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Home My WebLink About20042665.tiff RESOLUTION RE: APPROVE TASK ORDER OPTION TO RENEW LETTER #1 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#1 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 21,2004,and ending September 21,2005, 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#1 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 8th day of September, A.D., 2004. BOARD OF COUNTY COMMISSIONERS WE D ODUNTY, COLD DO IE La��,� 401-4 \{\\ �� _`,, Robert D. Masden, Chair 1861 � ?• ' � �[� rk to the Board William H. rke, Pro-Tem -` :-F ty Clerk to the Board ._ 777 eile AP D M: rim �o c David . Long un A ney Glenn Vaa Date of signature: 4/* 2004-2665 HL0031 � 0 : �� ,2/ 0y ife DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT �c 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 84 NURSING: (970) 304-6420 C. PUBLIC FAX: (970) 304-6416 ENV ENVIRONMENTAL HEALITH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 Memorandum TO: Robert Masden, Chair Board of County Commissioners Q, FROM: Mark Wallace, MD, MPH/00)1,11/(113529)" /r) �� U\� Executive Director � DATE: August 31, 2004 SUBJECT: Health & Human Services Steps Grant - Renewal Enclosed for Board review and signature are the objectives and action steps for the Weld County Department of Public Health and Environment's application for the Health & Human Services Steps Grant Renewal. The total amount of award is $1.35 million for the funding period of October 1, 2003 through September 30, 2008. This grant has been awarded and has a five-year project period, with the second year's funding amount of$525,815. Weld County Department of Public Health and Environment will use this funding for a 1.0 FTE Project Coordinator, a 1.0 FTE School Health Coordinator, a 0.5 FTE Tobacco Coordinator, a 0.5 FTE Health Educator, and a 0.5 FTE administrative assistant. I recommend your approval. Enclosure • • August 30,2004 TASK ORDER OPTION TO RENEW LETTER Task Order Option to Renew Letter Number 1, Contract Routing Number 05 FLA 00312 State Fiscal Year 2004-2005 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. 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 22,2004 through September 21,2005. The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is Five Hundred Twenty Five Thousand Eight Hundred Fifteen Dollars,($525,815.001 for an amended total financial obligation of the State of SEVEN HUNDRED NINTY FIVE THOUSAND EIGHT HUNDRED NINE DOLLARS, This is an increase of Five Hundred Twenty Five Thousand Eight Hundred Fifteen Dollars, ($525,815.00) 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 A-1". Paragraphs A and J.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 21,2004 whichever is later. Please sign,date, and return all 4 originals of this Task Order Option to Renew Letter by September 10,2004,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 politic ubdivision of the state of Colorado) By: 11 Name: Robert .tfasden, Chair SEP . 8 2004 For the Executive 7 i ector Title: Board of County Commissioners DEPARTMENT iF 'UBLICHEALTH FEIN: 84-6000813 B AND ENVIRON E T (Seal)) ATTEST: PROGRAM APPROVAL: By: ✓�� ""„ `� C By: Vci_ A ar ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER 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. STATE CONTROLLER: Leslie M.Shenefelt By: --- Date: 9—/c—OW Revised:07/01/04 Attachment A-1 WELD COUNTY SCOPE OF WORK - Community Program Goal 1 : Maintain and expand the existing STEPS to a Healthier Colorado Program infrastructure in Weld County. Annual Objective 1A: By September 2005, the STEPS Program will maintain and enhance staffing to 4.25 Full- Time Employees. (Baseline: 3.75 FTE) Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain Full-Time Project Coordinator. STEPS Staff X X X X Position is filled.Ren Bedell,MPH, CHES. 2.Maintain Full-Time School Health STEPS Staff X X X X Position is filled. Monica Alvarado,RD. Coordinator. 3.Maintain Full-Time Community Health STEPS Staff X X X X Position is filled. Anna McConnell,MS, Educator. CHES. 4.Maintain Part-Time Administrative STEPS Staff X X X X Position is filled. Nidia Nevarez. Assistant. 5. Maintain 101r/week Grant Manager. STEPS Staff X X X X Position is filled.Jodi Moore,MA. 6.Hire Part-Time School Health Educator. School Health Project X X X X School Health Educator hired. Educators Coordinator Annual Objective 1B: By September 2005, the appropriate Weld County STEPS Staff will attend at least four national STEPS conferences, at least eight statewide meetings/trainings, and at least eight statewide or regional professional development opportunities. (Baseline: Three national STEPS conferences, four statewide STEPS trainings,five school coordinator trainings, and three professional development trainings.) Strategy Action Steps Target Lead Time Line Evaluator Group Role QI Q2 Q3 Q4 Indicator(s) Page 2 of 35 Attachment A-1 1. STEPS Staff will attend at least four national STEPS meetings. STEPS STEPS X X X X #of staff who Staff Staff attended. #of staff who attended. 2. STEPS Staff will attend at least eight statewide STEPS trainings/meetings. STEPS STEPS X X X X #of staff who Staff Staff attended. #of staff who attended. 3. STEPS Staff will attend at least eight statewide or regional professional STEPS STEPS X X X X #of staff who development opportunities pertaining to asthma,diabetes,and obesity. Staff Staff attended. #of staff who attended. Annual Objective 1C.: By September 2005, the Weld County STEPS Community Consortium will maintain and expand membership by 15 new partners. (Baseline: 18 partners.) Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Maintain and expand the Community Weld County residents Project Coordinator X X X X #of total members. Consortium(CC). (PC) la.Recruit 16 new members. North Weld County PC X X X X #of total members. residents CC #of new members;#of existing members. lb.Hold monthly consortium North Weld County PC X X X X #of attendees. meetings. residents Meeting minutes. Program Coal 2: Prevent Weld County residents from developing obesity. Annual Objective 2A: By September 2005, increase by 6.7 % (29.9%) the number of Weld County adults who consume at least five daily servings of fruits and vegetables. (Baseline: 23.2% of adult Weld County residents consume at least five daily servings of fruits and vegetables - BRFSS 2000 and 2002 for combined consumption of fruits and vegetables) Page 3 of 35 Attachment A-1 HP 2010 Objectives: • HP 19-2: Decrease the proportion of adults who are obese. • HP 19-5: Increase the proportion of persons aged 2 years and older who consume at least two daily services of fruit. • HP 19-6: Increase the proportion of persons aged 2 years and older who consume at least three daily servings of vegetables,with at least one-third being dark green or orange vegetables. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Promote 5 A Day in the community. Community Project Coordinator X X X X #of community members who members (PC) received 5 A Day information. Community Consoritum(CC) la.Incorporate 5 A Day messages in at Church PC X X X X #of churches implementing 5 A Day least 10 churches. members CC messages. #of church members who received 5 A Day information. lb.Implement 5 A Day promotions in at Community PC X X X X #of participating grocery stores. least 3 grocery stores(produce members CC #of grocery store events. festivals,distribution of information, #of estimated store customers cooking demonstrations,etc.) exposed to 5 A Day messages. lc.Distribute at least 200 5 A Day Weld County PC X X X X #of Weld County Food Bank English/Spanish promotional bags to Food Bank CC customers exposed to 5 A Day Weld County Food Bank customers. customers messages. (Include items such as fruit& #of bags distributed. vegetable retailer coupons,recipes, and farmers market information). ld. Incorporate point of decision prompts Restaurants PC X X X X #of restaurants displaying point of on menus,table tents,coasters, Consumers CC decision prompts. tablemats,and/or other appropriate #of estimated restaurant employees locations in at least 23 restaurants. and customers exposed to 5 A Day messages. 