HomeMy WebLinkAbout20093107.tiffRESOLUTION
RE: APPROVE APPLICATION FOR 2009-2010 PREVENTIVE HEALTH AND HEALTH
SERVICES BLOCK GRANT AND LETTER OF SUPPORT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Application for the 2009-2010
Preventive Health and Health Services Block Grant and a Letter of Support from the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Weld County Department of Public Health and Environment, to the Colorado
Department of Public Health and Environment, commencing January 1, 2010, and ending
September 30, 2010, with further terms and conditions being as stated in said application and
Letter of Support, and
WHEREAS, after review, the Board deems it advisable to approve said application and
Letter of Support, copies of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Application for the 2009-2010 Preventive Health and Health Services
Block Grant and the Letter of Support from the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Weld County Department
of Public Health and Environment, to the Colorado Department of Public Health and Environment
be, and hereby are, approved.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 25th day of November, A.D., 2009.
BOARD OF COUNTY COMMISSIONERS
WELD C'_ TY, COLORADO
ATTEST:
i'.
Weld County Clerk to the Boa
Douglasi'ademache , Pro-Tem
BY:
AP
Deputy Clerk,to the Board) EXCUSED
un orney
Date of signature. Id I14IM
Sean P. Conway
7
Kirkmeyer
/4.44-12-71-1-A—>
David E. Long
('C' l—�U'PlCr)
2009-3107
HL0036
(c409
44it:r4
COLORADO
Memorandum
TO: William F. Garcia, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment
DATE: October 29, 2009
SUBJECT: Preventive Health and Health Services
Block Grant application
Enclosed for Board review and approval is the application for Preventive Health and Health
Services Block Grant funding between the Colorado Department of Public Health and
Environment and the Weld County Department of Public Health and Environment. The time
period for the grant is January 1, 2010 through September 30, 2010. The total amount of the
request is $70,456.76.
The Preventive Health Block grant funding, if approved, will provide partial support to improve
access to healthy foods in a disparate neighborhood in East Greeley/Weld County. The residents
of this area do not have access to a variety of affordable fresh foods that constitute a healthy diet
on a year around basis. The area is physically separated from the rest of the city by two state
highways that make access to full service food stores in other parts of the city difficult. Easy
access to healthy food choices is just one of the factors that influences health, but it is an
essential one.
The project, if funded, will be collaboration between the residents of the East Greeley/Weld
County area, three small corner store food retailers, two elementary schools and local
government to make healthy foods more available in the neighborhood while increasing
consumer demand for these products.
The funding will support existing FTE, a .5 health educator/program coordinator, .25 OT III and
.05 data analyst to assist with evaluation.
I recommend your approval.
Enclosure
2009-3107
Wilk.
COLORADO
October 29, 2009
John Chase, Chief Operating Officer
PUBS Block Grant Manager
Colorado A-5
4300 Cherry Creek Drive
Denver, CO 80246-1530
Dear Mr. Chase,
The Weld County Board of Commissioners is pleased to provide this letter of support for the
application for the Preventive Health and Health Services Block grant made by the Weld County
Department of Public Health and Environment. The amount of the request is $70,456.76 for the 2009-2010
funding cycle. The Health Department has efficiently used these funds in previous years for a wide range of
programs in our community.
The Health Department will use the 2009-2010 funds to improve access to healthy foods in a low
income disparate neighborhood in east Greeley/Weld County. The residents of this area do not have access
to a variety of affordable fresh foods that constitute a healthy diet on a year around basis. An environment
that offers residents of all ages multiple opportunities for easy access to healthy food choices is just one of
the factors that influences health, but it is an essential one. Living in an area where the built environment
discourages people from eating healthy or being physically active ensures that people do not.
This project will include working with existing small convenience stores and a discount grocery,
residents of the area, local schools and the City of Greeley to determine the needs of the community and
how we can improve the availability of affordable fresh foods. Nutrition education with residents of the area
will help increase the "demand" for fresh, healthy foods as the supplies become more available.
