HomeMy WebLinkAbout20052572.tiff RESOLUTION
RE: APPROVE TASK ORDER OPTION TO RENEW LETTER #2 FOR THE COLORADO
PHYSICAL ACTIVITY AND NUTRITION PROGRAM 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 Task Order Option to Renew Letter#2 for
the Colorado Physical Activity and Nutrition Program 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 task order, and
WHEREAS, after review, the Board deems it advisable to approve said task order, 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 Task Order Option to Renew Letter#2 for the Colorado Physical Activity
and Nutrition Program 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 task order.
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 31st day of August, A.D., 2005.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: !E≥\ 2n)7 /��,,(
if %William H. rke, Chair
Weld County Clerk to the ;.$� tt% '
7 VAN: 01 BY: % y
WA� A
M. ile, Pro-Tem
Deputy Clerk to the Boa New c,
Da ' E. Lon
AP AS TO FO
Robert D. Masden
my Att ey EXCUSED
Glenn Vaad
Date of signature: �y
2005-2572
/ ` HL0032
(la` . tL r.36-vr 5_)J 0�I -4 -L7$-
ritMemorandum
TO: William H. Jerke, Chair
Board of County Commissioners
' C FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health and
Environment
COLORADO DATE: August 22, 2005 J W\
SUBJECT: Task Order Option to Renew Letter for
the Colorado Physical Activity and
Nutrition Program
Enclosed for Board review and approval is Task Order Option to Renew Letter Number Two
between the Colorado Department of Public Health and Environment (CDPHE) and Weld
County for the Colorado Physical Activity and Nutrition Program also known as the Health and
Human Services Steps Grant.
This renewal is for year three of a five year grant to prevent and reduce obesity, diabetes and
asthma in Weld County. The goals are to increase physical activity, improve nutrition, educate
on screening and management of diabetes and asthma, and reduce tobacco use and exposure.
The four focus areas are schools, the health care system, the community, and worksites. Weld
County Department of Public Health and Environment staff members are working in partnership
with a large community consortium and Weld County School District Six to accomplish these
goals.
This option to renew letter will provide funding of$495,658 for the time period September 21,
2005 through September 20, 2006.
I recommend your approval of this task order option to renew letter.
Enc.
2005-2572
August 3,2005 TASK ORDER OPTION TO RENEW LETTER
Task Order Option to Renew Letter Number 2, Contract Routing Number 06 FLA 00652
State Fiscal Year 2005-2006 Colorado Physical Activity and Nutrition Program
This Task Order Option to Renew Letter is issued pursuant to section F of the Master Contract identified by contract
routing number 05 FAA 00054 and paragraph C.5 of the Task Order identified by contract routing number 04
FLA 00154 and contract encumbrance number PO FLA PPG0400154, as amended by Task Order Option to
Renew Letter Number 1 with contract routing number 05 FLA 00312. This Task Order Option to Renew Letter
is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and BOARD
OF COUNTY COMMISSIONERS OF WELD COUNTY for the use and benefit of Weld County Health
Department. The Task Order, as amended, if applicable, is referred to as the"Original Task Order". This Task
Order Option to Renew Letter is for the renewal term of September 22,2005,through September 21,2006. The
maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is
Four Hundred Ninety Five Thousand Six Hundred Fifty Eight Dollars,($495,658.00)for an amended total
financial obligation of the State of ONE MILLION TWO HUNDRED NINTY ONE THOUSAND FOUR
HUNDRED SIXTY SEVEN DOLLARS. This is an increase of Four Hundred Ninety Five Thousand Six
Hundred Fifty Eight Dollars,($495,658.00)of the amount payable from the previous term. The Scope of Work
and Budget for this renewal term is incorporated herein by this reference, made a part hereof,and attached hereto
as"Attachment B-1". Paragraphs A and C1 of the Original Task Order are modified accordingly. All other terms
and conditions of the Original Task Order are reaffirmed. This Task Order Option to Renew Letter is effective upon
approval by the State Controller, or designee,or on September 21,2005,whichever is later.
Please sign,date, and return all 4 originals of this Task Order Option to Renew Letter by September 1,2005,to the
attention of:Rachel Oys,Colorado Department of Public Health and Environment,Mail Code PSD-COPAN-
A5,4300 Cherry Creek Drive South,Denver,Colorado 80246. One original of this Task Order Option to Renew
Letter will be returned to you when fully approved.
BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO
OF WELD COUNTY on behalf of Weld County Bill Owens,Governor
Health Department
(a political subdivision of the state of Colorado)
By: "1—‘74K1,.,,/( By: 77
ame: William H. Jerke For th xecuti a Director
, ems% Chair DEPARTMEN OF PUBLIC HEALTH
f
1`c. j.. _i_ % 84-6000813 B AND ENVIRONMENT
8/31/ OS
1cirn ! ATTEST: (GRAM APPROVAL:
q4i
♦ /J !'
-Nit N N
ALL CONTRACTS MUST BE PPROVED BY THE STATE CONTF OLLER
CRS 24-30-202 requires that the State Controller approve all state contracts.This contract is not valid until
the State Controller,or such assistant as he may delegate,has signed it.The contractor is not authorized to
begin performance until the contract is signed and dated below.If performance begins prior to the date
below,the State of Colorado may not be obligated to pay for the goods and/or services provided.
TE CONTROLLER:
Leslie M. hene It WELD COUNTY DEPARTMENT OF
By: PUB i�C HEALT� 1(A-
AND EN IT
Date: IV„v_�ext
Revised:07/01/04 BY:
Mark E. Wallace, MD, MPH•Dlrectot
Attachment B-1
COMMUNITY ACTION PLAN - YEAR THREE
GOAL 1: INFRASTRUCTURE
GOAL 2: COMMUNITY
GOAL 3: HEALTHCARE SYSTEMS
GOAL 4: SCHOOLS
GOAL 5: WORKSITES
Program Goal 1 — INFRASTRUCTURE - Maintain and ex i and the existin r coordinated Ste s to a
Healthier Colorado Program infrastructure in Weld County
Annual Infrastructure Objective lA: By September 21, 2006, the Weld County Steps Project will maintain and enhance
staffing to 4.50 full-time employees. (Baseline: 3.25 FTE)
Strategy Action Steps Target Group Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain Full-Time Project Coordinator. Project X X X X Position is filled.
Coordinator
(PC)
2. Maintain Full-Time School Health Coordinator. School X X X X Position is filled.
Health
Coordinator
3.Maintain two Full-Time Health Educators. PC X X X X Positions arc filled.
4.Maintain Part-Time Administrative Assistant. PC X X X X Position is filled.
.
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain Full-Time Project Coordinator. ' PC X X X X Position is filled.
2. Maintain Full-Time School Health Coordinator. SHC X X X X Position is filled.
3.Maintain two Full-Time Health Educators. PC X X X X Positions are filled.
4.Maintain Part-Time Administrative Assistant. PC X ! X _ X X Position is filled.
Page 1 of 45
Attachment B-1
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Maintain Full-Time Project Coordinator. PC X X X X Position is filled.
2. Maintain Full-Time School Health Coordinator. SHC X X X X Position is filled.
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 Project will maintain one contract for
program evaluation services. (Baseline: One contract with John Snow Research and Training Institute)
Ert
_ i . ria YEAR 3
Strategy I Action Steps Target Group Lead Role Time Line Evaluation 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)
Steps Staff
la.JSI will assist with the development of Staff JSI X X X X Copy of evaluation tools developed.
strategy level evaluation tools. Community PC
Steps Staff
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. Community PC year-end progress reports.
Steps Staff
lc. JSI will participate in Steps evaluation Staff JSI X X X X Evaluation conference call notes.
conference calls. Community PC
Steps Staff
Id. JSI will assist in the development of the Staff JSI X X X Completed copy of year four action and
year four action and evaluation plans. Community PC evaluation plans.
Steps Staff
> s
Strategy Target Group Lead Role Time Line Evaluation Indicator(s)
Page 2 of 45
Attachment B-1
Q1 Q2 Q3 Q4
1, Maintain program contract with John Snow Research and Staff PC
Training Institute(JSI)or other appropriate contractor for Community Steps Staff
program evaluation services.
sn . miff
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Maintain program contract with John Snow Research and Staff PC
Training Institute(ISI)or other appropriate contractor for Community Steps Staff
program evaluation services.
Annual Infrastructure Objective 1C: By September 21, 2006, necessary Weld County Steps Staff will participate in at least 20
staff development opportunities as appropriate. (Baseline: Four national Steps conferences, eight statewide trainings/meetings,
and eight statewide/regional professional development opportunities)
� �-�� -.
Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
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
Meetings. Coordinator Participant List attended.
(PC)
Steps Staff
2. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X Meeting Agenda #of meetings
will each attend at least six coordinator meetings in School Participant List attended.
Denver. Health
Coordinator
(SHC)
Rocky
Mountain
Center for
Health
Promotion
(RMC)
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.
Page 3 of 45
Attachment B-1
3b.School Health Coordinator will attend at Steps Staff SHC X X X X Meeting Agenda #of meetings
least six statewide Steps School Health Participant List attended.
Coordinator Meetings.
3.Necessary Steps staff will attend at least four regional or Steps Staff Steps Staff X X X X Meeting Agenda #of meetings
statewide Steps trainings and/or meetings. Participant List attended.
4. Steps staff will meet weekly with Health Promotion Steps Staff Steps Staff X X X X Meeting Agenda #of meetings
Supervisor. Participant List attended.
5. Steps staff will attend at least two team retreats. Steps Staff PC X X Retreat Agenda Attendance at retreat.
Steps Staff
5a. Steps staff will plan and attend at least Steps Staff PC X Retreat Agenda Attendance at retreat.
one team building retreat. Steps Staff
5b. Steps staff will plan and attend at least Steps Staff PC X Retreat Agenda Attendance at retreat.
one planning retreat. Steps Staff
y F, " R 4i-rj...- YiY.: t� ti.sp M?v Sy111? .Q'�u
i«W��� �rwt� � ._75f��lC� ..+t at
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Necessary Steps staff will attend at least two national Steps Steps Staff PC X X X X #of meetings attended.
