HomeMy WebLinkAbout931200.tiff RESOLUTION
RE: APPROVE ASSIST CONTRACT WITH COLORADO DEPARTMENT OF HEALTH AND AUTHORIZE
CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an ASSIST (American Stop Smoking
Intervention Study) Contract between Colorado Department of Health and Weld
County Health Department, commencing December 1, 1993, and ending September 30,
1994, with further terms and conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said
contract, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the ASSIST Contract between Colorado Department of Health
and Weld County Health Department be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 22nd day of November, A.D. , 1993.
A} BOARD OF COUNTY COMMISSIONERS
ATTEST: 1' i WELD COUNTY, COLORADO
fr
Weld County Clerk to the
/14.74.---cal,,
/ /�/� onstance L.
Harbert,/ //j Chairman
BY: ( ZI A GC /14.✓'x�- (r s2-�( ;���'�I �" ak t /.� ,642*/
Deputy Clerk to the Board \ W. H. ebster, -Teemm
Pr APPROVED AS TO FORM: ) � . /. .72f2t
eorge . Baxt r
\r
oun y Attorn y Dale K. Hall
EXCUSED DATE OF SIGNING (AYE)
Barbara J. Kirkmeyer
931200
Cc . NL ; 5l,-iac 931210
Form 6-AC-02A (R 5/91) Department or Agency Name
Health
Department or Agency Number
260000-- FAA
Contract Routing Number
940764 7
CONTRACT
THIS CONTRACT, made this 15th day of November 1993, by and between the State of Colorado for the use and
benefit of the Department of HEALTH , 4300 Cherry Creek Drive South. Denver, Colorado 80222-I530 hereinafter referred to
as the State and Weld County Health Department, 1517 16th Avenue Court, Greeley,Co.. 80631 hereinafter referred to as the
contractor.
WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a
sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Encumbrance
Number FAA PPG94076R1 7 , in Fund Number 100 , Appropriation Account 773 , and Organization 7370
PPG94-ein7
WHEREAS,required hpproval,clearance and coordination has been accomplished from and with appropriate agencies:and
WHEREAS, tobacco use is the leading preventable cause of death and disability in
Colorado and
WHEREAS, the State of Colorado and the Division of Prevention Programs, Colorado
Department of Health has received funding from the National Cancer Institute (NCI) to conduct
an American Stop Smoking Intervention Study (ASSIST) to reduce the prevalence of smoking by
the year 2000; and
WHEREAS, the National Cancer Institute has approved the Colorado ASSIST 1993-94
Annual Action Plan and Channel deliverables; and
WHEREAS, the Contractor is considered by the State to have the necessary expertise and
personnel to assist with implementation of the 1993-94 Annual Action Plan and their services
herein set forth;
NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual
promises to each other, hereinafter stated, the parties agree as follows:
1. The Contractor will provide to the State the following services as set forth in the 1993-
94 Annual Action Plan (Attachment A) which is attached and by this reference made a part
hereof:
a. Develop and deliver recruitment presentations in Weld County to targeted
community groups;
b. Conduct a youth sales assessment;
c. Identify NCI trainers and other cessation trainers/presenters in Weld County and
arrange for trainings for primary health care providers and medical students.
Page 1 of 6 pages
fit_KY)%(9- 13` 61
2. The Contractor will provide monthly progress reports on the NCI approved Colorado
ASSIST 1993-94 Annual Action Plan for the Weld County community contract
deliverables and other related activities to the Colorado ASSIST Project Manager and/or
designee. The Contractor is required to attend and to send a representative from the Weld
County Primary Intervention Community to the Colorado ASSIST Alliance Board meetings
and other meetings required by the Colorado ASSIST Project Manager. Approval of
Contractor services and materials developed under the contract deliverables will be
required before final payment on the contract is made.
3. The Contractor will acknowledge Colorado ASSIST Alliance and its co-sponsors, the
Colorado Department of Health and the American Cancer Society, Colorado Division, on
any materials developed under this contract.
4. The State will, in consideration of said services by the Contractor, cause to be paid to the
Contractor a sum not to exceed TWENTY THOUSAND DOLLARS ($20.0001 in the
following manner:
a. Upon receipt of signed monthly statements, submitted in duplicate requesting
reimbursement for services rendered at the rate of$2000.00 per month. Statements
shall reference the contract number, list dates, amounts, brief description of
services and total requested. Reimbursement shall be conditioned upon affirmation
by the State of full and satisfactory compliance with the terms of this contract.
b. Final statement shall be submitted not later than 60 days after completion of the
contract term.
c. Said statements should be sent to the Division of Prevention Programs, ASSIST
Project, PPD-ASSIST-A5, 4300 Cherry Creek Drive South, Denver, Co. 80222-
1530.
5. The term of this contract is beginning December 1. 1993 and continuing through
September 30, 1994.
Page 2 of 6 pages
931190
COLORADO DEPARTMENT OF HEALTH - hereinafter, under the General Provisions referred to as
"Health" .
GENERAL PROVISIONS -- page 1 of 2 pages
1. The contractor shall perform its duties hereunder as an independent contractor and
not as an employee. Neither the contractor nor any agent or employee of the contractor
shall be or shall be deemed to be an agent or employee of the state. Contractor shall
pay when due all required employment taxes and income tax withholding, shall provide and
keep in force worker's compensation (and show proof of such insurance) and unemployment
compensation insurance in the amounts required by law. Contractor will be solely
responsible for its acts and the acts of its agents, employees, servants and
subcontractors during the performance of this contract.
2. Contractor authorizes Health, or its agents, to perform audits and to make
inspections for the purpose of evaluating performance under this contract.
3. Either party shall have the right to terminate this agreement by giving the other
party thirty days notice by registered mail, return receipt requested. If notice is so
given, this agreement shall terminate on the expiration of the thirty days, and the
liability of the parties hereunder for the further performance of the terms of this
agreement shall thereupon cease, but the parties shall not be relieved of the duty to
perform their obligations up to the date of termination.
4 . This agreement is intended as the complete integration of all understandings
between the parties. No prior or contemporaneous addition, deletion, or other amendment
hereto shall have any force or effect whatsoever, unless embodied herein in writing. No
subsequent novation, renewal, addition, deletion, or other amendment hereto shall have
any force or effect unless embodied in a written contract executed and approved pursuant
to the State Fiscal Rules.
