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HomeMy WebLinkAbout20092798.tiffRESOLUTION RE: APPROVE 2010 IMPLEMENTATION GRANT APPLICATION FOR LIVEWELL WELD COUNTY PROJECT AND AUTHORIZE CHAIR TO SIGN - LIVEWELL COLORADO 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 a 2010 Implementation Grant Application for the LiveWell Weld County Project 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 LiveWell Colorado, commencing January 1, 2010, 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 2010 Implementation Grant Application for the LiveWell Weld County Project 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 LiveWell Colorado, 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 26th day of October, A.D., 2009. ATTEST: `✓.' ��✓ Weld County Clerk to the Soak BY: it 'U_ I (,2e( Deputy Clerl4to the Board APPROVED'AS TO FORM: -- Coun y Attorney Date of signature: (I We l BOARD OF COyNTY COMMISSIONERS WELDOJNv4 COLORADO William F. Garcia, Chair cz� ccA,% ,— .,-,.. — Dougtafs Rader acher, Pro-Tem ;"( Se P. Conway a ra Kirkmey§f David E. Long C '. gL (1 O2r G-' 2009-2798 HL0036 Attz; Wi�'pc. COLORADO Memorandum TO: William F. Garcia, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health and Environment 1NA DATE: October 22, 2009 SUBJECT: LiveWell Colorado Implementation grant application Enclosed for Board review and approval is the LiveWell Weld County 2010 Implementation request for funding between the Weld County Department of Public Health and Environment and LiveWell Colorado. The time period for the grant funding is January 1, 2010 through December 31, 2010. The total amount requested for 2010 is $99, 978.00. LiveWell considers 2010 the 7th and final year for funding for Weld County and other Steps communities and has reduced the funding allocation to reflect this. We will decrease the Program Coordinator's FTE to .5 and utilize the remaining funds for the Active Community Environment Technical Advisor contract and operating expenses. LiveWell Colorado is a statewide initiative aimed at reducing overweight and obesity rates and related chronic diseases in Colorado. A partnership among foundations, health care organizations, non-profit organizations and state and local public health agencies, LiveWell Colorado works with communities to promote healthy eating and active living programs and environmental changes. Strategies to improve access to healthy foods and enhanced opportunities for physical activity in our communities, worksites, and schools will be implemented or continued during the grant year. I recommend your approval. Enclosure LIVEWELL COLORADO 2010 IMPLEMENTATION RFP PART 5: UDGE tBATty Personnel - $24,842 A 0.5 FTE Project Coordinator and Registered Dietitian will remain employed with the LiveWell grant at $24,842 through 2010. A 0.25 FTE Administrative Assistant and 0.25 Worksite Wellness Coordinator will also work with the grant through in -kind funds provided by Weld County totaling $21,195. Benefits - $8,829 Fringe benefits are calculated at 35.54% of total salaries for Weld County grant -funded positions per Weld County Government Human Resource policies. Administrative/Operating - $800 General office supplies include paper, copies and printed materials for all action plan activities, print cartridges for black and white and color printers, pens, pencils, packets, binders, postage, and fax. Access to a computer, phone, and office are provided in -kind by Weld County. Conferences/Meetings - $4,800 • Coalitions & General Meeting Expenses: Meeting expenses for all coalitions and workgroups associated with the action plan (community, schools, food access, and worksites). Expenses include office supplies and materials, copying and printing, space rental, meals and/or refreshments and paper products and supplies. • Conferences: Worksite Wellness Workshop and Love to Learn Early Childhood Conference: These expenses include marketing material development and advertising, equipment and space rentals, refreshments and paper products, educational materials, parking, and personnel. Contractors - $31,200 • Pam Smith: $31,200 - ACE Technical Advisor • Cindy Kronauge: $10,000 in -kind through Weld County - Health Data Specialist Travel/Mileage/Training - $800 Local travel includes day-to-day activities with community partners to complete the action plan estimated at the 2009 Weld County government rate of $0.53/mile. Other (please specify)- $1,000 • Incentives: includes gift cards, complimentary classes and other appreciation related incentives. Indirect Costs (If applicable) - $4,107 Although Weld County Government's indirect rate is higher, 10% of the requested funds will be assessed for facility costs like electricity, water, space, finance/accounting staff, etc. Contractors and equipment are not included per LiveWell directive. Strategies (label as in action plan; use this section to account for budget related to specific strategy) • 1B: East Greeley Sidewalk Project: $2,000 for meeting supplies, educational materials, and project research. • 1C: Trails Network: $4,000 for mapping and other data collection research projects • 2C: Community Gardens: $5,600 for micro -financing for schools and other organizations. • 2D: Corner Grocery Stores: $9,500 for incentives to grocery stores, educational materials, and marketing. • 3A: CBOCES School Wellness policy $1,000 for district wellness policy implementation. • 3C: Kaiser Educational Theater Amazing Food Detective $1,000 for K-5 nutrition education. • 4B: Worksite Wellness Programming $500 for the worksite wellness support group. Surplus from 2009 - $0 There will be no anticipated surplus from 2009. Match - $292,866 From the experiences of the Steps grant and 2009 LiveWell grant, estimated matching in -kind contributions include labor/benefits/office supplies, equipment rental, copying and printing, co -branding advertising and marketing costs for classes/events from WCDPHE; coalitions and workgroups participation by community members, community garden land and water donations from UNC, City of Greeley and other gardens that will be micro financed, space donated for classes, conferences and events in the action plan. (Refer to budget spreadsheet for detailed matching). Evaluation - $0 Evaluation will be conducted by strategy through staff time by the Project Coordinator, Worksite Wellness Coordinator, ACE Technical Advisor, and Health Data Specialist. COLORADO Granting Agency: Applicant's Name: Applicant's Address: Applicant's Phone: Applicant's Fax: Project Title: Contact Person: Date: Amount: DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: vVow.co.weld.co.us ADMINISTRATION: (970) 304-6410 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 Live Well Colorado Weld County Department of Public Health and Environment 1555 N. 17th Avenue Greeley, CO 80631 (970) 304-6420, ext. 2380 (970) 304-6452 Heart of Weld Project (Cardiovascular Disease Prevention) Gaye Morrison, Health Communication Director January 1, 2010 — December 31, 2010 $99,978.00 Weld County Department of Public Weld County Board of Commissioners Health and Environment � n � Mark F.OWallace, MD,�V[l ctor William F.Garcia, Chair � 0 2009 Weld By: Deputy Cl cr9—a79f LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN APPLICANT ORGANIZATION (Please refer to the instruction document) Fiscal Agency Information Coordinating Agency Information (if different than fiscal agency) Name: Weld County Department of Public Name: Health and Environment Street Address: Street Address: 1555 North 17`h Avenue City: Greeley State: CO Zip: 80631 Executive Director: Mark Wallace, MD, MPH Primary Contact: Name: Gaye Morrison, RD, MPH Title: Director of Health Communications Education, and Planning Phone: 970-304-6470 x 2380 Fax: 970-304-6452 Email: gmorrison[?a,co.weld.co.us City: State: Zip: Executive Director: Primary Contact: Name: Title: Phone: Fax: Email: elMat A_ l IAJB-MOI& joie °A, Signature, Executive Director Date / Signature, Executive Director Date Amount of 2010 Request from LiveWell Colorado: $99,978 Total Proposed Budget (including match): $292,866 Contributing Authors: Please list all persons (name & affiliated agency) who provided input into this report (i.e., wrote, reviewed, edited, etc.): Weld County Government employees Gaye Morrison, Cindy Kronauge, Kelly Imus, Pam Smith, and Bobbie Puckett all contributed to the writing, reviewing and editing of this document. Page 3 of 88 by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN PART 1: SUMMARY INFORMATION (THREE PAGE MAXIMUM) Community Demographics: Counties : Weld City/Towns/Neighborhoods: See map Population Size: 244,515 Average Household Income (range): of residents with HS diploma or higher: Race/Ethnicity: White n(%) 201,740(85.7%) Hispanic or Latino n(%)(of any race) 64,636 (27.5%) African American n(%) 842 (0.4%) Asian/Pacific Islander n(%) 4,470 (1.9%) Native American n(%) 1,943 (0.8%) Othern(%) 21,983(9.3%) Two or more races n(%) 4,259 (1.8%) Note: race/ethnicity listings do not add up to population size or 100%; based on 2 Census Bureau, American Community Survey 1 year estimates Other facts of interest: Female 49.7% % persons living in poverty: 13.9% % eligible for free or reduced -price lunch: 44.2% Average Age (range): (median) 31 % population > 65 years old: 8% Other data collected in 2009: No new data collected in 2009. Reporting Period: This report contains information through November 2, 2009. Description of Initiative (One page maximum): See 1 -page Initiative Description Matrix on next page by Live Well (Your Community) ›- Z z '— a c oQ d LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN V :a `_� " a0 _� -ii r. c o a aa, o N= U o IG 'CS ,,.�. of L "- a �: u „ a C1 C a E t to o to) r Z. cc co ,5,_ O� yam c a O.ov"2 u VEw i y m5:a'o�+w'=m.aop2>y,Tg ^Eow,.g.°c`o(2,`70cu+«o :r.. d> G C T c _ V p ,: o .N A a. U N T ►• c .). c T 'C -a O- c V O Y TS Tr -,0•6006'22c-6 › E o0 a,,, U i w0 .N C •V % o V u d. « x o C a O ;'- MS tt C '` E J O U> S r 0 1 V A U v V V m 3 a>,, CON O` m a -a per"_ >, O` O Q o O a) O �..e.- r o, V c o �_,r,, c aZ SSA `�n (.JQ 0) p (.7 'C O a ag rho �U �'�� p� 3 Qo 2 2 O a c r+ c m h ui a In V v rI V O 'C J- 0 O O N to w en f6 t en ~ a_ O O M Q in N _ O Mtit t0 a O w T u o o 'sn m = E c .� �' i+ C 0 O 0 U informational C• 11f0 113 U CC a O !0 O N tO, a ' 61 app U L O N O vi s..O L a0 0 a r♦ = c 4,,j= O o (5 CO 3 .0 '42 Monitorin 4.4 C s a sy U cc 0 L aJ 0 N N c 3 --o L 0) cc a c Y Y C M C 3 -) a cbb -Cs c 00 3 ro c +' C U can ate+ V1 U E .OL- U v+ Y A fa i > • '/ O O a` aci o_ ax) 3 a) as 3 N a a a. E 0 c a a) o 0 t 0 c m > a o a = -C m C 7 va ro_' E O L cc OV C O N a) O am m v U ILO ,131) —C t � O O A - al y C c o Y m N ara W 00 N ,4_. 00 C u o v — Y — a v E Y 3L.nr-3cc N a) O N Cc u0 o ea 3 C C A Y C a t C W tp LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Description of Initiative (One page maximum): The Weld County LiveWell initiative will continue to expand on the experiences and successes related to obesity prevention during the past five years (2003-2008) through the Steps to a Healthier Weld County federal grant. Four environments (community, early childhood learning centers, schools, and worksites) will continue to be the focus of risk reduction messages about improving nutrition and increasing physical activity to targeted populations. While Steps may have had some impact on rates of obesity and physical activity, there is more work that needs to be done. Steps was a non-competitive grant which enabled Weld County Department of Public Health and Environment to collect (weighted) local data through BRFSS and YRBS. Accurate and pertinent data from several other local data sources, such as the 2007 Community Health Survey (CHS) and the Child Health Survey, helped focus the action plans so as to address inequities in health status in geographic specific pockets throughout Weld County. This LiveWell grant is written strategically to continue to promote the established shared vision of a healthier Weld County using this wealth of data. Objectives are more defined and more focused because the CHS documented pockets of need among several underserved target populations geographically. Weld County LiveWell will build on the Step's infrastructure, which resulted in important policy and environmental changes. There have been many indicators of success over the past five years with the strategies that are being proposed. Most of these strategies and objectives are interrelated since what was learned through formal evaluations over the course of the Steps grant led to opportunities for improvement, including efficiencies to leverage scarce resources. The progress and the success of all of the Steps initiatives were a direct result of relationships and partnerships that were nurtured in coalitions and work groups. In communities such as Weld County, it is important to understand that the successes were not a series of silo projects, but a complex tapestry of interrelated partners and projects representing an investment in the health of Weld County's communities by dedicated residents and organizations. The Weld County LiveWell Initiative will focus on four main target areas to drive policy and environmental changes in this community: Active Community Environment (ACE) policy work ➢ Access to healthy food Integration of health and wellness into schools and early childhood learning centers Y Creation of environments and advancement of policies that support healthy behaviors in worksites by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN ➢ PART 3: COALITION/COMMUNITY PARTNERSHIP/CAPACITY BUILDING A. Progress (Four page maximum): The continuation of infrastructure and coalition building was a high priority for the LiveWell initiative in 2009, resulting in at least nine distinct groups of Weld County professionals and community residents assisting in the planning and implementation of Steps initiatives. Many subgroups and task forces were also needed to support and complete the objectives of action plans including but not limited to: • The North Colorado Health Alliance (NCHA) is the steering committee for the Weld County LiveWell initiative. The NCHA is a community collaboration among organizations providing health care services to low-income, uninsured residents of our community. • The Weld County Board of Health (BOH) is an advisory board to the Weld County Board of County Commissioners. The BOH has nine members and has been a strong supporter of Steps and LiveWell initiatives, including serving on coalitions and work groups. • The Chronic Disease Prevention Partnership (CDPP) was newly developed in 2009 to combine and leverage resources from the Community Wellness Consortium and the Diabetes Coalition. The CDPP includes over 30 community partners that meet quarterly to provide guidance and information to the LiveWell initiative. • Worksite Wellness groups include over 35 worksites participating in the Well City Project. The Steering Committee and the Support Group help educate employers on the project, while providing education resources and consulting to enhance local worksite wellness programming. • The Weld County Youth Coalition is in the process of development through the Tobacco Coalition, LiveWell, and other community partners working to increase health and wellness among Weld's youth population. • The District (WCSD6) Wellness Policy Advisory Group is comprised of 25+ professionals and community partners that developed and help implement the WCSD6 District Wellness Policy. • The ACE Task Force has been meeting quarterly for the past three years to work on active community environment projects. The group is responsible for planning and implementing the ACE objectives of the Steps action plan that are enumerated on in other areas of this report. During year five, two other groups were formed that include the Regional Trails Advisory Group — about 20 participants and the Safe Routes to Schools Group that will help work on the East Greeley Project. • The Weld Faith Partnership is a large group of about 35 members which was formed in late 2007 as a way of engaging the faith community in health activities, including Emergency by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Preparedness. This group represents a diverse population, many serving disparate populations. • Project GROW Community Garden Advisory Group (Gardeners Reaping Opportunities for Wellness) has nine members and is responsible for the planning, implementation and expansion of the Community Garden Project in Greeley and surrounding areas. Community Gardens were implemented in the spring of 2007. This group also oversees the distribution of mini -grants to community agencies to start their own community gardens. • Health Media Advisory Group was initiated in 2006 to include 22 local media sources in planning and marketing the Steps projects. The relationships built resulted in an abundance of earned media. B. 2010 Community Action Plan (Three page maximum): The agencies have been listed in 3A above have demonstrated a commitment to a healthier Weld County community. There has been a positive correlation between the community partnerships and relationships with organizations that participated in Steps and LiveWell initiatives and the work that was accomplished during the past six years. Local agencies have always been willing to support and participate in Steps activities with just an invitation to help, and the intent is to continue to engage more community partners, especially in south Weld County, where participation could be enhanced. This involves face-to-face meetings to develop relationships and to establish mutual goals and objectives. Partnerships are strengthened by success so developing goals and objectives that stakeholders can relate and commit to will be a high priority. The Chronic Disease Prevention Partnership that has been organized for the LiveWell initiative will continue to be developed and expanded to include more members from our target populations. CDPP is in the process of developing a mission statement and seeking out grant opportunities to expand the work of the partners in chronic disease prevention. The Greeley Well City Worksite Steering Committee and the Worksite Support Group will continue bimonthly meetings through WCDPHE. The group's two goals are to seek a "Well City" designation from WELCOA by January 2010 and to invite more worksites from south Weld County who may benefit from the technical assistance and the support, even though they will not be part of the Well City initiative. Worksite wellness has received positive media in this community, and will remain a high priority for future funding opportunities. by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN The District Wellness Advisory Committee at WCSD6 will be maintained and expand, with the WCDPHE remaining active members. The target group for the LiveWell grant is the Centennial Board of Cooperative Services (CBOCES), which includes 15 school districts in northeast Colorado. Lessons learned in the work with WCSD6 will be utilized at CBOCES include Wellness Policy development and implementation and healthy eating and active living (HEAL) program implementation. The first step will be relationship building. The ACE Task Force and associated sub -committees will also continue quarterly meetings and expand as new initiatives attract a greater following. The focus of the ACE groups is to provide technical assistance to decision makers with the end result of having environmental policy that support HEAL. It is anticipated that other sup -groups will also spawn from this task force as more and more community residents understand and want to participate in Active Communities by Design projects. Already in October 2008, an associate at Colorado State Parks requested a meeting to learn more about these groups and to see how their organization can become more involved. Project GROW Community Garden Advisory Group has been so successful that it continues to offer more gardening plots annually to community members. Most residents who have rented plots in the past keep them to tend the soil, compost, etc. in the off-season. During 2009, WCSD6 has also expressed interest in expanding the school garden projects. The Health Media Advisory Group will be brought together annually to network, disseminate the yearly calendar that WCDPHE develops to guide their media plan for the year, and to share ideas and results. This productive group facilitates healthy messaging in Weld County while leveraging resources. The group is responsible for a plethora of earned media and is worth the small investment of resources. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN PART 4: PROGRESS REPORT AND COMMUNITY ACTION PLAN Section A: GOALS 1. By 2015, in combination with informational outreach, create and/or enhance access to places where people can be physically active for 100% of Weld County residents. 2. By 2015, increase access to more affordable, nutritious foods for 100% of Weld County's population. 3. By 2015, increase access to healthy foods in at least 3 Weld County school districts and/or early childhood learning systems. 4. By 2015, create environments and advance policies that support healthy behaviors in at least 39 existing and 5 new worksites. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Section B: OVERVIEW OF STRATEGIES by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Goal 1: Strategy # Strategy Status Page # 1A: By January 31, 2010, plan and implement a regional conference for at least 100 elected officials, planners and others involved in place making and active community design. Completed 1B: By January 1, 2011 collaborate with the East Greeley Group to focus on the priorities of the 2008 HIA including the facilitation of the sidewalks construction at Bella Romero Elementary School, thereby lifting the "no bike/no walk" policy. Continued 1C: By January 1, 2011, work directly with established workgroups to provide technical assistance to facilitate the continued planning and implementation of trail networks between adjacent jurisdictions through partnerships and joint projects in Weld County. Continued 1D: By January 31, 2010, consult with current municipalities and at least two other municipalities to help them make improvements to their planning and zoning documents to support healthy eating and active living in their communities. Sustained Goal 2: Strategy # Strategy Status Page # 2A: By January 31, 2010 plan and implement education, marketing and media related to HEAL including venues like Kelly's Kitchen, NEOS, Zumba, community presentations and NCMC classes to reach at least 25% of Weld County Residents. Sustained 2B: By January 31, 2010 expose at least 25% of Weld County health care providers to cultural competency principles especially related to HEAL through trainings, TA and/or focus groups. Sustained 2C: By January 31, 2010, facilitate access to healthy food through community gardens, neighborhood grocery stores and other opportunistic events. Revised 2D: By January 1, 2011, increase healthy and affordable food choice options in at least one corner grocery store in an underserved county area and/or provide other opportunities to increase access based on the 2009 Community Food Security Assessment. New Goal 3: Strategy # Strategy Status Page # 3A: By January 1, 2011 facilitate the implementation of at least one aspect of the district wellness policy related to HEAL in three or more schools in collaboration with the Centennial Board of Cooperative Education Services (BOCES) school district. Continued 3B: By January 31, 2010 assess, collaborate and facilitate policies that promote healthy eating and active living in ten daycare centers and/or recreation centers in Weld County. Sustained 3C: By January I, 2011, collaborate with Kaiser Educational Continued y Liveli (Your Community LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Theatre Program (FTP) and the University of Northern Colorado Theatre Department to reach 1,000 Weld County Elementary school students with five HEAL messages through the play, the Amazing Food Detective. Goal 4: Strategy # Strategy Status Page # 4A: By January 31, 2010 facilitate the expansion of the Smart Meal Seal program to five additional Weld restaurants. Sustained 4B: By January I, 2011 provide technical assistance to 39 existing and at least 5 new worksites in Weld County with at least 10 employees by expanding worksite wellness policies and/or environmental changes in the workplace. Continued 4C: By January 31, 2010 collaborate with the Weld Faith Coalition to provide HEAL information and other micro -financed resources to at least ten faith -based organizations. Sustained by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Section C: STRATEGIES by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN STRATEGY 1A: By January 31, 2010, plan and implement a regional conference for at least 100 elected officials, planners and others involved in lace makin, and active community design. TABLE A: R#, r.