HomeMy WebLinkAbout20112344.tiff RESOLUTION
RE: APPROVE APPLICATION FOR COMMUNITY TRANSFORMATION GRANT AND
AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Application for the Community
Transformation Grant from the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Public Health and
Environment, to the Colorado Department of Public Health and Environment, commencing
October 1, 2011, and ending September 30, 2012, with further terms and conditions being as
stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Application for the Community Transformation Grant from the
County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of the Department of Public Health and Environment, to the Colorado
Department of Public Health and Environment be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 31st day of August, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:� r �!�!+� EXCUSED
4 Barbara Kirkmeyer, Chair
Weld County Clerk to the = rd ). —
•
itm �, u ` can P. C ay, Pro-Tem Z 3
BY: Oi'i'- L�ia
Deputy (Cllbrk to the Boa � " ti 'rL4F {i 7
71—am F. G rcia
APP AS T. ! ' J' C
�.vid E. Long
C. nty Attorney A - _ a ���i_: ,a a nr--
Douglas ademachor
Date of signature: q- 13- /
c t \A u- 2011-2344
� , ll _l HL0038
Memorandum
1861 - 2011
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
W E L DEC 0 U N T l FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment
DATE: August 3,2011
SUBJECT: Community Transformation Grant
Application
Enclosed for Board review and approval is the grant application between the Weld County
Department of Public Health and Environment and the Colorado Department of Public Health and
Environment(CDPHE) for federal Community Transformation Grant funding.The total amount of
the request is $333,934.00 for the time period of October 1, 2011 through September 3, 2012 with
opportunity for renewal for four additional years.
CDPHE and its state and local partners can effectively implement CDC-recommended strategies in
Tobacco-Free Living, Active Living and Healthy Eating, and High Impact Quality Clinical and Other
Preventive Services that will accelerate the progress in chronic disease prevention in Colorado. Four
regions of the state: Pueblo County, Weld County, rural Southeast Region, and the rural San Luis
Valley Region, a total of 16 counties, are included in this grant application to the CDC.
The Colorado Department of Public Health and Environment(CDPHE) proposes to affect
comprehensive change through a shared commitment to statewide and local sustainable
outcomes, in these communities through: 1) local policies that restrict youth access to tobacco
products; 2) local smoke-free multi-unit housing policies; 3) local policies that increase
nutritional choices in schools (farm to school); 4) Implementing required physical education and
activity policies in schools; 5) policies in clinical practices that increase evidence-based
management for hypertension; and 6) implementing a standardized community health worker
model that will be the link from the community to the clinical system.
The funding will support 2.25 FTE in Weld County, including a 1.0 project coordinator, 1.0 bilingual
community health worker, and .25 OT III to implement the project. The remaining funds are
allocated to operating expenses for the proposed initiatives.
We recommend your approval.
Enclosure
2011-2344
1861 - 2011 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Gree
ley, CO 80631
WEBSITE: www.co.weld.co.us
ADMINISTRATION: (970) 304-6410
W E L D_.-C O U N T Y FAX: (970) 304-6412
PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
FAX: (970) 304-6411
Granting Agency: Colorado Department of Public Health and Environment
Applicant's Name: Weld County Department of Public Health and Environment
Applicant's Address: 1555 N. 17th Avenue
Greeley, CO 80631
Applicant's Phone: (970) 304-6420, ext. 2380
Applicant's Fax: (970) 304-6452
Project Title: Community Transformation Grant
Contact Person: Gaye Morrison, Health Communication Director
Date: October 1, 2011 — September 30, 2012
Amount: $333,934.00
Weld County Department of Public Weld County Board of Commissioners
Health and Environment
Mark E. Wallace, MD, MPH, Director Sean P. Conway Chair Pro-Tem
ftllG 3 i 2011
Weld Count Clerk to the Board �l
>�,- 4/�nt1!(� L �CC�C
Deputy Clerk to e Board
,27e7// ��y�
Community Transformation Grant Narrative
Weld County,Colorado
A. Background and need
1. Capacity: The Weld County Department of Public Health and Environment has the capacity to
support the strategies identified in the Community Transformation grant application. The health
department, established in 1938, is part of Weld County government. There are five divisions,
Administration, Clinical Services, Environmental Health, and Communication, Health Education and
Planning.The health department's budget is over$8 million with two-thirds of the revenue coming
from county support and federal and state grants and the remainder from licenses and fees.
In addition, the department has infrastructure support as part of Weld County government. This
includes grant management, accounting and billing, purchasing, computer services, human
resources,facilities management and legal services. The Executive Director of the Health
Department is an MD, MPH, who also serves as the Medical Director for the community health
center, and chairman of the North Colorado Health Alliance. The administrative division manages
over 60 grants and contracts for the health department.
