Dubuque On the Move - C. Sinsky MD
July 7, 2005
Honorable Mayor and City Council
c/o City Clerk
City Hall
50 W. 13th Street
Dubuque, IA 52001
Re: Dubuque on the Move Letter of Support
Dubuque on the Move is a community coalition of partners from the public and private sector working together
to make Dubuque a healthier place to live. We are applying for funding through Building Healthy Communities
in Iowa Harkin Wellness Grants, and are requesting a letter of support from the Dubuque City Council to
accompany our grant application.
The Harkin Wellness Grants will support 36 initiatives across Iowa at levels of $75,000 to $250,000 that:
"Create coordinated programs at the community level to encourage healthier lifestyles,
promote wellness and prevent the healthy and financial consequences of chronic
disease that are often lifestyle related... Applicants, in a collaborative partnership with
other entities within the community, will plan, implement, evaluate, and institutionalize
established or innovative strategies that contribute directly to the prevention, delay
and/or mitigation of preventable premature chronic disease, addressing good nutrition,
increased physical activity, reduced tobacco use, and promotion of positive well being."
Current participants in Dubuque on the Move include the Dubuque Community Schools, Visiting Nurses
Association, Project Concern, Tri-State Occupational Health, Western Dubuque Schools, Medical Associates
Clinic, Dubuque County Board of Health, the City public health nurse, Mississippi Valley Running Association,
and Dubuque Health and Fitness, Inc. Enthusiasm and synergy has been terrific, and participation is expected to
continue to grow. Attached is further introduction is our mission, organization, and plans for Phase 1
programmmg.
Letters of support for Dubuque on the Move's application for Building Healthy Communities in Iowa through
Harkin Wellness Grants can be addressed to Cheryl Christie, Contract Administrator, Iowa Department of
Public Health and sent for inclusion in the grant application to Rita Fleege, Executive Assistant, Medical
Associates Clinic, P.C., 1500 Associates Drive, Dubuque, IA 52002.
If you have any questions, please feel free to contact me. Thank you for your support.
Respectfully,
cA~'t,y
Christine A. Sinsky, M.D.
Executive Director
Dubuque on the Move
1500 Associates Dr.
Dubuque, IA 52002
563.584.4111 563.584.4110 (fax)
csinsky l@mahealthcare.com
c: Michael Van Milligen, City Manager
THE CITY Of (
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City Manager's Office
50 West 13th Street
Dubuque, Iowa 52001-4864
(563) 589-4110 phone
(563) 589-4149 fax
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July 18, 2005
Ms. Cheryl Christie, Contract Administrator
Iowa Department of Public Health
Lucas State Office Building
Des Moines IA 50319-0075
Dear Ms. Christie:
The City of Dubuque supports the Dubuque on the Move application for the 2005
Building Healthy Communities in Iowa, through Harkin Wellness Grants. A coalition has
been meeting for several months to address wellness activities in the Dubuque
community. Public Health Specialist Mary Rose Corrigan has been involved in this
process to provide the appropriate public health data and linkages to the project.
Leisure Services Manager Gil Spence is also involved in the planning and
implementation of specified walk/run areas in the community, which will be provided
with signage. The City's Public Works Department will donate the installation of the
Dubuque on the Move designated walking/running path signs and mileage markers at
an estimated value of $3,650.
The Dubuque community has the infrastructure through both City government and
community-based organizations and agencies to address smoking, weight, nutrition and
exercise through the Dubuque on the Move program. Through the efforts of the City's
Health Services Department and Leisure Services Department and their participation in
the Dubuque on the Move coalition, a successful project can be implemented.
Dubuque on the Move will help ensure the Harkin Wellness grants program is
successful. Thank you for your consideration of the Dubuque on the Move project.
Sincerely,
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Michael C. Van Milligen
City Manager
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Service
People
Integrity
Responsibility
Innovation
Teamwork
July 7, 2005
City Clerk
City Hall
50 W. 13th Street
Dubuque, IA 52001
Re: 7/18/05 City Council Meeting Agenda
Dear
On behalf of Dubuque on the Move, I would like the opportunity to address the City
Council during their meeting on July 18, 2005, to solicit support of a community-based
effort to promote healthy lifestyles and an overall culture of health within our community.
Enclosed is information on our letter of support request.
My contact information is listed below. Thank you for your assistance.