1 e. Conduct a 5 A Day awareness media Community PC X X X X #of Greeley-area community campaign in Greeley area. members CC members estimated to be exposed to 5 A Day media messages. #of ads run in each media outlet. Page 4 of 35 Attachment A-1 2. Promote Healthy Foods in at least 10 worksites. Employees PC X X X X CC Implementation Survey: Employer satisfaction with program, engagement in program,likelihood of continuance,changes made in practices,policy or environment due to program. 2a.Implement Meeting Well guidelines Employees PC X X X X #of worksites participating. in at least 5 worksites. CC #of employees participating. 2b.Conduct 5 A Day Challenge in at Employees PC X X X X #of worksites. least 5 worksites. CC #of employees participating. 3. Promote local farmers markets. Community PC X X #of estimated community members members CC exposed to messages. 3a.Conduct a summer media campaign Community PC X X #of estimated community members to promote the Greeley farmers members CC exposed to messages. market. 3b.Display 5 A Day information at the Community PC X X #of estimated people exposed to 5 A farmers market in Greeley. members CC Day messages. 4. Promote Take''/ to Go Campaign in at least 23 Community PC X X X X #of restaurants participating. restaurants in the Greeley/Evans area. members, CC Implementation Survey. restaurant staff Colorado Department of Public Health and Environment (CDPHE) 4a.Train staff in at least 23 restaurants Restaurant PC X X X X #of staff trained. about the Take V2 to Go Campaign. staff CC CDPHE 4b.Display promotional items in at least Community PC X X X X #of restaurants participating. 23 restaurants. members, CC restaurant staff CDPHE Annual Objective 2B: By September 2005, reduce by 6.3%, from 26.8% to 25.1%, the percent of Weld County adults who engage in no leisure time physical activity. (Baseline: 26.8% of Weld County adults engage in no leisure time physical activity, Colorado BRFSS 2000-2002.) Page 5 of 35 Attachment A-1 • HP 2010 Objectives: • HP 22-1: Reduce the proportion of adults who engage in no leisure time activity. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Implement Colorado On The Move(COTM) Employees Project Coordinator X X X X Pre-post step diaries: at least 10 worksites. (PC) Average change in number of steps. Worksites %of participants increasing steps in various intervals(e.g.2,000 per day). #of worksites participating in COTM. #of employees participating in COTM. la.Recruit at least 10 worksites. Employees PC X X X X #of worksites recruited. lb.Host kickoff event for COTM Employees PC X Kickoff held. participants. Worksites 2. Implement Seniors On The Move(SOTM)in X X X X Pre-post step diaries: at least two senior groups. Average change in number of steps. %of participants increasing steps in various intervals(e.g.2,000 per day). #of senior groups participating in SOTM. #of seniors participating in SOTM. 2a.Recruit at least two senior Seniors PC X X X X #of senior groups recruited. groups. 2b.Host kickoff event for SOTM Seniors PC X Kickoff held. participants. 3.Implement Families On The Move(FOTM) Families PC X X X X Pre-post step diaries: in at least five community sites. Individuals Average change in number of steps. %of participants increasing steps in various intervals(e.g. 2,000 per day). #of community groups participating in FOTM. #of individuals participating in FOTM. 3a.Recruit at least five community Families PC X X X X #of community groups recruited. groups such as churches, Individuals Community group libraries,and/or childcare coordinators centers. 3b.Host kickoff event for FOTM Families PC X Kickoff held. participants. Individuals Page 6 of 35 Attachment A-1 4. Implement the President's Challenge in at Community PC,Community X X X X #of participants. least five community sites. members Consortium(CC) #of participant earning awards. STEPS Intern(SI) Average#of awards earned per participant. #of total awards earned. 4a.Implement President's Site PC X X X #of community sites participating. Challenge in at least five coordinators, CC #of individuals participating(registered community sites such as Families, SI on PC website). churches,libraries,and/or Individuals childcare centers. 5.Implement Stairwell to Better Health Building or Program X X X X #of organizations employing stairwell program in at least 10 worksites. Facility Coordinator/Intem changes and prompts. Managers #of point of decision prompts implemented. Implementation Survey: Satisfaction with program,engagement in program, likelihood of continuance,changes made in practices,policy or environment due to program. Pre-post counts of stair usage. 5a.Complete a community Building or PC X Building assessment completed. assessment of public buildings Facility SI and worksites in Weld County Managers that have stairs and elevators. 5b.Send program information and Building or PC X X X #of letters and signs distributed. signs to all worksites that have Facility SI stairs and elevators. Managers Employees 5c.Post point of decisions prompts Building or PC X X X #of worksites posting point of decision in at least 10 worksites. Facility SI prompts. Managers Employees 6.Coordinate at least three Active Community Community PC X X X X #of projects/activities implemented. Environments(ACE)projects/activities. members 6a. Complete at least one Community PC X X #of walkability and bikeability audits. neighborhood walk ability and members SI bike ability audit in Greeley and Evans. Page 7 of 35 Attachment A-1 6b.Using the audit,identify and Community PC X X X X #of barriers removed/improvements remove at least one barrier in members SI made. each neighborhood. 6b.Host at least one workshop to City planners PC X #of participants. educate city planners,health Health SI Training Survey: Participant professionals,parks and professionals Colorado Physical satisfaction,assessment of knowledge recreation department, Parks and Activity and gained and self-report of potential developers,government,and Recreation Nutrition Program behavioral,policy or environmental school officials about Developers changes made as a result of attending developing Active Community School officials training. Environments. 6c.Promote at least three biking Community PC X X X X #of events or trails promoted. and walking events and/or members #of promotional items distributed. trails. 7.Promote TV Turnoff Week. Community PC X #of TV Turnoff events. members School Health #of children and parents participating in Coordinator(SHC) events. #of pledges signed. 7a.Work with youth-based Community PC X #of TV Turnoff events. organizations to develop schedule members SCH #of children and parents participating in of activities during TV Turnoff events. Week. 7b.Promote TV Turnoff pledge in Community PC X X #of community members who sign TV at least five community groups. members SCH Turnoff pledge. Annual Objective 2C: By September 2005, expose at least 3,000 "Tweens" (adolescents ages 9-13) to messages that promote the benefits of increased physical activity. (No baseline available for Weld County from YRBS) - Colorado Department of Education fall 2003 enrollment records for all Weld County School districts indicate there is approximately 10,572 adolescents, grades 4th-7`h HP 2010 • HP 22-6: Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes a day on 5 or more of the previous 7 days. • HP 22-7: Increase the proportion of adolescents who engage in cardio respiratory fitness 3 or more days per week for 20 minutes or more per occasion. Page 8 of 35 Attachment A-1 Strategy I Action Steps Target Lead Role Time Line Evaluator Group Ql Q2 Q3 Q4 Indicator(s) 1.Implement at least five VERB campaign activities,targeting 9- 9-13 year Project Coordinator X X X X #of ads nut in each 13 year olds,to encourage increased participation in physical olds (PC) category for each activity. Youth Advisors media mode. Estimated#of youth exposed to VERB campaign. la.Participate in at least one meeting to coordinate 9-13 year PC X VERB campaign local and statewide VERB media campaign olds Colorado Department of coordination meeting efforts. Public Health and held. Environment(CDPHE) lb.Distribute VERB materials in at least 10 9-13 year PC X X X #of printed materials community sites where adolescents frequent. olds Youth Advisors distributed. CDPHE Estimated#of youth exposed to VERB campaign. lc.Run at least 2 printed VERB ads in Weld County 9-13 year PC X X X X #of printed ads School District 6(WCSD6)student newsletters. olds School Health distributed. Coordinator(SHC) Estimated#of youth CDPHE exposed to VERB campaign. Id.Run at least 2 VERB ads in Greeley&Evans 9-13 year PC X X X X #of printed ads community recreation magazines. olds distributed. Estimated#of youth exposed to ads. 2.Promote at least 10 physical activity opportunities. Adolescent PC #of materials youth Youth Advisors distributed. #of events promoted. 