In 2002, the North Colorado Health Alliance (NCHA), a 501C3 nonprofit,was incorporated to address
access to health care/prevention/education services for the underserved/uninsured populations in
Weld County. Members include North Colorado Medical Center, North Range Behavioral Health,
School District Six, Aims Community College, University of Northern Colorado, United Way,Weld
County Commissioners, Human Services, Sunrise Community Health Center and State Farm
Insurance.
2. Successes: The health department coordinates and support community based coalitions (since the
early nineties)for the prevention of tobacco use (Tobacco Free Weld County) and traffic
crashes/fatalities (Drive Smart Weld County). The partnership with the Tobacco Free Weld County
Coalition has proved successful with the design and implementation of Greeley's smoke free
ordinance in 2003 (prior to the Colorado law) and the citywide ordinance banning the distribution of
free giveaways(or nominal exchange) of any tobacco products in 2008. The Weld County Health
Survey (2010) revealed that our tobacco use has decreased from 18%to 13%from 2007—2010 and
a large segment of the population either very or moderately concerned with youth access to
tobacco products.
The NCHA served as the Steering Committee for the Steps to a Healthier Weld County(2003—2007)
and LiveWell Colorado grant (2008-2010)for chronic disease/obesity prevention through healthy
eating, active living and tobacco use prevention programming and policy efforts. .To demonstrate
success, Weld County shows a sustained increase in those who have improved their healthy eating
habits, with a 4.1%increase from the period 2003-2004 to 2007-2008, and a 2.9% increase for those
getting any leisure time physical activity (BRFSS).
The health department is partnering with Weld County School District Six (Greeley/Evans)and
Realfood Colorado to expand the Farm to School program into additional (smaller)school districts in
Weld County by combining resources for a regional "food hub" distribution center for Farm to
School and other local retailers and consumers that want fresh locally grown products. We have
established two local community-based task forces to work on improving access to healthy foods in
retail stores in the communities of East Greeley in the north part of the county and in Milliken,
Colorado in the south part of the county.
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Interest in promoting physical activity is demonstrated by the Weld Trails Network(2009)with
members of 14 local municipal governments and Weld County working to connect trails and
walking/biking paths around Weld County. The group has mapped trails (in use and proposed) in all
of Weld County and is developing standardized trail language for comprehensive plans to facilitate
trail connectivity.
We learned that including the Board of County Commissioners and elected officials and municipal
administration is critical for successful implementation of the program/project. Also, grass roots
coalition groups are very powerful partners in working with policy makers to make system level
changes.
3. Description: Weld County encompasses approximately 4,000 square miles(about 4% of Colorado's
total land mass) and has an estimated population of over 252,000, (28% Hispanic/Latino)with
approximately 45% residing in the Greeley/Evans area, 30% residing in mostly small incorporated
towns (Pop. <10,000)along 1-25 corridor, and about 25% residing in rural towns, municipalities or
unincorporated rural areas.Weld County has a lower average income than the rest of Colorado, and
over one-fourth (27%) of Weld County households live on incomes that are below 200%of the
federal poverty level. One out of four(25%)Weld County Hispanic/Latino residents reported
income levels, in the past 12 months,to be below the federal poverty level compared to 14%of all
residents, overall. Based on data from the 2007 Weld County Community Health Survey,
approximately one-third (32%)of Weld County's Hispanic/Latino adults aged 18 to 64 years do not
have any kind of health care coverage compared to 16%of non-Hispanic/Latino White adults.When
compared to Colorado, as a whole, not only does Weld County have a higher percentage of
minorities, a higher poverty level, and a higher percentage of those without adequate insurance,we
also have fewer physicians per 100,000 people. A 2006 report by the Colorado Health Institute
identified several factors that contribute to the health care disparities in Weld County, including the
county's population to provider ratio of 3,500:1, designating it as a primary care health professional
shortage area. According to the 2010 Census, 20%of Weld County residents speak a language other
than English, compared to 15%for Colorado as a whole. Of those who speak a non-English language
81% (statewide) are over 18 years of age.
B. Program infrastructure: The Community Transformation grant will be coordinated by the Health
Communication, Education and Planning division (HCEP) of the Weld County Department of Public
Health and Environment. The HCEP Division Director coordinates the community-based coalitions,
education and intervention programs, and assessment, evaluation,and media/marketing for the
department.
The HCEP division's$1.3 million budget is funded equally by county revenues and state/private
grants for staff and operating expenses. The HCEP staff consists of seven health educators, a
registered nurse, two dietitians, a community outreach worker, health data analyst and a graphic
designer/office technician. Three staff are bilingual in Spanish/English. The Division Director is the
Public Information Officer and serves as the liaison for the media for the Health Department. The
division has responsibility for implementing community based programs:
• for diabetes and obesity prevention that includes nutrition and physical activity programs;
• improving food access in neighborhoods through the retail enhancement program;
2
• partnering with the farm to school program to implement a regional food cooperative/food
hub;
• supporting community gardens around Weld County;
• coordinating trails/recreational improvements with municipalities;
• community walkable design technical assistance;
• worksite wellness programming with 32 major employers in Weld County;
• implementing adolescent injury prevention education/events;
• coordinating FDA retail inspections and tobacco prevention education;
• maintaining emergency preparedness communication functions;
• leading strategic planning and program evaluation for the health department;
• implementing the Public Health Improvement Plan;
• publishing all health department reports and marketing materials.
