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Home My WebLink About20051370.tiff RESOLUTION RE: APPROVE APPLICATION FOR RENEWAL OF STEPS TO A HEALTHIER US PROGRAM GRANT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with an Application for Renewal of STEPS to a Healthier US Program Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment,and the Colorado Department of Public Health and Environment, commencing September 21, 2005, and ending September 20, 2006, with further terms and conditions being as stated in said renewal application, and WHEREAS,after review,the Board deems it advisable to approve said application,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application for Renewal of STEPS to a Healthier US Program Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be,and hereby is,authorized to sign said application. The above and foregoing Resolution was,on motion duly made and seconded,adopted by following vote on the 4th day of May, A.D., 2005. ,t E La BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 1661 , 4 "-""'y 4 William H. rke, Chair � $'!" ". A ty Clerk to the Board �-OL � M. J. eile, o- em BY: ��f Deputy Clerk to the Board C David E. Long APP D AS TO EXCUSED Y y Ro i, s l / ount Attorne / Glenn Vaad Date of signature: -�/�1/4� 2005-1370 HL0032 a : //t Ca a-,c5 ) Os-7-s--- S--- Memorandum TO: William H. Jerke, Chair Board of County Commissioners ige. FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health and ,� QQ QEnvironment -110"11/4- SUBJECT: 400)2 ,cCOLORADO DATE: May 4, 2005 J Steps to a Healthier US Program Renewal Proposal Enclosed for Board review and approval is a renewal grant application to the Colorado Department of Public Health and Environment for the Steps to Healthier US Program. The grant is funded by the US Department of Health and Human Services through the Centers for Disease Control and Prevention. If approved, the renewal application will provide funding for the prevention and management of diabetes, asthma, and obesity in Weld County. The grant activities are carried out in partnership with the Community Consortium made up of committed partners dedicated to addressing these chronic diseases. The program focuses on reaching out to both youth and adults in the community, school, worksite and health care settings to change behavior. Strategies and activities will also focus on eliminating disparities in the County often associated with the diseases. If funded, the term of the grant will be September 21, 2005 through September 20, 2006. The total amount of the request is $525,723.00. This includes funding for 3.5 FTE, a contract position for School District Six, and operating expenses to meet the objectives of the grant. I recommend your approval of this renewal application. Enclosure 2005-1370 Kit 7;41:1 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17`h Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ' ADMINISTRATION: (970) 304-6410 O FAX: (970) 304-6412 C PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX (970) 304-6411 Granting Agency: Colorado Department of Public Health and Environment Applicant's Name: Weld County Department of Public Health and Environment Applicant's Address: 1555 N. 17th Avenue Greeley, CO 80631 Applicant's Phone: (970) 304-6420, est. 2380 Applicant's Fax: (970) 304-6425 Project Title: Steps to a Healthier US Grant Contact Person: Gaye Morrison, Health Promotion Programs Date: May 4, 2005 Weld County Department of Public Weld County Board of Commissioners Health and Environment Mark E. Wallace, MD, MP irector William H. Jerke, Chair MAY 0 4 2005 4i F.,La fraeld County Clerk to the Board , ' ? % c• tie-11 net— /477 DEPUTY CLEn Steps to a Healthier Weld County- Executive Summary Weld County at 3,999 square miles is geographically the third largest county in Colorado. It is still primarily an agricultural based county with 211,272 residents. The greater Greeley area includes Evans, Garden City, La Salle and Greeley and is home to 48% of the residents of Weld County. The Steps to a Healthier Weld County project began in September 2003 after receiving a five-year grant award as part of the national Steps to HealthierUS community-focused initiative to reduce the burden of asthma, diabetes, and obesity in both community and school settings. For the 2005-2006 grant year the initiative will focus on four settings in the greater Greeley area including: Weld County School District 6, Weld County Worksites, Weld County Healthcare Providers, and Community Organizations. Addressing and reducing disparities among the underserved populations, Hispanic, low income and uninsured, in Weld County will continue to be the key upon which the five-year vision of the Steps to a Healthier Weld County Program is driven. Over the five-year grant period programs and activities of the Steps to a Healthier Weld County program will be conducted in at least 30 worksites (25%) which employ from 100 to over 1,000 employees, 53 of the 215 churches/faith-based organizations (25%), 20 of an estimated 30 youth organizations (66%) and 12 Healthcare Provider Facilities. There are 12 separate school districts in Weld County with a total of 33,218 students K-12. Weld County School District 6 (WCSD6) is the largest with more than half of all the students in the county (18,048 students). In WCSD6 program information, campaigns and activities addressing diabetes, asthma, obesity, physical activity, nutrition and tobacco will be addressed in at least 90% of the schools in five years, reaching more than half of all students in Weld County. Additionally, a District-level Coordinated School Health Team will be established along with at least 9 building-level Coordinated School Health Teams that will all be working together on implementing a comprehensive Coordinated School Health Program. Overall Steps to a Healthier Weld County program will impact at least half of the 219,257 Weld County residents by reaching out to them where they live, work, eat, play, attend church, and learn. The five-year action plan will continue to be use the socio-ecological model as a guide. c. Intervention Areas The Greater Greeley area is comprised of Evans, Garden City, LaSalle and Greeley. The population estimate for July 2003 is 101,742 people of which 70% are Anglo and 30% are Latino. The percent of persons living below poverty level in Greeley is 16.9% compared to Colorado at 9.3%, according the US Census Bureau, 2000. According to the combined 2003-2004 Colorado Behavioral Risk Factor Surveillance System, in Weld County, the prevalence of clinically diagnosed diabetes is 4.2%, the same as Colorado's but higher than the 2.5% Healthy People (HP) 2010 goal; the percent of adults with a BMI > 30 is 23 %, well above the Colorado's average of 16 % and HP 2010 goal of 15%; the percent of current smokers in Weld County is 13.2, nearly the same as Colorado's, 13%,just slightly above the HP 2010 goal of 12%; the proportion of adults in Weld county who engage in no leisure time physical activity is 74%, less than that of Colorado, 82%, and the HP 2010 goal, 20%; the percent of adults who have been told them have asthma in Weld County is 15% compared to Colorado's 13%. For the 2005-2006 Grant year, the Steps staff will address the six risk areas of nutrition, physical activity, diabetes, asthma and tobacco use in four settings. These settings include School District 6, Weld County Worksites, Weld County Healthcare Facilities, and Community Organizations. The target population groups in each of these settings include groups that are low-income, underinsured, underserved, Spanish-speaking only and minority status. In the worksites, the objectives are to implement wellness programs in at least 10 worksites and to provide resources, education and interventions to address diabetes, asthma, nutrition, physical activity, obesity and tobacco use to at least 30 worksites. For the 2004-2005 grant year relationships have been developed with seven worksites in Weld County. These worksites include Kodak, Swift & Company, State Farm, Aims Community College, Weld County Government, Banner Health and Work Out West Fitness Center. Each of these worksites has implemented some wellness programming but none have developed a comprehensive wellness program company-wide. The barriers to implementing wellness programming overall are the lack of senior management support, lack of funding for wellness activities and the lack of education about the cost benefits to start and maintain a comprehensive worksite wellness program. For instance, Swift & Company Corporate provides a fitness room and walking paths for employees to use, however, senior management doesn't encourage their utilization, they are more concerned with employee productivity at their workstations. In the 2005-2006 grant year, Steps staff will be providing resources, incentive, and technical assistance such as Worksite Wellness Workshops sponsored by COPAN and HEALTHBREAK, Inc. The healthcare provider objectives for the 2005-2006 year are to assess provider needs. Efforts will focus on an assessment to develop and implement an integrated system to address diabetes, asthma and obesity and provide the resources, education and interventions. Weld County has highly skilled healthcare providers who maintain significant interest in the Steps initiatives. An ongoing barrier is fluctuating support from administration for employees to participate in community projects. In addition, target clinics providing care to our high-risk populations are generally understaffed and time to schedule meetings interferes with patient schedules. The Steps program will coordinate a focus group to develop a strategy to overcome identified barriers. In the community, the first objectives is to expose one million Weld County Residents to educational messages on the prevention/management of asthma, diabetes and obesity and associated risk factor through 5 A Day, VERB, Paso a Paso and other print and radio media campaigns. Another objective is that 1000 Weld County Residents will participate in prevention/management activities such as cooking/nutrition classes, fruit and produce tours at grocery stores, youth-sponsored physical activity events, TV Turnoff activities, and diabetes and asthma management classes held at local facilities. A third objective is the implementation of at least three Active Community Environment (ACE) activities that Community Planners, Leaders, Developers and other key community members will participate in through ACE trainings and the promotion of community resource booklets. The wellness programming has been widely received and organizations are willing to partner together on various events. What is lacking is a community-wide involvement from more organizations. The Physical Activity and Nutrition(PAN) Workgroup and Community Consortium are planning a community-wide event for summer 2006 to collaborate with more community partners. The first objective in the school system is the implementation of at least five district level Coordinated School Health (CSH) team activities such as a School Wellness Policy that addresses nutrition education/physical activity goals and nutrition standards. For the 2004-2005 grant year there has been one district level Coordinated School health Team activity/planning meeting. The second objective is the maintenance of three Coordinated School Health Teams with at least six members per team through the establishment of meeting schedules, technical assistance needs and School Health Index assessments. For 2004-2005 grant year three Coordinated School Health Teams have been formed and contain at least six members per team. For the 2005-2006 grant year the Steps staff will work together with the School Health Coordinator to develop relationships with key contacts at three additional schools within School District 6 to promote the School Health Index action plans. It is vital to involve more schools into the Coordinated School Health Model so that by year five the district can maintain and enhance a district-level Coordinated School Health Team that is working together to address wellness the same way for all teachers, students and district staff. d. Community Consortia The Community Consortium includes the following partners: Weld County Government, Sunrise Clinic, Banner Health, Swift & Company Corporate, Swift & Company Beef Plant, State Farm Mountain States Corporate, School District 6, Colorado State University Extension, City of Greeley, City of Evans, Boys & Girls Clubs of Weld County, Weld County Food Bank, University of Northern Colorado, Aims, American Cancer Society, Paul Home Oxygen Services, Kodak, Work Out West Fitness Center, Tobacco Free Weld County Coalition, Diabetes Coalition, Weld County Department of Public Health and Environment, La Salud, Rodarte Center, Youth Initiative, Youth Net, Greeley Senior Center, Evans Senior Center. Currently the Community Consortium has 42 members. The workgroups consist of the following: the Tobacco Coalition of X members, the Diabetes Coalition with X members, the Asthma Information and Support group with X members, and the Physical Activity and Nutrition Workgroup (PAN) with 10 members. COMMUNITY ACTION PLAN - YEAR THREE GOAL 1: INFRASTRUCTURE GOAL 2: COMMUNITY GOAL 3: HEALTHCARE SYSTEMS GOAL 4: SCHOOLS GOAL 5: WORKSITES ' rogram Goal 1 — INFRASTRUCTURE - Maintain and expand the existing coordinated Stets to a ealthier Colorado Program infrastructure in Weld County Annual Infrastructure Objective 1A: By September 21, 2006, the Weld County Steps Program will maintain and enhance staffing to 3.50 full-time employees. (Baseline: 3.25 FTE) YEAR 3 Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain Full-Time Project Coordinator. Project Coordinator X X X X Position is filled. (PC) 2.Maintain two Full-Time Health Educators(hours for one PC X X X X Positions are both filled at Full-Time Health Educator will be enhanced from.75 FTE to 1.0 status. FTE.). 3.Maintain Part-Time Administrative Assistant. PC X X X X Position is filled. YEAR4 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain Full-Time Project Coordinator. Project Coordinator X X X X Position is filled. (PC) 2.Maintain two Full-Time Health Educators. PC X X X X Positions are filled. 