HomeMy WebLinkAbout20083134.tiff RESOLUTION
RE: APPROVE 2009 CONTINUATION 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 2009 Continuation 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 February 1, 2009, and ending January 21, 2010,
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 2009 Continuation 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 1st day of December, A.D., 2008.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
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"L°"f \ Will' H. Jerke, Chair
Weld County Clerk to th BO -'O,r . b ,P____„
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/ Douglas ademache
Date of signature: /d--2 68
2008-3134
HL0035
Memorandum_
TO: William IL Jerke, Chair
Board of County Commissioners •
' FROM: Mark E. Wallace, MD, MPH,Director
VI O Department of Public Health and
Environment
G'` ,j e� , C
• f
COLORADO DATE: December 1, 2008
SUBJECT: LiveWell Weld County Grant
Application
Enclosed for Board review and approval is the request for funding application for the LiveWell
Colorado Grants Program. The application is for a one year period, February 1, 2009 through
January 31, 2010. The total amount requested is $249,983.00
The funding is non-competitive and intended to continue the work of the Steps communities to
reduce the burden of obesity and chronic disease in Weld County. The target audience is Weld
County residents with an emphasis on low income and underserved populations. Strategies
include nutrition education, improving access to healthy foods and increasing opportunities for
physical activity. The strategies will be implemented/continued in the four sectors of community,
schools, worksites and health care.
One new staff person is needed to implement the first year work plan, a 1.0 FTE Registered
Dietitian. The .25 Office Technician III position requested in the grant will be added to an
existing .75 OT III in Health Communication to make the position full time. I recommend your
approval.
Enclosure
2008-3134
DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
j 1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
iKit DFAX:ADMINISTRATION: (970) 304-6410
wi C (970) 304-6412
PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
O FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
COLORADO FAX: (970) 304-6411
Granting Agency: LiveWell Colorado.
Applicant's Name: Weld County Department of Public Health and Environment
Applicant's Address: 1555 N. 17th Avenue
Greeley, CO 80631
Applicant's Phone: (970) 304-6420, ext. 2380
Applicant's Fax: (970) 304-6452
Project Title: LiveWell Weld County
Contact Person: Gaye Morrison, Health Communication Director
Date: February 1, 2009 —January 31, 2010
Amount: $249,983.00
Weld County Department of Public Weld County Board of Commissioners
Health and Environment
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Mark E. Wallace, MD, MPH i ctor William H. Jerke, Chair DEC a ) ?aryl
Weld •. tyGlerlc t1ard
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LiveWell
COLORADO
LiveWell Colorado
2009 Continuation Application
LIVEWELL WELD COUNTY COLORADO 2009 COMMUNITY ACTION PLAN
Application Checklist
Applications should be organized as outlined below and checked off as completed. The required forms
and templates, included in this document and on the website, must be used when submitting an
application. Complete applications will include the following documents, in the listed order:
2008 Continuing Implementation Communities,Including Steps Communities
x❑ Application Checklist
❑ Applicant Organization
Part 1: Summary Information
❑ Part 2: Perspectives
in Part 3: Above& Beyond
❑ Part 4: Coalition/Community Partnership/Capacity Building
H Part 5: Progress Report and Action Plan
❑ Section A: Goals
Section B: Objectives/Strategies
❑ Section C: Completed/Sustained and Discontinued Objectives/Strategies
(Steps communities will not complete this section)
❑ Section D: Continuing Objectives/Strategies
❑ Section E: Revised/Objectives/Strategies
❑ Section F: New Objectives/Strategies
❑ Part 6: Budget Narrative
❑ Budget Form(in Microsoft Excel)
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LIVEWELL WELD COUNTY COLORADO 2009 COMMUNITY ACTION PLAN
APPLICANT ORGANIZATION
(Please refer to the Instruction document)
Fiscal Agency Information
Name: Weld County Department of Public
Health and Environment
Street Address: 1555 N 17ih Avenue
City: Greeley
State: CO Zip: 80631
Executive Director: Dr. Mark Wallace
Primary Contact:: Gaye Morrison
Title: Director Health Communication,
Education, and Planning
Phone: 970-304-6470 X2380
Fax: 970-304-6452
Email: gmorrison@co.weld.co.us
1/VLG"I/�5 {t ?g 4 S 1/A51U*
Signature Date
Executive Director
Dr. Mark Wallace MPH
Amount of 2009 Request: $249,983
Contributing Authors:
Weld County Government employees Gaye Morrison, Cindy Kronauge, Kelly Imus, Pam Smith, and Denise
Retzlaff= all contributed to the writing, reviewing and editing of this document.
Page 3 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
PART 1: SUMMARY INFORMATION
County: Weld
City/Neighborhood(s): Weld County encompasses a large land area totaling about 4,000 square miles in
northeast Colorado. The majority of its population resides in several cities and towns in the eastern portion of
the county including Greeley(90,000). There are 16 school districts and 31 municipalities in Weld County.
Description of Population: Weld County's population has increased dramatically over the past decade with
an estimated total population of about 237,000 of which 174,000 are adults aged 18 years or older(US
Census, 2006). Based on population, Weld County is currently ranked the ninth largest county in Colorado
and is in the top 100 fastest growing counties in the United States. Similar to the nation as a whole,the age
structure of Weld County's population has shifted, with older age groups increasing. Most important, over the
past three decades,the Latino population has increased to approximately 33%of Weld County residents. Over
the past decade, the immigrant population has increased in Weld County. These populations are hard to
enumerate; however in 2005 over 2,000 migrant students were being served in four of Weld counties twelve
school districts(Colorado Department of Public Health& Environment, 2005).
Although there is much to boast about regarding Weld County, there is also much cause for concern
from a public health,population-based health standpoint. Recent local population-based data indicates that
59%of Weld County's adult population is either overweight (35%)or obese(24%). Even though these rates
have not increased since 2004,the proportion of obese residents is much higher than the rate for Coloradoans
overall (19%) (2007 Weld Community Health Survey,2007 Colorado BRFSS). Also, while about 3 out of 4
Weld County residents (78%) report participating in some kind of physical activity outside of work, we know
that adults with less education(50%) and Hispanic or Latino adults(55%)are significantly less physically
active than their more educated and non-Hispanic peers (2006 Steps Weld BRFSS). Also, we know that only
62%of residents actually participate in moderate physical activity and only 38%participate in vigorous
physical activity(2006 Steps Weld BRFSS; note: percentages are not additive).
Recent data has shown that the prevalence of overweight among adolescents in Weld County is
increasing especially among Hispanic or Latino adolescents. In Greeley School District 6, where over 50%of
Weld County school children attend school,the proportion of adolescents who are overweight increased from
9% in 2005 to 12% in 2007(2007 District 6 YRBS).
In terms of healthy eating habits neither adults nor adolescents consume as many fruits and vegetables
as recommended. In Weld County, only 22%of adults consume 5 or more fruits and vegetables a day
compared to 26%of Coloradoans and 24%of all US adults(2006 Steps BRFSS, 2007 Colorado BRFSS).
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Among Greeley School District 6 adolescents, only 18% ate five or more servings per day of fruits and
vegetables compared to 19% of all Colorado students (2007 District Six YRBS).
There are other indicators that the health status of Weld County residents needs to be monitored and
improved. When compared to Colorado,Weld County also has higher poverty levels,a higher percentage of
minorities, and fewer physicians per 100,000 people. And while there is no single measure to establish the
level of access to quality health care, it is well known that factors such as insurance status, income, age,
education, citizenship, race and employment can affect the access to quality health care. A recent report
summarizing the health and health care needs at the community level identified several factors that contribute
to health care disparities in Weld County, Colorado(Colorado Health Institute, 2006). Among these factors
are: (a)the county's population to provider ratio is at least 3,500:1, designating it as a primary care health
professional shortage area; (b) much of the county is designated as a medically underserved area; and(c)
almost half the county is designated as rural including a sizable portion which is designated as isolated small
rural. Also (as mentioned previously), the population of older adults and Hispanics is growing at a more rapid
rate than many other counties in Colorado.
Reporting Period: This report contains information through November 30, 2008.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Description of Initiative(One page maximum): The Weld County LiveWell initiative is intended to
expand on the work done during the past five years (2003-2008) through the Steps to a Healthier Weld
County federal grant. While the Steps initiative may have had some impact on the county's obesity and
physical activity rates, there is more work that needs to be done. This non-competitive grant enabled Weld
County Department of Public Health and Environment to collect (weighted) local data through BRFSS and
YRBS. Data enhanced the collaboration with community partners to understand the issues and develop
programming/ initiatives that concentrated on the diabetes and obesity epidemics locally, while infusing this
community with approximately $2.4 million to develop and promote chronic disease prevention activities.
Four environments (community, school,worksite, and health care provider) focused risk reduction messages
to targeted populations that included better nutrition, enhanced physical activity, and tobacco cessation.
It is our intent to continue to promote the established shared vision of a healthier Weld County. We
intend to focus our efforts even more based on the results of the 2007 Community Health Survey that
documented pockets of need geographically and among several underserved target populations. Weld County
LiveWell will build on the Step's initiative chronic disease prevention infrastructure which resulted in
important policy and environmental changes and will further enhance community partners' efforts toward
engaging all of us to collectively make healthier choices.
Basically the Weld County LiveWell Initiative will focus on 4 strategic Steps successes that will
drive policy and environmental changes in this community: 1) active community environment policy work,
2) community education and access to better nutrition and opportunities for physical activity; 3) integration
of health and wellness into childhood education and recreation systems; 4) and creation of environments and
advancement of policies that support healthy behaviors in worksites, restaurants and faith-based
organizations.
There have been many indicators of success with the strategies that we are proposing, and these are
interrelated since the Weld County residents were fortunate to be exposed to and engaged in a wide variety of
educational programming related to active living and healthy eating. 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. Classes, sponsorships of events, media campaigns, and associated incentives increased
awareness and provided education to community residents. Additionally, accurate and pertinent data from
several local data sources (i.e., BRFSS, YRBS, and Community Health Survey) focused the Steps' action
plans to address inequities in health status in geographic specific pockets throughout Weld County. In
communities such as Weld County, it is important to understand that the projects that were successful 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.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
PART 2:PERSPECTIVES(SIX PAGE MAXIMUM)
A. 2007 Perspectives(Three page maximum): The Steps grant built on the successes of each year during
the 5 year project, so all perspectives will be reported under 2008.
B. 2008 Perspectives (Three page maximum):
The successes from Steps to a Healthier Weld County federal chronic disease prevention grant were possible
through collaborations with community partners and integration of programming throughout Weld County.
These partnerships resulted in shared work that prevented duplication of services and leveraged scarce
resources.The successes were numerous and are summarized below in three subsections: nutrition, physical
activity, and other major projects. Steps successes crossed over four environments: school, community, health
care providers and worksites.
1. Education and access to better nutrition(i.e., Healthy Eating Projects):
• North Colorado Medical Center(NCMC)/Banner Health partnered with Steps to provide low-cost and
no-cost healthy cooking classes and nutrition education classes through the Cardiac Rehab program to
promote community challenges (100 Day Resolution Challenge, Around the World in 92 Days, etc) and
other community events(50+ Health Expo). The community looks to NCMC,the only hospital in Weld
county, and WCDPHE for reliable information about their health.
• Aims Community College hosted healthy eating and cooking classes for 2 years for over 50 students per
quarter. Two of the most popular classes were ABCs of Weight Management and Yoga and Nutrition.
Behavior change such as reading labels and choosing correct portions was documented in pre-test and
post-test comparisons. Anecdotal information from Aims Continuing Education Director indicates that
Kelly Leonard R.D., of Kelly's Kitchen, was one of the reasons these classes always met enrollment
numbers. As a result, a new class called Kelly's Kitchen On Demand is offered quarterly at Aims without
Steps resources.
• Kelly's Kitchen Nutrition that Tastes Great is a series of 6 five-minute nutrition education shows
produced in partnership with the City of Greeley for broadcast on the local station, GTV8. DVDs of the
program were distributed to 18 LiveWell state partners and other local cable stations including Aims,
District 6, and the city of Longmont's government channel as well as Channel 7 in Denver. From these,
Kelly Leonard R.D. made guest appearances providing nutrition education and healthy cooking classes at
the Farmers Market, worksite wellness lunch and learns, school groups, and a Taste of Home Cooking
event with 1,200 attendees. Kelly's Kitchen was recognized nationally by NACCHO, the National
Association of City and County Health Officials, in September 2008 as one of 25 annual Model Practice
awards.The City of Greeley received a Silver Award at the 3CMA(City, County Communication
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Marketing Association)National Conference for quality of educational video production for Kelly's
Kitchen.
• Men Beyond the Microwave was a healthy cooking class just for men through a contractual arrangement
with CSU extension with curriculum adapted for Greeley(from Kentucky Extension). This pilot project
was so successful that many community partners asked that it be repeated when more funding becomes
available.
• PitStop to Health was the theme of Weld County's 9th Annual 50+Health Expo. Eight community
sponsors, over 60 vendors,volunteers and community agencies collaborate to bring no-cost and low cost
screenings to Weld County residents over the age of 50. Approximately 500+ of the target group attend
every year to get clinical screens and health education. During 2008, the fair was expanded to include the
Weld County Job Services annual career expo which increased participation.
• Farmer's Market is held twice a week in Greeley. Steps worked with the City of Greeley to establish
use of EBT cards (e.g., food stamps) and debit cards at the Greeley Farmer's Market so that more
underserved and low income families had access to fresh fruits and vegetables. Increased revenues was
just one of the indicators demonstrating food stamps were being used. The Steps team and Kelly
Leonard provided"on-location"healthy cooking demonstrations using produce bought at the Farmer's
Market. More than 200 people sampled healthy produce recipes at the monthly cooking demonstrations
for the past two summers.
• Health Care Providers participated in two continuing medical education presentations (CME) each year
were sponsored by Steps .Experts from Denver Children's Hospital presented on diabetes, asthma, and
childhood obesity. In addition, a series of three presentations on Cultural Competency by a nationally
recognized expert was well attended by a diverse group of health care providers. In 2007, in
collaboration with regional partners, Steps helped sponsor a half day conference at Medical Center of the
Rockies titled Your Patients are Smoking, How to put out the Fire featuring Colorado Lieutenant
Governor O'Brien.
• Chambers of Commerce memberships. The Steps team joined three Chambers of Commerce in Weld
County to promote access to health information and programming to worksites and CEOs. Collaborations
enhanced the programming through in-kind contributions for:
o Elected Officials and CEO Breakfasts—annual breakfasts for two years with well known
keynote speakers brought over 100+professionals together to network and learn more about
ACE,worksite wellness and other Steps initiatives.
o Business Before Hours- hosted 2 annual events at WCDPHE in conjunction with the Greeley
Chamber of Commerce which was attended by over 50 Weld County residents each year.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
• Head Start collaboration resulted in resources provided to 12 Headstart centers serving approximately
575 preschool children in Weld County and their families including books, tapes,brochures and other
information shared for use with their programming. The partnership was expanded to include other
populations through the Area Agency on Aging,
• DO-NUTrition Boxes was a nationally recognized promotion through a partnership with WALMART.
Over the past three years, over 1500+ boxes of fruit were sold in a donut box for$2.98 with the goal to
visually demonstrate that there are alternatives to donuts. The project received national recognition in
DIET 2008, a supplement of Better Homes and Gardens January 2008 magazine.
2. Education and access to physical activity(i.e.,Physical Activity Projects):
• FFaR Away from the Screen is an after school physical activity program aimed at getting children to
engage in at least 60 minutes of physical activity every day. This is partnership with Leisure Services at
the City of Greeley to offer low cost physical activity opportunities for children for only $1/day at the
Greeley Family Funplex. This program is so successful that it is being expanded in Greeley and
neighboring communities.