Implementation of the Community Transformation grant will require adding 2 additional full time
FTE, Health Education Specialists I and a .25 office technician for clerical support. Qualifications for
a health educator I includes a bachelors in health education or a related health field with
preference for a master's degree in public health and 2 years experience in health education
program implementation.
Under the direction of the HCEP Division Director,their responsibilities will include: coordinating
and implementing program components and strategies according to the established timeline to
achieve goals and objectives of the grant; developing and maintaining community partnerships to
sustain the project; managing budget expenditures for the project; implementing the evaluation
plan to ensure effectiveness of program; and completing program reports as required. The OT is an
existing part time FTE that supports the HCEP division staff and programming.
The Public Health Services Division, nursing and clinical services, has several longstanding coalitions.
The Promises for Children Community Coalition guides the Nurse Family Partnership program and
the Immunization Coalition works to improve immunization rates for children in Weld County.
C. Leadership Team and Coalitions
1. Members: Members of the CT grant leadership team will be recruited from our existing task
forces and coalitions that are partners in the community health initiatives listed in section B.
This will include members of the North Colorado Health Alliance,Tobacco-Free Weld County
Coalition, food access task forces, Weld Trails Network and health department staff and
Executive team. We will recruit representatives from each of these groups/coalitions that have
expertise in the strategies that we are focusing on in this grant. Leadership from Sunrise
Community Health Center,WCDPHE nursing services and Promises for Children Coalition will
represent the Community Health Worker/Health Systems Policy strategy; School District Six
Nutrition Services Director, representatives from other Weld County School Districts, members
of the Weld Trails Network will focus on Improving Child Nutrition and Increased Youth Physical
Activity; members of the Tobacco Free Weld County Coalition and the Weld County Housing
Authority will focus on Decreasing Youth Exposure and Access to Tobacco.
2. Existing Coalitions & Successes: The health department has worked with members of the
community and these agencies for many years to improve health and environmental conditions
in Weld County. There are many examples of successful partnerships that have brought needed
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improvements to the public health infrastructure to better serve and educate our citizens. The
formation of the North Colorado Health Alliance in 2002 represented a significant change in the
way we define partnerships in Weld County. Their goal was to improve access to health care
services and eliminate disparities for our disparate populations. They have implemented an
electronic medical records system to improve access at any primary care site in the Alliance.
They garnered large federal, state and private grants to offer improved screening, education,
primary care and mental health services to this population by remodeling a large office complex
to house the Community Health Center so they would have space to meet the increasing
demand for more services. They have recently opened a primary care clinic at North Range
Behavioral Health to care for the clients and families that they serve. The Alliance members are
heavily involved in health care policy reform at the state and national level.
The Steps to a Healthier Weld County Coalition and the LiveWell Coalition, with members of the
Alliance agencies,were able to make remarkable improvements in the cultural supporting active
living and healthy eating during the 8 years of funding. Seventeen strategies that were
implemented during that time are sustained in our county. These include partnering with Safe
Kids to explore putting in sidewalks at a local school to create a safer environment for walking.
Weld County Planning Department has taken this on as a project and matching county funds
have been set aside when block grant money becomes available. Worksite Wellness programs
at 32 large employers in Weld County, including Weld County, have been sustained and
continue to grow. To improve access to healthy foods we have completed a regional food
system assessment and identified a need for a regional food cooperative to serve local
producers and consumers in partnership with the Farm to School, ReadFood Colorado, Food
Hub. We have assisted local food retailers with enhancing their healthy food options and
purchased permanent signage to reach the consumers in those neighborhoods. The Weld Trails
Network if a formal partnership among municipalities and the county to connect and improve
the trails in our region. One of their first accomplishments was the installation of a Bike/Walk
Park in west Greeley in 2010 that is open to the public.
D. Implementation Plan
1. Overall Integration Approach: We have identified six strategies based on what we are currently
working on. The strategies on based on identified needs and our local priorities identified by our
community-based working group who are developing our local public health improvement plan.
These strategies align with other projects around the state and with the state plan.The CTG plan
integrates into already established priorities and programs and all lead to the same ultimate
outcomes. (NOTE:We are working on our logic model and will forward it to you tomorrow; we
just ran out of time.)