Meetings.
2. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X #of meetings attended.
will attend at least six coordinator meetings. SHC
3.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.
.. . ARC ZZ 1 ..n
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Necessary Steps staff will attend at least two national Steps Steps Staff PC X X X X #of meetings attended.
Meetings.
2. Steps Project Coordinator and School Health Coordinator Steps Staff PC X X X X #of meetings attended.
will attend at least six coordinator meetings.
3.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.
Annual Infrastructure Objective 1D: By September 21, 2006, the Weld County Steps Project will maintain and enhance the
Community Consortium structure by developing a leadership team with representation from each of the five workgroups
(Asthma Information and Support Workgroup, Coordinated School Health Team, Diabetes Coalition Workgroup, Physical
Page 4 of 45
Attachment B-1
Activity and Nutrition Workgroup, and Tobacco Coalition Workgroup). (Baseline: One Community Consortium, 0 Leadership
Team,five workgroups)
-
a
as � tiw •- YEAR. ' ��
Strategy I Action Steps Target Group Lead Role Time Line Data Source Evaluation
QI Q2 Q3 Q4 Indicator(s)
1. Maintain and expand Community Consortium(CC) by at Community Project X X X X Current Consortium #of members
least ten additional members. Members Coordinator Membership List. maintained from Year
(PC) 2.
Steps staff Recruitment Contact #of new members
List. recruited.
la. 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.
I 2.Provide at least two professional development opportunities Consortium PC X X X X Professional #of sessions
for consortium members. Partners Steps staff development session provided.
sign-in sheet. #of participants at
each session.
Satisfaction survey. Results of satisfaction
survey.
Both forms to be
developed.
2a. Recruit two professional speakers and/or Consortium PC X X Professional #of sessions
trainers and provide at least two Partners Steps staff development session provided.
professional development opportunities for Professional sign-in sheet. #of participants at
the consortium. Trainers each session.
Satisfaction survey. Results of satisfaction
survey.
Both forms to be
developed.
3. Establish a Leadership Team(LT)with at least five Consortium PC X X Invitation list. Establishment of
members, one member from each workgroup. Partners Steps staff leadership team.
Member list. Level of participation
of team.
3a. Invite key leaders to join the Leadership Consortium PC X Invitation list. Establishment of
Team and serve for a one-year period. Partners Steps staff leadership team.
Level of participation
of team.
Page 5 of 45
Attachment B-1
3b. Develop a schedule of Leadership Team Consortium PC X X X X Schedule of meetings #of meetings attended
meeting dates and provide technical Partners by each team member.
assistance(TA)to LT members as they List of TA provided to #of TA sessions
work on all Steps activities. team provided to team.
3c.Review progress on grant objectives. Leadership Team PC X X X X Progress on grant
Steps staff objectives reviewed.
3d.Assist with planning for year four. Leadership Team PC X X
Steps staff
Evaluation comments: Data collection tools used to assess strategies under objective ID: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.
k
Strategy I Target Group Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain and expand Community Consortium by at least ten Community members PC X X X X
additional members. Steps Staff
2. Provide at least two professional development opportunities Consortium members PC X X X X
for members. Steps staff
3. Maintain and expand the Leadership Team by at least five Consortium partners PC X X X X
additional members. Steps staff
ti
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Maintain and expand the Community Consortium by at Community members PC X X X X
least ten additional members. Steps staff
2.Provide at least two professional development opportunities Consortium members PC X X X X
for members. Steps staff
3. Maintain and expand the Leadership Team by at least five Consortium partners PC X X X X
additional members. Steps staff
Page 6 of 45
Attachment B-1
Program Goal 2: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical
activity, tobacco cessation, and prevention of tobacco use and ex i osure in the COMMUNITY.
Annual Community Objective 2A: By September 21, 2006, at least one million exposures to informational messages on the
prevention/management of asthma, diabetes, obesity and associated risk factors will be completed. (Baseline:660,000
exposures) p }
Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
Indicator(s)
Q1 Q2 Q3 Q4
1.Increase Awareness of the benefits of increased fruit and Weld Residents Project X X X X Instrument Number: #of educational
vegetable consumption in at least four venues. Coordinator O2ASI messages on fruit and
(PC) vegetable
consumption.
#of exposures to
messages.
la. Participate in and promote the local Weld Residents PC X X Instrument Number: #of educational
farmers market at least once a month, from Health O2AS1 messages on fruit and
May through October, as a place to Educator vegetable
increase fruit and vegetable consumption. (HE) consumption.
#of exposures to
messages.
lb. Incorporate at least five messages on fruit Spanish speaking PC X X X X Instrument Number: #of messages aired
and vegetable consumption into the KGRE Weld Residents Physical O2AS 1 on radio.
Spanish Radio Media Campaign. Activity and #of exposures to
Nutrition messages.
Workgroup
(PAN)
Community
Partners
Ic. Provide fruit and vegetable point of Weld Residents PC X X X X Instrument Number: #of venues prompts
decision prompts in at least ten community Grocery Stores PAN O2ASla provided.
locations where fruits and vegetables are Farmers Markets Community #of prompts
sold. Partners distributed.
#of exposures to
messages.
Page 7 of 45
Attachment B-1
Id.Provide fruit and vegetable informational Churches PC X X X X Instrument Number: #of churches
materials to at least five churches. Weld Residents PAN O2ASla materials provided.
Community #of materials
Partners Survey on fruit/veggie distributed.
consumption barriers. #of exposures to
Form to be developed. messages.
Evaluation comments: Instrument Number: O2AS I 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 I a will collect information on site names, number of site prompts and materials provided,number of prompts and materials
distributed, and number of people exposed. Shoppers will be surveyed on barriers to fruit/vegetable consumption at the farmers market to determine im act.
2. Increase awareness of the importance of increased physical Weld Residents Health X X X X Instrument Number: #of educational
activity in at least three venues. Youth Educator O2AS2 messages physical
(HE) activity.
#of exposures to
messages.
2a. Incorporate at least four VERB messages Youth HE X X X X Instrument Number: ft of publications
in at least ten school and community youth O2AS2 messages appear.
publications. #of VERB messages
provided.
#of exposures to
messages.
2b. Incorporate at least five messages on Spanish speaking PC X X X X Instrument Number: #of messages aired
physical activity into the KGRE Spanish Weld Residents Community O2AS2 on radio.
Radio Media Campaign. Partners ft of exposures to
messages.
2c. Implement Steps media campaign through Weld Residents Policy X Instrument Number: #of print ads ,
at least three outlets such as print ads, Studies Inc. O2AS2 information and bench
Steps website, and bench ads. (PSI) ads provided.
PC ft of hits on the Steps
website
#of exposures to ads.
Evaluation comments: Instrument Number: O2AS2 will collect information on the type of message, place message was presented, #of hits on the Steps website, 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 Number: ft of educational
such as secondhand smoke, in managing asthma in at least Educator O2AS3 messages provided
five venues. (HE) about asthma.
Tobacco #of exposures to
Workgroup messages.
(TWG)
Asthma
Workgroup
(AWG)
3a. Incorporate at least 10 articles and/or Weld Residents HE X X X X Instrument Number: # of articles printed
messages into Weld County newspapers. TWG O2AS3 and distributed.
AWG #of exposures.
Page 8 of 45
Attachment B-1
3b. Incorporate at least three articles and/or Weld Residents HE X X X X Instrument Number: #of churches or
messages in church newsletters or TWG 02AS3 community
community publications. AWG publications printing
articles.
#of articles printed
and distributed.
#of exposures.
3c. Incorporate at least four messages on the Spanish speaking HE X X X X Instrument Number: #of messages aired
KGRE Spanish Radio Station. Weld Residents Community 02AS3 on radio.
Partners #of exposures to
messages.
3d. Incorporate at least four messages on a Weld Residents HE X X X X Instrument Number: #of messages aired
local English language radio station. TWG 02AS3 on radio.
AWG #of exposures to
messages.
3e.Coordinate at least one outdoor media Weld Residents HE Instrument Number: #of exposures to
campaign in the Greater Greeley area. TWG 02AS3 messages.
AWG
Evaluation comments: Instrument Number: 02AS3 will collect information on the type of message,place message was presented, target population of message, and number of
exposures.
4. Provide informational messages about preventing and Weld Residents PC X X X X Instrument Number: #of educational
managing diabetes in at least three venues. Diabetes 02AS4 messages provided
Coalition about diabetes
(DC) prevention and/or
management.
#of exposures to
messages.
4a. Coordinate at least one outdoor media Weld Residents PC X X X X Instrument Number: Campaign developed.
campaign in the Greater Greeley area. DC 02AS4 #of educational
messages provided
#of messages aired
on radio.
#of exposures to
messages.
#of booklets
requested.
4b.Recruit bilingual Spanish speaking Spanish speaking PC X X X X #of bilingual Spanish
diabetes prevention/management Weld Residents Community speaking diabetes
professionals to participate in at least four Partners prevention
KGRE Radio Station diabetes prevention DC professionals
programs. recruited.
Page 9 of 45
Attachment B-1
4c. Incorporate at least four Paso a Paso Spanish speaking PC X X X X Instrument Number: #of programs aired.
printed media ads in local Spanish Weld Residents Community O2AS4 #of exposures to
publications promoting the prevention of Partners messages.
type 2 diabetes.
Evaluation comments: Instrument Number: O2AS4 will collect information on the type of message,place message was presented,target population of message, number of
exposures.
Strategy [ Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
{ 1.Increase awareness of fruit and vegetable consumption in at Weld Residents (PC
least six venues.
2. Increase awareness of the importance of physical activity Weld Residents PC
through at least five venues.
3. Increase public awareness about the importance of asthma Weld Residents PC
management in at least eight venues.
4. Increase awareness about preventing and managing Weld Residents PC
diabetes in at least six venues.
_ a_„
h m
. .. - . ._ _ ... _ .. � _ _ ARC=
Strategy I Target Group _ Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Increase awareness of fruit and vegetable consumption in at (PC
least ten venues.