• Community Challenges engaged partners and community residents to be physically active. Many
community sponsors donated prizes and gave discounts for services associated with these events. Each
challenge event builds on lessons learned from previous events to engage more residents in physical
activity. Early indications from local BRFSS data are promising in that it appears more residents are
adopting the recommended behaviors related to physical activity.
o 100 Day Resolution Community Challenge is a program where over 700 residents engaged in
healthy behaviors with over 47%keeping their New Year's resolution for 56 days or longer. This
was so popular that the challenge will be repeated in 2009.
http://www.stenstoahealthierweld.com/100day/Effectiveness Final.pdf
o 1 TON Community Challenge(Leave your Behind. . . Behind) is a challenge where over 500
community residents joined to lose 1 ton in Weld County. The community did not reach its goal,
however almost 400 pounds of weight loss was documented. This challenge spawned many other
challenges in organizations,especially worksites.
o Around the World in 92 Days Community Challenge is a walking challenge where over 600
residents joined to cumulatively walk 25,000 miles. Over 54,000 miles were logged in 92 days
which is more than twice the distance around the globe!
• Weld Walks initiative is an ongoing promotion to encourage residents to walk at least a mile per day.
As one example, many worksites have adopted the Weld Walks initiative to encourage their employees to
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
walk during their lunches and break times. This initiative is integrated with other major Steps initiatives
like ACE (active community environments) and the Greeley Well City Project.
• VERB project including the VERB Summer Scorecard is a Centers for Disease Control and
Prevention social marketing campaign that encourages tweens to be physically active. VERB, Its What
You Do has been promoted in Greeley for the past three years. Recently,the Weld County program,
VERB Summer Scorecard, was highlighted in the Journal of Preventive Medicine June 2008 documenting
its effectiveness. For the past two years, 15 organizations have received mini-grants from the Steps
initiative to replicate the VERB Summer Scorecard program in their own settings.
o Children's Festival is an annual event sponsored by United Way to educate parents and their
children on a variety of topics related to child development. In 2008, 5,000 children and their
families were educated on the importance of physical activity. Steps sponsored not only
educational materials but an inflatable play structure to children for the past three years to
promote the physical activity message.
3. Comprehensive Community Data Collection and Other Wellness Projects:
• Data Collection Programs were essential in strategic planning and grant applications at WCDPHE and
other organizations, including the North Colorado Health Alliance. In 2006, a Health Status Report on
Weld County was published using the BRFSS, YRBS, Children's Health Data and can be found at:
http://www.co.weld.co.us/news-releases/pdf/WeldCountyHealthStatusReport2006.pdf
o Weld Steps Behavior Risk Factor Surveillance Survey (BRFSS) 2004, 2005, 2006, 2007, 2008—
weighted data for 2004 through 2006 is available and has been used by Weld County and others.
WCDPHE is collaborating with University of Northern Colorado faculty to further analyze trends
among Weld residents related to healthy eating and active living behaviors.
o District Six Youth Risk Behavior Survey (YRBS) 2005, 2007—eight high schools in Greeley and
Evans participated. Collaborative efforts with Colorado Prevention Partners and Weld County
School District 6 to prioritize the issues and determine a plan of action.
o 2007 Weld County Community Health Survey —was conducted in fall 2007. The goals of this
survey were(a) to obtain data not found in the BRFSS, (b)to obtain regional estimates of key
health status indicators, and(c)to perform geospatial analysis of these data as well.Data has been
analyzed and work groups established in 2008 to prioritize,plan and implement strategies to
improve long term health of Weld County residents.
• Other Wellness Programs
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
o 30 Minutes to a Healthier Weld County is a weekly radio program on 104.3 FM featuring a
different expert each week giving information on a wide variety of topics related to national
health celebrations, such as National Diabetes Month and National Nutrition Month, and local
community health events such as the 50+ Health Expo,Tailgate the Safety Way, etc. Steps not
only sponsors the show and recruits the speakers, but the Project Coordinator is the DJ for the
show.To date over 3500 minutes of health education programming targeting 8000 listeners/week
(average age of 50)was broadcast during 2008 alone.
o The Greeley Tribune has been an avid supporter of Steps activities since the inception of the
grant. The good relationship we enjoy with the Tribune was taken to a new level by the Steps
Project Coordinator over the past three years. The Tribune has co sponsored all of the Community
Challenges in Weld County mentioned above, publishing free advertizing before and during the
events and featured these events in the monthly Health Beat Magazine. In September, 2008, the
Tribune published a 7-day series of articles on childhood obesity in celebration of Running
America 2008. The series that highlighted the work being done locally by Steps and their many
community partners dedicated to the vision of healthier children in our community.
o Running America 2008 was a run across America to raise awareness for United Way and the
need to work together to raise healthy children. A celebration sponsored by Weld County United
Way and Steps was held at the Family FunPlex on October 1 to publicize the Run. Charley Engle
and Marshall Ulrich, a Greeley native, ran through Weld County on their way across America on
October 4th, completely their amazing journey in New York on November 4, 2008.
• Earned Media and exposures were an integral part of the Steps initiative and Steps tabulated over 10
million exposures to media, both earned and paid during year 5 (2008) alone!
www.stepstoahealthierweld.com website has averaged 7,500 hits/month throughout the course of the
Steps grant. During 2007-2008 grant year, over 1.5 million hits were documented. The Greeley Well City
website was developed to provide resources to worksites—www.greeleywellcity.com
The selected Steps successes listed above led to more comprehensive approaches relative to health media.
The Steps Project Coordinator will manage the WCDPHE media calendar for the year, integrating messages
and resources for all programs whenever possible.The sophistication and plethora of earned media is a direct
result of partnerships and greater awareness of mutual agendas by media sources, community agencies and
community residents. During year five of the grant, (2007-2008), there was over 10 million media exposures
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
to Steps work and at least half was earned. Conservatively estimated,these partnerships also resulted in in-
kind contributions of almost$1 million during year 5 in Weld County.
PART 3:ABOVE&BEYOND(THREE PAGE MAXIMUM)
The Steps team, in collaboration with WCDPHE and other community partners, could not have anticipated
nor predicted the overwhelming success of their community action plans. The community's response to Steps
initiatives just snowballed, increasing momentum that resulted in environmental change,policy development
and implementation. The following are the major policies established during the past 5 years:
1. Weld County School District 6 (WCSD 6) developed and implemented District Wellness Policies and
established Coordinated School Health teams in 11 schools. WCSD 6 has allocated money to support
these policies and the Steps-funded School Health Coordinator' position is now a permanent position at
District Six and she will continue to help with implementation and expansion of the policies.
2. Harvest of the Month(HOTM)project was instituted by WCSD 6 through the nutrition education
program in 17 elementary schools (188 teachers) in Greeley during year four of the grant. Approximately
10,000 children sampled a different fruit or vegetable every month to expose them to healthier food
selections. Although the program initially cost over$25,000 in start up fees and produce purchases,
HOTM is being maintained through USDA grants and WCSD6 resources. This project also spawned the
creation of community gardens in two elementary schools.
3. Worksites Wellness Programs were implemented in 35 large organizations and businesses in Weld
County through the establishment of worksite wellness policies. This Comprehensive Worksite Wellness
Project includes the Wellness Councils of America(WELCOA) and the American Cancer Society's
(ACS) Health Links Collaboration which offers direct services to worksites. During the past two years,
mini-grants totaling approximately$6,000 enabled smaller worksites to establish basic worksite wellness
programs for their employees.
4. Greeley Well City Initiative through WELCOA is tentatively scheduled for completion December 2010.
Over 20 large employers employing at least 20% of the workforce in Greeley have committed to joining
WELCOA and establishing a comprehensive worksite wellness program at their organization.
5. The Greeley City Council hosted numerous presentations on Steps Initiatives and awards and issued
proclamations in support of joint community events such as the 100 Day Resolution Challenge. The
former mayor of Greeley, Tom Selders, was recognized as a Wellness Champion by the Steps team at the
partner appreciation event in September, 2008.
6. Weld Faith Network and the Weld Faith Council were established by Weld County Commissioners in
2007 to engage this target group in activities related to county services. As part of the Network,
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
WCDPHE partners with faith based organizations on Emergency Preparedness and Wellness programs.
Improving access to fresh food through community gardens is a high priority for 2009.
7. Weld County Government established a Worksite Wellness Program and approved a .5 FTE Worksite
Wellness Coordinator position in 2008 to improve the health of the 1250 employees at Weld County. The
Board of County Commissioners also approved the continuation of the full time FTE Steps Project
Coordinator to maintain the momentum of the Steps initiatives. The approval of 1.5 FTE for Wellness
initiatives is just one indicator of the commitment of the County Commissioners to move Weld County
towards being a"healthier community".
8. The North Colorado Health Alliance(NoCOHA) is a non profit alliance of 12 community agencies
serving the low income and underserved population in Weld County. They are committed to integrating
programming and leveraging resources to provide health services to the disparate populations. WCDPHE
is a leader in addressing issues related to health care cost, quality and access. As an example,the
Alliance was successful in securing federal grant funds for an Electronic Medical Records (EMR) linking
five locations including WCDPHE and two Community Health Centers and for renovating space to
expand the capacity at Sunrise Community Health Center in Evans. Both of these major initiatives
leverage resources for all agencies in Weld County that serve the underserved.
9. Healthy Habits featured health blogger: WCDPHE staff write three health related articles per week
featured on Tribune's website and printed weekly in the Healthy Habits Section of the local newspaper.
This project was instituted by the Tribune in partnership with WCDPHE because of relationships built
through the Steps initiative. The health blogs are the most popular Web Blogs the Tribune sponsors on
their page according to the Tribune's Managing Editor.
http://apps.greeleytribune.com/utils/blogs/index.php?id=Blog:c 10235d2-60de-4083-97b2-
e79f329f687a&plckBlogld=Blog%3ac 10235d2-60de-4083-97b2-
e79f329f687a&sid=sitelife.greeleytribune.corn
10. Smart Meal Seal program through the CDPHE encourages alternative healthy choices on local restaurant
menus. Currently there are seven local restaurants participating in Weld County.
11. NEOS Machine is an interactive physically challenging electronic play structure awarded to the Family
Funplex in Greeley through a collaborative grant from Playworld Systems that is free to community
residents. The Steps Project Coordinator wrote the grant on behalf of the Family FunPlex. The NEOS has
an estimated value of$35,000. Over 1800 players of all ages have engaged in physical activity playing
NEOS since it arrived in September 2008.
12. Zumba dance classes started as a Steps initiative in partnership with the Diabetes Disparity staff to offer
Latin infused aerobic exercise classes targeting disparate populations. Classes have been held weekly at
Page 13 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
the Rodarte Center in Greeley for$1/hour during the past two years with 50—75 participants each class.
The popularity and success of Zumba in this community led to sustainability of this form of physical
activity for targeted populations without Steps resources in 2008.There are other locations that now offer
Zumba including Aims Community College, Recreation Centers,etc.
13. Platicas are another example of a partnership with the Diabetes Disparity grant. Nutrition education is
offered in the home, targeting low income and Hispanic families using"Small Changes Make a Big
Difference"curriculum from CSU Extension. Over 1500 people participated in the past year. Platicas
were featured in a publication by the CDC, September 2008, as a best practice Steps success story.
14. Active Community Environment(ACE)initiatives were incredibly successful in Weld County for a
variety of reasons and partnerships played a large role in sustaining the momentum.
➢ Nationally recognized expert on Smart Growth and Active Community Environments, Dan Burden,
provided information and technical assistance to over 1000 people and 8 municipalities during the
past 3 years. His message has resonated throughout Weld County and he admits using Weld County
as an example for the rest of the nation. Dan spoke at two full day conferences to planners, engineers,
elected officials,developers, and business leaders to educate them on smart growth principles and the
economic benefits of active communities by design. He visited 8 municipalities,meeting with staff
and providing technical assistance on land use planning and speaking to the elected officials and
community leaders on the potential benefits of ACE in their communities. This led to hiring an ACE
Contractor(Pam Smith)through the Steps grant to provide Technical Assistance:
o Weld County 5 year Comprehensive Plan which is being finalized in 2008.Dan Burden
reviewed the Weld County Comprehensive plan and existing MUD and PUD regulations and
made recommendations for language to support building healthy communities. This Comp
Plan is a compilation of expertise from the Technical Advisory group who said more of
Pam's recommendations were written into the Comp Plan than anyone else who was asked to
make referrals.
o East Greeley Health Impact Assessment (HIA) was completed in a disparate neighborhood
in east Greeley in collaboration with the City of Greeley and Weld County Planning as part of
a Heritage grant study. Findings from the HIA lead to a partnership with other community
agencies and School District Six to implement a project to evaluate building sidewalks to an
elementary school in that neighborhood. The long term goal is to have the"no bike/no walk"
policy lifted at Bella Romero Elementary school.
o Regional Trails Work Group established after Dan Burden's Conference in April 2008
which included 15 people representing 9 organizations all over Weld County. The group will
Page 14 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
work on the development of trails that link adjacent jurisdictions through common and
mutually beneficial planning networks.
Si, 52-85 Master Trail Map Plan published"a Cooperative effort by communities in southwest Weld
County, northern Adams and other partners to coordinate trails planning, design, and construction and
maintenance." Steps was included as a contributor in this very detailed professional publication
intended to guide future work on connecting trails.
➢ Community Gardens- Project GROW (Gardeners Reaping Opportunities for Wellness)has funded
16 gardens in the past 2 years through mini-grants. One large plot of land on the UNC campus has 22
plots that have been rented by the same residents for the past 2 years, leading to another land donation
by the City of Greeley at Plumb Farms which has 7 plots. Other agencies that have received $250 or
less to establish a community garden include the town of Kersey, a Fellowship Church, an adaptive
rehab program through Windsor Recreation, Greeley Probation, and many others. Because of the
popularity of the community gardens, with many residents choosing to retain their plot, other sites are
being recruited all around Weld County. Less than $4000 of grant funds were utilized for this project
since much of the land and labor was donated. In-kind donation for this project is conservatively
estimated at$60,000.
Page 15 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
PART 4: COALITION/COMMUNITY PARTNERSHIP/CAPACITY BUILDING
A. Current Partners:
Partner Organization or Name Partnership Status Funding Status Significant
In-Kind
Existing New Recipient Contributor Contribution
Aims Community College X •
X X
American Cancer Society X i X X
Area Agency on Aging and X X X
associated Senior Centers
Banner Health/NCMC X X
City of Evans X X
City of Greeley -many X X X
departments
Colorado Prevention Partners X X
CSU Extension X X
Dan Burden—ACE Expert X X
Don Paul Respiratory
Eldergarden and other assisted X
Living Centers including Garden
Square and the Bridge
Greeley Chamber of Commerce X X
Greeley Mall X X
Greeley Tribune X X X
Harvest Restaurant and X X
Cranberry's Market
Headstart X
Island Grove Treatment Center X X
Kelly's Kitchen(Kelly Leonard) X X
Many restaurants w/Smart Meal X X
Seal project
North Colorado Health Alliance X X X X
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Partner Organization or Name Partnership Status Funding Status Significant
In-Kind
Existing New Recipient Contributor Contribution
North Colorado Therapy Center X X
Pirate Radio X X X
Salud Clinic Fort Lupton X X
Senator Salazar and staff X X
Senior Marketplace News X X X
South Weld Chamber of X X
Commerce
Spanish Radio KGRE X X
Sunrise Community Health X X X
Telemundo Spanish TV Denver X X
United Way of Weld County X X
University of Northern Colorado X X
Weld County Department of X X X
Health and Environment
Weld County Government - many X X
divisions
Weld County School District 6 X X X
YMCA of Longmont X X X
A. Progress(Two page maximum)
Infrastructure and Coalition building: at least 9 groups of Weld County Professionals and community
residents have been established to carry out the Steps initiatives, with many subgroups working to target
specific groups so as to complete all WCDPHE Action plans including but not limited to:
> Weld County Board of Health—is an advisory board to the Weld County Commissioners. This board
of 9 members has been strong supporters of Steps initiatives including serving on some capacity with
coalitions and work groups.
➢ Community Wellness Consortium—over 30 community partners that meet quarterly to provide
guidance and information to the Steps initiative. It has included many workgroups over the past 5 years
including VERB, FFaR, Community Challenges, Weld Walks, etc.
Page 17 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
➢ Worksite Wellness—over 35 worksites participate in one or both of the work groups that have been
spawned from the activities associated with wellness in the worksite including the: Steering
Committee for Greeley Well City Initiative and Support Group for Greeley Well City AND worksite
wellness.