3. Maintain Part-Time Administrative Assistant. PC X X X X Position is filled. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 1 YEAR S Strategy I Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 Position is filled. I.Maintain Full-Time Project Coordinator. Project Coordinator X X X X Position is filled. (PC) 2.Maintain two Full-Time Health Educators. PC X X X X Positions are filled. 3.Maintain Part-Time Administrative Assistant. PC X X X X Position is filled. Annual Infrastructure Objective IB: By September 21, 2006, the Weld County Steps Program will maintain one contract for program evaluation services. (Baseline: program had a contract with John Snow Research and Training Institute (JSI) during year two to provide program evaluation services) YEAR 3 Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain program contract with John Snow Research and Staff, John Snow X X X X Copy of completed evaluation contract. Training Institute(JSI)for program evaluation services. Community Research and Training Institute(JSI) Project Coordinator (PC) la. JSI will assist with development of Staff, JSI X X X X Copy of evaluation tools developed. strategy level evaluation tools as needed by Community PC program. lb.JSI will assist with the quarterly, mid year Staff, JSI X X X X Completed copies of quarterly,mid year and and year end progress reporting as needed Community PC year end progress reports. by program. lc.JSI will participate in Steps evaluation Staff, JSI X X X X Evaluation conference call notes. conference calls as needed by the program. Community PC ld.JSI will assist in the development of the Staff, JSI X X X Completed copy of year four action plan. year four action and evaluation plans for Community PC Weld County. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 2 YEAR 4 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain program contract with John Snow Research and Staff, Project Coordinator Training Institute(JSI)or other appropriate contractor for Community (PC) program evaluation services. AR 5 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain program contract with John Snow Research and Staff, Project Coordinator Training Institute(JSI)or other appropriate contractor for Community (PC) program evaluation services. Annual Infrastructure Objective 1C: By September 21, 2006, necessary Weld County Steps Program Staff will participate in at least 11 staff development opportunities as appropriate. (Baseline Estimate: During year 2 necessary staff attended a total of four national Steps conferences, eight statewide trainings/meetings and eight statewide/regional professional development opportunities) EA Strategy I Action Steps Target Group Lead Role Time Line Data Source Evaluator Q1 Q2 Q3 Q4 Indicator(s) 1.Necessary Steps staff will attend at least two national Steps Steps Staff Project X X X X Meeting Agenda #of meetings Grantee Meetings. Coordinator Participant List attended. (PC) STEPS Staff 2.Necessary Steps staff will attend at least one national Steps Staff PC X X X X Meeting Agenda #of meetings training. Steps Staff Participant List attended. 3. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X Meeting Agenda #of meetings will attend at least six coordinator meetings in Denver. Participant List attended. 3a. Project Coordinator will attend at least six Steps Staff PC X X X X Meeting Agenda #of meetings Statewide Steps Project Coordinator Participant List attended. Meetings. 3b.School Health Coordinator will attend at Steps Staff PC X X X X Meeting Agenda #of meetings least six statewide Steps School Participant List attended. Coordinator Meetings. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 3 4.Necessary Steps staff will attend at least four regional or Steps Staff PC X X X X Meeting Agenda #of meetings statewide Steps trainings and/or meetings. Participant List attended. 5. Steps staff will meet weekly and monthly with Health Steps Staff PC X X X X Meeting Agenda #of meetings Promotion Supervisor Steps Staff Participant List attended. 6. Steps staff will attend 2 team retreats Steps Staff PC X X Retreat Agenda Attendance at retreat Steps Staff 6a. Steps staff will plan and attend one team Steps Staff PC X Retreat Agenda Attendance at retreat building retreat Steps Staff 6b. Steps staff will plan and attend a planning Steps Staff PC X Retreat Agenda Attendance at retreat retreat. Steps Staff Evaluation comments:Data collection tools used to assess strategies under objective 1C: Meeting agenda,participants lists, and Schedule of meetings. Strategy i Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Necessary Steps staff will attend at least two national Steps Steps Staff Project Coordinator X X X X #of meetings attended. Grantee Meetings. (PC) 2.Necessary Steps staff will attend at least one appropriate Steps Staff PC X X X X #of meetings attended. national training. 3. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X #of meetings attended. will attend at least four coordinator meetings in Denver. 4.Necessary Steps staff will attend at least four regional or Steps Staff PC X X X X #of meetings attended. statewide Steps trainings and/or meetings. _ _m Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Necessary Steps staff will attend at least two national Steps Steps Staff Project Coordinator X X X X #of meetings attended. Grantee Meetings. (PC) 2.Necessary Steps staff will attend at least one appropriate Steps Staff PC X X X X #of meetings attended. national training. 3. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X #of meetings attended. will attend at least four coordinator meetings in Denver. 4.Necessary Steps staff will attend at least four regional or Steps Staff PC X X X X #of meetings attended. statewide Steps trainings and/or meetings. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 4 Annual Infrastructure Objective 1D: By September 21, 2006, the Weld County Steps Program will maintain and enhance the Community Consortium structure by developing a leadership team with representation from each of the five workgroups (Tobacco Coalition Workgroup, Diabetes Coalition Workgroup, Asthma Information and Support Workgroup and the Physical Activity and Nutrition Workgroup and the Coordinated School Health Team). (Baseline: 1 Community Consortium, 0 Leadership Team, 5 workgroups in year 2) YEAR-3 Strategy I Action Steps Target Group Lead Role Time Line Data Source Evaluator Ql Q2 Q3 Q4 Indicator(s) 1.Maintain and expand Consortium by ten additional Community Project X X X X Current Consortium #of members members. Members Coordinator Membership List maintained from Year (PC) 2 Recruitment Contact #of new members List recruited 1 a.Develop a list of representatives who will Community PC X X X X Recruitment Contact #of new members be invited to participate. Members Steps Staff List recruited 2.Provide two professional development opportunities for Consortium PC X X X X Professional #of sessions provided consortium members. Partners Steps Staff Development Session Sign-in Sheet #of participants at each session Satisfaction Survey Results of satisfaction Both Forms to be survey developed 2a.Recruit two professional speakers and/or Consortium PC X X Professional #of sessions provided trainers and provide two professional Partners Steps Staff Development Session development opportunities for the Professional Sign-in Sheet #of participants at consortium. Trainers each session Satisfaction Survey Results of satisfaction Both Forms to be survey developed 3. Establish a Leadership Team. Consortium PC X X Invitation list Establishment of Partners leadership team Level of participation of team 4/26/05 Draft with evaluation changes per 4/25/05 meeting 5 3a. Invite key leaders to join the Steps Consortium PC X Invitation list Establishment of Consortium Leadership Team and serve for Partners Steps Staff leadership team one year period. Level of participation of team 3b.Develop an outline of leadership meeting Consortium PC X X X X Schedule of meetings #of meetings attended dates and provide technical assistance to Partners consistently by team leaders as they work on the Steps List of TA provided to Consortium goals and structure. team #of TA sessions provided to team 3c.Review progress on grant objectives Leadership Team PC Steps staff 3d.Assist with planning for year 4. Leadership Team PC Steps staff Evaluation comments:Data collection tools used to assess strategies under objective 1D: Current Consortium Membership List,Recruitment Contact List, Professional Development Session Sign-in Sheet, Satisfaction Survey, Schedule of meetings,and list of TA provided to team. 4 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Ql Q2 Q3 Q4 1.Maintain and expand Consortium by ten additional Community Members Project Coordinator X X X X members. (PC) 2.Provide two professional development opportunities for Consortium Members PC X X X X members. Steps Staff 3. Maintain the Leadership Team Consortium Partners PC X X X X Steps Staff - - 7- YEAR I Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain and expand the Consortium by ten additional Community Members Project Coordinator X X X X members (PC) Steps Staff 2. Provide two professional development opportunities for Consortium Members PC X X X X members Steps Staff 3. Maintain the Leadership Team Consortium Members PC X X X X Steps Staff 4/26/05 Draft with evaluation changes per 4/25/05 meeting 6 Program Goal 2: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical activity and tobacco cessation, and prevention of tobacco use and exposure in the COMMUNITY. Annual Community Objective 2A: By September 21 2006, One million Weld County Residents will be exposed to educational messages on the prevention/management of asthma, diabetes and obesity and associated risk factors. (Baseline: An estimated 12,000 Weld County Residents were exposed to messages on the prevention/management of asthma, diabetes and obesity and associated risk factors during year 2 of the Steps program) vtAR 3 Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Increase awareness of the benefits of increased fruit and Weld Residents Project X X X X Instrument #of educational vegetable consumption in at least 4 venues. Coordinator Number: 02AS 1 messages on fruit and (PC) vegetable consumption. #of Weld Residents exposed to messages. la. Promote the local farmers market once a Weld Residents PC X X Instrument #of educational month,May—October, as a place to Number: O2AS 1 messages on fruit and increase fruits and vegetables vegetable consumption. consumption. #of Weld Residents exposed to messages. lb. Incorporate at least five messages on fruit Weld Residents PC,PAN X X X X Instrument #of messages aired and vegetable consumption into the KGRE Bilingual Residents Community Number: O2AS 1 on radio Spanish Radio Media Campaign. Partners #of Weld Residents exposed to messages. lc.Provide Fruit and vegetable consumption Weld Residents PC,PAN X X X X Instrument #of venues prompts point of decision educational prompts in at Grocery Stores Community Number: provided least ten community locations where fruits and Farmers Markets Partners O2AS 1 C&D #of prompts vegetables are sold. distributed #of Weld Residents exposed to messages. ld.Provide fruit and vegetable consumption Churches PC,PAN X X X X Instrument #of churches educational materials to at least 5 churches Weld Residents Community Number: materials provided to share with congregation members. Partners O2AS 1 C&D #of materials distributed #of Weld Residents exposed to messages. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 7 Evaluation comments: Instrument Number: O2AS 1 will collect information on the type of message, place message was presented, target population of message, and number of people exposed and Instrument Number: O2AS 1C&D will collect information on site names, number of sites prompts and materials are provided, number of prompts and materials distributed and number of people exposed. ***Could do a survey on barriers to fruit/veggie consumption at the farmers market to determine impact. 2.Increase awareness of importance of increased physical Weld Residents Health X X X X Instrument #of educational activity through at least 3 venues. Youth Educator Number: O2AS2 messages physical (HE) activity #of Weld Residents exposed to messages. 2a. Incorporate at least four VERB messages Youth HE X X X X Instrument #of publications in school and community youth Number: O2AS2 messages appear publications. #of VERB messages provided #of youth exposed to messages • 2b.Incorporate at least five messages on Weld Residents PC X X X X Instrument #of messages aired physical activity into the KGRE Spanish Bilingual Residents Community Number: O2AS2 on radio Radio Media Campaign. Partners #of Weld Residents exposed to messages. 2c. Implement STEPS and PSI media Weld Residents PSI X Instrument #of print ads campaign. Number: 02AS2 provided #of Weld Residents exposed to ads Evaluation comments: Instrument Number: O2AS2 will collect information on the type of message,place message was presented, target population of message, and number of people exposed. 3. Increase public awareness about the importance of triggers, Weld Residents Health X X X X Instrument #of educational such as second hand smoke,in managing asthma in at least Educator Number: O2AS3 messages provided 5 venues. (HE) about asthma TWG #of Weld Residents AWG _ exposed to messages. 3a.Incorporate at least 10 educational articles Weld Residents HE,TWG X X X X Instrument #of articles printed and/or messages into Weld County AWG Number: O2AS3 and distributed newspapers. #of readers exposed 3b. Incorporate at least 3 educational articles Weld Residents HE,TWG X X X X Instrument #of churches or and/or messages in church newsletters or AWG Number: O2AS3 community publications. publications printing articles #of articles printed and distributed #of readers exposed 3c. Incorporate at least four messages on the Weld Residents HE X X X X Instrument #of messages aired KGRE Spanish Radio Station. Bilingual Residents Community Number: O2AS3 on radio Partners #of Weld Residents exposed to messages. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 8 3d. Coordinate at least 1 outdoor media Weld Residents HE,TWG Instrument #of Weld Residents campaign in the Greater Greeley area. AWG Number: 02AS3 exposed to messages. Evaluation comments: Instrument Number: 02AS3 will collect information on the type of message, place message was presented, target population of message, and number of people exposed. 4. Increase awareness about preventing and managing Weld Residents PC X X X X Instrument #of educational diabetes in at least 4 venues. DC Number: 02AS4 messages provided about diabetes prevention #of Weld Residents exposed to messages 4a.Implement at least one media campaign Weld Residents PC X X X X Instrument Campaign developed utilizing a combination of outdoor media. DC Number: 02AS4 #of educational messages provided #of messages aired on radio #of Weld Residents exposed to messages #of booklets requested 4b.Recruit bilingual Spanish speaking Diabetes Experts PC X X X X #of bilingual Spanish diabetes prevention/management Weld Residents Community speaking diabetes professionals to participate in the four Bilingual Residents Partners prevention KGRE Radio Station diabetes prevention DC professionals recruited programs. 4c. Incorporate at least four Paso a Paso Weld Residents PC X X X X Instrument #of programs aired printed media ads in local Spanish Bilingual Residents Community Number: 02AS4 #of Weld Residents publications promoting the prevention of Partners exposed to messages type 2 diabetes. Evaluation comments: Instrument Number: 02AS4 will collect information on the type of message, place message was presented, target population of message, number of people exposed, and number of Small Steps,Big Rewards Game Plan Booklets Requested 4 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Increase awareness of fruit and vegetable consumption in at Weld Residents Project Coordinator least 6 venues (PC) 2. Increase awareness of importance of physical activity I Weld Residents Project Coordinator through at least 5 venues (PC) 3. Increase public awareness about the importance of asthma Weld Residents Project Coordinator management in at least 8 venues. (PC) 4. Increase awareness about preventing and managing Weld Residents Project Coordinator diabetes in at least 6 venues. (PC) 4/26/05 Draft with evaluation changes per 4/25/05 meeting 9 YEAR 5 Strategy I Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Increase awareness of fruit and vegetable consumption in at Project Coordinator least 10 venues (PC) 2.Increase awareness of importance of physical activity I through at least 10 venues 3.Increase public awareness about the importance of asthma management in at least 12 venues. 4. Increase awareness about preventing and managing diabetes in at least 6 venues diabetes in at least 10 venues. Annual Community Objective 2B: By September 21, 2006, 1000 Weld County Residents will participate in a prevention/management activities associated with asthma, diabetes, obesity and associated risk factors. (Baseline: An estimated 500 Weld County Residents participated in preve=ntion/managements activities associated with one of the following diseases: asthma, diabetes, obesity and associated risk factors during year 2 of the Steps program) YEAR Strategy I Action Steps Target Group Lead Role Time Line Ql Q2 Q3 Q4 Data Source Indicator(s) 1. Provide at least 24 opportunities to learn about proper Weld Residents Project X X Instrument Number: #of opportunities nutrition. Coordinator O2BS1&2 provided to learn about (PC) nutrition #of participants in each nutrition opportunity Ia. Offer at cooking/nutrition classes on fruits Weld Residents PC X X Instrument Number: #of classes offered and vegetables in at least 10 venues such as Contract O2BS 1&2 #of participants recreation centers,senior centers,churches Presenter lb.Provide fruit and produce tours in at least Weld Residents PC X X Instrument Number: #of tours 10 local grocery stores. Community O2BS1&2 #of participants Partners lc. Sponsor at least one class quarterly on Weld Residents PC Instrument Number: #of classes offered diabetes and obesity prevention. Contract O2BS 1&2 #of participants Instructor Evaluation comments: Instrument Number: O2BS 1&2 will collect information on the site name, number of participants in each learning opportunity, number of cooking/nutrition classes offered, number of grocery store tours offered, and number of classes offered on diabetes and obesity prevention. ***Could do a survey on barriers to fruit/veggie consumption at the farmers market to determine impact. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 10 2.Provide at least 10 physical activity opportunities for Weld Weld Residents Coordinator X X X X Instrument Number: #of opportunities County Residents. (PC) O2BS1&2 provided to learn about physical activity #of participants in each learning opportunity 2a.Implement at least four senior physical Weld Senior PC XIX X X Instrument Number: #of strategies activity opportunities such as pedometer Residents YMCA O2BS1&2 implemented and mall walking,Stairwell to Better #of participants in each Health t strategy 2b.Coordinate with community partners to Weld Residents PC X X Instrument Number: #of community events implement four community physical Contract O2BS1&2 promoted activity events/opportunities such as Latina Instructor Youth Conference. Fun Run. Relay for Community 1.ife. Summer Olympics Partners 2c.Collaborate on the implementation of at Tweens Health X X Instrument Number: #of youth impacted least two VERB physical activity events. Educator O2BS1&2 Community Recreation Centers Boys and Girls Clubs Weld County School District 6 2d. Implement Ty Turn off week campaign Weld County PC X Instrument Number: Type of alternate with at least 3 activities such as story Residents Contract O2BS1&2 activity times,baby animal days at Plum Farm, Instructor #of children clinic visits participating #of parents/caregivers participating Evaluation comments:Instrument Number: O2BS 1&2 will collect information on the site name,number of participants in each physical activity learning opportunity,number of physical activity interventions implements, number of community events promoted,number of youth impacted, and the type of alternate activity,number of children participating,number of parents/caregivers participating. 3.Provide 10 asthma prevention/management learning Weld Residents Project X X X X Instrument Number: #of opportunities activities for Weld County Residents. Asthmatics Coordinator O2BS3 provided to learn about (PC) asthma prevention/management #of participants in each learning opportunity 3a.Assist with coordination of at least 6 Adults and children HE X X X X Instrument Number: #of information and asthma information and support group with asthma and AWG O2BS3 support group meetings meetings. parents #of participants #of support groups 3b.Assist with coordination of 2 Wee Head Start HC X X X X Instrument Number: #of Wee Wheezer Wheezer asthma education program. AWG O2BS3 Programs #of participants 4/26/05 Draft with evaluation changes per 4/25/05 meeting 11 3c. Provide at least two Spanish language Spanish Speaking HE X X Instrument Number: #asthma management asthma management activities Residents AWG O2B53 activities offered #of participants Evaluation comments: Instrument Number: O2BS3 will collect information on the site name, number of participants in each asthma prevention/management learning opportunity, number of Wee Wheezers programs offered, number of Spanish language classes offered, and the number of participants reached in each of these activities. 4.Provide 16 diabetes prevention/management learning Weld Residents Project X X X X Instrument Number: #of opportunities activities for Weld County Residents. Diabetics Coordinator O2BS4 provided to learn about (PC) diabetes prevention/management #of participants in each learning opportunity 4a.Provide at least four Dining With Diabetes Weld Residents PC X X X X Instrument Number: #of classes offered educational classes in English.. Colorado O2B54 #of participants State University Extension Program 4b. Collaborate in at least four diabetes Weld Residents American X X X X Instrument Number: #of screening and screening and education events Diabetes O2BS4 education events Association collaborated on Community #of people exposed to Partners education #of people screened 4c.Provide at least four Spanish language Spanish Speaking Contract X X X X Instrument Number: #of diabetes diabetes prevention/management learning Residents Educators O2BS4 prevention/ opportunities. management activities offered #of participants Evaluation comments: Instrument Number: O2BS4 will collect information on the site name, number of participants in each diabetes prevention/management learning opportunity, number of Dining with Diabetes classes offered, number of people educated and screened, number of Spanish language classes offered. Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Provide at least 30 opportunities to learn about proper nutrition. 2. Provide at least 15 physical activity opportunities for Weld County Residents 3.Provide 15 asthma prevention/management learning activities for Weld County Residents 4.Provide 20 diabetes prevention/management learning 4/26/05 Draft with evaluation changes per 4/25/05 meeting 12 activities for Weld County Residents Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Provide at least 40 opportunities to learn about proper nutrition. 2. Provide at least 20 physical activity opportunities for Weld County Residents 3.Provide 20 asthma prevention/management learning activities for Weld County Residents 4.Provide 25 diabetes prevention/management learning activities for Weld County Residents Annual Community Objective 2C: By September 21, 2006, Implement at least three Active Community Environment activities that Community, Planners, Leaders, Developers and other key community members will participate in. (Baseline: an estimated 20 Weld County Residents participated in year two ACE introductory training) YEAR u . Strategy I Action Steps Target Group Lead Role Time Line Ql Q2 Q3 Q4 Data Source Indicator(s) 1. Implement the second annual Active Community Community Project X Instrument Number: #of participants at Environment(ACE)training in Weld County. Developers& Coordinator O2CS1&2 ACE Training Planners (PC) Builders Community Training evaluation Training evaluations Government Partners form to be developed Officials Parks and Recreation la.Assist local community partners plan and Community PC X Instrument Number: #of participants at complete an ACE training. Developers& Community O2CS1&2 ACE Training Planners Partners #of community Builders Training evaluation partners participating Government form to be developed in the community Officials planning for an active Parks and community Recreation Training evaluations 4/26/05 Draft with evaluation changes per 4/25/05 meeting 13 2. Provide one community resource booklet to promote Community PC X X X X Instrument Number: Number of resource Active Community Environment assets. Members O2CS1&2 booklets requested and distributed 2a.Promote City of Greeley bike trails, Community PC X X X X walking trails and green areas. Members 2b.Promote upcoming local physical activity Community PC X events such as Bike to Work Week and Members community races/walks. Evaluation comments: Instrument Number: O2CS 1&2 will collect information on#of participants at ACE Training,#of community partners participating in the community planning for an active community,#of resource booklets requested and distributed. YEAR 4 Strategy j Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 I. Implement the third annual Active Community Community Project Coordinator X Environment(ACE)training in Weld County. Developers& (PC) Planners Community Builders Partners Government Officials Parks and Recreation 2.Participate in community meetings on Active Community Weld County Project Coordinator X X X X Environment activities. Residents,Planners, (PC) Builders Community Partners YEARS Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Implement the third annual Active Community Community Project Coordinator X Environment(ACE)training in Weld County. Developers& (PC) Planners Community Builders Partners Government Officials Parks and Recreation 2. Participate in community meetings on Active Community Weld County Project Coordinator X X X X Environment activities. Residents,Planners, (PC) Builders Community Partners 4/26/05 Draft with evaluation changes per 4/25/05 meeting 14 Annual Community Objective 2D: By September 21, 2006, Promote the 2007 Youth Risk Behavior Survey through presentations on the 2005 YRBS in Weld County to 4 participating schools and obtain parents consent forms for the 2007 survey.