E. Strategies
1. Justification for primary strategies: The strategies that were selected, Community Health
workers integrated into local health care system to promote screening and self management of
high blood pressure and high Cholesterol, increasing healthy foods in schools through the Farm
to School program, increasing opportunities for physical activity in local communities with join
use agreements for recreational facilities, and promoting increased physical activity in middle
and high schools, reducing exposure to second hand smoke in multi unit housing and reducing
sales to minors through licensing of tobacco products are all part priorities in our 2011 Public
Health Improvement Plan (PHIP). The community-based PHIP steering committee identified six
over-all priorities for Weld County after reviewing the 2010 Community Health Assessment data
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and other county level health data during our planning process Feb—June of 2011. The Steering
committee reviewed the overall burden of each area, assessed the capacity and the ability of
the communities to address these issues. There are very strong relationships in place to expand
the current capacity to address chronic disease prevention and screening through the North
Colorado Health Alliance partners, NCMC, Sunrise Community Health Center, North Range
Behavioral Health and the health department.The Tobacco Free Weld County Coalition is highly
motivated to pursue both smoke free multi unit housing and decreasing youth access. They
have a proven track record for engaging the policymakers to educate and empower them to
support these issues.The health department has two community task forces in place in low
income neighborhoods who are engaged in improving access to healthy foods through retail
food enhancement, and a partnership with RealFood Colorado to coordinate the Farm to School
program and a regional food cooperative. We are also working with three other municipalities
who are deemed "food deserts" by definition to identify strategies they want to pursue to make
healthy foods more available. We will work with these same municipalities and their
schools/districts to improve opportunities for physical activity and joint use agreements. We
are currently building relationships with the town administrations to conduct Health Impact
Assessments to identify these specific projects. Overall the health department is recognized as a
leader in chronic disease prevention initiatives in the medical community and by the residents of
the county.
2. Justification for alternate strategies: N/A
3. Plans to address health disparities:This was outlined in the plans for each strategy. Not sure
what else you want here except that we already actively engage disparate groups in coalitions
and task forces and intend to continue to do so.
F. Monitoring and Evaluation
1. Data collection for the core outcome measures will be obtained through Statewide BRFSS and
YRBS surveys(Weld County is Region 18). Additionally in Weld County the Healthy Kids Colorado
Survey is implemented county-wide in nearly all middle and high schools; however, not all core
data measures are available with that survey. For example,they do not collect nutrition and
weight information currently. We will continue to work with Weld County Prevention Partners,
OMNI Research, and local school district to obtain this important information. Lastly, local data
for adults can be obtained from WCDPHE's local community health survey. We have 2010
baseline data on all the core outcomes. We will be conducting the survey again in 3 to 5 years.
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Appendix D:Community Transformation Plan Template
Community Transformation Plan—Community Transformation Grant
Site Name Weld County(Multi-Jurisdictional County)
Outcome By September 30, 2016, increase the proportion of low income persons who access
Objective clinical preventive services in order to increase control of high blood pressure and high
cholesterol.
Population 0 XX Health disparity by—age,urban or rural location,gender,
Focus(Check General/Jurisdiction race/ethnicity,education,income,sexual orientation,disability,or
One) Wide other.
(specify}: Low SES,Hispanic/Latino and other minorities
Strategic High Quality Clinical Preventive Services—increased control of high blood pressure and
Direction high cholesterol
Reportable Milestone Activities Timeline Identify the Measure Lead Staff and
(Initiation- Activity{ies) Key Partners
Completion) related to the
Health
_ Disparity
Work with local health providers including Q1 Include Program CHW Program
health department clinical services, both representation documents Coor./WCPHE
CHCs,and regional hospitals to establish of populations Clinical Services
the local CHW operating program plan experiencing Division,Sunrise
HD in planning CHC,Salud CHC,
North Colorado
Medical Center
Work with CDPHE to develop local Ql-Q4 Include Minimum CHW Program
standards for minimum qualifications of representation standards Coor./WCPHE
CHWs{e.g.,local knowledge,minimum of populations document Clinical Services
skill set,languages,certification) experiencing Division,Sunrise
HD in planning CHC,Salud CHC,
North Colorado
Medical Center,
CHW Coaltiion
Work with CDPHE and statewide CHW Q2-Q8 Include Minimum CHW Program
coaltiion to develop statewide standards representation standards Coor./WCPHE
for CHWs(e.g.,scope of practice, of populations document Clinical Services
certification/training, reimbursement experiencing Division,Sunrise
policy, etc) HD in planning CHC,Salud CHC,
North Colorado
Medical Center,
CHW Coaltiion
Identify and recruit up to 3 Q2 Include Program CHW Program
Promotoras/CHW representation records Coor.
of populations
experiencing
HD in
recruitment
phase
Develop local training plan of 01-Q2 Include Evidence of CHW Program
Promotoras/CHW representation written local Coor./WCPHE
of populations training plan Clinical Services
experiencing Division, Sunrise
Appendix D: Community Transformation Pian Template
HD in training CHC,Salud CHC,
phase North Colorado
Medical Center
Train Promotoras/CHWs Q2-O3 Ensure training Training Contracted
is delivered by schedule Trainer(s)(e.g.,
personnel events,dates, Comm.College
experienced timelines; Denver)CHW
with diverse program Program Coor.
populations documents
Assign Promotoras/CHWs based on Q2 Program CHW Program
geographic areas(north and south county) documents Coor.