5. If this contract involves the expenditure of federal funds , this contract is
contingent upon continued availability of federal funds for payment pursuant to the
terms of this agreement. Contractor also agrees to fulfill the requirements of:
a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or
A-110, whichever is applicable;
b) the Hatch Act (5 USC 1501-1508) and Public Law 95-454 Section 4728. These
statutes state that federal funds cannot be used for partisan political purposes of any
kind by any person or organization involved in the administration of federally-assisted
programs;
c) the Davis-Bacon Act (40 Stat. 1494, Mar. 3, 1921, Chap. 411, 40 USC
276A-276A-5) . This act requires that all laborers and and mechanics employed by
contractors or sub-contractors to work on construction projects financed by federal
assistance must be paid wages not less than those established for the locality of the
project by the Secretary of Labor;
d) 42 USC 6101 et seq, 42 USC 2000d, 29 USC 794. These acts require that no
person shall, on the grounds of race, color, national origin, age, or handicap, be
excluded from participation in or be subjected to discrimination in any program or
activity funded, in whole or in part, by federal funds ; and
Page 3 of 6 Pages
Rev. 06/01/92
93A90
GENERAL PROVISIONS--Page 2 1 2 pages
e) the Americans with Disabilities Act (Public Law 101-336; 42 USC 12101, 12102,
12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213
and 47 USC 225 and 47 USC 611.
f) if the contractor is acquiring real property and displacing households or
businesses in the performance of this contract, the contractor is in compliance with the
Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended
(Public Law 91-646 , as amended and Public Law 100-17, 101 Stat. 246 - 256) ;
g) when applicable, the contractor is in compliance with the provisions of the
"Uniform Administrative Requirements for Grants and Cooperative Agreements to State and
Local Governments (Common Rule) .
6. By signing and submitting this contract the contractor states that:
a) the contractor is in compliance with the requirements of the Drug-Free
Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 USC 701 et seq. ) ;
b) the contractor is not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by any federal
department or agency; and
7. To be considered for payment, billings for payment pursuant to this contract must
be received within 60 days after the period for which payment is being requested and
final billings on the contract must be received by Health within 60 days after the end
of the contract term.
8 . If applicable, Local Match is to be submitted on the monthly payment statements , in
the column provided, as required by the funding source.
9. If Contractor receives $25,000.00 or more per year in federal funds in the
aggregate from Health, Contractor agrees to have an annual audit, by an independent
certified public accountant, which meets the requirements of Office of Management and
Budget Circular A-128 or A-133, whichever applies. If Contractor is required to submit
an annual indirect cost proposal to Health for review and approval, Contractor's auditor
will audit the proposal in accordance with the requirements of OMB Circular A-87 , A-21
or A-122. Contractor agrees to furnish one copy of the audit reports to the Health
Department Accounting Office within 30 days of their issuance, but not later than nine
months after the end of Contractor's fiscal year. Contractor agrees to take appropriate
corrective action within six months of the report's issuance in instances of
noncompliance with federal laws and regulations. Contractor agrees to permit Health or
its agents to have access to its records and financial statements as necessary, and
further agrees to retain such records and financial statements for a period of three
years after the date of issuance of the audit report. This contract does (100%)
contain federal funds as of the date it is signed. This requirement is in addition to
any other audit requirements contained in other paragraphs within this contract.
10. Contractor agrees to not use federal funds to satisfy federal cost sharing and
matching requirements unless approved in writing by the appropriate federal agency.
Page 4 of 6 Pages
Rev. 06/01/92
9310190
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
I.This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2. Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,
and otherwise made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any building,
road,bridge,viaduct,tunnel,excavation or other public work for this State,the contractor shall,before entering upon the performance of any such work included
in this contract,duly execute and deliver to the State official who will sign the contract,a good and sufficient bond or other acceptable surety to be approved by
said official in a penal sum not less than one-half of the total amount payable by the terms of this contract.Such bond shall be duly executed by a qualified corporate
surety conditioned upon the faithful performance of the contract and in addition,shall provide that if the contractor or his subcontractors fail to duly pay for any
labor,materials,team hire,sustenance,provisions,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work
contracted to be done or fails to pay any person who supplies rental machinery,tools,or equipment in the prosecution of the work the surety will pay the same in
an amount not exceeding the sum specified in the bond,together with interest at the rate of eight per cent per annum. Unless such bond is executed,delivered and
filed,no claim in favor of the contractor arising under such contract shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable
to the Treasurer of the State of Colorado may be accepted in lieu of a bond.This provision is in compliance with CRS 38-26-106.
INDEMNIFICATION
4. To the extent authorized by law, the contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims,
damages, liability and court awards including costs,expenses, and attorney fees incurred as a result of any act or omission by the contractor,or its employees,
agents,subcontractors,or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting
discrimination and unfair employment practices(CRS 24-34-402).and as required by Executive Order, Equal Opportunity and Affirmative Action,dated April 16,
1975.Pursuant thereto,the following provisions shall be contained in all State contracts or sub-contracts.
During the performance of this contract,the contractor agrees as follows: •
(a) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, sex,
marital status, religion,ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that applicants are employed,and that
employees arc treated during employment,without regard to the above mentioned characteristics. Such action shall include,but not be limited to the following:
employment upgrading,demotion,or transfer,recruitment or recruitment advertisings;lay-offs or terminations;rates of pay or other forms of compensation;and
selection for training, including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants for employment,
notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause.
(b)The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will
receive consideration for employment without regard to race,creed,color,national origin,sex,marital status,religion,ancestry,mental or physical handicap,
or age.
(c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or
understanding,notice to be provided by the contracting officer,advising the labor union or workers'representative of the contractor's commitment under the
Executive Order,Equal Opportunity and Affirmative Action,dated April 16. 1975,and of the rules,regulations,and relevant Orders of the Governor.
(d)The contractor and labor unions will furnish all information and reports required by Executive Order,Equal Opportunity and Affirmative Action of April
16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto,and will permit access to his books, records, and accounts by the
contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules,regulations and orders.
(e)A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization,or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of rice,creed,color,
sex,national origin,or ancestry.
(1)A labor organization. or the employees or members thereof will not aid,abet-incite,compel or coerce the doing of any act defined in this contract to be
discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder;or attempt,either directly
or indirectly,to commit any act defined in this contract to be discriminatory.