2a.Develop partnerships with recreation centers, Adolescent PC X X X X Contact list created. fitness clubs,roller skating rinks,golf courses,and youth Youth Advisors #of organizations sporting good retailers to offer discounts to youth involved. and assist in promoting VERB campaign. #of youth discounts offered. 2b.Provide information on physical activity PE teachers PC X X X X #of materials opportunities to all WCSD 6 elementary and Adolescent Youth Advisors distributed. middle school PE teachers at least twice a year. youth #of events promoted. #teachers receiving information. Page 9 of 35 Attachment A-1 3.Host at least 2 guest speakers. Adolescent Program Coordinator, Presentational speaker youth Youth Advisors list created. #of presenters. #of presentations. 3a. Invite at least 5 sports figures or other fitness Adolescent Program Coordinator, X Presentational speaker professionals to participate. youth Youth Advisors list created. #of sports figures contacted. Program Goal 3: Prevent Weld County residents from developing diabetes. Annual Objective 3A: By September 2005, increase by 2,000, to 2,500, the number of Weld County residents who are screened with the ADA Diabetes Risk Test. (Baseline Estimate: 2003-2004 FY, 500 Weld County residents were screened using the ADA Diabetes Risk Test.) HP 2010 Objectives: • HP 5-2:Prevent diabetes. • HP 5-3:Reduce overall rate of diabetes that is clinically diagnosed. • HP 5-4: Increase the proportion of adults with diabetes whose condition has been diagnosed. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Implement ADA Risk Test. Community Project X X X X #of opportunities provided. members Coordinator #of tests distributed/completed. (PC) #of participating healthcare offices. Diabetes #of follow-ups and referrals completed. Coalition(DC) Community Consortium (CC) la.Hold at least four ADA Risk Test Seniors PC X X X X #of opportunities provided. opportunities for 200 seniors. DC #of tests distributed/completed. CC lb.Hold ADA Risk Test opportunities in at Employees PC X X X X #of opportunities provided. least 20 worksites. DC #of tests distributed/completed. CC Page 10 of 35 Attachment A-1 lc.Hold at least three ADA Risk TEST Community PC X X X X #of opportunities provided. opportunities at community events. members DC #of tests distributed/completed. CC ld.Hold at least four ADA Risk Test Faith PC X X X X #of opportunities provided. opportunities at community churches. community DC #of tests distributed/completed. families CC le. Commit at least four healthcare Healthcare PC X X X X #of participating health care providers. provider offices to offer the ADA Risk providers DC #of tests distributed/completed. Test to patients. Patients CC If.Offer ADA Risk Test in at least two Bilingual PC X X X X #of opportunities provided. Spanish as a primary language events, community DC #of tests distributed/completed. locations or meetings. members CC 2.Implement Small Changes Make a Big Difference Community PC X X X (SCBD). members DC Pre-post, follow-up participant CC knowledge change. Colorado State University Extension (CSU) 2a.Complete at least three SCBD classes. Community PC X X X #of trainings offered. members DC #of training participants. CC Measure participant awareness levels CSU about diabetes risk factors and strategies for preventing onset. 3.Conduct Small Steps,Big Rewards Awareness Community PC X X X X Estimated#of Greeley-area residents Campaign(SSBR). members DC exposed to media campaign. Healthcare CC #of SSBR"Game Plan"booklets providers requested. 3a.Implement one SSBR print or radio Community PC X X X Estimated#of Greeley-area residents media campaign targeting Greeley-area members exposed to media campaign. residents encouraging them to asses #of SSBR"Game Plan"booklets their personal diabetes risk level by requested. requesting a SSBR"Game Plan" booklet. Page 11 of 35 Attachment A-1 3b.Implement one SSBR print media Healthcare PC X X X #of Greeley-area health care providers campaign targeting Greeley-area providers impacted by media campaign. healthcare providers encouraging them #of health care providers requesting to order&implement the SSBR"Game SSBR"Game Plan"toolkits. Plan"provider toolkit. #of toolkits distributed to providers. Implementation Survey: Provider satisfaction with toolkit, changes made in practices,policy or environment due to use of toolkit. Annual Objective 3B: By September 2005, increase by 150,from 4,500 to 4,650,Weld County adult residents with diabetes who receive diabetes self-management education. (Baseline: 58.2% of adult Coloradans with diabetes report receiving formal diabetes self-management education - Colorado BRFSS 2000-2002 combined.) Weld County baseline not available. HP 2010 Objectives: • HP 5-1:Increase the proportion of persons with diabetes who receive formal diabetes education. Strategy I Action Steps Target Lead Role Time Line Evaluator Indicator(s) Group Ql Q2 Q3 Q4 1. Conduct a social marketing media campaign,including at Residents Project X X X X #of diabetes messages distributed least 10 activities,to encourage increased participation in with Coordinator(PC) through radio,TV,newspapers, diabetes self-management classes. diabetes Diabetes and billboards. Coalition(DC) Estimated#of people exposed to media messages. #of people referred to diabetes classes. la.Implement at least four print ads in local Latinos with PC X X X X #of print ads. Latino publications promoting diabetes self- diabetes DC Estimated#of people exposed to management opportunities such as Dining media messages. With Diabetes,North Colorado Medical Center Diabetes Management program or Promotora trainings. lb.Provide at least four radio spots in English Residents PC X X X X #of radio spots. and Spanish encouraging participation in with diabetes self-management opportunities. diabetes Page 12 of 35 Attachment A-1 1c.Distribute at least 1000 printed informational Residents PC X X X X #of distributed informational flyers to health care clinics,workplaces, with DC flyers. churches,and other community locations to diabetes Estimated#of people referred to announce diabetes self-management diabetes classes. opportunities. 2.Develop Diabetes Collaborative(DC). Healthcare PC X X X X #of diabetes self-management clinics materials distributed. Residents #of health clinics participating in with the Collaborative. diabetes #of people receiving recommended testing. Implementation Survey: Provider satisfaction with materials, engagement in collaborative, changes made in practices or policy due to collaborative. Diabetes registry reports of activities and patient outcomes (BMI,BP,etc.). 2a. Contact at least three health centers to Healthcare PC X #of contacts made. participate in the diabetes collaborative. clinics 2b.Distribute English/Spanish diabetes self- Residents PC X X X X #of diabetes self-management management materials to each of the health with materials distributed. clinics participating in or working towards diabetes developing the Diabetes Collaborative. 2c.Collect diabetes registry report annually Residents PC X Diabetes registry reports of from each Diabetes Collaborative site.Note with activities and patient outcomes any trends in diabetic data. diabetes (BMI,BP,etc.). 3.Conduct at least two Dining With Diabetes(DWD) Residents PC X X X X #of classes offered. classes. with Registered #of class attendees. diabetes Dietitian(RD) 3a. Offer at least one Spanish and one English Residents PC X X X #of classes offered. language DWD class. with RD #of class attendees. diabetes 4.Offer at least two bilingual diabetes education classes. Latinos with PC X X X X #of classes offered. diabetes DC #of class participants. CC 4a.Identify Promotoras. Latinos with PC X X X X #of Promotoras identified. diabetes Promotoras Page 13 of 35 Attachment A-1 4b.Train Promotoras on diabetes self- Latinos with PC X X X X #of Promotoras trained. management information. diabetes Promotoras Program Goal 4: Prevent Weld County residents from being hospitalized for asthma. Annual Objective 4A: By September 2005, provide 6,000 Weld County residents who currently have asthma with necessary knowledge to better manage asthma. HP 2010 Objectives: • HP 24-2a,b,c:Reduce hospitalizations for asthma • HP 24-3:Reduce the number of emergency department visits for asthma • HP 24.4:Reduce activity limitations among persons with asthma • HP 24-5:Reduce the number of school or work days missed by persons with asthma due to asthma • HP 24-6: Increase the proportion of persons with asthma who receive formal patient education,including information about community and self-help resources,as an essential part of the management of their condition. • HP 24-7:Increase the proportion of persons with asthma who receive appropriate asthma care. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Deliver a countywide media campaign to Residents Health Educator(HE) X X X X #of ads run in each category for each increase awareness. Asthma TF media mode. Colorado Department Estimated number of community residents of Public Health and exposed to campaign. Environment (CDPHE) la.Deliver"Fish Out of Residents HE X X X X #of ads run in each category for each Water"EPA media Asthma TF media mode. campaign. lb.Include articles in school Students HE X X #of articles. newsletters identifying Parents Asthma TF asthma triggers. lc.Distribute press releases to Residents HE X X #releases. local media. #of media outlets. 2.Provide at least 10 educational Residents HE X X X X #of meetings. opportunities. Asthma'IT #of speakers. #of meeting participants. #of community visits. Page 14 of 35 Attachment A-1 2a.Develop community People with HE X X X X Speaker's bureau developed. speaker's bureau. asthma Asthma TF #of speaker's bureau members. Asthma TF 2b.Develop an asthma support People with HE X X X X #of meetings. group. asthma Asthma TF #of meeting participants. Families 2c.Promote American Lung Children with HE X #of parent newsletters. Association Champ Camp. asthma Asthma TF 2d.Coordinate Breathe Better Children with HE X #of community visits. Bus visits. asthma Asthma TF 2e.Develop and implement a People with HE X X X X #of classes. community asthma asthma Families Asthma TF #of asthmatics educated. management class. 2f.Promote North Colorado People with HE X X X X #of classes. Medical Center asthma asthma Asthma TF #of class participants. management class. Training Survey: Participant satisfaction, assessment of knowledge gained and self- report of potential behavioral,policy or environmental changes made as a result of attending training. 2g.Provide community Hispanics with HE X X #of peer visits. outreach education through asthma #of peer units developed. peer-to-peer programming. 2h.Establish and implement Daycare centers, Health Ed. X X Assessment of participant knowledge and young child and parent children with awareness of asthma(pre/post). education program with asthma,parents, #of classes. "Wee Wheezers"daycare providers #of parents. curriculum. Program Coal 5: Reduce exposure to secondhand smoke. Annual Objective 5A: By September 2005, increase the number of adult smokers in Weld County who attempt to quit by 125,from 700 to 825. (Baseline: 700 Weld County Department of Public Health and Environment) (BRFSS: Weld 17.7% HP2010 12.0%) HP 2010 Objective: Page 15 of 35 Attachment A-1 • HP 24-2a,b,and c:Reduce hospitalizations for asthma • HP 27-7:Increase tobacco cessation attempts by adult smokers. (No Weld County baseline) • HP 27-9:Reduce the proportion of children who are regularly exposed to tobacco smoke at home. • HP 27-11: Increase smoke-free and tobacco-free environments in school facilities,property,vehicles. Strategy I Action Steps Target Group Lead Time Line Evaluator Indicator(s) Role QI Q2 Q3 Q4 1.Promote Quitline/QuitNet in at least Pediatric Health #of promotional materials displayed/distributed. four different ways. providers Daycare Educator #of Quitline/Quitnet hits(by area code) centers,Worksites (HE) People living with X X X X asthmatics Pharmacies Adults who smoke la.Distribute four media Adults who smoke HE #of media presentations(ads,articles,brochures, pieces on the benefits of X X X X posters. quitting smoking. lb.Partner with daycare Adults who smoke HE #of daycares participating. centers to reach parents X X of asthmatics. lc.Distribute Adults who smoke HE #of promotional materials displayed/distributed. Quitline/QuitNet X X X X materials. 2. Promote at least four American Smokers HE #of classes. Cancer Society"You Can Quit" X X X X #of participants. classes. 2a.Promote in worksites. Smokers HE X X X X #of worksites. 2b.Distribute class Smokers HE #of media presentations(ads and articles). information to local X X X X newspapers. 3. Increase awareness of complications Smokers HE X X X X associated with secondhand smoke. 3a.Educate parents Parents HE HOW??? X X X X Page 16 of 35 Attachment A-1 3b.Educate pediatric Providers Health Ed #of providers receiving guidelines and cessation providers HOW???. resources. X X X X Implementation Survey: Provider satisfaction with program, engagement in program, likelihood of continuance,changes made in practices,policy or environment due to educational resources. WELD DISTRICT SCOPE OF WORK - School Program Goal 1 : Develop a Coordinated School Health infrastructure in Weld County School District 6 (WCSD6). Annual Objective 1A: By September 2005, maintain and enhance one School Health Advisory Council and at least three Coordinated School Health Teams. (Baseline: One School Health Advisory Council; zero Coordinated School Health Teams.) Strategy I Action Steps Target Group Lead Role Time Line Evaluator Q1 Q2 Q3 Q4 Indicator(s) 1. Maintain and expand School Health Advisory Council School& School Health #of existing members. (SHAC)to include at least five new members. community Coordinator(SHC) members SHAC, X X X X School Health Educator(SHE) la. Incorporate Nutrition Advisory Committee School& SHC #of existing members. (NAC)as a subcommittee of the School Health community SHAC X X X X Copies of meeting Advisory Council. members NAC minutes. SHE Copies of agendas. 2. Develop at least three Coordinated School Health Teams. School health SHC #of Coordinated professionals SHAC School Health Teams. SHE X X X X #of members on each team. Page 17 of 35 Attachment A-1 Program Goal 2: Prevent Weld County residents from developing obesity. Annual Objective 2A: By September 2005, increase by 2,000 the number of Weld County School District 6 (WCSD6) students that are exposed to nutrition messages and/or nutrition education programs. (Baseline: 2003- 2004 FY, 120 students) HP 2010 Objectives: • HP 19-3:Reduce the proportion of children and adolescents who are overweight or obese. • HP 19-5: Increase the proportion of persons aged 2 years and older who consume at least two daily servings of fruit. • HP 19-6:Increase the proportion of persons aged 2 years and older who consume at least three daily servings of vegetables,with at least one-third being dark green or orange vegetables. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1. Provide educational materials that WCSD6 staff #of schools that received 5 A Day describe the importance of eating fruits and students educational materials. SHC,Nutrition Supervisor, and vegetables,easy ways to incorporate Nutrition Foreman, X X X X #of students educated about 5 A Day. 5 A Day,and other facts on 5 A Day to Post presentation knowledge quiz Nutrition Managers, SHE 10 schools. (sample of classrooms). la.Provide professional WCSD6 #of teachers that received development for teachers. teachers professional development. Training Survey: Participant satisfaction,assessment of knowledge gained and self-report of potential behavioral,policy or environmental SHC,SHE,CDPHE, CDE X X changes made as a result of attending training. Implementation Survey: Satisfaction with program,engagement in program, likelihood of continuance, changes made in practices,policy or environment due to program. Page 18 of 35 Attachment A-1 lb. Provide materials through, WCSD6 SHC,Nutrition Supervisor, #/types of materials delivered. back to school nights, students #of students that received materials. Nutrition Foreman, school lunch menus, Nutrition Managers,SHE, X X X #of sites materials delivered. classrooms,school WCSD6 teachers newsletters, etc to students. lc.Display 5 A Day WCSD6 staff& SHC,Nutrition Foreman #of schools. promotional items in 10 students Managers,staff SHE X X X X #of students in schools. schools. #of promotions displayed. 