➢ Diabetes Coalition— membership varies but at least 12 regular partners; established over 9 years ago.
Over the past 2 years, collaboration with Diabetes Disparities grant and Wise Woman Chronic Disease
project with Sunrise Monfort Community Health Center was accomplished to leverage resources to serve
more of the disparate populations of Weld County.
> Tobacco Coalition—attendees vary, but at least 25/meeting to work on tobacco prevention and cessation
activities in Weld County. (Smaller groups worked on the multiple details necessary to educate the
community on the adverse effects of tobacco sampling leading to a Greeley Ordinance to Prohibit
Tobacco Sampling)
> District(WCSD6) Wellness Policy Advisory Group—large group but at least 25 professionals and
community partners that developed and help implement the WCSD6 District Wellness Policy that was
federally mandated in March 2007. There are many subgroups working on wellness at WCSD6 including
health curriculum, PE, and Coordinated School Health Teams (and SHIP groups).
➢ ACE Task Force—this task force has been meeting quarterly for the past 3 years to work on active
community environment projects. The group was responsible for planning and implementing many of 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 work on the East Greeley Project.
➢ 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 Preparedness. This group
represents a diverse population, many serving disparate populations.
> Project GROW Community Garden Advisory Group—(Gardeners Reaping Opportunities for
Wellness)has only 9 members,but is responsible for the planning, implementation and expansion of the
Community Garden Project. The gardens were implemented in the spring of 2007 with one large area
that was cordoned off to 22 sites. In 2008, the City of Greeley donated another plot of land at Plumb
Farms that was plotted to 7 sites. Water is also donated from both UNC and the City of Greeley. This
group also oversees the distribution of mini-grants to community agencies to start their own community
gardens. In two year, there were 8 minigrants awarded.
Page 18 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
> Health Media Advisory Group was initiated in 2006 to include about 22 local media sources in
planning and marketing the Steps projects. The relationships built resulted in an abundance of earned
media related to healthy messaging.
B. 2009 Community Action Plan(Two page maximum):
There has been a positive correlation between the community partnerships and relationships with
organizations who participate in Steps initiatives and the work that was accomplished during the past five
years. Agencies have been listed in 4A above who have demonstrated a commitment to a healthier Weld
County community. The reason persons have not been named is because of turnover,transitions,and
time/budgetary constraints that preclude a more active involvement of individual community partners. Local
agencies have always been willing to support and participate in Steps activities with just an invitation to help,
and it is our intent to continue to engage more community partners, especially in south Weld County, where
we have not had as much participation as is optimal. This involves face-to-face meetings to develop
relationships and establishment of mutual goals and objectives. Our partnerships are strengthened by success,
so we will continue to develop goals and objectives that stakeholders can relate and commit to.
The Community Wellness Consortium that had been organized for the Steps initiative will be restructured
to complement the Weld County Community Survey Project. There are three community groups being
organized during the fall 2008 to work on this project. The Variations Work Group is analyzing the data from
the community survey and prioritizing the issues. Then a workgroup to plan and implement strategies to
address the priorities will come up with recommendations. The groups will include community partners who
have a mutual interest in addressing health issues in our community—many of them Steps partners.
The Greeley Well City Worksite Steering Committee and the Worksite Support Group will continue
bimonthly meetings without interruption through WCDPHE. The goal of this group is to seek a"Well City"
designation from WELCOA by December 2009. This has been a three year Steps initiative that includes
many community leaders and partners being added regularly. The goal this year is to invite more worksites
from south Weld County who may benefit from the TA and the support groups, even though they will not be
part of the Well City initiative.
The Diabetes Coalition will continue bimonthly meetings and will be expanded to include other current
grants at WCDPHE including Women's Wellness Connection and the Wise Woman projects.
Page 19 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
The Weld County Tobacco Community Coalition will also continue monthly and expand. Many
community partners that serve on this coalition are strong supporters of chronic disease prevention efforts of
WCDPHE and do not shy away from controversial initiatives that promote a higher level of health in Weld
County.
The District Wellness Advisory Committee at WCSD6 will also expand - and the WCDPHE will remain
active members. The targeted districts for the LiveWell grant is CBOCES, which includes 15 school districts
in NE Colorado. What was learned in the work with WCSD6 will be utilized at CBOCES include Wellness
Policy implementation, Coordinated School Health Teams and school health improvement plans (SHIP). The
first step will be relationship building.
The ACE Task Force and associated sub-committees will also continue quarterly 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 HEALS. 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 her organization
can become more involved.
Project GROW Community Garden Advisory Group-The project is so successful that those residents
who have rented plots the past two years keep them to tend the soil, compost, etc in the off season. This
necessitates adding more plots every year which is being investigated. During the fall of 2008,two faith-
based groups have expressed interest in applying for minigrants to start their own gardens on their church
property.
What we have learned from the Health Media Advisory Group is to plan an annual meeting 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 venue facilitates healthy messaging in Weld County while leveraging
resources.
Page 20 of 76 by LiveWell Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
5:PROGRESS REPORT AND COMMUNITY ACTION PLAN
Section A
Weld County 2009 GOAL: Increase opportunities and access to healthy eating and active living
(HEAL)through programs, environments and policies.
Section B: OVERVIEW OF OBJECTIVES/ STRATEGIES
1. By 1/31/10, coordinate 4 interrelated Active Community Environment initiatives that will result in at
least 1 environmental or policy change in Weld County.
2. By 1/31/10,provide at least 10 opportunities for community education and access to better nutrition
and physical activity to multiple targeted populations.
3. By 1/31/10, integrate health and wellness initiatives into 5 additional childhood education and/or
recreation systems in Weld County to reach 25% more children with HEAL messages.
4. By 1/31/10, create environments and advance policies that support healthy behaviors in 5 worksites, 5
restaurants and 5 faith-based organizations.
Refer to logic model on next page.
Page 21 of 76 by Live Well Weld County
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km
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Objective I: By 1/31/10, coordinate 4 interrelated Active Community Environment initiatives that will
result in at least 1 environmental or policy change in Weld County.
Strategies Status Page#
1A: By January 31, 2010,plan and implement a regional Continued
conference for at least 125 elected officials, planners and
others involved in active community design and
development.
1B: By January 31, 2010, collaborate with the East Greeley Continued
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.
IC: By January 31, 2010, consult with established workgroups Continued
to provide technical assistance to facilitate the continued
planning and implementation of trails networks between
adjacent jurisdictions through partnerships and joint
projects in Weld County.
1D: By January 31, 2010,consult with the City of Greeley and Continued
at least three other municipalities to provide technical
assistance to their planning and zoning documents that
support ACE and HEAL principles in their communities.
Objective 2: By 1/31/10,provide at least 10 opportunities for community education and access to better
nutrition and physical activity to multiple targeted populations.
Strategies Status Page#
2A: By January 31,2010, plan and implement education, Continued
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.
Page 3 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
2B: By January 31, 2010 expose at least 25%of Weld County Continued
Health Care Providers to cultural competency principles
especially related to HEAL through trainings, TA and/or
focus groups.
2C: By January 31, 2008,Facilitate access to healthy foods Continued
through community gardens, neighborhood grocery stores
and other opportunistic events.
Objective 3: By 1/31/10, integrate health and wellness initiatives into 5 additional education and/or
recreation systems to reach 25% more children with HEAL messages.
Strategies Status Page#
3A: By January 31, 2010, facilitate the implementation of at Continued
least I aspect of the district wellness policy related to
HEAL in 3 or more schools in collaboration with the
Centennial BOCES school district.
3B: By January 31, 2010, assess, collaborate and facilitate Continued
policies that promote healthy eating and active living in
daycare centers and/or recreation centers in Weld County.
3C: By January 31, 2010, collaborate with agencies Continued
responsible for after-school programming to promote 60
minutes of PA/day to sites in Weld County to expose 25%
of Weld County children to messages related to HEAL.
Objective 4: By 1/31/10, create environments and advance policies that support healthy behaviors in 5
restaurants, 5 worksites, and 5 faith-based organizations in Weld County.
Strategies Status Page#
4A: By January 31,2010, facilitate the expansion of the Smart Continued
Meal Seal program to 5 additional Weld restaurants.
4B: By January 31, 2010 provide technical assistance to at Continued
least 5 new worksites in south Weld County with at least
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
10 employees by expanding worksite wellness policies
and/or environmental changes in the workplace.
4C: By January 31, 2010, collaborate with the Weld Faith Continued
Coalition to provide HEAL information and other micro-
financed resources to at least 10 faith-based organizations.
Section C:
COMPLETED, SUSTAINED and
DISCONTINUED OBJECTIVES/STRATEGIES
DEFINITION:
Those Community Action Plan objectives/strategies on which you will not do any work in 2009 because they
have either been completed, sustained or have been discontinued based upon previous work done: NOT
APPLICABLE IN WELD COUNTY.
Section D:
CONTINUING OBJECTIVES/STRATEGIES
OBJECTIVE/STRATEGY IA: 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 conununity design.
Sector: x Active Community Environments x Other Community Settings x Media and Public Awareness
Type of Objective/Strategy: x Environmental Change
Focus of Initiative: X HEAL(both)
One-time or annual event: X YES
H
The potential target population for this objective/strategy is municipal and county stakeholders which is
approximately 300.
The estimated reach for this strategy is 33%
Page 5 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
E FIr I IN ENt:SS
The influence of`place' within a community—our homes, schools, worksites, roads, food markets and
restaurants, neighborhoods,cities, etc, is influenced by four place-factors that can enhance or undermine our
population's health: the physical structures in our environment, social structures(laws and policies) in our
community and the extent to which they are enforced ,the availability of products and services, and the media
and cultural messages in our environment. By helping communities learn how to define what their
community values as a sense of place(agricultural heritage, railroad influence, etc), developing a guiding
document to be used by community officials, and learning how to review development proposals with the
idea of preserving/protecting that sense of place is the focus of this workshop.
Because our county is so large, and with the varied municipalities within the county(Weld County is roughly
4000 square miles -everything from prairie, farms and ranches to regional urbanized areas; our county seat
has an estimated population 100k+/-and there are 15 or so 4k to 10K population towns/small cities)the sense
of place will differ widely.
Dan Burden has been here many times so the municipalities are aware of walkability. What is lacking is the
idea of identifying each community's sense of place and (which will be different for each community)and
learning how to review development proposals with the idea of preserving/protecting that sense of place.
The proposed 1 day workshop will be designed to teach elected officials, municipality leaders and planners
why a sense of place is important, how to hold community workshops to define what their specific `sense of
place' is, and to develop a working plan whereby development/city council has a guiding document to
preserve/protect that sense of place as they grow. Attendees will walk away with a process design that gives
them the ability to go duplicate place making in their individual town.
Evaluation Strategy: to be determined
,\DOri ID\
Previous workshops have averaged approximately 100 participants from communities within the county
including: Town of Erie,Town of Firestone, Town of Frederick, Town of Dacono,Town of Hudson, Town
of La Salle,Town of Mead, Town of Milliken,Town of Platteville, Town of Windsor, City of Fort Lupton,
City of Greeley, Town of Lochbuie,Town of Severance, City of Evans, Weld County Department of Public
Page 6 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Health and Environment Weld County Board of Health, Weld County Department of Planning Services,Weld
County Public Works.
Based on past experience, it is anticipated that the workshop will have attendees from other regions as well as
local attendance.
The target audience for the workshop will be elected officials and city council members and representatives
from disciplines such as planners, health, engineering, law enforcement as well as other interested citizens.
MAINTENA\Ct:
The ACE workshops held over the past 4 years have built on each other beginning with awareness and
moving to skills, economics and policy. Technical assistance was available from Dan Burden and the ACE
Technical Advisor to implement what was presented in the individual communities. The 5 year revised
comprehensive plan for Weld County and the City of Greeley's comprehensive plan both include support for
active community environments and healthy living as a direct result of the information presented at the
workshops. The place making workshop will provide the information needed for municipal governments and
Weld County communities to take another step in creating an environment that will support the principals of
Active Living by Design on a daily basis.
Objective 1: By 1/31/10, coordinate 4 interrelated Active Community Environment initiatives that will
result in at least 1 environmental or policy change in Weld County.
STRATEGY 1B: By January 31, 2010,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.
Sector: x Schools x Active Community Environments X Media&Public Awareness
Type of Objective/Strategy: x Environmental Change x Policy
Focus of Initiative: x Active Living One-time or annual event: x NO
RI k(
Based on Census data,there are about 7,000 people 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
Page 7 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
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. 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%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). The estimated potential reach for this strategy 85% (5,950/7000).
EFFLCFIN [NESS
Demonstrated Need:
In 2008, Weld County Department of Health& Environment conducted a rapid Health Impact Assessment
(HIA) of the East Greeley area for the City of Greeley and Weld County in conjunction with a joint grant they
received from the Heritage Foundation. The HIA included analysis of secondary data and collection and
analysis of primary data in the form interviews, community meetings, and environmental scans with experts.
A key finding from this study was that the lack of sidewalks(or bikeways) in the county portion of the study
area pose safety concerns and makes it difficult to walk or bike. Many residents but especially children are at
risk for adverse health outcomes because one of the elementary schools, Bella Romero, which is located in the
county portion of the study area has a "no walk/no bike"to school policy. Based on the information obtained
through the 2008 HIA as part of the East Greeley/Weld County Heritage study, a major priority for residents
is sidewalks around Bella Romero. http://www.co.weld.co.us/departments/health/publichealth.html
On November 14, 2008, a survey was sent home to all parents of children enrolled in Bella Romero gauging
their level of support for allowing their children to walk or bike to school.
(http://www.saferoutesinfo.org/resources/evaluation parent-survey.cfm) Although results still need to be
tallied,the response rate was at approximately 82%. It is anticipated that there will be strong parental
support. The survey results will be tallied by the health department and presented to the East Greeley
Collaboration in December, 2008.
Evaluation strategy: A case study approach is being considered here that would document both processes
and impacts. Process data is being tracked through internal data collection instruments such as meeting
minutes,participation logs, and journal notes. Other data to be used may include: (a)Kaiser IVR data and (b)
follow-up parent surveys.
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ADOPTION
Nine different groups representing schools, government organizations, parents, and private organizations
(listed below)are involved with this strategy and all are participating to date. The calculated adoption rate for
this strategy to date is 100%.
1. Weld County Government
2. City of Greeley
3. Banner Health
4. Weld County Sheriff's Office
5. Parent representative
6. County Commissioner
7. Weld County School District 6(Greeley/Evans)
8. Bello Romero Elementary
9. Insurance Agency
I\IPLF\FN I ZION
Was the objective/strategy implemented as planned since beginning this objective/strategy? x Yes
There is a strong support for this project among parents, school officials, government agencies,private
business and Safe Kids Weld County. This is the first time all of the stakeholders have been brought together
to discuss this project. The Board of Weld County Commissioners has agreed to dedicate resources needed to
move forward in determining the feasibility/cost of the project. The East Greeley Collaboration(EGC)
partners have identified key action steps that will move the process towards the goal.
To date the EGC including School District Six have:
• Investigated the process of applying for Safe Routes to School funding.
• Identified the steps to removing the"no walk,no bicycle"policy for Bella Romero.
• Conducted the pre and post Student Arrival & Departure Tally Sheet in each classroom and the Parent
survey about Walking/Biking to school.
Other action steps identified are:
• Weld County—work with Weld County Public Works to do project budget analysis, design, research
ROW determination, easement procurement,bidding process.
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• Sheriff's Office—Obtain traffic counts, speed, injury and crash data for the Bella area in East
Greeley/Weld County; provide assistance for improving unsafe driver behaviors.
• City of Greeley—confirm support of the project with city officials; GIS mapping of the area; assist
Weld County Public Works with engineering research as needed; obtain and supervise a grant intern
for the project from CSU.
MAI'.I L\ \NCI':
It has been our experience that support from elected officials and decision makers is key to the success of a
project. At this time, we have the support of the Board of County Commissioners,Greeley City Management
and the Administration at School District Six.
The Student Arrival & Departure and Parent Support survey have been completed. A local construction
company and Safe Kids Weld County have had conversations about construction of the Side Walk project and
a grant application to Safe Routes to school is under consideration. As a result, we are confident that
sidewalks connecting Bella Romero Elementary to the surrounding residential area will be built.