Form 6-AC-02B
Revised I/93
395-53-01-1022
page 5 of pages
9211 nn
•
(g) n the event o ion lauses of this thislcontractmay be canceled,o terminated oils suspended in whole or in part[and cthe contractor may contract regulations.
the contractr's be declared ineligible for further State contracts in
accordance with procedures, authorized in Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975 and the rules, regulations. or
orders promulgated in accordance therewith,and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order,
Equal Opportunity and Affirmative Action of April 16, 1975, or by rules,regulations,or orders promulgated in accordance therewith, or as otherwise
provided by law.
through(h)in every nd or( y
rules The
rcgulationsr or orders is sued pursuant to Ex provisins ofecutive Order,aragraphs(a)Equal Opportunity and Affirmative taActio of Apritl 16,purchase1975.so that such sprovisions s exempted bwill
be binding upon each subcontractor or vendor.The contractor will take such action with respect to any sub-contracting or purchase order as the contracting
agency may direct,as a means of enforcing such provisions,including sanctions for non-compliance:provided,however,that in the event the contractor
becomes
involved
the State orto Colorado to is
threatened
with,litigation,
enter intolitigation with
hesubcontractor
protectoctor or interest ndo asta result
State of
Colorado.
direction by the contracting agency,the contractor omay request
COLORADO LABOR PREFERENCE
6a.Provisions of CRS 8-17-101 & 102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and
are financed in whole or in part by State funds.
b.When a construction contract for a public project is 10 be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder from .
a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident.If it is determined by
would
the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of but onlyextent h
federal
lfunds which would otherwise ichry to her dine be available
f b ailale or or to
otherwise be inconsistent with requirements of Federal law,this subsection shall be suspended, to
eliminate the inconsistency with Federal requirements(CRS 8-19-101 and 102)
GENERAL
7.The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution, and enforcement of this
contract.Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or which
is otherwise in conflict with said laws,rules,and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by reference
which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,
defence,or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the
contract is capable of execution. -
8.At all times during the performance of this contract,the Contractor shall strictly adhere to all applicable federal and state laws,rules,and regulations that have
been or may hereafter be established.
9.The signatories aver that they are familiar with CRS 18-8-301,et.seq.,(Bribery and Corrupt Influences)and CRS 18-8-401,et.seq.,(Abuse of Public Office),
and that no violation of such provisions is present.
10.The signatories aver that to their knowledge,no state employee has any personal or beneficial interest whatsoever in the service or property described herein:
IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written.
Contractor: Weld County Health Department
WELD COUNTY COLORADO STATE OF COLORADO
(Full Legal Name) > ROY ROMER,GOVERNOR
BO OF COUNTY COMMISSIONERS • ER
By ///� '771,c i:-4,— for
� � 11/24/93 •S EXECJYf1vh RECTOR
Position(Title) CHAIRMAN//((
84-600081 B or 7,alf lx umber DEPARTMENT
s«.d . rIn! �If ,/Jf/ HEALTH
If Coryoration:) /I 4. OFAuest(5eai Y itiv
� WELD COUNTY HEALTH DEPARD4ENT
By � 1.4 1A l�P- ' F � rt TO BOARD
APPROVALS ohn S. Pickle
GALE A. d."TON Director-
ATTORNEY GEN -. - ' AAL CONTROLLER o 4
By t :✓ ALS:
Formd 1/932C Page 6 which is the last of 6 pages BY: YLIDO3 5ise t.1 •S«instructions on reverse side.
395-5}61-1070 • •
PROGRAM APPROVAL:
`�0
a1.I.4
e
Colorado ASSIST Alliance
Annual Action Plan
October 1993
through
September 1994
ATTACHMENT A
August 1 , 1993
1
• 931200
Contents
Introduction 1
Community Environment 2
Work Sites 12
Schools 16
Health Care Settings 20
Community Groups 26
Appendix A: Contract Deliverables 29
2
931290
Introduction
The effects of tobacco use are stark but simple: A few people get rich and a lot of
people die.The lopsided equation works only because nicotine addiction subverts the
freedom to quit.
Breaking the triangle of addiction and death for profit in Colorado will take careful
planning and concerted action. Having completed a broad five-year plan, the
Colorado ASSIST Alliance now issues its first Annual Action Plan and a call to
action by member organisations and all others who want to help eradicate tobacco
use.
The 1993-94 Annual Action Plan describes the efforts that will be conducted by the
statewide ASSIST project, Alliance member organizations, and local coalitions in
Primary Intervention Communities(PICs).Plan objectives and activities are grouped
in five channels that reach adult smokers and youth —the community environment,
work sites, schools, health care settings, and community groups.
The same format is used for each section: A state five-year objective is listed and
general intervention strategies are described.Plans for the first year are presented
as Year One objectives, the basis for the objectives, and the planned activities with
a timeline and description of the people who will make things happen.
More than 200 member organizations contributed to this action plan. Their continu-
ing commitment ensures that the objectives will be achieved and a solid platform will
- support still more ambitious efforts in the next year.
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931V0
Community Environment
State Channel Objective: By 1998, substantially increase and strengthen public
support for state and local policies that eliminate youth access to tobacco.
Intervention Strategies
The Colorado ASSIST Alliance will establish comprehensive model state and local
licensing and vending machine laws that can control youth access to tobacco.
ASSIST will build community support for state and local laws consistent with the
model laws; increase public knowledge of widespread illegal sales to minors; and
seek support for enforcement of existing law through state.liquor-license authorities.
Year One Objectives
• By October 1994, a state bill will be introduced in the Legislature
to license tobacco sales, and active support for the measure will come
from businesses,labor, medical professionals, educators,youth and the
religious community.
• By October 1994, state liquor enforcement authorities will be
encouraged to add tobacco sales enforcement to their activities.
• By October 1994, model methods for assessing illegal tobacco sales
will be developed and provided to local coalitions.
• By October 1994, policy advocacy training will be provided to PIC
representatives.
Rationale and Base to Build On
Youth are specific targets of tobacco promotional efforts. Most adult tobacco
addiction begins in youth. Minors easily and illegally buy tobacco products from retail
outlets and vending machines.
Licensing tobacco sales is the most effective way to control youth access. A state
licensing program would be the most efficient approach; a 1992 legislative attempt
to establish state tobacco-sales licensing laid some groundwork for future efforts.
Local ordinances might be adopted more quickly than a state law and build support
4
931200
for one. Policy advocacy training, provided centrally to local coalitions, would be an
efficient way to empower local communities, create synergy, and enhance skills
needed to develop and achieve passage of local policies.
Public support for tobacco-sales licensing can be strengthened through increased
knowledge of widespread illegal sales activities, as demonstrated by assessments in
1989 and 1992. Some local coalitions intend to assess illegal sales in their communi-
ties; these efforts should be uniform and coordinated for maximum impact.
State liquor enforcement authorities have networks and procedures that may be
adaptable and applicable to the ban on tobacco sales to minors. These authorities
have an incentive,under the federal Synar amendment, to enforce the tobacco-sales
ban in order to preserve federal alcohol-abuse control funding.
Activities and Time,Line
State bill: Potentially interested community groups will be convened to develop a
state tobacco-sales licensing measure and to identify advocacy strategies.