2. Increase awareness of the importance of physical activity PC
through at least 10 venues.
3. Increase public awareness about the importance of asthma PC
management in at least 12 venues.
4. Increase awareness about preventing and managing PC
diabetes in at least 10 venues.
Annual Community Objective 2B: By September 21, 2006, at least 1,000 Weld County Residents will participate in
prevention/management activities associated with asthma, diabetes, obesity, and/or associated risk factors. (Baseline: 500)
•• s 1,,.: - a „{ fir{ 1"k r ma''±h,*�.'-""i -:1.JJI'�R s.. S�. ,.
Strategy i Action Steps Target Group Lead Role Time Line
QI Q2 Q3 Q4 Data Source Evaluation
Indicator(s)
Page 10 of 45
Attachment B-1
I. 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.
Health #of participants in each
Educator nutrition opportunity.
(HE) #of venues.
la. Offer cooking/nutrition classes on fruits Weld Residents PC X X Instrument Number: #of classes offered.
and vegetables in at least 10 venues such as HE 028S1&2 #of participants.
recreation centers, senior centers, or Contract
churches. Instructor
lb.Provide fruit and produce tours in at least Weld Residents PC X X Instrument Number: #of tours.
10 local grocery stores. HE O2BS 1&2 #of participants.
Community Survey on barriers to #of stores.
Partners fruits/vegetable
consumption.
Form to be developed.
Ic. Sponsor at least one class quarterly on Weld Residents PC X X X X Instrument Number: #of classes offered.
diabetes and obesity prevention. HE 02B51&2 #of participants.
Contract
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.
2. Provide at least 13 opportunities to learn about physical Weld Residents Project X X X X Instrument Number: #of opportunities
activity for Weld County Residents. Coordinator O2BS1&2 provided to learn about
(PC) physical activity.
Health #of participants in each
Educator learning opportunity.
(HE)
2a. Implement at least four senior physical Weld Senior PC X X X X Instrument Number: #of opportunities
activity opportunities such as pedometer or Residents HE O2BS1&2 implemented.
mall walking programs. YMCA #of participants in each
opportunity.
2b. Coordinate with community partners to Weld Residents PC X X Instrument Number: #of activities or
implement four community physical HE O2BS1&2 opportunities
activity events/opportunities such as Latina Community coordinated.
Youth conference, Fun Run, Relay for Partners Participant evaluation #of participants.
Life, Summer Olympics. of intervention—Form Participant evaluations.
to be developed
Page 11 of 45
Attachment B-1
2c.Implement at least two VERB physical Tweens Health X X Instrument Number: #of tweens impacted.
activity events. Educator O2BS l&2
(HE)
Recreation
Centers
Boys and
Girls Clubs
Weld County
School
District 6
2d. Implement TV Turn Off week campaign Weld Residents PC X X Instrument Number: Type of alternate
with at least 3 activities such as story HE O2BS1&2 activity
times,baby animal days at Plum Farm, Community #of children
clinic visits. Partners participating
#of parents/caregivers
participating
Evaluation comments: Instrument Number: O2BS1&2 will collect information on the site name,number of participants in each physical activity learning opportunity, number
of physical activity interventions,number of community events promoted,number of youth impacted, and the type of alternate activity, number of children participating,and
number of parents/caregivers participating.
3. Provide at least 10 asthma prevention/management learning Weld Residents HE X X X X Instrument Number: #of opportunities
activities for Weld County Residents. Asthmatics O2BS3 provided to learn about
asthma
prevention/management
#of participants in each
learning opportunity.
3a. Coordinate at least six asthma information Adults and children HE X X X X Instrument Number: #of information and
and support group meetings. with asthma and Asthma O2BS3 support group
parents Workgroup meetings.
(AWG) #of participants.
#of support groups.
3b.Assist with the coordination of at least two Head Start HE X X X X Instrument Number: #of Wee Wheezer
Wee Wheezer asthma education programs. AWG O2BS3 Programs.
#of participants.
Wee Wheezer Session evaluations of
Participant programs.
Evaluation.
3c. Provide at least two Spanish language Spanish Speaking HE X X Instrument Number: #asthma management
asthma management learning activities Residents AWG O2BS3 activities offered.
such as Wee Wheezers. #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. A
participant evaluation will be used for each Wee Wheezer program offered.
Page 12 of 45
Attachment B-1
4.Provide at least 16 diabetes prevention/management Weld Residents PC X X X X Instrument Number: #of opportunities
learning activities for Weld County Residents. Diabetics HE O2BS4 provided to learn about
Diabetes diabetes
Workgroup prevention/management
' (DWG) #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. HE O2BS4 #of participants.
Contract
Educators
4b.Provide at least four diabetes screening Weld Residents PC X X X X Instrument Number: #of screening and
and education events. American O2BS4 education events
Diabetes collaborated on.
Association #of people exposed to
Community education.
Partners #of people screened.
4c.Provide at least four Spanish language Spanish Speaking PC X X X X Instrument Number: #of diabetes
diabetes prevention/management learning Residents Contract O2B54 prevention/
opportunities such as Small Steps/Big Educators management activities
Rewards. 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,number of English language
classes offered,and the number of participants reached in each of these activities.
...c ',:'s ,N v�1,` s� nq,".: J ` S t. [\--'''''''
r f '.a.' -7*,t--? !:.tir `+-7 z�-. -r••
x
-` ' .. ,.. YEAR 4
w
Strategy I Target Group Lead Role Time Line Evaluation 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 at least 15 asthma prevention/management learning
activities for Weld County Residents.
4.Provide at least 20 diabetes prevention/management
learning activities for Weld County Residents.
- ..... . - _ µ,..44S! •.,.`.�'S:.0,5 *0t�r�.-., ,,,, j.,r.. ' S'' AR, S v,,r" n:,_ wY J 44"-y `;Z . '" •
•
Strategy I Target Group F Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Provide at least 40 opportunities to learn about proper
Page 13 of 45
Attachment B-1
nutrition.
2. Provide at least 20 physical activity opportunities for Weld
County Residents.
3.Provide at least 20 asthma prevention/management learning
activities for Weld County Residents.
4.Provide at least 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.
(Baseline: One activity)
AR.
Strategy ` Action Steps Target Group Lead Role Time Line
Q1 Q2 Q3 Q4 Data Source Indicator(s)
1. Implement the second annual Active Community Developers Project X X X X Instrument Number: #of participants at
Environment(ACE) workshop in Weld County. Planners Coordinator O2CS1&2 ACE Training.
Builders (PC)
Government Community Training evaluation Training evaluations.
Officials Partners form to be
Parks and developed.
Recreation
1 a.Convene a work group to plan the training Developers PC X Meeting Agenda. #of meetings
on Active Community Environment. Planners Community #of participants.
Builders Partners Participant List.
Government
Officials
Parks and
Recreation
lb.Determine date and location for the Developers PC X Progress report(first Meeting date.
workshop. Planners Community quarter). Meeting location.
Builders Partners
Government
Officials
Parks and
Recreation _
lc. Develop agenda and invite speakers. Developers PC X X X Workshop Agenda #of speakers
Planners Community Speaker List identified and
Builders Partners confirmed.
Government
Officials
Parks and
Recreation
Page 14 of 45
Attachment B-1
Id.Promote the event using at least three Developers PC X X #of hold the date
different methods(hold the date postcards, Planners Community postcards, flyers
flyers,and print media). Builders Partners distributed.
Government
Officials
Parks and
Recreation
le. Host the workshop in Weld County on Developers PC X Instrument Number: #of participants at
Active Community Environment. Planners Community O2CS1&2 ACE Training.
Builders Partners #of community
Government Training evaluation partners participating
Officials form to be developed in the planning.
Parks and
Recreation Training evaluations
2. Develop at least one community resource booklet to Community PC X X X X Instrument Number: Number of resource
promote Active Community Environment assets. Members O2CS1&2 booklets requested
and distributed.
2a. Include information on City of Greeley Community PC X X X X #of bike trails,
bike trails, walking trails, and green areas. Members walking trails,and
green areas included.
2b. Include information on upcoming local Community PC X Instrument Number: #of local physical
physical activity events such as Bike to Members O2CSI&2 activity events
Work Week and community races/walks. promoted.
2c.Distribute booklets to 500 individuals, Community PC X X #of booklets
organizations,and/or community groups. Members distributed.
3. Complete at least one walkability assessment. Community PC X X X Walkability Walkability
Members assessment form assessment
completed.
3a.Meet with at least three community groups Community PC X X X Meeting Meeting held.
or organizations to determine where the Members agenda/minutes Location determined.
assessment will be completed.
3b.Review results of assessment and Community PC X Results reviewed.
determine next steps for making changes. Members
Evaluation comments: Instrument Number: O2CS1&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, #of local physical activity events promoted. Other data collected includes walkability
assessment,meeting agenda/minutes and results of assessment.
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
QI Q2 Q3 Q4
1. Implement the third annual Active Community Developers PC X
Environment(ACE) workshop in Weld County. Planners Community
Builders Partners
Page 15 of 45
Attachment B-1
Government Officials
Parks and Recreation
2.Participate in at least ten community meetings on Active Weld County PC X X X X
Community Environment activities. Residents Community
Planners Partners
Builders
3. Complete at least two walkability assessments. Weld County PC X X X X
Residents Community
Planners Partners
Builders
Strategy 1 Target Group I Lead Rote Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Implement the fourth annual Active Community Developers PC X
Environment(ACE)workshop in Weld County. Planners Community
Builders Partners
Government Officials
Parks and Recreation
2. Implement at least three additional ACE activities. Weld County PC X X X X
Residents Community
Planners Partners
Builders
Annual Community Objective 2D: By September 21, 2006, promote the 2007 Youth Risk Behavior Survey (YRBS) by
presenting on the 2005 YRBS to the five participating schools. (Baseline: 0 presentations)
Strategy Action Steps Target Group Lead Role Time Line
Data Source Indicator(s)
Q1 Q2 Q3 1. Q4
1.Present data to five participating schools in at least three Administrators Project X ' X X X Instrument #of presentations
different venues. Teachers Coordinator Number: provided.