The Health Department has always been a leader in implementation of new and innovative strategies
to protect the health of the residents of Weld County. The Board of County Commissioners supports the
Weld County Department of Public Health and Environment in its goal to improve access to healthy foods
in east Greeley/Weld County.
Very Truly Yours,
Board of Oda: ny Commissioners
William F. arcia, Chair
-vul. P.
Barbara Kirkmeyer
EXCUSED
David E. Long
Sean Conway Douglas ' ademacher
Weld County Department of Public Health & Environment
Preventive Health and Health Services Block Grant 2009-2010 Application
1) Program/Project Title — East Greeley Improving Access to Healthy Foods
2) Program/Project Strategy — The project will focus on improving access to healthy foods in a low income
disparate neighborhood in East Greeley/Weld County. The residents of this area do not have access to
affordable fresh foods that constitute a healthy diet on a year around basis. We propose to work with the
residents, three small food retailers, two elementary schools and local government to improve access and
increase consumer demand for more fresh fruits and vegetables, multi grain products and dairy products that
are part of a healthy diet.
Improving access to healthy foods is a complex issue. It includes physical access, living close to a full service
food store or having consistent transportation to one; nutritional access, having enough food to provide a
healthy diet; financial access, affordable healthy food; and cultural access, foods that are relevant to the
population in the neighborhood.
There are many approaches to improving access that have been successfully implemented. These include
improving food choices at existing local groceries and corner stores, farmer's markets, and working with
existing food assistance programs to ensure the local retailers participate in the programs. Working with local
government is essential to determine what incentives are available to the retailers who participate.
To be successful, we also need to increase customer demand for these products in the local neighborhood.
Nutrition education is essential for understanding the need for fresh and healthy foods. Many people have not
had access to nutrition education programs and information unless they have been enrolled in a food
assistance program. Many parents with older children are interested in feeding their family nutritious meals
but lack the time and skills to make needed changes.
East Greeley/Weld County is a neighborhood of 7000 people that is physically separated from the rest of the
city by two state Highways, 34 and 85. The East Greeley "neighborhood" includes residents that live within
the city limits of Greeley and residents that live in an unincorporated residential area of Weld County. There
are three small food stores in the neighborhood, a small discount grocery that sells outdated, discounted foods
and local produce and two convenience stores/gas stations. There are two elementary schools, one in the
county and one in the city limits.
We have developed good working relationships with the city, county and schools through several health
related projects implemented over the past 8 years. We produced a health impact assessment for East Greeley
in 2008 as part of a city/county Colorado Heritage Grant to review zoning ordinances in that area. We
currently have a safe routes to school project underway to put in sidewalks to the elementary school located
just outside the city limits (Bella Romero) and we implemented an after school fitness and nutrition program
with the elementary school (East Memorial) located within the city limits.
This project will include:
0 Surveying residents about their food intake, food access issues, local food production and interest
in nutrition education programs.
0 Surveying food retailers about their access to affordable supplies and other barriers to selling more
fresh healthy foods, marketing strategies, and incentives.
0 Determining which strategies will be most effective. These may include more local production
through community gardens, farmers market, working with retail suppliers and schools to combine
orders and lower prices and decrease access to unhealthy foods and beverages, and purchasing
equipment such as refrigeration units to provide storage for foods.
0 Working with the city of Greeley, Weld County, and School District Six to identify all possible
barriers and incentives to improving access to healthy foods.
0 Implementing at least two strategies to improve healthy food access and demand and evaluating
the effectiveness of these strategies and project.
This project will be successful with financial support from the Preventive Health Block Grant funding
because we have infrastructure in place and solid working relationship with our partners. We have a health
education staff and a data analyst that will work on the project and support from our Executive Director and
Board of County Commissioners. We will implement a large scale food system assessment soon in
cooperation with Larimer and Boulder counties that will provide detailed information on our food supply
system locally. We have successfully implemented and sustained active community environment and
nutrition education programs through other funding sources that have helped lay the foundation for this
project.
3) National Health Objective(s) - Our project will address the following:
Healthy People 2010 Target Area: Food and Nutrient Consumption
• increase to at least 75% the proportion of Weld residents aged 2 and older who consume at least two
daily servings of fruit (HP2010 19-5).