Existing communications networks will be used to advocate the need for
tobacco-sales licensing and to inform the community of progress.
Liquor-enforcement:ASSIST staff will meet with liquor enforcement officials to
seek agreement on the need and ways to add tobacco-sales enforcement to
existing alcohol sales enforcement activities.
Sales assessments:Uniform methods will be developed,and training will be provided
to local coalitions. Technical assistance will be provided to local sites
preparing to conduct assessments. Local assessment results will be collected
and reviewed.
Policy advocacy: Training in development and promotion of local policy will be
provided to local coalition representatives. Technical assistance will be
provided to PICs seeking enactment of tobacco-sales licensing ordinances.
These activities will occur during October 1993 through September 1994.
S
c.: 931200
Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Executive Committee, Alliance Board and Community Environment Committee;
local coalition members, and volunteers recruited from community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers. -
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
'ttfr $C';
State Channel Objective By 1998, substantially increase and ^`rengfhen public
• support for state and:local•policies that increase econc:,nic incentives to
discourage The use of tobacco products.
Intervention Strategies
The Colorado ASSIST Alliance will work to increase public knowledge of the need
to increase tobacco taxes substantially, and will encourage individuals and organiza-
tions to work for increased tobacco taxes.
The Alliance will use public education to promote community support for large
tobacco-sales license fees that recover the cost of tobacco-caused illnesses.
• Year One Objectives
• By October 1994,educational presentations will be made to all PICs
regarding the need and current efforts to increase tobacco taxes.
• By October 1994,strategies to advocate increased tobacco taxes will
be incorporated into the ASSIST media plan.
• By October 1994,information will be presented to the PICs regard-
ing the rationale and need for stiff license fees on tobacco sales.
Rationale and Base to Build On
Increased prices reduce tobacco use, especially among young people. Also, current
prices are unfair to more than 2.5 million Coloradans who do not use tobacco but
pay most of the $750 million lost each year in the state to tobacco-caused illness.
Stiff license fees have precedent in alcohol licenses. Such fees can begin to recover
the health costs of tobacco use, may reduce access to tobacco by reducing the
number of outlets, and may increase the price of tobacco if retailers pass through the
license cost.
Many local coalition members have rallied around the goal of promoting a tobacco
tax increase.
Activities and Time Line
Presentations: Informational presentations will be developed and delivered to the
7
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PICs during October 1993 through September 1994.
Responsibility for Activities ,
Presentations will be conducted by members of the Executive Committee, Alliance
Board and Community Environment Committee; local coalition members, and
volunteers from policy-related organizations and community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
•
• of4 onn
g5
StatesChan v'ne I jective. By 1998, substantially increase and stiengthen;:public
a o 'r a and local polui'es rh ban ₹rtivenusng and proznouon
#a Tte MG" K(Sd F` 3� K" ryY
' s possible venues
Intervention Strategies
The Colorado ASSIST Alliance will promote development of state and local
ordinances'that reduce advertising and promotion of tobacco products, and local
advocacy campaigns in the PICs to promote voluntary refusal of tobacco advertising.
Year One Objectives
• By October 1994,PIC coalitions will receive training on assessment
of the extent and nature of local tobacco advertising and promotion.
• By October 1994, a list will be compiled 0fColorado cities that ban
all outdoor advertising.
• By October 1994,alcohol-control community organizations and local
Scenic America members will be invited to help develop and promote
• policies that curb advertising of unhealthy products. -
Rationale and Base to Build On
Tobacco advertising and promotion influence young people to start smoking and
. adult smokers to continue. Moreover, tobacco-marketing strategies are aimed at
youth, women, and ethnic minorities,-all of which are ASSIST target populations.
State and local governments have some authority to ban or restrict tobacco advertis-
ing. Some Colorado cities have banned all outdoor advertising, which effectively
eliminates outdoor tobacco advertising. The RID ban on tobacco and alcohol
advertising was achieved in collaboration with alcohol-control advocates.
Little information is currently available on the nature and extent of tobacco
advertising and promotion in Colorado's local communities. Such information is
• needed to increase public awareness of the need for action. Local coalition members
have expressed awareness of the issue and desire to address it.
9
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Activities and Time Line
Assessment training:A training workshop will be developed and presented to PIC
representatives that identifies types of tobacco advertising and promotion,
builds capacity to assess local advertising and promotion, and provides
information on local authority to control tobacco advertising and promotion,
Cities list: A list of cities that ban outdoor advertising will be compiled.
Joint efforts: Contact will be made with alcohol control organizations and local
Scenic America members to seek joint efforts that reduce tobacco advertising.
These activities will occur,during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Executive Committee, Alliance Board. and Community Environment Committee;
local coalition members, and community organization volunteers.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
10
931200
R '.State Channel Objective By 199&, substa ntialy'incfasc and strengthen:public
iSpportijor>pol ties in Pr rnarj..Interveiit n'.Conununities that mandate
clean indoor air
Intervention Strategies
Colorado ASSIST will evaluate existing clean indoor air ordinances and help local
coalitions enact new ordinances or upgrade existing.ordinances.
Year One Objectives
• By October 1994, a model ordinance resource center will be
available for local coalitions to use in developing locally appropriate
ordinances. -
• By October 1994,.ex fisting local ordinances and their enforcement
will be reviewed, and opportunities for improvement will be identified.
• By October 1994, training will be provided to PIC coalitions
regarding opportunities and methods for improving local ordinances.
Rationale and Base to Build On
•
Involuntary exposure to environmental.tobacco,smoke (his) represents a serious
health threat to nonsmokers who live in or visit Colorado. The recent EPA report
provides a new opportunity to promote action by policy-makers.
Uniform policies that ban public smoking relieve businesses of the burden of balanc-
ing sharply conflicting desires of smoking vs.non-smoking customers and employees.
GASP of Colorado and other pro-health groups have generated considerable momen-
tum on this issue throughout the state, but some of the 35 existing local ordinances
are weak or unevenly enforced, and none is as protective as possible.
Several PICs have made new or stronger dean indoor air ordinances a priority.
Activities and Time Line
Resource Center. GASP's model ordinance and other models will be collected,
analyzed, organized for easy retrieval and housed in state ASSIST offices.
931200
Local coalitions will be informed of the model ordinance resource center.
Existing ordinances: Colorado's existing local clean indoor air ordinances will be
collected and analyzed, and a comprehensive summary will be developed.
Existing enforcement:Enforcement authorities for local clean indoor air ordinances
will be identified, and local enforcement efforts will be determined.
Training:Training will be provided to local coalitions regarding opportunities and
methods for improving local ordinances.
