HomeMy WebLinkAbout20102016.tiff RESOLUTION
RE: APPROVE APPLICATION FOR PREVENTIVE HEALTH AND HEALTH SERVICES
BLOCK 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 Preventive Health and
Health Services Block Grant from the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the Weld County Department of Public
Health and Environment, to the Colorado Department of Public Health and Environment,
commencing January 1, 2011, and ending December 31, 2011, 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 Preventive Health and Health Services Block Grant
from the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County 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 1st day of September, A.D., 2010.
BOARD OF COUNTY COMMISSIONERS
WELD COUN C• ORADO
\ �ou.la- 'ademache , C -Ir
Weld County Clerk to th o
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Gl� 6- I' •ara Kirkmeyer, P o-Tam
BY: fv
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Deputy Clerk to the r •+
Sean P. Cori _ay_, c
AP ED ORM: L�
William . Garcia
County Attorney EXCUSED
David E. Long
Date of signature /O
2010-2016
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Kitss-t ‘it-1. :1-% DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 17th Avenue frii
41
Greeley, CO 80631
Public Health
I Web: http://www.co.weld.co.us/redesign/health/11
PuibCommunication,
C. Faxelt9 0 304.6412tion Faxeli9 0.304.6420 Tele x970.30 61 Health FTel : 970.304.6470
axe 970.304 6452 Planning
COLORADO
Our vision: Together with the communities we serve, we are working to make Weld County a healthy place to live,learn, work and play.
To: Douglas Rademacher, Chair
Board of County Commissioners
From: Mark Wallace, Executive Director
Date: August 16, 2010
Subject: PHHS Block Grant renewal application
Enclosed for Board review and approval is the renewal application for the Preventive Health and Health
Services Block Grant between the Colorado Department of Public Health and Environment and the Weld
County Department of Public Health and Environment. The time period for the grant is January 1, 2011
through December 31, 2011. The total amount of the request is $45,000.00.
The Preventive Health Block grant funding, if approved, will provide partial support to improve access to
healthy foods in Milliken, Colorado. The residents of this area do not have access to a variety of affordable
fresh foods that constitute a healthy diet on a daily basis. Easy access to healthy food choices is just one of the
factors that influence health, but it is an essential one. Milliken has three convenience stores/gas stations but no
stores that carry a wide variety of fresh fruits, vegetables, dairy and meats. The project will be a collaboration
between the residents of Milliken, three small corner store food retailers, Milliken Elementary and Milliken
Middle School and local government to make healthy foods more available in that municipality.
We received PHHS funding in April, 2010, to improve access to healthy foods in East Greeley. We have
formed a task force of citizens, the city of Greeley, School District Six, Catholic Charities, the Boys and Girls
club and four food retailers to determine the needs and availability of fresh, healthy foods. After surveying the
residents and retailers, we are ready to offer mini grants to the retailers to fund equipment and marketing
projects that will make it possible for them to carry more healthy, affordable foods in their stores. We will use
the same model for the project in Milliken in 2011.
The PHHS funding will support an existing .5 FTE, health educator to coordinate this project in 2011.
2010-2016
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DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 17th Avenue 1,1101.
Greeley, CO 80631
Public Health
I Web: http://www.co.weld.co.us/departments/healthenvironment/
Health Administration Public Health&Clinical Environmental Health Communication, Emergency Preparedness
11 Vital Records Services
T ea 44 6644 11 44 64421 Services
970 304 6415 Education 8.Planning Tele 970 304 70 Tele 970 304 6420
06 ax 970 11 0 30452 ax C• rOur 997700 33
Together with the ccomm communities we serve,weee1e working Ct m make Weld County the healthiest place toFve,learn,workWO3046k and play
COLORADO
Preventive Health and Health Services Block Grant
2010-2011 Application
1) Program/Project Title—Improving Access to Healthy Foods in Milliken Colorado
2) Program/Project Strategy- The purpose of this project is to improve access to healthy foods in the town of
Milliken in south Weld County. The residents of Milliken, which has been designated a food desert by WCDPHE,
do not have convenient access to a large food store(i.e., supermarket or supercenter)and very limited access to
affordable, fresh, healthy foods. We will work with the local government, schools, businesses and residents to
improve the availability of fresh fruits and vegetables,whole grains, dairy and meat products that are part of a
healthy diet by providing incentives to current food retailers to offer healthier food and beverage choice options in
Milliken.