` a , Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reportin. . Status: X Completed ❑ Sustained ❑ Discontinued ❑ Continuing ❑ Revised Primary Sector (check one): ❑ Health Care ❑ Schools ❑ Worksites X Community Type of Strategy: Focus of Initiative: Additional Information (check all that apply) X Active Community Environments ❑ Breastfeeding ❑ Community Garden ❑ Early Childhood ❑ Faith -based ❑ Healthy Food Purchases ❑ Media and Public Awareness ❑ Older Adult Sites ❑ Other — ❑ Environmental Change ❑ Policy X Program ❑ Healthy Eating ❑ Active Living X HEAL (both) One-time or annual event: X YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only ❑ NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The potential target population for this objective/strategy is Weld County municipal and county stakeholders which is approximately 300. The total resident population of Weld County is 249,775. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. ITS, ;' (The total resident population reached to date is 239,843 based on US Census 2007 municipality estimates plus 45,532 residents who live in unincorporated parts of the county.) NOTE: 178 is a duplicated count; we estimate the unduplicated count to be 150; if we include people outside our main target group the total reached to date is 367. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. The Placemaking & Prosperity Summit workshop was successful in engaging participants and furthering knowledge about best practices of HEAL placemaking. A post -workshop survey was sent via email one month later to all participants to assess intentions for applying new skills and knowledge. Between 50% and 75% of survey respondents said they intended to lead their community through at least one of the recommended placemaking exercises taught and practiced during the workshop. Additionally, survey respondents said they planned to use the information to: • "Make future recommendations on land use proposals" • "Engage citizens in the planning process, more easily defining what we are talking about" • "Discuss the topics with the Planning and Zoning Commission over a period of time as well as having conversations with elected officials about the importance of good planning" • "Ensure walkability in all subdivisions through planning" • "Incorporate pieces of placemaking concepts in future consulting work for local governments" • "Incorporate concepts into 2010 Comprehensive Plan update" Finally, based on a pre -post workshop survey, all survey respondents (n= ??) significantly (p < .05) increased their understanding of the following: • The value of identifying prosperity principles • Importance of planning for prosperity • Engaging citizens in visioning For more post -workshop respondent information see [insert url link to document]. As a result of this workshop, two communities requested technical assistance that resulted in progress being made toward environmental changes: • The Town of Hudson requested information on how to adapt what was learned to a recently approved Hudson Volunteer Fire Department planning case. Conflicts were beginning to surface in the development of the property between what the planning commission intended versus what was approved versus what would have to be built because of regulatory requirements. Technical assistance involved assisting Town Trustees in understanding the interrelationship of all three above mentioned planning components. WHAT HAPPENED?? Additionally, the Town of Hudson was adopting their new Comprehensive Plan and wanted input. We observed there were no plans for anything besides single family residential housing and provided statistics on the aging population in Weld County which supported the need for alternative housing options. We discussed 'aging in place' concepts and the proximity of senior (and workforce) housing to neighborhood retail and civic centers to maximize quality of lifestyle. We also discussed the lack of available workforce housing and overnight accommodations for visitors of the Hudson Correction Facility inmates. Recent follow-up correspondence with the Hudson Town Manager revealed that Hudson highly valued the workshop information and intends to use the knowledge in its future municipal planning discussions concerning (a) the final plans for opening the Hudson Correctional Facility, (b) the town's ongoing image improvements with respect to its town -wide street paving project, (c) and its plans to use what they learned when participating in the newly forming Southeast Weld County Economic Development Initiative with the Towns of Lochbuie, Keenesburg, Weld RE -3J School District, and Upstate Colorado Economic Development. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN The Town of Milliken has been working on designs for a new town plaza and wanted ideas on how to engage more community members. Approximately 50% of community members are Hispanic yet they have been under -represented in community planning discussions. The town also wants to reach more non -Hispanic population. We provided concrete suggestions on how to recruit community participation. We suggested soliciting input by putting a flyer in the residents' monthly water bill asking residents to do so by showing up at the local weekend Farmer's Market. As a result, they were able to get input from about 50 additional community residents about the town plaza design. The Milliken Town Manager also commented that: "Ideas from the Summit continue to be discussed in one way or another by the Steering Committee for the Comprehensive Plan, [and] also the Town Board, Planning Commission, and in meetings held with the HOA's in Milliken. One of the ideas coming out of the plan process is expanding the downtown grid northward to include [a water] ditch which could be used as a water feature [of] some sort with residential and mixed development around it. [Another idea is to preserve] the floodplain north of downtown, to the bluff, and [then] linking that area with [trails to] downtown [making] it more accessible for RE5J schools as a possible outdoor classroom." DOPTION (d) Number of organizations that participated in the strategy to date Explanation for this number: Our priority focus here was with the incorporated city and county government entities but we also consider other non -governmental organizations and multiple departments within organizations. Twenty-one city or county government entities (unduplicated) have participated to date in our ACE workshop series. Although there are officially 32 city/county government entities with populations in the county, we consider just 27 (26 incorporated communities plus the county itself) of them to be potential strategy adoption county entities (e.g., we don't count the city of Berthoud, Brighton, Broomfield, Longmont, or Northglenn because their populations in the county are very small and our county policymakers do not work with them). Of those twenty-seven entities, five cities, although invited, (most have populations less than 1,000) have never participated in our workshops. We also had governmental organizations outside the county, non -governmental organizations within the region, and policymakers participate. That total is 90. Considering that some entities consist of multiple departments/divisions, we count even more organizations. In Weld County, for example, three divisions within the health department participated in at least one of the workshops and five other organized county entities participated — the County Commissioners, Board of Health, Public Works, Planning Services, and County Attorney's Office. The City of Greeley had six departments participate — Planning, Public Works, Urban Renewal Authority, Citizen Transportation Advisory Board, Open Space Division, and the Senior Center. We added 12 out of these 14 identified multiple departments/divisions to the 21 unduplicated city or county entities and 90 other organizations to come up with a total of 123. (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). For the 2009 workshop, thirty-nine participants from 13 communities throughout the region (10 were within Weld County) attended the May 2009 Placemaking & Prosperity Summit. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Six municipalities plus the county have participated in at least four out of the five workshops. They are the City of Evans, City of Ft. Lupton, City of Greeley, Town of Mead, Town of Milliken, and the Town of Windsor. The table below summarizes the attendance by Weld County and Non -Weld County communities since the beginning of this strategy. IMPLEMENTATION (e) Was the strategy implemented as planned? X Yes El No (g) Describe the progress and any changes or adaptations that were made this past year and why. The Placemaking and Prosperity Summit was a one -day interactive skill -building workshop that provided participants with best practice examples in HEAL placemaking and sustainability. The workshop educated community leaders and planners and gave them skills through best practice examples in placemaking and sustainability to be able to take steps to improve the economic vitality and quality of life in their communities. The Placemaking & Prospertiy workshop provided multiple hands-on exercises, allowing participants to explore important opportunities where civic investment and design strategies could turn a tired corridor into a vibrant mixed -use center and neighborhood. The workshop was held on May 14, 2009 in Greeley, Colorado with 39 stakeholders in attendance. It was one of five in a series of active community environments workshops held in Weld County since 2005. This workshop was lead by national expert Darin Dinsmore, a principle of Regional Planning Partners, and brought together elected officials, municipal leaders, planners, and others. Attendance was less than expected due to the declining economy last spring. Several potential participants commented in the RSVPs that they were not able to attend because of travel and training budget restrictions. However, overall community representation was excellent (about 40% of all municipalities). Many municipalities sent one representative as opposed to multiple representatives. To obtain adequate attendance, several complimentary workshop registration fees were awarded to the most interested and motivated communities on a case -by -case basis. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. How did the workshops further partnerships engagement around ACE? How did the workshops help advance our ACE strategies? Our ultimate goal with this event and other strategies in our CAP is to achieve one or more environmental and/or policy changes in the county. This workshop and the overall 5 -workshop series furthered engagement in many ways. In terms of partnership engagement, MAINTENANCE (I) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The workshops themselves are not intended to be offered again; however, new workshops may be offered by the county or co -sponsored with other communities in the region. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (j) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? Weld County government (i.e., WCDPHE, HCEP Division) will maintain the participant lists. Workshops materials are available on the LiveWell Weld County website for reference and use by local communities. WCDPHE will continue to contract with the ACE technical advisor as needed to organize future workshops and provide follow-up technical assistance. LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors In general, we have been persistent, took an introductory approach and slowly but surely increased the sophistication level of the workshops eventually culminating in the 2009 skill -building workshop. As the workshop series progressed we heard from communities that what they learned was great but they also asked "What do we do now?' Some communities issued RFPs to hire consultants but quickly found out they could not afford to pay consultants for everything they wanted to do. After further discussion with several communities, we determined that some of the work communities wanted done they could learn how to do themselves. Therefore, we identified and ultimately hired a consultant to design a train -the -trainer type workshop to teach communities how to implement some of the basic placemaking planning activities (i.e. identifying their resources, identity, assets and heritage) themselves. Since this final workshop was just offered in May 2009, we have yet to know how much of a success this workshop was, but we are monitoring it. We do know of two communities, the Towns of Hudson and Milliken, are using what they learned from the workshop. As mentioned above, our local ACE technical advisor is working with them. Another factor that led to the success of the workshop series and this workshop in particular was the fact that our local ACE community technical advisor worked closely with the workshop consultants to tailor each and every workshop we offered. In particular, our local ACE advisor spent extra effort working with both outside consultants (i.e., Dan Burden and Darin Dinsmore) to help them understand the needs and the cultures of our local communities. For example, many of the towns and small cities in Weld County still maintain a strong western rural influence. Both our workshop speakers were from the West Coast and welcomed the insights they received from our local ACE advisor about the character and business and political environment of Weld County and its communities. Still another factor that made these workshops successful was the high quality and national prominence of the workshop presenters themselves. (I) Challenges We've had challenges since 2005 bringing the workshops to our county. Many communities and elected officials were not familiar with the active living concepts and were skeptical about the benefits of designing more active living communities. To address this challenge we made sure our workshop speakers knew their audience well. We spent extra effort preparing the workshop speakers for our local audience with phone discussions, email correspondence, and provided them with materials they requested well in advance of each workshop. Additionally, we brought Dan by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Burden back several times to work with specific community leaders with respect to their specific community needs and challenges. Another way we overcame this challenge was by providing consistent and repeated messages about the connections between healthy eating and active living and community design. Another challenge revolved around some communities in the south part of the county. In particular, several communities have been struggling with their identities and want to avoid becoming part of the Denver metro area "bedroom community" stereotype. To overcome this challenge, the workshops gave municipal staff level personnel credibility in reinforcing active living concepts they were aware of but needed help conveying those concepts to their community leaders and residents. The economy downturn of 2008-2009 affected the 2009 workshop. In past years, attendance has been around 100 participants whereas only 39 attended the 2009 workshop. It was determined that the reason for the lower turn out was that many communities imposed travel and/or training restrictions that prevented staff from attending. To boost attendance we offered scholarships and continuing education credits. STRATEGY 1B: By January 1, 2011 collaborate with the East Greeley Group to focus on the priorities of the 2008 HIA including the facilitation of the sidewalks construction at Bella Romero Elementary School, thereby lifting the "no bike/no walk" .olicy. TABLE A: 2009 PROGRESS REPORT Provide available REAIM information for the 2009 grant year (beginning_of grant year to final date through which you are reportin. . Status: O Completed X Continuing O Sustained O Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) O Health Care X Active Community Environments X Schools O Breastfeeding O Worksites O Community Garden O Community O Early Childhood O Faith -based O Healthy Food Purchases X Media and Public Awareness El Older Adult Sites O Other - Type of Strategy: X Environmental Change X Policy O Program Focus of Initiative: O Healthy Eating X Active Living O HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? We estimate there are at least 7,000 people currently living in the East Greeley area. This area is bordered by Highway 34 on the south, Highway 85 on the west, the South Platte River its confluence with the Cache la Poudre on the east, and Colorado Highway 263 and the Greeley/Weld County Airport on the north. Most people (85%) live in the southwest and central residential areas where the two elementary schools are located; some of the East Greeley area is located in the city of Greeley and some in the county. About three -fourths of the population lives within the city limits. Most people living in the East Greeley area are low income and of Hispanic or Latino origin. About 85% of students attending Bello Romero are of Hispanic or Latino origin and 83 percent are eligible for free and reduced lunch. There are 475 kids representing 314 families (K-5) enrolled in Bella Romero Elementary (communication with Bella Romero Principal, November 2007). (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. ;gv0_(exposed) NOTE: It is difficult to capture this number. This number was estimated by assuming that the people living in the southwest and central residential areas have been exposed to this strategy. The estimate was derived by taking 85% of 7,000 which equals 5,950. In terms of participation, we have been estimating in terms of households rather than people. We know that the 315 Bella Romero households have participated in either the parent survey or sidewalk Saturday event. We estimate that at least another 100 households in the area have participated in either community meetings or Sidewalk Saturday. We do not know the current total number of households, however. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. The strategy has been quite effective but much work still needs to be done. We don't know the outcome results yet. But we are making progess. In August 2009 Livewell Weld County organized and co -sponsored a Bella Romero Sidewalk Saturday event with other partners (explained below). Sidewalk Saturday was a half -day community engagement event to inform and engage the teachers and parents of the school and the County residents along the proposed sidewalk route on the progress to date to install a sidewalk in the area. As a result of this event, Livewell Weld County was also able to strengthen our partnerships with Greeley -Evans School District 6 and Safe Kids Weld County (which is a well established community coalition made up of health care professionals, law enforcement, government agencies, civic clubs and private individuals, who are interested in making Weld County a safer place for children) . Previously in 2008 During the fall of school year 2008-2009, the National Safe Routes to School Parent Survey was administered to students by the teachers. A total of 396 surveys were returned representing 285 by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT St 2010 COMMUNITY ACTION PLAN households. The student response rate was 82% (396/485) and the household response rate was 91% (285/314). The purpose of the survey was to ask parents (or guardians) a variety of attitude and behavior questions about their children walking and biking to and from school in order to determine the feasibility for a Safe Routes to School program. One hundred thirty-eight (138) or 35% (138/396 = 35%) of the parents said they would allow their child to walk or bike to school without an adult at some point in time. Of these parents, between 40 and 50 percent of parents mentioned issues that would affect their decision making were related to safety and security of children getting to and from school. On the survey, they chose these top issues: speed of traffic along route, safety of intersections and crossings, violence or crime, sidewalks or pathways, the amount of traffic along the route, and crossing guards.. A Parent Survey Executive Summary was written and distributed to all stakeholders. This document helped describe the need of the school population and secure support for finding funds to improve the walking/biking environment for students and residents in the area. As a result, Weld County's Transportation Planner (located in the Public Works Department) was directed by the Board of County Commissioners to secure funds for sidewalk installation. This was a separate activity from the stakeholder group. The stakeholder group (aka Bella Romero Sidewalk Project group) and Transportation Planner have partnered up to pursue various funding options both groups are aware of for installing sidewalks. Discuss the Sidewalk Saturday Walking Audit parent comments DOPTION (f) Number of organizations that participated in the strategy to date (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). The Bella Romero Sidewalk Project stakeholder group has been studying the feasibility of installing a sidewalk along East 20th Street since Fall 2007. The group is made up of professionals from the Weld County Commissioners office, Sheriff's Office, Public Works, Planning and Health Departments, SafeKids Weld County, City of Greeley Planning and Public Works Departments, and School District 6 administration and Bella Romero staff. To summarize the broad scope of stakeholder representation: • 5 divisions from Weld County Government • 2 divisions from Greeley -Evans School District 6 • 3 representatives from Safe Kids Weld County o Banner Health - 2 o Allstate Insurance — 1 • 2 divisions from City of Greeley IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes O No by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (g) Describe the progress and any changes or adaptations that were made this past year and why. This is an ongoing stakeholder feasibility study and capital improvement project aimed at making an environmental change that supports active living for students and community residents. This year's work has focused on (a) determining whether the area can be retrofitted to accommodate a .34 mile length of sidewalk between the Greeley city limits and Bella Romero school property and (b) building community support and awareness for the sidewalk installation. This strategy was first identified as the result of a Rapid Health Impact Assessment conducted by Steps to a Healthier Weld County that began in 2007 to supplement a City of Greeley & Weld County collaborative effort through a Great Outdoors Colorado Heritage Planning Grant. The Bella Romero Elementary school attendance area boundary was changed for school year 09-10 and the school attendance is now 560 children pre K to 5`h grade (up from 475 students in school year 08- 09). Background Bella Romero Elementary School is located in unincorporated Weld County, approximately three - tenths mile east of Greeley City limits. Sidewalks end at the city limit edge, and do not return until on the Bella Romero property. The three -tenths mile distance in Weld County was developed 30+ years ago before the school and city limits were established. Consequently, this area was never developed with sidewalks in mind. Since early 2008 when the stakeholder group was formed, enough information has been gathered to indicate the likelihood of installing a sidewalk is probable, although challenging. There are two housing developments in the Greeley City limits; Balsam Village on East 20`h Street and East Meadows on East 24th Street within the Bella attendance area. Because of the subdivision locations, the idea has been to install sidewalks in phases: Phase 1 on East 20`h Street and Phase 2 on Cherry Avenue, between East 20th Street and East 24`h Street as funds are secured. In October 2009, Greeley -Evans School District 6 has studied the Bella student population distribution within the two subdivisions mentioned above and has determined that almost 150 students could take advantage of the sidewalks along E 20th Street and south along Cherry Avenue if we can accomplish Phase 1 and Phase 2. This number was based on the 2009-2010 school year attendance counts. Sidewalk Saturday In 2009, once it became apparent that the project was going to be a 'go', the Bella Romero Sidewalk Project group sponsored a Sidewalk Saturday event in preparation for a Safe Routes to School grant application submittal. The group felt this was necessary to garner community buy -in from the parents, teachers, and especially the County residents, who have been the most vocal and apprehensive about how this will affect their rural lifestyle and property taxes, among other issues. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. n/a MAINTENANCE by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. In the 2010 funding year, the project will begin to shift from a Livewell Weld County directed project to a partnership supported role in the following ways as funds are secured to install sidewalks: • Weld County Public Works and Livewell Weld County will continue to pursue funding options for sidewalk installation. • Weld County Public Works will take the lead in sidewalk design and installation, along with associated Right of Way work, and other details necessary for the installation; • SafeKids Weld County will work with the Bella Romero parent organization to train parents in crossing guard responsibilities and provide initial resources necessary for crossing guards to perform duties; • SafeKids Weld County will also build rapport with the parents and students to increase safety awareness through various safety education programs (playground, bicycle, stranger, street crossing, etc); • Greeley -Evans School District 6 is exploring the ability to provide long-term snow -removal for the sidewalk once it is installed and until the time that it becomes part of the City of Greeley sidewalk system (potentially several years); • School District 6 will also partner with the Weld County Department of Public Health & Environment and the Safe Kids Weld County program to educate students about safe walking and biking practices through education and encouragement in newsletters, meetings, and information sessions. The School District will actively encourage students to use the new sidewalks for traveling to and from school and will also work with their parent's organization group to incorporate them into one of our crossing guard programs. Livewell Weld County's role will become diminished in several ways — taking the lead in community liaison roles with Weld County Public Works, the residential community and the school community as funding is secured for infrastructure construction, and assisting in educational efforts after infrastructure improvements are completed. U) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? n/a LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Unwavering dedication of all Bella Romero Sidewalk Project group to overcome obstacles presented in this complex project — Greeley -Evans School District school in unincorporated Weld County but within one-half mile of City of Greeley city limits and under Weld County Sheriff's Office for law enforcement issues. • Bella Romero Sidewalk Project members' willingness to attend trainings, research problem issues and brainstorm options to keep this project going. (I) Challenges • Working between 4 jurisdictional agencies to address/resolve problems — Weld County Government, Weld County Sheriff's Office (law enforcement), Greeley -Evans School District 6, and City of Greeley. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN • For the 2008- 2009 school year Bella Romero Elementary School was under 'administrative watch' for failing to meet benchmark scores on standardized tests. For school year 2009-2010 the school has been placed on 'corrective action' due to continued academic struggles. These academic challenges could potentially hinder the needed comment/participation in a Safe Routes to School grant request. • Making progress on differing partnership ideology regarding sidewalk design and construction. Retrofitting an existing area is much more complex than new construction and such issues as slope, drainage, Right of Way and existing agricultural infrastructure features (irrigation ditch) must be considered. • For school year 2009-2010 a new principal was appointed. This required a re- education of the progress to date to study sidewalk feasibility. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN TABLE B: 20*oi* East Greeley Group to focus on the priorities of the 2008 HIA including the facilitation of the sidewalks construction at Bella Romero Elementary School, thereby lifting the "no bike/no walk" policy. Status: O New X Continuing By January 1, 2011 collaborate with the O Revised Primary Sector (check one): O Health Care X Schools El Worksites El Community Type of Strategy: Focus of Initiative: Additional Information (check all that apply) X Active Community Environments El Breastfeeding El Community Garden El Early Childhood El Faith -based O Healthy Food Purchases X Media and Public Awareness El Older Adult Sites El Other - X Environmental Change X Policy El Program El Healthy Eating X Active Living El HEAL (both) One-time or annual event: El YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? We estimate there are at least 7,000 people currently living in the East Greeley area. This area is bordered by Highway 34 on the south, Highway 85 on the west, the South Platte River its confluence with the Cache la Poudre on the east, and Colorado Highway 263 and the Greeley/Weld County Airport on the north. Most people (85%) live in the southwest and central residential areas where the two elementary schools are located; some of the East Greeley area is located in the city of Greeley and some in the county. About three -fourths of the population lives within the city limits. Most people living in the East Greeley area are low income and of Hispanic or Latino origin. About 85% of students attending Bello Romero are of Hispanic or Latino origin and 83 percent are eligible for free and reduced lunch. There are 475 kids representing 314 families (K-5) enrolled in Bella Romero Elementary (communication with Bella Romero Principal, November 2007). (b) How many individuals in your community represent the target population? 7000 by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (c) How many individuals from the target population could benefit from the strategy in 2010? '5956:! NOTE: It is difficult to capture this number. This number was estimated by assuming that the people living in the southwest and central residential areas have been exposed to this strategy. The estimate was derived by taking 85% of 7,000 which equals 5,950. In terms of participation, we have been estimating in terms of households rather than people. We know that the 315 Bella Romero households have participated in either the parent survey or sidewalk Saturday event. We estimate that at least another 100 households in the area have participated in either community meetings or Sidewalk Saturday. We do not know the current total number of households, however. (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. PLANNED EFFECTIVENESS (g) Describe the evidence base and/or rationale for this strategy (provide citation if available). The rational for this strategy is two -fold: 1) One hundred percent (100%) of children attending Bella Romero Elementary school are eligible for busing because there is no safe alternative for them to walk or bike to school. Due to this, the school has an informal no bike/no walk policy; 2) there were approximately sixteen percent (16%) of parents surveyed in November 2008 (school year 2008-2009) who stated they were favorable to allowing their children to walk/bike to school if various safety and security if safety and security issues were addressed. The Bella Romero Sidewalk Project group felt this was a significant proportion of children that were potential walkers/bikers to proceed with pursuing grant funding. Greeley Evans School District 6 has identified 136 students that are eligible to benefit from the installation of sidewalks in the area (approximately 24% based on 2009-2010 data that are living within 1.25 miles of the school). (f) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? (g) How will you measure the success of the strategy? ❑ IVR survey ❑ Other survey: O Focus groups O Interviews ❑ Observation ❑ Other: PLANNED ADOPTION by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) The Bella Romero Sidewalk Project stakeholder group has been established since Fall 2007. The group is made up of professionals from the Weld County Commissioners office, Sheriff's Office, Public Works, Planning and Health Departments, SafeKids Weld County, City of Greeley Planning and Public Works Departments, and School District 6 administration and Bella Romero staff. This group will remain in place for 2010 funding year. To summarize the broad scope of stakeholder representation: • 5 divisions from Weld County Government • 2 divisions from Greeley -Evans School District 6 • 3 representatives from Safe Kids Weld County o Banner Health - 2 o Allstate Insurance — 1 • 2 divisions from City of Greeley (I) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? (j) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? Livewell Weld County will continue to work with the existing stakeholder group mentioned above for 2010. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. As previously stated, the 2010 funding project year will begin to shift from a Livewell Weld County directed project to a partnership supported role in the following ways as funds are secured to install sidewalks: • Weld County Public Works and Livewell Weld County will continue to pursue funding options for sidewalk installation. • Weld County Public Works will take the lead in sidewalk design and installation, along with associated Right of Way work, and other details necessary for the installation; • Safe Kids Weld County will work with the Bella Romero parent organization to train parents in crossing guard responsibilities and provide initial resources necessary for crossing guards to perform duties; • Safe Kids Weld County will also build rapport with the parents and students to increase safety awareness through various safety education programs (playground, bicycle, stranger, street crossing, etc); • Greeley -Evans School District 6 is exploring the ability to provide long-term snow -removal for the sidewalk once it is installed and until the time that it becomes part of the City of Greeley sidewalk system (potentially several years); by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN • School District 6 will also partner with the Weld County Department of Public Health & Environment and the Safe Kids Weld County program to educate students about safe walking and biking practices through education and encouragement in newsletters, meetings, and information sessions. The School District will actively encourage students to use the new sidewalks for traveling to and from school and will also work with their parent's organization group to incorporate them into one of our crossing guard programs. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? Livewell Weld County's role will become diminished in several ways — taking the lead in community liaison roles with Weld County Public Works, the residential community and the school community as funding is secured for infrastructure construction, and assisting in educational efforts after infrastructure improvements are completed. (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? STRATEGY 1C: By January 1, 2011, work directly with established workgroups to provide technical assistance to facilitate the continued planning and implementation of trail networks between adjacent jurisdictions through artnerships and joint projects in Weld Count . TABLE Atfl9EESS T Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are re•ortin• . Status: O Completed X Continuing O Sustained O Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) O Health Care X Active Community Environments O Schools O Breastfeeding O Worksites O Community Garden X Community O Early Childhood O Faith -based O Healthy Food Purchases X Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: X Environmental Change O Policy O Program Focus of Initiative: O Healthy Eating X Active Living O HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections by Live Weil (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The potential target population for this objective/strategy is all Weld residents which is 243,750 (US Census, 2007). According to 2006 Steps Weld BRFSS, 79 percent of adults aged 18 years and older are physically active outside of work in some capacity. We assume 100 percent of all children under 18 years old are physically active. About 75 percent of the population is adults and 25 percent is children. The estimated reach for this strategy is 204,727 or 84 percent of Weld County's population (79 percent of 182,250 adults plus 60,750 children). (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. 4 _21 (exposed) EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. The strategy was effective. The group is gaining awareness and acceptance among community members as to the goals and objectives they have defined. Many things were accomplished in 2009. They: • Came up with a name that all felt was representative of the jurisdiction/agency make up of the group - the Weld Trails Advisory Group; • Worked with a consultant to help identify the goals and purpose of the group (consultant time was donated by City of Evans). • Wrote and finalized a Resolution of Support — a document designed for each municipality to modify and adopt if they support the purpose and goals of the group. • Presented the Resolution to their jurisdictions/agencies and to date (September 28, 2009) there are 15 who have adopted. • Began compiling trail GIS files from participating jurisdictions with the intent of understanding current trail planning in Weld County • Began developing a `common language' document with regard to defining generally accepted trail development standards. • Attended a work session with the Weld County Board of County Commissioners, explaining the components of the Resolution and requested the adoption the Resolution of Support • Llvewell Weld County has contracted with the County's GIS Department to gather municipalities' Trail Master Plan files to create a database of existing, planned and proposed trails within the municipalities of Weld County DOPTION (h) Number of organizations that participated in the strategy to date 14 by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Actively Participating Agencies/Jurisdictions There are fourteen (14) actively participating agencies in the Weld Trails Advisory Group (as of September 28, 2009): • Brighton Parks & Recreation Dept. • Evans Parks & Recreation Dept. • Fort Lupton Planning Dept. • Greeley Citizen Transportation Advisory Board • Greeley Natural Resources • Poudre River Trail Corridor, Inc • Town of Hudson • Town of Platteville • Milliken Planning Dept. • Severance Planning Dept. • Windsor Parks & Open Space • Weld County Planning Dept. • Weld County Public Works • Windsor Poudre River Advisory Board Others are participating by email distribution list: Colorado State Trails Program, Dacono, Eaton, Erie, Frederick, Great West Trail Authority, Greeley Trails & Open Space Foundation, National Parks Service, Mead. This is not a closed group. Other jurisdictions/agencies are invited to participate. IMPLEMENTATION (f) Was the strategy implemented as planned? x Yes ❑ No (9) Describe the progress and any changes or adaptations that were made this past year and why. This is a highly motivated group of predominantly community -level, senior staff members (department directors, assistant directors or town administrators, etc for small communities, who routinely wear multiple hats) who are dedicated to enhancing the connectivity of communities within and adjacent to Weld County. As needed, members take an active role in accomplishing goals and researching issues pertinent to the purpose of the group. Bi-monthly meetings are hosted around Weld County by participating agencies. As defined by the group, the purpose of the Weld Trails Advisory Group, an ad hoc collaborative representing jurisdictions, agencies and community organizations in Weld County, focuses on advancing and coordinating the connectivity of non -motorized trails between jurisdictions, and is an advocate voice for the education of trail use for recreation, transportation, and tourism purposes throughout Weld County. The Weld Trails Advisory Group members function as a catalyst to influence the creation of a regional guideline document that offers common language to promote and enlarge a system -wide master plan for Weld County. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN As stated previously, the Resolution of Support was a template for adopting agencies to modify as needed to address their specific goals. The resolution addresses 4 areas (paraphrased) • That recent data shows Weld County residents are at risk for disease and negative health effects due to such causes as child obesity, heart disease, diabetes, and immobility • Trails can be a design choice that promotes healthy, active living as documented by the Steps to a Healthier Weld County/Livewell Weld County program • Citing a 2000 CDOT study in Colorado on the economic benefits of trails (total Colorado economic benefit from bicycling is more that $1 billion annually) • US Census data showing usage on trails is increasing as alternative transportation options. The Resolution of Support is a non -binding resolution that requires no financial obligation from the entity supporting the Weld Trails Advisory Group efforts It was written (and if jurisdictions/agencies adopted it as written) with the town/jurisdiction making a commitment for Staff to stay involved in the bi-monthly meetings as they work to advance connectivity of non -motorized trails for recreation, tourism and transportation in Weld County. Resolution of Support Adoption by Agency/Jurisdiction Most jurisdictions/agencies adopted the Resolution of Support as written (with the staff component). As of August 20, 2009 fifteen (15) jurisdictions/agencies have adopted the Resolution of Support: • Brighton City Council • Brighton Parks & Recreation Advisory Board • Town of Eaton • Evans Parks & Recreation Commission • Evans City Council • Fort Lupton City Council • Greeley Citizen Transportation Advisory Board • Hudson Board of Trustees • Milliken Board of Trustees * • Poudre River Trail Corridor Board of Directors • Town of Platteville • Severance Planning Commission • Severance Board of Trustees • Windsor Parks & Recreation Advisory Board • Windsor Town Board * Municipal governments whose governmental seat is located in Weld County. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. n/a MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The Weld Trails Advisory Group has laid out a plan for where they want to go in 2010: Action Plan (Livewell Weld County will do) - 1. Poll Weld County municipalities for baseline information regarding a. Who has an IGA with Weld County b. Is/isn't supporting the Resolution of Support by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN c. What communities have GIS capability 2. Develop community -level staff survey to send out by February 2010. Purpose is to gain understanding of each community's ability to take advantage of Federal/State funds. Weld Trails Advisory Group will collectively develop questions. Livewell Weld County will administer survey electronically. Continuing from 2009 • Complete the trails inventory map • Complete the common language document • Review the action plan information and survey municipalities regarding individual trails needs/how WTAG can help facilitate advancement of trails for everyone • Meet quarterly for 2010 as above items are accomplished • Explore the feasibility of a regional plan Livewell Weld County will still play a lead role in this strategy for 2010. In the February 2009 workshop with the consultant to identify goals and purpose of the group, the group felt the leadership and organizational role Livewell Weld County plays is a key component to the group's successes to date. (J) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? n/a LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors The Weld Trails Advisory Group is a dedicated, big -picture thinking coalition of mostly high-level participants (Parks and Recreation directors, or assistant directors, planners, town trustees, etc.) who can see the long term objective of where the group's foundation needs to be laid to achieve the desired goals. (I) Challenges by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN TABLE B .