Implement local Promotoras/CHW Q2-Q4 Program CHW Program
program documents Coor.
Track and report client demographics, Q2-Q20 Comprehensive Tracking forms CHW Program
program activities,and TBD health- Evaluation and reports Coor.
behavior indicators _
CHW representative will participate in 75% O2-Q20 Represent local Meeting CHW Program
of the statewide Community Health disparities that minutes Coord.
Worker Coalition meetings need to be
addressed _
Document local implementation of Q1-Q20 Comprehensive Program CHW Program
Promotoras/CHW program in order to Evaluation documents Coor.
share with state, national,or other
partners interested in replicating a similar
program
Participate in state and national evaluation Q1-Q20 Comprehensive Program CHW Program
activities as requested Evaluation documents Coor.
Community Transformation Plan—Community Transformation Grant
Site Name Weld County Department of Public Health and Environment for Weld County
Outcome By September 30, 2016,thirty percent of Weld County middle and high schools will
Objective increase physical activity among their students by requiring more active physical
education classes.
Population X General/Jurisdiction re race/ethnicity,education,
r rural location,gender,
Health
disparity
y ncome,sexual o
ci srientation,disability or
Focc (C us(Check Wide a e/ thn
One) other.
(specify): Low SES, Hispanic,youth, rural
Strategic Increased youth physical activity
Direction Measure Lead Staff and
Timeline Identify the
Reportable Milestone Activities Key Partners
(Initiation- Activity(ies)
Completion) related to the
Health
Disparity
Ensure Assessment HEAL Project
Conduct a preliminary assessment to Q1-02 identified report. Coordinator;
understand the current quantity and
schools are
quality of middle and high school-based
PE available in identified Weld County located in low
school districts SES areas.
Research and create a report on the Q1-02 Comprehensive Supporting HEAL Project
needed human, material,and financial report documents and Coordinator;
resources needed to work with identified report
schools to implement more active PE
classes. HEAL Project
Engage existing partners and key Ql-Q2 Include Working group
stakeholders including school board proportionate meeting Coordinator and
members,teachers, school executives representation records;copy of working group
and parents,in the form of a working in populations evaluation volunteers
group to create an outreach campaign for experiencing plans.
more active PE classes(and to later HD
support schools in implementing this
approach),and begin planning for the
evaluation component.
Find champions in the school system to Q2-Q3
Ensure Resume of HEAL Project
lead the outreach campaign. champions are champions. Coordinator and
experienced working group
with diverse volunteers
populations
Develop the outreach campaign Q2-Q3 Involve Supporting HEAL Project
messages that will build school and populations documents and Coordinator,
community support for more active PE experiencing copies of working group
classes. HD in all levels relevant media. volunteers and
of campaign champion
development
Inclusion of Record of HEAL Project
Deliver the outreach campaign to local Q3-Q4 ethnic owned contacts with Coordinator,
businesses and community organizations
to raise awareness about the need for businesses and businesses and working group
more active PE classes. media outlets community volunteers and
to ensure organizations. champion
widespread
dissemination
of message.
Agree on the middle and high school that Q3-Q4 Ensure pilot Signed
HEAL Project
will serve as the pilot location for schools are agreement by Coordinator;and
implementing more active PE classes.
located in low working group. working group
SES
neighborhood.
Work with the pilot schools to informally Q5-O7 Ensure that Assessment HEAL Project
assess their PE practices and to begin plans are report of Coordinator;and
making plans and decisions about the developed with current PE working group
implementation process. the input of practices and
populations Implementation
experiencing plan.
HD.
Collaborate with the working groups and QS-Q7 Ensure Meeting
HEAL Project
pilot schools to review and refine the populations minutes and Coordinator;
projects evaluation activities. experiencing final evaluation working group,
HD are plan. PE Teachers and
included in Principals
evaluation
activities.
Assemble a team to develop the Q5-Q8 Ensure Instructional HEAL Project
instructional practices necessary to teach populations practices Coordinator
more active PE classes in the pilot experiencing manual.
schools. HD are part of
the
development
of instructional
practices.
Work in partnership with the champions, Q5-Q8 Involve Records of HEAL Project
funding, Coordinator;
working groups,teachers responsible for populations
PE, and principals to obtain the necessary experiencing equipment and working group,
funding, equipment, and supplies to HD in obtaining supplies PE Teachers,and
implement more active PE classes in the funding, obtained for Principals
pilot school. equipment and implementation.
supplies.
Inform the pilot schools about training Q6-Q8 Ensure that Documentation HEAL Project
options; once training is complete, assist training of training Coordinator
as needed while more active PE classes options are opportunities
are implemented. culturally and number of
competent. Weld County
participants
who attend.
