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Wisconsin and the New Prevention Fund:
An Investment in the Future Health of America

The Affordable Care Act (ACA) included the creation of a Prevention Fund – to provide communities around the country with more than $16 billion over the next 10 years to invest in effective, provide prevention efforts, like childhood obesity prevention and tobacco cessation.

Wisconsin is receiving $6,172,352 from the Prevention Fund this year to reduce disease rates in the state and help ensure today's children are not the first generation in U.S. history to live shorter, less healthy lives than their parent.

Preventing disease and injury is the most effective, common-sense way to improve health in the United States. Too often, however, we focus on treating disease and injury after they occur instead of preventing them – providing sick care instead of health care.

The ACA and the Prevention Fund give us the opportunity to turn that around – and provides the opportunity for all Americans to be as healthy as they can be.

Prevention Fund GrantsAmountDescription
Communities Putting Prevention to Work$7 Million*
  • In La Crosse County, Wisconsin 21 Kwik Trip convenience stores have become members of Gunderson Lutheran Medical Center’s "500 Club," promoting healthier food options, including salads and fresh fruits. This initiative will provide all 113,758 residents of La Crosse County greater access to healthy food. Kwik Trip saw their efforts as so successful that they’ve chosen to bring the 500 Club to 30 more stores in neighboring Minnesota and Iowa.
  • Four school districts in LaCrosse, Wisconsin have increased the use of locally produced foods in schools providing healthy options for almost 5,000 students. By the end of the school year 5,000 pounds of fresh fruits and vegetables will be served and thousands of dollars will be put back into the local economy through the CPPW Farm to School effort.
  • In La Crosse County, Wisconsin six miles of new bike lanes have been added to the streets of the city of La Crosse, quadrupling the amount of bike lanes available to LaCrosse’s 113,000 residents.
  • Wood County, Wisconsin, has established five worksite locations that will serve as Community-Supported Agriculture (CSA) drop-sites. The two participating CSAs are Hidden Creek CSA Garden by ODC and Malek Family Stewardship Farm. Approximately 50 employees are participating shareholders this season, but the impact of the program reaches much further. The weekly CSA drop-offs will be in a visible location, and the intention is to start "water cooler" discussions about fresh food, local food systems, and food preparation. In addition, a new “HealthyFoods2Worksites” toolkit introduces Wood County businesses to idea of CSAs and provides suggestions on how to incorporate weekly CSA drop-offs at worksites during the growing season. The CPPW team in Wood County is also approaching insurance providers and urging them to incorporate CSAs into the wellness programs they offer to businesses.
  • La Crosse is the first county in Wisconsin to adopt a county-level Complete Streets policy aimed at making roads safer for pedestrians and cyclists. The county board unanimously passed a measure that requires the county to consider accommodations for pedestrians, bicyclists and other users—not just motorists—when constructing and reconstructing roads. This policy will create more bike lanes, sidewalks and streets friendlier to all modes of transportation, and has the potential to impact the over 100,000 La Crosse County residents. The City of La Crosse is now drafting a Complete Streets ordinance following the county’s lead.
  • In Wood County, Wisconsin, “Get Active–Cause. Community. Change.” is working to make modest, yet effective, changes at schools and worksites and within the community. Get Active” has connected with local farmers for a farm-to-school initiative that teaches kids about locally-grown produce and incorporates farm-fresh foods into lunch menus. The program has made its way into six school districts where seasonal produce is appearing in both classroom nutrition lessons and on the lunch menu. Concurrently, 240 kids from these six districts are participating in the “Fit-Tastic” after-school program. “Fit-Tastic” provides hands-on experience with nutritious foods, such as passion fruit, and physical activity, such as yoga, that students may have never tried before. The “Get Active” program is also seeking to create improved nutritional guidelines for all foods and beverages sold through vending machines or a la carte at schools where many kids get up to two-thirds of their daily nutrition. Vending and a la carte assessments for all Wood County middle and high schools have been completed and guidelines have been developed. The proposed changes are now in discussion with schools. In the Wood County workplace, “Get Active” is engaging businesses interested in providing more affordable, healthy food options to employees. The program is also offering employees on-site access to purchasing shares of fresh produce. Community Supported Agriculture (CSA) drop-off sites for produce are being organized through larger employers such as Riverview Hospital and Mid-State Technical College. On a community level, the program is working with restaurateurs interested in labeling their healthier menu selections. Environmental assessments focused on nutrition have been completed in 92 restaurants and many will begin voluntarily showcasing at least four entrees that are lower in fat, calories, and sodium. The community portion of “Get Active” also seeks to increase healthy snacks and physical activity in childcare centers and after-school programs. Nutrition and physical activity assessments have already been completed at 181 childcare centers in Wood County. Eleven months into the program, Wood County is making changes that encourage greater access to healthy food and physical activity.