* "Fa`Il By January 1, 2011, work directly with established workgroups to provide technical assistance to facilitate the continued planning and implementation of trail networks between adjacent jurisdictions through partnerships and joint pro'ects in Weld Count Status: El New X Continuing El Revised Primary Sector (check one): O Health Care O Schools O Worksites X Community Additional Information (check all that apply) X Active Community Environments O Breastfeeding • Community Garden O Early Childhood O Faith -based O Healthy Food Purchases X Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: X Environmental Change O Policy O Program Focus of Initiative: O Healthy Eating X Active Living El HEAL (both) One-time or annual event: El YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? As previously stated, the potential target population for this objective/strategy is all Weld residents which is 243,750 (US Census, 2007). According to 2006 Steps Weld BRFSS, 79 percent of adults aged 18 years and older are physically active outside of work in some capacity. We assume 100 percent of all children under 18 years old are physically active. About 75 percent of the population is adults and 25 percent is children. The estimated reach for this strategy is 204,727 or 84 percent of Weld County's population (79 percent of 182,250 adults plus 60,750 children). How many individuals in your community represent the target population? 204,727 How many individuals from the target population could benefit from the strategy in 2010? 20O27 by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. PLANNED EFFECTIVENESS (e) Describe the evidence base and/or rationale for this strategy (provide citation if available). The rationale for this strategy is evidenced by the following: • Recent data shows that Weld County residents are at risk for disease and negative health effects due to causes such as childhood obesity, heart disease, diabetes, and immobility • That trails can be a design choice that promotes healthy, active living, the evidence of which has been documented and supported by the Steps to Healthier Colorado program administered by the Weld County Department of Public Health and Environment • The economic benefits to trails are documented in a 2000 study by the Colorado Department of Transportation titled "Bicycling and Walking in Colorado: The Economic Impact and Household Survey Results," which found that the total economic benefit from bicycling in the state is more that $1 billion annually • Recent transportation studies have indicated that transportation and recreational purposes are increasing total usage on urban trails, and, U.S. Census data show that more Colorado adult workers are using bicycles to commute to work compared to ten years ago (i.e., between 2000 and 2001 there was a 50% percent increase in the number of workers using bicycles to get to work) (f) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? (g) How will you measure the success of the strategy? ❑ IVR survey ❑ Other survey: ❑ Focus groups ❑ Interviews ❑ Observation ❑ Other: PLANNED ADOPTION (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) Many municipal entities have volunteers appointed boards such as: Parks and Recreation boards, Advisory Boards or Planning Commissions, etc, who function to review and make recommendations by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN to the official governing body regarding legally binding agreements. There are other non-profit organizations who function to encourage and advocate for certain causes within a municipality. Each of these organizations could potentially adopt this strategy now and in the future. If each of the fourteen (14) remaining potential county entities has an organization similar to the description above, they could potentially adopt this strategy. Therefore, the type of organizations we plan to adopt this strategy is municipal entities and their appointed board(s) if applicable. (i) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? 128 Win; asfdrttolt`1d #1F5 mooala a y gave_ _- The remaining potential county entities who could adopt this strategy is 14 plus their appointed board(s) which would make the total 28. There are 22 municipal entities plus their appointed board(s) (incorporated municipalities with populations over 1,000, and the County itself) who could potentially adopt this strategy. Eight of the governmental municipal entities have already adopted the Resolution of Support (listed above under Implementation). More explanation for the total number of entities: Although there are officially 32 city/county government entities with populations in the county, we consider just 27 (26 incorporated communities plus the county itself) of them to be potential strategy adoption county entities (e.g., excluding the cities of Berthoud, Brighton, Broomfield, Longmont, or Northglenn because their populations in the county are very small and their governmental ruling body is located outside of Weld County).. Of those twenty-seven entities, five cities, have populations less than 1,000), leaving 22 municipal entities and Weld County government. Of the fifteen (15) agencies/jurisdictions who have formally adopted the Resolution of Support, eight (8) of them are municipal governments whose governmental seat is in Weld County. (j) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? : Organization Type TOWN OF AULT City Government CITY OF DACONO City Government TOWN OF ERIE City Government TOWN OF FIRESTONE City Government TOWN OF FREDERICK City Government TOWN OF GILCREST City Government CITY OF GREELEY City Government TOWN OF JOHNSTOWN City Government TOWN OF KEENESBURG City Government TOWN OF KERSEY City Government LA SALLE City Government TOWN OF LOCHBUIE City Government TOWN OF MEAD City Government COUNTY OF WELD County Government PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN As previously stated in Table A under Maintenance, the Weld Trails Advisory Group has laid out a plan for where they want to go in 2010: Action Plan (Livewell Weld County will do) - 3. Poll Weld County municipalities for baseline information regarding a. Who has an IGA with Weld County b. Is/isn't supporting the Resolution of Support c. What communities have GIS capability 4. Develop community -level staff survey to send out by February 2010. Purpose is to gain understanding of each community's ability to take advantage of Federal/State funds. Weld Trails Advisory Group will collectively develop questions. Livewell Weld County will administer survey electronically. Continuing from 2009 • Complete the trails inventory map • Complete the common language document • Review the action plan information and survey municipalities regarding individual trails needs/how WTAG can help facilitate advancement of trails for everyone • Meet quarterly for 2010 as above items are accomplished • Explore the feasibility of a regional plan Livewell Weld County will still play a lead role in this strategy for 2010. In the February 2009 workshop with the consultant to identify goals and purpose of the group, the group felt the leadership and organizational role Livewell Weld County plays is a key component to the group's successes to date. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? This environmental change will take time. The group and its trails network project will eventually become self -sustained as evidenced by their investments in time and resources in the project. (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? STRATEGY 1D: By January 31, 2010, consult with current municipalities and at least two other municipalities to help them make improvements to their planning and zoning documents to support healthy eating and active living in their communities TABLE A. 20 rant year (beginning of grant year to final date thro gh which you are reporting). Status: El Completed X Sustained El Discontinued Provide available REAIM information for the 2009 El Continuing El Revised by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Primary Sector (check one): O Health Care O Schools X Worksites X Community from 2009 Additional Information (check all that apply) X Active Community Environments O Breastfeeding X Community Garden from 2009 O Early Childhood O Faith -based X Healthy Food Purchases from 2009 O Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: X Environmental Change X Policy O Program Focus of Initiative: O Healthy Eating O Active Living X HEAL (both) One-time or annual event: X YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only O NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The potential target population estimate we are using is the population of Weld County which is 243,750. CK will condense the table Weld County Target Population Estimates Weld (2008 est. pop.) 249,775 Gender Females 49.5% Race/Ethnicity One race 97.9% Two or more races 2.1% White 91.1% Black/African American <1% Amer. Indian/Alaskan Native <1% Asian 1.20% Native Hawaiian/Pacific Isl. <1% Some other race alone 4.30% Hispanic or Latino 27.40% Language Spoken at Home by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN English only 80.30% Language other than English 19.70% Spanish 16.9% Age Under 20 yrs 30.40% 20 - 44 yrs 39.40% 45-64 yrs 22.10% Over 64 yrs 8.10% Median Age 31.20 Average family size 3.32 Data Source: US Census Bureau, 2008 American Community Survey, 1 year estimates (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. 243,750 EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. Yes, the strategy was effective. As previously stated in REAIM 1A Livewell Weld County was able to provide technical assistance to two communities (Hudson and Milliken) who attended the Placemaking & Prosperity Summit workshop. For specifics on the types of technical assistance, please refer to REAIM 1A. DOPTION (i) Number of organizations that participated in the strategy to date (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Since the implementation of this strategy in 2007 Steps to a Healthier Weld County and now Livewell Weld County have been able to play a role in other influential connections in Weld County. The following are a list of influential connections 2007 to present: 1. Greeley Trails & Open space Foundation (GTOF) (2007-2008) — Started as a phone call from the now -executive director, Jeff Nosal. He was a UNC student and wanted to work on a class project to increase bike trails in the City of Greeley. I explained the Health Department couldn't work with individuals not associated with a non-profit or other established organization for liability reasons. He said City of Greeley had told him the same thing. Provided technical assistance several times more, and about 9 months later the GTOF was formed. Seeking non-profit status and working under for non- profit umbrella until status granted. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN 2. GTOF (ongoing) — Forward emails with potential qualifying grant opportunities. This led to them getting a 2009 CDOT Share the Road grant to organize the Bike to Work events in Greeley (previously City of Greeley did this, but with Bill Andrews' retirement Greeley was not going to continue this activity). Additionally, in 2009 Livewell Weld County has provided technical assistance while GTOF works with City of Greeley in evaluating roads that could be re -striped for bike lanes (they've identified about 14 miles of potential roads and are looking at a CMAQ grant for funding). GTOF and City of Greeley has several intersections with goofy alignment issues. I was telling them about the Colorado Springs project to inventory and improve way finding of trail connections between subdivisions. Provided Colorado Springs senior Transportation Planner contact info to City of Greeley consultant assisting with CMAQ requirements. 3. Town of Hudson (2009) - See REAIM 1A 4. Town of Milliken (2009) - See REAIM 1A 5. Bella Romero Sidewalk Project (2007- 2009) - See REAIM 1B 6. Weld Trails Advisory Group (2008 to present) — See REAIM 1C 7. St Vrain Legacy Trail meeting (2009) — meeting requested by Commissioner Kirkmeyer to discuss activities in regard to St Vrain Legacy Trail. Commissioner Kirkmeyer was involved the 1-25 Corridor Mayor's group who succeeded in securing $12M GOCO grant for the St. Vrain Valley Open Lands 7 Trails Plan. The meeting was to discuss what activities had taken place since 2000 related to constructing the St Vrain Legacy Trail. Commissioner Kirkmeyer and the ACE TA also informed the group of the work of the Weld Trails Advisory Group and what municipalities were doing to advance and coordinate the connectivity of non -motorized trails between Weld County jurisdictions and invited them to participate. 8. State Trails in Weld County/Poudre Trail meeting (2009) - requested by Commissioner Garcia to obtain a better general understanding the network of the state trails located in Weld County, how the Weld Trails Advisory Group fit into the Weld County Comprehensive Plan, and finally, an update on the status of the Poudre Trail. 9. Safekids Weld County (2007- 2010) — Originally began working on the Bella Romero Sidewalk Project in 2007 (see REAIM 1B). This partnership will continue in 2010 to promote parent and student education and school engagement for providing crossing guard training to parents after sidewalk installation. Several opportunities for presentations became available throughout 2009 and are listed below: National Society for Physical Activity Practitioners in Public Health — Making a Difference: Forging Partnerships to Affect Land Use Change in Colorado 2009 COPAN Skill -building Workshop — A Health Stimulus Package: Shovel Ready Ways to Integrate Health and the Build Environment into Your Community Pirate Radio (Greeley) —Active Community Environments (Placemaking) by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Weld Trails Advisory Group presentations: Poudre River Trail Corridor Board of Directors Town of Eaton —Town Board Board of County Commissioners — work session The Livewell Weld County ACE TA also consulted with Kristin Kirkpatrick and Virginia Clark of CanDo regarding Weld County's Active Community Environment component in the Livewell grant and how they could best implement an ACE component in their community. IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes O No (g) Describe the progress and any changes or adaptations that were made this past year and why. Refer to the list of influential connections in Adoption (e) above. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. W For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN STRATEGY 2A: By January 31, 2010 plan and implement education, marketing and media related to HEAL including venues like Kelly's Kitchen, NEOS, Zumba, community presentations and NCMC classes to reach at least 25% of Weld County Residents. TABLE A: 2009:PROGRESS REPORT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through whichyou are reporting). Status: O Completed O Continuing X Sustained O Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) O Health Care O Active Community Environments O Schools O Breastfeeding El Worksites O Community Garden X Community O Early Childhood O Faith -based O Healthy Food Purchases X Media and Public Awareness O Older Adult Sites X Other — Healthy Eating and Active Living Type of Strategy: O Environmental Change O Policy X Program Focus of Initiative: O Healthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population and potential reach is 243,750 residents in Weld County. The estimated reach is 7,443 or 3 percent. NOTE: *In year 5 of the Steps to a Healthier Weld County grant, over 10 million exposures to Healthy messages were disseminated to Weld County Residents. Potential Reach: 243,750 Planned Reach: 60,938 (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. Estimated at 50,000 (this is a guess based on info below) Education classes - 7,443 (this is a low estimate) by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Radio — Pirate Radio exposure = 17,000 (55+ age group in Greeley/Evans); KUNC has 140,000 listeners per week in Colorado and the surrounding region and over 200,000 visitors to their website. TV — Telemundo exposure = 30,000 (Hispanic population in Weld that are Spanish dominant); GTV8 (local access channel) reach = 17,000 Newspapers — Tribune circulation = 28,000; La Tribuna = 9,000 EFFECTIVENESS (c) DOPTION (I) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. This strategy has been effective over the past six years in delivering HEAL messaging to our target population through education, marketing and media. According to the most recent Weld BRFSS data, the number of adults participating in moderate physical activity rose from 42 percent in 2004 to 62 percent in 2006. The number participating in vigorous physical activity rose from 31 percent in 2004 to 38 percent in 2006. North Colorado Medical Center (NCMC) classes such as Healthy Cooking conducted during the 2008 100 Day Challenge had waiting lists for attendance and "excellent" evaluations. Kelly's Kitchen, a series of six five-minute shows produced and broadcast on GTV8 during the 2008 100 Day Resolution Challenge won two national awards for excellence: the National Association of City and County Health Officials Model Practice Award in September 2008 (NACCHO, 2008) and the City -County Communications & Marketing Association (3CMA) Silver Savvy Award in October 2008 (3CMA, 2008). The most popular program has been the Zumba dance class, which is a fusion of Latin dance and aerobic exercise. The classes are taught by certified bilingual Zumba instructors and are offered weekly in several locations throughout the county. During 2008, some locations averaged an attendance of 40 adults and 20 children per class from the low income or under- and uninsured Latino population. Number of organizations that participated in the strategy to date To date, 11 organizations have offered HEAL classes throughout Weld County. (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). The adopting settings include Jesus Rodarte Cultural Center, Greeley Family FunPlex, Greeley Recreation Center, Windsor Recreation Center, Evans Community Center, St. Michael's Event Center, Milliken Elementary School, Aims Community College, Sunrise Monfort Family Clinic, Monfort Children's Clinic, and NCMC. IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes O No (g) Describe the progress and any changes or adaptations that were made this past year and why. This strategy was not only implemented as planned with our partners, but expanded upon through opportunistic community events. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN During 2009, a new LiveWell Weld County website was developed through an in -kind partnership with the Weld County Computer Services Department (LiveWell Weld County, 2009). North Colorado Medical Center continued to offer healthy cooking classes. LiveWell assisted with advertisement of the classes via the LiveWell Weld County website and referred interested community members (LiveWell Weld County, 2009). Since the classes were funded through NCMC and participant fees, LiveWell did not contribute additional funds. An additional nine episodes of the healthy cooking show Kelly's Kitchen were produced in collaboration with the City of Greeley GTV8 production team. In order to reach our target Latino population, the show was called Kelly's Cocina and included recipes and messaging geared toward the Latino culture and is airing in Spanish on Telemundo. Other television stations that are currently airing the episodes in English include Greeley Channel 8 and Northern Colorado Channel 5. Zumba classes continued to be offered around Weld County in at least eight locations. Since the classes are now sustainable through our partners, LiveWell did not contribute additional funds but did advertise the schedules on the new website and made referrals to community members (LiveWell Weld County, 2009). The NEOS machine remained at the Greeley Family FunPlex as a fun physical activity available to youth and is now sustainably implemented without the need for LiveWell funding. The planned Kelly's Kitchen Community Presentation was cancelled in order to redirect focus on reaching our Latino target population through the marketing of Kelly's Cocina. Relationships remained strong with local media to disseminate HEAL messaging and information related to LiveWell events and projects. The weekly health talk show, "30 Minutes to a Healthier Weld County," on 104.7 FM The Pirate continued to disseminate HEAL education and messaging to the public. Healthy cooking demonstrations were held at the Mens Health Pit Stop event in June 2009, the Saturday Greeley Farmer's Market throughout the summer, and at the KGRE Radio Latino Community Picnic in September 2009. Additionally, two sets of HEAL cooking and educational classes are being sponsored by LiveWell in Greeley and Firestone in October and November of 2009. The classes will be taught by WCDPHE health educators and will target a low-income Latino population. A series of holiday HEAL lunch and learns will also be given to employees of Weld County during November and December 2009. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The infrastructure and internal funding source of our partners such as NCMC, City of Greeley, Sunrise Monfort Family Clinic, and various Weld Recreation Districts have ensured the continuation and sustainability of programs such as community healthy cooking classes, implementation of the NEOS machine, and Zumba classes without additional funding from LiveWell. However, LiveWell will continue to refer interested community members to these HEAL programs. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN During the past 6 years, a total of 15 diverse episodes of Kelly's Kitchen and Kelly's Cocina have been produced, aired and recorded onto educational DVDs. These DVDs will continue to be used in the future for HEAL education for target populations by LiveWell and our partners. Due to a lack of funding, no further episodes will be produced in 2010. Healthy cooking demonstrations will be incorporated as appropriate and as funding allows into strategies 2C, 2D and 3B to supplement HEAL messaging. Q) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Strong relationships have been built over the past 6 years with local media to ensure effective HEAL messaging and marketing. • Strong partnerships with local organizations have created a specific interest in HEAL programming and sustainable infrastructures for the continuation of these programs without LiveWell funding. (I) Challenges • Lack of funding presents a challenge to the expansion of existing HEAL educational programs such as Kelly's Cocina and healthy cooking demonstrations. • Finding bilingual educators to effectively implement HEAL programming within the Latino population remains a challenge. References 3CMA City -County Communications & Marketing Association. (2008). Savvy Awards. 