The East Greeley Collaboration is interested in improving the quality of life in East Greeley and other issues
identified in the HIA such as access to fresh food will be priorities.
I.tsso,xs l.E RNEt
Success Factors
• The Health Impact Assessment (HIA) process identified possible health impacts of current land use
policies and barriers to physical activity and fresh food. The City of Greeley Planning Department and
Weld County Planning Department recognize the value of the study and as a result asked the ACE TA to
consult on related projects, such as the revision of the comprehensive plan for Weld County and the 50
year municipal plan for Greeley.
• The East Greeley Collaborative is a group of very committed people who recognized the problem and
were just waiting for a"venue"to bring this issue to the forefront.
Challenges
• Educating the different entities on the importance of physical activity for children and how walking and
biking to school contributes to overall health. Gaining support from elected officials for a project that was
viewed as a"school district"problem.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Objective 1: By 1/31/10, coordinate 4 interrelated Active Community Environment initiatives that will
result in at least 1 environmental or policy change in Weld County.
STRATEGY 1C: By January 31, 2010, work directly with established workgroups to provide technical
assistance to facilitate the continued planning and implementation of trails networks between adjacent
jurisdictions through partnerships and joint projects in Weld County.
Sector: x Active Community Environments x Other Community Settings X Media& Public Awareness
Type of Objective/Strategy: x Environmental Change
Focus of Initiative: x Active Living One-time or annual event: X NO
REACH
The potential target population for this objective/strategy is all Weld residents which is 243,000 (US Census,
2007). According to 2006 Steps Weld BRFSS, 79%of adults aged 18 years and older are physically active
outside of work in some capacity. We assume 100%of all children under 18 years old are physically active.
About 75%of the population is adults and 25% is children. The estimated reach for this strategy is 204,727
or 84%of Weld County's population(79%of 182,250 adults plus 60,750 children).
EFFECTIVENESS
Demonstrated Need:
A regional trail system has been shown to be an economic benefit for municipalities and local businesses. A
well-designed trail system that has 1) addressed rider safety issues in relation to vehicles and crossings and 2)
is destination-oriented has also been shown to be used for transportation as well as local recreation
opportunities. In one local Colorado community, an investment of$350,000 in one year resulted in a return on
investment through ongoing tourist revenues of approximately$3 million annually. In another community in
North Carolina, a local municipality invested $6.7 million in improved trails over 10 years, with an estimated
$60 million in tourism revenue resulting(Source:
www.ncdot.ore/transit/bicycle/safety/safety cconomicimpact.html)
Anecdotal evidence of need: Because all jurisdictions have common challenges to siting and sustainability of
trails, and because they rarely have the opportunity to gather together and discuss what each other's activities
are and how the planned placement of trails will improve or hinder neighboring jurisdictions,the group felt it
would be beneficial to meet on a regular basis.
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Potential Outcomes to Measure: Shift in social norms, strengthened alliances, increase in number of
connected regional trails.
Evaluation Strategy: to be determined
Anor'ION
There are 31 incorporated towns plus Weld County Government and at least 7 other organizations represented
in the coalitions and workgroups for a total of 39 entities. Representatives from 20 different
agencies/municipalities were initially invited to a workshop in April 2008. A total of 11
agencies/municipalities (15 people)have joined the Weld County Regional Trails Advisory Group since its
initial meeting. To date, the adoption rate for this strategy is 80%. The participating agencies are:
• Town of Windsor Parks and Open Space
• Town of Severance
• Town of Milliken
• Poudre River Trail Board
• Great Western Trail Authority Board
• Brighton Parks and Recreation
• City of Greeley Natural Resources
• City of Greeley Poudre River Trail
• City of Evans
• Greeley/Evans Citizen Transportation Advisory Board
• Weld County Department of Planning Services
• Private Citizens
The estimated cost for this project to date is $11,600.00 which includes the workshop, speaker, ACE
Technical Advisor fees, and meeting expenses for the group.
I VIPLL:AIENTAIION
Was the objective/strategy implemented as planned since beginning this obiective/strategy? x Yes
The Weld County Regional Trails group grew out of the one-time workshop in May, 2008, where Dan
Burden discussed issues related to multi-use trail design, funding and economics of trail use(tourism,
transportation alternative, etc). Evaluation feedback found that attendees thought the gathering was valuable.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
The Step's ACE Technical Advisor contacted attendees via email who agreed to meet quarterly to continue
the dialogue on how each agency's activities interrelate and contribute to the network of trails within Weld
County. They also began discussing how they can coordinate the planning and implementation of trail
segments that are supportive and collaborative of each jurisdiction's Master Trails Plan.
Since the initial meeting in August, 2008,the group has outlined areas they want to focus on as they move
forward in their partnership to improve and enhance the support of trails. Each jurisdiction faces the four
common challenges of construction, funding and maintenance issues, and obtaining political and community
support. By combining the broad depth of resources and efforts of the group,the group could collectively
provide the necessary evidence to support the four areas each one deals with.
The four areas of interest of the Weld County Regional Trails Advisory Group (as determined at the August
25, 2008 meeting)are:
1. Focus on the connectivity of trails (and bike lanes)between Towns
2. Research ways of and apply for funding
3. Focus on trails only(keep the scope narrowly focused on trails versus bike lanes,transportation
corridors, etc)
4. Promotion and education of trails for recreation and tourism use
The next meeting of the Advisory group is scheduled for December 15, 2008.
If this was a one-day event, how did it further the partnership engagement or help advance the
strategies in your CAP?
Below is a synopsis of topics the Regional Trails Workshop focused on with Dan Burden:
• Construction Issues—signage/way finding, crossings(design, location selection), obtaining
easements,
• Funding Issues—between municipalities, for trails that have statewide, regional, or county
significance, economic impacts from tourism revenue
• Maintenance Issues—corporate sponsorship, funding ideas
• Political Support—transportation alternative, funding sources/ideas, ideas to generate community
support
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
1'IA IN T ENA NU I:
Describe any evidence that adopting settings will continue to offer, enforce or maintain the
objective/strategy beyond the grant period.
A single, county-wide map of current and proposed trails for all participating jurisdictions was assembled for
the workshop. Participants were able to visually see the combined proposed trail routes and compare proposed
trail alignments. Several jurisdictions(Windsor, Eaton and Severance and separately, Milliken and the
Colorado State Trails 52-85 segment) were able to discuss trail realignment and expected build-out timelines
to capitalize on future trails.
I.EssoNs LEARNED
Success Factors
• The ACE Technical Advisor saw a need to bring people together to coordinate trail efforts in Weld
County and the NE region. The combination of expertise and resources will make this project far more
successful than the individual efforts of each entity.
• Since the initial workshop, eight additional individuals from four municipalities/agencies(Erie, Mead,
Platteville and another representative of the Great Western Trail Authority Board)have asked to join the
group.
Challenges
• Everyone has the same four challenges(construction, funding and maintenance issues, and obtaining
political and community support)during planning and implementing their respective Trails Master Plan.
Objective 1: By 1/31/10, coordinate 4 interrelated Active Community Environment initiatives that will
result in at least 1 environmental or policy change in Weld County.
STRATEGY ID: By January 31, 2010,consult with at least three municipalities to help them make
improvements to their planning and zoning documents to support healthy eating and active living in their
communities.
Sector x Healthy Food Purchases/Community Garden x Worksites x Active Community Environments
x Other Community Settings X Media and Public Awareness
Type of Objective/Strategy: x Environmental Change x Policy
Focus of Initiative: x HEAL(both) One-time or annual event: X NO
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RI k( II
The potential target population estimate we are using is the population of Weld County which is 243,750.
The estimated reach is 50%of the population of Weld County.
EENFCFIVEN SS
State and local leaders make decisions that impact opportunities for physical activity and healthy eating.
Local government leaders have the unique ability to convene key decision-makers, enable information flow
and collaboration, promote important community issues, and support policies that create environments in
which children and their families can have healthy choices(www.activelivingbydesign.org).. Land use
planning that incorporates the principals of Active Community Environment will promote physical activity by
increasing proximity to routine destinations and accessibility of parks and green spaces. This expands
opportunities for active routine travel and recreation. There is growing evidence that segregated and spread
out land use patterns make walking, biking, transit and other forms of active transportation very difficult,
promote automobile dependency and increase health and safety risks for those who are active. A more
compact and integrated land use system which is more supportive of active transportation and routine
recreational use of parks and green space would help make healthy levels of physical activity more attainable
for large numbers of people during their daily routine.
The 2007 Weld County Community Health Survey found that 24 % of Weld County residents said
that it is not easy to walk in their neighborhood and 31 % said it was not easy to bike in their
community. In addition, over 50% of the residents in Greeley said the reason they are not more
physically active is because they are concerned with safety and security issues in their
neighborhoods. 42% of all residents in Weld County said that heavy traffic was a bather to physical
activity. In southwest Weld County 42% of the residents said there are not enough bike lanes; 46%
of Greeley/Evans residents sited heavy fast traffic, and in Southeast Weld County there are not
enough sidewalks.
Auoi rioA
Number of settings who were informed of,or provided the opportunity to adopt the objective/strategy
to date(since beginning work on this objective/strategy).
Two out of two—the City of Greeley and Weld County Planning Department.
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Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. Calculated Adoption 2 (e)/(d)= 32
Two governmental entities out of 32 have adopted this strategy. The two entities are Weld County
government and the City of Greeley.
l%Irt.t:)IFN t:CHHO\
Was the objective/strategy implemented as planned since beginning this objective/strategy? x Yes
The Steps ACE Technical Advisor and the ACE Consultant, Dan Burden, were invited to review the language
of the existing comprehensive plan and the PUD/MUD county regulations and make recommendations to
support active community environment and healthy living developments. The Technical Advisory
Committee reviewed the referral information and adopted several key components of the recommendations.
The plan was approved by the Weld County Planning Commission in October 2008 and forwarded to the
Board of County Commissioners for a final reading on November 24, 2008.
Language in the WC Comprehensive Plan support ACE principals of preservation of open space,
incorporating infill into existing and new development to improve connectivity, and identifying ways to
connect transportation systems in the county. In early 2009, zoning ordinances that support the language of
the comprehensive plan will be reviewed and adopted.
As a result of the work done on the Weld County Comprehensive plan and the citizen input from the Weld
County Community Health Survey, the City of Greeley invited the ACE Technical Advisor to participate in
the city's 50 year municipal planning process currently in progress.The ACE TA will participate on the land
use planning and transportation sub committees to offer expertise on improving the walkability and
bikeability of the City of Greeley. The process will continue through the first half of 2009, and will include
gathering public input and adoption by the Greeley City Council.
ACE principles in the Weld County Comprehensive Plan were adopted by the Department of
Planning and the Board of Weld County Commissioners. The ACE Technical Assistant is participating in the
City of Greeley Municipal Plan 50 Year Revision process and sits on two sub committees,the land use
planning and transportation committees. This process will continue
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
NIAINII:N:\N(
The ACE TA will continue to meet with the city of Greeley Municipal Planning Committee during 2009 until
the plan is formally adopted and will participate with implementation as requested. Areas of partnership have
been identified such as Bike Corridor Route Coordination Project.
The TA will also work with Weld County Department of Planning on adoption of zoning ordinances to
support the language in the 5 year comprehensive plan revision supporting ACE principals for healthy land
use design.
Lt.ssoNs I,t:,uzNr:u
Success
The ACE activities support the objectives of the Weld Comprehensive Plan and provide Technical
Assistance and guidance to participating municipalities for land use planning, comprehensive plan revision,
zoning code language, trails development and sustainability, and the sidewalk project.
Challenges
Objective 2: By 1/31/10,provide at least 10 opportunities for community education and access to better
nutrition and physical activity to multiple targeted populations.
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.
Sector: x Older Adult Sites x Health Care x Schools x Other Community Settings
x Worksites x Media and Public Awareness
Type of Objective/Strategy: x Program
Focus of Initiative: x HEAL (both) One-time or annual event: x NO
\E_II
II
Number of potential target population for this objective/strategy.
210,000 x .25 = 52,500
Just for Zumba: Number of potential target population for this objective/strategy.
17,000 (2007 census-number of monolingual Spanish speakers in Weld County)
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Number of people exposed to or participated in the objective/strategy to date.
Calculated Reach: *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.
Just for Zumba: Number of people exposed to or participated in the objective/strategy to date. 1,843
Calculated Reach 11%
EFF Fr II ET ESS
Yes, the objective was effective. Pre and post tests from quarterly Aims Community College classes like
ABCs of Weight Management demonstrated changes in behavior where after the 6 week class, almost 100%of
participants now read food labels, measure portion sizes, and engage in physical activity; Community
Challenge post-surveys demonstrated the positive effects of having a support(buddy) to change behavior;
NCMC classes like Healthy Cooking conducted during the challenges had waiting lists for attendance;
Kelly's Kitchen, a series of 6 five minute shows that were produced and broadcast on GTV 8 during the 100
Day Resolution Challenge as in-kind($42,000) won two national awards for excellence: NACCHO Model
Practice September 2008 http://www.naccho.org/topics/modelpractices/ and the 3CMA Silver Savvy Award
October 2008 http://www.3cma.org/
Additionally, hits to the website for the calendar of classes had the most hits of the 1.5 million hits during
year 5 of the Steps grant. Community residents could access a wide variety of information from the website,
including but not limited to recipes from Kelly's Kitchen,tools like what to keep stocked in the kitchen
pantry, and class schedules.
Zumba specific: 1, 843 people participated in one or more Steps to Healthier Weld County group exercise
class in 2007/2008. The most popular program was the Latin dance classes called Zumba (a fusion of Latin
Dance and Aerobic Exercise)which are taught in Spanish by certified bilingual Zumba instructors. Zumba is
offered weekly in several locations throughout the county with some locations averaging an attendance of 40
adults and 20 children from the target population(low income under/uninsured Latinos).
Success story from Jamie Thompson,Zumba participant and newly certified instructor:
"Zumba is a party! It's rockin music, thumpin rhythms, dancing, sweating, and completely forgetting you're
doing exercise! A year ago,I was a total couch potato, At 5-foot-6 and 185 pounds, I was overweight and
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
that word REALLY scared me. 1 was tired all the time, depressed, and never had energy to play with my
nieces and nephews or get together with friends, or do anything else that wasn't sitting on the couch in front
of the TV. 1 would go to the gym for a couple of weeks here and there but it never stuck. Then in the spring of
2007, the Jose Rodarte Cultural Center introduced a Zumba class once a week at no charge. My sister had
raved about Zumba to me in the past, and I was friendly with the instructor teaching it, so 1 decided to go.
From the first class, I was hooked. I wasn't the only one! Our classes every week were so big, we had to
move them to the gymnasium, and eventually our community has added a bunch more classes. I go to every
class I can. I quickly took off 10 pounds, going from a size 18 to a 16 and that's without making any changes
to my diet!Over time other Zumba students started telling me I was really good at it, and some people asked
me if I taught it, or if I'd been taking dancing. The seed of maybe teaching grew. Finally I heard about a
certification workshop in my area and said, "To heck with it. I'll just take the certification and maybe no one
will hire Inc until I lose weight but at least I'll be certified already."So I went. And came home. And it got out
that I was a certified Zumba instructor. Suddenly the health department wanted me to begin teaching classes
for their programs!So now here I am... a Zumba instructor!"
AooPnoy
Number of settings who were informed of,or provided,the opportunity to adopt the objective/strategy
to date(i.e., since the beginning of the current grant year). 3
Aims Community College,NCMC Wellness and Cardiac Rehab Departments, City of Greeley(many
settings within the City Government including GTV8, Funplex, Personnel, many departments, City Council,
etc)
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. Calculated adoption 3 =(e)/(d)= 1
Just for Zumba: Number of settings who were informed of, or provided the opportunity to adopt the
objective/strategy to date 10'(Number of settings offered the opportunity to implement Zumba
exercise classes)
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 7_
(settings include: Jose Rodarte Multi-Cultural Center, Greeley Family Fun-Plex,Windsor Recreation
Center, Evans Recreation Center, Aims Community College, Sunrise Community Health Center, and
Monfort Children's Clinic)
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Calculated Adoption =(e)/(d)= _70%
I Ji PLEVt TN VI ION
Was the objective/strategy implemented as planned since beginning this objective/strategy? x Yes
Progress has been made with the celebrity that Kelly Leonard has gained locally. She has been invited to
conduct healthy cooking classes at schools and worksites. Recently she was invited to conduct a community
wide presentation at the Union Colony Civic Center in the fall of 2009 to promote"Nutrition that tastes
great"after the Taste of Home Cooking(TOHC)UCCC show that had over 1200 people in attendance. The
recipes for(TOHC) show were not healthy, and the Tribune, who helped sponsor the show, is interested in
using Kelly to disseminate healthy messages.