These activities will occur during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state and localstaff; members of the
Executive Committee, Alliance Board and Community Environment Committee;
local coalition members, and community volunteers. - -
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
it
Ta ian
Objective S: By 1998, cues and messages supporting ,non-smoking will have
increased and pro-smoking cues and messages,.will have decreased in
Primary Intervention Communities.
Intervention Strategies
The Colorado ASSIST Alliance will develop and promote community-based
campaigns in PICs to eliminate pro-smoking cues and messages and establish the use
of pro-health messages in key local retail and service outlets.
Year One Objectives
• By October 1994, a number of restaurants in the PICs will adopt or
expand smoke-free policies.
• By October 1994,a number of retail establishments in the PICs will
begin distributing or displaying pro-health messages regarding tobacco.
Rationale and Base to Build On
In retail, food, entertainment, service, and public areas, Coloradans are constantly
and casually exposed to cues and messages that help create community norms and
establish personal views that tobacco use is either acceptable or not. Locales with
large populations of young people are especially subjected to intensive tobacco
marketing.
Customer smoking policies, cash register receipts and store display features are likely
areas for establishing pro-health cues and messages.
Retailers in some PICs already participate in other health initiatives and may be
receptive to messages that can reduce tobacco use.
Activities and Time Line
Restaurants:Selected restaurants will receive presentations on the value of a smoke-
free environment.
Retail:Opportunities to replace in-store tobacco messages with pro-health messages
will be identified. Pro-health materials will be selected and offered to retailers
for display or distribution. Information on the impact of in-store messages will
be developed and distributed to retailers. Public recognition will he sought for
13
9312nn
retailers that replace pro-smoking messages with tobacco-specific health
messages.
These activities will occur during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Alliance Board, local coalition members, and community volunteers.
The ASSIST project co-managers (CDH and•ACS) will manage and monitor the
Annual.Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
•
•
•
14
9312,90
Work Sites
State:Channel Objective: By 1998, increase to>att least:7S:percentthe proportion
of work sites in primary intervention communities with formal smoking
tat A`polic es that prohibit or severely;restrict smoking at the;workplace.
Intervention Strategies
The Colorado ASSIST Alliance will promote community ordinances that provide 100
percent employee protection from environmental tobacco smoke.
Year One Objectives
• By October 1994, model community smoking ordinances with work-
place components will be provided to interested parties in the PICS,
and workplace smoking policies will be provided to businesses repre-
senting 20 percent of Colorado workers. •
• By October 1994, companies throughout Colorado will be recruited
to ASSIST.
• By October 1994, presentations will be made to Colorado business
organisations on the benefits of smoke-free workplaces and strategies
to achieve them.
• By October 1994, Colorado companies will receive public recogni-
tion for implementing model smoking policies.
Rationale and Base to Build On
Thirty-one of 35 communities have public smoking laws that specifically apply to
work sites. A survey has found that the "vast majority" of Colorado firms restrict or
ban workplace smoking.Three-fourths of the 1,600 members of the Mountain State's
Employers Council have smoke-free or smoking-restricted workplaces.
• However, daily telephone calls to tobacco-control organizations from distressed
employees in smoky workplaces indicate that employers still need education and
motivation to restrict and ban smoking.
15
931290
Activities and Time Line
Model ordinance and policy: Models will be selected or adapted, and resource
materials will be distributed to businesses.
Recruitment: A marketing strategy will be developed, including a brochure and
incorporating support from local coalitions,to recruit for ASSIST from among
the largest 100 Colorado companies.
Presentations:Opportunities to make presentations to interested businesses will be
identified and pursued.
Recognition:The current list of smoke-free companies will be updated,and exempla-
ry companies will be chosen for awards made public through media.
Responsibility for Activities
The atttivities will be conducted by ASSIST state and local staff; members of the
Executive; Committee, Alliance Board and Community Group Committee; local
coalition members, and volunteers recruited from colleges and universities, employ-
ment-related organizations and local community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers. '
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
16
931290
State Channel Objective: By 1998, work sites reaching major target populations
in primary intervention communities will adopt and maintain a tobacco use
cessation focus.
Intervention Strategies
The Colorado ASSIST Alliance will promote resources for work site tobacco-use
cessation and will develop and provide information to employers on the cost-
containment benefits of supporting cessation.
Year One Objectives
• By October 1994,.information on the benefits of encouraging to-
bacco use cessation, and resources to help accomplish cessation, will
be provided to businesses representing 20 percent of Colorado work-
ers.
• By October 1994, Colorado companies will receive public recogni-
tion for offering employee incentives for tobacco-use cessation.
Rationale and Base to Build On
Colorado's largest employer,state government,offers a$10 monthly health-insurance
premium discount to non-smoking employees. A major Colorado employer has
documented a return of$2 for every $1 spent on employee smoking cessation. One-
third of the 1,600 members of the Mountain States Employers Council offer smoking
cessation classes to employees, and 9 percent offer incentives for not smoking.
Many employers would likely offer, sponsor or provide incentives for tobacco-use
cessation if they saw a potential cost savings in health claims or value in employee
relations, or were aware of the resources available to help with cessation services.
Activities and Time Line
Promotion:A fact sheet will be developed on the health costs of employee tobacco
use and the benefits of smoke-free workplaces. Groundwork will be laid for
a system of collecting work site health-care cost data. Local cessation resource
guides will be developed and distributed to employers and employees.
Opportunities to make presentations to interested businesses will be identified
and pursued.
17
931290
Recognition: Companies offering incentives for cessation will be identified from
existing data, and a public reward system will be developed and activated.
Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Executive Committee, Alliance Board and Community Group Committee; local
coalition members, and volunteers recruited from colleges and universities, employ-
ment-related organizations and local community groups.
The ASSIST project co-managers (CDH. and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
18
931290
Schools
State Channel Objective: By 1998,•100 primarypercent of schools in pary intervention
communities, serving grades K through 312 including public vocation
alitechnicalltrade schools, will.be tobacco-free.
Intervention Strategies
Colorado ASSIST will promote adoption and enforcement of tobacco-free school
policies among teachers, administrators, parents, students, and influential school-
related organizations. -
Year One Objectives
• By October 1994, school districts in PICs will switch from tobacco-
permissive to tobacco-free policies.
• By October 1994, public vocational/technical schools in PICs will
receive presentations on tobacco-free policies.
• By October 1994, PIC coalitions will promote tobacco-free schools
through locally appropriate strategies,including assessment of enforce-
ment,delivery of educational programs at campuses,and presentations
to administrators and school boards.