To improve access to healthy foods, we must work with the residents/consumers and the retail food
establishments. Strategies recommended by the CDC that have been successful in our East Greeley Food Access
Project and other parts of Colorado include working with convenience stores and specialty stores to add healthier
foods at an affordable price, marketing these options to the local residents, educating the residents on healthy food
options, and increasing participation in food assistance programs at local stores. Other strategies we will explore
are the Farm to School program with RE5-(J), community gardens and a year around farmer's market.
Milliken is a town of 6,200 residents (and growing) in the southwestern part of Weld County. It is considered
rural and is surrounded by farm land. Since the 2000 US Census,the town of Milliken has more than doubled in
size with an estimated population in 2000 of 2,900 to 6,200 in 2009. Currently, 45% of residents are Hispanic or
Latino and 69% of households earn $50,000 or less a year. There is a small family owned grocery store/market in
Johnstown which is 3 miles west of Milliken. To shop there, Milliken residents must have transportation because
the towns are joined by state highway 60 and it is not safe to bike or walk. Otherwise residents must travel at least
8 miles to Greeley to shop for food. Milliken has three convenience stores, one specialty Latino market, four
restaurants, and, fortunately, no fast food restaurants. There is one elementary, a middle school, and charter school
(K-8) serving a total of 1,200 children. There is a nicely redeveloped downtown with a new community-oriented
police station. The town has purchased an old grain elevator that, if designated to become a retail shopping area,
might be suitable for some type of market.
The project will include:
• Forming a local task force with representatives from the Town of Milliken, School District RE5-(J),
local food retailers and other businesses, and members of the community.
• Conducting a systematic mail-based survey of 200 residents by adapting the one developed for the East
Greeley Food Access Project, interviewing and surveying of residents about their food intake, food
access issues, local food production and interest in nutrition education programs. We will work with the
Town of Milliken and/or the school district to obtain a representative list of residents.
• Interviewing food retailers about their access to affordable supplies and other barriers to selling more
fresh healthy foods, marketing strategies, and incentives.
• Based on the information gathered during the survey process, determine which strategies will be most
effective to improve access to healthier foods in this environment.
• Implementing at least two of the identified strategies to improve healthy food access and demand and
evaluating the effectiveness of these strategies and project.
We have worked with the town administrator and his staff for the past five years on strategies to improve the
walkability and accessibility of the built environment to increase physical activity. A project to improve access to
healthy foods is a natural next step towards better health for the residents of Milliken. Weld County School
District Six is taking the lead in the Colorado Farm to School project and as a strong partner, will assist with
implementation of this program in RE5-(J) school district.
3) Program/Project Goals and Outcomes
Project Goal: Improve healthy food access and consumption among Milliken residents by implementing one or
more strategies recommended by CDC in its July 2009 publication,Recommended Community Strategies and
Measurements to Prevent Obesity in the United States.
Outcomes:
Initial Outcome: Increase proportion of Milliken residents who have access to healthy and affordable foods.
Individual Long-term Outcome: Increase consumption of all healthy foods by Milliken residents.
Population-based Impact: Increase by 10% Milliken resident's consumption of fruits and vegetables.
4) Program Effectiveness—
Process evaluation activities will be conducted by the project coordinator and Health Department data specialist.