Additionally,plans are currently in progress to produce and broadcast phase II of Kelly's Kitchen that will
focus on disparate populations. The theme,"nutrition that tastes great"has garnered attention from
Telemundo Spanish TV out of Denver, and plans to produce and broadcast HEAL messages are currently
being put into motion.
Physical activity like Zumba and NEOS will be continued. Zumba has been popular beyond our expectations.
The NEOS was received as a grant from PlayWorld Structures INC, to encourage kids in Weld County to be
physically active at least 60 minutes every day. Already 1800 hours of physical activity have been tabulated.
The counter is currently being fixed.
Just for Zumba: Initially, exercise classes such as low impact aerobics, STEP aerobics, muscle conditioning,
boot-camp(circuit training) swimming, ice skating and walking groups were planned and implemented to
offer opportunities for increasing physical activity among our target population. Although some of these
programs were well received, others were poorly attended and eventually dropped. One major barrier to
capturing our target population in our physical activity programs was the fact that they had a difficult time
following an instructors directions due to language barriers. Once we started conducting classes in Spanish,
using Latin music and incorporating popular Latin dance moves, our classes become overwhelmingly more
popular.
Detail planned steps for implementing this objective/strategy in 2009.
Community residents have already participated in focus groups for the 2007 Community Health Survey, and
this information will be utilized to plan and conduct physical activity and nutrition classes in GIS specific
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
areas. HEAL Classes will be scheduled at very low cost with community partners like NCMC, Community
Health Centers, Aims Community College(many locations),the Funplex and other sites in South Weld
County.
NLAI\rtan�ct:
The Success of Kelly's Kitchen and Zumba during the past 2 years is supported by media that cover these
types of stories, and anecdotal observations from community residents. Additionally, Kelly has become so
popular that worksites, schools and other venues hire her without the WCDPHE resources.
Just for Zumba: Zumba classes have continued to grow throughout the county in attendance, as well as, the
number of locations in which they are offered. There are currently 4 recreation centers and 1 community
college in Weld County that offer Zumba classes. The Zumba classes at these five locations became
completely self-sustaining after Steps stopped subsidizing classes early in 2008. We would like to continue to
introduce Zumba group exercise classes to our communities as a culturally appropriate opportunity to increase
physical activity.
LtssoNs Lt:aR%ED
Success Factors:
• What has been learned from the Steps initiative is that relationships with the media are crucial for
marketing HEAL initiatives. Earned media enabled many of the Steps initiatives to be well attended by
residents because they were marketed by print,radio, billboards,TV and non-traditional with minimal
grant resources. There is so much in the national news about obesity and physical inactivity, especially
with kids, that local media are happy to print what is going on in Weld County to localize news,thereby
making it more meaningful.
Zumba Success Factors
• 1, 843 Zumba class participants in 2007/2008
• 5 different locations throughout the county offer low-cost/no-cost Zumba exercise classes
• Zumba is the only exercise class currently available to Weld County residents that is taught in
English and Spanish
• Adults and children are encouraged to participate together
• Free child care is offered when possible to increase adult participation
• 3 new Zumba instructors were certified in late 2007 to teach new classes in Weld County
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Challenges:
• Challenges are related to the science of changing people's behavior. Most people admit to knowing what
is the healthier thing to choose related to nutrition and physical activity, but constraints such as time and
money sometimes have more influence on their behavior.
Zumba Challenges: Finding enough instructors who are bi-lingual and willing to take a Zumba certification
training. So many agencies and programs are interested in offering Zumba classes that we do not
have enough certified bi-lingual instructors to fill everyone's request.
Evaluation: listing of place and number of classes, number of participants/class,number of media exposures.
Objective 2: By 1/31/10,provide at least 10 opportunities for community education and access to better
nutrition and physical activity to multiple targeted populations.
STRATEGY 2B: By January 31, 2010 expose at least 25%of Weld County health care providers to cultural
competency principles through trainings and/or focus groups.
Sector: X Health Care X Other Community Settings x Media and Public Awareness
Type of Objective/Strategy: X Program
Focus of Initiative: X HEAL(both) One-time or annual event: X YES
RE NC II
Number of potential target population for this objective/strategy.
2,755 (number of physicians in Weld County)
Number of people exposed to or participated in the objective/strategy to date. _163_
(number of health care providers who attended @ least 1 cultural competency training offered through Weld
County from 2006-2008)
Calculated Reach =(b)/(a)= 6%_
FIAT('FIN L\Ess
Knowledge of cultural factors per se and simple exposure to Latinos in practice do not directly facilitate
culturally competent care. Linguistic and economic barriers, differing cultural expectations between patients
and physicians,provider reactions based on stereotypes, and managed healthcare shortfalls limit medical care.
Such trends have brought attention to physicians' need to consider culture in the delivery of effective services.
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Last year, Steps to a Healthier Weld County collaborated with North Colorado Medical Center(NCMC)to
offer a series of three continued medical education(CME)Cultural Competency trainings for area health care
providers. Health care providers that attended these trainings were also qualified to receive COPIC (Colorado
Physicians Insurance Company)points for attending. These trainings covered the CLAS Standards,
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, we also had three(3)
representatives from the Greeley Chamber of Commerce, two (2) representatives from Sunrise Community
Health, Inc., and four(4) members of the Hispanic Women of Weld Coalition. Additionally, Steps to a
Healthier Weld County offered a cultural competency training on March 11, 2008 entitled"Cultural
Competence"which was developed for community coalitions. Twenty-one community members representing
various community coalitions attended.
Evaluation Data to be used: Training surveys, focus groups
:tom,' OA
Number of settings who were informed of,or provided,the opportunity to adopt the objective/strategy
to date(i.e., since the beginning of the current grant year). _6
(number of clinics/healthcare settings/agencies invited to attend the training—Sunrise Community Health
Center,North Colorado Medical Center, Greeley Chamber of Commerce, Weld County Department of
Public Health, Hispanic Women of Weld County, and Monfort Children's Clinic)
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. _5_
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(settings who had representatives participate in cultural competency trainings: North Colorado Medical
Center, Sunrise Community Health Center, Hispanic Women of Weld, Greeley Chamber of Commerce,
and the Weld County Department of Public Health).
Calculated adoption =(e)/(d)= _83%_
hIPI.E\lENt:cnos
Was the objective/strategy implemented as planned since beginning this objective/strategy?Yes
Describe the progress and any changes or adaptations that were made and why.
One significant adaption that will be necessary as we promote cultural competency awareness and trainings
throughout our county will be to include members of the target population in planning and implementing the
program. Although we have previously contracted with a national expert to provide the trainings, it is
essential to bring in members of the community that have their own perspective on health disparities that
should be integrated into the trainings we offer.
If this was a one-day event,describe how it furthered the partnership engagement or helped advance
the strategies in your CAP.
As a result of the cultural competency trainings that were conducted through North Colorado Medical Center
(NCMC) for health care providers, Steps to a Healthier Weld County was able to make the business case for
implementation of cultural competency polices including verbiage in Weld County Department of Public
Health's(WCDPHE) strategic plan. Additionally, cultural competency has been incorporated into NCMC,
WCDPHE and Sunrise Monfort Family Community Clinic's mission, framed as a patient safety matter, and
recognized as a customer service issue.
Detail planned steps for implementing this objective/strategy in 2009.
Due to the high attendance and exceptional evaluation results from the cultural competency trainings that
were offered last year at the North Colorado Medical Center, we would like to duplicate that series of classes
and offer the training to South Weld County health care providers through the Salud Community Health
Center network in Ft. Lupton and Frederick.
NI UX I L\AN(C II
As aforementioned, cultural competency language has been integrated into the strategic plan at WCDPHE, as
well as, into the mission statement and policies at other community health providing agencies throughout
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Weld County. Furthermore,relationships established during the planning and implementation of our previous
trainings has been sustained so that those partners can be called on for future projects. Increased awareness as
a result of Steps sponsored Cultural Competency trainings continue to influence changes in the community. In
2008, Greeley was awarded funding through the Colorado Trust Foundation to facilitate the integration of
immigrants and refugees into the Greeley community and promote their positive interaction with Greeley's
established residents in working together for a stronger, healthier community. The Realizing Our Community
Project (ROC) is a collaboration designed by the University of Northern Colorado (UNC)and Greeley
government and non-government organizations. Cultural competency is a key aspect to the success of this
project. LiveWell Weld County's commitment to support and promote cultural competency trainings will be
called upon throughout the duration of this 4 year grant.
I.Essoss i.EARNEI
Success Factors
• Steps to a Healthier Weld County initially planned to offer the series of cultural competency trainings to
health care providers in the Greeley area only. As we began promoting the classes to our health care
partners, we were approached by the Greeley Chamber of Commerce and the Hispanic Women of Weld
County to open up the training to their organizations and other interested community members. As a
result of agreeing to open up the training, several other organizations and community members attended
the classes. Consequently, more organizations in the community have been able to continue to work on
these issues and other prevention related issues.
Challenges
• Challenges are related to the health care provider's time, or lack thereof It is easier to have training
scheduled during the lunch time, with lunch provided to ensure participation. Also COPIC points help
drive participation.
Objective 2: By 1/31/10,provide at least 10 opportunities for community education and access to better
nutrition and physical activity to multiple targeted populations.
STRATEGY 2C: By January 31, 2010, Facilitate access to healthy food through community gardens,
neighborhood grocery stores and other opportunistic events.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Sector: x Healthy Food Purchases/Community Garden x Schools x Active Community Environments
x Other Community Settings x Media and Public Awareness
Type of Objective/Strategy: x Environmental Change x Program
Focus of Initiative: x HEAL (both) One-time or annual event: x NO
Rt:\(H
Number of potential target population for this objective/strategy. 243,000
Number of people exposed to or participated in the objective/strategy to date.
Calculated Reach 100,000
EFFECTIVENESS
Community Gardens have been successful in Weld County. The Project GROW Advisory Committee was
instituted to develop, promote and expand the community garden project in Weld County. One garden was
started at UNC in 2007 with 22 plots. All were rented as soon as the press release went out. In 2008, the City
of Greeley donated a plot at Plumb Farms which was divided into 7 gardens. Concomitantly, the Steps grant
utilized minigrants to seed other community gardens in the community. In 2007, 7 were funded. In 2008, 8
organizations received funds and provided pictures and reports. Community gardens and access to healthy
food in local neighborhoods are but 2 ways to build community food security.
Citation: Evidence-based strategies to build community food security. Journal of the American Dietetic
Association ,Volume 105 , Issue 2 , Pages 278 -283 C . McCullum, E . Desjardins , V . Kraak, P . Ladipo ,
H . Costello and http://www.cityfarmer.org/CGNewYork.html
http://prc.slu.edu/Documents/newsletters/newsletter 3.pdf
Neighborhood healthy grocers: http://www.cfpa.net/Grocery.PDF
Other opportunities like Farmer's Market:
http://www.preventioninstitute.org/SA/enact/neighborhood/farmers markets.php
ADOP FIOA
Number of settings who were informed of,or provided,the opportunity to adopt the objective/strategy
to date (i.e.,since the beginning of the current grant year). 14
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 14
Calculated adoption
University of Northern Colorado(22 plots), City of Greeley Plumb Farms x3 (7 plots), Garden Square Senior
Center x2, Eldergarden, Windsor Recreation, Eaton Recreation, Probation Services, Town of Kersey, PeaPod
Fellowship Church, Dos Rios Elementary School, Cameron Elementary School
I\IPLE\IE:NT.UIO\
Was the objective/strategy implemented as planned since beginning this objective/strategy? x Yes
The partnerships developed with the Project GROW committee were tantamount to getting this project off the
ground. The Facilities Manager from the University of Northern Colorado was instrumental in achieving land
and water donations, resulting in 22 plots that are rented quickly. The City of Greeley is also a key partner
with the addition of Plumb Farms. The Chair of the Project Grow Committee is also the Resource Planner at
the City of Greeley,the manager of the Farmer's Market and previous Poudre Trail manager, and other
related environmental projects. This spring the gardens will be enhanced with the addition of composting
bins, drip irrigation, and more educational programs about pest management, organic gardening, fertilization,
etc. Envision employs developmentally disabled people who help weed and clear the gardens,rototill, and
haul garden waste away. CSU Extension provides master gardeners for educational services. WCDPHE
provides staff, TA and minigrants when available to support this project. In 2 years, Project GROW is
sustainable with 2 sites in different parts of Greeley. The plan is to expand out to other areas of Weld County.
Detail planned steps for implementing this objective/strategy in 2009.
Community Gardens will continue through the Advisory Committee for Project Grow through the City of
Greeley that manages the logistics of the garden plot rental, including cleanup. This is one of the sustainable
projects from Steps. In February 2009,the Committee would like to microfinance at least 10 additional
gardens in addition to UNC and Plumb Farms. Last year, the average organization received $250 minigrant.
In exchange,they provided a brief report of the success of their garden, including pictures. Already, two
churches have approached the Steps office with requests for funding.
Neighborhood local grocery stores will be provided with technical assistance to help stock and sell healthy
foods like fresh produce. Marketing,pricing and other logistics will be provided.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Other funding is being pursued outside of Livewell to fund a"veggie van"that would visit disparate
neighborhoods twice/week to sell healthy produce that is grown locally.
Partnerships with the Farmer's Market will continue. This includes having classes on Saturdays when the
market is busiest. There was some interest by Aims Community College Continuing Education to provide
Kelly's Kitchen on location classes. This will be pursued. There is an ongoing partnership with the North
Colorado Health Alliance Mobile Van that serves as a venue for the outdoor classes. More WCDPHE
programs can be marketed, including emergency preparedness. The Van was at the Farmer's Market the
second Saturday during June-September, and has become very popular.
MAINTENANCE
Describe any evidence that adopting settings will continue to offer, enforce,or maintain the
objective/strategy beyond the grant period.
Current evidence centers around the fact that all of the people who rent the community garden plots currently
want to keep, enrich the soil and plant winter crops, and maintain them as their own in the future. This
necessitates finding additional land.
LESSONS LEARNED
Success Factors:
• The community gardens have been so successful that the residents who have rented the gardens the past 2
years have already paid to keep their plots. This necessitates finding more opportunities to seed more
gardens in Weld County so that more people can participate. Some gardeners even donate their harvest to
the Weld County food bank. Another project that the advisory committee is working on is one that
centers around"growing an extra row for the needy". This is being done in some cases, the food being
given to the Farmer's Market and Food bank by private gardeners. Plans are in place to expand this.
Challenges:
• Challenges are related to finding not only easily accessible land, but available water that would also be
donated for the community gardens. Other challenges include normal things like keeping the organic
farmers separated from the non-organic, pest control, and harvest theft. There may come a time when
there are more people that want a garden than gardens available.
• Challenges for the grocery store access are marketing healthy food so that the perishables don't spoil
before being bought, which results in waste and no revenue.
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Evaluation: listing of gardens/location and how many people participate. Pictures to post on the website for
a"photostory"to get others interested. Reports from minigrant recipients.
Number of grocery stores that adopt healthier foods for sale and their location. Trends of revenue generated
from sales.
Objective 3: Objective 3: By 1/31/10, integrate health and wellness initiatives into 5 additional education
and/or recreation systems to reach 25% more children with HEAL messages.
Strategy 3A: By 1/31/10,collaborate with Centennial BOCES and their partnering school districts to provide
technical assistance related to school wellness policy implementation and the Kaiser educational theatre
program, the Great Food Detective.