2.Implement guidelines on offering fresh WCSD6 #of schools offering fresh fruit at fruit at the lunch meal for all students. students SHC,Nutrition Supervisor each lunch meal. and staff X X X X #of students receiving school lunches. 2a.Work with nutrition WCSD6 #of fresh fruit options provided. services to identify fresh students SHC,Nutrition Supervisor Pre-post cafeteria counts of fruit fruit options that are and staff X selection,purchases and/or waste. available. 2b.Train nutrition managers WCSD6 SHC,Nutrition Supervisor X #of nutrition managers trained. on new guidelines. Nutrition staff and staff 3.Implement Breakfast in the Classroom in WCSD6 #of schools(students within) 3 elementary schools. Elementary SHC,Nutrition Supervisor participating in breakfast in the school students X classroom. &staff &staff,principals,teachers Proportion of healthful choices provided in school breakfast. 3a.Obtain commitment from WCSD6 #of principals committed. principals and teachers Elementary SHC,Nutrition Supervisor X #of teachers committed. principals& &staff,principals,Teachers teachers 3b.Develop individualized WCSD6 SHC,Nutrition Supervisor #of plans implemented. implementation plans for Elementary X X X &staff principals,teachers each school. students&staff 4. Implement Nutrition Literacy Tool Kit WCSD6 staff SHC,District PE Liaison, #of schools/classrooms (NLTK)to 3 schools. and students CDE, SHE implementing NLTK. #of session provided to participating schools/classes. X X X #of students educated with NLTK. Implementation Survey: School satisfaction with toolkit, changes made in practices,policy or environment due to use of toolkit. ',' Page 19 of 35 Attachment A-1 4a. Provide training to WCSD6 SHC,District PE Liaison, #of participants. teachers. teachers CDE,SHE Training Survey: Participant satisfaction,assessment of knowledge gained and self-report of potential X X behavioral,policy or environmental changes made as a result of attending training. 4b.Identify specific WCSD6 staff SHC,District PE Liaison, #of tools purchased. curriculum to purchase CDE, SHE X X X #of tools utilized. based on the needs of each school. 4c.Assess number of WCSD6 SHC,District PE Liaison, Pre/post test on usage of curriculum. elementary teachers that are elementary CDE, SHE currently using"Know teachers X Your Body"curriculum and how many need training. 4d.Provide and develop a WCSD6 Rocky Mountain Prevention #of elementary teachers trained. training and/or re- elementary Center,SHC,District PE Teacher assessment of knowledge orientation schedule for teachers Liaison X X and self-report of potential behavior teachers on the use of change as a result of training. "Know Your Body" curriculum. 5. Implement Nu-Fit curriculum in 4 WCSD6 SHC,Colorado State Student assessment of nutrition WCSD6 after school programs. students in University CSU Extension, knowledge and behavioral change as after-school University Northern a result of participating in program. program Colorado UNC Dietetic X X X X #of schools(students within) Interns,UNC Kinesiology participating. Students,Greeley Recreation Staff 5a. Staff each school with a UNC,CSU SHC,CSU Extension,UNC #of nutrition site coordinators nutrition site coordinator. students, Dietetic Interns,UNC X post-evaluations of coordinators. interns,Greeley Kinesiology Students, Recreation staff Greeley Recreation Staff 5b.Provide training classes on UNC,CSU SHC,CSU Extension,UNC #of trainings provided. classroom management and students, Dietetic Interns,UNC X X #of people trained. nutrition curriculum interns,Greeley Kinesiology Students, Post-survey on trainings. Recreation staff Greeley Recreation Staff Page 20 of 35 Attachment A-1 5c.Provide train the trainer UNC,CSU SHC,CSU Extension,UNC #of trainings provided. classes on nutrition students, Dietetic Interns,UNC #of people trained. curriculum interns,Greeley Kinesiology Students, X X Post-survey on trainings. Recreation staff Greeley Recreation Staff 6. Invite CSHT's and other schools to the WCSD6 staff SHC,SHAC,contract, #of staff invited to attend. Colorado Activity and Nutrition position,COPAN X (COPAN)Regional School Summit. 6a.Recruit school staff to WCSD6 staff SHC,SHAC,contract, X X X #of staff attended. attend summit. position,COPAN 7.Support North Colorado Medical Center NCMC Program Coordinator, #of technical assistance meetings. (NCMC)"Way To Go Kids"youth Wellness staff, School Coordinator,NCMC #of youth participating in classes. weight loss and nutrition education overweight Wellness Staff X X #of youth identified as at risk for class. youth being overweight. 7a.Provide technical NCMC Program Coordinator #of technical assistant meetings. assistance in promoting and Wellness staff, ft of youth participating in classes. advocating class to youth overweight X X #of youth identified as at risk for identified at risk for being youth being overweight. overweight. Annual Objective 2B: By September 2005, increase by 400 the number of Weld County School District 6 (WCSD6) students that achieve at least 30 minutes of physical activity at least 5 days per week. (Baseline data to be determined) HP 2010 Objectives: • HP 22-1:Reduce the proportion of adults who engage in no leisure time activity. • HP 22-2: Increase the proportion of adults who engage regularly,preferably daily,in moderate physical activity for at least 30 minutes a day. • HP 22-6:Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes a day on 5 or more of the previous 7 days. • HP 22-7: Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardio-respiratory fitness 3 or more days per week for 20 minutes or more per occasion. • HP 22-8: Increase the proportion of schools that require daily physical education for all students. • HP 22-9:Increase the proportion of adolescents who participate in daily school physical education. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1IQ2IQ3IQ4 Page 21 of 35 Attachment A-I 1.Assess amount of required physical WCSD6 PE SHC,District PE #of minutes of physical activity by grade education curriculum that is teachers Liaison,intern, SHE X X X X level. currently in place by grade level for Proportion of time spent doing moderate or WCSD6. vigorous activities. I a.Develop assessment WCSD6 PE SHC,District PE Assessment tool. tool. teachers Liaison,intern,SHE, X Evaluator lb.Identify recipients of WCSD6 PE SHC,District PE #of schools. assessment tool. teachers Liaison,intern, SHE, X #of recipients identified. Evaluator lc.Implement data WCSD6 PE SHC,District PE #of schools. collection. teachers Liaison,intern,SHE, X #of PE teachers assessed. Evaluator 1d.Analyze data collected. WCSD6 PE SHC,District PE Results of analyzed data. teachers Liaison,intern,SHE, X Evaluator le.Disseminate WCSD6 PE SHC,District PE #of schools and teachers receiving results. information collected. teachers Liaison,intern, SHE, X X Evaluator 2. Invite PE Teachers to Colorado WCSD6 PE SHC,District PE #of school staff that are invited to training. Physical Activity and Nutrition teachers Liaison,intern, SHE, #of school staff trained in new PE. (COPAN)"New Look of PE" COPAN Training Survey: Participant satisfaction, training. X assessment of knowledge gained and self- report of potential behavioral,policy or environmental changes made as a result of attending training. 2a. Identify and purchase WCSD6 PE SHC,District PE Amount/type of equipment purchased/needed. "New Look of PE" teachers& Liaison,intern, SHE X X equipment based on students needs. 2b.Provide professional WCSD6 PE SHC,District PE #of schools. development on"New teachers Liaison,intern, SHE #of school staff trained in New PE. Look of PE"equipment. Training Survey: Participant satisfaction, X X assessment of knowledge gained and self- report of potential behavioral,policy or environmental changes made as a result of attending training. Page 22 of 35 Attachment A-1 3.Pilot"New Look of PE"in 1-3 WCSD6 staff SHC,District PE X X #of schools implementing the New PE. schools. and students Liaison,intern,SHE 3a.Encourage WCSD6 WCSD6 staff SHC,District PE #of schools applying for grants. schools to apply for Liaison, intern, SHE #of PE teachers applying for grants. COPAN mini-grants to X #of PE teachers receiving grants. aid in implementation of "New Look of PE". 