College of Public Health allows UGA to better address the serious disease and health problems that affect populations around the state, country and world. The college has just over 200 total faculty and staff and over 900 students in undergraduate, graduate and certificate programs. We now have more than $35 million in active grant support. Through our academic and outreach programs, we are fulfilling UGA’s mission as the state’s land-grant university to train future leaders responsible for the public health and well-being of Georgians. The College of Public Health offers a Bachelor of Science in Environmental Health, Bachelor of Science in Health Promotion and Behavior, Master of Public Health, Master of Science in Environmental Health, Doctor of Public Health and Doctor of Philosophy in various disciplines. The College has a Minor in Public Health, two certificate programs in gerontology and disaster management, and joint degree programs with Pharmacy, Veterinary Medicine and Social Work. The College currently operates at seven different locations on and off the main campus. UGA’s acquisition of the former Navy Supply Corps School to be repurposed as the UGA Health Sciences Campus (HSC) has presented a timely opportunity for the CPH to bring all of its programs together at a single location. In January 2012, our department of Epidemiology and Biostatistics became the first academic program to locate to HSC in Wright Hall. Final design work and renovation are underway to prepare Rhodes Hall as the central office building for the CPH Dean and Scott Hall as a student center. Russell Hall will be the main classroom facility operated by UGA in partnership with the Georgia Regents University (formerly MCG). Plans are underway to renovate additional HSC buildings to house other CPH departments and institutes. As our programs grow in size and reputation, so does our ability to carry out our mission: “To promote health in human populations through innovative research, exemplary education and engaged service dedicated to preventing disease and injury within the state and around the world.”

PANELISTS Claude Burnett, MD, MA, MPH serves as the District Health Director for the Northeast Health District, District 10. He was an epidemiologist at the CDC from 1971 to 1978. He has a master's degree in public health from the University of North Carolina and a master's degree in public policy from Duke University. He has experience with public health data systems since 1971 and has implemented surveys of teens and citizens to use for policy change.

Andy Miller, MEd has been a health care journalist for the past 20 years. From 1992 to mid-2009, he covered health care for the Atlanta Journal-Constitution. He won numerous awards for his newspaper reporting on hospitals and health insurers, state government and Georgia’s mental hospitals. Miller has been an Association of Health Care Journalists (AHCJ) member for 10 years and serves as the president of the organization’s Atlanta chapter. Recently he was elected to the AHCJ board. He was a Kaiser Family Foundation health journalism fellow in 2001-2002.He has worked as a freelance health care reporter for several organizations, including WebMD, AOL’s WalletPop, Kaiser Health News, msnbc.com and AARP Bulletin.

Phillip L. Williams, PhD is the founding Dean of the College of Public Health at the University of Georgia and he also holds the Georgia Power Professorship of Environmental Health Science in the College’s Department of Environmental Health Science. Dean Williams serves on the State Board of Public Health, overseeing the newly created Department of Public Health and served as the Chairman of the Public Health Commission. His research interests center around the development of alternative toxicological testing methods and the establishment of acceptable occupational and environmental values for human exposure to air and water contaminants. He has authored over 100 publications including 2 textbooks on toxicology. Prior to coming to UGA in 1993, he was the Vice President of the Environmental Health and Safety Division of A. T. Kearney, a large consulting firm, a Senior Research Scientist with the Georgia Tech Research Institute and he was an Industrial Hygienist with the USDOL/OSHA.

Cindy Zeldin, MPH is the Executive Director of Georgians for a Healthy Future, a non-profit organization that advocates for access to quality, affordable health care for all Georgians through public education and outreach, coalition building, and public policy advocacy. Cindy joined Georgians for a Healthy Future as founding Executive Director in 2009 and brought ten years of experience in health policy to the role. Her previous positions include working as a senior program associate in the health policy program at the New America Foundation, a national think tank; as federal affairs coordinator for the public policy organization Demos; and working within state government at the Georgia Department of Audits, where she was part of a team that conducted program audits of health care programs in the state. She also currently serves as a consumer representative to the National Association of Insurance Commissioners (NAIC), was appointed to and served on the Governor’s Health Insurance Exchange Advisory Committee in 2011, and was named one of Georgia’s “40 Under 40: Georgia’s Best and Brightest” by Georgia Trend magazine in 2010. Cindy also serves as a volunteer on several advisory committees, including on the Healthy Mothers Healthy Babies Coalition of Georgia Public Affairs Committee, the Partner Up for Public Health Advisory Board, and the United Way of Metropolitan Atlanta’s Health Access Leadership Council.

STAYING CONNECTED AND TAKING ACTION The Georgia Public Health Training Center (GPHTC) combines faculty from the University of Georgia Colleges of Public Health, Education, Social Work, and Family and Consumer Sciences, along with outreach and training expertise from the Carl Vinson and Fanning Institutes, and the infrastructure of the Archway Partnership, to deliver a comprehensive, statewide resource for public health workers. Founded in 2010, the GPHTC pursues several activities focused on building the capacity of the current and future public health workforce. Assessing training needs of public health workers. The GPHTC is engaged in ongoing assessment of the primary learning needs of the public health workforce. Emphasis is placed on improving the technical and managerial skills of public health workers. The data are then used to provide training opportunities for the public health workforce across Georgia. • Let us know your training needs. Placing graduate students in internships statewide. The GPHC supports placement of public health sites across the state of Georgia by providing a stipend, identifying potential experience sites, particularly in underserved communities, and matching students with placement opportunities. • Let us know if you are interested in student internships. Providing statewide training, conducting faculty and student collaborative projects, and offering technical assistance for public health projects. Recent initiatives include: Public Health Leadership Academy Program Management for Public Health Professionals Using Online Analytic Statistical Information System (OASIS) Program Evaluation in Public Health Settings Cultural Sensitivity Childhood Obesity Prevention in Schools Worksite Wellness Strategic Mapping for the Georgia SHAPE Initiative HIV/AIDS Needs Assessment for Northeast Georgia • Let us know if you are interested in any these trainings or more training on the topics offered at today’s conference.