Continue to assist the pilot schools while Q8-Q20 Ensure that Documentation HEAL Project
beginning to promote district wide districts are of expansion Coordinator;
located in low efforts. working group
expansion of more active PE classes. and champions
SES areas.
Community Transformation Plan—Community Transformation Grant
Site Name Weld County Department of Public Health and Environment for Weld County
Outcome By September 30, 2016, Weld County will adopt an evidence-based youth access policy
Objective to prevent youth from accessing or using tobacco products.
Population X General/Jurisdiction X Health disparity by—age, urban or rural location, gender,
Focus(Check Wide race/ethnicity,education, income, sexual orientation,disability or
One) other.
(specify): Low SES, Hispanic,youth, rural
Strategic Implement evidence-based strategies to prevent and reduce tobacco use among
Direction youth and adults
Reportable Milestone Activities Timeline Identify the Measure Lead Staff and
(Initiation- Activity(ies) Key Partners
Completion) related to the
Health
_ Disparity
Implement recruitment plan to Q1-03 Ensure Recruitment HEAL Project
build/broaden community coalition recruiters are Plan Coordinator;
(Tobacco Free Coalition of Weld County). experienced TFWC Coalition
with diverse
populations
Recruit 4 new coalition members through Q1-Q3 Proportionate Meeting HEAL Project
one-on-one meetings, ensuring representation records Coordinator;
proportionate representation of of populations TFWC Coalition,
populations experiencing health experiencing Teen Health
disparities and youth(including the Teen I-ID Alliance of Today
Health Alliance of Today)as members (THAT)
Coalition members conduct 4 Q1-04 Include Presentation HEAL Project
presentations to gain support for the proportionate materials; Coordinator;
policy campaign and to recruit additional representation meeting notes TFWC Coalition,
coalition members, ensuring in populations THAT
proportionate number of presentations in experiencing
areas with populations experiencing HD
health disparities.
Attend 4 community events (e.g., health Q1-04 Include List of events HEAL Project
fairs)to educate the community about proportionate and dates Coordinator;
the harms of SHS, cessation and representation TFWC Coalition,
specifically youth prevention as related to in communities THAT
youth access to tobacco and recruit experiencing
coalition members,ensuring HD
proportionate number of events in areas
with populations experiencing health
disparities.
Facilitate once monthly community Q1-016 Include Coalition HEAL Project
coalition meetings,ensuring proportionate meeting Coordinator;
proportionate number of meetings in representation records TFWC Coalition.
areas with populations experiencing in communities THAT
health disparities in order to facilitate experiencing
county-wide community-driven change HD
around youth tobacco access. _
Develop key messages and points to Q3-Q6 Include Minutes from HEAL Project
address. Understand organizational proportionate strategizing Coordinator;
limitations,the constituents and allies, representation meetings TFWC Coalition.
the target decision makers and the tactics in communities THAT
to get the messages out that supports the experiencing
coalition's campaign HD
Provide educational information at 2 Q6-Q.10 Include Meeting HEAL Project
public hearings of key decision-makers in proportionate records;copies Coordinator;
the county about the importance of youth representation of policies TFWC Coalition;
access policies, price increase, cessation in communities THAT
effects,etc. experiencing
HD
Gather at least 10 letters of support from Q3-Q8 Include Letters of HEAL Project
area physicians,youth group leaders, proportionate support Coordinator;
non-profit groups,organizations that representation TFWC Coalition,
represent diverse groups,other health in communities THAT
organizations,etc experiencing
HD
Engage the media, including ethnic media Q5-Q10 Inclusion of Media HEAL Project
outlets,on at least 4 occasions to ethnic media documentation Coordinator;
communicate the campaign's message outlets to TFWC Coalition,
(e.g., press events, ads/articles in local ensure THAT
papers and online news outlets,letters to widespread
the editor). dissemination
_ of message.
Organize 5 community mobilization Q3-Q10 Include Event HEAL Project
events(e.g., a rally),with 1 in proportionate documentation Coordinator;
communities experiencing health representation TFWC Coalition,
disparities,to raise public awareness and of communities THAT
gain support for the youth access policy experiencing
HD
Engage and encourage participation in the Q8-Q10 Include Event HEAL Project
final decision making process made by proportionate documentation, Coordinator;
identified decision makers representation media articles, TFWC Coalition;
and outcome THAT
engagement of
communities
experiencing
HD
Educate the public on 5 separate Q10-Q13 Make Supporting HEAL Project
occasions about newly adopted policy resources documents; Coordinator;
(e.g.,sponsor a community forum;place available to copies of TFWC Coalition,
an ad in a local newspaper),including the populations relevant media THAT
availability of cessation without access
services/resources,with targeted efforts to and money
in communities experiencing health for cessation
disparities. treatment
Help coordinate and develop smooth Q10-Q14 Engage Meeting HEAL Project
transition into implementation of the communities minutes, Coordinator;
policy and enforcement experiencing supporting TFWC Coalition,
HD to provide documents, THAT
feedback for relevant media
this process
Monitor implementation and Q14-Q20 Comprehensive HEAL Project
enforcement of new policy, ensuring evaluation Coordinator
evaluation of implementation and
enforcement measures in sub-
populations experiencing health
disparities.Act as a resource to the
community on this issue.