Parents (PC) O3S1&2 #of people exposed
Students Health per presentation.
School Board Educator
Members (HE)
School
Health
Coordinator
(SHC) ,
Page 16 of 45
Attachment B-1
la.Host at least four presentations during Administrators PC X X X Instrument #of presentations
back to school nights,principal meetings, Teachers HE Number: provided.
and/or school assemblies. Parents SHC O3S1&2 #of people exposed
Students per presentation.
lb.Attend and report information to at least School Board PC X X X
one school board meeting. Members HE
SHC
2. Obtain signed consent forms for the 2007 YRBS. Parents PC X Instrument #of 2007 YRBS
Students HE Number: consent forms
SHC 03S1&2 received.
la.Attend back to school and registration Parents PC X #of back to school
' nights at five targeted high schools. Students HE and registration nights
attended.
Evaluation comments: Instrument Number: 03S1&2 will collect information on the number of presentations provided,number of people reached per presentation,and number
of consent forms received.
'ytyi'
f
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Conduct the Youth Risk Behavior Survey in Weld County Administrators PC
School District Six. Teachers HE
Parents SHC
Students
-.:7,,,,.-.#
_tea .c a •3ub y- .'{, �`ir ..;,�.. 1, ""6' �...f `y`'., _
,d ,
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Present 2007 Youth Risk Behavior Survey Data to schools Administrators PC
and community members. Teachers HE
Parents SHC
Students
Page 17 of 45
Attachment B-1
Program Coal 3: Reduce asthma, diabetes and obesity through the promotion of nutrition, physical
activity, tobacco cessation, and prevention of tobacco use and ex iosure in the HEALTHCARE
SYSTEMS.
Annual Healthcare Objective 3A: By September 21, 2006, implement at least five integrated diabetes, asthma, and obesity
activities with at least three healthcare sites in Weld County. (Baseline: 0 activities)
s.+,a _n
Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
Indicator(s)
Q1 Q2 Q3 Q4
1.Assess the needs of healthcare providers using at least two Healthcare Providers Health X X X X Needs assessment Needs assessment
different methods. Educator tool. results.
(HE)
Asthma Form to be developed.
Workgroup
(AWG)
Diabetes
Workgroup
(DWG)
la. Schedule monthly meetings with the Health Department HE X X X X Meeting minutes. #of meetings.
Health Department Director to discuss Director
healthcare provider needs.
lb.Conduct at least ten key informant Healthcare Providers HE X #of key informant
interviews or host a focus group to Health interviews conducted.
determine healthcare provider needs. Department #participating
Director healthcare providers
AWG in focus group.
DWG Results from key
informant interviews
or focus group.
2. Develop a plan that includes at least five activities, to Healthcare Providers HE X X X Plan for addressing Plan for addressing
address healthcare provider needs as determined by the needs AWG needs of training and needs of training and
assessment. DWG resources for resources for
providers. providers completed.
#of plans distributed
to healthcare
providers.
Page 18 of 45
Attachment B-1
2a.Review results of key informant Healthcare Providers HE X Progress report. Results reviewed.
interviews. Health
Department
Director
AWG
DWG
2b. Identify at least five activities to be Healthcare Providers HE X #of activities
implemented with healthcare providers. AWG identified.
DWG
3.Develop a binder for healthcare providers that includes at Healthcare Providers HE X X X Instrument Number: Binder created.
least 12 resources for asthma,diabetes,obesity,physical Community O3BS1,2&3
activity,nutrition, and tobacco. Consortium
(CC)
3a.Diabetes:CDC recommended programs, Healthcare Providers HE X X X Instrument Number: #materials included.
Small Steps,Big Rewards,Small Changes DWG O3BS1,2&3
Make a Big Difference,Colorado Clinical Diabetes
Guidelines Collaborative(CCGC), Way to Coalition
Go Kids.
3b.Asthma: Colorado Clinical Guidelines Healthcare Providers HE X X X Instrument Number: #materials included.
Collaborative(CCGC),Asthma Action AWG O3BSI,2&3
Plans.
3c.Nutrition: 5 A Day,Dietary Guidelines, Healthcare Providers HE X X X Instrument Number: #materials included.
Portion Size. Physical O3B51,2&3
Activity
and
Nutrition
Workgroup
(PAN)
3d. Physical Activity: Walking programs Healthcare Providers HE X X X Instrument Number: #materials included.
(Colorado On The Move),physical activity PAN O3BS 1,2&3
prescription pads,ACE booklet.
3e.Obesity:Weight management programs, Healthcare Providers HE X X X Instrument Number: #materials included.
BMI assessments. PAN O3BS1,2&3
Colorado
Physical
Activity
and
Nutrition
Program
(COPAN)
3f.Tobacco: Quitline/QuitNet,You Can Quit. Healthcare Providers HE X X X Instrument Number: #materials included.
Tobacco O3BS 1,2&3
Workgroup
TWG)
Page 19 of 45
Attachment B-1
4. Distribute binders to at least ten healthcare providers. Healthcare Providers HE X X Instrument Number: #binders distributed.
CC 03BS1,2,3&4 #of healthcare
providers.
4a. Schedule meetings with at least 10 Healthcare Providers HE X X Instrument Number: #of meetings held.
healthcare providers. CC 03 BS 1,2,3,&4
5.Provide healthcare provider best practice training. Healthcare Providers HE X X X X Instrument Number: #trainings offered.
CC 03BS 1,2,3,4&5
Training evaluation.
Training sign in sheet.
Forms to be
developed.
5a. Distribute information about upcoming Healthcare Providers HE X X X X Instrument Number:
opportunities. CC 03BS 1,2,3,4&5
5b. Host at least one training for healthcare Healthcare Providers HE X X X X Instrument Number: #of participants
providers. CC 03BS1,23,4&5 Training evaluation
results.
5c.Offer continuing medical education Healthcare Providers HE X X X X CME credits offered.
(CME)with North Colorado Medical North
Center. Colorado
Medical
Center
5d.Promote other opportunities for healthcare Healthcare Providers HE X X X X Instrument Number: #and type of other
providers as available. North 03BS1,2&3 opportunities
Colorado provided.
Medical
Center
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.
Evaluation comments: Instrument Number:038S1,2,3,4&5 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.
;f-+ +"�+ ..., '� �e' � '•,e "q ^'e a.a- tip+ x4 ra •• �+ t r... s • -tF. .45i .", �
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Complete a follow-up assessment to determine usability Healthcare Providers HE X #of assessments.
and/or usefulness of information provided in Year 3. CC
2. Implement at least five activities for healthcare providers. Healthcare Providers HE X X X X #of activities.
CC
3. Collaborate with local medical society to host at least one Healthcare Providers HE X X X Training held.
healthcare provider professional development opportunity. CC #of participants.
Medical Society
Page 20 of 45
Attachment B-
ti
Strategy I Target Group Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Conduct at least 15 key informant interviews. Healthcare Providers HE X X #of key informant interviews.
CC
2. Implement at least five activities for healthcare providers. Healthcare Providers HE X X X X #of activities.
CC
Page 21 of 45
Attachment B-1
Program Goal 4: Reduce asthma, diabetes and obesity through the promotion of nutrition, hvsical
activity, 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 maintain one district level
Coordinated School Health Team with at least five members, and implement at least five district level activities. (Baseline: One
district level Coordinated School Health Team; one district level activity)
. _.,. . _ YEAR 3 .Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain district level Coordinated School Health Team School Staff DCSHT X X X X Current DCSHT #of members
(DCSHT)with at least five members. School Health Membership list. maintained from
Coordinator(SHC) Year 2.
Rocky Mountain Contact list. #of new members
Center for Health recruited.
Promotion(RMC)
la.Recruit new team members, as necessary. Staff DCSHT X X X X Recruitment #of new members
SHC Contact List. recruited.
lb.Establish a regular meeting schedule. Staff DCSHT X Meeting minutes. #of meetings.
SHC #of members
attending
lc.Establish at least 2 district goals. Staff DCSHT X X #of goals
SHC established.
2.Implement a School Wellness Policy(SWP)in WCSD6 Students DCSHT X X X X Policy tracking #of surveys
that addresses nutrition education and standards and Staff SHC form(Instrument returned.
physical activity goals. Nutrition Director Number:
(ND) O4AS3&4)
Brief phone
survey:
Policy
Implementation
Survey.
Form to be
developed.
Page 22 of 45
Attachment B-1
2a.Identify stakeholders from the school Students DCSHT X Stakeholders list. Establishment of
district and form a SWP task force. Staff SHC SWP task force.
ND
Colorado Physical
Activity and
Nutrition Program
(COPAN)
2b.Develop a plan that includes at least two Students I COPAN X Plan for Development of
activities for community involvement with Staff Teachers involvement. plan.
the SWP. Students #of activities.
Administrators
Food Service Staff
Board Members
Parents
Community
Members
DCSHT
SHC
ND
2c.Evaluate existing school system policies Students COPAN X Policy tracking #of surveys
such as physical activity/education, Staff Teachers form(Instrument returned.
vending machines,healthy foods on Students Number:
campus,or nutrition education. Administrators O4AS3&4 Survey
Food Service Staff Form to be
Board Members developed.
Parents
Community
Members
DCSHT
SHC
ND
2d. Develop and establish guidelines for Students COPAN X X Criteria for SWP. Establishment of
policies included in the SWP. Staff Teachers SWP guidelines.
Students
Administrators
Food Service Staff
Board Members
Parents
Community
Members
DCSHT
SHC
ND
Page 23 of 45
Attachment B-1
2e. Develop an implementation plan for SWP. Students COPAN X Implementation of Development of
Staff Teachers SWP. implementation
Students plan for SWP.
Administrators
Food Service Staff
Board Members
Parents
Community
Members
DCSHT
SHC
ND _
2f Establish evaluation indicators for the Teachers COPAN X X List of evaluation Consensus on the
SWP. Students Teachers indicators. established
Administrators Students evaluation
School Food Service Administrators indicators.