4.Implement Presidents Challenge in 10 WCSD6 staff SHC,District PE #of schools/classes participating in challenge. schools. and students Liaison, intern, SHE #of students participating. X X X X #of participants receiving awards. Average#of awards earned per participant. Frequency of participants by count of awards. #of total awards earned. 4a.Provide training to WCSD6 Staff SHC,District PE X #of staff trained. WCSD6 staff. Liaison,intern,SHE 4b.Recruit students. WCSD6 SHC,District PE X X X #of students recruited. students Liaison, intern, SHE 5.Implement Take 10!Program in 3 WCSD6 SHC,District PE #of schools/classrooms implementing elementary schools. students Liaison,intern,SHE, curriculum. elementary teachers Implementation Survey: School satisfaction X X X with program,engagement in program, likelihood of continuance,changes made in practices,policy or environment due to program (subset of questions taken from "Take 10 Teacher Survey." 5a.Identify interested WCSD6 SHC,District PE X #of school interested. schools. elementary staff Liaison,intern, SHE 5b.Train elementary WCSD6 SHC,District PE #of elementary teachers trained. teachers on program. elementary staff Liaison,intern,SHE, X X intern 6.Implement Nu-Fit curriculum in 4 WCSD6 SHC,CSU Extension, Student assessment of nutrition knowledge WCSD6 after-school programs. students in UNC Dietetic Interns, and behavioral change as a result of after-school UNC kinesiology X X X X participating in program. program students,Greeley #of schools(students within)participating recreation staff fitness gram testing results. Page 23 of 35 Attachment A-1 6a. Staff each school with a UNC,CSU SHC,CSU Extension, #of nutrition site coordinators. fitness site coordinator. students, UNC Dietetic Interns, Post-evaluations of coordinators. interns,Greeley UNC Kinesiology X X X X recreations staff Students,Greeley recreation staff 6b.Provide training classes UNC,CSU SHC,CSU Extension, #of trainings provided. on classroom students, UNC Dietetic Interns, #of people trained. management. interns,Greeley UNC Kinesiology X X Post-survey on trainings. Recreation Staff Students,Greeley Recreation Staff 6c. Provide train the trainer UNC,CSU SHC,CSU Extension, #of trainings provided. classes on fitness students, UNC Dietetic Interns, #of people trained. curriculum. interns,Greeley UNC Kinesiology X X Post-survey on trainings. recreation staff Students, Greeley recreation staff Program Coal 3: Prevent Weld County residents from developing diabetes. Annual Objective 3A: By September 2005, increase to 100% the number of identified diabetic students in Weld County School District 6 (WCSD6) and their families who receive educational materials about the management of diabetes. (Baseline: 2003-2004 FY, 46 students in Weld County School District 6 were reported as having diabetes) HP 2010 Objectives: • Reduce the morbidity and mortality of diabetes. • HP 5-2: Prevent diabetes. Strategy I Action Steps Target Lead Role Time Line Evaluator Indicator(s) Group Q1 I Q2 I Q3 I Q4 Page 24 of 35 Attachment A-1 1. Utilize Diabetes Coalition Members to provide School health SHC, Training Survey: Participant professional development to WCSD 6 Health Personnel in Clerks, Diabetes satisfaction,assessment of knowledge the"Helping the Student with Diabetes Succeed"manual. nurses and Coalition gained and self-report of potential other behavioral,policy or environmental school changes made as a result of attending staff X X training. Implementation Survey: Satisfaction with training,changes made in practices,policy or environment due to program. la.WCSD 6 Health Personnel will provide School health SHC, #of schools participating. ltraining to school health staff and other clerks, Diabetes #of school staff trained. staff on"Helping the Student with nurses and Coalition X Diabetes Succeed"manual. other school staff lb.Implement use of"Helping the Student School health SHC, #of schools implementing program. with Diabetes Succeed"manual in 6 clerks, School schools. nurses and Health staff X X X other school staff 2.Distribute diabetes self-management educational materials Diabetic SHC, #of diabetic students receiving self- to diabetic students. students WCSD 6 X X X X management materials. and Nurse parents Liaison 2a.Work with school nurses to complete at Diabetic SHC, #of diabetic students receiving self- least 2 targeted distributions of diabetes students WCSD 6 management materials. self-management educational tips& and Nurse materials to parents of students with parents Liaison X X X X diabetes(Include calendar with diabetes self-management classes or support groups). 3.Collect data on number of students in WCSD 6 with Diabetic SHC, WCSD6 diabetic student data record. diabetes at least once per school year. students WCSD 6 X X Nurse Liaison Page 25 of 35 Attachment A-1 3a.Review trends or changes at each school Diabetic SHC, WCSD6 diabetic student data record. to determine where to allocate resources. students WCSD 6 X X Nurse Liaison Program Coal 4: Prevent tobacco use and exposure. (Targeting adults who live with asthmatics, increasing tobacco cessation.) Annual Objective 4A: By September 2005, decrease smoking prevalence among Weld County School District 6 students. (Baseline: High school Quit attempts 63.9%female, 52.9% males (CYTS 2001) --- will use YRBS data when available July 2004.) HP 2010 Objective: • HP 27-3 (Developmental)Reduce the initiation of tobacco use among children and adolescents. • HP 27-7: Increase tobacco cessation attempts by adolescent smokers. Strategy I Action Steps Target Lead Role Time Line Evaluator Indicator(s) Group Q1 Q2 Q3 Q4 1.Promote voluntary youth smoking cessation Students, Health Ed., #of schools. program(Not On Tobacco)partnering with school staff ALA, #of classes offered. American Lung Association(ALA)targeting(4) School #of participants. schools. Staff,TEPP Implementation Survey: School satisfaction X X X X with program,engagement in program, likelihood of continuance, changes made in practices,policy or environment due to program. Participant report of tobacco-related behavior (pre,post, and follow-up). 1 a.Provide tools and materials Students, Health Ed., #of classes. necessary to implement the facilitators ALA, X X X X #of materials provided. program. School Staff lb.Provide technical assistance for Facilitators, Health Ed., Amount/type of assistance provided. implementation. school staff, ALA, X X X X. School Staff Page 26 of 35 Attachment A-1 2.Provide(1)tobacco awareness workshop for School staff Health Ed. #of training workshops. school staff. #of participants. Training Survey: Participant satisfaction, assessment of knowledge gained and self-report X of potential behavioral,policy or environmental changes made as a result of attending training. Implementation Survey: Satisfaction with workshop, likelihood of continuance,changes made in practices,policy or environment due to workshop. 3.Enforce and encourage accountability of current School staff Health Ed. X X X Tobacco Free Schools policies. 3a.Analyze adherence to current School staff Health Ed. #of schools with policies. Tobacco Free Schools Policies. #/types of policies. X Implementation Survey: Satisfaction with program,engagement in program, likelihood of continuance, changes made in practices,policy or environment due to program. 3b.Evaluate Tobacco Free Schools School staff Health Ed. #of schools with signage. signage for placement. X X #of signs posted. 3c.Provide(1)training on Tobacco School staff Health Ed. #of trainings offered. Free Schools policies. #of training participants. Training Survey: Participant satisfaction, assessment of knowledge gained and self-report of potential behavioral,policy or environmental X changes made as a result of attending training. Implementation Survey: Satisfaction with program, engagement in program,likelihood of continuance, changes made in tobacco enforcement due to program. 3d.Encourage reporting of Tobacco School staff Health Ed. #of reports submitted to Colorado Dept of Free Schools enforcement to CDE X X X Education. Colorado Dept of Education. 