Sector: x Media& Public Awareness X Schools X Other Community Settings
Type of Objective/Strategy: x Environmental Change x Policy X Program
Focus of Initiative: X HEAL One-time or annual event: X NO
Rt::kCFI
Number of potential target population for this objective/strategy. WCSD6 18,401
(Source: 2007 CDE estimates)
Number of people exposed to or participated in the objective/strategy to date. 18,401 Calculated Reach
(b)/(a)= 1
EFFICC II\ t:Nt:ss
School District Wellness Policies: Weld County School District 6 (WCSD6 consists of 35 sites/18,401+
students) developed and implemented the School Wellness Policy in over 35 school sites during the Steps
five-year funding cycle. A District Wellness Policy Advisory Group was the group that wrote and help
implement the policy.
Citation: http://www.cdc.gov/HealthyYouth/CSHP/index.htm
http://www.greeleyschools.org/resources/health-and-wellness-programs
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
FUTURE EVALUATION: YRBS, observation of school wellness policy teams including minutes, direct
count of students who are impacted by adoption of school wellness policies, etc.
EMISEMProvide Adoption numbers for the objective/strategy to date. Because the Steps funding
involved WCSD6 students, programming benefited this targeted group the most.
(Number of settings who were informed of, or provided the opportunity to adopt the objective/strategy
to date: 35
(Number of settings that actually participated in adopting the objective/strategy to date -35.
Calculated adoption =(e)/(d)= 1
IMPLEMENTATION
Was the objective/strategy implemented as planned since beginning this objective/strategy? YES.
Additionally, as Steps projects progress and many more partners get involved, better ideas are
entertained because relationships become stronger. Hence, all programs are usually enhanced and
become integrated with other projects throughout not just the development phase,but also the
implementation and evaluation phases.
Describe the progress and any changes or adaptations that were made and why. The progress of
integrating health and wellness initiatives into childhood education and recreation systems in Weld
County is constantly evolving thanks to the momentum generated and maintained by the Steps
funding and the data retrieved through the 2007 Community Survey.
Detail planned steps for implementing this objective/strategy in 2009.
WCSD6 was the school district selected to receive Steps funding, therefore what was learned from
this partnership will be integrated into the CBOCES district wellness policy project.
a. Partner with CBOCES District to provide Technical Assistance to implement a school
Wellness Policy and at least I coordinated school health team.
b. Partner with Kaiser ETP to adopt the Great Food Detective play in Weld County so as to
expose at least 1000 children to healthy messages related to nutrition and physical activity.
MAIN I LANCE
WCSD6 will have sustainable wellness programming because the Steps-funded School Health
Coordinator became a FTE position. The Steps SHC was hired by WCSD6 to continue the work that was
seeded by Steps.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Results from Steps Annual Progress Report:
A. WCSD6 developed 10 Comprehensive Coordinated School Health Teams, all of them developing
School Health Improvement Plans.: McAuliffe Elementary, Greeley Central High, Greeley West High,
Cameron Elementary, Heiman Elementary, Madison Elementary, Shawsheen Elementary, Franklin
Middle School, Northridge High, and Brentwood Middle.
B. Completed implementation of the seven mandated nutrition standards adopted in the School
Wellness Policy in Weld County School District 6.
C. The Steps grant allowed for the development of a School Wellness Policy that created food and
beverage standards, goals for nutrition education and physical activity and infrastructure for sustaining
wellness activities in WCSD6. Students, their parents,district and school personnel were educated on
healthy policies including food and beverage standards, vending machines, fund raising, food as rewards,
access to fresh fruits and vegetables; The UNC Dietetics Department is charged with evaluation of the
wellness policy, results not available yet. According to the annual Steps Progress report to the CDC,
compliance of District Wellness policy guidelines increased by 20%. (Baselines were Established for
fundraising, student stores, and after school concession stands; increased classroom nutrition education
from 111 to 157 classrooms).
2) The Kaiser Educational Theatre Program(ETP) (2 WCSD6 school sites/600+students). The
Kaiser ETP is an evidenced-based nutrition education project through the Kaiser Foundation that
the Steps team partnered with to give 2 performances at WCSD6 schools,reaching over 600
students with the Great Food Detective play. The healthy messages targeting young children
include I) drink water; 2) fruits and veggies eat 5 a day!; 3) Eat breakfast, lunch and dinner; 4) 60
minutes/day just move; and 5)2 hours or less in front of the screen. Post-performance comments
from students and adults in attendance were extremely positive, leading to an offer by Kaiser ETP
to share the script and TA with a theatre group in Weld that would contract to adopt this project;
Citation: http://xnet.kp.org/ctp/colorado/about.htm
3) Other miscellaneous programs that target children in Weld County that have demonstrated success
will be continued with other funding sources including: a) collaboration with United Way such as The
Children's Festival (5000 participants)
http://www.greeleytribune.com/article/20080327/NEWS/317085514 and an annual conference for
Weld County Day Care providers (100+providers); b) Platicas and walking programs
http://www.cdc.gov/steps/steps communities/pdfs/weld.pdf; c) Tobacco youth prevention programs;
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
d) Media campaigns including community challenges (Around the World in 92 Days, One Ton
Challenge, 100 Day Resolution Challenge); d) collaboration with NCMC for Weigh to go Kids classes
for childhood obesity(20 children and their families/session at least twice/year); e) Harvest of the
Month nutrition education program with WCSD6 (17 elementary schools participated with 188
classroom teachers implementing the program resulted in over 10,000 exposures). An in-depth
evaluation documented a statistical analysis of produce purchasing that increased with the HOTM
program—comparing previous year's purchases/month; 0 11 WCSD6 Coordinated School Health
Teams; g) WCSD6 School Staff Wellness (modeling); h) Head Start (17 centers)collaborations
including nutrition and physical activity promotions/education.
LESSONS LEARNED
Success Factors- see effectiveness section above.
Challenges—were related to sustainability in the face of the inevitable conclusion of Steps funding.
However, because of strong partnerships built in Weld County and the collaborations to leverage scarce
resources, a significant amount of programming will continue through other funding sources.
Funding WCSD6 staff wellness activities continue to be an on-going challenge, so they are actively
pursuing additional funding sources to support wellness efforts. Worksite Wellness has strong support by
WCSD6 leadership and recently received a very small grant from WCSD6 insurance agency, Anthem Health.
The other challenge is collecting data that demonstrates change in behavior. Even though the
purchasing of produce at WCSD6 increased by month, this was not a research study that also compared plate
waste.
Objective 3: By 1/31/10, integrate health and wellness initiatives into 5 additional education and/or
recreation systems to reach 25% more children with HEAL messages.
STRATEGY 3B: By January 31, 2010, assess, collaborate and facilitate policies that promote healthy eating
and active living in daycare centers and/or recreation centers in Weld County.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Sector: x Media and Public Awareness X Schools X Other Community Settings
Type of Objective/Strategy: X Environmental Change X Policy X Program
Focus of Initiative: X HEAL One-time or annual event: X NO
R t:AC II
Number of potential target population for this objective/strategy. 60750 (Source: 2007 Census
estimates)
Estimated Number of people exposed to or participated in the objective/strategy to date. Calculated
Reach *24,000 39%
*Per conservative estimates of Children's Festival, Headstart, FFaR, VERB, children exposed to this
strategy is approximately 24,000
EFFICC FIN [NESS
Summarize progress and outcomes: Conservative estimates done to determine how many Weld County
children have been reached with Steps-related after school activities
Specifically just in the last year:
I)VERB (7 sites/240 participants).
Citation: American Journal of Preventive Medicine June 2008 Supplement: The VERB Campaign, Not about
Health, all about Fun: Marketing Physical Activity to Children. Results of in-depth evaluations
demonstrated success in engaging tweens in 60 minutes of physical activity every day;
Citation: VERB Demonstrating a Viable National Option for Promoting Physical Activity Among our
Children. Cavill,N and Maiback, E. Am J Pre Med 2008; 34(6S)
2) FFaR: (Fun,Fitness and Recreation: Away from the Screen (3 sites/1500 potential). The FFaR
Project is an after school physical activity program that promotes 60 minutes of physical activity every day, to
move students away from screen time especially after school. Students have access to the Family Funplex(a
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
state-of-the-art recreation center) for only$1 after school 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. The NEOS was the reason the Youth Summit of Colorado (with over
100 county-appointed students and adults associated with Colorado Parks and Recreation Association)held
their annual conference at the Family Funplex in Greeley. 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. Last summer 40 students enrolled, and already it is
anticipated that the number will rise to well over 100. This is in addition to programs that are being
contracted for Christmas break and Spring break. Expansion plans are already in the development stages
Citation: New Physical Activity Guidelines from HHS:
http://www.health.gov/paguidelines/factsheetprof.aspx
3) Day care centers: Steps has worked with United Way in establishing health standards in local day care
centers through education and exposure to healthy messaging. In 2007, Steps was one of the presenters in
an annual conference of over 100 local day care providers that require continuing education for licensing.
Steps presented HEAL information and provided resources where additional information could be
retrieved. Steps has also worked with the Registered Dietician employed by Headstart and AAA to
identify needs and provide HEAL resources. http://www.co.weld.co.us/departments/fenwc.html In the
past 2 years, Spanish music tapes (for dancing), food pyramids and other child friendly resources, and
other Steps resources including fruit and vegetable information form the
www.fruitsandveggiesmorematters.com website were distributed to the sites.
ADOPTION
Number of settings who were informed of,or provided the opportunity to adopt the objective/strategy
to date: 23
12 Headstart Centers in Weld County with an annual enrollment of approximately 575 preschool children. .
Recreation Centers : Boys and Girls Club, Windsor Recreation, Evans Recreation, Eaton Recreation,Family
Funplex, City of Greeley Rodarte and Recreation Centers,
United Way Children's Festival (5 annual)
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 0
12 Headstart Centers in Weld County with an annual enrollment of approximately 575 preschool children. .
Recreation Centers : Boys and Girls Club, Windsor Recreation, Evans Recreation, Eaton Recreation, Family
Funplex, City of Greeley Rodarte and Recreation Centers,
United Way Children's Festival (5 annual)
Calculated adoption=0% There is no evidence that policies have been developed or adopted at these
agencies as of yet.
IMPLEMENT:VIO\
Was the objective/strategy implemented as planned since beginning this obiective/strategy? Yes. Steps
was such as comprehensive project that it was impossible to target and implement all that needed to be done
in Weld County in 5 years. Partnerships were key to completion of the action plan, and in-kind contributions
helped projects through to completion. As Steps projects progress and many more partners get involved,
better ideas are entertained because relationships become stronger. Hence, all programs are enhanced and
become integrated with other projects throughout not just the development phase,but also the implementation
and evaluation phases.
Describe the progress and any changes or adaptations that were made and why. The progress of
integrating health and wellness initiatives into childhood education and recreation systems in Weld County is
constantly evolving thanks to the momentum generated and maintained by the Steps funding and the data
retrieved through the 2007 Community Survey.
Detail planned steps for implementing this objective/strategy in 2009.
Based on data from the 2007 Weld County Community Survey and through a micro financing process that
will include contracting services:
1. Partner with the Family Funplex, Fort Lupton Recreation, Carbon Valley Recreation, Bright School
Age Child Care and ABC Childcare, Headstart and other agencies who require technical assistance to
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
support health and wellness initiatives (especially for young children)that have been identified but
not implemented due to current fiscal constraints
2. Prioritize needs in conjunction with stakeholders.
3. Engage agencies in a microfinancing application process so they can become statkeholders in HEAL
initiatives in their individual agencies.
MAINTENANCE
The maintenance of this strategy will probably not occur in one year of funding. However, over multiple
years, with strong partnerships enhanced through mutual agendas related to HEAL, this strategy can be
maintained. Focus will initially be on programming and environmental issues. Policies can be incorporated
into the culture through education and the support of strong community partners.
LESSONS LE:VRNED
Success Factors- see effectiveness section above.
Challenges—were related to sustainability in the face of the inevitable conclusion of Steps funding.
However, because of strong partnerships built in Weld County,because of the collaborations to
leverage scarce resources, a significant amount of programming will continue through other funding
sources.
Objective 3: By 1/31/10, integrate health and wellness initiatives into 5 additional education and/or
recreation systems to reach 25% more children with HEAL messages.
STRATEGY 3C: By January 31, 2010, Collaborate with agencies responsible for after-school programming
to promote 60 minutes of PA to at least 10 sites in Weld County.
Sector: x Media and Public Awareness X Schools X Other Community Settings
Type of Objective/Strategy: Environmental Change Policy X Program
Focus of Initiative: X active living One-time or annual event: O YES X NO
‘cii
Number of potential target population for this objective/strategy.
60,740 (Source: 2007 Census estimates)
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Estimated Number of people exposed to or participated in the objective/strategy to date. 2500
Calculated Reach (b)/(a) = 4%
F.tFLcTI\ INLss
Summarize progress and outcomes:
Conservative estimates done to determine how many Weld County children have been reached with
Steps-related after school activities
Specifically just in the last year: 1) VERB (7 sites/240 participants). The success of the last
two years of the Weld County VERB Summer Scorecard was highlighted in the American Journal of
Preventive Medicine June 2008 Supplement: The VERB Campaign, Not about Health, all about Fun:
Marketing Physical Activity to Children. Results of in-depth evaluations demonstrated success in
engaging tweens in 60 minutes of physical activity every day; Another reference for effectiveness,
VERB Demonstrating a Viable National Option for Promoting Physical Activity Among our Children.
Cavill,N and Maiback, E. Am J Pre Med 2008; 34(6S). 2) FFaR: (Fun,Fitness and Recreation:
Away from the Screen (3 sites/1500 potential). The FFaR Project is an after school physical activity
program that promotes 60 minutes of physical activity every day,to move 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 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. The NEOS was the reason the Youth Summit of Colorado (with over 100
county-appointed students and adults associated with Colorado Parks and Recreation Association)held
their annual conference at the Family Funplex in Greeley. 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. Last summer 40 students enrolled, and already it is
anticipated that the number will rise to well over 100. This is in addition to programs that are being
contracted for Christmas break and Spring break. Expansion plans are already in the development stages
Citation: New Physical Activity Guidelines from HHS:
http://www.health.gov/paguidelines/factsheetprof.aspx
rovide Adoption numbers for the objective/strategy to date. Because the Steps funding
involved WCSD6 students,programming benefited this targeted group the most.
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Number of settings who were informed of,or provided the opportunity to adopt the objective/strategy
to date 19= 17 elementary schools at WCSD6 and 2 charter schools.
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 15 = Boys and Girls Club, Windsor Recreation, Evans Recreation, Eaton Recreation,
Family Funplex, City of Greeley Rodarte and Recreation Centers,WCSD6 Century Grant schools(6),
University Schools, and Frontier Academy.
Calculated adoption =(e)/(d) =
hi ITEM ENTATION
Was the objective/strategy implemented as planned since beginning this obiective/strategy•' As Steps
projects progress and many more partners get involved,better ideas are entertained because relationships
become stronger. Hence, all programs are enhanced and become integrated with other projects throughout not
just the development phase,but also the implementation and evaluation phases.
Describe the progress and any changes or adaptations that were made and why. The progress of
integrating health and wellness initiatives into childhood education and recreation systems in Weld County is
constantly evolving thanks to the momentum generated and maintained by the Steps funding and the data
retrieved through the 2007 Community Survey. WCSD6 was the school district selected to receive Steps
funding, therefore what was learned from this partnership will be integrated into the CBOCES district
wellness policy project, and more agencies in South County that serve disparate children. These include
recreation centers in Fort Lupton and Carbon Valley.
Detail planned steps for implementing this objective/strategy in 2009.
Based on data from the 2007 Weld County Community Survey and through a micro financing process that
will include contracting services:
Partner with the Family Funplex, Fort Lupton Recreation, Carbon Valley Recreation, Bright School
Age Child Care and ABC Childcare, Headstart and other agencies who require technical assistance to support
health and wellness initiatives that have been identified but not implemented due to current fiscal constraints.
Projects will build on the success of FFaR and VERB.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
i. INTENANCE
The evidence of success lies in the experience of the Weld County Department of Public Health and
Environment to not only develop and implement programs, but also to disseminate data related to successes to
acquire validation and national recognition.