Sincerely,
CJCYl/l~
Christine A. Sin~y, M.D.
Executive Director
Dubuque on the Move
1500 Associates Drive
Dubuque, IA 52002
563-584-4111
563-584-4110 (fax)
csinsky l@mahealthcare.com
July 7, 2005
Jeanne Schneider
City Clerk
City Hall
50 W. 13th Street
Dubuque,IA 52001
Re: 7/18/05 City Council Meeting Agenda
Dear Ms. Schneider:
On behalf of Dubuque on the Move, I would like the opportunity to address the City
Council during their meeting on July 18, 2005, to solicit support of a community-based
effort to promote healthy lifestyles and an overall culture of health within our community.
Enclosed is information on our letter of support request.
My contact information is listed below. Thank you for your assistance.
Sincerely,
C~,jc/)iy
Christine A. Sinsky, M.D.
Executive Director
Dubuque on the Move
1500 Associates Drive
Dubuque, IA 52002
563-584-4111
563-584-4110 (fax)
csinsky 1 @mahealthcare.com
DUBUQUE ON THE MOVE
2005 Building Healthy Communities in Iowa, through Harkin Wellness Grants
(Draft 6.25.05 Christine A. Sinsky, M.D.)
Introduction
Dubuque on the Move is a community collaborative of partners from both the public and private
sectors, established to create a sustainable "culture of health" in Dubuque County.
The partnership shares a vision of broad-based action, focused on identified community needs
for healthy lifestyle promotion, to be achieved through outcomes-based advocacy, well-
integrated community linkages, and a clear, consistent message. The four characteristics of a
healthy lifestyle (weight, nutrition, exercise, and non-smoking), will be targeted at multiple
levels within the community. We share the understanding that health promotion occurs with a
change in the entire ecology of a community.
Lifestyle accounts for 40% of chronic diseases, yet only 3% of Americans achieve all four
healthy lifestyle characteristics. The relationship oflifestyle to physical health, mental well-
being and to healthcare costs makes this a priority for individual citizens, health care providers,
and businesses that purchase healthcare for their employees.
Goal
The goal of Dubuque on the Move is to continue to build our coalition of stakeholders among
health care, social services, community members, business, and government, to create an
environment that supports healthy lifestyles at every level. This is a comprehensive effort, aimed
at infrastructure development, immediate evidenced-based programming, long-term policy
strategies, and ongoing fund development for sustainability. The scope is broad, highly inclusive,
and designed for both cultural and demographic diversity.
Infrastructure
Infrastructure development will entail establishing an overarching structure for orchestration of
wide community participation, coordination of linked, focused interventions, and facilitation of
ongoing, creative responses to community health promotion needs. Dubuque on the Move
infrastructure will include the executive director, board of directors, project coordinator, fund
development coordinator, interactive web page, video and print materials, organizing tools, and a
data center.
This core structure will maintain a single, visible, consistent message in each project, direct
measurement of concrete outcomes, facilitate cross-linkage among discrete programming
elements, and provide the communication matrix wherein creativity and synergy flourish. A
strong, sustainable infrastructure is critical for the infusion of Dubuque on the Move into all
levels of the community, and is essential to the goal of developing an overall "culture of health"
within the community.
Page 1 of3
Phase 1 Pro2rammin2
There will be a consistent message, focused on the four healthy lifestyle characteristics,
interaction between each of the programs (for example, those encountered through the school or
business programs will be offered referral for weight management and smoking cessation
counseling when appropriate), an integrated approach to Dubuque on the Move promotion (for
example, on the web page, and cross promotion of each element at the other programs), and a
coordinated approach to measurement (for example, while there will be program-specific
measurements, there is also a standard set of healthy lifestyle characteristic measures that will be
obtained within each element.)
1. Dubuque Walks-- Dubuque on the Move
Establish neighborhood walking routes with mileage markers, sidewalk stamps and
Dubuque on the Move signage. City Public Health, Mary Rose Corrigan RN
2. Mississippi River Run-- Dubuque on the Move
Three-month community activation culminating in a community wellness celebration
with health fair, run/walk, team-building competition. Mississippi Valley Running
Association and Medical Associates. Christine Sinsky MD
3. Dubuque Students on the Move-- Dubuque on the Move
Students will be surveyed and educated about the four main healthy lifestyle
characteristics, referral for weight management and smoking cessation will be
provided as needed. Dubuque Community Schools, Western Dubuque Schools, Medical
Associates, Clarke College. Chris Tieman CDE, NP, Patrice Lambert RN, Sheila Knapp RN
4. Kids Eat Right-- Dubuque on the Move
Project Concern will provide nutrition education to families within its service group.