• increase to at least 75% the proportion of Weld residents aged 2 and older who consume at least three
daily servings of vegetables (HP2010 19-6).
4) State Health Objective(s) — CDPHE's Colorado Physical Activity and Nutrition Program (COPAN) outlines
in its most recent logic model that their ultimate goal is reduced obesity related chronic disease by, among
other things, increasing the proportion of Coloradoans with a BMI < 25 and increasing fruit and vegetable
consumption among residents. COPAN emphasizes the need not only for knowledge change, but also for
"changes made to policies, procedures, or environments in schools, worksites, churches, communities,
restaurants, and community organizations".
5) Outcomes/Goals - Improve healthy food access and consumption among East Greeley / Weld County area
residents by implementing one or more strategies recommended by CDC in its July 2009 Publication
Recommended Community Strategies and Measurements to Prevent Obesity in the United States.
6) Effectiveness - Describe the processes that will be developed or are already in place that will evaluate the
effectiveness and success of the project's/program's outcomes and goals.
Process evaluation will document steps and activities and major milestones toward achieving our goal. Non -
probability surveys and qualitative data will be gathered to document movement toward intermediate and
longer -term outcomes. The baseline survey, which is part of the workplan, will estimate several health status
indicators for adult residents. We will continue to work with the local schools and school district to estimate
health indicators for children and youth.
7) Health Problem — Many factors influence people's health. An environment that offers residents of all ages
multiple opportunities for physical activity and easy access to healthy food choices is just one of those factors,
but it is an essential one. Living in one of these well designed neighborhoods does not guarantee people will
maintain or adopt positive health habits, but living in an area where the built environment discourages people
from being physically active or eating healthy often ensures that people do not.
Since 2004, county -level BRFSS data has been collected from a random sample of Weld County adults. A
subset of Weld County's 2006 BRFSS was recently analyzed for those people living in the 80631 zip code.
2
This area is bounded by 23m Avenue in the city limits on the west, County Road 50 on the south, County 70
on the north, and County Road 59 on the east. Although the 80631 zip code area is larger than the project
area, it is still representative of the residents who live in the East Greeley area.
• Almost one-third of area residents say they participated in no leisure time physical activity during the 30
days prior to being surveyed compared to 22 percent of Weld County residents and 17 percent of
Coloradoans.
• Similar to all Weld County residents, over 60 percent of people living in the 80631 zip code are either
overweight or obese.
• Almost one-fourth of people living in this area say they have a health problem (physical, mental, or
emotional) that limits them from their activities in some way compared to about 17 percent of all Weld
County residents.
Residents of Hispanic or Latino origin appear to be at higher risk for adverse health outcomes than people of
White, non -Hispanic origin (Table 4). Over 50 percent report getting no recent leisure time physical activity
compared to only 15 percent of White, non -Hispanic residents. Also, more Hispanic or Latino residents say
their health is fair or poor than White, non -Hispanic residents (30% vs. 13%). Sixty-nine percent of Hispanic
or Latino residents are overweight or obese compared to 55 percent of White, non -Hispanic residents.
Table 1. Selected indicators by race/ethnicity for people living in East Greeley/Weld County area
Hispanic or Latino White, non -Hispanic
No physical activity in past 30 days 50.1 15.3
Reported fair or poor health 29.6 12.6
Overweight or obese 69.2 55.1
Source: Weld County 2006 BRFSS
8) Target Population — The East Greeley Area is a 5,708 acre area bordered by Highway 34 on the south,
Highway 85 on the west, the South Platte River from its confluence with the Cache la Poudre River on the
east, and Colorado Highway 263 and the Greeley/Weld County Airport on the north. At the time of the 2000
U.S. Census, there were approximately 4,300 residents, over 3,000 primary structures, and over 2,000 land
parcels in the area. Currently, it is estimated there are over 7,000 residents. There is a cemetery, a plastics
manufacturing company, gravel pit, and shooting range within the county portion of the study area. In the city
portion of the study area there are three recreation areas including a neighborhood park, water park, and sports
park, one small discount store with groceries, two convenience stores/gasoline stations, two mobile home
parks, a small migrant housing complex, a Boys and Girls Club, one church, and a municipal airport.