2008. Retrieved October 21, 2009, from http://www.3cma.orq/index.aspx?NID=59 LiveWell Weld County. (2009). Retrieved October 21, 2009, from http://www.livewellweldcounty.orq National Association of County & City Health Officials. (2008). Model Practice Database 2008. Retrieved October 21, 2009, from http://www. naccho.orq/topics/modelpractices/database/index2008. cfm STRATEGY 2B: By January 31, 2010 expose at least 25% of Weld County health care providers to cultural competency principles especially related to HEAL through trainings, TA and/or focus groups. TABLE A: 2009 PROGRESS REPORT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reporting) Status: El Completed X Sustained O Discontinued O Continuing O Revised by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Primary Sector (check one): X Health Care El Schools O Worksites El Community Type of Strategy: Additional Information (check all that apply) El Active Community Environments El Breastfeeding El Community Garden O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites X Other — Healthy Eating and Active Living El Environmental Change El Policy X Program Focus of Initiative: O Healthy Eating El Active Living X HEAL (both) One-time or annual event: El YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The potential reach is 40,950 Weld County residents (low-income?? who?). This number is based on the following CHS & BRFSS data: about 33% of the total population is non-White; 80% of residents have a regular medical home; 75% of those individuals say their medical home is located in Weld County. The planned reach is also 40,950. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. The estimated reach -to -date is 20,000 Weld County residents or 49% of the potential reach. This number is likely an underestimate. It is highly probable that an even greater number of the target population have been reached in northern Weld County through Sunrise Monfort Family Clinic, WCDPHE clinic, and some private North Colorado Medical Center providers. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. Work started with Steps has continued through LiveWell and has been very effective in reaching our target population through cultural competency training of healthcare providers. Linguistic and economic barriers, differing cultural expectations between patients and physicians, and stereotype -driven provider reactions limit effective delivery of health care interventions. In 2008, Steps to a Healthier Weld County collaborated with the Diabetes Disparities grant and North Colorado Medical Center (NCMC) to offer a series of three continued medical education (CME) cultural competency trainings for area health care by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN providers. These trainings covered the Culturally and Linguistically Appropriate Standards (CLAS), Stereotyping, Working with Limited English Proficient Patients and Compliance. The average attendance for these three trainings was 42 healthcare providers per class. Comments from the trainings included: • "Will be more aware of stereotypes." • "Continue to be more aware of my language, behavior and attitude." • "Try harder to be self aware." • "Would like another class like this in order to continue educating staff members here in our healthcare community. This hospital needs to be way more culturally competent" • "Will educate front line staff on their role with Limited English Proficient Patients (LEP). In addition to the health care providers from NCMC that attended the trainings, there were also three representatives from the Greeley Chamber of Commerce, two representatives from Sunrise Monfort Family Clinic, and four members of the Hispanic Women of Weld Coalition who attended. One additional cultural competency training for community coalitions was also offered in 2008 entitled "Cultural Competence". Twenty-one community members representing various community coalitions attended. DOPTION (k) (I) Number of organizations that participated in the strategy to date. One health care organization serving the target population has participated to date, and an additional organization will adopt this strategy in November 2009. List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). North Colorado Medical Center has been the primary organization to adopt this strategy to date. Sunrise Monfort Family Clinic and Salud Family Health Centers are two additional clinics serving the target population in Weld County that could potentially adopt this strategy. In November 2009, Sunrise Monfort Family Clinic will host another cultural competency training. IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes O No (g) Describe the progress and any changes or adaptations that were made this past year and why. The implementation of this strategy for 2009 will take place in November. A tailored training on cultural competency will be offered to all Sunrise Monfort Family Clinic staff. This clinic serves low-income, underinsured, and uninsured Greeley and Evans residents. Although successful cultural competency trainings have been previously offered to Weld health care providers, the subject matter has remained fairly broad in nature. The goal for this year's training is to encompass more specific topics that relate directly to issues encountered in Weld clinics working with underserved populations. Informal interviews were conducted with staff from Sunrise Monfort Family Clinic in Greeley/Evans and Salud Family Health Centers in Fort Lupton to determine areas of need for cultural competency training. An examination of responses showed that the most need revolved around increasing knowledge about cultural and lifestyle norms for the Latino, East African, and Burmese populations as related to health care interactions. Salud was not able by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN to allow staff members time to attend the training due to internal funding issues. Therefore, our training will be given to staff at Sunrise in collaboration with the Realizing Our Community organization. At the request of the Sunrise staff, the training will focus on building an understanding of the lifestyle and cultural norms of the Latino, East African, and Burmese cultures who reside in Weld County. The first outcome objective is to increase knowledge about cultural and lifestyle norms of the three focus cultures as related to interactions in a health care setting. The second outcome objective is the recognition of the importance of tailoring health care interventions related to chronic disease management and prevention to cultural beliefs, customs, influences, and lifestyles of the three focus cultures. The one hour class will be taught by actual members of the three target cultures who are affiliated with the Realizing Our Community Project (ROC). An additional online training will be offered to both Sunrise and Salud clinics, along with a cultural resource guide. Training effectiveness will be evaluated through the collection of surveys measuring changes in knowledge and attitudes before and after the training. (h) If this was a one-dav event,. describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. For 2010, LiveWell will shift its focus away from hosting cultural competency trainings and instead will make referrals to existing organizations with specific expertise in cultural competency. One such organization is Realizing Our Community. This is a collaboration designed by the University of Northern Colorado (UNC) and Greeley government and non -government organizations. Members of the program represent a diverse range of cultures and are well versed in giving informative and rich community presentations on cultural competency. Q) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Through informal interviews with clinic staff members, we were able to tailor the training to fit their specific needs. • A new partnership was developed with Realizing Our Communities to be able to offer the training through the first-hand perspectives of the Latino, Burmese, and East African cultures. (I) Challenges • Funding and resource shortages have made it difficult to secure staff time in the Salud clinic for training attendance. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN STRATEGY 2C: By January 31, 2010, facilitate access to healthy food through community gardens, nei•hborhood •roce stores and other opportunistic events. TABLE A 2 t 9 PROGR S RT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reporting). Status: O Completed O Continuing O Sustained X Revised O Discontinued Primary Sector (check O Health Care O Schools O Worksites X Community Type of Strategy: Focus of Initiative: One-time or annual event: O YES...then complete X NO....then complete one): Additional Information (check all that apply) O Active Community Environments O Breastfeeding X Community Garden O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites X Other— Healthy Food Access X Environmental Change O Policy O Program X Healthy Eating O Active Living O HEAL (both) Reach, Effectiveness, Adoption, Maintenance sections only all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population and potential reach is the population of Weld County which is 243,750. The number of people exposed to or participated in the objective/strategy to date is 100,000 and the calculated adoption rate is 41 percent. The planned reach for 2010 is 100,000 Weld County residents. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. The reach to date is 100,000 Weld County residents. EFFECTIVENESS by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. This strategy was highly effective during the three years of existence in Weld County in providing abundant opportunities for people of all age groups to have access to healthy and affordable food and cultivate as sense of community through community and school gardens. The project began with a 22 -plot garden at UNC and 7 additional gardens funded through a Steps mini -grant in 2007. In 2008, the City of Greeley donated a plot of land with water at Plumb Farms with enough space for 7 plots, and Steps awarded 8 gardens with mini -grants. In 2007, the Steps grant facilitated the creation of the Project Grow Advisory Committee to assist with the development, promotion and expansion of the community garden project in Weld County. Several sites utilized raised -bed gardens to accommodate their older population. Others used the harvested food to cook healthy meals for their gardening community. Project Grow also arranged a series of classes through CSU Master Gardeners on topics including organic gardening and food preservation. DOPTION (m) Number of organizations that participated in the strategy to date A,pproxiir, ately ? 9 eit ablzatkini tiav tlted t3'il .stra):s€i t or, to (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Organizations that have adopted this strategy to date include University of Northern Colorado, Plumb Farms, St. Brigit Episcopal Church, Cameron Elementary School, Evans Recreation Center, Town of Hudson, Eldergarden, Greeley Transitional House, West Greeley Baptist Church, Good Samaritan Society, Colorado Master Gardeners in Weld County, Assistance League of Greeley, Highland Community Gardens, Town of Kersey, Madison Elementary 2151 Century After School Program, A Woman's Place, Town of Windsor, Joe P Martinez Gardens, and Fellowship Church. IMPLEMENTATION (f) (g) Was the strategy implemented as planned? X Yes O No Describe the progress and any changes or adaptations that were made this past year and why. The 2009 LiveWell grant greatly expanded the project by funding up to 15 community and school gardens, along with 2 additional gardens funded with remaining Steps monies. A total of 17 community gardens, in addition to plots at UNC and Plumb Farms, were implemented in 2009. The evaluation of the gardens consisted of photos, site visits, and a brief report on how the mini -grant funding was used, produce harvested, the number and demographics of gardeners and harvest recipients, and the overall success of the project. Due to the growing success of the gardens, this strategy was revised to focus entirely on the sustainability and expansion of the community garden program in Weld County. By January 1, 2011, fifteen existing and five new community gardens will be revitalized and/or developed with LiveWell funds. The neighborhood grocery store focus will be expanded upon in Strategy 2D. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. Many partners contribute to the success and sustainability of community gardens in Weld County. Healthy food access expanded beyond the gardeners when many of them donated excess harvest to food pantries, Weld County Food Bank, and other community members with need. UNC Community Gardens, Plumb Farms, Assistance League of Greeley, and West Greeley Baptist Church are renting plots for small fees that help sustain the maintenance and expansion of the project. Project Grow will continue to provide technical assistance to gardeners on efficient use of land and resources for maximizing their harvest. LiveWell will continue to provide mini -grants as long as it is feasible, along with technical assistance for finding additional funding opportunities. U) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Local media recognition of LiveWell's community garden project has generated such significant public interest that requests for 2010 gardening plot rentals and mini -grants were being submitted by residents in the summer of 2009. • Healthy food harvested from the existing gardens has reached beyond the gardeners to local food pantries and the Weld County Food Bank. (I) Challenges • Challenges are related to finding easily accessible land and water that could be donated for the community gardens. • Additional funding and resources will be needed to sustain and expand the current rate of garden growth. • Other implementation challenges include keeping organic farmers separated from non - organic, pest control, weather damage mitigation, and harvest theft. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN TABLE B: : By January 1, 2011, fifteen existing and five new community gardens will be revitalized and/or develo•ed with LiveWell funds. Status: O New El Continuing X Revised from original 2C: By January 31, 2010, facilitate access to healthy foods through community gardens, neighborhood grocery stores and other opportunistic events Primary Sector (check one): O Health Care O Schools O Worksites X Community Additional Information (check all that apply) El Active Community Environments O Breastfeeding X Community Garden O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites X Other — Healthy Food Access Type of Strategy: X Environmental Change El Policy O Program Focus of Initiative: X Healthy Eating El Active Living O HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population and potential reach is the population of Weld County which is 243,750. The number of people exposed to or participated in the objective/strategy to date is 100,000 and the calculated adoption rate is 41 percent. The planned reach for 2010 is 100,000 Weld County residents. How many individuals in your community represent the target population? Approximately 243,750 Weld County residents represent the target population. How many individuals from the target population could benefit from the strategy in 2010? Approximately 243,750 Weld County residents could benefit from this strategy. (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN PLANNED EFFECTIVENESS (e) Describe the evidence base and/or rationale for this strategy (provide citation if available). Community gardens in local neighborhoods are an effective tool for building community food security. In one study, twenty community garden programs in upstate New York, representing 63 gardens, were surveyed to identify characteristics that may be useful to facilitate neighborhood development and health promotion. The most commonly expressed reasons for participating in gardens were access to fresh foods, to enjoy nature, and health benefits (Armstrong, 2000). A 2007 report on food access in low-income neighborhoods found, "In many urban neighborhoods, healthy foods like fruits and vegetables are either nonexistent, very expensive or of poor quality. Residents frequently do not have access to a car and often resort to purchasing unhealthy foods at local convenience stores. A study recently published in the journal Public Health found that children who live in areas where fruits and vegetables are more expensive are more likely to gain excessive amounts of weight" (Levy, 2007). (f) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? Community and school garden evaluation strategies will include a report submitted by mini - grant recipients at the end of the growing season that details: • Approximate size of the garden in acres or feet • Number of plots (if applicable) • Number of people who "participated" in the garden (worked in the garden at least once) • Number of people who received food from the garden • Description of the successes and/or challenges of the garden • Description of something that was learned from the experience • Photos of the gardening project progression How will you measure the success of the strategy? ❑ IVR survey ❑ Other survey: ❑ Focus groups ❑ Interviews X Observation X Other: Detailed reports from mini -grant recipients. (g) PLANNED ADOPTION (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) Organizations who could potentially adopt this strategy include Weld County elementary schools, faith -based groups, worksites, and neighborhoods. LiveWell plans to fund 15 existing and five new gardens in 2010. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (I) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? 0) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? LiveWell plans to work with twenty organizations in 2010. Gardening mini -grants will be available through LiveWell in 2010 for open application to all Weld County residents. Strong partners such as City of Greeley's Project Grow, WCSD6, University of Northern Colorado, Plumb Farms, and the Assistance League of Greeley Houston Community Gardens will continue to support project expansion. New partnerships are anticipated with Weld County Food Bank and additional Weld County school districts. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. • In February 2010, LiveWell plans to microfinance at least 15 existing and five additional gardens in addition to UNC and Plumb Farms. Locations in South Weld County will be recruited. • Partner with Project Grow and Weld County Food Bank to create a garden on land adjacent to the food bank. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? A mini -grant report will be collected from all grantees in the fall of 2010 explaining their plans for sustainability after LiveWell funding in discontinued. (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? References Armstrong, D. PhD. (2000). A Survey of Community Gardens in Upstate New York: Implications for Health Promotion and Community Development. Retrieved October 21, 2009, from http://www.cityfarmer.orq/CGNewYork.html Levy, J. (2007). 10 Ways to Get Healthy, Local Food into Low -Income Neighborhoods. Retrieved October 21, 2009, from http://www.iatp.orq/iatp/publications.cfm?accountlD=258&refID=97319 STRATEGY 2D By January 1, 2011, increase healthy and affordable food choice options in at least one corner grocery store in an underserved county area and/or provide other opportunities to increase access based on the 2009 Community Food Security Assessment. Status: X New El Continuing El Revised by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Primary Sector (check one): El Health Care O Schools O Worksites X Community Type of Strategy: Focus of Initiative: Additional Information (check all that apply) O Active Community Environments El Breastfeeding El Community Garden El Early Childhood O Faith -based X Healthy Food Purchases El Media and Public Awareness O Older Adult Sites El Other — El Environmental Change X Policy El Program X Healthy Eating El Active Living El HEAL (both) One-time or annual event: El YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? Calculated reach: All residents of Weld County = 249,775. Males=126,140 and females 123,635. Race: White, non Hispanic 171,860; Hispanic/Latino 68,482; Black 1098; Asian 3000; all others 5335. Median household in 2008 $56,065. (b) How many individuals in your community represent the target population? All Weld County residents = 249,775 (c) How many individuals from the target population could benefit from the strategy in 2010? All Weld County residents = 249,775 (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. PLANNED EFFECTIVENESS (e) Describe the evidence base and/or rationale for this strategy (provide citation if available). A visual audit of three corner grocery stores in the East Greeley neighborhood was conducted in the spring of 2009. The approximately 7,000 residents living in this low-income neighborhood have limited access to healthy and affordable food due to limited food retail operations in the area. The only food venues currently available are a small discount by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN grocery store, two convenience stores, and various small restaurants. Although the majority of food offerings are pre-packaged and processed, there are limited selections of fresh fruits, vegetables, meats, dairy and whole grains currently available. The owner of the discount corner store produces fresh vegetables on a family farm and makes them available to shoppers. There is great potential for the expansion of healthy food options and more effective marketing to neighborhood residents about the availability of healthier choices. Based on this audit, it was determined that the East Greeley neighborhood is a food desert as defined by the limited access to affordable and nutritious foods. (Source: Workshop on the Public Health Effects of Food Desert: http://www.iom.edu/CMS/3788/59640.aspx). Another advancement made was in gaining support from the City of Greeley and the Board of County Commissioners on moving forward with food access work in East Greeley. According to the May 2009 East Greeley / Weld County Sub -Area Study Summary, recommendations were made to "explore more balanced shopping in the area, such as a full service grocery store." (Source: http://www. co.weld.co. us/departments/planninq/E%20Greeley%20Study/5-21- 09StudySummaryALL.pdf) Since conducting the visual audit of the East Greely food environment in the spring 2009, described above, our focus has been on studying ways to effectively work with food retailers to increase healthy and affordable options. Our team will attend a training in November 2009 to increase our knowledge in this area. During 2009, Weld County developed a partnership with Larimer and Boulder Counties to conduct a regional Community Food Systems Assessment (CSFA) in the fall 2009 and spring 2010. The assessment report will give a better understanding of the flow of food production from farm to table and help to identify other food deserts in Weld County and regionally. The purpose of the CSFA is to understand factors that contribute to food deserts and ultimately to identify ways to facilitate change for health and economic benefits. The interventions to improve food deserts center on increasing the intake of healthy foods by improving access and affordability of those foods. Part of the goal of improving access to healthy and affordable food is to reduce obesity and diet -related diseases among populations that are adversely affected by these health conditions. If healthier foods such as fresh fruits and vegetables, whole grains, fresh dairy, and meat products are as available and as inexpensive as calorically -dense foods, it is believed that consumers will substitute away from calorically -dense foods to healthier foods and reduce the risk of obesity. (Source: Workshop on the Public Health Effects of Food Desert: http://www.iom.edu/CMS/3788/59640.aspx). (f) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? The outcome of this strategy is to increase the proportion of Weld County residents who consume 5 or more fruits and vegetables per day. (g) How will you measure the success of the strategy? ❑ IVR survey X Other survey: BFRSS data X Focus groups by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN X Interviews — with food producers, retailers, and residents ❑ Observation ❑ Other: PLANNED ADOPTION (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) Organizations that could potentially adopt this strategy include Weld County municipalities, food producers and manufacturers, local and chain grocery retailers, restaurants, farmers' markets, neighborhoods, and schools. (I) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? With current knowledge prior to the CSFA being completed, it is estimated that three known food retailers could potentially adopt this strategy. More organizations will be identified once the CSFA is complete. Q) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? We will work with at least three food retailers in East Greeley in 2009. More organizations will be identified once the CSFA is complete. The food retailers include Eighteenth Street Discount Grocery, 7 -Eleven, and Conoco. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. 1) Completion of a regional food system assessment for Weld, Larimer, and Boulder County 2) Use GIS to determine areas of poverty and chronic disease in relation to food access. 3) Work with local municipalities in identified areas to explore options for increasing access to healthy and affordable foods. 4) Survey local residents to determine what they want/need to increase intake of fruits and vegetables and other healthy foods. 5) Determine incentives for grocery stores/ food vendors to provide more healthy foods, fresh fruits and vegetables at low cost to local residents. 6) Assist retailers / municipalities with promoting fresh food options to local residents. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? Weld, Larimer and Boulder counties need to work together to understand the regional food system because of the inter -dependence among these counties. For example, Weld County is the largest agricultural producer and the hub of agricultural support services in the region. Boulder County and Larimer County both have concentrated consumer bases with strong cultures favoring local food sources. All three counties have Live Well programs that are actively addressing public health, food security, and nutrition/obesity issues with targeted populations. Improved coordination and cooperation among these various resources and by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN program initiatives will result from the process of conducting a Regional Food System Assessment. Valuable resources can be leveraged among the three counties in the future to effectively address obesity issues related to healthy food access. The adoption of this strategy will be determined through follow-up visual audits of food establishments, along with interviews and surveys of retailers and residents. (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? STRATEGY 3A: By January 1, 2011 facilitate the implementation of at least one aspect of the district wellness policy related to HEAL in three or more schools in collaboration with the Centennial Board of Cooperative Education Services BOCES school district. TABLE A. 2t} Pi. Rp Provide available REAIM information for the 2009 year (beginning of grant year to final date through which you are reporting). _grant Status: O Completed X Continuing O Sustained X Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) O Health Care O Active Community Environments X Schools O Breastfeeding O Worksites O Community Garden O Community O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: O Environmental Change X Policy O Program Focus of Initiative: O Healthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The potential target population and reach is all students in Weld County schools, which is estimated to be about 36,334. The planned reach is all Weld County students eventually, but up to 8,499 in 2010 for Centennial BOCES schools. This reach estimate is based on the by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN 2008 PK-12 pupil membership from CDE for Ault -Highland, Eaton, Weld RE-1/Gilcrest, Johnstown -Milliken, and Platte Valley/RE-7, which are Centennial BOCES schools. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. _Approximately 18,870 Greeley/Evans District 6 students have been reached to date: EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. According to the Center for Disease Control and Prevention, school wellness includes Health Education and Physical Education (PE), but also Health Services, Nutrition Services, Counseling, Psychological and Social Services, health promotion for staff, a healthy school environment, and family/community involvement. Citation: http://www.cdc.gov/HealthyYouth/CSHP/index.htm The Steps to a Healthier Weld County grant supported the development and implementation of a Coordinated School Health (CSH) program at WCSD6 during its five years of funding. Steps funded a School Health Coordinator (SHC) and a District Wellness Policy Advisory Committee created and implemented a district -wide School Wellness Policy in 35 school sites. The policy created food and beverage standards, goals for nutrition education and physical activity and an infrastructure for sustaining wellness activities in WCSD6. Additionally, 11 Coordinated School Health Teams were organized and associated School Health Improvement Plan teams accepted responsibility for developing a culture of wellness at these schools. A copy of the WCSD6 policies can be found on: http://www.greeleyschools.orq/resources/health-and-wellness-proq rams. According to the annual Steps progress report to the CDC, compliance of the School Wellness Policy increased by 20 percent. Baselines were established and results demonstrate increased classroom nutrition education from 111 to 157 classrooms. DOPTION Number of organizations that participated in the strategy to date Approximately 35 school sites at Greeley/Evans District 6 and 11 community organizations have participated to date. List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Organizations that have participated in this strategy include the Weld County Department of Public Health and Environment, Steps to a Healthier Weld County, LiveWell Weld County, Weld County School District 6 staff, the University of Northern Colorado Dietetics Department, Rocky Mountain Center of Health Promotion, Integrated Nutrition Education Program, Colorado State University Extension, Operation Frontline, City of Greeley's Project Grow, Wolf Moon Farms, and Grant Farms. IMPLEMENTATION (f) Was the strategy implemented as planned? O Yes X No by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (g) Describe the progress and any changes or adaptations that were made this past year and why. Due to several barriers, the WCSD6 Coordinated School Health program was unable to fully sustain its objectives. Key stakeholder employee turnover, reduced funding, the loss of the School Health Coordinator position, and a greater focus on academia greatly reduced CSH implementation. Extracting accurate information on the current status of CSH, the School Wellness Policy, and the 11 Coordinated School Health Teams has been challenging since the removal of the School Health Coordinator position. However, several HEAL -related programs are continuing without additional funding from the Steps or LiveWell grant. These programs include Harvest of the Month, USDA Fresh Fruit and Vegetable Program, Farm to School, Farmer in the Classroom, Integrated Nutrition Education Program and Operation Frontline Healthy Cooking Classes. Current status of the "Take 101" program is unknown at this time. LiveWell Well County continued to fund the implementation of school gardens in 2009, noted in Strategy 2C. School gardens provide hands-on food system education to student gardeners and access to healthy food. This experience is further enhanced with the Farmer in the Classroom program at WCSD6, featuring classroom education from a local farmer on food production from seed to table. In an effort to address the above situation, LiveWell temporarily shifted the focus from Centennial BOCES to WCSD6 in 2009. LiveWell provided technical assistance to maintain and advance the continuing HEAL -related programs, as mentioned above. Information and assistance was provided to the District regarding grant funding opportunities, school wellness trainings, and potential program partnerships. We continued to be an active participant on the District Wellness Policy Advisory Committee and assisted with the adoption of the Colorado Department of Education Healthy Beverage Policy 1 CCR 301-79 into the existing policy. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) (1) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. Due to limited funding available from LiveWell Weld County and other sources, the development and maintenance of partnerships is critical to the sustainability of HEAL -related programs at WCSD6. For example, the Operation Frontline Healthy Cooking Classes continue to be sustainable due to funding received from Operation Frontline and partnerships with Colorado State University Extension and local chefs. Farm to School and Farmer in the Classroom continues to thrive through successful partnerships with Wolf Moon Farms and Grant Farms. Harvest of the Month continues to be implemented in a truncated form using District Nutrition Services funds. The USDA Fresh Fruit and Vegetable program receives federal funding. Project Grow through the City of Greeley provides technical assistance with school gardens. Integrated Nutrition Education Program is funded partially through the school district. Worksite Wellness has strong support by WCSD6 leadership and received a mini -grant from WCSD6 insurance agency Anthem Health. For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Having a federal mandate to establish school wellness policies facilitates the development, but not the implementation of, a district policy. • Strong community partnerships leverage resources to sustain HEAL -related programs such as Operation Frontline Healthy Cooking Classes, Farm to School Program, Integrated Nutrition Education Program, and school gardens. • New and existing district employees who support school wellness continue to be strong advocates for creatively sustaining and expanding existing HEAL programs and messaging. (I) Challenges • Coordinated School Health sustainability in WCSD6 without substantial funding from a non -district source is challenging. Another School Health Coordinator position is unlikely to be created until adequate funding is available. Incentives and staff compensation for Coordinated School Health Teams is also currently unavailable. • Due to a stronger focus on academia, the District climate is not always conducive to health and wellness programs. Dedicating staff time to Coordinated School Health Teams is challenging. • Recent key stakeholder employee turnover and the discontinuation of the School Health Coordinator position creates challenges in researching the current status of various Coordinated School Health program components. • Collecting data that demonstrates change in behavior. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN TABLE B: MN] Status: O New X Continuing X Revised Primary Sector (check one): O Health Care X Schools O Worksites O Community Type of Strategy: Focus of Initiative: Additional Information (check all that apply) O Active Community Environments O Breastfeeding O Community Garden El Early Childhood El Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — El Environmental Change X Policy O Program O Healthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The planned reach is all Weld County students eventually, but up to 8,499 in 2010 for Centennial BOCES schools. This reach estimate is based on the 2008 PK-12 pupil membership from CDE for Ault -Highland, Eaton, Weld RE-1/Gilcrest, Johnstown -Milliken, and Platte Valley/RE-7, which are Centennial BOCES schools. (b) How many individuals in your community represent the target population? Approximately 8,499 students in the 5 Weld County Centennial BOCES school districts represent the target population. (c) How many individuals from the target population could benefit from the strategy in 2010? Approximately 8,499 students in the 5 Weld County Centennial BOCES school districts could benefit from this strategy in 2010. (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN PLANNED EFFECTIVENESS (e) (f) Describe the evidence base and/or rationale for this strategy (provide citation if available). According to the Center for Disease Control and Prevention, school wellness includes Health Education and Physical Education (PE), but also Health Services, Nutrition Services, Counseling, Psychological and Social Services, health promotion for staff, a healthy school environment, and family/community involvement. Citation: http://www.cdc.gov/HealthyYouth/CSHP/index.htm What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? Students, parents, district and school personnel will be educated on healthy policies including food and beverage standards, vending machines, alternatives for healthy fund raising, food as rewards, and access to fresh fruits and vegetables. Compliance with the District Wellness Policy will increase by at least 20%. (g) How will you measure the success of the strategy? O IVR survey X Other survey: District wellness policy adoption survey of students and staff O Focus groups X Interviews X Observation O Other: PLANNED ADOPTION (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) All schools offering kindergarten through 12`" grade in the five Weld County Centennial BOCES school districts could potentially adopt this strategy. (i) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? All 23 schools sites in the 5 Centennial BOCES school districts could potentially adopt this strategy. (p) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? LiveWell plans to work with 3 or more school sites in 2010. Targeted Centennial BOCES school districts in 2010 include Weld RE-1/Gilcrest, Johnstown -Milliken, and Platte Valley/RE-7. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. What was learned from the partnership with WCSD6 will be integrated into the CBOCES district wellness policy strategy. Activities will include: by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN • Partner with CBOCES to provide technical assistance to implement a school wellness policy addressing HEAL in at least three affiliated schools. • Integrate what was learned from the school wellness advisory committee at WCSD6 to develop a committee in at least one CBOCES school district. • Conduct focus groups and/or surveys to assess the issues that impede school wellness and provide resources to address at least one area. • Develop partnerships and relationships with staff and administration in at least three schools to facilitate the free flow of information about HEAL issues affecting their student body. • Integrate what was learned from WCSD6 HEAL -related programs such as Farm to School, Farmer in the Classroom, and Harvest of the Month to implement the programs in a minimum of three schools. • Partner with WCSD6 to create sustainable gardens at low-income elementary schools such as Bella Romero, East Memorial and Jefferson. • Provide information about funding opportunities and events/trainings that would facilitate HEAL to a minimum of three schools. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN STRATEGY 3B: By January 31, 2010 assess, collaborate and facilitate policies that promote health eatin and active livin in ten da care centers and/or recreation centers in Weld County. TABLE A #?± 9 FROGR S EPoRt Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reporting). Status: ❑ Completed ❑ Continuing X Sustained ❑ Revised ❑ Discontinued Primary Sector (check one): Additional Information (check all that apply) ❑ Health Care ❑ Active Community Environments X Schools ❑ Breastfeeding ❑ Worksites ❑ Community Garden X Community X Early Childhood ❑ Faith -based ❑ Healthy Food Purchases ❑ Media and Public Awareness ❑ Older Adult Sites X Other — Healthy Eating and Active Living Type of Strategy: ❑ Environmental Change X Policy X Program Focus of Initiative: ❑ Healthy Eating ❑ Active Living X HEAL (both) One-time or annual event: ❑ YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population is children aged 1 through 18 years in Weld County. The potential reach is 60,750 children in Weld County. Conservative estimates of children participating in the Children's Festival, Head Start, FFaR, VERB, and other after -school programming is 24,000 children. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. The reach -to -date is 24,000 children, or 40 percent, aged 1 to 18 years old in Weld County. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. This strategy was effective in reaching our target audience of children 1 to 18 years old and integrating HEAL programming into several organizations. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN 1. Child care centers: LiveWell sponsored a HEAL -related conference in partnership with the Head Start program under the Family Educational Network of Weld County. The "I Am Moving, I Am Learning" conference took place in May 2009 and focused on incorporating this evidence -based HEAL curriculum into all Weld County Head Start centers. The conference targeted approximately 61 employees from eleven Head Start centers. The curriculum will reach approximately 700 Head Start children and 180 migrant children. (Source: I Am Moving, I Am Learning: A Proactive Approach for Addressing Childhood Obesity in Head Start Children) http://www.acf.hhs.qov/programs/region3/docs/Fatherhood/i am moving summary report.p df 2. VERB: The CentersforDisease Control and Prevention VERB program focuses on providing physical activity opportunities for children between the ages of 9 to 13 ("tweens"). Mini -grants were award to two Greeley organizations in the summer of 2009. The Boys and Girls Clubs of Weld County and the City of Greeley Museums were each awarded $250 to engage tweens in activities such as team sports, one -day events promoting exercise, and other physically active games. Approximately 328 children participated in the VERB program in 2009. (Source: Centers for Disease Control and Prevention Youth Media Campaign http://www.cdc.gov/YouthCampaign/) 3. FFaR (Fun, Fitness and Recreation: Away from the Screen): (three sites/1500 potential) The FFaR program is an after school physical activity program that promotes 60 minutes of physical activity every day in order to move middle and high school students away from screen time especially after school. Students have access to the Family Funplex (a state-of- the-art recreation center) for only $1 after school from 3pm until 6pm. At least 150 student visits/month for the past nine months have been tabulated, with more student visits being added every week due to the popularity of the NEOS play structure. The FFaR program was one of the innovative programs developed in Weld County that helped to secure the NEOS grant for Weld County, a $35,000 interactive play structure — the only one granted in North America in 2008. Additionally, the FFaR and the NEOS were so successful that the ABC/Bright School Age Centers (with over 15 sites for afterschool childcare) have contracted with the Funplex to be an additional site. In the summer of 2009, 40 students enrolled in the program. This is in addition to programs that are being contracted for Christmas break and Spring break. New physical activity guidelines from the U.S. Department of Health and Human Services (HHS), document the importance of physical activity in children aged 6 to 17. (Source:http://www.health.qov/paquidelines/factsheetprof.aspx) DOPTION (q) Number of organizations that participated in the strategy to date A total of ten organizations have participated in this strategy. (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Organizations that have participated in this strategy include: • Eleven Head Start Centers in Weld County • Seven recreation centers including : Windsor Recreation, Evans Recreation, Eaton Recreation, Greeley Family Funplex, City of Greeley Rodarte and Recreation Centers • United Way of Weld County Children's Festival • Boys and Girls Clubs of Weld County and the City of Greeley Museums by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes El No (g) Describe the progress and any changes or adaptations that were made this past year and why. In 2009, LiveWell was successful in reaching children aged 1 to 18 years old with HEAL messaging and programming through partnerships that focus on early childhood center curriculum, tween summertime physical activity programs, and after school physical activity programs for middle and high school students. During 2009, we shifted our focus from expanding the FFaR program outside of the Greeley area to the needs of the early childhood population. An existing partnership with Head Start was enhanced with collaboration on the spring "I Am Moving, I Am Learning" early childhood curriculum conference. A new partnership was formed with United Way of Weld County's Promises for Children program in grant writing to expand health and HEAL integration in county early childhood systems for 2010. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The partnering organizations listed above have incorporated HEAL messaging and programming from this strategy into their operations to ensure its continuation in reaching the target population. For 2010, staff from the LiveWell team will focus on the early childhood population of 0 to 5 years old for work related to this strategy. We are partnering with United Way of Weld County's Promises for Children and Head Start in grant writing to secure funds for this work. No LiveWell funds will be used for this strategy, as it is sustainable through these outside partnerships. (i) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • A community -wide recognition for the importance of HEAL messaging to youth has captured an interest by our partners to find sustainable ways to integrate HEAL programming into organizations. • Valuable community partnerships built over the past six years through Steps and LiveWell have ensured that HEAL -based programming with children continues in our county. by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (I) Challenges • Limited funds for HEAL program implementation poses challenges to sustaining these programs. • Effective marketing to the targeted population remains a challenge. STRATEGY 3C: By January 1, 2011, collaborate with Kaiser Educational Theatre Program (ETP) and the University of Northern Colorado Theatre Department to reach 1,000 Weld County Elementar school students with five HEAL messa es throw h the pla , the Amazin Food Detective. TABLE A ,._.