Staff Food Service Staff
Board Members Board Members
Parents Parents
Community Members Community
Members
DCSHT
SHC
ND
2g. Obtain necessary approval for District Six Board DCSHT X Approval by
implementation of SWP. Members and SHC School District
Administration. ND Board and
Administration.
Evaluation comments: Instrument Number: O4AS2 will collect information which school have returned the Policy Implementation Survey and which schools are implementing
School Wellness Policy related to fitness&nutrition.
3.Provide technical assistance for the six Coordinated School CSH Teams DCSHT X X X X SHI action plans. Amount of
Health(CSH)Teams on implementation of School Health SHC technical
Index(SHI) action plans. Instrument assistance
Number: O4AS3 provided.
3a. Review SHI plans for six CSH Teams. CSH Teams DCSHT X X X X #of SHI plans
SHC reviewed.
3b. District will provide technical assistance CSH Teams DCSHT X X X X
that may include attending meetings, SHC
providing resources,hosting professional
development.
Evaluation comments: Instrument Number: O4AS3 will track the completion of the SHI action plan with each CSH Team.
Page 24 of 45
Attachment B-1
4.Assess and expand the management/support system for Students DCSHT X X X X Survey of current #of surveys
students with asthma and/or diabetes. Staff Health Educator(HE) management/support completed.
SHC system for students
with asthma and/or #of systems
diabetes. updated based on
current guidelines.
Form to be developed.
4a. Review school district action plans. Students DCSHT X Results of action plan #of action plans
Staff HE review. reviewed.
SHC
4b.Provide information to students, staff, and Students DCSHT X X X X Instrument Number: #of asthma
parents about the importance of using Staff HE O4AS4 management plans
asthma/diabetes management plans. SHC on file at school
Nurses health clinic.
#of diabetes
management plans
on file at school
health clinics.
#of people
informed.
4c. Coordinate Breathe Better Bus visits for at Students DCSHT X X X X Instrument Number: #of Breath Better
least two schools. Staff HE O4AS4 Bus visits.
SHC #of students
exposed.
4d.Provide asthma screenings for students in Students DCSHT X X Instrument Number: #of asthma
at least two CSH schools. Staff HE O4AS4 screening
SHC provided.
#of students
screened.
4e. Host at least one training for staff on Students DCSHT X X X X Training needs Results of needs
asthma and diabetes in schools. Staff HE assessment for assessment.
SHC asthma/diabetes
management.
Form to be developed.
Evaluation comments: Instrument Number: O4AS4 will track the#of asthma and diabetes management plans on file at school health clinics, #of Breath Better Bus visits and
#of students exposed,#of asthma screening provided,#of students screened. Other data collection tools used to assess strategies under objective 4A Survey of current
management/support system for students with asthma and/or diabetes and Training needs assessment for asthma/diabetes mana•ement
5. Implement at least two district level staff wellness Staff DCSHT X X X X Instrument Number: #of activities
activities. District Staff O4A567&8 implemented.
Wellness Committee #of participants.
SHC
Page 25 of 45
Attachment B-1
5a. Maintain and enhance district staff Staff DCSHT X X X X Current district staff #of members
wellness committee with at least five District Staff wellness committee. maintained from
members. Wellness Committee Membership list. Year 2.
SHC #of new members
Contact list. recruited.
5b. Develop at least two district-wide goals in Staff DCSHT X X X Instrument Number: #of goals
the area of staff wellness. District Staff 04AS6,7&8 developed.
Wellness Committee
SHC
5c. Implement at least two district activities Staff DCSHT X X X Instrument Number: #of activities
based on goals. District Staff 04AS6,7&8 implemented
Wellness Committee based on goals.
SHC
Evaluation comments: Instrument Number: 04AS5 will track#of activities implemented,#of participants,#of goals developed, and#of activities implemented based on goals.
6.Provide materials to at least nine schools to increase Students State Tobacco X X X X Instrument Number: #of schools
compliance with tobacco free school laws. Staff Education and 04A56,7&8 receiving
Prevention Program materials.
(STEPP)
HE
SHC
6a. Provide signage to school administrators Students STEPP X X X X Instrument Number: #of signage
in at least nine schools. Staff HE 04A56,7&8 provided to school
SHC administrations.
6b.Provide educational materials to at least Students STEPP X X X X Instrument Number: #of schools who
nine schools. Staff HE 04A56,7&8 received
SHC materials.
#of materials
distributed.
Evaluation comments: Instrument Number: 04AS6 will track#of signage provided, #of schools who received materials,and#of materials distributed.
7. Provide at least three professional development Nutrition ND X X X X Professional Results of needs
opportunities for nutrition services staff. Services Staff DCSHT Development needs assessment.
SHC assessment for #of opportunities
nutrition services staff. provided.
#of participants.
Form to be developed.
7a.Recruit nutrition services staff to attend Nutrition ND X X X X Instrument Number: ft of schools that
conferences such as the annual Colorado Services Staff DCSHT 04AS6,7&8 received materials
Department of Education Conference. SHC and/or training on
one of the listed
training
opportunities.
7b. Host at least two opportunities for Nutrition ND X X X X Contact list. #of staff
professional development if no others are Services Staff DCSHT Conference attending
available. SHC registration. opportunities.
Page 26 of 45
Attachment B-1
Evaluation comments: Instrument Number: O4AS will track#of nutritional materials provided, #of schools that received materials and/or training, and#of materials
distributed.
8. Collect physical activity data in PE classes in at least fifty Elementary Physical Education X Instrument Number: #of schools.
percent of elementary schools. (Data to be collected is the schools Liaison(PEL) O4AS8 #of students.
amounts of time students are engaging in moderate University of Pre-post student
intensity physical activity during PE class time.) Northern Colorado Pre-post fitness fitness data.
Kinesiology assessment form.
Department Staff Form to be developed.
(UNC)
SHC
8a. Review assessment tool. Elementary PEL X Assessment tool
schools UNC reviewed.
SHC
8b.Complete assessments in at least fifty Elementary PEL X X X Instrument Number: #of schools.
percent of elementary schools. schools UNC O4AS9&l0 #of students.
SHC Pre-post student
Pre-post fitness fitness data.
assessment form.
Form to be developed.
8c. Analyze data collected from assessments. Elementary PEL X X Data analyzed.
schools UNC
SHC
Evaluation comments: Instrument Number: O4AS8 will track#of school and#of students completing physical activity assessments.
9.Based on physical activity assessment results,provide Elementary PEL X X X X Professional Results of needs
elementary physical education teachers with at least two school PE UNC Development needs assessment.
professional development opportunities. teachers SHC assessment for PE #of professional
teachers. development
opportunities
Form to be developed. provided.
#of PE teachers
attending.
9a. Host at least one professional development Elementary PEL X X Instrument Number: #of schools that
opportunity if none are available. school PE UNC O4AS9&10 received materials
teachers SHC and/or
professional
development
opportunities
based on results.
9c. Recruit elementary PE teachers to attend at Elementary PEL X X Contact list. #of staff
least one professional development school PE UNC Conference attending
opportunity. teachers SHC registration. professional
development
opportunities.
Evaluation comments: Instrument Number: O4AS9&10 will track#of schools that received materials and/or professional development opportunities based on results.
Page 27 of 45
Attachment B-1
.. h
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain and enhance district Coordinated School Health Staff DCSHT X X X X
Team. SHC
RMC
2. Maintain a School Wellness Policy(SWP)in WCSD6 that Students SHC X X X X
addresses nutrition education/physical activity goals and Staff ND
nutrition standards. DCSHT _
3.Provide technical assistance to all CSH Teams on CSH Teams DCSHT X X X X
implementation of School Health Index(SHI)action plans. SHC
4. Expand the management/support system for students with Students DCSHT X X X X
asthma and/or diabetes. Staff HE
SHC
5. Implement at least two district level staff wellness Staff DCSHT X X X X
activities. District Staff
Wellness
Committee
SHC
6.Provide materials to at least nine schools to increase Students State Tobacco X X X X
compliance with tobacco free school laws. Staff Education and
Prevention
Program
HE
SHC
7. Provide at least three professional development Nutrition Services ND X X X X
opportunities for nutrition services staff. Staff DCSHT
SHC
8. Collect physical activity data from PE classes in at least Middle schools PEL X
fifty percent of middle schools. UNC
SHC
9. Based on results of physical activity assessments,provide Middle school PE PEL X X X X
middle school physical education teachers with at least two teachers UNC
professional development opportunities. SHC
w .- r: , :-- mii, pw ..�,. n ':'{ A - •rz'p, :'w ,� .n- t_ .cs.:.:. at ;c,
, y' , t"y„i' 4=; "iq, y+" -✓• yk!"Ft'# 2 ^� -v � �%'
- - c c.. ::. -r+ ^r'l.a2a moo .: K `a�pu tr'..
Strategy I Target Group Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1.Maintain and enhance district Coordinated School Health I Staff J DCSHT X X X X
Page 28 of 45
Attachment B-1
Team(DCSHT). SHC
RMC
2.Maintain a School Wellness Policy(SWP)in WCSD6 that Students DCSHT X X X X
addresses nutrition education/physical activity goals and Staff SHC
nutrition standards ND
3. Provide technical assistance to all CSH Teams on CSH Teams DCSHT X X X X
implementation of School Health Index(SHI)action plans. SHC
4. Expand the management/support system for students with Students DCSHT X X X X
asthma and/or diabetes. Staff HE
SHC
5. Implement at least two district level staff wellness Staff DCSHT X X X X
activities. District Staff
Wellness
Committee
SHC
6.Provide materials to at least nine schools to increase Students State Tobacco X X X X
compliance with tobacco free school laws. Staff Education and
Prevention
Program
HE
SHC
7. Provide at least three professional development Nutrition Services ND X X X X
opportunities for nutrition services staff Staff DCSHT
SHC
8. Collect physical activity data from PE classes in at least High schools PEL X
fifty percent of high schools. UNC
SHC
9. Based on results of physical activity assessments,provide High school PE PEL X X X X
high school physical education teachers with at least two teachers UNC
professional development opportunities. SHC S.