Surveys and other data will be used to assess progress toward achieving our goal and outcomes. Currently,
WCDPHE is conducting the 2010 Weld Community Health Survey in which baseline data on for several health
indicators(i.e., fruit and vegetable intake, obesity, etc.) for adult residents living in Milliken is being collected.
The Milliken Community Food Consumer Survey and key informant interviews will gather additional information
to assist with project implementation as well as help assess the project's effectiveness.
5) Primary Strategic Partnerships- Please identify internal and external strategic partners that your
program/project collaborates with:
Internal Partners External Partners
Weld County Government Town of Milliken
Health Education team at WCDPHE Milliken Elementary and Middle School and
Charter
Environmental Health division Convenience stores ( 7-Eleven; Dollar General; Far
Better Convenience)
CSU Extension nutrition education Specialty store (Carniceria Munoz)
Milliken residents
6) Program/Project Setting—The project will be implemented in the town of Milliken. The health department staff
will make arrangements for task force meetings in Milliken.
7) Requested 2010-2011 PHHS Block Grant Amount- $_45,000
8) Total FTE to be funded with 2010-2011 PHHS Block Grant Funding- .5 FTE
9) Identification of FTE -Please complete the following table
Employee/Title/Position # % Block Block % Paid for by State,Federal or Local
Grant Grant Funds that directly tie to the PITHS
Funds Funding Block Grant funds—
(5) please list specific sources (does not
have to equal 100%)
Project Coordinator,Health 100% $31,898.00
Educator II/RD .5 FTE
10) Budget—Please complete the following budget information
Total Personal Services$ $31,898.00
Operating $ $1000.00
Survey printing, meeting expenses, nutrition education materials.
Other$ $12,000.00
These funds will be used to provide incentives for
local food retailers to carry and market healthy food items.
11) National Health Objective(s) - Identify the key Healthy People 2010 Health Objective(s)your program/project
is attempting to address. Please include the specific title(s)and HP 2010 objective number(s).
Identified Primary National Health Objective:
Food and Nutrient Consumption
19-6 Increase the proportion of adults and adolescents who consume at least three daily servings of vegetables.
Identified Secondary National Health Objective:
Food and Nutrient Consumption
19-5 Increase the proportion of adults and adolescents who consume at least two daily servings of fruit.
12) State Health Objective—If available, include the specific state health objective(s)that relates to the proposed
national health objective. Information from the department's strategic plan or other sources can be included.
CDPHE's Physical Activity and Nutrition State Plan 2010 objectives related to the national health objective are:
Increase the percentage of Coloradoans who consume at least five servings of fruits and vegetables a day.
13) State Health Problem—Describe the health problem this application is proposing to address(max, 1-2 brief
paragraphs.)
According to the United States Department of Agriculture(USDA), obesity and diet-related chronic disease are
major health problems partly attributable to lack of access to affordable and healthy foods in communities in the
United States. People living in low income or rural neighborhoods frequently do not have access to healthy food
venues such as supermarkets. Instead,they must rely on convenience stores or small neighborhood stores that
offer few, if any, healthy food choices. It is believed that differences in food access across race, ethnicity, and
socioeconomic status may contribute to or reinforce these health disparities. If individuals in these areas have
access to healthier foods that are as inexpensive as calorically-dense foods, it is believed that consumers will
substitute away from calorically dense foods to healthier choices and reduce the risk of obesity(Whitacre, P.T.,
2009).
We know from our 2010 Regional Food System Assessment project that Milliken and seven other municipalities
are considered "food deserts". There is no full service grocery store in Milliken. People in Milliken must travel to
Johnstown or Greeley to have the opportunity to buy a full range of nutritious foods in a large food store.
A recent analysis of the 2007 Weld County Community Health Survey data for people living in Milliken found
that 64%of residents are overweight or obese, which is slightly higher than the county's rate (60%) and the
state's rate(55%).
14) Evidence Based Guidelines/Best Practices-From the list below, please identify which Evidence Based
Guidelines and/or Best Practices that your proposed program/project is currently using. If you are using one that
is not identified, please list in the"other"field.