LESSONS LEARNED
Success Factors- see effectiveness section above.
Challenges—were related to sustainability in the face of the inevitable conclusion of Steps funding.
However, because of strong partnerships built in Weld County, because of the collaborations to
leverage scarce resources, a significant amount of programming will continue through other funding
sources.
Objective 4: By 1/31/10, create environments and advance policies that support healthy behaviors in 5
restaurants, 5 worksites, and 5 faith-based organizations in Weld County.
STRATEGY 4A: By January 31,2010, facilitate the expansion of the Smart Meal Seal program to 5
additional restaurants.
Sector:
X Healthy Food Purchases/Community Garden X Worksites
X Other Community Settings X Media and Public Awareness
Type of Objective/Strategy: x Environmental Change x Program
Focus of Initiative: x Healthy Eating One-time or annual event: X NO
Rt.Acn
Number of potential target population for this objective/strategy.
237,000(population in Weld County 2007 Census)
Number of people exposed to or participated in the objective/strategy to date. 111,500 (population
in Greeley, Windsor and Eaton 2007 Census-towns with Smart Meal participating restaurants)
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Calculated Reach = (b)/(a) = 47%
EFFICTIVLNFss
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 is 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.
Cited Literature: Preventive Medicine, Vol. 39, Supplement 2, September 2004,pages 108-136. Impact of
nutrition environmental interventions on point of purchase behavior in adults and a review.
Buscher,L.A., Martin, K.A., Crocker, S. (2001)Point of Purchase messages framed in terms of cost,
convenience, taste &energy improve healthful meal selection in a college foodservice setting. Journal of the
American Dietetic Association, Vol. 101, 909-913
2009 Evaluation Strategy: LiveWell Weld County will determine the effectiveness of the Smart Meal
Program in their community by following the program's evaluation protocols. These protocols include
collecting baseline and sales data every quarter for internal evaluation, conducting manager interviews 3 and
6 months into the program and surveying customers for brand awareness and program satisfaction.
400 VI
Number of settings who were informed of,or provided,the opportunity to adopt the objective/strategy
to date (i.e.,since the beginning of the current grant year). 101
(Number of restaurants that were notified through a mailing about the Smart Meal Program)
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 9
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(To date 9 restaurants in Weld County have certified Smart Meal menu items. They include: McDonalds,
Qdoba, Windsor Brick Oven Pizza, Contemporary Cook, Fat Albert's, Coyote's, Eaton Country Club,
Greeley Country Club, and Woody's.)
Calculated adoption =(e)/(d) = 9%
I.lrLE\lE\T:Mo\
Was the objective/strategy implemented as planned since beginning this objective/strategy? X Yes
Describe the progress and any changes or adaptations that were made and why.
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. Each of these restaurants
have qualified a minimum of 2 items on their menus as Smart Meals which is required to participate in the
program, however, some of qualified more menu items including Fat Albert's with five(5) items and
Contemporary Cook with five(6) menu items.
Several restaurant owners within Greeley are becoming more aware of the Smart Meal Program as
evidenced by an increased number of restaurants calling our staff for information about the program and
inquiring how to become involved. Our goal for 2009 is to increase awareness about the program in new
communities within Weld County and expand adoption rates within communities that already have
restaurants participating(Greeley, Windsor and Eaton).
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. Steps to a
Healthier Weld County was able to assist restaurants with these costs, investing$2000 in the Smart Meal
program over the course of their funding. As we attempt to expand this program outside of Greeley, it will be
advantageous to continue to offer financial support to restaurant owners who are willing to participate.
Detail planned steps for implementing this objective/strategy in 2009.
Weld County plans to increase participation of restaurants that are located in lower socioeconomic
neighborhoods, located in communities in the southern part of Weld County including Ft. Lupton and the
Frederick/Firestone areas, as well as, restaurants that are owned or operated by Latino members of the
community. This effort would expand the potential reach of this program by at least five new restaurants, and
approximately 16,000 new community members. Additionally, we will actively promote a compliance plan
with protocols for recruitment and evaluation for the Smart Meal Program.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
ILUNIr ANCF.
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.
LESSONS I.E.ARNED
Success Factors
8 restaurants in Weld County have 2 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.
Challenges
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. Our goal is to
make this process as easy as possible for restaurants by supporting them in whatever capacity necessary.
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.
Additionally, several restaurant owners do not have money available in their budgets to print"table
tents"and other Smart Meal marketing materials that are required to participate in the program. Our budget
would need to cover these expenses if we recruited those restaurants.
Objective 4: By 1/31/10, create environments and advance policies that support healthy behaviors in 5
restaurants, 5 worksites, and 5 faith-based organizations in Weld County.
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STRATEGY 4B: By January 31, 2010 provide technical assistance to at least 5 new worksites in south Weld
County with at least 10 employees by expanding worksite wellness policies and/or environmental changes in
the workplace.
Sector: X Worksites X Active Community Environments x Media and Public Awareness
Type of Objective/Strategy: X Environmental Change X Policy X Program
Focus of Initiative: X HEAL(both) One-time or annual event: X NO
kcu
Number of potential target population for this objective/strategy. 113,500 (#of people
employed in Weld County)
Number of people exposed to or participated in the objective/strategy to date. 17,000
(total#of employees at the worksites that have a wellness program)
Calculated Reach =(b)/(a) = 15%
EFFECTIVENESS
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.
Of the businesses that regularly participate in the Greeley Well City Worksite Wellness Support
Group meetings, data indicates that 25 businesses have CEO support and 15 have a wellness team. In
addition, 10 businesses have collected data, and all but one large business is working on the necessary
operating plan, 13 have conducted and continued to conduct interventions, 8 have a supportive environment,
and 5 have evaluated outcomes of interventions. Three large and one small employer in Greeley have already
received their WELCOA awards and 25 other businesses are in the process of completing their applications.
The success stories resulting from wellness programs among businesses involved with the Greeley
Well City Initiative are numerous. An example of the phenomenal success of one program is Aims
Community College's Biggest Winner challenge. In early 2008, Aims students and employees worked
together in a friendly competition to lose weight and learn more about being healthy. The idea took root in
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the Student Life office and grew all over campus. Medical Assistant students signed on to help out with the
weekly measurements. The Communication Media department put together a weekly television show that
highlighted participants and gave encouraging tips to stay healthy. The bookstore offered discounts on all
health related books and weekly lunch and learns were offered on a variety of health related topics. Eighty-
two (82) employees participated, three-hundred eleven (311) pounds, and seven-hundred thirty-four inches
were lost. The plans are to run the program again this spring with changes proposed by the participants.
Data to be used for evaluation purposes will consist of the number of worksites within Weld County that
successfully apply for recognition by the Wellness Council of America(WELCOA), as well as, what level
(Bronze, Silver, Gold or Platinum) of recognition they receive.
ADOI'IION
Number of settings who were informed of,or provided the opportunity to adopt the objective/strategy
to date(since beginning work on this objective/strategy). 50
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings. 34
(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,New Frontier Bank, Plastic Art Products, Roche Constructors, Inc., Shirazi
& Associates, State Farm Insurance, Sunrise Community 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)
Calculated Adoption = (e)/(d) = 68%
I,NI PL ENE NTA TION
(Was the objective/strategy implemented as planned since beginning this objective/strategy? X Yes
Since the inception of Weld County's partnership with HealthLinks, which is a free worksite wellness
program through the American Cancer Society that is funded by the Cancer,Cardiovascular Disease and
Pulmonary Disease Program at the Colorado State Department of Public Health, in 2008, Steps to a
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Healthier Weld County has pitched worksite wellness to 50 businesses, resulting in 34 new businesses
implementing worksite wellness programming and 5 of those businesses implemented policy changes.
HealthLinks has been able to provide direct worksite wellness programming while Step's staff has been
available to provide technical assistance with the WELCOA application process, coordinate bi-monthly
worksite wellness support group meetings, administer worksite wellness mini-grants, coordinate annual
CEO breakfast meetings and host Chamber of Commerce business before hour events.
For the 2009 grant year, Weld County will focus on providing technical assistance and micro-financing to
businesses as they focus on environmental changes and policy development in the areas of physical
activity and healthy eating.
Costs to date: Steps to a Healthier Weld County micro-financed$6000 to worksites in the form of
mini-grants that funded one time wellness programs at worksites that planned to initiate a comprehensive
wellness program.
N1AINTEN:\SCE
To date, all thirty-four(34)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 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.
LESSONS LEARNED
Success Factors
• Partnership with HealthLinks
• Increase in new Weld County worksites participating outside of Greeley.
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LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
• 3 Large Worksites receiving worksite wellness recognition through WELCOA
• 1 Small Worksite receiving Gold Standard recognition through WELCOA
• .5 FTE Worksite Wellness Coordinator approved by Weld County Government in 2007 to develop a
comprehensive worksite wellness program for 1,500 Weld County employees
Challenges
One reoccurring challenge is that many worksites, especially businesses that employee less then 20
workers, often cannot allot money in their budgets for wellness programming. It is very difficult for some
businesses to justify allocating money for wellness programming unless they can ensure that there will be a
return on their investment. Steps to a Healthier Weld County was able to micro-finance one time employee
wellness programs to provide worksites the opportunity to demonstrate their potential for success. These
micro-financed one time wellness programs/challenges"planted the seed"to initiate a more comprehensive
employee wellness program in the majority of our grantees.
We anticipate that the same situation is likely to occur as we encourage worksites to implement
environmental changes and/or establish worksite wellness policies. The ability to offer nominal financial
assistance to worksites for these initiatives will inevitably result in long term sustainable worksite wellness
programs.
Objective 4: By 1/31/10, create environments and advance policies that support healthy behaviors in 5
restaurants, 5 worksites, and 5 faith-based organizations in Weld County.
STRATEGY 4C: By January 31, 2010 create environments and advance policies that support healthy
behaviors in 5 faith-based organizations in Weld County.
Sector:
X Healthy Food Purchases/Community Garden
x Worksites X Active Community Environments
X Other Community Settings x Media and Public Awareness
Type of Objective/Strategy: X Environmental Change X Policy X Program
Focus of Initiative: X HEAL(both) One-time or annual event: X NO
R H
Number of potential target population for this objective/strategy.
243,000 is the population of Weld County
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Number of people exposed to or participated in the objective/strategy to date.
Calculated Reach 48,600 (b)/(a) 243,000 20%
This is the percentage of people who attend church regularly in Weld County according to the Weld
County Department of Human Services Faith Based Initiative.
Errt:cnvL:N[sS
Was the objective/strategy effective? Summarize progress and outcomes of the objective/strategy using
data collected or cited literature.
As referred to in the June 2004 CDC publication: Partnerships with Faith Based& Community
Based Organizations: Engaging America's Grassroots Organizations in Promoting Public Health: "Faith
communities are concerned with the health of the whole person-physical, mental,and spiritual. Often times,
their desire is to improve the health of their member, neighbors, and community. Partnerships between Faith
Based and Community Based Organizations expand dialogue to members in their groups, therefore
transforming and revitalizing the community's approaches to disease prevention and health promotion". With
the obesity epidemic and the raising rates of chronic disease and the support of Steps to Healthier Weld
County initiatives, many congregations have implemented programs to address the physical health of their
members. Historically, the Weld County Department of Public Health and Environment (WCDPHE) and
Steps have provided resources and educational materials to promote wellness and emergency preparedness
among Weld County's faith based partners. Additionally, WCDPHE and Steps have successfully promoted
partnerships between Public Health and Faith-based Organizations through the development of the Weld
Faith Network(WFN). As a result of this collaboration, the faith based community within Weld County has
been able to access community resources that are available for wellness initiatives and assistance services in
their parish communities, as well as,design and implement parish based health ministry plans that focus on
health and wellness.
Evaluation Strategy for this objective will include internal tracking of micro financing of community garden
projects,physical activity and nutrition program participation tracking, as well as, interviews with faith based
leaders on what changes have occurred.
1DOI'FIOA
Provide Adoption numbers for the objective/strategy to date(since beginning work on this
objective/strategy).
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Number of settings who were informed of,or provided,the opportunity to adopt the objective/strategy
to date(i.e.,since the beginning of the current grant year).
495 faith based organizations
Number of settings that actually participated in adopting the objective/strategy to date and list those
settings.
Calculated adoption 102 (e)/(d)495 21%
To date, 102 faith based organizations have participated in the WFN forums and meetings. Partners in
the Weld Faith Network include the Weld County Department of Human Services, Department of Public
Health and Environment, District Attorney's Office, Juvenal Justice Center, United Way and 211, and the
Faith Community Service Fund.
I)IPLF:\I E\TATION
Was the objective/strategy implemented as planned since beginning this objective/strategy? X Yes
Describe the progress and any changes or adaptations that were made and why.
The WFN was established to coordinate communication and provide information on the many
government and community based services available to the faith based organizations in Weld County.
The Weld Faith Network has evolved into a formal "agency" of Weld County Government. Some major
milestones in the process are:
The WFN hosted a conference in fall of 2007 for 140 elected officials, faith community leaders and
county agency department heads to introduce the WFN to the community.
In January 2008,the Board of Weld County Commissioners created the Weld Faith Council to oversee
the work of the Weld Faith Partnership.
November 2008,the WFN convened the first community forum for the faith community to understand the
issues they face in the community, provide resources and information and promote partnerships to begin
addressing these issues.
The WFN website was launched in June of 2008 and will serve as a platform for communication with
the faith organizations is Weld County. www.weldfaithnetwork.
ADOI'IION
If this was a one-day event
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Detail planned steps for implementing this objective/strategy in 2009.
LiveWell Weld County will assist a minimum of five faith based organizations to create
environmental changes for their members including but not limited to developing community
gardens, introducing options to increase physical activity and/or provide healthy food options at
church sponsored events. LiveWell Weld County will also provide technical assistance to faith based
organizations that are interested in establishing wellness policies, executing wellness programming
and/or implementing parish based health ministry plans.
MLVN1[NAN(L
Describe any evidence that adopting settings will continue to offer, enforce,or maintain the
objective/strategy beyond the grant period.
Faith communities increasingly recognize the crucial role they can play in improving the
health and well-being of their congregations. Based on previous wellness initiatives offered in Weld
County including the success of community gardens and worksite wellness programming, faith based
wellness initiatives will merely require initial technical assistance and minimal micro-financing to
ensure sustainability. The WFN will provide a foundation for future projects and programs for the
faith based community.
For one-day events
LESSONS LEARNLD
If not described in previous REALM sections, describe factors that led to success of the
objective/strategy and any challenges and how you addressed them.
Success Factors
Formal relationships have been established with key members of the faith community and a
communication tool developed to coordinate information from the county and community services
organization to faith based organizations has been established.
Challenges
Identifying ways to coordinate county/community information going out to the faith based
organizations without overwhelming those organizations and creating mistrust.
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Section E:
REVISED OBJECTIVES/ STRATEGIES
DEFINITION: Those 2008 objectives/strategies that,based upon work done in 2008, will be revised in
2009. To be included in this section, revisions should have occurred in REAIM sections in addition to
Implementation(e.g., Planned Reach, Effectiveness, Adoption, and/or Maintenance).
NOT APPLICABLE IN WELD COUNTY.
Section F:
NEW OBJECTIVES/ STRATEGIES
NONE FOR WELD COUNTY
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PART 6:BUDGET NARRATIVE
Personnel
Requested in this FIRST year of funding will be ONE FTE Project Coordinator (PC) and % FTE as
an Administrative Assistant (AA). LiveWell Weld County will depend on the expertise of the Weld County
Department of Public Health and Environment Health Communication, Education and Planning Department
staff and contractors to augment the skeleton Livewell FTE and to leverage scarce resources. The PC will be
hired as soon as funding is approved. The PC will be a Registered Dietician who will be responsible for
overall grant management including action plan completion, budget, contractor accountability, quarterly
reporting of project activities, and grant re-application. The PC will assume a local fiscal steward role to
ensure Livewell funds allocated to the Weld County project are appropriated in a manner consistent with the
contract. The PC will provide direction to the Administrative Assistant. The PC will be the primary liaison
with Livewell Colorado, Colorado Department of Public Health and Environment (CDPHE), community
partners, and contractors. In addition, the PC will take a lead role with the Community Wellness Consortium,
the Health Media Advisory Coalition, and with the Health Care Providers to oversee and ensure completion
of all action plan activities. The Project Coordinator will participate in all required national, state, and
community committees and trainings.