Rationale and Base to Build On
With nearly half the state's school districts tobacco-free, momentum is dearly
established but vigilance is still needed. Enforcement of existing policies is lax in
some cases. Some sports stadiums and most vocational/technical/alternative schools
are exempt. Some tobacco-free districts are considering reverting to designated
smoking areas to keep students on campus.
Most districts without tobacco-free policies are no longer unaware of the issue but
are resistant to adopting such policies, in part because school funding or even
• survival is a much more pressing concern. The acute funding need extends the threat
that the tobacco industry will supplement school budgets with grants like those
already provided to some Colorado schools.
13
9312'!0
Opportunities exist to elevate the priority of tobacco-free policies through the
Colorado Department of Education, Colorado Tobacco-Free Schools and Communi-
ties, and local ASSIST coalitions.
Activities and lime Line
District Policy Promotion: A training on community activation for tobacco-free
schools will be developed, promoted and presented in PICs. laws in other
states will be reviewed regarding tobacco-free schools, and the potential to
develop such a law in Colorado will be pursued. Sanctions and incentives will
be identified that may encourage adoption of tobacco-free school policies.
Youth-related organizations will receive educational materials on the danger
of vohintary smoking. Train.the-trainer programs on, tobacco-free policy
advocacy will be delivered in school districts.Compliance with existing policies
will be assessed through interviews with students and staff. Presentations will
be made to school districts on the need for and value of tobacco-free policies.
Vocational/Pechnical Schools:School representatives-will be interviewed to identify
barriers to and potential strategies for implementing tobacco-free policies.
Strategies will be developed that incorporate interview findings.
• These activities will occur during October 1993 through September 1994.
Responsibility. for Activities
The activities'will be conducted by'ASSIST state-and.local:staff; members of the
Executive Committee, Alliance Board. and -School- Committee; local coalition
members, and volunteers recruited from colleges and universities, school-related
organizations and local community=groups.
The ASSIST project co-managers (CDH and:ACS). will manage and monitor the
Annual Action-Plan and present progress reports to the Alliance Board and the
Executive Committee..State and local staff will submit monthly reports to the project
co-managers:
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
20
931200
State Channel•Objective:•By 1998, 100 percent of schools in primary intervention
:communities,serving grades K through 12, will offer comprehensive school
health,education incorporating tested, efficacious tobacco-use prevention.
Intervention Strategies
Colorado ASSIST will promote development,adoption and implementation of comp-
rehensive school health curricula.
Year One Objectives
• By October 1994, the status of comprehensive school health edu-
cation will be assessed in PICs.
• • By October 1994,PIC coalitions will promote comprehensive school•
health education in local schools through appropriate strategies,
including training of school personnel in effective curricula, develop-
ment of local directories on teen smoking cessation resources, and •
other methods.
Rationale and Base to Build On
The enormous cost of addicted tobacco use makes clear the value of prevention.
Schools have unique opportunities to influence youthful choices of lifestyle habits.
Recent literature suggests that youthful adoption of high-risk health habits are often
part of a larger constellation of self-destructive and anti-societal behaviors.Thus the
multiple topic areas,varied strategies and coordinated multi-year approach inherent
in comprehensive school health programs are likely to prevent tobacco use more
effectively than isolated tobacco-use prevention activities or teaching modules.
Comprehensive school health in Colorado receives relatively little emphasis.It is one
of many responsibilities for local school personnel, rather than any local staff
member's full-time responsibility, and few schools have nurses. Before 1991, many
local curricula were developed to obtain grant funding and, as a result, were crisis-
. oriented (e.g. focused on teen pregnancy, drug abuse, etc.). Many of these curricula
now sit on shelves collecting dust. Where districts have trained teachers to use
respected health education curricula, many find the teachers not teaching the curric-
ulum with fidelity.
21
931200
Despite legislative adoption of the Comprehensive School Health Education Act in
1991, the status of school health curricula in Colorado remains unclear, with little
information available on programs in place,curricula beinglaught, or barriers to use.
Activities and Tune Line
Assessment:Information regarding school health education in PICs will be collected
from several statewide sources, reviewed and shared with local coalitions.
Local resources for teen tobacco-use c ssation will be identified and compiled
in local directories. Local trainings on tobacco-use prevention curricula will
be developed and provided to school personnel..
These activities will occur during October 1993 through September 1994.
- Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Executive"Committee,-Alliance-Board and School Committee; local coalition
members, and volunteers recruited from colleges and universities, school-related
organisations and local community groups. .
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific.timeframes for each task.
22
931290
Health Care Settings
12-rState Channel.Objective: .By 1998, at least675%nof primary.medical and dental'.'
rn
care providers to primary intervene on communities will routinely advise
cessation and provide asststance•andf llow.up"for II of their-tobacco
•• using patients.
Intervention Strategies
The Colorado ASSIST Alliance will increase'awareness of, and provider access to
education regarding, intervention methods and follow-up activities.
Year One Objectives
• By October 1994, health care providers will attend train-the-trainer
programs on office interventions to encourage cessation.
• By October 1994, a system will be implemented for matching
trainers with requests for training in office interventions to encourage
cessation.
• By October 1994, other educational activities will be conducted to
promote cessation counseling by primary providers.
Rationale and Base to Build On
Most Coloradans see a health care provider annually.Patients are encouraged to quit
smoking or using spitting tobacco when providers ask about tobacco use and offer
help.
The Health Care Committee represents networks of professional organisations that
can publicize train-the-trainer programs. About 30 dental health professionals
attended an NCI train-the-trainer program in 1992, sponsored by the Colorado
Dental Health Division and the University of Colorado School of Dentistry.
Lack of physician reimbursement for smoking cessation is a perceived barrier. The
Colorado CARE health insurance proposal may be able to ensure that nicotine
dependency treatment is covered as reimbursable preventive medicine.
23
93123tn
Activities and Time Line
Training: Training programs and instructors will be selected, trainings will be
promoted through health professional newsletters and targeted mailings, and
training will be delivered.A system will be developed for maintaining contact
with trained professionals and linking them with others who seek training;
NCI trainers in Colorado will be convened to help develop the system.
Education: Schools, residency programs and other institutions that educate health
professionals will be contacted to identify opportunities to include office
interventions for tobacco-use cessation in medical, dental, nursing and other
health professional education curricula. Barriers will be identified, and
suggested ways to overcome them will be developed
Policy:A proposal will be developed and presented to Colorado CARE drafters to
make nicotine dependency treatment and counseling a covered benefit.
These activities will occur during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state and local staff; members of the
Executive Committee, Alliance Board and School Committee; local coalition
members, and volunteers recruited from colleges and universities, health-related
organizations and local community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress:reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers. :
Contract Deliverables
Appendix A summaries the:State Channel Objectives tasks, cost allocations for each
tasks, who will be responsible for each task, and specific timeframes for each task.