Evidence Based Guidelines—United States
CDC Recommends: The Prevention Guidelines System (Centers for Disease Control
and Prevention)
Guide to Clinical Preventive Services(U.S.Preventive Services Task Force)
Guide to Community Preventive Services (Task Force on Community Preventive Services)
_X_MMWR Recommendations and Reports(Centers for Disease Control and Prevention)
National Guideline Clearinghouse (Agency for Healthcare Research and Quality)
Best Practices—Experienced Based
Best Practice Initiative(U.S. Department of Health and Human Services)
Model Practices Database (National Association of County and City Health Officials)
Promising Practices Network(RAND Corporation)
None
X Other: July 2009 Publication Recommended Community Strategies and Measurements to Prevent
Obesity in the United States and United States Department of Agriculture's
Administrative Report to Congress,Access to Affordable and Nutrition Food-Measuring
and Understanding Food Deserts and their Consequences, June 2009.
15) Block Grant Role—Select the primary role that the PHHS Block Grant funds will play in helping to accomplish
the program/project objectives. Choices are as follows:
Rapid Response—Rapid response to an unexpected health threat, emergency situation
Incubator—Providing seed money for initial support of a new program
X Supplemental Funding—Supplement funding of activities for under funded programs
No other funds—Only source of funding available
16) Percent of PHHS Block Grant funds—Identify from the following list the level of PHHS funds being used with
other program/agency resources to address this health problem.
• 50%-74% - Significant source of funding
17) Target Population—Identify and describe the target population to be served. Please list a specific#for the
target population identified or if program/project covers all citizens, list All Coloradans. If you cannot identify a
specific number served and the project does not address all citizens, please explain.
Target Population Identified (total #) 6,200
Also, please X those that apply below:
Race/Ethnicity Age(Life Stage) Gender Geography
African American or Black Under 1 Year(Infants) Female _X_Rural Areas
American Indian/Alaskan Native 1-3 Years (Infants) Male Urban Areas
Asian 4-11 Years(Children) XBoth Both
Hispanic 12-19 Years (Adolescents)
Native Hawaiian/Pac. Islander 20-24 Years(Adults)
White 25-34 Years(Adults Primary Low Income
Other 35-49 (Adults) _X_Yes
X All 50-64 (Older Adults) No
65 or Older(Older Adults)
X_All Ages
18) Disparate Population—Identify and describe the disparate population to be served. Please list a specific#for
the disparate population identified. If you identify a disparate population that is to be covered by this
program/project but cannot identify the specific# served, please explain.
Disparate Population Identified (total#)-33,000
Also, please X those that apply below:
Race/Ethnicity Age(Life Stage) Gender Geography
African American or Black Under 1 Year(Infants) Female _X_Rural Areas
American Indian/Alaskan Native 1-3 Years (Infants) Male Urban Areas
Asian 4-11 Years(Children) X Both Both
_X_Hispanic 12-19 Years(Adolescents)
Native Hawaiian/Pac. Islander 20-24 Years(Adults)
White 25-34 Years (Adults Primary Low Income
Other 35-49 (Adults) X Yes
All 50-64 (Older Adults) No
65 or Older(Older Adults)
_X_All Ages
19) Essential Service Areas—Select and list at least 1 (no more than 2)of the 10 Essential Services (see attached list
that is included at the end of this document)that most closely tie to this program/project.
Essential Service 1 -Monitor health status
Essential Service 4-Mobilize partnerships
20) Impact and Annual Objectives—
Impact Objective 1: By January 1, 2012, increase healthy and affordable food choice options in at least one
corner grocery store in Milliken, Colorado.
Annual Objective 1: Obtain baseline data of Milliken resident's food consumption and purchasing patterns.
Between February 2011 and April 2011, survey 200 residents within Milliken, Colorado to obtain baseline data of
their patterns of food consumption and barriers to local food access.