(Baseline: 0 presentations) Strategy Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 1.Provide presentations on the YRBS 2005 data. Project Instrument #of presentations Coordinator Number: provided (PC) 02D51&2 Health Educator (HE) la.Present data to four participating schools Administrators, PC X X X during back to school nights,principal Teachers,Parents, HE meetings,school assemblies. Students 2.Obtain consent forms for the 2007 YRBS Parents, Students PC X X Instrument #of 2007 YRBS HE Number: consent forms 02DS1&2 received la. Attend back to school and registration Parents, Students PC X X nights at four targeted high schools HE Evaluation comments: Instrument Number: 02DS 1&2 will collect information on the number of presentations provided and number of consent forms received. TLIMAR4 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Conduct the Youth Risk Behavior Survey in Weld County Administration, Project Coordinator School District Six. Teachers,Parents, Health Educator Students 2 Yrit-AR 55 Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Present 2007 Youth Risk Behavior Survey Data to Schools Administration, Project Coordinator and Community Teachers,Parents, Health Educator Students 4/26/05 Draft with evaluation changes per 4/25/05 meeting 15 Program Goal 3: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical activity and tobacco cessation, and prevention of tobacco use and exposure in the HEALTHCARE SYSTEMS. Annual Healthcare Objective 3A: By September 21, 2006, develop and implement an integrated system to address diabetes, asthma and obesity with three to five healthcare sites. (Baseline: 0) YEAR TT Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 1.Assess the needs of the healthcare community. Healthcare Providers Health X X X X Educator, Health Department Director, Consortium la.Schedule monthly meetings with the Health Health Educator, Health X X X X meeting minutes #of meetings Department Medical Director for insight Health Department Educator, regarding a strategy. Director, Health Consortium, Department Healthcare Providers Director, Consortium _ lb.Conduct one focus group to determine Health Educator, Health X Focus group #of focus groups provider needs. Consortium, Educator, discussion guide conducted Healthcare Providers Health - #participating Department Sign in sheet for focus healthcare providers Director, group participating in focus Consortium groups Results from focus groups 2.Develop a plan to address needs. Health Educator, Health X Plan for addressing Plan for addressing Consortium, Educator, needs of training and needs of training and Healthcare Providers Health resources for resources for Department providers providers Director, #of plans distributed Consortium to healthcare providers 4/26/05 Draft with evaluation changes per 4/25/05 meeting 16 2a. Discuss continuing medical education Health Educator, Health X X (CME)with North Colorado Medical Consortium, Educator, Center. Healthcare Providers Health, NCMC, Consortium 3.Implement the developed plan. Health Educator, Health X X Consortium, Educator, Healthcare Provider Health Department Director, Consortium 3a. Develop and implement plan with Health Educator, Health X Plan developed with #of activities consortium members. Consortium, Educator, consortium members implemented based on Healthcare Providers Consortium plan Meeting minutes #of resources distributed based on plan Evaluation comments:Data collection tools used to assess strategies under objective 3A: Meeting agenda,meeting minutes, focus group results-plan developed based on focus groups,schedule of meetings, and number of activities implemented based on plan. 1 Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain three sites and increase by two. Health Educator, Health Educator, X X X X #healthcare sites Consortium, Consortium Healthcare Providers Strategy I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain at least five sites and increase by two. Health Educator, Health Educator, X X X X #healthcare sites Consortium, Consortium Healthcare Providers 4/26/05 Draft with evaluation changes per 4/25/05 meeting 17 Annual Healthcare Objective 3B: By September 21, 2006, implement integrated resources, education and interventions to address diabetes, asthma, and, obesity to three to five healthcare provider sites. YEAR 3 Strategy Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 1.Develop a binder for healthcare providers with at least 10 Healthcare providers Health X X X X resources and technical assistance with the following Educator, programs/interventions: Consortium 1 a.Diabetes i.e. CDC recommended programs, Healthcare providers Health X X X X Instrument Number: #materials distributed Colorado Clinical Guidelines Collaborative Educator, O3BS1,2&3 (CCGC),Way to Go Kids. Consortium lb.Asthma i.e. Colorado Clinical Guidelines Healthcare providers Health X X X X Instrument Number: #materials distributed Collaborative(CCGC) Educator, O3BS 1,2&3 Consortium lc.Nutrition i.e. 5 A Day. Healthcare providers Health X X X X Instrument Number: #materials distributed Educator, O3BS1,2&3 Consortium I d.Physical Activity i.e. walking programs, Healthcare providers Health X X X X Instrument Number: #materials distributed prescription cards to exercise. Educator, O3BS1,2&3 Consortium _ le. Obesity i.e. Healthcare providers Health X X X X Instrument Number: #materials distributed Educator, O3BS 1,2&3 Consortium lf. Tobacco i.e. Quitline/QuitNet. Healthcare providers Health X X X X Instrument Number: #materials distributed Educator, O3BS1,2&3 Consortium 2.Distribute materials to three to five sites. Healthcare providers Health X X X X Educator, Consortium 2a. Schedule meetings with providers. Healthcare providers Health X X X X Instrument Number: #of provider meeting Educator, O3BS1,2&3 scheduled Consortium 3. Promote healthcare provider best practice training. Healthcare providers Health X X X X Instrument Number: #of training Educator, O3BS1,2&3 opportunities Consortium promoted 3a.Distribute information about upcoming Healthcare providers Health X X X X Instrument Number: #trainings offered opportunities. Educator, O3BS 1,2&3 Consortium 4/26/05 Draft with evaluation changes per 4/25/05 meeting 18 36. Host at least one integrated training for Healthcare providers Health X X X X Instrument Number: #of trainings providers. Educator, O3BS1,2&3 #of participants Consortium Training evaluation Training evaluation Training sign in sheet results Forms to be developed Evaluation comments: Instrument Number: O3BS 1,2&3 will collect information on the number of materials distributed on programs/interventions, #of provider meetings scheduled,number of training opportunities promoted,number of trainings offered and number of participants. YEAR-4 strategy Targeet Group I Lead Role Time Line Evaluator Indicator(s) QI Q2 Q3 Q4 1. Increase sites by two. Healthcare providers Health Educator, X X X X #healthcare provider sites Consortium 2. Assess impact. Healthcare providers Health Educator, X X X X #interventions Consortium Y 'AR$ Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Ql Q2 Q3 Q4 1. Increase sites by two. Healthcare providers Health Educator, X X X X #healthcare provider sites Consortium 2.Assess impact. Healthcare providers Health Educator, X X X X #interventions Consortium Program Goal 4: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical activity and tobacco cessation, and prevention of tobacco use and exposure in SCHOOLS Annual School Objective 4A: By September 21, 2006, Weld County School District 6 (WCSD6) will implement at least five district level Coordinated School Health Team activities. (Baseline: One district Coordinated School Health Team activity — planning meeting.) Y +AR3 Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 I. Maintain Full-Time School Health Coordinator(SHC). Steps Staff X X X X Position is filled. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 19 2.Maintain and enhance district Coordinated School Health Staff DSCHT, SHC, X X X X Current district #of members Team(DCSHT). Rocky Mountain CSH Team maintained from Prevention Center Membership list Year 2 Associate Director #of new members (RMCAD) Contact list recruited 2a. Recruit 5 additional team members for Staff DSCHT, SHC X X X X Recruitment #of new members Coordinated School Health(CSH)Team. Contact List recruited 2b. Establish a regular meeting schedule. Staff DSCHT,SHC Meeting minutes #of DCSHT members attending 2c. Establish district goals. Staff DSCHT, SHC 3. Implement a School Wellness Policy(SWP)in WCSD6 Students and Staff DCSHT, SHC, X X X X Instrument #of surveys that addresses nutrition education/physical activity goals Nutrition Director Number: O4AS3 returned and nutrition standards. (ND) Brief phone survey: Policy Implementation Survey Form to be developed 3a. Identify school system stakeholders and Students and Staff DCSHT, SHC, X Stakeholders list Establishment of form a SWP task force. Nutrition Director SWP taskforce (ND),Colorado Instrument Physical Activity Number: O4AS3 Level of and Nutrition participation of _(COPAN) team 3b. Evaluate existing school system policies, Students and Staff COPAN, Teachers, X Instrument #of surveys such as physical activity/education, Students Number: O4AS3 returned vending machines,healthy foods on Administrators, Policy Survey campus,nutrition education etc. School Food Form to be Service Staff, developed Board Members, Parents and Community Members,DCSHT ,SHC,ND • 4/26/05 Draft with evaluation changes per 4/25/05 meeting 20 3c.Develop a plan for community Students and Staff COPAN,Teachers, X Plan for Development o f involvement for SWP. Students involvement plan Administrators, School Food Service Staff, Board Members, Parents and Community Members,DCSHT , SHC,ND 3d. Establish and develop criteria for SWP. Students and Staff COPAN,Teachers, X X Criteria for SWP Establishment of Students SWP criteria Administrators, School Food Service Staff, Board Members, Parents and Community Members,DCSHT , SHC,ND 3e. Develop an implementation plan for SWP. Students and Staff COPAN,Teachers, X Implementation of Development of Students SWP implementation Administrators, plan for SWP School Food Service Staff, Board Members, Parents and Community Members,DCSHT , SHC,ND 3f. Establish evaluation indicators. Teachers, Students COPAN,Teachers, X List of evaluation Consensus on the Administrators, Students indicators established School Food Service Administrators, evaluation Staff, Board School Food indicators Members,Parents Service Staff, and Community Board Members, Members Parents and Community Members,DCSHT ,SHC,ND Evaluation comments: Instrument Number: O4A53 will collect information which school have returned the Policy Implementation Survey and which schools are implementing School Wellness Policy related to fitness&nutrition 4. Support CSH Teams on implementation of School Health CSH Teams DCSHT, SHC X X X X Index(SHI)action plans. 4a. Review SHI plans for six CSH Teams CSH Teams DCSHT, SHC X X X X 4/26/05 Draft with evaluation changes per 4/25/05 meeting 21 5.Assess and expand the management/support system for Students and DCSHT,Project X X X X Review of current Recommendations students with asthma and/or diabetes. Staff Coordinator,Health management/support for updating and Educator,SHC system for students expanding with asthma and/or management/ diabetes support system for asthma/diabetes 5a. Review school district action plans. Students and DCSHT,Project X Review of action plan Recommendations Staff Coordinator,Health for updating and Educator, SHC expanding action plans 5b. Collaborate with hospital diabetes children Students and DCSHT,Project X X X X support group. Staff Coordinator,Health Educator, SHC 5c.Promote the use of asthma/diabetes Students and DCSHT,Project X X X X management plans. Staff Coordinator,Health Educator,SHC 5d. Coordinate Breathe Better Bus visits for Students and DCSHT,Project X X X X Instrument Number: #of Breath Better five schools. Staff Coordinator,Health O4AS5 Bus visits Educator, SHC #of Students Exposed 5e.Provide asthma screenings for two CSH Students and DCSHT,Project X X Instrument Number: #of asthma Teams. Staff Coordinator,Health O4AS5 screenings Educator, SHC provided #of at risk students identified 5f. Identify need for follow-up Students and DCSHT,Project X X X X Training needs Results of needs asthma/diabetes training and provide if Staff Coordinator,Health assessment for assessment necessary. Educator,SHC asthma/diabetes management Form to be developed Evaluation comments: Instrument Number: O4AS5 will track the#of Breath Better Bus visits,#of Students Exposed to the Bus, #of asthma screenings provided,#of at risk students identified. Other data collection tools used to assess strategies under objective 4A: Training needs assessment for asthma/diabetes management 6.Implement at least two district level staff wellness Staff DCSHT,District X X X X Instrument Number: #of activities activities. Staff Wellness O4A567&8 implemented Committee, SHC #of participants 6a.Maintain and enhance district staff Staff DCSHT,District X X X X Current district staff #of members wellness committee. Staff Wellness wellness committee maintained from Committee, SHC Membership list Year 2 #of new members Contact list recruited 6b.Develop district-wide goals. Staff DCSHT,District X X X Staff Wellness Committee, SHC 4/26/05 Draft with evaluation changes per 4/25/05 meeting 22 6c. Implement district activities based on Staff DCSHT, District X X X Instrument Number: #of activities district goals. Staff Wellness O4AS6,7&8 implemented Committee,SHC based on goals Evaluation comments: Instrument Number: O4AS67&8 will track #of activities implemented, #of participants, and#of activities implemented based on goals 7.Partner with the State Tobacco Education and Prevention Students and STEPP,Health X X X X Program(STEPP)to enforce the tobacco free school laws Staff Educator, SHC in partnership. 7a.Provide signage to school administration. Students and STEPP, Health X X X X Instrument Number: #of signage Staff Educator, SHC O4AS6,7&8 provided to school administrations 7b.Provide educational materials to schools. Students and STEPP,Health X X X X Instrument Number: #of schools who Staff Educator,SHC O4AS6,7&8 received materials #of materials distributed Evaluation comments: Instrument Number: O4AS6,7&8 will track# of signage provided, #of schools who received materials,and#of materials distributed 8. Provide at least three professional development Nutrition ND,DCSHT, SHC X X X X opportunities for nutrition services staff Services Staff 8a.Provide educational materials. Nutrition ND,DCSHT,SHC X X X X Instrument Number: #of material Services Staff O4AS6,7&8 provided 86.Research possible opportunities,such as Nutrition ND,DCSHT,SHC X X X X Instrument Number: #of staff that diabetes, 5 A Day, 3 A Day,New Dietary Services Staff O4A56,7&8 received materials Guidelines training. and/or training on one of the listed training opportunities 8c.Recruit nutrition services to attend Nutrition ND,DCSHT, SHC X X X X Contact list #of staff conferences,such as the annual Colorado Services Staff Conference attending annual Department of Education Conference. registration conference Evaluation comments: Instrument Number: O4AS6,7&8 will track# of nutritional materials provided, #of schools that received materials and/or training,and#of materials distributed 9.Collect physical activity data in at least fifty percent of Elementary Physical Education X Instrument Number: #of schools elementary schools. Schools Liaison(PEL), O4AS9&10 University of PA Assessment Northern Colorado Physical Activity Data Kinesiology Assessment Department Staff Form to be developed (UNCKDS) 9a. Review assessment tool. Elementary Physical Education X Schools Liaison(PEL), University of Northern Colorado Kinesiology Department Staff (UNKDS) 4/26/05 Draft with evaluation changes per 4/25/05 meeting 23 • 9b.Complete assessments. Elementary Physical Education X X X Instrument Number: #of Assessments Schools Liaison(PEL), O4A59&10 Completed University of Northern Colorado PA Assessment Kinesiology Physical Activity Data Department Staff Assessment (UNKDS) Form to be developed 9c.Analyze data collected from assessment. Elementary Physical Education X X Schools Liaison(PEL), University of Northern Colorado Kinesiology Department Staff (UNKDS) Evaluation comments: Instrument Number: O4AS9&10 will track# of school completing physical activity assessments. 