At the time of the 2000 Census, about three -fourths of the estimated population (72%) lived in the southwest
city -limits residential area [1st Ave, East 18th Street, Cherry Ave and East 27th Street]. Fourteen percent lived
in the central area, II percent resided in the northwest portion of the study area and 3 percent lived in the
eastern portion of the area. The population increase has mostly been in the southwest city -limits residential
area. At the time of the 2000 census, the median income of residents living in the southwest residential area
was $33,214, whereas the median income of residents living in central, northwest, and eastern portions of the
study area was $50,272. We also estimate that:
• Most adult residents are between the ages of 18 and 39 years old.
• Over half of adult residents living in the area are Hispanic or Latino.
• A large portion of the adult population in this area have a high school education or not graduated from
high school.
• Many residents in this area report annual household incomes of less than $35,000.
3
Children going to elementary school in the area are described in Table 2. Most children living in this area live
in low income homes and are Hispanic or Latino origin.
Table 2. Demographic characteristics of elementary school students, Fall 2007
East
Memorial
Bella
Romero
Total enrolled
Race/ethnicity
White, not Hispanic
Hispanic or Latino
Other
502 458
8.4%
91.0%
0.6%
Eligible for Free or Reduced Lunch Program 92.4%
Overall Academic Performance Low
12.4%
85.3%
2.3%
82.8%
Low
Source: Colorado Department of Education
Target Population Identified (total #) — 7,000+ (estimate based on Census, spatial and county assessor data)
Also, please X those that apply below:
Race/Ethnicity
African American or Black
American Indian/Alaskan Native
Asian
Hispanic
Native Hawaiian/Pac. Islander
White
Other
X All
Age (Life Stage)
Under 1 Year (Infants)
1-3 Years (Infants)
4-11 Years (Children)
12-19 Years (Adolescents)
20-24 Years (Adults)
25-34 Years (Adults
35-49 (Adults)
50-64 (Older Adults)
65 or Older (Older Adults)
X All Ages
Gender Geography
Female X Rural Areas
Male Urban Areas
XBoth _Both
Primary Low Income
X Yes
No
9) Disparate Population — 5,600+ Hispanic/Latino adults; 1,000+ children; 400+ rural residents for a total of
7,000+ (essentially all residents in project area population belong to one or more disparate groups).
Disparate Population Identified (total #) — 7,000+
Also, please X those that apply below:
Race/Ethnicity Age (Life Stage) Gender
African American or Black X_ Under 1 Year (Infants)
American Indian/Alaskan Native Xl-3 Years (Infants)
Asian X4-11 Years (Children)
X Hispanic X_12-19 Years (Adolescents)
Native Hawaiian/Pac. Islander 20-24 Years (Adults)
White 25-34 Years (Adults
Other 35-49 (Adults)
All 50-64 (Older Adults)
65 or Older (Older Adults)
All Ages
Female
Male
Both
Geography
X Rural Areas
Urban Areas
Both
Primary Low Income
X_Yes
No
4
10) Essential Service Areas — Select 1 to 2 of the 10 Essential Services (see attached list).
Please include no more than 1 to 2 Impact Objectives (3-5 year objectives) for each of the identified
Essential Services. Please list no more than 3 Annual Objectives for each of the identified Impact
Objectives.
Healthy People 2010 Target Area:
Food and Nutrient Consumption
Essential Public Health Service Area:
Mobilize Partnerships
Impact Objective 1: By September 30, 2013, increase by 10% the proportion of East Greeley
residents who consume at least two servings of fruit and three servings of vegetables per day.
Annual Obj. 1: By September 30, 2010, complete a survey of 500 residents (completes) to obtain
baseline data and determine their patterns of food consumption and issues around local food access
and production.
Annual Obj. 2: By September 30, 2010, survey and/or interview Weld County food retailers about
barriers and incentives related to supplying healthy food options.