4. Conduct CDC"Got a Minute" parent media Parents, Health Ed. #of media presentations(ads, articles, campaign. Hispanic X X X X brochures,posters). parents Page 27 of 35 Attachment A-1 4a.Distribute to PSAs to local radio. Parents, Health Ed. #of participating radio stations. Hispanic X X #of PSAs played. parents #(of minutes)of total PSA air time. 4b.Provide(6)presentations to Parents, Health Ed. #of presentations offered. parents. Hispanic X X X X #of parents participating. parents Program Goal 5: Prevent Weld County residents from being hospitalized for asthma. Annual Objective SA: By September 2005,provide 1100 Weld County School District 6 (WCSD6) students who currently have asthma with necessary knowledge to better manage asthma. (Baseline: 2003-2004 FY, 1100 WCSD6 students were identified as having asthma) HP 2010 Objectives: • HP 24-2a,b,c Reduce hospitalizations for asthma. • HP 24-3 Reduce the number of emergency department visits for asthma. • HP 24-4 Reduce activity limitations among persons with asthma. • HP 24-5 Reduce the number of school or work days missed by persons with asthma due to asthma. • HP 24-6 Increase the proportion of persons with asthma who receive formal patient education,including information about community and self-help resources,as an essential part of the management of their condition. • HP 24-7 Increase the proportion of persons with asthma who receive appropriate asthma care. Strategy I Action Steps Target Group Lead Role Time Line Evaluator Indicator(s) Q1 Q2 Q3 Q4 1.Implement Open Airways program in Students with asthma Health Ed., #of schools participating in program. (4)Weld County School District 6 grades 3-5 asthma task #of Open Airways participants. schools. force X X Implementation Survey: Satisfaction with program, engagement in program,likelihood of continuance,changes made in practices,policy or environment due to program. 1a.Identify students in(4) Students with asthma Health Ed, #of students diagnosed with asthma. schools with asthma. grades 3-5 school X X staff,ALA lb.Train facilitators to School nurses,asthma Health Ed, #of school staff trained. implement the Open task force ALA Training Survey: Participant satisfaction, Airways program. X assessment of knowledge gained and self-report of potential behavioral,policy or environmental changes made as a result of attending training. Page 28 of 35 Attachment A-1 1c.Provide facilitators and Facilitators, Health Ed. ft of materials provided. schools with necessary participants X X X tools to implement the program. 2.Increase awareness of asthma triggers, School staff, Health Ed., #of schools. complications and management among administrators, asthma task X X X X #of participants. professional school staff. students,people with force asthma Ia.Provide the"Indoor Air School staff,Facilities Health Ed., #of participants. Quality Tools for Management State EPA #of trainings. Schools"training. #of schools administering toolkit. Training Survey: Participant satisfaction, X assessment of knowledge gained and self-report of potential behavioral,policy or environmental changes made as a result of attending training. Implementation Survey: School satisfaction with kit, changes made in practices,policy or environment due to use of toolkit. lb.Provide"Indoor Air Coordinated School Health Ed., ft of participants. Quality Tools for Health Teams State EPA #of trainings. Schools"training to the #of schools administering toolkit. Coordinated School Training Survey: Participant satisfaction, Health teams. assessment of knowledge gained and self-report X X of potential behavioral,policy or environmental changes made as a result of attending training. Implementation Survey: School satisfaction with kit,changes made in practices,policy or environment due to use of toolkit. lc.Confirm or complete and Students with asthma Health Ed, #of students with asthma receiving asthma asthma action plan for grades 3-5 school X X X X action plans. each asthmatic student. nurses ld. Coordinate"Breathe Students with asthma Health Ed, #of school visits. Better Bus"visits to(4) grades 3-5 ALA, X X schools. school nurses Page 29 of 35 Attachment A-1 c,.. �'°n .,3 ' r&i'til.KkkNtt,+.�jati% r�# { 'tm ';3 c„ai s M:.t A. PERSONNEL Percent of #of Personnel Annual Salary Time Months Position cost Project Coordinator Ren Bedell, MPH, CHES $46,113 100% 12 $46,113 Community Health Coordinator Anna McConnell, MPH $42,727 100% 12 $42,727 School Health Coordinator Monica Alvarado, RD $47,373 100% 12 $47,373 School Health Educator Vacant $37,098 50% 12 $18,549 Administrative Assistant Nidia Nevarez $27,130 50% 12 $13,565 Total Position Costs $168,327 Justification: The Project Coordinator will be responsible for ensuring that the goals and objectives of the program are being achieved in the community and schools and managing the budget. Coordinating and fostering the growth and development of the Community Consortium, representing the program at required conferences and meetings, advocating for new community partnerships, conducting staff meetings, staff reviews and assisting with program objectives in the community and schools.The Community Health Educator is responsible for helping to complete community program objectives, developing new community partnerships and acting as a resource person. The School Health Coordinator is responsible for developing a Coordinated School Health Council in targeted school districts, coordinating the Nutrition Advisory Council, providing or arranging training such as the Mariner Model to school district personnel, and fostering partnerships between the community and school district that will allow for the implementation of activities aimed at improving the health of children and teens. The School Health Educator will be hired to assist the School Health Coordinator in carrying out school based program objectives and activities. One of the key justifications for adding this new staff member this year is to increase capacity early on in the program so that the eventual expansion goal of reaching more school children in the county can be realized (Weld County has 12 school districts, the largest number of school district among other current STEP funded programs in Colorado). The Administrative Assistant will be a key part of the personnel structure and will be responsible for continuing to manage the flow of communication to the Community Consortium partners, developing program tracking databases,processing and keeping records of program orders and expenses, completing meeting minutes,mailings and other necessary duties to help keep the program operating efficiently. • Page 30 of 35 Attachment A-1 B. FRINGE BENEFITS Fringe cost Personnel Position Cost Percent of Fringe by position Project Coordinator Ren Bedell, MPH, CHES $46,113 31.97% $14,742 Community Health Coordinator Anna McConnell, MPH $42,727 31.97% $13,660 School Health Coordinator Monica Alvarado, RD $47,373 0.00% $0 School Health Educator Vacant $18,549 31.97% $5,930 Administrative Assistant Nidia Nevarez $13,565 31.97% $4,337 Total Fringe Costs $38,669 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 $206,996 C.TRAVEL Estimated Destination Travelers Trip cost National STEPS Project Coordinator and Training(2 days) School Health Coordinator $3,053 National STEPS Project Coordinator and Conference(4 days) School Health Coordinator $1,527 National STEPS Conference (4 days) or Asthma Conference Community Health Coordinator $2,290 American School Health Association Conference (2 days) School Health Coordinator $2,290 Total Out-of-State Travel $9,160 Out-of State Travel is estimated at: airfare = 6 trips x $575/ticket ($3,450); lodging= 22 nights x $150/night ($3,300); per diem=45 days x $45/day(2,025); and ground transportation=6 trips x $64/trip ($385). Project Coordinator and 4 Regional Trainings at CDPHE School Health Coordinator $589 4 Additional Trainings Project Coordinator $589 School Health Coordinator,School Health 1-two-day Mariner Model Training Educator,and 3 school teams(17 people in Denver total) $2,372 School Health Coordinator,School Health 1-three-day Mariner Model Training Educator,and 3 school teams(17 people in Denver total) $2,411 Page 31 of 35 Attachment A-1 Rocky Mountain Center Denver School Health Coordinator -6 workshops and School Health Educator $1,765 School Health Coordinator 3 Regional Trainings in Denver and School Health Educator $883 Project Coordinator, School Health Coordinator and School COPAN Workgroups in Denver Health Educator $996 In-town Staff Mileage All Staff $4,260 Total In-State Travel $13,865 In State Travel is estimated at: mileage = 3,128 miles x $0.355/ mile ($1,110); lodging= 40 nights x $75/night ($3,000); and per diem = 157 days