10.Based on results of physical activity assessments,provide Elementary Physical Education X X X X elementary physical education(PE)teachers with at least School PE Liaison(PEL), two professional development opportunities. teachers University of Northern Colorado Kinesiology Department Staff (UNCKDS) 10a.Review physical activity assessment data Elementary Physical Education X collected. School PE Liaison(PEL), teachers University of Northern Colorado Kinesiology Department Staff (UNCKDS) 10b. Research professional development Elementary Physical Education X X Instrument Number: #of staff that opportunities based on results. School PE Liaison(PEL), O4AS9&10 received materials teachers University of and/or Northern Colorado Follow-up Assessment professional Kinesiology Form to be developed development Department Staff opportunities (UNCKDS) based on results 10c. Recruit elementary PE teachers to attend Elementary Physical Education X X Contact list #of staff professional development opportunities. School PE Liaison(PEL), Conference attending teachers University of registration professional Northern Colorado development Kinesiology opportunities Department Staff (UNCKDS) Evaluation comments: Instrument Number: O4AS9&10 will track #of schools that received materials and/or professional development opportunities based on results 4/26/05 Draft with evaluation changes per 4/25/05 meeting 24 YEAR 4 Annual School Objective 4A: By September 2007, Weld County School District 6 (WCSD6) will maintain and enhance one district Coordinated School Health Team with at least 15 members. (Baseline: One district Coordinated School Health Team with ten members) Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain Full-Time School Health Coordinator(SHC) X X X X 2.Maintain and enhance district Coordinated School Health Staff DSCHT, SHC X X X X Team(DCSHT). Rocky Mountain Prevention Center Associate Director (RMCAD) 3. Maintain a School Wellness Policy(SWP)in WCSD6 that Students and Staff SHC,Nutrition X X X X addresses nutrition education/physical activity goals and Director(ND), nutrition standards. district CSH Team 4. Support CSH Teams on implementation of School Health CSH Teams DCSHT, SHC X X X X Index(SHI)action plans. 5.Assess and expand the management/support system for Students and Staff DCSHT,Project X X X X students with asthma and/or diabetes. Coordinator, Health Educator, SHC 6. Implement at least two district level staff wellness Staff DCSHT,District X X X X activities. Staff Wellness Committee, SHC 7. Partner with the State Tobacco Education and Prevention Students and Staff STEPP,Health X X X X Program(STEPP)to enforce the tobacco free school laws Educator,SHC in partnership. 8. Provide at least three professional development Nutrition Services ND,DCSHT, SHC X X X X opportunities for nutrition services staff Staff 9.Collect physical activity data in at least fifty percent of Elementary Schools Physical Education X middle schools. Liaison(PEL), University of Northern Colorado Kinesiology Department Staff (UNCKDS) 10. Based on results of physical activity assessments,provide Elementary School Physical Education X X X X middle school physical education(PE)teachers with at least PE teachers Liaison(PEL), two professional development opportunities. University of Northern Colorado 4/26/05 Draft with evaluation changes per 4/25/05 meeting 25 Kinesiology Department Staff (UNCKDS) w.. .YEAR 5 Annual School Objective 4A: By September 2008, Weld County School District 6 (WCSD6) will maintain and enhance one district Coordinated School Health Team with at least 20 members. (Baseline: One district Coordinated School Health Team with fifteen members) Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) QI Q2 Q3 Q4 1.Maintain Full-Time School Health Coordinator(SHC) Steps Staff X X X X Position is filled. 2.Maintain and enhance district Coordinated School Health Staff District CSH X X X X Team(DCSHT). Team, SHC,Rock Mountain Prevention Center Associate Director (RMCAD) 3.Maintain a School Wellness Policy(SWP)in WCSD6 that Students and Staff SHC,Nutrition X X X X addresses nutrition education/physical activity goals and Director(ND), nutrition standards district CSH Team 4. Support CSH Teams on implementation of School Health CSH Teams DCSHT, SHC X X X X Index(SHI)action plans. 5. Assess and expand the management/support system for Students and Staff DCSHT,Project X X X X students with asthma and/or diabetes. Coordinator, Health Educator, SHC 6. Implement at least two district level staff wellness Staff DCSHT,District X X X X activities. Staff Wellness Committee, SHC 7. Partner with the State Tobacco Education and Prevention Students and Staff STEPP,Health X X X X Program(STEPP)to enforce the tobacco free school laws Educator,SHC in partnership. 8. Provide at least three professional development Nutrition Services ND,DCSHT, SHC X X X X opportunities for nutrition services staff Staff 4/26/05 Draft with evaluation changes per 4/25/05 meeting 26 9.Collect physical activity data in at least fifty percent of high Elementary Schools Physical X schools. Education Liaison (PEL),University of Northern Colorado Kinesiology Department Staff (UNCKDS) 10.Based on results of physical activity assessments,provide Elementary School Physical Education X X X X high school physical education(PE)teachers with at least PE teachers Liaison(PEL), two professional development opportunities. University of Northern Colorado Kinesiology Department Staff (UNCKDS) Annual School Objective 4B: By September 2006, Weld County School District 6 will maintain three Coordinated School Health Teams and will establish three new Coordinated School Health Teams with at least six members per team. (Baseline: Three Coordinated School Health Teams with at least six members per team) 3 Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 1. Maintain three Coordinated School Health(CSH)teams. Franklin Middle, CSH teams, School X X X X Current CSH #of members Cameron Health Coordinator Team maintained from Elementary,Heiman (SHC) Membership list Year 2 Elementary Schools #of new Contact list members recruited 1 a. Establish meeting schedules. Franklin Middle, CSH teams, SHC X Meeting minutes #of CSH Team Cameron members Elementary,Heiman attending Elementary Schools lb. Identify lead staff for each team and Franklin Middle, CSH teams, SHC X component. Cameron Elementary,Heiman Elementary Schools lc.Provide technical assistance as needed. Franklin Middle, CSH teams,SHC X X X X Cameron Elementary,Heiman Elementary Schools 4/26/05 Draft with evaluation changes per 4/25/05 meeting 27 2. Establish three new CSH teams. 3 new CSH schools, 3 new CSH team X X X X Current CSH #of new Students members,Rocky Team members Mountain Membership List recruited Prevention Center Associate Director Recruitment #of CSH teams (RMCAD), SHC Contact List established 2a. Establish training/meeting schedules. 3 new CSH schools, 3 new CSH team X Meeting minutes #of CSH Team Students members,RMCAD, members SHC attending 2b. Identify lead staff for each team and 3 new CSH schools, 3 new CSH team X component. Students members, SHC 2c.Provide technical assistance for trainings 3 new CSH schools, 3 new CSH team X X X X and meetings. Students members,RMCAD, SHC Evaluation comments:Data collection tools used to assess strategies under objective 4B: Current CSH Team Membership List,Recruitment Contact List, Meeting minutes 3.Develop an Action Plan for each of the three new CSH 3 new CSH schools, SHC, School X X X X 3 new CSH team #of CSH actions teams. Students Teams action plans plans completed Instrument Number: O4B53&4 3a.Teams complete eight module components 3 new CSH schools, 3 new CSH team X of School Health Index(SHI). Students, members,RMCAD, SHC 3b.Teams create action plans based on SHI 3 new CSH schools, 3 new CSH team X X Instrument #of action plans results. Students members, RMCAD, Number: created based on SHC O4BS3&4 SHI results 3c.Teams implement activities based on SHI 3 new CSH schools, 3 new CSH team X X X X action plans. Students members, RMCAD, SHC Evaluation comments: Instrument Number: O4BS3&4 will track the completion of the CSH Team action plan with each new CSH Team, # of action plans created based on SHI results. 4. Implement action plans based on School Health Index CSH schools, CSH team X X X X Assessment in six CSH teams. Students members, SHC 4a. Encourage CSH teams to participate in CSH schools, CSH team X X X X Instrument #and type of district goals pertaining to asthma, Students members,Health Number: activity CSH diabetes, and tobacco. Such as,Indoor Air Educator,Project O4BS3&4 team participate Quality Tools,Asthma triggers,Quitline, Coordinator,SHC in related to Diabetes management. district goals 4/26/05 Draft with evaluation changes per 4/25/05 meeting 28 4b. Implement at least four building level CSH schools, CSH team X X X X Instrument #of schools that physical activity opportunities such as, Students members, SHC Number: participate in Take 10!,VERB,President's Challenge, O4BS3&4 physical activity intramural activities. opportunities Take 10! #of students to Teacher participate Evaluation- Stipend Request 4c.Implement at least four building level CSH schools, CSH team X X X X Instrument #of schools that nutrition opportunities such as, 5 A Day,3 Students members, SHC Number: participate in A Day,Healthy Foods on Campus, O4B53&4 nutrition Vending Machine Guidelines. education opportunities #of students to participate 4d. Implement at least four building level staff CSH schools, CSH team X X X X Instrument #of schools that wellness opportunities such as,health Students members, SHC Number: participate in assessment,health promotion,health fair, O4BS3&4 staff wellness cooking classes,nutrition education,and opportunities physical activity classes. #of staff to participate Evaluation comments: Instrument Number: O4BS3&4 will track the#and type of activity CSH team participate in related to district goals,#of schools that participate in physical activity opportunities,#of students to participate,#of schools that participate in nutrition education opportunities, #of students to participate,#of schools that participate in nutrition education opportunities,#of students to participate,#of schools that participate in staff wellness opportunities, #of staff to participate. Other data collection tool to be used: Take 10! Teacher Evaluation-Stipend Request. 5.Research opportunities to collaborate with school based Cameron and Cameron and X X X X health van. Centennial Elementary Staff, Elementary Staff, Project Students Coordinator,Health Educator,North Colorado Alliance (NCA), SHC 5a.Attend school based health van meetings. Cameron and CSH team X X X X Meeting agenda #of meetings Centennial members,Project attended Elementary Staff, Coordinator,Health Students Educator,North Colorado Alliance (NCA), SHC 5b.Discuss coordination of goals related to Cameron and CSH team X X X X nutrition,physical activity, asthma, Centennial members,Project diabetes,tobacco. Elementary Staff, Coordinator,Health Students Educator,North Colorado Alliance (NCA), SHC 4/26/05 Draft with evaluation changes per 4/25/05 meeting 29 6.Offer professional development opportunities to six CSH CSH team members SHC,Health X X X X Follow-up Results of Teams. (Such as Colorado Association of Health,Physical Educator,Project Training follow-up Education,Recreation and Dance State Conference,Active Coordinator Assessment Community Environment,Diabetes,Asthma,Nutrition, Physical Education) Form to be developed 6a.Determine opportunities that exist. CSH team members SHC,Health X X Educator,Project Coordinator, CSH teams 6b.Recruit CSH Team members. CSH team members SHC,Health X X X Contact list #of staff Educator,Project Conference attending Coordinator, CSH registration professional teams development opportunities 7.Promote at least four physical activity/nutrition education Staff SHC,Health X X X X Instrument #of schools that programs in at least five non-CSH schools, such as the Educator,Project Number: O4B57 participate in Integrated Nutrition Program, 5 A Day,3 A Day,Take Coordinator,CSH physical activity 10!,TV Turn Off,Walk to School,VERB. teams Take 10! /nutrition Teacher education Evaluation- opportunities Stipend Request #of students to participate 7a.Offer information on programs to non- Staff SHC,Health X X X X Instrument #of materials CSH schools. Educator,Project Number: O4BS7 distributed to Coordinator,CSH schools teams 7b.Provide necessary program information to Staff SHC,Health X X X X Instrument #of materials non-CSH schools. Educator,Project Number: O4B57 distributed to Coordinator,CSH schools teams Evaluation comments: Instrument Number: O4BS7 will collect information on the#of schools that participate in physical activity/nutrition education opportunities,#of students to participate,#of material distributed to schools about programs. Other data collection tool to be used: Take 10! Teacher Evaluation-Stipend Request. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 30 Annual School Objective 4B: By September 2007, Weld County School District 6 will maintain six Coordinated School Health Teams and will establish three new Coordinated School Health Teams with at least six members per team. (Baseline: Six Coordinated School Health Teams with at least six members per team.) YEAR 4 Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain three Coordinated School Health(CSH)teams Franklin Middle, CSH teams, School X X X X Cameron Elementary, Health Coordinator Heiman Elementary (SHC) Schools 2. Establish three new CSH teams. 