Annual Obj. 3: By September 30, 2010, work with partners and the coalition to identify and
initiate implementation of one or more strategies recommended in the CDC Recommended
Community Strategies and Measurements to Prevent Obesity in the United States.
11) New Request/Renewal — This is a new request.
12) Seeking Funding From Other Sources - PHHS Block Grant funding has not previously been available in
this area. The Health Communication Education and Planning Division obtains funds from several sources
including county general funds and a private foundation for obesity and chronic disease prevention.
13) Block Grant Role — Select the primary role that the PHHS Block Grant funds will play in helping to
accomplish the program/project objectives. Choices are as follows:
• Supplemental Funding — Supplement funding of activities for under funded programs
14) Percent of PHHS Funds — This proposal would provide $70,456.00 of $170,434 in obesity prevention
projects for a total portion of 42% being PHHS funded. Therefore, the PHHS funds represent a partial source
of funding.
15) Local Support — Include the amount of PHHS Block Grant funds that will be distributed or will benefit local
communities and/or local health agencies.
All PHHS funds will be used to benefit the East Greeley/Weld County area. Specifically, $70,456 will benefit
the local community and $21,000 will directly benefit community members.
16) Other Funding Sources — If applicable, please identify what other funding is used to support and or leverage
this project/program (please include specific source and amounts).
Source of Funding
Amount of Funding —
2009-2010
Amount of Funding —
2008-2009
Amount of Funding —
2007-2008
New Project— East
Greeley Access to
Health Foods
Immunization
project
Immunization
project
PHHS Block Grant Request
$ 70,456.00
$ 12,587.00
$ 13,846.00
Other Federal Funds
$ 0
$
$
5
(identify grant(s) below)
State General Funds
$ 0
$
$
Cash/Cash Xmpt Funds
$
$
$
Local Funds
$ in kind staff
$
$
Other private grant 2010
(LiveWell Colorado)
$ 99,978.00
Total
$ 170, 434.00
$
$
17) Budget —
Total FTE to be Funded (with Block Grant Funds) .75 FTE
Total Personal Services $
$37,856.00
Employee/Title/Position #
% Block
Grant
Funds
Block
Grant
Funding
($)
% Paid for by State, Federal or Local
Funds that directly tie to the PHHS
Block Grant funds —
please list specific sources (does not
have to equal 100%)
Bobbie Puckett Heath Educator
50%
$25,389.00
50% LiveWell grant
Marjorie Hanson OT III
25%
$8,747.00
25 % County funding
Cindy Kronauge Data Analyst
5 %
$3,720.00
5% County funding
Operating $
Survey printing and mailing - $2200.00
Survey and focus group incentives -$2000
Meeting expenses - $1000.00
Marketing materials - $3000.00
Travel $
Local mileage for staff at .53/ mile
Contractual $
Data analysis assistance
Other $
Incentives/equipment for food retailers — $20,000
Community garden mini -grants - $300.00 x 5 = $1,500
$8,200.00
$400.00
$2,500.00
$21,500.00
TOTAL PHHS BLOCK GRANT AMOUNT REQUESTED $70,456.00
18) Vacant Positions - From the positions identified in Question #17, please list those that are currently vacant.
Please list the position numbers and describe where your Division is with the hiring process.
Health Educator — this position is currently filled as 1.0 FTE with LiveWell Weld County. This position
will become .5 FTE LiveWell (decrease in funding) and .5 FTE with PHBG funding as of January 1,
2010, if funded.
OT III — currently filled, 1.0 FTE through 3 funding sources. PHHS Block grant funds will pick up .25
FTE funding that will end Dec. 31, 2009 when LiveWell funding decreases.
Data Analyst — currently filled at .75 FTE — hours will increase with PHHS grant funding.
6
19) Unexpended Prior Year Funds - Please identify previously awarded PHIS Block Grant funds (2008 or
2009) that are not yet expended and/or encumbered by September 30, 2009. Please briefly describe your need
for these funds and your plan for the expenditures.