Community Transformation Plan—Community Transformation Grant
Site Name Weld County Department of Public Health and Environment for Weld County
Outcome By September 30, 2016,a minimum of 5 Weld County School Districts(of 13)will implement a
Objective Farm to School program that includes a food hub(e.g.,central receiving, processing and
distribution center)and changes to food procurement procedures.
Population X General/Jurisdiction X Health disparity by—age, urban or rural location,gender,
Focus(Check Wide race/ethnicity, education,income,sexual orientation,disability or
One) other.
(specify): Low SES,Hispanic,youth, rural
Strategic Improving Child Nutrition
Direction
Reportable Milestone Activities Timeline Identify the 1 Measure Lead Staff and
(Initiation- Activity(ies) Key Partners
Completion) related to the
Health
Disparity
Assess school districts'readiness to Qi-Q2 Identify Free and reduced HEAL Project
implement the Farm to School food schools with lunch numbers Coordinator;
high poverty
program
rates,high
unemployme
nt
Identify target schools within school Q2—Q3 Identify List of schools HEAL Project
districts with sufficient infrastructure for benefits to Coordinator;
HD and school
fresh food processing and preparation.
youth personnel, Farm
population to School
partners
Educate school partners about the health Q2—Q4 Identify Meeting HEAL Project
and cost benefits of a farm to school benefits to documentation Coordinator;
HD and school
program youth personnel,Farm
population to School
partners
Determine who is responsible for food Q2—Q4 Identify List of HEAL Project
purchasing policies for targeted schools benefits to responsible Coordinator;
HD and school personnel school
youth personnel, Farm
population to School
partners
Research legal requirements for contracts O2-Q4 Needs of HD Agreements in FoodHub, HEAL
involving the Food Hub, local producers, population place with other Project
local food retailers and schools or school are included. schools and Food Coordinator;
Hub Nutrition
districts. director
Inventory facilities in targeted schools to Q3—Q4 Detailed Food Hub HEAL Project
determine what changes or improvements evaluation of inventory Coordinator;
need to be made to the facility and to the school facility evaluation form FoodHub,school
and and comparison nutrition
food procurement. procedures data director
Develop coalition of school O3-O12 Develop data Increase in School Nutrition
superintendents and principals, nutrition and materials number of Director, HEAL
related to healthy foods Project
directors,school staff,board members,
healthy served/eaten. Coordinator;
parents, local producers, and local food eating and business leader
retailers. the Farm to
School
program;
data on local
economic
benefits
Identify specific product needs related to Q3-O4 Identify Menus Nutrition
needs of Director, HEAL
school menus,including seasonal menus, Project
and assist with development of inventory school
population Coordinator;
and delivery needs.
Design educational campaign targeted at Q4-Q5 Use Reach of HEAL Project
key stakeholders in the farm to school information campaign Coordinator;
gathered on nutrition
program. population to director,school
develop officials, Farm to
materials and School.
plan.
Design an evaluation of a farm to school Ql-Q4 Use Evaluation plan FoodHub, HEAL
program utilizing a food hub. information Project
gathered on Coordinator;
population to Nutrition
develop director
evaluation
plan. _
Identify training needs and provide Q3-O20 Identify any Training needs Nutrition
technical assistance to develop a training special menu assessment for Director, HEAL
plan to carry out the implementation of preparation all nutrition staff; Project
or product Training plan and Coordinator;
the Farm to School program utilizing a needs based schedule
food hub in targeted schools. on staff
assessment.
Assist with implementation of training O3-O12 Engage staff Based on Nutrition
in training procedures, Director, Food
based on any evaluate staff Hub, HEAL
new menu readiness Project
items or Coordinator;
procedures.
Continue to assist the pilot schools while Q5-O20 Ensure that Documentation HEAL Project
beginning to promote county wide districts are of expansion Coordinator;
expansion of more Farm to School located in efforts. Coalition
Programs. low 5$
areas.
Participate in state and national evaluation Ql-Q20 Comprehensi Program HEAL Project
activities as requested ve documents Coor.
Evaluation
Counties Budget
Communtiy Transformation Grant
Personnel Costs %of
Salaries(Name of Employee,Title) Monthly Salary Effort #of Months Total Salary
2 849,452
New z om Program lthCoordinator Vor $3,821.00 100% 112 $45,936
Juan Gomez, Community Health Worker $2,954.00 100% 12 $8,862
Marjorie Hanson,Office Technician $2,954 00 25% 12 $0
12 $0
12 80
;Total Salaries , " - _ "!''$t04e25G
Annual Salary
(calculated
Fringe Rate Total Fringe
Fringe(will copy from above) above) g 38 9% $19,252
New Gomez,
position,ProgramH Coordinator Wrk $49,452 389% $17,883
Juan j Community Health 8$5862 38.9% $3,450
Marjorie Hanson,Office Technician $8,862 25 0% $0
0 80 2506 $0
0 $0 250% $0
0 $0
;, Total Fringe t.. -, .' -WA SS
;GPI" PERA,Medicare tax.