Annual Objective 2: Between February 2011 and April 2011, survey and/or interview at least 3 Milliken food
retailers about barriers and incentives related to supplying healthy food options.
Annual Objective 3: Between April 2011 and December 2011, work with partners and local task force to identify
and initiate implementation of one or strategies recommended in the CDC July 2009 report, Recommended
Community Strategies and Measurements to Prevent Obesity in the United States.
Impact Objective 2: By January 1, 2012,explore and plan additional opportunities to increase healthy food
access through a Farm to School program with RE5-(J), community gardens, and/or a year around farmer's
market.
Annual Objective 1: Between April 2011 and December 2011,work with partners and local task force to identify
and initiate implementation of one or strategies recommended in the CDC July 2009 report,Recommended
Community Strategies and Measurements to Prevent Obesity in the United States.
21) Local Support—List the amount of PI-IHS Block Grant funds that will be distributed or will directly benefit local
communities and/or local health agencies. The project coordinator will be dedicated to this project and
developing relationships in the community. Nutrition education will directly benefit the residents, schools and
businesses. $12,000.00 will go directly into the community in the form of incentives such as equipment needed to
store fruits and vegetables and marketing materials.
22) State General Funds/Cash Funds—If applicable, please list any State General Funds and/or State Cash Funds
that are used to support this program/project.
Source of Funding Amount of Funding— Amount of Funding— Amount of Funding—
2010-2011 2009-2010 2008-2009
PHHS Block Grant $45,000.00 $55,000.00 $0
Requested Amt/Actual
Award
State General Funds $ $ $
Cash/Cash Xmpt Funds $ S $
If State General funds and/or State Cash/Cash Xmpt funds are used to support this program/project, please
provide a copy of the applicable State long bill funding lines where these figures are identified. This information
will be used to document the "supplanting" issue as well as prepare CDPHE for future PHHS Block Grant
Compliance Reviews.
23) Federal Funds/Match Issues—
Will these PHHS Block Grant funds be used to match any other Federal funds? No
24) Leveraged Funds—
Will these PHHS Block Grant funds be used to leverage any other source of funds? Yes
If yes, please explain. Yes. We are applying for Colorado Health Foundation funding to support this project in
2011.
25) Refocusing of the PHHS Block Grant—There are efforts underway by CDC to refocus the PHHS Block Grant
to secure and possibly enhance its funding position for the future. This refocusing Grant to secure and possibly
enhance its funding position for the future. This refocusing means there may be new goals that projects must
meet in order to receive funding. Listed below are four goal areas that are currently being proposed for the Block
Grant. Please select those that apply and briefly describe below how your project falls within these goal areas.
X Achieve health equity and eliminate health disparities by influencing social determinants of
health.
_X Decrease premature death and disabilities that are due to chronic diseases and injuries by
focusing on the leading preventable risk factors.
_X Build healthy communities by supporting local health programs, systems and policies.
Provide opportunities to address emerging health issues.
By addressing individual factors of diet and nutrition in the social determinants of health model, our project
targets disparate populations in food deserts to influence population health outcomes. These outcomes include
increasing life expectancy and quality of life while decreasing morbidity and mortality.
0 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
IADMINISTRATION: (970) 304-6410
WI D C
FAX: (970) 304-6412
PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
O FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
COLORADO 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. 17`h Avenue
Greeley, CO 80631
Applicant's Phone: (970) 304-6420, ext. 2380
Applicant's Fax: (970) 304-6452
Project Title: Improving Access to Healthy Food in Milliken
Contact Person: Gaye Morrison, Health Communication Director
Date: January 1, 2011 —December 31, 2011
Amount: $45,000.00
Weld County Department of Public Weld County Board of Commissioners
Health and Environment SaCkA,Mark E. Wallace, MD, MPH, tor Douglas Radema her, Chair SEP 0 1 2010
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Weld County Clerk to the61 ai2
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