In-kind contributions will augment staff and include a WCDPHE % FTE Health Educator (HE).
Kelly Innis will be responsible for the coordination and technical assistance related to Cultural Competency,
Smart Meal Seal and Worksite Wellness programs and community-specific activities as directed by the PC. In
conjunction with the PC, the HE will function as an accountable fiscal steward to ensure responsible
appropriation of Livewell funds in specific sections of the budget.The HE will oversee the Worksite Wellness
Groups maintenance and recruitment. The HE will participate in all required national, state, and community
level trainings.
In-kind contributions will also include '/ FTE WCDPHE Health Communication Manager.
Denise Retzlaff was the previous Steps to a Healthier Weld County PC and will train the new Livewell PC.
Denise will provide be responsible for media coordinated through WCDPHE Health Communication,
Education and Planning Division and for Technical Assistance (TA) as needed with the Livewell action plan
implementation.
The % Administrative Assistant (AA) Marjorie Hanson is responsible for supporting the Livewell
team to ensure overall office AND program efficiency as directed by the PC. (Another quarter time FTE of
Marjorie's time is estimated to be In-Kind matching) will These activities include but are not limited to
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grant writing assistance, travel arrangements, receipt and invoice tracking, meeting arrangements,
correspondence (meeting minutes, newsletters, and mailings), maintaining databases, and purchasing
supplies. The AA is an integral team member who will also participate in other areas of the LiveWell action
plan as required by the Project Coordinator.
Benefits
Fringe benefits are calculated at 35.54% of total salaries for Weld County positions per Weld County
Government Human Resource policies.
Administrative/Operating
General office supplies include paper supplies, copies and printed materials for all Livewell-related
duties including education programs and activities, print cartridges for black and white and color printers, all
office supplies such as pens, pencils, packets, binders, postage, fax and equipment rental including computers,
phones etc.. Equipment rental for meetings is included, as are educational materials such as include (English
and Spanish) posters, brochures and other health promotional materials that will be developed and/or
purchased to expose and educate the Weld community residents on behavior change as specifically related to
obesity, diabetes, nutrition and physical activity. It is anticipated that WCDPHE will contribute in-kind
supplies and equipment estimated at dollar for dollar through the life of the LiveWell grant. This includes at
least all of the resources listed above.
Conferences/Meetings
Coalitions: Meeting expenses for all coalitions and workgroups associated with the action plan (community,
school, healthcare providers, and worksite) include office supplies and materials (pens, paper, folders,
binders, etc), copying and printing, space rental, meals and/or coffee/tea/soft drinks, other refreshments and
paper products to incentivize attendance. The action plan also supports some educational/training supplies
necessary for the meetings.
ACE, Cultural Competency, Kelly's Kitchen and potential other conferences: All expenses associated
with planning and implementation of regional conferences is included. This includes marketing material
development and advertising, equipment and space rentals, refreshments and paper productions, educational
materials,parking, and personnel. It is anticipated that there will be in-kind contributions of personnel, space,
copying, educational materials and refreshments based on Steps experiences.
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Worksites: The goal is to implement worksite wellness programs in Weld County worksites and networking
and technical assistance through regular meeting where technical assistance is provided to over 25 individuals
is tantamount to accomplishing that goal. There is also the Well City project: the goal is to have Greeley
designated as a Well City through WELCOA and this is the third and final year of this initiative. To
accomplish this, a close partnership has been developed with three Chambers of Commerce which will allow
for the smooth accomplishment of the action plan objectives. The use of minigrants/microfinancing has been
successful during the past 3 years of the Steps grant and this will be continued. The average award was
approximately$400.
Contractors
Community contractors will include many of the Steps community partners including but not limited to
1. Pam Smith—PLACE Technical Advisor(independent contractor through WCDPHE)
2. Jack Shaw—Independent Evaluator who contributed expert evaluation services to Steps to a Healthier
Weld County years 4&5. Approximately 10%of the LiveWell budget (including inkind),has been
allocated to evaluation. The evaluator will be responsible for both qualitative and quantitative data
analysis of all LiveWell Weld County's projects, assisting in instruments that will facilitate data
collection and reporting, and analyzing data. Consultation and completion of success stories utilizing
data and associated inferences will be completed within designated time frames.
3. School Health @ CBOCES - Stipends and substitute teacher pay will be provided to participating
Coordinated School Health if necessary. Professional development in the form of TA for
Coordinated School Health team leaders is planned.
4. North Colorado Health Alliance, specifically the Mobile Van for use at Farmer's Market', etc.-
contributes to nutrition education venues in Weld County
5. NCMC Wellness and Cardiac Rehab staff-- provide healthy cooking classes and other HEAL info.
6. Registered Dieticians like Kelly Leonard star of Kelly's Kitchen, Cindy Dallow and Nancy Lightfoot
—will provide nutrition education to the community
7. Nationally recognized ACE Consultant(Dan Burden or TBD) will be hired for regional ACE
Conference.
8. Nationally recognized Cultural Competency Consultant (TBD)will be hired to provide trainings to
health care providers.
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9. Kaiser Educational Theatre(ETP) staff and UNC theatre staff and students will collaborate to
disseminate HEAL messages through the evidenced-based The Great Food Detective play,to Weld
County children.
10. Weld County ACS Webmaster will be consulted for revision of Steps to a Healthier Weld County
website with a potential transition to LiveWell.
1L Pirate Radio KEI,S 104.7FM for 30 Minutes to a healthier Weld County HEAL radio show will be
continued. This show has been demonstrating success in disseminating HEAL messages. Anecdotal
observations, and phone surveys confirm that Weld County residents, especially those with an
average age of 50 enjoy this type of programming.
12. KRGE Spanish Radio -will be continued for broadcasting HEAL messages to the Hispanic
community. This project has been successful for over five years.
13. miscellaneous opportunistic contractors as deemed necessary to complete objectives
Travel/Mileage/Training
Local travel includes day-to-day activities in Weld County for Livewell staff to meet with community
partners to complete the action plan. This is estimated(@ the Weld County government rate of$0.565/mile).
The PC will attend instate and (1) out-of-state professional development trainings to ensure direct
communication about Livewell activities and to enhance networking and communication skills. Instate Travel
includes at least quarterly trips to Denver for regional COPAN meetings and the Colorado Springs meetings
planned for February 2009
Other
Incentives: Capped at $1500 per Livewell Guidelines. Incentives include not only educational
materials, but also appreciation resources/supplies and/or events that reward community partners for
contributing to the vision of a healthier Weld County. Incentives will include but not be limited to gift cards,
complimentary classes,minor exercise equipment like jump ropes, hand weights,books, etc.
Media and marketing. Included in this media line item are local ad production, radio airtime,
city/towns/municipalities newspaper spots, newsletters,brochures, flyers, posters and educational materials to
publicize activities that relate to the Weld County action plan such as regional conferences, Kelly's Kitchen,
VERB, 5-A-Day, classes, walking programs through Weld Walks, and other activities and events associated
with the community, schools, worksites and healthcare providers strategies. costs in no way will interfere with
the social marketing that Livewell plans in March 2009 with Sukel
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Indirect Costs
Per Weld County Government policy, 10% of the requested funds will be assessed for facility costs like
electricity, water, space, finance/accounting staff, etc.
Strategies
Review information under Implementation in each REALM.
Strategies (label as in action plan; use this section to account for
budget related to specific strategy)
GENERAL LABOR+ADMIN+ TOTAL
MEDIA+
EVALUATION
1A. PLACE Regional Conference $ 9,500 $9,290 $ 18,790
1B. East Greeley Project $13,500 $9,290 $ 22,790
1C. Trails Network $12,500 $9,290 $ 21,790
1 D. Technical Assistance Greeley Comp $9,290 $ 21,790
plan $12,500
2A. classes and opportunities for HEAL $ 5900 $9,290 $ 13,790
26 Cultural Competency $6,000 $9,290 $ 13,290
2C Access to healthy Foods/community $9,290 $ 15,690
gardens $6,400
3A School Wellness CBOCES/ETP $21,300 $9,290 $ 30,590
36 HEAL TA at child centers $1,500 $9,290 $ 10,790
3C. After school programming FFaRNERB $6,200 $9,290 $15,490
4A Smart Meal Seal restaurants $2,000 $ 9,290 $ 11,290
4B.Worksite wellness projects and well city $2,750 $9,290 $ 12,040
4C. Faith Based projects $2,500 $9,290 $ 11,790
Grand total by $
strategy 223„320
Match
See actual Budget for each in-kind match per category. Community partners have traditionally provided in-
kind services to the Steps projects; in 2008 alone, almost $lmillion was tabulated in a listing from the Core
Performance Measures CDC report which is available upon request. These in-kind contributions include
professional time, facility space, resources like food and educational materials, rental of equipment, land and
water use, grant acquisition of the NEOS, donated and earned media, etc. WCDPHE will be providing FTE,
space, office supplies and equipment rental, and what is left over from the Steps grant resources.
Match for community gardens include not only land, composting, and water, but people power,
garden supplies and seeds,and education by master gardeners.
NCMC Wellness services and Health Links provide in-kind professional services.
Page 55 of 76 by Live Well Weld County
LIVEWELL COLORADO WELD COUNTY 2009 COMMUNITY ACTION PLAN
Earned media in Weld County is expected to continue uninterrupted due to the relationships built
during the past 5 years with the Steps grant with multiple partners representing multiple media venues.
Page 56 of 76 by Live Well Weld County
Weld County LiveWell Bt DGET WORKSHEET
Contact Name: Gaye Morrison T
•
Organization: Weld County Health Department ( W( 'UI'I IF)
EXPENSE Amount IN-KIND in-kind Total amount of
DESCRIPTION (MATCH) resources that
CATEGORY requested This is not cash, estimated in will be available
through but other 2009 dollars
g resources and based on Steps for 2009
this contributions like experiences LiveWell
LiveWell labor, facility, land includes both
and water, grant dollars
grant office/equip etc. and in-kind
Personnel (include title and FTE)
1 FTE Coordinator (RD) to be hired when funding $ 4R 503 inkind labor WCDPHE $ 35.500 $ 84.003
approved Dretzlaff & Kimus
25 FTE Admin Assistant Marjorie Hanson 23 additional inkind MH $ 8,423 $ 16.846
Weld County Government Benefits 35.54% S 20.232 35.54% of DR and KI $ 15,610 $ 35,842
Personnel Subtotal: $ 77,158 lain
Adminstrative/Operational at WCDPHE
office expenses S 2.500 WCDPHE office $ 12,000 $ 14.500
educational materials and equipment $ 2.500 rental and available $ 6,000 5 8.500
resources
Admin Subtotal $ 5,000 $ 23,000
Conferences/Meetings
Healthy Weld LiveWell Coalition $ 1 .200 personnel, meeting $ 1.200 $ 2.400
space, refreshments,
copies
Diabetes/Tobacco/Worksite Wellness/ACE/Project $ 1 ,200 personnel, meeting $ 4,800 $ 6,000
GROW/Weld Faith Partnership coalitions and space, refreshments,
workgroups copies
ACE Conference S 2,000 personnel, meeting $ 2.000 S 4.000
space, refreshments.
copies
nutrition education (Kelly's Kitchen, Cindy Dallow, S 5,900 personnel, meeting $ 4.000 5 9.900
NCMC Cardiac rehab, Zumba, etc) space, refreshments,
copies
elected official/CEO breakfast S 850 personnel, meeting $ 1 .600 $ 2,450
space, refreshments,
copies
Community Centers Cultural CompetencyTrainings $ 2 000 personnel, meeting S 2.400 $ 1 lac
space, refreshments.
Conference Subtotal: $ 13,150 Iller00 $ 29,150
Contractors (for overall work)
Pam Smith Ace Contractor $ 40,000 $ 40,000
Evaluator Jack Shaw $ 15,000 WCDPHE Ckronauge $ 10.000 $ 25,000
School Health at CBOCES $ 3,300 $ 3,300
Mobile Medical Van for education/promotions $ 1 .200 $ 1 ,200
classes for healthy eating and active living $ 2.500 personnel, meeting $ 3,500 ' $ 6,000
space, refreshments.
copies
Nationally recognized ACE consultant $ 5,500 personnel, meeting $ 2,500 S 8.000
space. refreshments,
copies
Nationally recognized Cultural Competency $ 4,000 personnel, meeting $ 2,500 $ 6,500
consultant space, refreshments,
copies
Kaiser Educational Theatre Program (GFD) $ 15,000 personnel, meeting $ 5.000 $ 20.000
space, refreshments,
copies
Contractor Subtotal: $ 86,500MIIMPA0°1 $ 110,000
Travel/Mileage/Training
Travel/Mileage _ 3,800 I I I I I $ 6 0LI '
Training Budget (limit to one out-of-state travel) $ 1200 $ 1 .200
Travel Subtotal $ 5,00 0 1 I $ - I $ 5,000
Other (please specify)
Incentives-Local products/gift certificates S 1 ,500 WCDPHE health $ 600 S 2.100
promotion resources
Media (radio programming, print flyers, non- $ 17_500 earned media $ 55,000 $ 72.500
trad) estimated
east Greeley project $ 1 .000 personnel, meeting $ 10,000 $ 11 ,000
space, refreshments,
copies
Zumba $. - personnel, meeting $ 2,500 S 2.500
space
Community Gardens '5 4.000 land use in at least 8 $ 50,000 S 54,000
locations, water,
gardening supplies like
hoses, shed,
cleanup/hauling
afterschool Projects including FFaR S 1 ,500 personnel, meeting $ 2,500 $ 4,000
space, refreshments,
copies
CBOCES Coordinated School Health S 3,000 personnel, meeting $ 2,500 $ 5,500
space. refreshments.
copies
VERB Summer Scorecard S 2,000 personnel, meeting S 2.000 5 4 000
space, refreshments.
copies
access to fruits and vegetables in disparate S 2,700 personnel, meeting c 2,000 S 4,700
neighborhoods (grocery/ mobile van/etc) space, refreshments.
copies
Smart Meal Seal 2 2,000 personnel, meeting S 1 .500 S 3.500
space, refreshments.
copies
Work site wellness programming S 2.750 personnel, meeting S 15,500 S 16,250
space, refreshments.
copies
Faith based projects related to HEAL 5 2.500 personnel, meeting $ 2 500 $ 5.0:0OL
space, refreshments.
copies
Other Subtotal: $ 40,450 $ 146,600 $ 187,050
Subtotal $ 227,258 la, 263,633 $ 490,891
Indirect Costs 10% 22,726 $ 22,726
TOTAL REQUEST FOR 200e $ 249,983 $ 513,616
Strategies (label as in action plan; use this section to account for budget related to specific strategy)
GENERAL LABOR + ADMIN + MEDIA+ EVALUAT TOTAL
1A PLACE Regional Conference S 9.500 not including inkind $ 9,290 1 $ 18,790
1B East Greeley Project S 13,500 tnot including inkind $ 9,290 $ 22,790 .
1C Trails Network $ 12,500 not including inkind $ 9,290 1 $ 21 ,790
1D Technical Assistance Greeley Comp plan $ 12,500 not including inkind $ 9,290 S 21 ,790
2A classes and opportunities for HEAL $ 5,900 not including inkind $ 9,290 1 $ 15,190
2C Cultural Competency $ 6,000 not including inkind $ 9,290 $ 15,290
2A Access to healthy Foods/community garden S 6.400 I not including inkind $ 9,290 1 $ 15,690
3A School Wellness CBOCES/ETP S 21,300 not including inkind $ 9,290 $ 30,590
3B HEAL TA at child centers $ 1.500 not including inkind $ 9,290 1 $ 10,790
3D after school FFaR/VERB $ 6,200 not including inkind $ 9,290 $ 15,490
4A Smart Meal Seal $ 2.000 not including inkind $ 9,290 1 $ 11,290
4B Worksite wellness S 2,750 not including inkind $ 9,290 $ 12.040
4C Faith Based projects S 2.500 _ not including inkind $ 9,290 i $ 11 ,790
$ 223,320
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