Local Counties Receive Health Grants from State 07 Nov 13

Continuing the effort to improve the health of Minnesotans, and reduce health care costs through low-cost, preventive measures, the Minnesota Department of Health (MDH) has awarded more than $21.2 million in Statewide Health Improvement Program (SHIP) grants to counties and cities across Minnesota. The grants will be used by communities – in partnership with local businesses, schools, and local governments – to implement projects and programs that will promote exercise and physical activity, improve nutrition, and decrease tobacco use.

“The Statewide Health Improvement Program helps win the fight against both chronic diseases and rising health care costs,” said Governor Mark Dayton. “By supporting preventive health measures and encouraging Minnesotans to make healthy choices, our state can realize significant health care savings and help people of all ages live healthier, more fulfilling lives.”

In fact, a recent study: Bending the Obesity Cost Curve in Minnesota, from the Robert Wood Johnson Foundation found that the fight against obesity alone has the potential to save Minnesota billions of dollars. The study showed that reducing the average Body Mass Index (BMI) in the state by just five percent could lead to health care savings of more than $4 billion in Minnesota over the next 10 years. Reaching that same goal over the next 20 years could save the state as much as $11 billion.

According to Minnesota Health Commissioner Dr. Ed Ehlinger, Minnesota’s SHIP initiative has been instrumental in helping the state make progress on obesity, tobacco use and other factors that contribute to increasing rates of cancer, diabetes and other chronic diseases. By supporting preventive measures to improve public health, SHIP helps create better health outcomes, and reduces health care costs for all Minnesotans. However, public health data show that plenty of work remains, and continued investments in SHIP are critically important.

“SHIP has been making progress with its mission to make healthy living easier for Minnesota communities,” Commissioner Ehlinger said. “But there is still more work to be done. We are excited that the entire state will now have even more opportunities to eat healthy, be active, and quit tobacco use. These are all important steps to avoiding chronic health problems like diabetes, cancer and heart disease.”

The new grant awards announced today come after Governor Mark Dayton and the Minnesota Legislature restored funding for the SHIP initiative during the 2013 Legislative Session. Funding for the program had been cut by nearly 70 percent, forcing the Health Department to offer the grants in only about half of the state. But the new state budget signed into law this spring increased SHIP funding by $20 million, restoring the opportunity for communities statewide to participate in the program. This additional funding allowed 25 more counties to receive SHIP funding.

How SHIP Works
Launched in 2008 as part of Minnesota’s bipartisan health reform effort, SHIP works to help Minnesotans live longer, healthier lives by decreasing obesity and tobacco use and exposure the leading causes of chronic disease, disability and death. Obesity and tobacco use cost Minnesota nearly $6 billion in Medical costs every year. In fact, one out of every three Minnesotans are overweight or obese, and more than one in six Minnesotans still smoke.

To help communities combat chronic disease, the Minnesota Department of Health has compiled a menu of evidence-based strategies that local communities can choose from to improve health. SHIP strategies include:

  • Working with schools to encourage “Safe Routes to School” programs, so that kids arrive safely to school focused and ready to learn, and “Farm to School” programs, so that kids get healthy Minnesota produce and learn where their food comes from, all while benefiting local farmers.
  • Supporting employers in offering comprehensive workplace wellness programs, which have been credited with returning between three to six dollars for every dollar spent.
  • Working with communities to encourage biking and walking, including “Complete Streets” with sidewalks and crosswalks, all designed to make it easier for people of all ages to get the physical activity they need.
  • Better access to healthy fruits and vegetables in corner stores in cities and convenience stores in greater Minnesota, and through more farmers markets, especially those accepting Electronic Benefit Transfer (EBT) so that more people can get the healthy food their families need.
  • Healthier eating and more physical activity in childcare settings through successful, proven early childhood programs.
  • Helping colleges go tobacco-free and connecting students and staff to smoking cessation services, and helping apartment building owners to voluntarily adopt smoke-free policies.
  • Working with health care providers to offer the services and referrals their patients need to eat healthier, get more physical activity, quit smoking, and encourage breastfeeding for newborns. 

“We know from research that to make a real, long-lasting change in the rates of physical activity, healthy eating and tobacco exposure and use, we need to help communities make it easier for their people to succeed,” says Michelle Larson, Interim Director for the Office of Statewide Health Improvement Initiatives, the home for SHIP at MDH. “What works best in one community may or may not be what another community needs,” adds Larson. MDH also provides communities with technical assistance and evaluates the effectiveness of their initiatives.

While existing efforts from the last four years will continue for 2014-15, there are some interesting new approaches. SHIP has always sought to address the gap in health outcomes between various populations, but now the program will be more focused on closing these gaps and promoting health equity. SHIP is also putting new emphasis on seniors, as the baby boom continues to age and need services.

SHIP Grants by Community
MDH awarded grants, largely based on population, to community health boards, which are made up of one or more counties and cities. The grants fall under three categories. First, for many counties that have not been funded for two years, eight-month planning grants will allow them to hire staff and begin assessing the needs of their community in preparation for implementing their programs. The 17 planning grants to 31 counties are:

Benton

$100,000

Big Stone, Chippewa, Lac qui Parle, Swift, Yellow Medicine

$100,000

Blue Earth

$100,000

Brown, Nicollet, Le Sueur, Waseca

$100,000

Carver

$100,000

Crow Wing

$100,000

Dodge, Steele

$100,000

Fillmore, Houston

$100,000

Freeborn

$100,000

Goodhue

$100,000

Kandiyohi, Renville

$100,000

Kittson, Marshall, Pennington, Red Lake, Roseau

$100,000

Mower

$100,000

Scott

$100,000

Wabasha

$100,000

Washington

$100,000

Winona

$100,000

Second, continuing SHIP grantees, plus some counties who were able to maintain their capacity for the past two years despite a lack of SHIP funds, received 24 month implementation grants to continue their work. These 16 implementation grants to 40 counties and cities are:

Beltrami, Clearwater, Hubbard, Lake of the Woods

$493,351

Bloomington, Edina, Richfield

$885,736

Cottonwood, Jackson, Nobles

$402,163

Dakota

$1,700,567

Kanabec, Pine, Isanti, Mille Lacs, Chisago

$873,203

Lincoln, Lyon, Murray, Pipestone, Redwood, Rock

$479,973

Meeker, McLeod, Sibley

$480,216

Morrison, Todd, Wadena, Cass

$614,524

Olmsted

$743,717

Polk, Norman, Mahnomen

$363,771

Rice

$442,042

Sherburne

$532,688

St.Paul-Ramsey

$2,110,429

Stearns

$764,725

Traverse, Grant, Douglas, Pope, Stevens

$448,366

Wright

$671,363

Third, in addition to implementation funding, 16 counties and cities received five highly competitive “innovation” grants to explore new opportunities to improve health on a community-wide scale. Innovative efforts include a range of strategies, such as exploring new ways working with health care providers, and testing new approaches to reducing consumption of sugary beverages. These communities and their total awards are:

Carlton, Cook, Lake, St. Louis, Aitkin, Itasca, Koochiching

$1,513,015

Clay, Wilkin, Becker, Otter Tail

$974,353

Faribault, Martin, Watonwan

$545,607

Hennepin

$2,629,396

Minneapolis

$1,879,412

SHIP Success Stories
The Minnesota Department of Health website includes a number of SHIP success stories, demonstrating how communities have taken advantage of SHIP funding to help improve the health of Minnesotans. For additional information about how SHIP works, or how communities are taking advantage of this proven initiative, contact the Minnesota Department of Health or SHIP: The Statewide Health Improvement Program.