Health Care Blog

Supporting the Health of the Public We Serve

Natalie Pawlenko is being honored as a Champion of Change for helping Americans live healthier lives, reduce disease and contribute to lowering health care costs by focusing communities on public health and prevention.

Sometime in my early teens, I had an epiphany: all our actions – even those we think to be most private - contribute to the life around us.   And that we have a choice to either contribute positively to an upward spiral of human life, or to its antithesis. I chose the former.

The past thirty years of my life have been an ongoing search for ways in which to continuously contribute to the community.  As a child of immigrants fleeing from WW II in Ukraine, there was frequently a sense of appreciation for the privilege of having been born in the United States, and a desire to “give back”. However, not until the Chernobyl nuclear disaster of 1986 did I focus on the health of the public, here and elsewhere in the world.

Public health is our invisible first line of defense.  It is everywhere: from childhood immunizations, to clean drinking water, to food inspections and clean air.  It is complex, like newborn screening and disease outbreak monitoring.  It is also as simple as you and me washing our hands frequently and sneezing into our shirt-sleeves.  It is pervasive, and as history has shown, it can be profoundly transformative.

After working in Canada for many years and witnessing the critical role played by public health in the containment of the SARS outbreak there, I returned to New Jersey and joined the New Jersey Department of Health, Office of Local Public Health. I have an abiding interest in public health informatics and have spearheaded the reform of the public health reporting system in New Jersey. 

And over the course of the past nine years, I have gotten to know the many men and women, public health professionals whose daily work in their local communities keep our state healthy and safe.  Their commitment inspires me greatly and in my various roles here at the State Health Department, I have endeavored to support them in doing their vital work more effectively and efficiently and with less unnecessary burden.  

Whether it is championing quality improvement training or performance evaluation audits, process management or leadership coaching, accreditation preparation or informatics reform, my team and I continuously focus on being ‘ruthlessly practical’.  And in the fast paced environment that is the East Coast, we ground our work in collaboration, mutual respect and an awareness that everything we do contributes to the health of the public we serve.

With funding from the Affordable Care Act’s Prevention and Public Health Fund, the state of New Jersey has reduced the lag time between testing and reporting influenza results to the Centers for Disease Control and Prevention from 2-to-3 weeks down to 2-to-3 days. With more timely information, local health departments are better prepared to address emerging health issues and prevent future issues.

Natalie Pawlenko is the Director of the Office of Local Public Health for the New Jersey Department of Health where she is leading a statewide effort to streamline and coordinate public health data collection and analysis to improve public health prevention and response. 

Valuing Health and Community

Andrea Hays is being honored as a Champion of Change for helping Americans live healthier lives, reduce disease and contribute to lowering health care costs by focusing communities on public health and prevention.

As a child, I looked forward to visiting my grandparents every weekend because I could walk everywhere with Grandma – to the Church, playground, grocery store, post office and even the library.

As I work on obesity prevention efforts in Evansville, Indiana, I’m reminded of those days where walking was easy and accessible.  Those of us focused on the area of active living often cite the positive health impact of having more walkable and bikeable communities. Yet, we know it adds up to benefits beyond increasing physical activity among our residents. Communities that embrace this notion of physical activity also place a high value on, well, community.

That is, having more people out on the street, interacting and getting to know one another creates a sense of togetherness and inspires innovation in other areas. The increase of nature play spaces, outdoor classrooms, community gardens, and farmers markets has motivated a new way of thinking in our community – one that embraces all of our residents.

These efforts are aligned with a growing evidence base that shows if we create a more supportive community environment that promotes healthy living where we live, learn, work, worship, and play, people will begin to thrive and our neighborhoods will come alive. Most important, people will see improved health outcomes and a higher quality of life.

It is easy to forget that the three leading causes of preventable death in the United States are tobacco use, poor nutrition, and physical inactivity. While these causes are lifestyle related, it is important to note that access and opportunity play a huge role in our residents’ ability to lead a healthy lifestyle.  

The Healthy Communities Partnership of Southwest Indiana (HCP) is a collaborative process catalyzed by the Welborn Baptist Foundation over five years ago.  We also have recently received funding from the Affordable Care Act’s Prevention and Public Health Fund’s Community Transformation Grant.

Created by the Affordable Care Act, the Community Transformation Grant Program focuses on key public health and prevention goals, including tobacco-free living, active living and healthy eating, and clinical and community preventive services.   With Affordable Care Act funding, the Healthy Communities Partnership of Southwest Indiana aims to improve the health of Southwest Indiana residents. 

We are working to impact our region’s health through targeted strategies across the lifespan. These efforts start as early as newborns through the Baby Friendly initiative in two hospitals to utilizing a coaching model that helps low-income and medically underserved older adult patients monitor their chronic conditions at home. In addition to our settings based work, we are helping to increase access to healthy foods across our seven county area.

We can continue to accomplish health improvements through cross-sectoral partnerships that create opportunities to support tobacco-free living, healthy weight, and preventing chronic disease across the lifespan.

Andrea Hays is the Director of the move∙ment Initiative and the Upgrade campaign at the Welborn Baptist Foundation in Evansville, Indiana. These programs promote changes in the community that make healthy living easier for all residents.