3 new CSH schools, 3 new CSH team X X X X Students members,Rocky Mountain Prevention Center Associate Director (RMCAD), SHC 3.Develop an Action Plan for each of the three new CSH 3 new CSH schools, SHC, School X X X X teams. Students Teams 4. Implement action plans based on School Health Index CSH schools, CSH team X X X X Assessment in CSH teams. Students members, SHC 5.Research opportunities to collaborate with school based Cameron and Cameron and X X X X health van. Centennial Elementary Staff, Elementary Staff, Project Students Coordinator, Health Educator, North Colorado Alliance(NCA), SHC 6.Offer professional development opportunities to nine CSH CSH team members SHC,Health X X X X Teams. (Such as Colorado Association of Health,Physical Educator,Project Education, Recreation and Dance State Conference,Active Coordinator Community Environment,Diabetes,Asthma,Nutrition, Physical Education) 7.Promote at least four physical activity/nutrition education Staff SHC,Health X X X X programs in at least five non-CSH schools, such as the Educator,Project Integrated Nutrition Program, 5 A Day, 3 A Day,Take 10!, Coordinator,CSH TV Turn Off,Walk to School, VERB. teams 4/26/05 Draft with evaluation changes per 4/25/05 meeting 31 Annual School Objective 4B: By September 2008, Weld County School District 6 will maintain nine Coordinated School Health Teams and will establish three new Coordinated School Health Teams with at least six members per team. (Baseline: Nine Coordinated School Health Teams with at least six members per team.) - NEAR 5 Strategy Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Maintain three Coordinated School Health(CSH)teams Franklin Middle, CSH teams, School X X X X Cameron Elementary, Health Coordinator Heiman Elementary (SHC) Schools 2. Establish three new CSH teams. 3 new CSH schools, 3 new CSH team X X X X Students members,Rocky Mountain Prevention Center Associate Director (RMCAD), SHC 3.Develop an Action Plan for each of the three new CSH 3 new CSH schools, SHC, School X X X X teams. Students Teams 4.Implement action plans based on School Health Index CSH schools, CSH team X X X X Assessment in CSH teams Students members, SHC 5.Research opportunities to collaborate with school based Cameron and Cameron and X X X X health van. Centennial Elementary Staff, Elementary Staff, Project Students Coordinator, Health Educator, North Colorado Alliance(NCA), SHC 6. Offer professional development opportunities to twelve CSH team members SHC,Health X X X X CSH Teams.(Such as Colorado Association of Health, Educator,Project Physical Education,Recreation and Dance State Coordinator Conference,Active Community Environment,Diabetes, Asthma,Nutrition,Physical Education) 7. Promote at least four physical activity/nutrition education Staff SHC,Health X X X X programs in at least five non-CSH schools,such as the Educator,Project Integrated Nutrition Program,5 A Day,3 A Day,Take 10!, Coordinator,CSH TV Turn Off,Walk to School,VERB. teams 4/26/05 Draft with evaluation changes per 4/25/05 meeting 32 Program Goal 5: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical activity and tobacco cessation, and prevention of tobacco use and exposure in WORKSITES Annual Worksite Objective SA: By September 21, 2006, implement wellness programs in at least 10 worksites in Weld County. (Baseline: Developed relationships with at least 6 Worksites in Weld County during Year 2 of the work plan). YEA 3- _, Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Q1 Q2 Q3 Q4 1. Expand wellness programming in at least 5 Employees and Health Educator, X X X X Instrument #of worksites worksites. Wellness Staff PAN and Number: with wellness COPAN O5AS1&2 programmingI a.Determine baseline for wellness Employees and Health Educator, X X X X Baseline Wellness #of assessments programming with existing six Wellness Staff PAN and programming completed worksites. COPAN assessment Form to be Assessment developed results lb.Sponsor two lunch presentations for Wellness Staff HEALTHBREAK,Inc. X X X X Presentation sign- #of presentations upper management per worksite. Representative(s), Banner Health Wellness in sheets held. Senior Managers Staff, Satisfaction #of participants and PAN and Survey Results of Human Resource COPAN (both forms to be Satisfaction Managers developed) Survey lc.Offer technical assistance to Employees Health Educator, X X X X Baseline Needs #of Needs worksites with creating and Worksite PAN and Assessment Assessments maintaining wellness teams. Champion COPAN Worksite completed Wellness Needs assessment Checklist results Technical #of checklists Assistance completed Tracking Form #of TA sessions Forms to be provided developed ld.Help worksites identify data to be Employees Health Educator, X X X X Employee Interest #of Surveys collected(encourage Health Risk Wellness PAN and Survey Completed Assessments(HRA's)and blood Committee COPAN #of worksites draws. Instrument agreeing to collect Number: HRA's &blood O5ASI&2 draws) 4/26/05 Draft with evaluation changes per 4/25/05 meeting 33 le.Offer resources to worksites for Wellness HEALTHBREAK, Inc. X X X X Instrument #of requests for operating plan development(refer to Committee, Facilitator Number: resources&#of Wellness Councils of America's Senior Managers O5AS1&2 resources (WELCOA's)Field Manual and provided Human Resource Managers 1 f.Help worksites identify Employees Health Educator, X X X X Employee Interest #of Surveys interventions using employee Wellness Wellness Committee, Survey Completed interest survey and/or similar tool. Committee PAN and #of participants COPAN Instrument in a chosen Number: intervention O5AS1&2 lg. Provide resources to worksites to Wellness Health Educator, X X X X Resource and #of lists provided identify educational Committee Wellness Committee, Incentives Lists incentives/prizes for employees. PAN and COPAN lh. Provide resources to worksites to Wellness Health Educator and X X X X List of Evaluation #of tools identify evaluation tools. Committee Step County Evaluator Tools: provided Pre/Post survey of #of tools returned physical activity levels Pre/Post survey of fruit&veggie intake Participant evaluation of interventions Instrument • Number: O5AS1&2 Evaluation comments:Needs assessments will be conducted each year for Years 3,4, 5 and results compared over time. Additionally,TA follow-up reports will be provided annually to ascertain the impact of TA provided to the Wellness Committees. These programs will be summarized in the semi annual and annual reports. The Wellness Team follow-up survey will try to ascertain to what extent each worksite has developed or maintained it's wellness team. Instrument Number: O5ASI&2 will collect information on Number of Employees, #of Lunch Presentations Provided, #of TA Sessions Provided,Site is developing or has a Wellness Team #of Employee Interest Surveys Completed Type of Intervention Requested,Type of Fitness Challenge Requested,Type of Nutrition Program Requested,Number of Employees,Participating,Type of Data Collected,#of Resources Provided,Evaluation Tools Provided 2.Implement wellness activities in at least five new Employees Health Educator, X X X X Instrument #of worksites worksites. PAN and Number: with wellness COPAN O5ASI&2 programming 2a.Recruit at least five new worksites. Wellness Staff and Health Educator, X X X X Contact list of #of worksites Human Resource PAN and names contacted Representative COPAN Worksite contact #of promotional sheet materials provided #of Wellness kits provided 4/26/05 Draft with evaluation changes per 4/25/05 meeting 34 2b.Provide technical assistance to Wellness Staff and Health Educator, X X X X Baseline Needs #of Needs Wellness Representative and/or Human Resource PAN and Assessment Assessments Wellness Committee quarterly with Representative COPAN Worksite completed assessments and interventions. Wellness Needs assessment Checklist results Technical #of checklists Assistance completed Tracking Form #of TA sessions Forms to be provided developed 2c. Encourage worksites to join Wellness Rep and Health Educator, X X X X Instrument #of worksites WELCOA. Wellness Staff PAN and Number: joining COPAN O5A51&2 WELCOA 2d.Determine baseline for wellness Employees and Health Educator, X X X X Baseline Wellness #of assessments programming. Wellness Staff PAN and programming completed COPAN assessment Form to be Assessment developed results 2d. Identify worksite champion. Wellness Health Educator, X X X X Representative and PAN and Wellness Staff COPAN 2e.Offer technical assistance to Employees, Health Educator, X X X X Workshop sign-in #of workshops worksites with creating and Wellness PAN and sheets held. maintaining wellness teams Representative and COPAN Satisfaction #of worksite Wellness Staff Survey champions in (both forms to be attendance. developed) Results of Satisfaction Survey 2f. Help worksites identify data to be Employees and Health Educator, X X X X Employee Interest #of Surveys collected(encourage Health Risk Wellness PAN and Survey Completed Appraisals(HRA's)and blood Committee COPAN #of worksites screenings). Instrument agreeing to collect Number: HRA's&blood O5AS1&2 draws) 2g.Offer resources to worksites for Wellness HEALTHBREAK,Inc. X X X X Request Tracking #of requests for operating plan development(refer to Committee and Form resources&#of Wellness Councils of America's Senior Managers Instrument resources (WELCOA)'s Field Manual Number: provided O5AS1&2 4/26/05 Draft with evaluation changes per 4/25/05 meeting 35 2h.Help worksites identify Employees and Health Educator, X X X X Employee Interest #of Surveys interventions using Employee Wellness Wellness Committee, Survey Completed Interest Survey and/or similar tool. Committee PAN and #of participants COPAN Instrument in a chosen Number: intervention O5A51&2 2i.Provide resources to worksites to Wellness Health Educator, X X X X Resource and #of lists provided identify educational Committee Wellness Committee, Incentives Lists incentives/prizes for employees. PAN and Instrument COPAN Number: O5A51&2 2j.Provide resources to worksites to Wellness Health Educator and X X X X List of Evaluation #of tools identify evaluation tools. Committee County Evaluator Tools: provided Pre/Post survey of #of tools returned physical activity levels Pre/Post survey of fruit&veggie intake Participant evaluation of interventions Instrument Number: O5AS1&2 Evaluation comments:Needs assessments will be conducted each year for Years 3,4, 5 and results compared over time. Additionally,TA follow-up reports will be provided annually to ascertain the impact of TA provided to the Wellness Committees. These programs will be summarized in the semi annual and annual reports. The Wellness Team follow-up survey will try to ascertain to what extent each worksite has developed or maintained it's wellness team. Instrument Number: O5AS1&2 will collect information on Number of Employees,#of Lunch Presentations Provided,#of TA Sessions Provided, Site is developing or has a Wellness Team #of Employee Interest Surveys Completed Type of Intervention Requested,Type of Fitness Challenge Requested,Type of Nutrition Program Requested,Number of Employees,Participating,Type of Data Collected,#of Resources Provided,Evaluation Tools Provided I'lAR 4 -747.t717 Strategy I Action Steps I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Expand wellness programming in at least 10 Employees and Health Educator, X X X X Contact List of Names. worksites. Wellness Staff PAN and COPAN la.Determine baseline for wellness Employees and Health Educator, X X X X Well Workplace Checklist per programming with existing six worksites. Wellness Staff PAN and worksite. COPAN 4/26/05 Draft with evaluation changes per 4/25/05 meeting 36 lb. Sponsor two lunch presentations for upper Wellness Staff HEALTHBREAK, X X X X #of presentations per worksite management per worksite. Representative(s), Inc. Senior Managers and Banner Health Human Resource Wellness Staff, Managers PAN and COPAN lc. Offer technical assistance to worksites Employees Health Educator, X X X X #of wellness teams. with creating and maintaining wellness Worksite Champion PAN and #of technical assistance requests teams. COPAN provided. ld. Help worksites identify data to be Employees Health Educator, X X X X Results of Employee Interest Survey collected(encourage Health Risk Wellness Committee PAN and per worksite Assessments(HRA's)and blood draws. COPAN le.Offer resources to worksites for operating Wellness Committee, HEALTHBREAK, X X X X #of resources offered per worksite plan development(refer to Wellness Senior Managers and Inc. Councils of America's(WELCOA's) Human Resource Facilitator Field Manual Managers If.Help worksites identify interventions using Employees Health Educator, X X X X List of interventions per worksite employee interest survey and/or similar Wellness Committee Wellness tool. Committee, PAN and COPAN lg.Provide resources to worksites to identify Wellness Committee Health Educator, X X X X Resource list and incentive list per educational incentives/prizes for Wellness worksite. employees. Committee, PAN and COPAN lh. Provide resources to worksites to identify Wellness Committee Health Educator X X X X List of evaluation tools per worksite evaluation tools. and Step County Evaluator 2. Implement wellness activities in at least ten new Employees Health Educator, X X X X worksites. PAN and COPAN 2a.Recruit at least five new worksites. Wellness Staff and Health Educator, X X X X Contact List of names Human Resource PAN and Representative COPAN 2b.Provide technical assistance to Wellness Wellness Staff and Health Educator, X X X X Employee Interest Survey. Representative and/or Wellness Committee Human Resource PAN and quarterly with assessments and Representative COPAN interventions. 2c. Encourage worksites to join WELCOA. Wellness Rep and Health Educator, X X X X #of WELCOA memberships. Wellness Staff PAN and #of worksites that obtained COPAN WELCOA memberships. 