; i
24
931200
State Channel Objective:.By 1998.all public health facilities in Pnmaiy interven
tion cornim„�unities, both outpatient and inpatient, will have enforced smoke-
ree poll ies y d Y d ayx
ry
Intervention Strategies
The Colorado ASSIST Alliance will increase awareness of the importance of and
need for tobacco-free policies in public health facilities,and increase implementation
of policies in mental health facilities and drug and alcohol-treatment centers..
Year One Objectives
• By October 1994, all public health facilities in PICs will be encour-
aged to adopt clean indoor air policies that eliminate smoking inside
buildings.
Rationale and Base to Build On
The JCAHO mandate for smoke-free facilities impacts nearly all Colorado hospitals.
Community health clinics, local health departments, drug and alcohol treatment
programs and mental health facilities have a variety of policies that have not been
assessed. Drug, alcohol and mental health facilities tend to allow smoking indoors.
Enactment of local ordinances will impact health care facilities as public places and
work sites. The first intervention year will build support for stringent policies in
health care facilities and move toward policy enforcement in the following year.
Activities and Time Line
Recruitment:Health care facilities in the PIGS will be invited to join ASSIST.
Policy review:Hospital,health department and community clinic policies in the PICs
will be reviewed, and materials will be sent to facilities with the least
restrictive policies.
These activities will occur during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state staff; members of the Executive
Committee, Alliance Board and School Committee; local coalition members, and
25
„ _ 931290
volunteers recruited from colleges and universities, health-related organizations and
local community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task; who will be responsible for ea&task, and specific timeframes for each task.
26
9312,10
State Channel Objective: By 1998, pharmacists in primary intervention communi-
ties will be€€trained to provide patient education about smoking cessation.
Intervention Strategies
The Colorado ASSIST Alliance will recruit pharmacists in the PICs and provide
information to pharmacists on their role in tobacco prevention and cessation.
Year One Objectives
• By October 1994, training on the pharmacist's role in tobacco
prevention and cessation will be provided to members of the Colorado
Pharmacists Association attending the association's annual conference.
• By October 1994, pharmacies in Colorado that do not sell tobacco
will receive public recognition.
Rationale and Base to Build On
Pharmacists can reach tobacco users whose attempts to quit incorporate pharmaceuti-
cal treatments for nicotine dependency. Other populations can be reached through
passive education (signage, posters, brochures) in retail drug stores and grocery
stores.
Pharmacists can reinforce the health messages received in other facets of the health
care channel and can provide information regarding side effects and contraindications
for nicotine dependency drugs.
On the national level,pharmacists are increasingly involved in tobacco-use prevention
and cessation activities.
Activities and Time Line
Presentation:A nationally known speaker will be recruited, and arrangements will
be made to include the speaker on the annual conference agenda of the
Colorado Pharmacists Association.
Recognition:Pharmacies that do not sell tobacco will be identified, and an appropri-
ate form of public recognition will be developed and conferred.
These activities will occur during October 1993 through September 1994.
27
931200
Responsibility for Activities
The activities will be conducted by ASSIST state staff; members of the Executive
Committee, Alliance Board and School Committee; local coalition members, and
volunteers recruited from colleges and universities, health-related organizations and
local community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers,
Contract Deliverables
:
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each tack and specific timeframes for each task.
t.
28
931200
Community Groups
State Channel Objective. By 1998, involve community groups and organizations
that represent the priority populations and have broad-based statewide
reach in ASSIST activities. •
Intervention Strategies
The Colorado ASSIST Alliance will develop a recruitment strategy for groups and
organizations that reach adult smokers and youth in the PICs, with special emphasis
on groups that represent women, minorities, youth, and blue collar workers.
Year One Objectives
• B October 1994,community organizations will be recruited through
ASSIST exhibits and presentations at annual conferences.
• By October 1994, a template will be developed that communities •
can use to produce brochures on local.tobacco cessation resources.
♦ By October 1994, PIC coalitions will recruit community groups
through locally appropriate vehicles, including newsletters, speaker's
bureaus, presentations and other communications strategies.
Rationale and Base to Build On
Community groups are able to reach youth and adults who may be missed in other
channels, and such groups can reinforce the prevention messages received through
other channels. Community groups also have the power to advocate for public policy
changes, especially among target minority groups.
ASSIST boards and committees include members who represent virtually all major
health professional groups in Colorado and can recruit community groups through
their networks. Also, the ASSIST Community Groups Committee has the expertise
to develop an excellent community resources brochure for local adaptation.
In the PICs, existing networks — from farmer cooperatives to health department
community presentations —reach large numbers of people.These networks can serve
as effective vehicles for recruitment to ASSIST.
2,9
931290
Activities and Time Line
Presentations: Exhibit materials will be developed, including ASSIST and tobacco
poster displays. Target community groups will be identified and their confer-
ence schedules listed. Presentation topics will be identified and outlined.
Potential speaker's bureau members will be identified, recruited and trained.
A system will be devised for promoting and scheduling speakers.
Brochures:A template will be developed, reviewed by local ASSIST coalitions and
revised, and lorali7Pd for production by participating PICs.
These activities will occur during October 1993 through September 1994.
Responsibility for Activities
The activities will be conducted by ASSIST state staff; members of the Executive
Committee, Alliance Board and Community Group Committee; local coalition
members, and volunteers recruited from colleges and universities, health-related
organizations and local community groups.
The ASSIST project co-managers (CDH and ACS) will manage and monitor the
Annual Action Plan and present progress reports to the Alliance Board and the
Executive Committee. State and local staff will submit monthly reports to the project
co-managers.
Contract Deliverables
Appendix A summaries the State Channel Objectives tasks, cost allocations for each
task, who will be responsible for each task, and specific timeframes for each task.
•
30
9312",'0
APPENDIX A
CONTRACT DELIVERABI.RS
31
931290
CONTRACT DELIVERABLES
COMMUNITY ENVIRONMENT CHANNEL:
I. State Objective: By 1998 , substantially increase and
strengthen public support for state and local policies that
eliminate youth access to tobacco.
DELIVERABLES -
*Community Environment State Channel Advisory Committee and
field director staff will work with liquor enforcement and
alcohol/drug abuse authorities to develop a report outlining
regulatory enforcement and/or legislative enactment of measures,
consistent with the federal Synar Amendment, that curb illegal
tobacco sales to minors.
June, 1994
Cost: $500 (non-contractual)
*Community Environment State Channel Advisory Committee and.
field director staff will develop and provide two regional
trainings on uniform methods of tobacco sales assessments to
PICs.