  • The War Bonnet Bar and Grill is now smoke-free. The War Bonnet is located on the Menominee Indian Reservation in Keshena, WI and is a major congregating venue for the community. The Menominee Tribe is a member of the Great Lakes Inter Tribal Council. This decision not only will protect over 4,513 patrons and workers from the effects of secondhand smoke, but serve as an important catalyst for other smoke-free endeavors of the Council.
  • Through extensive discussions with the Legendary Waters Casino in the Red Cliff community, an agreement was reached towards beginning the process of drafting a smoke-free policy that will include the hotel, restaurant and event center. This will impact approximately 16,000 employees and patrons. This is a huge step in an unprecedented direction for the Red Cliff Tribe and Great Lakes Inter-Tribal Council in their efforts to implement smoke-free policies within their worksites and improve the health of their Tribal population.
  • New multi-use agreements in Wood County, WI, expand community members’ access to safe spaces for nutrition education and physical activity. As of June 1, 2011, Wood County has drafted two multi-use agreements, one with the Opportunity Development Center, Inc. and one with Wisconsin Rapids Public Schools. These agreements have the potential to reach the whole community at large but based on the school district enrollment and location of the ODC, an estimated 4,000 people will benefit. The multi-use agreement with Opportunity Development Center, Inc. will enable qualified instructors and organizations to use the ODC’s commercial kitchen to teach classes on a variety of subjects, including cooking healthy meals, and freezing and canning produce. The Wisconsin Rapids Public School District will open their gyms, classrooms and fields to the community when school is not in session.
Public Health InfrastructureWisconsin State Department of Health Services $1,960,129 (FY10) $993,662 (FY11)Awarded to state, tribal, local and territorial health departments to improve their ability to provide public health services. The 5-year cooperative agreement program will provide health departments with needed resources to make fundamental changes in their organizations and practices, so that they can improve the delivery of public health services including: Building and implementing capacity within health departments for evaluating the effectiveness of their organizations, practices, partnerships, programs and use of resources through performance management; Expansion and training of public health staff and community leaders to conduct policy activities in key areas and to facilitate improvements in system efficiency; Maximizing the public health system to improve networking, coordination, and cross-jurisdictional cooperation for the delivery of public health services to address resource sharing and improve health indicators; Disseminating, implementing and evaluating public health's best and most promising practices; and Building a national network of performance improvement managers that share best practices for improving the public health system.
Epidemiology and Laboratory Capacity for Infectious Diseases$395,014 (FY10); $1,053,518 (FY11)The funding, which is provided through Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) and the Emerging Infections Program (EIP) cooperative agreements, is intended to increase epidemiology, laboratory and health information systems capacity at health departments. The award is to support: hiring and training of epidemiologists, laboratory scientists, and health information specialists who can work on multiple infectious diseases; increasing the number of modern, well-equipped public health laboratories using electronic laboratory information systems to manage and exchange information effectively between labs and public health departments; and developing capacity for public health departments to participate in meaningful use of electronic health records, e.g. through implementation of electronic laboratory-based reporting according to national standards.
ARRA evaluation (Behavioral Risk Factor Surveillance System)$0Grants awarded intended to help states “create additional tobacco quitters,” as well as increase data collection efforts for tracking flu-like illnesses to support ongoing pandemic influenza preparedness activities.
HIV Laboratory$96,639CDC awarded grants to expand HIV prevention efforts under the President’s National HIV/AIDS Strategy (NHAS).  The funding, allocated to CDC by the President as part of NHAS, will help to further focus HIV prevention on high risk populations and communities, as well as fill critical gaps in data, knowledge and understanding of the epidemic. The majority of the grants will support demonstration projects to identify and implement a “combination approach” to enhance effective HIV prevention programming in 12 hard-hit areas across the country.  These efforts will determine what mix of HIV prevention approaches can have the greatest impact in the local area, supplementing existing programs in these communities and helping jurisdictions to better focus efforts on key at-risk populations and fulfill unmet needs. Grants went to state and local health departments to increase HIV testing opportunities for populations disproportionately affected by HIV and help link HIV-infected persons with appropriate services, as well as to improve the reporting of HIV data.
