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CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Collective ImpactCollective Impactis the commitment of agroup of actors fromdifferent sectors to acommon agenda for solvinga complex social problem.CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

From MDF Strategic Plan .Four Pillars for Workforce Development Education and Training Health and Wellness Innovation andEntrepreneurship Attraction of new and“renewed” workersCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

The mission of the Maine DowntownCenter:To foster downtown revitalization that isdynamic and community-based, and results ineconomic development, business growth,job creation, historic preservation,housing revitalizationand cultural enhancement.CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

USDA-RCDI grants helprural downtowns!CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Snapshot of Maine Oldest state in the nation and getting older(only growing demographic is 60-70) Highest % of GDP expenditure in healthcare expenditures in New England (22.4)(US Avr.14.9%) 90% of all businesses have under 20employees Workforce development huge focus of theMDF and state agencies This year we crossed importantthreshold: positive upward reversal in %of Maine population living in servicecenters – they are moving back into town!!CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Case Sample: Healthy Maine Streets! 1.64 million Community CTG Action Institute Kala Ladenheim MCD Public HealthTransformation Grant through theCenters for Disease Control2 year unique pilot program tostrengthen downtowns from the heart20 downtowns/200 small businesses(sole proprietors to under 20employees) involved in worksitewellnessPerson-centric focus creatingdowntown leadership and value addedprogramming for Main StreetorganizationsSub-grants provide operations supportand funding for special projects,training and marketing materialsLeadership Team engages newstatewide and local collaboratorsAnne Ball Maine Development Foundation4/26/2013

USHHSCenters for DiseaseControlCommunityTransformation GrantsNEW CTG InitiativeCommunity Health/SmallBusiness focusHealthy MaineStreets Program –MaineDevelopmentFoundation/MaineDowntown Centerand MCD PublicHealthCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

A Genuine Partnership Maine Development FoundationMain Street MaineCommunitiesMaine DowntownNetwork CommunitiesHMS Leadership TeamMCD Public HealthCommunity PartnersCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Healthy Maine StreetsMission Statement:Creating vibrant downtowns through community leadership focused on developingplace-based worksite wellness.Healthy Maine Streets connects small businesses with creative opportunities to make thehealthy choice the easy choice.Healthy people .build downtown vitality,fuel economic growth and strengthen ourquality of place for future generations.Worksite Wellness. Community Leadership. Downtown Vitality.CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

If Food Were Health Care If food prices had risen at the samerates as medical inflation since the1930’s, we would be paying anastronomical amount for commongrocery items as evidenced below. 1 dozen eggs 80.201 pound apples 12.231 pound sugar 13.701 roll toilet tissue 24.201 dozen oranges 107.901 pound butter 102.071 pound bananas 16.041 pound bacon 122.481 pound beef shoulder 43.571 pound of coffee 64.1710 item total 586.56Source: American Institute for Preventive Medicine,2007CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

The Cost of Unhealthy Lifestyles The U.S. spends the most amount ofmoney on health care per capita thanany other industrialized country in theworld. 50% more the next leading country, Norway. The U.S. spent 2.3 trillion on healthcare in 2010 This makes up roughly 17.9% of the U.S. GDPThe average cost per person in the U.S. is 8,650 Based on our current trend, economistsare projecting the U.S. will spend 4.6trillion by 2020 The average cost per person in the U.S. wouldbe 13,710This would make up 20% of the U.S. GDPSource: CDCCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Worksite Wellness Framework Leadership Support Assessment Planning Implementation EvaluationCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

The four primary focus areas forHealthy Maine ysicalActivityCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

Healthy Maine Streets Concept 20 Communities 10 Main Street Maine Communities10 Maine Downtown Network Communities Recruit 10 employers in each community Employers and Supporting Organizations make upCommunity Wellness Committee Community Wellness Committee works to Support Employer Wellness ProgramsImprove employee and community health through environmentalchanges Employers work to support employee health throughenvironmental and policy changes at their worksite(s)CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Leadership Support Wellness Committee Chair appointed by Board ofDirectors Committee reports to Board ofDirectors 10 Employers Letter of Commitment Appointed Wellness Leader Financial Support Incentives Strategies / InterventionsCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

HMPWellnessCommitteeOverseen by MainStreet Board orDowntown GroupEvery participatingbusiness appoints oneperson to serve onCommitteeCommittee Chairappointed by downtownboard or groupMusicStoreYMCARec suranceagentDentistFoodmarketMeets monthly to plan,promote, shareCTG Action Institute Kala Ladenheim MCD Public torAnne Ball Maine Development Foundation 4.26.2013