=..... .. .�.... ...a •-a. a ': ro.4°.a. � ^i .e -
Annual School Objective 4B: By September 21, 2006, Weld County School District 6 (WCSD6) will maintain three
Coordinated School Health Teams and establish at least 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.)
Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
Indicator(s)
QI jQ2 Q3JQ4 —
Page 29 of 45
I
Attachment B-i
1.Maintain three Coordinated School Health(CSH)teams. Franklin Middle CSH teams X X X X Current CSH #of members
Cameron Elementary School Health Team maintained from
Heiman Elementary Coordinator(SHC) Membership list Year 2.
#of new
Contact list members
recruited.
la. Establish quarterly meeting schedules. Franklin Middle CSH teams X Meeting minutes #of CSH Team
Cameron Elementary SHC members
Heiman Elementary attending.
lb. Identify lead staff for each team and CSH Franklin Middle CSH teams X Lead staff
component. Cameron Elementary SHC identified.
Heiman Elementary
lc.Provide technical assistance to all three Franklin Middle CSH teams X X X X Technical #of TA sessions
teams as needed. Cameron Elementary SHC assistance provided.
Heiman Elementary tracking form
Form to be
developed
2. Establish at least three new CSH teams. School Staff Three new CSH X X X X Current CSH #of new
teams Team members
Rocky Mountain Membership List recruited.
Center for Health
Promotion(RMC) Recruitment #of CSH teams
SHC Contact List established.
2a. Establish training/meeting schedules. Staff Three new CSH X Meeting minutes #of meetings.
Students teams #of CSH Team
RMC members
SHC attending.
2b. Identify lead staff for each CSH team and Staff Three new CSH X Lead staff
component. Students teams identified.
SHC
2c.Provide technical assistance for trainings Staff Three new CSH X X X X Technical #of TA sessions
and meetings. Students teams assistance provided.
RMC tracking form
SHC Form to be
developed
Evaluation comments:Data collection tools used to assess strategies under objective 4B: Current CSH Team Membership List,Recruitment Contact List, Meeting minutes,
Technical assistance tracking form to track#of TA sessions provided.
3. Develop an action plan for each new CSH team based on Staff SHC X X X X Three new CSH #of CSH actions
the results of the School Health Index(SHI). Students Three new CSH team action plans plans completed.
teams
Instrument
Number:
O4BS3&4
Page 30 of 45
Attachment B-1
3a. Complete SHI. Staff Three new CSH X Instrument #of SHI
Students teams Number: components
RMC O4BS3&4 completed.
SHC
3b. Create action plans based on SHI results. Staff Three new CSH X X Instrument #of action plans
Students teams Number: created based on
RMC O4B53&4 SHI results.
SHC
Evaluation comments: Instrument Number: O4BS3&4 will track the completion of the CSH Team action plan with each new CSH Team, #of SHI components completed, #
of action plans created based on SHI results, and#of activities implemented.
4.Implement action plans,based on School Health Index Staff CSH teams X X X X Instrument
Assessment, in at least six CSH teams. Students SHC Number:
O4B53&4
4a. Implement at least one building level Staff CSH teams X X X X Instrument #and type of
intervention in the area of asthma, diabetes, Students Health Educator Number: activity CSH
or tobacco. (HE) O4B53&4 team participate
SHC in related to
district goals.
4b. Implement at least four building level Staff CSH teams X X X X Instrument #of schools that
physical activity opportunities such as Students SHC Number: participate in
Take 10!,VERB,President's Challenge or O4BS3&4 physical activity
intramural activities. opportunities.
Take 10! #of students to
Teacher participate.
Evaluation-
Stipend Request
4c. Implement at least four building level Staff CSH teams X X X X Instrument #of schools that
nutrition opportunities such as 5 A Day,3 Students SHC Number: participate in
A Day,Healthy Foods on Campus, or O4B53&4 nutrition
Vending Machine Guidelines. education
opportunities.
#of students to
participate.
4d. Implement at least four building level staff Staff CSH teams X X X X Instrument #of schools that
wellness opportunities such as health SHC Number: participate in
assessments,health fair, cooking classes, O4BS3&4 staff wellness
nutrition education, or physical activity opportunities.
classes. ft of staff to
participate.
Evaluation comments: Instrument Number: O4B53&4 will track the completion of action plans created based on SHI results,#and type of activity CSH teams participate in
related to district goals, ft of schools that participate in physical activity opportunities, #of students who participate, #of schools that participate in nutrition education
opportunities, #of students who participate, #of schools that participate in nutrition education opportunities, #of students who participate, #of schools that participate in staff
wellness opportunities, #of staff who participate. Other data collection tool to be used: Take 10! Teacher Evaluation-Stipend Request.
Page 31 of 45
Attachment B-1
5. Offer at least one professional development opportunity for CSH teams SHC X X X X Instrument #professional
twelve CSH Teams team leaders. (Opportunities could HE Number: O4BS7 development
include the Colorado Association of Health,Physical opportunities.
Education,Recreation and Dance State Conference or #of team leaders
Active Community Environment Workshop.) attending.
5a.Determine existing opportunities. CSH teams SHC X X
HE
CSH teams
6.Promote at least four physical activity/nutrition education Staff SHC X X X X Instrument #of non-CSH
programs in at least five non-CSH schools such as the Students HE Number: O4BS7 schools that
Integrated Nutrition Program, 5 A Day,3 A Day,Take participate in
10!,TV Turn Off,Walk to School; or VERB. Take 10! physical activity
Teacher /nutrition
Evaluation- education
Stipend Request opportunities.
#of students that
participate.
6a.Provide program information to at least Staff SHC X X X X Instrument #of materials
five non-CSH schools. Students HE Number: O4BS7 distributed to
CSH teams I schools.
Evaluation comments: Instrument Number: O4B56 will track the#of schools that participate in physical activity/nutrition education opportunities,#of students who
participate, #of material distributed to schools about programs. Other data collection tool to be used: Take 10! Teacher Evaluation-Stipend Request,#professional
development opportunities,and#of team leaders attending. A
��� e krt 5""" >c* .r-w' .s-.' "y,.. _ " Liles 4
rr
:, en..:,:, ter' .�..�.,•_':' ,._' r .
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Maintain six Coordinated School Health(CSH)teams Six CSH teams CSH teams X X X X
SHC
2. Establish at least three new CSH teams. Staff Thee new CSH X X X X
teams
RMC
SHC
3.Develop an action plan based on the results of the School Staff SHC X X X X
Health Index. Students CSH teams
4. Implement action plans based on School Health Index Staff CSH teams X X X X
Assessment. Students SHC
5.Offer at least two professional development opportunities CSH teams SHC X X X X
to CSH teams. HE
6.Promote at least four physical activity/nutrition education Staff SHC X X X X
programs in at least five non-CSH schools such as the Students HE
Integrated Nutrition Program, 5 A Day,3 A Day,Take 10!,
TV Turn Off,Walk to School,or VERB.
Page 32 of 45
Attachment B-I
.gam . sr �gj�+.7_-.
- .�sP'" 3' `U.- j'' .1. - ; y. A'•Yi 'f' .'10R.., T -rh _ -
Strategy I Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Maintain nine Coordinated School Health(CSH)teams Nine CSH teams CSH teams X X X X
SHC
2. Establish at least three new CSH teams. Staff Three new CSH X X X X
teams
RMC
SHC
3.Develop an action plan based on the School Health Index Staff SHC X X X X
results. Students Three new CSH
teams
4. Implement action plans based on School Health Index Staff CSH teams X X X X
Assessment in CSH schools. Students SHC
5. Offer at least two professional development opportunities CSH team members SHC X X X X
to CSH Teams. HE
6. Promote at least four physical activity/nutrition education Staff SHC X X X X
programs in at least five non-CSH schools such as the Students HE
Integrated Nutrition Program, 5 A Day, 3 A Day,Take 10!,
TV Turn Off,Walk to School,or VERB.
Page 33 of 45
Attachment B-1
Program Goal 5: Reduce asthma, diabetes and obesity through the promotion of nutrition, s hysica I
activity, tobacco cessation, and prevention of tobacco use and exposure in WORKSITES
Annual Worksite Objective SA: By September 21, 2006, implement coordinated worksite wellness programs in at least 10
worksites in Weld County. (Baseline: 0).
Strategy Action Steps Target Group Lead Role Time Line Data Source Evaluation
Indicator(s)
Ql Q2 Q3 Q4
I.Recruit at least 10 worksites. Employees Health Educator(HE) X X X X Instrument #of worksites
Wellness Staff Physical Activity and Number: recruited.
Nutrition Workgroup O5AS1&2
(PAN)
la.Meet with at least 10 worksites to HR Staff HE X X X X Baseline Wellness #of meetings
determine interest in implementing Upper PAN programming held.
coordinated worksite wellness Management assessment.
programs. Form to be
developed.
lb. Sponsor at least two presentations Upper HE X X X X Presentation sign- #of presentations
for upper management about the Management HEALTHBREAK, Inc. in sheets. held.
importance of worksite wellness. PAN Satisfaction #of participants.
Survey. Results of
Both forms to be Satisfaction
developed. Survey.
2. Provide technical assistance to at least 10 worksites HE X X X X Amount of TA
in all areas of coordinated worksite wellness. PAN provided.
Colorado Physical
Activity and Nutrition
Program(COPAN)
2a.Determining baseline for wellness Employees HE X X X X Baseline Wellness #of assessments
programming. Wellness Staff PAN programming completed.
COPAN assessment.
Form to be
developed.
Page 34 of 45
Attachment B-1
2b. Creating and maintaining worksite Employees HE X X X X Baseline Needs #of TA sessions
wellness teams. Worksite PAN Assessment. provided.
Champion COPAN Worksite
Wellness
Checklist.
Technical
Assistance
Tracking Form.
Forms to be
developed.
2c. Identifying data collection needs. Employees HE X X X X Employee Interest
Wellness Staff PAN Survey.
COPAN
Instrument
Number:
O5AS1&2
2d.Developing operating plans. Wellness Staff HE X X X X Request Tracking
j Senior Managers PAN Form.