� RT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reporting). Status: O Completed X Continuing O Sustained O Revised El Discontinued Primary Sector (check one): Additional Information (check all that apply) El Health Care O Active Community Environments X Schools O Breastfeeding O Worksites O Community Garden O Community X Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: O Environmental Change O Policy X Program Focus of Initiative: O Healthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population is children in grades kindergarten through 5th grade (K-5) in Weld County. There are approximately 11,634 (?) children in grades K-5 in Weld County. The Amazing Food Detective program has reached 600 children in 2008 and the planned reach for 2009 is an additional 1,000. The total estimated reach will be 1,600, or 14 percent of K-5 children for this strategy. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. To date, 781 children, or 7 percent of the target population, in grades K-5 have been reached by this strategy. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. The evidence -based Amazing Food Detective is "an interactive play that helps young students understand the importance of a healthy diet and exercise." Actor -educators "engage students in grades K-5 as they demonstrate why some foods make you feel tired and sick, and others make you feel energized and healthy. Developed in partnership with health experts, schools and health organizations, Kaiser Permanente's Amazing Food Detective presents age -appropriate health messages, including the need to drink water, eat five colorful fruits and veggies every day, get away from the TV or computer, play hard at something you like to do, and eat the foods that help your mood, your learning and your energy. Following the performance, the actor -educators lead the students in activities designed to reinforce the play's messages and that incorporate movement, role-playing and problem solving." Citation: http://xnet.kp.orq/etp/colorado/about.htm Focus on the first set of pilot performances in June 2009 revolved around forming partnerships for future sustainability. The second set of performances in December 2009 will involve evaluation methods developed by Kaiser Permanente to examine the effectiveness of HEAL messaging for K-5 students. DOPTION (r) Number of organizations that participated in the strategy to date A total of 13 organizations participated in this strategy to date. (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Participating organizations include the Weld County Department of Public Health and Environment, Steps to a Healthier Weld County, LiveWell Weld County, Kaiser Permanente Educational Theatre Program, University of Northern Colorado, Weld County School District Six, Weld County RE -4 School District, Pomona High School, Greeley Family FunPlex, ABC Day Care, Monfort Children's Clinic, Sunrise Monfort Family Clinic, and the Weld County Garage. IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes El No (g) Describe the progress and any changes or adaptations that were made this past year and why. After positive responses to the two Greeley performances in 2008, the Amazing Food Detective attracted more audiences during five additional performances in June 2009. Graduate actors from the University of Northern Colorado's Theatre Arts Department successfully engaged K-5 students with HEAL messages while also attracting the attention by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN of other local organizations such as the University of Northern Colorado Dietetics Department, Integrated Nutrition Education Program, and the University Schools Theater Department. As a result, University Schools is incorporating the play into the fall 2009 theater curriculum and high school student actors will showcase additional performances to Greeley k-5 students in December 2009. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (I) 0) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The partnerships that are being developed with Kaiser Permanente Educational Theatre Program, University of Northern Colorado, University Schools and other Weld County Schools will help to sustain this strategy in future years. Additional partnerships are possible with the positive response that the play has received in Weld County. Costs will decrease after the first year since the Amazing Food Detective can become incorporated into school theater curriculum, props and staging can be reused, and Kaiser will continue to provide technical assistance as in -kind contributions. For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Through observation and anecdotal feedback, it is evident that young children love and benefit from interactive theatre. Kaiser has several years of evaluation data that support the effectiveness of HEAL messaging to this target group. • The Director of the Kaiser ETP is willing to provide resources in -kind to assist Weld County with developing a sustainable plan to provide Amazing Food Detective to children in Weld County. The Kaiser contributions include not only the script and technical assistance for the props and stage, but also handouts and posters for classroom teachers to enhance HEAL messaging for this target population. (I) Challenges • Sustainability of actors/directors and venues is a continuing challenge. We are continuing to work with local partners to permanently embed the play into the curriculum of a high school or university theater department. • Coordination of schedules among actors, venues, K-5 afterschool and day care programs, and other involved parties is also challenging. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Status: El New X Continuing El Revised Primary Sector (check one): El Health Care X Schools O Worksites O Community Type of Strategy: Focus of Initiative: Additional Information (check all that apply) O Active Community Environments O Breastfeeding O Community Garden X Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — El Environmental Change O Policy X Program O Healthy Eating El Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The target population is children in grades kindergarten through 5th grade (K-5) in Weld County. There are approximately 11,634 (?) children in grades K-5 in Weld County. The Amazing Food Detective program has reached 600 children in 2008 and the planned reach for 2009 is an additional 1,000. The total estimated reach will be 1,600, or 14 percent of K-5 children for this strategy. How many individuals in your community represent the target population? Approximately 11,634 K-5 children in Weld County represent our target population. How many individuals from the target population could benefit from the strategy in 2010? At least 1,000 K-5 children could benefit in 2010 with the resources that are currently available. (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN In order to expand the reach, a sustainable partnership with a local theater program will have to be established to facilitate the production of the play. Additional in -kind contributions from partners will be needed to help fund expansion including marketing, performance space rental, additional cast and crew expenses, and any additional props needed. PLANNED EFFECTIVENESS (e) Describe the evidence base and/or rationale for this strategy (provide citation if available). The evidence -based Amazing Food Detective is "an interactive play that helps young students understand the importance of a healthy diet and exercise." Actor -educators "engage students in grades K-5 as they demonstrate why some foods make you feel tired and sick, and others make you feel energized and healthy. Developed in partnership with health experts, schools and health organizations, Kaiser Permanente's Amazing Food Detective presents age -appropriate health messages, including the need to drink water, eat five colorful fruits and veggies every day, get away from the TV or computer, play hard at something you like to do, and eat the foods that help your mood, your learning and your energy. Following the performance, the actor -educators lead the students in activities designed to reinforce the play's messages and that incorporate movement, role-playing and problem solving." Citation: http://xnet.kp.org/etp/coiorado/about.htm (f) (g) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? The second set of performances in December 2009 will involve evaluation methods developed by Kaiser Permanente to examine the effectiveness of HEAL messaging for K-5 students. Specifically, a pre- and post -survey developed by Kaiser will be administered to participating 3rd grade students to evaluate knowledge gain of HEAL messages presented during the play. How will you measure the success of the strategy? ❑ IVR survey X Other survey: Pre- and post -survey developed by Kaiser for 3r° graders ❑ Focus groups X Interviews X Observation ❑ Other: PLANNED ADOPTION (h) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) Organizations that could potentially adopt this strategy include theater programs in Weld County high schools and universities. (I) How many organizations in your community could potentially "adopt" this strategy (now and in the future)? At least 2 organizations have adequate infrastructure to adopt this strategy in the future. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Q) Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? We plan to work with at least 2 organizations to adopt this strategy in 2010. Organizations that could potentially adopt this strategy in 2010 include the University of Northern Colorado Theater Program and University Schools. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. • Collaboratively discuss details related to the production of the Amazing Food Detective with Kaiser ETP Director and the University School Theatre Teacher. These details include completing a Memo of Understanding (MOU) that documents a commitment by University Schools to preserve the integrity of the original script and HEAL messages, minimizing theatrical license by the actors, designing the prop/staging plans and ideas, determining the venues, including dates and times, where the production will be performed, and defining related costs associated with the performances. • Collaborate with community partners, including the University of Northern Colorado to solicit in -kind contributions and/or sponsorships. • Market the production in collaboration with University Schools and the UNC Theater and Dietetics departments to maximize attendance at each performance. • Obtain associated handouts and posters from Kaiser; copy/print the amount necessary and meet with teachers prior to the production to educate them about how these materials support the HEAL messages in the classroom. • Prepare for evaluation of the performances by obtaining proven evaluation tools and technical assistance from Kaiser ETP. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN STRATEGY 4A: By January 31, 2010, facilitate the expansion of the Smart Meal Seal program to five additional Weld restaurants. TABLE A: 2009 PROGRESS REPORT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date thresh which ou are reporting). Status: ❑ Completed ❑ Continuing ❑ Sustained ❑ Revised X Discontinued Primary Sector (check one): Additional Information (check all that apply) ❑ Health Care ❑ Active Community Environments ❑ Schools ❑ Breastfeeding ❑ Worksites ❑ Community Garden X Community ❑ Early Childhood ❑ Faith -based X Healthy Food Purchases ❑ Media and Public Awareness El Older Adult Sites ❑ Other — Type of Strategy: ❑ Environmental Change ❑ Policy X Program Focus of Initiative: X Healthy Eating El Active Living ❑ HEAL (both) One-time or annual event: ❑ YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? All of Weld County. Reach -to -date: 111,500 (population estimate for Greeley (89,046), Evans (9,514), Eaton, (2,690), and Windsor (9,896) (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN In 2009, the Smart Meal program was evaluated by the CDC, the Robert Wood Johnson Foundation, and the University of North Carolina's Center of Excellence for Training and Research Translation and was deemed a best practice program. These entities evaluated the program's development, training components for restaurants/communities, information materials and evaluation measures. The COPAN Smart Meal program currently is the only such restaurant program recommended on a national level by CDC and recommended as a practiced -based program worthy of implementation in other states. Currently, there are nine (9) food service providers within Weld County that have certified Smart Meals on their menus. They include: McDonalds, Qdoba, Windsor Brick Oven Pizza, Contemporary Cook, Fat Albert's, Coyote's, Eaton Country Club, Greeley Country Club, and Woody's. Although Weld County is still in the process of working with their Smart Meal certified restaurants to train staff on data collection and the reporting requirements of the Smart Meal Program, preliminary data indicates that point -of -sale interventions such as displaying information about the Smart Meal Program, as well as, labeling menu items as Smart Meal choices have influenced their customer's food purchasing behavior. More importantly, the communities are recognizing the Smart Meal Seal and are receiving information about what this program entails through our local media partners. Businesses have benefited by the increased exposure they receive through press releases after they have successfully qualified a minimum of two items on their menus while consumers benefit by learning healthier purchasing habits. Due to the success of this strategy, staff time in 2010 will not be devoted to recruiting more restaurants to participate in the Smart Meal Program. Staff time can then be shifted to other areas that need more concentrated efforts. LiveWell Weld County will rely on state marketing efforts and state partnerships with chain restaurants to continue the Smart Meal Program's vitality within our county. Restaurants in Weld County who are interested in participating in the Smart Meal Program in the future will be referred to the Colorado Physical Activity and Nutrition Program for technical assistance. DOPTION (s) Number of organizations that participated in the strategy to date (t) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). To date, 121 restaurants have been notified through a mailing about the Smart Meal Program. To date, twenty-one restaurants in Weld County have certified Smart Meal menu items. The adopters include: McDonalds (9 sites), Qdoba (3 sites), Windsor Brick Oven Pizza, Contemporary Cook, Fat Albert's, Coyote's, Eaton Country Club, Greeley Country Club, Johnson's Corner, Santeramos, and Woody's. IMPLEMENTATION (f) Was the strategy implemented as planned? X Yes O No (g) Describe the progress and any changes or adaptations that were made this past year and why. by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN LiveWell Weld County didn't focus solely on South Weld County restaurants nor restaurants in disparate neighborhoods as originally planned. LiveWell staff found that many of these restaurants were struggling financially and weren't able to allocate staff time to implement the program. Additionally, many restaurant owners expressed that they didn't have the resources necessary to print required program materials and/or pay for menu analysis and the reprinting of menus with the Smart Meal logo in order meet program requirements. Also, the inability to provide program materials in Spanish created a barrier for several restaurants due to the fact that most of their patrons were Spanish speaking only. Therefore, we will continue to promote the Smart Meal Program through the end of this rant year to all restaurants throughout Weld County rather then limiting ourselves to only certain communities or neighborhoods. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. To date, all nine (9) of the participating restaurants continued to market their Smart Meals and participate in the program. Subsequent recertification of menu items is not required once restaurants have submitted recipes for analysis and have had their recipes certified as Smart Meals. As long as the data collection required for this program does not become too cumbersome for restaurants to complete, then they will remain in good standing with Smart Meal and continue to be able to market their certified menu items. Restaurants that are currently participating with Smart Meal view this program as a tool to potentially increase sales, as well as a way to contribute to the health and wellness of the community. Q) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors The CDC's recognition of the Smart Meal program as a "best practice" has helped tremendously in marketing the program to restaurants. Additionally, the Smart Meal statewide branding campaign and the Smart Meal website have increased program recognition and therefore, made it easier to recruit new establishments • Eight restaurants in Weld County have two or more certified Smart Meals on their Menus. • Participating restaurants have received publicity highlighting their efforts to provide healthy food through our media partners. • Restaurant partners are satisfying the increase in consumer demand in our community for healthier options. (I) Challenges by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN • One of the major barriers for restaurants to participate in the Smart Meal Program is incurring the cost of recipe analysis and the printing costs associated with all of the displays that are required to promote the program and qualified meals. • Additionally, several restaurant owners were not able to allocate money to print "table tents" and other Smart Meal marketing materials that are required to participate in the program. • It has been difficult to ensure restaurants will record baseline data (the number of Smart Meal items sold per month), as well as, to collect the number of items sold during subsequent months. • There is an absence of bi-lingual Smart Meal materials. If restaurants are targeted that are owned/operated by Latinos and/or restaurants located in neighborhoods where the primary language is Spanish then all marketing materials will need to be translated into Spanish. STRATEGY 4B: By January 31, 2011 provide technical assistance to at least 5 new worksites in Weld County with at least 20 employees by expanding worksite wellness policies and/or environmental changes in the workplace. TABLE A. is t ORT Provide available REAIM information for the 2009 grant year (beginning of grant year to final date through which you are reporting). Status: O Completed X Continuing O Sustained O Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) O Health Care O Active Community Environments O Schools O Breastfeeding X Worksites O Community Garden O Community O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: X Environmental Change X Policy X Program Focus of Initiative: O Healthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. The importance of addressing the environment that surrounds individual decision -making and promotes healthful behaviors is recognized as an important obesity prevention strategy. Over 130 million Americans are employed across the United States and since a significant part of their day is spent at work, comprehensive, culturally sensitive health promotion within the workplace is essential to maintain and improve the nation's health. Additionally, time spent at work ahs increased over the last two decades. The workplace environment is a significant target for obesity prevention efforts in particular. (Site from American Heart Association's Reference List) Of the Businesses that regularly participate in the Well City Worksite Wellness Support Group meetings, data indicates that 30 businesses have CEO support and 17 have a wellness team or health task force. Additionally, 16 businesses have collected data, and 20 have developed an operating plan, 17 have conducted and continue to conduce interventions, 12 have a supportive environment, and 11 have evaluated outcomes of interventions. Four large and two small worksites in Greeley have received their WELCOA awards and many other businesses are in the process of completing their applications. There are numerous success stories resulting from the implementation of comprehensive worksite wellness programming in Weld County. Some examples include; 4 elected officials and 2 executive directors from Weld County and the City of Greeley competing against 30 businesses throughout Northern Colorado for the title of Fittest Executive Team which demonstrated extraordinary CEO buy -in for worksite wellness. The University of Northern Colorado was successful in 2009 at passing a campus wide policy -limiting employees to smoking only in designated areas on campus. They are also changing their environment by limiting the number of places employees and students can smoke. In January, 2009 there were over 100 ashtrays disbursed around the campus. To date, 42 have been removed leaving 58 remaining. Furthermore, North Colorado Medical Center has developed food labels for all entrees sold in their employee cafe. Carestream Health in Windsor developed a "Geocaching for Wellness" program which they implemented along a trail system located on their property. They then shared the "how too" with Well City Support Group participants at a bi-monthly meetings. Weld County Government provided stickers to be put next to healthier options in all vending machines located in county buildings. Also, the Public Works Department developed a place for their employees to walk as a part of their worksite wellness initiative. To deal with pedestrian safety issues, they build a gravel path to keep employees from walking in the middles of the road. And — to make walking a year-round possibility, they painted a walking loop in the garage where Public Works parks their trucks. DOPTION by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (u) Number of organizations that participated in the strategy to date (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). Aims Community College, Anderson & Whitney, Banner Health — NCMC, Bank of Choice, Cache Bank, City of Greeley, Greeley/Evans School District 6, Greeley Chamber of Commerce, Greeley Medical Clinic, Home Depot, Genesis Plastics Technologies, Roche Constructors, Inc., Shirazi & Associates, State Farm Insurance, Sunrise Monfort Family Health Center, Swift & Company, The Tribune, University of Northern Colorado, United Way of Weld County, Weld County Government, Weld Schools Credit Union, Wells Fargo Bank, CDOT, Flood & Peterson Insurance, Eastmon Kodak Company/Carestream Health, North Range Behavioral Health, RR Donnelley, City of Evans, North Colorado Paper, Weld County Garage, StarTek, Envision, Town of Mead, High Plains Library District, National Board of Chiropractic Examiners, Windsor Recreation Center, Mountain View Fire District and Aqua Hot Heating Systems. IMPLEMENTATION (f) Was the strategy implemented as planned? O Yes X No (g) Describe the progress and any changes or adaptations that were made this past year and why. On May 8`h, 2009 LiveWell Weld County partnered with CanDo Ft. Collins and Loveland, LiveWell Longmont and LiveWell Colorado to offer a regional Worksite Wellness Workshop open to all Northern Colorado companies interested in implementing a comprehensive employee wellness program. The purpose of the workshop was to help companies in Northern Colorado learn how to implement fun and effective employee wellness programs. Participants had the opportunity to hear case studies from companies doing wellness programs in Northern Colorado, got easy -to use wellness program tools and resources, networked with other company wellness leaders, and learned how to build a successful wellness program from the ground up using the Well Workplace Model. Over fifteen different companies from Weld County attended the all day workshop. Throughout the year, worksite wellness was pitched to 12 new worksites, with the majority of the presentations being given to companies within Weld County but outside of Greeley. LiveWell Weld County participated in the Carbon Valley Chamber of Commerce's and the Northern Colorado Business Report's annual Bixpo events to promote worksite wellness and provide resources to businesses whom are just getting started. Worksite mini -grants valued at $500 were given to the Town of Mead and the National Board of Chiropractic Examiners to fund a one time wellness program/challenge at their worksite. LiveWell Weld County staff members continue to provide companies with technical assistance for the WELCOA application process, coordinate bi-monthly worksite support group meetings, administer worksite wellness mini -grants, and coordinate the annual CEO breakfast meetings. Changes made to our Worksite Wellness plan this year included re -focusing our efforts on businesses throughout Weld County rather than focusing solely on companies in South Weld. Our refocus shifted after discovering that the majority of businesses in this area of the by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN county were very small employers and that most businesses that service the area were located in Boulder County. Many businesses throughout Weld County, specifically in Greeley, Windsor and Evans participated in the Northern Colorado Regional Worksite Wellness Workshop in May and have attended Well City Support Group meetings but need additional technical assistance to expand their programming into a more comprehensive worksite wellness program. In 2010, LiveWell staff will build on the momentum these worksites have established by leveraging existing efforts and coaching them through the seven steps of on effective worksite wellness program. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. To date, most businesses that have implemented worksite wellness programming continue to engage their employees in worksite wellness efforts. New Frontier Bank, who had previously been awarded WELCOA's highest award, platinum recognition, was shut down by the FDIC earlier this year. Additionally, Weld County Garage continues to offer wellness programming for their employees, but at a much lesser capacity due to budget cuts and time restraints. Weld County Garage did not renew their WELCOA membership this year. Most businesses continue to value their worksite wellness initiatives but many are currently struggling to maintain programming efforts at previous levels due to budget cuts and employee time constraints. Many companies have addressed the tough economic times by taking advantage of relationships they have built with other companies involved in the Well City Initiative and partnering on programs and health fairs. For example, all Lunch and Learns offered by the City of Greeley, the City of Evans and Weld County are open to all government employees. Likewise, next year all three organizations will offer one health fair for all government employees rather than offering three separate events for each of their own employees. Also, Weld County has opened up their diabetes education classes to all employees who work for companies involved with the Well City Initiative. Many worksites share resources and tools amongst each other and continue to participate in bi-monthly Well City Support Groups meetings. U) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors Collaborating with surrounding LiveWell communities such as Loveland, Ft. Collins and Longmont has been extremely beneficial this grant year. All four communities (including by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN Greeley/Weld County) have worksite wellness initiatives at various stages of integration that has allowed us to pool resources and offer more comprehensive trainings, events and marketing campaigns. Examples of our joint efforts this year include the Worksite Wellness Workshop in May, the CEO "Fittest Executive" Breakfast in September and a worksite wellness presentation given to the Northern Colorado Human Resources Association also in September. We will continue to build a regional worksite wellness effort in 2010. Additionally, with so many resources through partnerships with Longmont, Ft. Collins, and Loveland, we no longer believe it is necessary to offer worksite wellness mini -grants to assist worksites in initiating their wellness programming. We shall continue in 2010 to provide opportunities for businesses to network with each other and share their worksite wellness tools and resources on a bi-monthly basis as a sustainable effort. The Greeley Well City website will be updated in 2010 to include a communication mechanism to contact all businesses involved in the Well City Initiative, as well as, a way for businesses to communicate with each other. (I) Challenges Promoting worksite wellness initiatives to companies located in South Weld County has been a challenge. LiveWell staff participated in the Carbon Valley Chamber of Commerce's Business Expo in May to promote our worksite wellness resources and recruit new companies to join our initiative. Also, we ran promotional ads in the Carbon Valley Chamber's monthly electronic newsletter explaining the benefits or worksite wellness and offering free technical assistance as well as the opportunity to apply for mini -grants to companies on the distribution list. Additionally, we spoke at two Carbon Valley Chamber networking events about the benefits of worksite wellness and our programming but we have only had success in recruiting one worksite, the Mountain View Fire District which serves both Boulder and rural Weld Counties. We have discovered that most businesses that serve Frederick, Firestone, Dacono and Erie are located on the west side of Hwy 1-25 in Longmont which is Boulder County. Worksite wellness technical assistance in the past has been focused on primarily on large employers. Most businesses in the Frederick/Firestone, Erie and Ft. Lupton communities are small often times with less then 20 employees. Staff found it difficult to implement the same protocol with small employers. Since 2010 will be our last year of LiveWell funding, we did not feel it was the right time to extend a lot of effort and time focusing on new communities when Greeley, Windsor and Eaton not only have the largest population bases but also still demonstrate a need for technical assistance for their businesses' worksite wellness programs. by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN TABLE B: 2{ 'Ifl s' t I+tl f A }N iAl Status: El New X Continuing El Revised Primary Sector (check one): O Health Care O Schools X Worksites O Community Type of Strategy: X Environmental Focus of Initiative: El Healthy Eating One-time or annual event: El YES...then complete Reach, Effectiveness, X NO....then complete all sections Additional Information (check all that apply) O Active Community Environments O Breastfeeding O Community Garden O Early Childhood O Faith -based O Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — Change X Policy X Program El Active Living X HEAL (both) Adoption, Maintenance sections only PLANNED REACH Action Plan: (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? Any type or size organization can improve the health of its employees and create a healthy workplace environment and culture, therefore, the potential target population is all Weld County residents who are employed outside of their home. (b) How many individuals in your community represent the target population? (c) How many individuals from the target population could benefit from the strategy in 2010? (d) For programs only: Describe what funding, policies or environmental changes would be needed to expand the reach. by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN If companies would clearly define their organization's expectations regarding healthy behaviors, and implement policies that promote health and reduce risk of disease, then our planned reach for this strategy could be expanded. To date, most Greeley Well City companies and businesses have successfully implemented one time or routinely offered programs to promote health, however, fewer have created policies to create the opportunity for wider spreading behavior changes. By changing the existing "rules" they would have a more powerful effect on employee behavior and habits. Additionally, environmental changes, both physical and cultural, would provide options or opportunities to adopt healthier habits and would also result in widespread change. Policy and environmental changes would make it easier to make the better health choice for employees while they are at work. Both formal written policies such as guidelines for ordering food for company events, no smoking or tobacco use on company property and/or company cost sharing for health club memberships and environmental changes or cues such as outdoor bike racks, labeling or highlighting healthy food choices and/or posters promoting healthy messages would extent this strategy to reach more of our target population. PLANNED EFFECTIVENESS (v) Describe the evidence base and/or rationale for this strategy (provide citation if available). According to the 2007 National Prevention and Health Promotion Summit's CDC Abstract Book, preliminary results show increased health awareness and action towards healthier lifestyles resulting from worksite environmental changes. It is estimated that health promotion worksite programs result in overall, benefit -to -cost ratios of $3.48 in reduced health care costs and $5.82 in lower absenteeism costs per dollar invested. In addition, there is a return on investment of at least $3 to $8 per dollar invested or more within 5 years of program implementation. (w) What outcome (i.e., knowledge, behavior change, health indicator) will you use to determine success? Number of worksites within Weld County who have implemented worksite wellness programming and the number of worksites who have received recognition for their comprehensive worksite wellness program through WELCOA (Wellness Council of America). Additionally, we will track the number of companies that have implemented one or more formal written health related policy for their worksite and/or made one or more environmental change within their worksites to promote health. (g) How will you measure the success of the strategy? ❑ IVR survey X Other survey: Well City Tracking Survey ❑ Focus groups ❑ Interviews ❑ Observation ❑ Other: by LiveWeii (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN PLANNED ADOPTION (x) (i) a) Describe the type of organizations that could potentially adopt the strategy (e.g., elementary and middle schools in "X" community; all small employers; all health care providers serving target population; non-profit organizations serving the target population, etc.) All employers in Weld County. How many organizations in your community could potentially "adopt" this strategy (now and in the future)? Of the organizations that could potentially "adopt" this strategy (i), how many do you plan to work with in 2010? S Businesses yet to be determined. PLANNED IMPLEMENTATION (k) Detail planned steps for implementing this strategy in 2010. • LiveWell Weld County will provide technical assistance to a minimum of five new worksites in Weld County to initiate on -site employee wellness programming. Each new worksite will have a minimum of 20 employees. The main emphasis of technical support will be to assist companies in initiating environmental change and/or policy implementation to support employee wellness. • A Worksite Wellness Workshop will be offered to all Northern Colorado companies interested in implementing a comprehensive employee wellness program. This workshop will help companies in Northern Colorado learn how to implement effective employee wellness programs. • Well City Support Group meetings will be offered bi-monthly to provide information, technical assistance and resources to all participating worksites. • A worksite wellness resource list will be updated and distributed quarterly to members of the Greeley, Windsor, and Carbon Valley Chamber of Commerce. PLANNED MAINTENANCE (I) How will you determine if the adopting settings will continue to offer the strategy (if a program); enforce it (if a policy); or maintain it (if an environmental change)? To date, thirty-eight (38) businesses that have initiated employee wellness programs at their worksites continue to engage their employees in worksite wellness efforts. Institutionalizing a supportive environment is essential for a thriving worksite wellness program. Although worksite wellness activities are usually successful over a short period of time, according to CDC's Steps to a HealthierUS Prevention Portfolio, "environmental changes at the worksite to support access to healthy food and physical activity and worksite wellness policies are the most effective way to reach the largest number of employees within a worksite". In fact, creating a supportive environment is WELCOA's fifth benchmark in their application process. The businesses that have been involved in the Greeley Well City Initiative are dedicated to obtaining their ultimate goal of becoming a designated "Well City" at the end of 2010. These businesses know that they must commit to maintaining a by LiveWell (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN comprehensive wellness program and hold each other accountable for fulfilling their commitment to obtain this eventual goal. Additionally, Weld County has a strong Well City Steering Committee that works continually to recruit and mentor new businesses as we expand this initiative outside of Greeley and throughout Weld County. The Steering Committee is dedicated to continuing this initiative well into the future. (m) How will a one day event transition into a sustainable event, supported and/or maintained by the community in the future? STRATEGY 4C: By January 31, 2010 collaborate with the Weld Faith Coalition to provide HEAL information and other micro -financed resources to at least ten faith -based organizations. TABLE A: tERT Status: O Completed O Continuing X Sustained El Revised O Discontinued Primary Sector (check one): Additional Information (check all that apply) El Health Care O Active Community Environments O Schools O Breastfeeding O Worksites O Community Garden El Community O Early Childhood O Faith -based x Healthy Food Purchases O Media and Public Awareness O Older Adult Sites O Other — Type of Strategy: O Environmental Change O Policy El Program Focus of Initiative: OHealthy Eating O Active Living X HEAL (both) One-time or annual event: O YES...then complete Reach, Effectiveness, Adoption, Maintenance sections only X NO....then complete all sections REACH Provide Reach numbers for the strategy to date (since beginning work on this objective/strategy). (a) Describe the potential target population - whose health and health behaviors are you hoping to improve by implementing this strategy (e.g., gender, race/ethnicity, age, income level)? The residents of Weld County. 249,775. (b) Number of people in your target population who have been reached (i.e., exposed to or participated in this strategy) to date. by Live Weil (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN To date there are 153 members of the Weld Faith Network. This represents individuals from faith based organizations, community agencies, and county government that are interested in receiving communication regarding faith -based partnerships. EFFECTIVENESS (c) Was the strategy effective? Summarize progress and outcomes of the strategy using data collected or cited literature. Yes, although it was implemented differently than planned. We established the infrastructure for regular communication with faith based organizations, community organizations and county government departments in the form of a monthly newsletter and website hosted by the county. The Weld Faith Council and Network now have a mechanism for two way communication to take place. Through this newsletter and website, we are able to promote LiveWell and other health department programs, events and educational opportunities to the community. The newsletter goes out to 105 individuals/organizations via email and 100 others are mailed a hard copy. LiveWell and the health department contribute to the newsletter monthly, maintain the list serve and send out the newsletters via email. We promoted the community garden mini grants and gave three to local churches. Other events include the Worksite Wellness University, Men's Health Pitstop event, the Amazing Food Detective, and a healthy eating and exercise class for the community. We did not have anyone from a local church attend the Worksite Wellness University but several agencies in the partnership were there. We did not track where participants were from at the other events. We have established good relationships with the faith based members of the Council and Network. Now that we have the infrastructure in place, supported by the Board of County Commissioners, we can begin to develop more relationships with individual faith organizations to reach members of their congregations. DOPTION (d) Number of organizations that participated in the strategy to date 153 individuals from faith, community and government organizations are involved in the Weld Faith Network. (e) List the names of the organizations that have participated in this strategy to date (since the beginning of this strategy). The Weld Faith Council is made up of representatives of seven churches, the Interfaith Council, the Colorado Council of Family Medicine and the Board of County Commissioners. The Weld Faith Network consists of Weld County [public Health, United Way 211, Faith Community Service Fund, Department of Human Services, District Attorneys' Office, Juvenile Assessment Center, City of Greeley, North Colorado Medical Center, etc., and 60 faith based organizations in Weld County. IMPLEMENTATION (f) Was the strategy implemented as planned? El Yes X No by Live Well (Your Community) LIVEWELL COLORADO 2009 PROGRESS REPORT & 2010 COMMUNITY ACTION PLAN (g) Describe the progress and any changes or adaptations that were made this past year and why. The Board of County Commissions reorganized the Weld Faith Council in 2009 and the Weld Faith Project Director was reassigned. The Weld Faith Network (Coalition) is the working group for the council and receives direction from the County Commissioners and the Council. Activities of the Network were put on hold for several months while the mission was revisited. Once this was done, the Network met with the Council to determine the priorities this collaboration. The outcomes were listed above. (h) If this was a one -day event, describe how it furthered the partnership engagement or helped advance the strategies in your CAP. MAINTENANCE (i) Describe any evidence that adopting partners/settings will continue to offer, enforce, or maintain the strategy beyond the grant period. The Council and Network will be sustained by the County with staff and funding. Because there are 359 faith based organizations in Weld County of various sizes, this provides another means of reaching the population in general. Most faith organizations don't have enough staff to support a worksite wellness program but many of the components can be offered to the churches. They provide a supportive environment for members that want to make healthy lifestyle changes. Community gardens are well established in Weld County and we will work to increase the number of gardens at local churches. Q) For one -day events, what progress has been made to transition this event into something long-term and sustained by the community? LESSONS LEARNED Describe factors that led to success of the strategy and any challenges and how you addressed them. (k) Success Factors • Established good working relationships with members of the Weld Faith Network and Council. • Coordinated communication system with the faith based network and other community agencies. • Ability to promote healthy eating and active living programs in a setting that enables success. (I) Challenges • Breaking down barriers of mistrust between government agencies and faith based organizations. by LiveWeii (Your Community) BUDGET WORKSHEET Contact Name: Gaye Morrison •Weld County Deparhnent of Public Health and Environment (WCDPHE EXPENSE CATEGORY , .. a $ 4 24,842 Amount from sources other than this grant (MATCH) $ 24,842 $ Total amount 49,684 0.5 FTE Project Coordinator Bobbie Puckett (RD) 0.25 FTE Admin Assistant Marjorie Hanson $ 8,605 $ 8,605 0.25 FTE Worksite Wellness Coordinator Kelly Imus $ 12,590 $ 12,590 Weld County Government Benefits 35.54% $ 8,829 $ 16,662 $ 25,491 Subtotal: $ 33,671 $ 62,699 $ 96,370 Administrative/Operational Office expenses $ 800 $ 500 $ 1,300 Educational materials and equipment $ 2,000 $ 2,000 Subtotal: $ 800 $ 2,500 $ 3,300 Conferences/Meetings Chronic Diseaserevention Partners Coalition $ 400 $ 2,835 $ 3,235 Weld County Y uth Coalition $ 400 $ 400 $ 800 Worksite Wellness Workshop $ 2,000 $ 12,480 $ 14,480 Love to Learn Early Childhood Conference $ 1,000 $ 1,000 $ 2,000 General Meeting Expenses $ 1,000 $ 1,000 $ 2,000 Subtotal: $ 4,800 $ 17,715 $ 22,515 Contractors (for overall work) Pam Smith ACE Coordinator $ 31,200 $ 10,400 $ 41,600 Evaluator Cindy Kronauge $ 10,000 $ 10,000 Subtotal: $ 31,200 $ 20,400 $ 51,600 TraveUMileage/Training Travel/Mileage $ 800 $ 800 Training Budget (limit to one out-of-state travel) $ - $ Subtotal: $ 800 $ - $ 800 Other (please specify) Incentives -Local products/gift certificates (if you feel you need more please justify) $ 1,000 $ 1,000.0 $ 2,000 $ Subtotal: $ 1,000 $ 1,000.0 $ 2,000.0 Indirect Costs Indirect Costs 10.00% $ 4,107 $ 8,391 $ 12,498 $ Subtotal: $ 4,107 $ 8,391 $ 12,498 Strategies (label as in action plan; use this section to account for budget related to specific strategy) 1B: East Greeley sidewalk project $ 2,000 $ 20,555.0 $ 22,555 IC: Trails network $ 4,000 $ 11,100.0 $ 15,100 2C: Community gardens $ 5,600 $ 100,000.0 $ 105,600 2D: Corner grocery stores $ 9,500 $ 2,000.0 $ 11,500 3A: CBOCES School Wellness Policy $ 1,000 $ 2,500.0 $ 3,500 3C: Kaiser Educ. Theater - Amazing Food Detective $ 1,000 $ 38,566.0 $ 39,566 4B: Worksite Wellness Programming $ 500 $ 5,440.0 $ 5,940 Subtotal: $ 23,600 $ 180,161 $ 203,761 TOTAL REQUEST FOR 201 TOTAL FUNDING AMOUNT FOR 2011 Hello