Project Concern. Dawn Justin, Cherie Kennedy
5. The Business Case for Health Promotion-- Dubuque on the Move
The goal is a shift in the working environment to support healthy lifestyles. Business
can incent healthy lifestyles among their employees by "take a walking break"
incentives, giving an extra 15-minute break to those who go for a walk during
lunchlbreak; by providing healthy vending machine snacks and drinks; and/or by
pledging to choose healthy food at a business sponsored dinner. Health promotion
modules (speakers, brochures, referrals for weight management and smoking
cessation) could be imported into the business setting when appropriate to the
company. A community wide campaign for multiple businesses to go smoke-free on
their campuses simultaneously will generate interest and support. Tri-State Occupational
Health, Medical Associates, Mercy Hospital. Deb Poppe RN
6. Weight Management-- Dubuque on the Move Medical Associates. Naomi Von Hollen NP, CDE
7. Smoking Cessation-- Dubuque on the Move (Hillcrest Family Services), Medical Associates. Kim
Ehlers NP.
Page 2 of3
Measurement
Data will be collected regarding the efficacy of each structured intervention and shared in both
public and professional literature so that other communities can review this model and adopt it to
their own needs. Participant, process, and outcomes data will also be collected to assess the
efficacy of the overall intervention. Concrete measurable outcomes and ongoing evaluation will
be used to generate momentum from early success, garner on-going financial support, refine
Phase II programming interventions, and share with other communities for widespread health
promotion.
Current Participants
1. City of Dubuque Public Health, Mary Rose Corrigan, RN
2. Dubuque County Board of Health, Dr. Paul Buss
3. Visiting Nurses Association, Nan Colin RN
4. Dubuque Community Schools, Patrice Lambert RN
5. Project Concern--Childcare and Referral: Dawn Justin, Cherie Kennedy
6. Mississippi Valley Running Association
7. Medical Associates Clinic
8. Tri-State Occupational Health
9. Executive Director: Christine Sinsky, M.D.
Potential Future Membership
We expect the membership list to grow. Potential future partners include Finley Diabetes Care
(Michele Malone), Holy Family Schools, Dubuque Realtors Association, Parish Nursing,
Hillcrest Family Services, Telegraph Herald, broadcast media, University of Dubuque, Clarke
College, Loras College, NICC, Divine Word, City of Dubuque Recreation Department, Tri-State
Independent Physicians, Mercy Hospital, Finley Hospital, Dubuque Area Chamber of
Commerce, Dyersville Chamber of Commerce, Dubuque Area Restaurant Association, local
American Cancer Society, local chapter of American Heart Association. . .
Let's Be Bold! Bold in our Vision, Focused in our Efforts
Page 3 00
July 7, 2005
Cheryl Christie, Contract Administrator
Iowa Department of Public Health
Lucas State Office Building
Des Moines IA 50319-0075
Dear Ms. Christie:
The City of Dubuque supports the Dubuque on the Move application for the 2005
Building Healthy Communities in Iowa, through Harkin Wellness Grants. A coalition has
been meeting for several months to address wellness activities in the Dubuque
community. Public Health Specialist Mary Rose Corrigan has been involved in this
process to provide the appropriate public health data and linkages to the project.
Leisure Services Manager Gil Spence is also involved in the planning and
implementation of specified walk/run areas in the community, which will be provided
with signage. The City's Public Works Department will donate the installation of the
Dubuque on the Move designated walking/running path signs and mileage markers at
an estimated value of $3,650.
The Dubuque community has the infrastructure through both City government and
community-based organizations and agencies to address smoking, weight, nutrition and
exercise through the Dubuque on the Move program. Through the efforts of the City's
Health Services Department and Leisure Services Department and their participation in
the Dubuque on the Move coalition, a successful project can be implemented.
Dubuque on the Move will help ensure the Harkin Wellness grants program is
successful. Thank you for your consideration of the Dubuque on the Move project.
Sincerely,
Michael C. Van Milligen
City Manager
MCVM/cj