Human Resource HEALTHBREAK, Inc. (Instrument
Managers Number:
O5AS1&2)
2e. Identify appropriate interventions Employees HE X X X X Employee Interest
using an employee interest survey Wellness PAN Survey
and/or similar tool. Committee COPAN
Instrument
Number:
O5AS1&2
&2
2f. Identifying incentives for Wellness HE X X X X Resource and
employees. Committee Wellness Committee incentives lists.
• PAN
COPAN
2g. Identifying evaluation tools. Wellness HE X X X X List of Evaluation
Committee Project Evaluation Tools:
Pre/post survey of
physical activity
levels.
Pre/post survey of
fruit&vegetable
intake.
Participant
evaluation of
interventions.
Instrument
Number:
O5AS1&2
Page 35 of 45
Attachment B-1
3. Encourage at least 10 worksites to join the Wellness Upper HE X X X X #of worksites
Councils of America(WELCOA). Management PAN joining
WELCOA.
3a. Provide WELCOA information to Upper HE X X X X Instrument #of worksites
at least 10 worksites. Management Number: receiving
Wellness Staff O5AS1&2 WELCOA
information.
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: O5A51&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.
%.1/21: .:ry
�. ,_ . *^ YEAR 4
Strategy I Action Steps �¢ Target Group Lead Role Time Line Evaluation Indicator(s)
QI Q2 Q3 I Q4
1.Recruit at least 10 new worksites. Employees HE X X X X
Wellness Staff PAN
2.Provide technical assistance to at least 10 worksites Employees HE X X X X
in all areas of coordinated worksite wellness. Wellness Staff PAN
COPAN
3. Encourage at least 10 worksites to join the Wellness Upper HE X X X X
Councils of America(WELCOA). Management PAN
� 4
k-
Strategy I Action Steps Target Group I Lead Role Time Line Evaluation Indicator(s)
Q1 Q2 Q3 Q4
1. Recruit at least 10 new worksites. Employees HE X X X X
Wellness Staff PAN
2. Provide technical assistance to at least 10 worksites Employees HE X X X X
in all areas of coordinated worksite wellness. Wellness Staff PAN
COPAN
3. Encourage at least 10 worksites to join the Wellness Upper HE X X X X
Councils of America(WELCOA). Management PAN
Page 36 of 45
Attachment B-1
Annual Worksite Objective SB: By September 21, 2006, implement at least one worksite wellness activity in at least 20
worksites. (Baseline: Four)
Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s)
Q1 Q2 Q3 Q4
1. Recruit at least 20 new worksites. Employees Health Educator X X X X Chamber membership #of new worksites
(HE) list. recruited.
Chamber meeting
participant lists.
la. Invite new worksites to monthly Employees HE X X X X Attendance record #of workgroup
Worksite Workgroup meetings. Wellness Staff from meetings. meetings.
#of participants at
each meeting.
lb.Provide new worksites with a list of Employees HE X X X X Training sign-in #of workshop
Worksite Wellness Training Wellness Staff HEALTHBREAK, sheets. opportunities.
opportunities. Inc. Satisfaction Survey. #of participants in
Forms to be training opportunities.
developed.
2. Provide at least 20 worksites with the resources Employees HE X X X X Instrument Number: #of resources
necessary to implement at least one of the following Wellness Staff PAN O5BS2 provided.
programs/interventions: Colorado Physical
Activity and
Nutrition Program
(COPAN)Worksite
Task Force
2a. Diabetes awareness, education and Employees with HE X X X X Instrument Number: #of diabetes
management: Diabetes at work, Diabetes Diabetes Coalition O5BS2 resources.
ADA Risk Assessments. Colorado Diabetes #of referrals to
Control and website.
Prevention Program #of events offered
through worksite.
2b. Healthy Eating at Work:Meeting Employees HE X X X X Instrument Number: #of materials
Well(guidelines for offering healthy PAN O5BS2 distributed.
foods at meetings,seminars and COPAN Worksite #of events offered
catered events), 5 A Day or other Task Force through worksite.
nutrition education resources.
2c. Physical Activity at Work: Employees Health Educator X X X X Instrument Number: #of materials
President's Challenge, walking PAN O5BS2 distributed.
programs(Colorado On The Move), COPAN Worksite #of events offered
StairWELL to Better Health. Task Force through worksite.
#of participants.
Page 37 of 45
Attachment B-1
2d.Tobacco:Awareness, education and Employees HE X X X X Instrument Number: #of materials
resources such as Quitline or Tobacco O5BS2 distributed.
Quitnet. Workgroup #of events offered
PAN through worksite.
2e.Asthma management and support: Employees HE X X X X Instrument Number: #of materials
Indoor Air Quality. Asthma Workgroup O5BS2 distributed.
Colorado Asthma #of
Program management/support
classes offered
through worksite.
Evaluation comments: Instrument Number: O5BS2 will collect information on#of resources provided, #of diabetes resources, #of referrals to website, #of events offered
through worksite,#of management/support classes offered through worksite.
r,.
Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s)
QI I Q2 Q3 I Q4
1. Recruit at least 20 new worksites. Employees HE X X X X Chamber membership #of new worksites
PAN list. recruited.
Chamber meeting
participant lists.
2.Provide at least 20 worksites with the resources Employees HE X X X X Instrument Number: #of resources
necessary to implement at least one program or Wellness Staff PAN O5BS2 provided.
intervention in the areas of physical activity, COPAN Worksite
nutrition, asthma,diabetes,and tobacco cessation. Task Force
t: YEAR ct --x S ,, .4: 17. ...
Strategy I Action Steps Target Group Lead Role Time Line Data Source Indicator(s)
QI Q2 Q3 Q4
I. Recruit at least 20 new worksites. Employees HE X X X X Chamber membership #of new worksites
PAN list. recruited.
Chamber meeting
participant lists.
2. Provide at least 20 worksites with the resources Employees HE X X X X Instrument Number: #of resources
necessary to implement at least one program or Wellness Staff PAN O5BS2 provided.
intervention in the areas of physical activity, COPAN Worksite
nutrition,asthma,diabetes,and tobacco cessation. Task Force
Page 38 of 45
Attachment B-1
WE o tikfrIEN Buici ktlus Ti'T AT1t N
A.PERSONNEL TOTAL$196,540
A. PERSONNEL
Percent of #of Position
Personnel Annual Salary Time Months cost
Project Coordinator
Position Open $45,076 100% 12 $45,076
Health Educator
Anna McConnell, MS $45,039 100% 12 $45,039
School Health Coordinator
Monica Owsichek, RD $48,000 100% 12 $48,000
Health Educator
Kristen Dodge, MPH $44,384 100% 12 $44,384
Administrative Assistant
Adrianna Chavez $28,082 50% 12 $14,041
Total Position Costs $196,540
Justification:The Project Coordinator will be responsible for overall grant management including budget
management, evaluation/reporting of project activities, and grant re-application. The Project Coordinator
will oversee and provide direction for the School Health Coordinator,Community/Worksite and Healthcare
Health Educators, and Administrative Assistant. The Project Coordinator will be the primary liaison with
Colorado Department of Public Health and Environment Steps Staff and Policy Studies Inc. In addition,
Project Coordinator will maintain the Steps Consortium and oversee all action plan activities. The Project
Coordinator will participate in all required national and state level trainings.
The School Health Coordinator will be responsible for the school budget monitoring,evaluation/reporting
on school work plan activities, and grant re-application. The School Health Coordinator will be responsible
for the coordination and implementation of school-specific activities. In addition, the School Health
Coordinator will maintain the district level Coordinated School Health Team and all building-level
Coordinated School Health Teams. The School Health Coordinator will participate in all required national
and state level trainings.
The Health Educator for Worksite Wellness and Community for will be responsible for the coordination
and implementation of worksite wellness programs and community-specific activities. The Health Educator
will oversee the Physical Activity and Nutrition Workgroup maintenance and recruitment. The Health
Educator will coordinate all YRBS related activities. The Health Educator will participate in all required
state level trainings.
The Health Educator for Healthcare will oversee the Diabetes Coalition and Asthma Workgroup
maintenance and recruitment. The Health Educator will be responsible for coordination and implementation
of healthcare/provider related activities, assist with coordination of school based asthma and diabetes
prevention and management activities, and with YRBS related activities. The Health Educator will
participate in all required national and state level trainings.
The Administrative Assistant is responsible for responsible for overall program efficiency and facilitation,
such as grant writing assistance, travel arrangements, receipt and invoice tracking, meeting arrangements,
correspondence (meeting minutes, newsletters, and mailings), maintaining databases, and purchasing
supplies.
Page 39 of 45
Attachment B-1
B.FRINGE BENEFITS TOTAL $47,488
B. FRINGE BENEFITS
Fringe
cost
Position by
Personnel Cost Percent of Fringe position
Project Coordinator
Position open $45,076 31.97% $14,411
Health Educator
Anna McConnell, MPH $45,039 31.97% $14,399
School Health Coordinator
Monica Owsichek, RD $48,000 0.00% $0
Health Educator
Kristen Dodge, MPH $44,384 31.97% $14,190
Administrative Assistant
Adrianna Chavez $14,041 31.97% $4,489
Total Fringe Costs $47,488
Justification: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.
C.TRAVEL TOTAL$11,628
C.TRAVEL
Estimated
Destination Travelers Trip cost
Two National Steps grant Project Coordinator and
meetings School Health Coordinator $3,053
Total Out-of-State Travel $3,053
Out-of State Travel is calculated at: airfare = $425.00; lodging and per diem = $150/day;
and ground transportation $38.25 per trip.
3 Regional Trainings at CDPHE Steps Staff $1,543
1 Statewide Training Steps Staff $1,391
6 School Health Coordinator
Meetings School Health Coordinator $960
6 Project Coordinator Meetings Project Coordinator $408
In-town Staff Mileage All Staff $4,273
Total In-State Travel $8,575
Page 40 of 45
Attachment B-1
Justification: Program Coordinator and School Health Coordinator will travel to Atlanta, GA. for national
Steps meetings/conferences. Steps staff will travel to Denver for three regional meetings and to
Breckenridge for a state Steps meeting. The School Health Coordinator and Project Coordinator will travel
to bi monthly meetings in Denver. Local travel is estimated at 925 miles per month for 5 people at $.385
per mile for all program activities or 185 miles/person/month.