2d. Identify worksite champion. Wellness Health Educator, X X X X #of worksite champions Representative and PAN and 4/26/05 Draft with evaluation changes per 4/25/05 meeting 37 Wellness Staff COPAN 2e. Offer technical assistance to worksites Employees, Health Educator, X X X X #of wellness teams with creating and maintaining wellness Wellness PAN and #of technical assistance requests teams Representative and COPAN provided Wellness Staff 2f. Help worksites identify data to be collected Employees and Health Educator, X X X X Results of Employee Interest Survey (encourage Health Risk Appraisals Wellness Committee PAN and per worksite. (HRA's)and blood screenings). COPAN 2g.Offer resources to worksites for operating Wellness Committee HEALTHBREAK, X X X X #of resources offered per worksite. plan development(refer to Wellness and Senior Managers Inc. Councils of America's(WELCOA)'s Field Manual 2h. Help worksites identify interventions Employees and Health Educator, X X X X List of interventions per worksite. using Employee Interest Survey and/or Wellness Committee Wellness • similar tool. Committee, PAN and COPAN 2i. Provide resources to worksites to identify Wellness Committee Health Educator, X X X X Resource list and incentive list per educational incentives/prizes for Wellness worksite. employees. Committee, PAN and COPAN 2j.Provide resources to worksites to identify Wellness Committee Health Educator X X X X List of evaluation tools per worksite. evaluation tools. and County Evaluator Strategy I Action Steps I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Expand wellness programming in at least 15 Employees and Health Educator, X X X X Contact List of Names. worksites. Wellness Staff PAN and COPAN la.Determine baseline for wellness Employees and Health Educator, X X X X Well Workplace Checklist per programming with existing six worksites. Wellness Staff PAN and worksite. COPAN lb. Sponsor two lunch presentations for upper Wellness Staff HEALTHBREAK, X X X X #of presentations per worksite management per worksite. Representative(s), Inc. Senior Managers and Banner Health Human Resource Wellness Staff, Managers PAN and COPAN 4/26/05 Draft with evaluation changes per 4/25/05 meeting 38 lc.Offer technical assistance to worksites with Employees Health Educator, X X X X #of wellness teams. creating and maintaining wellness teams. Worksite Champion PAN and #of technical assistance requests COPAN provided. Id. Help worksites identify data to be collected Employees Health Educator, X X X X Results of Employee Interest Survey (encourage Health Risk Assessments Wellness Committee PAN and per worksite (HRA's)and blood draws. COPAN le. Offer resources to worksites for operating Wellness Committee, HEALTHBREAK, X X X X #of resources offered per worksite plan development(refer to Wellness Senior Managers and Inc. Councils of America's(WELCOA's)Field Human Resource Facilitator Manual Managers If.Help worksites identify interventions using Employees Health Educator, X X X X List of interventions per worksite employee interest survey and/or similar tool. Wellness Committee Wellness Committee, PAN and COPAN lg.Provide resources to worksites to identify Wellness Committee Health Educator, X X X X Resource list and incentive list per educational incentives/prizes for employees. Wellness worksite. Committee, PAN and COPAN lh.Provide resources to worksites to identify Wellness Committee Health Educator X X X X List of evaluation tools per worksite evaluation tools. and Step County Evaluator 2.Implement wellness activities in at least fifteen new Employees Health Educator, X X X X worksites. PAN and COPAN 2a.Recruit at least five new worksites. Wellness Staff and Health Educator, X X X X Contact List of names Human Resource PAN and Representative COPAN 2b.Provide technical assistance to Wellness Wellness Staff and Health Educator, X X X X Employee Interest Survey. Representative and/or Wellness Committee Human Resource PAN and quarterly with assessments and interventions. Representative COPAN 2c. Encourage worksites to join WELCOA. Wellness Rep and Health Educator, X X X X #of WELCOA memberships. Wellness Staff PAN and #of worksites that obtained COPAN WELCOA memberships. 2d.Identify worksite champion. Wellness Health Educator, X X X X #of worksite champions Representative and PAN and Wellness Staff COPAN 2e. Offer technical assistance to worksites with Employees, Health Educator, X X X X #of wellness teams creating and maintaining wellness teams Wellness PAN and #of technical assistance requests Representative and COPAN provided Wellness Staff 4/26/05 Draft with evaluation changes per 4/25/05 meeting 39 2f.Help worksites identify data to be collected Employees and Health Educator, X X X X Results of Employee Interest Survey (encourage Health Risk Appraisals(HRA's) Wellness Committee PAN and per worksite. and blood screenings). COPAN 2g. Offer resources to worksites for operating Wellness Committee HEALTHBREAK, X X X X #of resources offered per worksite. plan development(refer to Wellness Councils and Senior Managers Inc. of America's(WELCOA)'s Field Manual 2h.Help worksites identify interventions using Employees and Health Educator, X X X X List of interventions per worksite. Employee Interest Survey and/or similar tool. Wellness Committee Wellness Committee, PAN and COPAN 2i.Provide resources to worksites to identify Wellness Committee Health Educator, X X X X Resource list and incentive list per educational incentives/prizes for employees. Wellness worksite. Committee, PAN and COPAN 2j.Provide resources to worksites to identify Wellness Committee Health Educator X X X X List of evaluation tools per worksite. evaluation tools. and County Evaluator Annual Worksite Objective SB: By September 21, 2006 provide resources, education and interventions to address diabetes, asthma, nutrition, physical activity, obesity and tobacco use to at least 30 worksites. (Baseline: Provided 10 worksites with resources, education and interventions to address at least one of the risk areas in Year 2 work plan) 4AR 3 Strategy Action Steps Target Group Lead Role Time Line Data Source Indicator(s) Ql Q2 Q3 Q4 1. Recruit potential worksite wellness participants from Employees Health X X X X Chamber membership #of recruits Chamber meetings. Educator list Chamber meeting participant lists 1 a. Invite recruits to monthly Worksite Employees and Health X X X X Attendance record #of workgroup Workgroup meetings. Wellness Staff Educator from meetings meetings #of participants at each meeting 4/26/05 Draft with evaluation changes per 4/25/05 meeting 40 lb.Provide recruits with Worksite Wellness Employees and Health X X X X Training sign-in #of workshop Workshop Training opportunities. Wellness Staff Educator and sheets opportunities Healthbreak Satisfaction Survey #of participants in Forms to be training opportunities developed 2. Provide worksites with resources to implement the Health X X X X Instrument Number: #of resources programs/interventions: Educator O5BS2 provided CAN DO PAN 2a.Diabetes awareness,education and Employees Health X X X X Instrument Number: #of diabetics management resources such as, Diabetes at -identified with Educator and O5BS2 resources work.org. Diabetes Diabetes #of referrals to Coalition website #of events offered thru worksite 2b.Healthy Eating at work resources such as, Employees Health X X X X Instrument Number: #of materials Guidelines for offering Healthy Foods at Educator O5BS2 distributed meetings,seminars and catered events, CAN DO #of events offered nutrition awareness,education and PAN thru worksite resources such as, 5-a-day challenge. 2c. Physical Fitness programs such as, Employees Health X X X X Instrument Number: #of materials President's Challenge, Colorado On The Educator O5BS2 distributed Move. Physical Fitness opportunities such CAN DO - #of events offered as walking trails and bike paths, fitness PAN thru worksite equipment, fitness classes,discounts to #of participants local fitness centers. Physical Activity awareness/media campaigns such as StairWELL to Better Health. 2d.Tobacco awareness,education and Employees Health X X X X Instrument Number: #of materials resources such as the Quitline. Educator, O5BS2 distributed Tobacco #of events offered Coalition thin worksite CAN DO PAN 2e. Occupational asthma management/support Employees Health X X X X Instrument Number: #of materials such as Indoor Air Quality. Educator O5BS2 distributed #of management/support classes offered thru worksite Evaluation comments: Instrument Number: O5BS2 will collect information on#of resources provided,#of diabetics resources,#of referrals to website, #of events offered thru worksite, #of management/support classes offered thru worksite 4/26/05 Draft with evaluation changes per 4/25/05 meeting 41 YEAR 4 Strategy I Action Steps I Target Group I Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Recruit potential worksite wellness participants from Employees Health Educator X X X X #of recruits. Chamber meetings. I a. Invite recruits to monthly Worksite Employees and Health Educator X X X X Attendance record from meetings. Workgroup meetings. Wellness Staff lb.Provide recruits with Worksite Wellness Employees and Health Educator X X X X #of workshop opportunities. Workshop Training opportunities. Wellness Staff and Healthbreak 2. Provide worksites with resources to implement the Health Educator X X X X #of resources. programs/interventions: CAN DO PAN 2a.Diabetes awareness, education and Employees identified Health Educator X X X X #of diabetics resources. management resources such as,Diabetes at with Diabetes and #of referrals to website. work.org. Diabetes Coalition #of events offered thru worksite. 2b.Healthy Eating at work resources such as, Employees Health Educator X X X X #of materials distributed. Guidelines for offering Healthy Foods at CAN DO #of events offered thru worksite. meetings, seminars and catered events, PAN nutrition awareness,education and resources such as, 5-a-day challenge. 2c.Physical Fitness programs such as, Employees Health Educator X X X X #of materials distributed. President's Challenge, Colorado On The CAN DO #of events offered thru worksite. Move. Physical Fitness opportunities such PAN as walking trails and bike paths,fitness equipment, fitness classes, discounts to local fitness centers. Physical Activity awareness/media campaigns such as StairWELL to Better Health. 2d.Tobacco awareness,education resources Employees Health Educator, X X X X #of materials distributed. such as the Quitline. Tobacco Coalition #of events offered thru worksite. CAN DO PAN 2e.Occupational asthma management/support Employees Health Educator X X X X #of materials distributed. such as Indoor Air Quality. #of management/support classes offered thru worksite. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 42 YEAR 5 Strategy I Action Steps I Target Group 1 Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Recruit potential worksite wellness participants from Employees Health Educator X X X X #of recruits. Chamber meetings. la. Invite recruits to monthly Worksite Employees and Health Educator X X X X Attendance record from meetings. Workgroup meetings. Wellness Staff lb.Provide recruits with Worksite Wellness Employees and Health Educator X X X X #of workshop opportunities. Workshop Training opportunities. Wellness Staff and Healthbreak 2. Provide worksites with resources to implement the Health Educator X X X X #of resources. programs/interventions: CAN DO PAN 2a.Diabetes awareness,education and Employees identified Health Educator X X X X #of diabetic resources. management resources such as,Diabetes at with Diabetes and #of referrals to website. work.org. Diabetes Coalition #of events offered thru worksite. 2b.Healthy Eating at work resources such as , Employees Health Educator X X X X #of materials distributed. Guidelines for offering Healthy Foods at CAN DO #of events offered thru worksite. meetings,seminars and catered events, PAN nutrition awareness, education and resources such as,5-a-day challenge. 2c.Physical Fitness programs such as, Employees Health Educator X X X X #of materials distributed. President's Challenge,Colorado On The CAN DO #of events offered thru worksite. Move. Physical Fitness opportunities such PAN as walking trails and bike paths,fitness equipment, fitness classes,discounts to local fitness centers. Physical Activity awareness/media campaigns such as StairWELL to Better Health. 2d.Tobacco awareness,education resources Employees Health Educator, X X X X #of materials distributed. such as the Quitline. Tobacco Coalition #of events offered thru worksite. CAN DO PAN 2e. Occupational asthma management/support Employees Health Educator X X X X #of materials distributed. such as Indoor Air Quality. #of management/support classes offered thru worksite. 