Lippincott Williams & Wilkins
Essential Policies for Chronic Disease Prevention and Control: Priorities for State and Territorial Health Officials Risk Factor: TobaccoS/THO has primary authority roleIncrease taxes on all tobacco products Policy AreasTracking sources: and enforce model comprehensive tobacco-free air policies Policy AreasGov bldgs., private worksites, Schools, Childcare facilities, Healthcare facilities, hotels and other hospitality venues, Restaurants, Bars, Casinos, Private Vehicles, Recreational facilities. Tracking sources: all tobacco product flavors, including menthol.Tracking sources: local authority to enact tobacco control policies by preventing or eliminating preemptive tobacco policiesTracking sources: that increase access to tobacco cessation programs Policy Areasinsurance coverage for all evidence-based treatments, removal of barriers like co-pays or prior authorizationPrimary authority: health insurance plans (especially state Medicaid), medical systems, clinical practicesTracking sources: Factor: Poor NutritionS/THO has primary authority roleImplement multicomponent policies that reduce sugar consumptionPolicy AreasSugar Sweetened Beverage (SSB) taxes, government facility vending/procurement policies, regulation/standards in child/day care environments, Restaurant menu labellingTracking sources: policies that promote breastfeedingPolicy AreasSupport breastfeeding in facilities providing maternity and newborn services. On-site breastfeeding, and storage and handling requirements in in Early Care and education (ECE) settings. Workplace compliance with?federal lactation accommodation lawsPrimary authority: Hospital maternity units, healthcare systems, payors, ECE programsTracking sources: procurement, contracting and retail policies that increase access to healthy foodsPolicy AreasState food service guidelines; State agency food policies for events and meetings, vending machines, and cafeterias; Incentives to attract healthier food retail outlets to underserved areas or to improve healthier food offerings in existing stores; adding high performance nutrition standards for ECEPrimary authority: State schools/public education Dept, State Corrections Dept, State /Economic Development Dept, local government, healthcare systems, private sectorTracking Sources Child Care Obesity Prevention Regulation Scores (COPR Scores) Implement Nutrition Policies in Early Child Care facilitiesPolicy AreasLow/Non fat milk, limit juice, provide water, avoid sugar. See Primary authority: State regulator of childcare facilitiesTracking source Care Obesity Prevention Regulation Scores (COPR Scores) Increase Access to, Utilization of, and Nutritional Quality of School Meals Policy AreasSee: authority: State Board of Ed. State Education/Public Instruction DeptsTracking sources: Factor: Lack of Physical ActivityS/THO has primary authority roleIncrease support and resources for physical activity in community settingsadoption and implementation of complete streets policy, changes to zoning policies or comprehensive or master plans, safe routes to schools and other destinations. Promote or enable shared use agreements in state facilities or across other public/private settings.Tracking source: S/THO has significant influence roleBuilt environment policies to promote physical activity sidewalk ordinances, protected bike lanes, improved crosswalks, Mixed land use environments to increase the diversity and proximity of local destinations and access to parks, and other recreational facilities. See: Implementing the Built Environment Recommendation to Increase Physical ActivityPrimary authority: State DOT, city and county governments, State ParksTracking SourcePhysical Education and recess standards in schools Require at least 40 minutes of physical education, recess and general activity requirementsSee: Comprehensive School Physical Activity Programs: A Guide for SchoolsPrimary authority: State Board of Ed. State Education/public instruction DeptsTracking source Implement policies to increase physical activity and reduce screen time in Early Child Education (ECE) settings Provide and promote physical activity and the remove potential barriers to physical activity participation. No screen media (television, cell phone, or digital media) for children under the age of 2, no more than 30 minutes per week for children age 2 and older.Primary authority: State regulator of childcare facilitiesTracking source Child Care Obesity Prevention Regulation Scores (COPR Scores) Chronic Disease ControlS/THO has primary authority rolePolicies to establish and strengthen the role of Community Health Workers in the public health workforceJob categories, training standards, salary scales and supervision requirements; scope of practice regulations; core competency standards and certification processes; and Medicaid payment of CHW servicesProhibit tanning bed use among Minors under the age of 18Tracking Source has significant influence rolePolicies that increase access to the Diabetes Prevention Program for people with or at risk for Diabetes Reimbursement for DPP services in state Medicaid and other insurance programsPrimary authority: Health Insurance/Payors, Health care systemsPolicies that improve prescription of and adherence to anti-hypertensive and lipid-lowering prescription medicationsReduce/eliminate copays, increase pharmacy support, provide clinical support services for self-measured blood pressure monitoring in state Medicaid and other insurance programsPrimary authority: Health Insurance/Payors, Health care systems, Health care providersPolicies that support self-measured blood pressure InterventionsMedicaid and other insurance policies to reimburse for SMBP, including the equipment,clinical support, and training neededPrimary authority: Health Insurance/Payors, Health care systems, Health care providersPolicies that incentivize the early detection and diagnosis of cognitive impairment and dementia in healthcare settings.Quality improvement standards that support routine screening and testing and promote medication management of dementiaPrimary authority: Health Insurance/Payors, Health care systems, Health care providersSourcesGuide to Community Preventive ServicesGuide to Clinical Preventive ServicesCochrane Collaborative evidence-based summariesCDC 6-18 initiativeCDC Hi-5 initiativeCDC winnable battles initiativeCDC Chronic Disease IndicatorsWHO Non-Communicable Disease recommendations (Best Buys)University of Wisconsin County Health Rankings standardsHealthy People 2030 Core ObjectivesTFAH-Promoting Health and Cost Control in States (PHACCS)TFAH The State of Obesity Report American Lung Association tobacco control guidelinesHarvard Choices ProgramHealthy Brain Initiative Road MapCEO Cancer Gold Standard for workplace wellness ................
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