E.EQUIPMENT TOTAL$2,500
D. EQUIPMENT
Anticipated
Item cost
1 Laptop Computer with Software $2,500
Total Equipment $2,500
Justification: 1 laptop computer will be purchased for the Health Educator to replace the old desktop PC.
E.SUPPLIES TOTAL$61,850
E. SUPPLIES
Anticipated
Item cost
General Office Supplies $3,800
Worksite Wellness resources/materials $1,000
5-A-Day Educational Materials/Training $500
Turn off TV Event Materials $500
Active Community Environment Promotional Materials $2,000
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
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 $2,000
Asthma School Nurse Training $500
District Coordinated School Health Meeting Expenses (4 meetings) $250
Diabetes Training (school nurses/health clerks) $100
Two Nutrition Staff Trainings (Diabetes, New Dietary Guidelines, 3 A
Day, 5 A Day) $400 x 2 $800
Professional Development for Physical Education Teachers - Fitness
gram (Registration & Substitutes x 16 teachers) $3,000
Breckenridge Training for 3 New CSH Teams
(Hotel -$100 x 10 rooms x 2 nights = $2000)
(Mileage - 335 miles x 6 people x 38.5 = $600)
(Stipends- $100 x 2 days x 20 staff= $4,000)
(Food - $25 x 2 days x 20 staff$1,000) $7,600
6 CSH Teams -School Health Index Action Plan Budgets (6 x $1000) $6,000
Page 41 of 45
Attachment B-1
Physical Activity/Nutrition Education programs for non-CSH schools,
such as Take 10! or 5 a Day $2,000
Quarterly CSH Team Meetings (6 School Teams)
(1/2 day Substitutes 5 teachers/team x $45 x 4 meetings x 6 teams
(Meeting expenses- $25/meetinq x 4 meetings x 6 teams) $6,000
Active Community Environment Workshop ($2500)
Health Care Provider training ($2000) $4,500
Media
- Diabetes Campaign ($2600)
-VERB Youth Campaign ($1000)
- Radio campaign for diabetes, asthma, physical activity and nutrition in
Spanish ($4700)
- Fruit and vegetable consumption and Farmers Market($1500)
- Asthma Campaign ($3200) $13,000
Total Supplies $61,850
Justification: Media and marketing costs include ad production, radio airtime, bus and bench ads, city and
school newspaper spots, newsletters, brochures, flyers, posters and educational materials to publicize and
implement Steps to a HealthierUS and its activities VERB, 5-A-Day, Dining with Diabetes, Wee
Wheezers, etc, with the community, schools, worksites and healthcare providers. General office supplies
include paper supplies, copies and printed materials for all education programs and activities, print
cartridges for black and white and color printers, all office supplies such as pens, pencils, packets, binders,
and postage. Meeting expenses include materials, binders, space rental and food for consortium,
workgroup and all other community, healthcare, and worksite wellness and school district meetings.
Stipends and substitute teacher pay will be provided to participating Coordinated School Health Team
members for meetings, professional development activities and training. Professional development is also
included for nutrition service employees in school district. Focus group expenses include incentives for
participants, space rental, and facilitator fees. Training expenses include space rental, speaker fees and
workshop materials, and food expenses for the Active Community Environment workshop and healthcare
provider workshop.
F.CONTRACTUAL TOTAL$92,595
F. CONTRACTUAL
Contract Contract
Amount
Program Evaluation -JSI $31,295
BRFSS- CDPHE Health Statistics Division $40,000
Health Educator to teach DWD, nutrition $1,800
2 Community Promotora Diabetes Educators
-$800 stipend for training and to teach 4 classes $1,600
Breathe Better Foundation screenings-2 $2,400
Physical Education Assessment Stipends for UNC Students ($10/hour x
6 students x 35 hours) $2,100
6 CSH Team Leader Stipends (6 x$400) $2,400
American Lung Association Breath Better Bus
- 5 school visits x $800/visit $4,000
Healthcare provider focus group $1,500
Professional Player speaker fees $1,500
HEALTHBREAK, Inc. for 5 worksites $4,000
Page 42 of 45
Attachment B-I
Total Contractual $92,595
Justification
Steps Program Evaluation.
Name of Contractor—John Snow Research and Training Institute(JSI).
Method of Selection—Weld County Department of Public Health and Environment worked with
the Contractor on several grant evaluation projects.
Period of Performance—September 21, 2005- September 20, 2006.
Scope of Work—Assist with development of strategy level evaluation tools; participation in Steps
staff conference calls; assist with quarterly, mid-year and year end progress reporting; assist with
year four action and evaluation plans.
The BRFSS Over sample for Weld County, a requirement of the grant, will be conducted by
Colorado Department of Public Health and Environment.
Health Educator/Registered Dietitian.
Name of Contractor—Teri Sieg, RD, CDE.
Method of Selection—Member of the Diabetes Coalition, Diabetes Educator at Banner
Health/NCMC and in private practice.
Scope of Work-Teach quarterly classes for the community on nutrition, physical fitness and
diabetes.
Community Promotora Diabetes Educators.
Name of Contractor-Ofelia Oresco and one to be hired.
Method of selection - She is currently working with the Cancer Prevention program at Weld
County Department of Public Health and Environment and trained Promotora.
Scope of work— Recruit participants and conduct diabetes education in participant's homes.
School Asthma Screening
Name of Contractor- Breathe Better Foundation.
Method of Selection - Selected through the Colorado Allergy and Asthma Centers and State
Asthma Coalition.
Period of Performance-School year- September through May.
Scope of Work- Conduct 2 asthma screenings at 2 elementary schools.
Physical Education Assessment Stipends for University of Northern Colorado students.
Name of Contractor—Not selected yet, they will be UNC Kinesiology students.
Method of Selection—Selected by UNC Kinesiology Professor and School Health Coordinator at
beginning of 2005-2006 school year.
Period Performance—October through December and March through May, this will depend on
students and physical education teacher schedules.
Scope of Work—Expectations for the UNC students are to perform physical education
assessments during physical education classes at Weld County School District 6. Assessments
will be done twice, once at the beginning of the year and once at the end of the school year.
Coordinated School Health team leader stipends.
Name of Contractor— Not selected yet, they will be CSH team members.
Method of Selection—Appointed/Selected by each of the 6 CSH Teams.
Period Performance—September—October(the grant period).
Scope of Work—Expectations for the Team Leaders are to help their team make forward progress
on the approved School Health Index Action Plan. The Team Leaders will work with their team
to:
1. Communicate team progress to School Health Coordinator.
2. Coordinate team meetings (date, time, location, food, substitutes, agenda, meeting minutes
3. Manage team budget.
4. Team leader stipends will be paid twice per year: $200.00 in December and $200.00 in May.
Page 43 of 45
Attachment B-1
School Asthma Education
Name of Contractor—American Lung Association
Method of Selection - Selected through the Colorado Allergy and Asthma Centers and State
Asthma Coalition. They have the only mobile bus for asthma education in the state.
Scope of Work-The Breathe Better Bus will visit at least 2 schools to provide asthma education
with 6 hand-on learning stations about including tobacco and other environmental triggers.
Healthcare Provider Key Informant Interviews or Focus Group
Name of Contractor- Not selected yet. It might be working with the Colorado Clinical Guidelines
Collaborative.
Method of Selection—to be determined.
Period of Performance—to be determined.
Scope of Work-Assess the needs of the healthcare community.
Professional Sports Players
Name of Contractor- Colorado Chill Women's Professional Basketball.
Method of Selection - Proven ability to serve as role models by presenting physical activity and
nutrition education to the Latina Youth Leadership Conference.
Scope of Work- Provide at least 2 players at the Latina/Latina youth. Attendance 250-300 eighth
grade students.
Technical Assistance for 5 worksites by HEALTHBREAK.
Name of Contractor- Kathy Knudsen, President of HEALTHBREAK, Inc.
Method of Selection - Referred to Weld Steps Staff from Steps Program Manager, Taralyn
Jensen.
Period of Performance - September 22, 2005 to September 21, 2006.
Scope of Work- Kathy will provide two presentations to six Weld County Worksites' CEO's and
provide four training sessions to the wellness staff of these worksites. The training sessions will
focus on various wellness topics including: development of wellness committees, creation of an
operating plan, implementation of wellness programming, program incentives, etc.
G.CONSULTANTS none
H.OTHER none
I.TOTAL DIRECT CHARGES TOTAL $412,601
I.TOTAL DIRECT COSTS
Total
A. Total Personnel Costs (includes Statistical Distribution) $196,540
B. Total Fringe Costs $47,488
C. Total Travel Costs $11,628
D. Total Equipment Costs $2,500
E.Total Supplies Costs $61,850
F. Total Contractual Costs $92,595
G. Total Consultants Costs $0
H. Total Other Costs $0
Total Direct Costs $412,601
J.INDIRECT COSTS TOTAL$83,057
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Attachment B-1
J. INDIRECT COSTS
Category Total Indirect Rate Indirect
Calculation
A. Total Personnel Costs $196,540 20.13% $39,564
B. Total Fringe Costs $47,488 20.13% $9,559
C. Total Travel Costs $11,628 20.13% $2,341
D.Total Equipment Costs $2,500 20.13% $503
E. Total Supplies Costs $61,850 20.13% $12,450
F.Total Contractual Costs $92,595 20.13% $18,639
G. Total Consultants Costs $0 20.13% $0
H. Total Other Costs $0 20.13% $0
Total Indirect Costs $83,057
Justification:A 20.13%indirect rate is applied to all direct costs.
1.TOTAL REQUEST TOTAL$495,658
K.TOTAL REQUEST
Total Direct Costs $412,601
Total Indirect Costs $83,057
Total Other $495,658
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