x $35/day ($5,495). Travel to Denver is approximately 120 miles round trip. In-town staff mileage is calculated at 200 miles/month x 5 staff x 12 months x $0.355/per mile ($4,260). Total Weld County Travel Costs $23,025 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 and the national STEPS conference. Additionally the Community Health Educator will attend the national STEPS conference or Asthma conference and the School Health Coordinator will attend the American School Health Association conference. In-state travel money is needed to allow staff to attend required regional STEP meetings, participate in disease specific training opportunities, school leadership development, Mariner Model and Coordinated School Health workshops and to carry out local work in the community. Additional travel money this year is needed to cover the cost of school district personnel that will be invited to participate in the trainings. Trainings include: 4 regional trainings at Colorado Department of Public Health and Environment (Project Coordinator), 4 other trainings Denver (Project Coordinator), 4 regional trainings at Colorado Department of Public Health and Environment or other Denver site (School Health Coordinator), 1 -2 day Mariner Model training in Denver(School Health Coordinator, School Health Educator&3 school teams-15 people), 1- 3 day Mariner Model training in Denver (School Health Coordinator, School Health Educator&3 school teams-15 people), 6 workshops at Rocky Mountain Center Denver(School Health Coordinator &School Health Educator),3 regional trainings in Denver(School Health Educator&Community Health Educator) and additional trips to Denver to participate in Colorado Physical Activity and Nutrition(COPAN)workgroups. D. EQUIPMENT Anticipated Item cost 1 Laptop Computer with Software $2,500 LCD Projector $3,000 Page 32 of 35 Attachment A-1 (*)The"New Look of PE" Equipment for 3 schools-External Heart Monitors * 63 Heart rate monitors @ $149 each w/straps at $5.99 each. ($9764.37) * Equipment Use Training provided by Polar Electro, Inc.-($1500 for 1 day of training) $11,250 Total Equipment $16,750 Total Weld County Equipment Costs $16,750 Justification: 1 laptop computer and LCD projector is needed to carry out community educational and meeting presentations. Equipment will be shared for educational work in both the community and school settings. The"New Look of PE"equipment is needed to help foster school environments that provide more physical activity. E. SUPPLIES Anticipated Item cost Pedometers $5,000 General Office Supplies $4,500 Educational Incentives- Colorado on the Move Participants $1,500 5-A-Day Educational Materials/Training $4,000 Turn off TV Event Materials $1,000 Active Community Environment Promotional Materials $3,000 Meeting Well Workplace Decision Prompts $200 Stairwell to Better Health Promotional Materials $500 Diabetes Educational Materials $2,000 Dining with Diabetes Food/Materials $800 Diabetes Self Risk Assessments $1,500 Asthma Educational Materials $2,000 (*)Open Airways School Asthma Class Materials for 4 schools $4,000 (*) Nu Fit Club Food/Materials $5,000 (*)Take 10 Program Materials $4,000 (*)Nutrition Literacy Tool Kit $4,500 Presidents Challenge Materials $1,183 Tobacco Educational Materials $1,000 Meeting Expenses(Room Rental/ Food) $1,000 Staff Trainings -3 National STEPS Conference($1050) -American School Health Association Meeting ($250) - Healthy School Summit($180) $1,480 Page 33 of 35 Attachment A-1 Community/School Trainings - (*)The "New Look of PE"Training - District 6 PE Teachers ($2000) - (*) Nutrition Literacy Tool Kit Training - District 6 Teachers ($2500) - (*) Know Your Body Curriculum Training - District 6 Teachers ($3000) -(*) Diabetes School Nurse Training -($900) -(*) Healthy School Summit Training - Registration Fee District 6 School Staff 15 x$60/ea ($900) -Active Community Environment Workshop ($2000) - Promotora Training ($400) $11,800 Media - Diabetes Social Marketing Campaign ($6000) -VERB Youth Campaign ($2500) -5-A-Day Campaign ($5000) -Quitline/Net &You Can Quit Smoking Cessation ($2000) - Farmer Market Campaign ($1000) -Small Steps Big rewards Campaign ($2000) - Fish Out of Water Asthma Campaign ($6000) -CDC "Got a Minute"Tobacco Campaign ($1500) -Take 1/2 To Go Campaign ($1000) $27,000 Total Supplies $86,963 Total Weld County Supplies Costs $86,963 Justification: Supplies requested are necessary to complete the activities in the annual action plan. Pedometers are needed to implement "Colorado on the Move" programs in churches, senior centers, worksites and schools. Educational supplies 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 tobacco prevention and management methods. Media supplies and efforts will be used to further supplement local one-on- one educational efforts. Curriculum and training materials/opportunities will be provided to school staff to foster the development of school health teams and improved health in the schools. F. CONTRACTUAL Contract Contract Amount Program Evaluation - NRC $25,000 Northern Colorado Health Alliance-Grant Management $10,000 BRFSS-CDPHE Health Statistics Division $35,000 Nu Fit Club Student Educators-Stipends $10,000 1 Bilingual Educator to teach 2 Dining with Diabetes Classes $1,000 2 Community Promotora Diabetes Educators -$800 stipend for training and to teach 4 classes $1,600 Not on Tobacco (NOT)Youth Smoking Cessation -4 schools at $2000/ea $8,000 Coordinated School Health Training -Substitute Teacher Pay$90/day x 15 people x 6 days $8,100 Page 34 of 35 Attachment A-1 School District Personnel Training -Attendance Stipends$160/day x 15 people x 6 days $14,400 American Lung Association Breath Better Bus -4 school visits x$600/visit $2,400 Open Airways School Classes- Facilitation Stipends $5,000 Professional Sports Figure Event/Presentation - Stipends $1,233 Community Asthma Management Class - Facilitator Stipends 2 teachers for a 4-week class x $1000 $2,000 Total Contractual $123,733 Total Weld County Contractual Costs $123,733 Justification: The program will be participating in 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 to assist with program evaluation needs and to assist with grant management and reporting requirements. Stipend amounts will be used for University of Northern Colorado students from the community health, dietetics and physical education/kinesiology programs to help provide hands-on education in nutrition/food prep and physical activity in four Weld County School District Six after school programs. Other cost include using bilingual educators to provide diabetes awareness and management education in the community, funding youth smoking cessation classes, covering the substitute costs of Weld County School District Six Teachers and offering stipends to participate in Coordinated School Health trainings, bringing the American Lung Association Breath Better Bus to Greeley schools to educate about Asthma and finally to bring motivational professional sports figures to participate in promotional efforts focused on increasing youth physical activity levels. G. CONSULTANTS : none H. OTHER : none I.TOTAL DIRECT COSTS Contract Total A. Total Personnel Costs (includes Statistical Distribution) $168,327 B. Total Fringe Costs $38,669 C. Total Travel Costs $23,025 D. Total Equipment Costs $16,750 E. Total Supplies Costs $86,963 F. Total Contractual Costs $123,733 G. Total Consultants Costs $0 H. Total Other Costs $0 Total Direct Costs $457,467 Page 35 of 35 Attachment A-1 Total Direct Costs $457,467 J. INDIRECT COSTS Indirect Category Total Indirect Rate Calculation A. Total Personnel Costs $168,327 16.3% $27,437 B. Total Fringe Costs $38,669 16.3% $6,303 C. Total Travel Costs $23,025 16.3% $3,753 D. Total Equipment Costs $16,750 16.3% $2,730 E. Total Supplies Costs $86,963 16.3% $14,175 F. Total Contractual Costs $123,733 16.3% $20,168 G. Total Consultants Costs $0 16.3% $0 H. Total Other Costs $0 16.3% $0 Deduct School Related Costs indicated with an (') $38,150 -16.3% -$6,219 Total Indirect Costs $68,348 Total Indirect Costs $68,348 Justification: A 16.5% indirect rate is applied to all direct costs except school-only related supplies/equipment indicated with(*). K.TOTAL REQUEST Anticipated Item cost Total Direct Costs $457,467 Total Indirect Costs $68,348 Total Other $525,815 Total Weld County Budget Request $525,815 Page 36 of 35 Hello