Promoting Cardiovascular Health in Indian Country

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Promoting Cardiovascular Health in Indian Country

Spa Resort Casino
Palm Springs, California
November 13 - 15, 2006

Agenda Overview -- Presentations and Handouts

Goals of the Meeting:

To increase policymakers’ knowledge about native American disparities related to cardiovascular disease and policy approaches that can reduce these disparities.
To give participants the opportunity to hear from leaders in public health policy about successful strategies to increase cardiovascular health.
To promote collaboration among participants from state and tribal government, private industry, and other organizations that are working to improve public health.

Monday, November 13

7:00 p.m. Cultural Event: Hosted by the Agua Caliente Band of Cahuilla Indians
(Canyon Conference Center)

Tuesday, November 14

6:30 a.m. Fitness Walk

Meet in Hotel Lobby

8:00 a.m. Continental Breakfast
(Tahquitz Room)

8:30 a.m.         Welcome and Introductions
                        (Canyon Conference Center)
                        Richard Milanovich – Agua Caliente Tribal Chairman
                        Rep. John McCoy - Chair, National Caucus of Native American State Legislators
                        Rep. Mark Cloer - Chair, Caucus Health Committee
                        Linda Sikkema, Group Director, National Conference of State Legislatures

8:45 a.m.         Opening Session – Cardiovascular Disease in Indian Country
                        This session will explore the issue, highlighting disparities, the reasons why
                        morbidity from Cardiovascular disease is increasing in native Americans, and
                        the social and economic impacts of cardiovascular disease.

Speaker: James Galloway, M.D., Director of Indian Health Service's National Native American Cardiology Program

10:00 a.m. Break

10:15 a.m. Culturally Appropriate Treatment and Prevention

                        This session will explore why cardiovascular treatment programs must be
                        customized to deal with social and cultural differences found in Native American
                        populations and explore examples of successful approaches.

Speakers: James Galloway, M.D. - PowerPoint Presentation
Jeff Henderson, M.D., President and CEO, Black Hills Center for American Indian Health - PowerPoint Presentation

11:00 a.m. Physical Activity and Community Design

                        Physical inactivity is a major risk factor for cardiovascular disease. Although educating people
                        on the value of physical activity is important, providing opportunities to be physically active is
                        equally important. Community design can provide these needed opportunities by allowing residents
                        to safely walk, bike or perform other physical activity. Combining good design with educational programs
                        that establish good physical activity habits as children can help prevent cardiovascular disease as an adult.
                        The session will explore these issues and look at successful approaches to promoting physical activity.

Speakers: Dr. Antronette Yancey, Associate Professor UCLA School of Public Health - PowerPoint Presentation
Paul Rosengard, Executive Director, SPARKS Program

12:00 p.m. Networking Lunch
(Tahquitz Room)

1:15 p.m. Managing Cardiovascular Disease: Medical Management, Access and Options

                        Managing cardiovascular disease after it is detected, and preventing other conditions, such as
                        diabetes or high cholesterol, from causing heart disease, are integral to maintaining the health
                        of any population. This is particularly difficult in those populations that are medically underserved.
                        This session will explore options for medical management and prevention in tribal populations.

Speakers: Jeff Henderson, MD President and CEO, Black Hills Center for American Indian Health

2:15 p.m. Tobacco and Cardiovascular Disease

                        Tobacco plays an important role in the native American ceremonies. Still, smoking rates and its
                        related health effects, such as heart disease and stroke, are much higher among native Americans
                        than the general U.S. population. How can tribes reduce smoking rates while respecting and maintaining
                        the cultural uses of tobacco?

                        Moderator: Representative Jonathan Windy Boy, Montana
                        Speakers: Felicia Schanche Hodge, Dr.P.H. Director, Center for American
                                         Indian/Indigenous Research & Education, UCLA School of Nursing - PowerPoint Presentation

4:00 p.m. Health or Walking Tour

Participants can choose to participate in one of two activities:

a)      Walking tour of the scenic Indian Canyons, listed in the National Register of Historic Places and recognized as the
         world's largest California Fan Palm oasis.
b)      Walking tour of the downtown Palm Springs Area.

5:00 p.m. Adjournment
Dinner on your own

Wednesday, November 15

6:45 a.m. Yoga
On-Site at Hotel

8:00 a.m. Continental Breakfast

8:30 a.m. Day Two Welcome and Overview

8:45 a.m. Creating and Sustaining Policy Change

                        This session will address a number of approaches states and tribes have taken to address
                        cardiovascular health, presenting case studies while exploring successes and opportunities
                        for improvement.

                        Speakers:   Kerri Lopez, Director, Western Tribal Diabetes and Northwest Tribal
                                          Comprehensive Cancer Programs - PowerPoint Presentation
                                          Representative Reggie Joule, Alaska House of Representatives and member
                                         of the National Caucus of Native American State Legislators

10:15 a.m. Panel Discussion and Question and Answer

10:30 a.m. Break

10:45 a.m. The Role of Nutrition: Availability and Access

                        This session will discuss the large role that nutrition plays in cardiovascular disease, and look
                        at the influence availability and access to nutritional foods, and setting habits in children, has
                        on long-term cardiovascular health.

Speaker: Andy Fisher, Executive Director, Community Food Security Coalition - PowerPoint Presentation

12:00 p.m. Question and Answer Lunch

Tables will be divided by topic, with topic experts available to answer questions and discuss
participants concerns. Participants can sit at the topic table of their choice.

1:15 p.m. Integrating Policy Options

                        Speakers: James Galloway, M.D., Director of Indian Health Service's National Native
                                       American Cardiology Program
                        Rep. Mark Cloer, Chair, National Caucus of Native American State Legislators
                                Health Committee - PowerPoint Presentation

2:00 p.m. Moderated Discussion—Best approaches to fulfill our goals?

How can efforts be funded? Public private partnerships?
Which policies may be most effective?
How can we implement interventions through policy?

Moderator: Rep. Shannon Augare, Montana House of Representatives and member
of the National Caucus of Native American State Legislators - PowerPoint Presentation

3:15 p.m. Break

3:30 p.m.         Moderated Discussion, Part II
                        Which top five or 10 policy options will help us reach our goals?
                        Where do we go from here?

Moderators: Linda Sikkema, Andrea Wilkins & Glen Andersen
National Conference of State Legislatures

4:45 p.m. Closing Comments

5:00 p.m. Adjourn

Meeting Handouts

Food Stamp Rebates May Encourage Healthy Eating
State Policies for Increasing Access to Healthy Foods
Evolution of Increased Access to Local, Fresh Produce in New Mexico

NCSL Legisbrief: Diabetes: Rising Rates, Disability and Death
NCSL Legisbrief: Women and Cardiovascular Disease
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