4/26/05 Draft with evaluation changes per 4/25/05 meeting 43 STEPS to a Healthier Weld County Program Budget Justification 2005-2006 FY A. PERSONNEL TOTAL $196,531.00 Position Title and Name Yearly Percent Number of $ Amount Salary of Time Months Program Coordinator— $45,067.06 100% 12 $45,067.06 Position open Health Educator— $45,039.65 100% 12 $45,039.65 Anna McConnell, MS, CHES Health Educator— $44, 384.95 100% 12 $44,384.95 Kristin Dodge, MPH Administrative Assistant— $14,041.37 50% 12 $14,041.37 Adriana Chairez School Health Coordinator— $48,000.00 100% 12 $48,000.00 Monica Alvarado, RD Justification: The Program Coordinator is responsible for ensuring that the goals and objectives of the program are achieved and managing the budget. They are also responsible for coordinating and fostering the growth and development of the Community Consortium/Leadership Team, developing new community partnerships, representing the program at required conferences and meetings, conducting staff meetings, staff reviews and coordinating program objectives in the community with the assistance of the Health Educators. Two full time Health Educators are needed to complete the goals and objectives outlined in the action plan. Each Health Educator has specific lead role responsibilities for strategies and actions under each of the five goal areas of the grant(infrastructure, community, healthcare systems, worksites and schools). These lead role responsibilities are outlined in the action plan and have been separated according to staff experience, strengths and knowledge to maximize program success as well as provide more opportunities for integration. The Administrative Assistant will play a critical role in helping manage the flow of communications to the Community Consortium partners, translate program materials (English into Spanish), develop program tracking databases, order and inventory operating supplies, track budget expenses, take meeting minutes, complete mailings and other necessary duties to help keep the program operating efficiently. The School Health Coordinator at Weld County School District Six is an integral part of the program responsible for the goals and objectives within the school setting. A key focus of the School Health Coordinator is the development of the Coordinated School Health Program. School health teams at the district level and school level are working to improve the health of the students and staff by integrating the eight components of coordinated school health into their operations. Percent of Annual Salary Time #of Months 45076.06 1 12 45039 1 12 48000 1 12 44384 0.5 12 14041 - 0.5 12 Total Position Costs Position Cost Percent of Fringe _E^ 4 0.3197 _E6 '� I 0.3197 =E7 0 =E8 , 0.3197 ^E9 0.3197 Total Fringe Costs School Health Coordinator— Fringe is paid by school district. Total Weld County Personnel Costs WELD COW?DDO4DtDEPIENT0 RODDET JU IEIDATIQN A.PERSONNEL Personnel Percent of #of Annual Salary Time I Months Position cost Project Coordinator 'r (IP Position Open _ $45076_._100/ 12 i 148; Health Educator Anna McConnell,MS _ $45.039 100% 12 $4'445,81118,, School Health Coordinator Monica Alvarado,RD 100% 12 IIIiI,' $48 000 ivfb Health Educator $44364IIFl,'' Kristen Dod %v,MPH 100/ 12 aegi Administrative Assistant yj Adrianna Chavez $14,041 50% 12 1I I�1]�Ft$814,041,.. Total Position Costs P $196,01', B.FRINGE BENEFITS Personnel Position Cost Percent of Fringe Fringe cost by position Project Coordinator - - i Position open , 3197/ '' $14 7k Health Educatory tt� ,Hr �;1!i Anna McConnell MPH '�i� +,$4$039 31 97/ 11,1 $I'4;. School Health Coordinator Monica Alvarado RD Health Educator -- _ Kristen Dodge,MPH i' tiali;$44,384 31S]% $14 Administrative Assistant ,$67 Adrianna Chavez i��IIij$14,041 31.97% (�'I� $4,608' Total Fringe Costs', $46.7$$, Fringe benefits are calculated at 31.97%of total salaries for positions.No fringe benefits are figured for School Health Coordinator—Fringe is paid by school district. Total Weld County Personnel Costs i' $245,2 , C.TRAVEL Destination Travelers I Estimated Trip cost Project Coordinator and Two National Steps grant meetings School Coo rdinator Comator $3,053 Total Out-of-State Travel '$$,fig Out-of State Travel is calculated at:airfare=$500/air fare ticket;lodging and per diem=$150/day; and ground transportation$30/trip.Any known registration fees are added into the trip cost. 3 Regional Trainings at CDPHE Steps Staff $1,543 1 Statewide Training Steps Staff $1,391 8 School Health Coordinator i School Health Meetings Coordinator $960 Protect 6 Project Coordinator Meetings Coordinator $408 In-town Staff Mileage All Staff $4,273 Total In-State Travel $$t$'/,6 Total Weld County Travel Costs D.EQUIPMENT Item Anticipated cost 1 Laptop Computer with Software $2,500 Total Equipment i i'1$,i$oR Total Weld County Equipment Costs i... "e' $2,5Ob'.. Position cost 45076 =SUM(86/12)*G6*D6 I . =SUM(B7/'12)*'C7*D7 I 44384 :PT ii#Si��ii'�� fGIII t.F i' I ' (i t41 1{4O41 • =SUM(t:31tD) Fringe cost by position 14791 14782 I kII F =R©iUND(B16*C16,0)il ,' 14567' 4608 "f! ii =SUM(E14:E18) =SUM(E10+E19) E.SUPPLIES Item Anticipated cost General Office Supplies $4,800 Worksite Wellness $1,500 _-_ - y 5-A-Da Educational � $1,000 Turn off N Event Materials $1,000 Active Community Environment Promotional Materials $2,000 Verb Campaign incentives $1,000 Obesity/Nutrition Education Materials $500 __— . __ Diabetes Educational Materials $500 Dining with Diabetes Food/Materials _ $1,000 Asthma Educational Materials for community $1,000 Asthma Educational Materials for schools $2,000 Nu Fit Club Food/Materials $2,000 Clinical Guidelines for Asthma • $1,000 Binders for Healthcare education materials $500 Fitness Gram $1,800 Meeting Expenses for all consortium work group meetings,training $2,500 Asthma School Nurse Training $500 District Coordinated School Health Meeting Expenses(4 meetings) $250 Diabetes Training(school nurses/health clerks) $100 Development Training (Registration $185 x 4 staff) (Mileage 80 miles x .30 x 4 staff) $838 Two Nutrition Staff Trainings (Diabetes,New Dietary Guidelines,3 A Day,5 A Day) $400 x 2 $800 Physical Education Teachers- Filnessgram(Registration 8 Substitutes x 16 teachers) $4,500 Professional Development for CSH Teams(for 12 people-team leader 1 additional member)(Registration $50 x 12)(Mileage 60 miles x 12 x 2) $2,040 Breckenridge Training for 3 New CSH. Teams (Hotel-$100 x 10 rooms x 2 nights) _ $2,000 38.5) $600 (Stipends-$100 x 2 days x 20 staff) $4,000 • (Food-$25x 2 days 20 staff) .__$1,000 6 CSH Teams-School Health Index $6,000 Physical Activity/Nutrition Education $2,000 Quarterly CSH Team Meetings(6 Teams) (1/2 day Substitutes 5 teachers/team x$45 x 4 meetings x 6_ _. _ $5,400 (Meeting expenses-$50/meeting x 4 meetings x 6 schools) $1,200 Active Community Environment ' Workshop($2500) Health Care Provider training($3000) $5,500 Media -Diabetes Campaign($3000) -VERB Youth Campaign($1500) Radio campaing for diabetes, asthma,physical activity and nutrtion in Spanish($4700) -Fruit and vegetable consumption and Farmers Market($2000) - Asthma Campaign($3200) $14,400 Total Supplies Total Weld County Supplies Costs '5`75226 F.CONTRACTUAL Estimated Trip cost 13053 2290 =SUM(E28:E31) the trip cost. 1693 1562 589 1589 2411 996 4260 =SUM(E35:E42) =SUIPK(G4133+E43) Anticipated cost 2500 800 =SUM(E52:E55) =E56` Contract Amount Pr..ram Evaluation -NRC $31,295 BRFSS-CDPHE Health Statistics Division $40,000 - _ Nu Fit Coordinator Stipend $7,200 Health Educator to teach DWD, $2,500 2 Community Promotora Diabetes Educators -$800 stipend for training and to teach 4 classes $1,600 screenings-2 82.400 Physical Education Assessment Stipends for UNC Students($10/hour x 6 students x 35 hours) $2,100 $400). . $2,400 American Lung Association Breath Better Bus $4,000 Healthcare provider focus group $3,000 Professional Player speaker fees $1,500 Health break for 5 worksites $5,000 Total Contractual 1502$85 Total Weld County Contractual Costs *stet* G.CONSULTANTS:none H.OTHER:none I.TOTAL DIRECT COSTS Total A.Total Personnel Costs(includes $1@8;634, _ B.Total Fringe Costs _ $48; 46 C.Total Travel Costs D Total Equipment Costs _ E.Total Supplies Costs F Total Contractual Costs G Total Consultants Costs ' H.Total Other Costs Total Direct Costs ! i $437,628 Total Direct Costs os J.INDIRECT COSTS Indirect Indirect Calory Total Rate Calculation • A.Total Personnel Costs $198 631_ 20.1% B.Total Fringe Costs 2a1% 9;813 C.Total Travel Costs 2a1% $2,341 D.Total Equipment Costs yet,' 20 1/ E.Total Supplies Costs _ r i.. i 20.1% 76194af F.Total Contractual Costs `y '' ' 5 _ 20.1% _ G.Total Consultants Costs_.. ii•�" $0. 201% �₹ilIT. H.Total Other Costs 0,,t6ft_. 20.1% Total Indirect Costs $68,085 Total Indirect Costs ;Iiii ii rISa8tittB Justification:A 16.5%indirect rate is applied to all direct costs except school-only related supplies/equipment indicated with(`). K.TOTAL REQUEST Item Anticipated cost Total Direct Costs y i Total Indirect Costs 7 $80,6%.00 Total Other $�52₹;i'Ii ". $62.6:723.00 Total Weld County Budget Request (, 405,723 5,723. Anticipated cost 4500 150O 1000 1000 2000 1000 500 500 800 500 1000 2000 2000 2000 '1000 500 1000 2500 14026 14200 =SUM(E63:E ) ' B. FRINGE BENEFITS (32.82%) TOTAL $48,748.00 * No fringe benefits are figured for School Health Coordinator—Fringe is paid by school district. C. TRAVEL TOTAL $11,628.00 In-State Travel Amount Lodging staff @ $90 int x 15 nights $ 1,350.00 Lodging staff @ 140/nt x 6 night $ 840.00 Travel to Denver staff @ 125 miles r/t x $.385/mile x 21 trips $ 1011.00 Travel to state meeting for a total of 600 miles @ .385 /mile $ 231.00 Per diem staff @ $20 day x a total of 27 per diem days $ 540.00 Per diem staff @ $40 day 8 per diem days $ 320.00 Local travel estimated for 4 staff/month is 925 miles x $.385/mi x $ 4,273/00 12 months Out-of-State Travel Amount Airfare @ $425/ticket x 4 tickets $ 1,700.00 Lodging @ 110/nt x 8 nights $ 880.00 Per diem @ $40/day x 8 days $ 320.00 Ground transportation 4 r/t @ 38.25 $ 153/00 Justification: Out-of-state travel money is needed to send the Project Coordinator and School Health Coordinator to 2 required grantee meetings with the CDC. In-state travel money will be used to for staff to attend 3 required regional Step meetings, one statewide Steps meeting, 6 School Health Coordinator meetings and 6 Project Coordinator meetings. D. EQUIPMENT TOTAL $2500.00 Equipment Amount Laptop computer with docking station 2,500.00 Justification: Replacement for PC that is not working for one Health Educator. The laptop will also provide additional support for presentations, off site work. E. SUPPLIES TOTAL $75,226.00 Supplies Community Amount General Office Supplies/printing $4,800.00 Worksite Wellness resources/materials $1,500.00 5-A-Day educational materials/training $1,000.00 Turn off TV Event Materials $1,000.00 Active Community Environment promotional materials $2,000.00 Verb Campaign Incentives\\ $1000.00 Obesity/nutrition education materials $ 500.00 Travelers Project Coordinator and School Health Coordinator Health Educators ay; and ground transportation $30/trip. Any known registration fees are added int( Steps Staff Steps Staff School Health Coordinator Project Coordinator School Health Coordinator, 3 school teams(17 people) Steps Staff All Staff Diabetes education materials $ 500.00 Dining with Diabetes materials/food $1,000.00 Asthma educational materials for community $1,000.00 Asthma educational materials for schools $2,000.00 Colorado Clinical Guidelines for Asthma $1,000.00 Nu Fit Club Food/Materials $2,000.00 Fitness Gram Materials $1,800.00 Binders for health care training materials $ 500.00 Meeting expenses for consortium, work groups, training, CEOs $2,500.00 Physical activity education materials $2,000.00 Staff Trainings/Development 1-Asthma school nurse training$500 1- Diabetes training for school nurses/clerks $100 4 District Coordinated School Health Meetings $250 1 Breckenridge Coordinated School Health Training for 20 staff- 2 days (hotel- $2000; mileage $600; stipends $4000; food $1000) =$7600 1 Nutrition staff development training 4 staff—(reg. $720; mileage $116) $836 2 Nutrition staff training on Diabetes, New Dietary Guidelines @$400 =$800 1 Fitness Gram for Physical Education Teachers (registration and substitute teachers) $4,500 1 Professional Devel. CSH Teams (12 people—registration and mileage =2,040 4 (Quarterly) CHS Team meetings—6 teams— %2 day sub pay for 5 -$45 x 24 meetings $5,400 6 CSH Teams— School Health Index $6000 CSH meeting expenses - $50/mtg x4x6 $1200 1 Health care Provider training ($3000) $34,726 1 Active Community Environment 2nd Annual workshop $2500 Media KGRE Radio Campaign for asthma, diabetes, physical activity and nutrition $4700 Diabetes media campaign $3000 Verb Youth Campaign $1500 Fruit and vegetable consumption/Farmers market $2000 Asthma media campaign $3200 Subtotal for Media $14,400 Justification: Supplies requested are necessary to complete the activities in the annual action plan. Educational materials are needed to promote the increased consumption of healthier foods like fruits and vegetables, to encourage increased participation in physical activities, and educate about diabetes, asthma and management methods. Media supplies and efforts will be used to further supplement local educational efforts in each of the four areas of concentration, community, health care, schools and worksites. Training and staff development opportunities will be provided to school staff to foster the development of school health teams and improve health and physical education in the schools. Training will be provided to the school nutrition staff to improve school food service and as a way to educate students through nutrition staff. Training will be offered to community leaders to further the development of active community environments and health care providers to improve education and management of asthma, diabetes and obesity. F. CONTRACTUAL TOTAL $102,995.00 Contract Amount Program Evaluation $31,295.00 BRFSS Data Collection—Over Sampling $40,000.00 Nu Fit Coordinator Stipend $7,200.00 Health Educator/RD to teach DWD, nutrition classes $2,500.00 Community Promotora educators for diabetes (training and stipends for teaching $1,600.00 Breathe Better Foundation screening—2 $2400.00 Physical Education Assessment Stipends for UNC students (10/hr $2,100.00 x6x35hrs) CSH team leader stipends 6 x $400 $2,400.00 American Lung Association Breathe Better Bus $4,000.00 Healthcare Provider Focus Group $3,000.00 Professional Player speaker fees for Latina Youth conference $1,500.00 Health Break TA for 5 worksites $5,000.00 Justification: The program will be increasing data collection on adult health status in the county by contracting to complete an over sampling with the Behavioral Risk Factor Surveillance System (BRFSS) surveillance tool. Funding will also be used for implementation of evaluation tool for the program objectives. Stipend amounts will be used for 1) University of Northern Colorado students from the physical education/kinesiology programs to provide physical education assessments, 2) Coordinator for the Nu Fit after school fitness and nutrition program, 3) Promotoras for diabetes prevention and management education for the bilingual community and 4) Health Educators for Dining with Diabetes and nutrition classes in the community and 5) Coordinated School Health leaders for the school level teams. Other costs include bringing the American Lung Association Breath Better Bus to Greeley schools to educate about Asthma, conducting a focus group for health care providers, professional sports figures to participate in the annual Latina youth conference in Weld County to promote physical activity levels and nutrition, and technical assistance for Weld County businesses to develop worksite wellness programs. G. TOTAL DIRECT CHARGES TOTAL $437,628.00 H. INDIRECT COSTS (20.13%) TOTAL $ 88,095.00 Justification: A 20.13% indirect rate I. TOTAL DIRECT AND INDIRECT TOTAL $525,723.00 Indirect Rate Total 0.203 =E119 ':0.203 =E120 10.203 =E121 0.203 =E122 0.203 —E12, 0.203 —E1 a a ' `, 0.203 =g1 0.203 = 1'1 0.203 =SUM(pste oymt!i` ,i 1 5+ 0.203 Hello