2008 — "8' Year GBL - $ -0- List GBL(s), also
2008 — "9" Year GBL - $ -0- List GBL(s), also
20) Funding Options - We will look for other grant funding or reduce the work plan.
21) Why Block Grant Funds? The ability to maintain a healthy diet is an essential component of good health
and is a key strategy in preventing chronic disease.
22) Evidence Based Guidelines/Best Practices -
X MMWR Recommendations and Reports (Centers for Disease Control and Prevention)
X Other: Recommended Community Strategies and Measurements to Prevent Obesity in the United
States (Centers for Disease Control and Prevention)
23) Primary Strategic Partnerships -
Internal Partners
External Partners
Weld County Government
City of Greeley
LiveWell Weld County staff
East Memorial Elementary
Environment Health Division
Bella Romero Elementary
Drive Smart Weld County
Discount Grocery, 2 convenience stores
Chronic Disease Prevention Coalition
East Greeley residents/parents
24) Refocusing of the PHHS Block Grant —Please select one or two and briefly describe how your project falls
within these goal areas.
X Decrease premature death and disabilities due to chronic diseases and injuries by focusing on
the leading preventable risk factors.
The relative lack of access to full -service grocery stores that provide healthy food choices and easier access to
fast and convenience foods may be linked to poor diets and ultimately to chronic disease and obesity (USDA,
2009). This project will expand healthy food choices at existing grocery retailers in the neighborhood and
increase community gardening and farmer's markets.
X Support local health programs, systems, and policies to achieve healthy communities.
We will work with local policy makers and community partners to find ways to expand and improve healthy
food choices at the existing grocery retailers and support community agriculture and farmers markets through
strategies such as zoning ordinances and/or economic stimulus.
7
Donna Bechler
From:
Sent:
To:
Cc:
Subject:
Esther Gesick
Monday, November 23, 2009 9:43 AM
Gaye Morrison
Talya DeAngelis; Donna Bechler; Judy Nero; Elizabeth Strong
RE: grant for Wed agenda
Gaye - I've printed your packet for inclusion on Wednesday's Agenda, with a sticky note for
Donna to "Rush" the letter signatures, get the item scanned, and then e-mail you a .pdf as
soon as it is available on Wednesday.
Talya - Please be sure this is Dr. Wallace's calendar to attend the meeting on Wednesday.
Note - I will be out of the office for the holiday starting at 2:00 tomorrow, so if you need
further assistance, please coordinate with Elizabeth Strong or Donna Bechler.
Thanks!
Esther E. Gesick
Deputy Clerk to the Board
Weld County, Colorado
915 10th Street
Greeley, CO 80631
(970)356-4000 X4226
(970)352-0242 (fax)
Original Message
From: Gaye Morrison
Sent: Monday, November 23, 2009 9:12 AM
To: Esther Gesick
Cc: Talya DeAngelis
Subject: FW: grant for Wed agenda
Importance: High
Ester, I can't get in touch with Talya right now so here is the grant application, letter of
support and the memo for Wednesday's agenda. Thank you for helping me get this taken care
of. Please let me know if you need anything else.
Gaye Morrison, RD, MPH
Director, Communication, Education and Planning
Weld County Department of Public Health and Environment
1555 North 17th Ave
Greeley, CO 80631
970-304-6470 ext. 2380
970-397-6340 cell
970-304-6452 fax
Original Message
From: Gaye Morrison
Sent: Monday, November 23, 2009 9:02 AM
To: Talya DeAngelis
Subject: grant for Wed agenda
Importance: High
1
Here is the PHHS Block application approved by the Board for the agenda on Monday and now
Wednesday. Please get to Ester by 10:30 today. If there is a problem, I can do it. I left
Mark a message on his cell about the omission on today's agenda. Thanks for your help. Gaye
Gaye Morrison, RD, MPH
Director, Communication, Education and Planning
Weld County Department of Public Health and Environment
1555 North 17th Ave
Greeley, CO 80631
970-304-6470 ext. 2380
970-397-6340 cell
970-304-6452 fax
2
Hello