HMP Involvement Support employers and Community Wellness Teamwith providing technical assistance and resources forthe following Physical ActivityHealthy EatingTobacco UseOther health resources as appropriate Support employers and Community Wellness Teamswith using Healthy Maine Works Serve as a member of the Community Wellness TeamCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Assessment Healthy Maine WorksPlanning & AssessmentTool Employee Health Needsand Interest SurveyWorksite Inventory Community HealthAssessment Asset Resource GuideCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

HMS CTIPS – Physical Activity By September 29, 2014, increase the percentage ofemployers in the funded communities thatimplement organizational or environmental changesthat support increased physical activity from 0 to50%. By September 29, 2014, increase the number ofcommunities that implement environmental changesthat increase physical activity opportunities forcommunity residents from 0 to 10.CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Things you can do to increase Physical Activity Flex Time Policy to allow Make Stairwellsemployees to incorporatephysical activity duringthe workday Fitness CenterReimbursement Programappealing(paint/decorate) toencourage people to takethe stairs instead ofelevators Develop and distributehiking and walking mapswith distance labeledCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

HMS CTIPS– Healthy Eating Increase the number of employers who implementenvironmental changes or programs to increaseaccess to healthy food and beverage options for theiremployees from XX to YY by September 2014. By September 29, 2014, increase the number ofcommunities that bring employers together toincrease employee access to fruits and vegetables inthe community from 0 to 10.CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Things you can do to improve Healthy Eating Healthy Eating policy at Create an employeeWorksites Healthy Food policy forVending Machines Provide subsidy /reimbursement forpurchase of Farm Sharesvegetable garden Bring restaurantstogether to label andincrease offerings ofhealthy food choices CSA shares as incentivesfor group competitionsand business goalmilestone awardsCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

HMS CTIPS – Tobacco Use By September 29, 2014, increase the number ofworksites that are in compliance with or exceedexisting state laws on smoke-free worksites from XXto 100. By September 29, 2014, increase the number ofcommunities with small employers that offer theirworkforces access to a shared smoking cessationactivity from 0 to 3.CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Things you can do to reduce Tobacco Use Smoke Free Workplace Tobacco CessationPolicies Tobacco Free WorksiteSupport Groups Post signage and refertobacco users to theMaine Tobacco HelplineCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

Implementation Put plan into action Track progress and collectinformation Examples include Participation rates Policies developed Participant satisfaction Behavior Change Communicate progress andsuccess storiesCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Employee Engagement Utilize effective marketing principlesBuild interestReduce RoadblocksProvide IncentivesHelp people see the valueProvide recognition andcelebrate that you careCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Evaluation Health Risk Change Data Community and Employer Environmental Changes Employee participation and satisfaction data Reports 1st Quarter (January 1 – March 31) due April 152nd Quarter (April 1-June 30) due July 153rd Quarter (July 1-September 30) due October 154th Quarter (October 1-December 31) due on January 15CTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

Wellness Program ROI Based on more than 120research studies, theNational Business Groupon Health reported that,within five years ofprogram implementation,overall benefit-to-costratios (return oninvestment) of:in reducedhealth-care costs perdollar invested. 5.82 in lowerabsenteeism perdollar invested. 3.48CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4/26/2013

CTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation4.26.2013

What Success Looks LikeDowntownOrganizations/EffortsSmall Business Directed Strengthen Local Strengthen overallLeadership Sustain Main StreetDowntownOrganizations Provide neededsupport to developingdowntown groupscommunity economyone small healthierbusiness at a time Positively redirectlimited financialresources into thebusiness and propertyCTG Action Institute Kala Ladenheim MCD Public HealthAnne Ball Maine Development Foundation 4.26.2013

Questions? Anne BallProgram CoordinatorHealthy Maine StreetsMaine Downtown CenterMaine Development Foundationaball@mdf.org207-415-5770 Kala LadenheimProject LeaderHealthy Maine StreetsMCD Public Healthkladenheim@mcdph.org207-622-7566 ext. 249Visit us atBlog healthymainestreets.blogspot.com/Website healthymainestreets.org/Facebook facebook.com/HealthyMaineStreetsCTG Action Institute Kala Ladenheim MCD Public HealthAnneAnneBall MaineBall MaineDevelopmentDevelopmentFoundationFoundation 4/26/20134.26.2013

CTG Action Institute Kala Ladenheim MCD Public Health Anne Ball Maine Development Foundation 4.26.2013 The mission of the Maine Downtown Center: To foster downtown revitalization that is dynamic and community-based, and results in economic development, business growth, job creation, historic preservation, housing revitalization

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