HIV Testing$0CDC awarded grants to expand HIV prevention efforts under the President’s National HIV/AIDS Strategy (NHAS).  The funding, allocated to CDC by the President as part of NHAS, will help to further focus HIV prevention on high risk populations and communities, as well as fill critical gaps in data, knowledge and understanding of the epidemic. The majority of the grants will support demonstration projects to identify and implement a “combination approach” to enhance effective HIV prevention programming in 12 hard-hit areas across the country.  These efforts will determine what mix of HIV prevention approaches can have the greatest impact in the local area, supplementing existing programs in these communities and helping jurisdictions to better focus efforts on key at-risk populations and fulfill unmet needs. Grants went to state and local health departments to increase HIV testing opportunities for populations disproportionately affected by HIV and help link HIV-infected persons with appropriate services, as well as to improve the reporting of HIV data.
HIV Planning$0CDC awarded grants to expand HIV prevention efforts under the President’s National HIV/AIDS Strategy (NHAS).  The funding, allocated to CDC by the President as part of NHAS, will help to further focus HIV prevention on high risk populations and communities, as well as fill critical gaps in data, knowledge and understanding of the epidemic. The majority of the grants will support demonstration projects to identify and implement a “combination approach” to enhance effective HIV prevention programming in 12 hard-hit areas across the country.  These efforts will determine what mix of HIV prevention approaches can have the greatest impact in the local area, supplementing existing programs in these communities and helping jurisdictions to better focus efforts on key at-risk populations and fulfill unmet needs. Grants went to state and local health departments to increase HIV testing opportunities for populations disproportionately affected by HIV and help link HIV-infected persons with appropriate services, as well as to improve the reporting of HIV data.
Emerging Infections Program$0The funding, which is provided through Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) and the Emerging Infections Program (EIP) cooperative agreements, is intended to increase epidemiology, laboratory and health information systems capacity at health departments. The award is to support: hiring and training of epidemiologists, laboratory scientists, and health information specialists who can work on multiple infectious diseases; increasing the number of modern, well-equipped public health laboratories using electronic laboratory information systems to manage and exchange information effectively between labs and public health departments; and developing capacity for public health departments to participate in meaningful use of electronic health records, e.g. through implementation of electronic laboratory-based reporting according to national standards.
Capacity Building Grants$0Money awarded by the Centers for Disease Control and Prevention will go to various national, non-profit professional public health organizations to support efforts by state, tribal, local and territorial health departments to ensure successful adoption of effective practices that strengthen core public health infrastructure investments. These national public health organizations will provide technical assistance, training, and information for health departments to improve their public health infrastructure and the delivery of public health services.
Tobacco Prevention$79,095 (FY10); CDC Tobacco Quitlines $112,051 (FY11)State Supplemental Funding for Healthy Communities will be used to help states implement plans to reduce tobacco use through legislative, regulatory, and educational arenas, as well as enhance and expand the national network of tobacco cessation quitlines to significantly increase the number of tobacco users who quit. Money will also support states and terrritories enhance and expand the national network of tobacco cessation quitlines to increase the number of tobacco users who quit. Quitlines are hte toll-free numbers people can call to obtain smoking cessation treatments and services.
Health Care Surveillance$0Grants to fund data collection and analysis to monitor the impact of the Affordable Care Act on the health of Americans and boost the collection and analysis of environmental hazards data to protect the health of communities.
Workforce$0The programs are designed to build the primary care workforce and provide community-based prevention. States will receive funding to support comprehensive workforce planning and implementation strategies that best address local current and projected workforce shortages.
Training Centers—HRSABoard of Regents of the University of Wisconsin System $628,480The Public Health Training Centers Program helps improve the public health system by enhancing skills of the current and future public health workforce. Funded organizations (1) plan, develop, operate and evaluate projects that support goals established by the Secretary in preventive medicine, health promotion and disease prevention; or (2) improve access to and quality of health services in medically underserved communities. Other PHTC activities include assessing the learning needs of the public health workforce; providing accessible training; and working with organizations to meet strategic planning, education, and resource needs.
Primary care and Behavioral Health Services$0The Substance Abuse and Mental Health Services Administration (SAMHSA) at HHS awarded grants to support and promote better primary care and behavioral health services for individuals with mental illnesses or substance use disorders. The grants seek to improve health by improving the coordination of healthcare services delivered in publicly funded community mental health and other community-based behavioral health settings.

*One-Time Funding from FY2010


Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org

The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. Helping Americans lead healthier lives and get the care they need--the Foundation expects to make a difference in our lifetime. For more information, visit www.rwjf.org.

Media Contacts

Albert Lang
(202) 223-9870 x 21
alang@tfah.org