Fringe Justification: County requirement to cover health insurance,
Total Personnel Costs $144,835
Program Coordinator:Coordinate the grant activities,budget and reporting and implement the community based
strategies for childhood nutrition,physical activity and tobacco prevention. The Community Health Worker will
coordinate the health care access for chronic disease prevention,and act as the liaison with CDPHE and local health
care providers,and coordinate the Promotoras and their outreach activities. This person will work with the Program
Coordinator to implement the goals and electives of the grant. The Office Technician will assist with trainings,
meetings,minutes,graphic design development for outreach,maintain and order supplies,participate in community
events and strategies.
Travel
Out-of-State Travel Estimated
**Staff X Days Trip cost
Conference Name $2,400.00
Community Health Transformation grant national meeting/conference 1 staff x 4 days
x,x.-.t }- � f4 ' '' 8 eL .ToWOutef-St*t*-TMvat '„::!=k t ,, ,,,. - ,t2$214170.
arie ao` ' "p . Room x 4 x$225;perdeim x 4 days x 50;
Out-of-State Jusufcatiorr.�Expenses for national grant meeting: Airfare:$400;
transportation Estimated
rip cost
In-State Travel
Travel in State for staff to general meetings,training,and outreach 7pteldn±5tate H4Yet .a � 'fir " ' ' `^�
Miles eforStaff
In State Justification: Expenses for two staff to state and local meetings,training,outreach education,events; g
250/month x.45 and Promotoras 150 a.45$5130.00;perdiem and hotel for 2 x 2 meetings 600.Total Travel Costs $8,130
Equipment
Total Equipment SO
Equipment Justification:
Supplies $1,200
Telephone/cell phone $200
Office Supplies $3
$500
Meeting Supplies $500
Printing and Copying $500
Postage $7500
Training for 3 Promotoras $$7,500
Promotional campaign materials for all strategies including advertising_ 15,000
Weld County School conference to bring leaders together for PH training. $4,000
Stipends for schools
Total Supplies _ $35,200
Supplies Justification: Cell phones:2 staff;office supplies for two staff and promotoras(paper,pens,folders,flip pads,toner);
Meeting supplies for all task force and coalition meetings for community work,provider meetings,partners;printing brochures,
flyers,schedules,minutes,etc for all strategies;postage for regular mail for some contacts;PC computers for two staff;
Promotoras training for 3 local community outreach workers; Promotional and advertising for campaigns for all strategies;
expenses for an all school conference with district leaders;stipends for schools to participate in PA and Farm to School programs
training; contract with Food Hub for assistance to implement Farm to School in rural schools.
Other
Total Other $0
Other Justification:
Contractual
Real Food/Food Hub
Budget: $5,000
The RealFood/Food Hub will provide TA for implementation of the Farm to School program in the rural
target schools and District Six,the northern Colorado regional foodhub for schools
Name of Contractor: To be determined
Method of Selection:Screening,Interviews and references
Support:
Period of Performance: Oct 1,2011-Sept 30 2012
Budget $100,000
Scope of work:Technical assistance in tobacco and healthy
eating,active living policy;and clinical and community
health work
Name of Contractor: 3 local Promotoras $
Method of Selection:Screening,Interviews and references
Support:
Period of Performance. Oct 1,2011-Sept 30 2012
Budget:$23,400.00,3 Promotoras x 520 hrs.each x$15 00/hr. $23,400
Scope of Work:Provide chronic disease prevention education and provider navigation to underserved
residents of Weld County per state job description
Total Contractual $126,400
Total Direct Costs
Salaries $104,250
Fringe $40,585
Travel $8,130
Equipment S0
Supplies $35,200
Other $0
Contractual $128,400
Total Direct Costs $316,565
Total Indirect Costs
Enter an amount in only ONE of the yellow boxes:
Use this row if indirect is based on salaries only,enter the
approved Indirect rate in the yellow box. $104,250 X 0.0% $0
Use this row if indirect is based on salaries and fringe,
enter the approved Indirect rate in the yellow box. $144,835 X 0.0% $0
Use this row if indirect is based on all direct costs except
contractual,enter the approved Indirect rate in the yellow $108,1 GS X B 3% $15,618
box
Indirect Costs on Contractual,enter the pass through rate $120 400 X 8.3% $10,657
in the orange box.
Total Indirect Costs $26,275
Grand Total ——
$316,565
Total Direct Costs $17 369
Total Indirect Costs
Grand Total $333,934
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