December, 1993
Cost: $500 (non-contractual)
*Primary Intervention Communities (PICs) or local coalitions
will conduct three youth tobacco sales assessments.
June, 1994
Cost: $1500 (PICs contracts)
II. State Objective: By 1998, substantially increase and
strengthen public support for state and local policies that
increase economic incentives to discourage the use of tobacco
products.
DELIVERABLES -
*Community Environment State Channel Advisory Committee and
field director staff will conduct four educational presentations
to PIC coalitions regarding the need and current efforts to
increase tobacco taxes.
October, 1993
Cost: $200 (non-contractual)
*Community Environment State Channel Advisory Committee, the
Alliance Media Planning Subcommittee, and PICs will develop and
implement one statewide media educational plan advocating an
increase in tobacco taxes.
September, 1994
Cost: $200 (non-contractual)
$4500 (PICs contracts)
32
93121)0
Page 2
Contract Deliverables
III . State Objective: By 1998 , substantially increase and
strengthen public support for statewide and local policies that
ban advertising and promotion of tobacco from all possible
venues.
DELIVERABLES -
*Community Environment State Channel Advisory Committee, the
PICs, and field director staff will develop and present to PICs
two regional training workshops on strategies to assess tobacco
advertising and promotion.
September, 1994
Cost: $500 (non-contractual)
$250 (PICs contracts)
IV. State Objective: By 1998, substantially increase and
strengthen public support for policies in Primary Intervention
Communities that mandate clean indoor air.
DELIVERABLES -
*Community Environment State Channel Advisory Committee and
field director staff will establish a directory of model
ordinances and provide technical assistance to PICs.
January, 1994
•
Cost: $500 (non-contractual)
*Five PICs will conduct educational campaigns on clean
indoor air.
September, 1994
Cost: $7000 (PICs contracts)
V. State Objective: By 1998, cues and messages supporting non-
smoking will have increased and pro-smoking cues and messages
will have decreased in Primary Intervention Communities.
DELIVERABLES -
*Two PICs will arrange for public recognition of 10
retailers and restaurants owners who display pro health messages
in their businesses.
August, 1994
Cost: $1500 (PICs contracts)
*Two PICs will prepare and deliver educational packets and
conduct presentations on cues & messages for health promotion,
not tobacco promotion to 10 retailers in their communities.
September, 1994
Cost: $2500 (PICs contracts)
33
931210
Page 3
Contract Deliverables
WORK SITE CHANNEL:
I. State Objective: By 1998 , increase to at least 75 percent the
proportion of work sites in primary intervention communities with
formal smoking policies that prohibit or severely restrict
smoking at the workplace.
DELIVERABLES -
*Work Site State Channel Advisory Committee and field
director staff will provide one model community smoking
ordinances and workplace smoking policies to 10 Colorado
businesses.
July, 1994
Cost: $1000 (non-contractual)
*Work Site State Channel Advisory Committee, PICs and field
director staff will conduct 3 presentations to Colorado business
organizations on the benefits of smoke-free workplaces and
strategies to achieve them.
September, 1994
Cost: $6000 (non-contractual) •
$6500 (PICs contracts)
II. State Objective: By 1998, work sites reaching major target
populations in primary intervention communities will adopt and
maintain a tobacco use cessation focus.
DELIVERABLES -
*Work Site State Channel Advisory Committee, PICs and field
director staff will conduct 3 presentations to Colorado
businesses on the benefits of offering tobacco use cessation
services to their employees and the resources available for them
to accomplish this.
September, 1994
Cost: $2000 (non-contractual)
$ 500 (PICs contracts)
SCHOOL CHANNEL:
I. State Objective: By 1998, 100 percent of schools in primary
intervention communities, serving grades K through 12 including
public vocational/technical/trade schools, will be tobacco-free.
DELIVERABLES -
*School State Channel Advisory Committee and field director
staff will prepare and distribute materials on ETS in the home
and distribute through four youth related organizations .
August, 1994
Cost: $500 (non-contractual)
34
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Page 4
Contract Deliverables
*School State Channel Advisory Committee and Colorado
Tobacco Free Schools and Communities (CTFSC) will conduct 2
Tobacco-Free School District Policy Strategy Training for the
Colorado PICs.
December, 1993
Cost: $20,000 (CTFSC contract)
*Four PICs-with technical assistance from CTFSC-will develop
list of strategies to maintain, strengthen, and initiate school
district tobacco-free campuses.
March, 1994
Cost: $12,000 (PICs and CTFSC contracts)
*Four PICs will implement and provide quarterly reports on
their activation of tobacco-free campus strategies.
June, 1994
Cost: $1000 (PICs contracts)
II. State Objective: By 1998, 100 percent of schools in primary
intervention communities, serving grades K through 12, will offer
comprehensive school health education incorporating tested,
efficacious tobacco-use prevention.
DELIVERABLES -
*School State Channel Advisory Committee and field director
staff will develop a report on the extent of comprehensive school
health including tobacco use prevention and control components in
6 of the PICs.
June, 1994
Cost: $2000 (non-contractual)
*Two PICs will develop a report on strategies to promote
tobacco use prevention component in comprehensive school health
education curriculums in the PICs.
June, 1994
Cost: $2500 (PICs contracts)
*School State Channel Advisory Committee and field director
staff will distribute resource information on tobacco use control
and prevention materials to teachers in 6 Colorado school
districts.
September, 1994
Cost: $2000 (non-contractual)
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Page 5
Contract Deliverables
HEALTH CARE CHANNEL:
I. State Objective: By 1998, at least 75% of primary medical and
dental care providers in primary intervention communities will
routinely advise cessation and provide assistance and follow-up
for all of their tobacco using patients.
DELIVERABLES -
*NCI trainers and other cessation trainers/presenters will
be identified in Colorado and the Health, Care Channel
Advisory Committee, PICs, and field director staff will conduct 4
regional trainings/presentations for. primary care health care
providers and medical students. ;; :J
June, 1994
Cost: $5650 (non-contractual)'
$6800 (PICs contracts)
II. State Objectives: By 1998, all public health facilities in
primary intervention communities, both outpatient and inpatient,
will have enforced smoke-free policies.
DELIVERABLES -
*Health Care State Channel Advisory Committee, PICs, and .
field director staff will review the Colorado Hospital
Association, County .Health Departments, and Community Health
Clinics- existing tobacco-free policies 'and prepare and distribute
a report on how to improve weak policies.
June, 1994
Cost: $1200 (non-contractual)
$ 300 (PICs contracts)
III. State Objectives: By 1998, pharmacists in primary
intervention communities will be trained to provide patient
education about smoking cessation.
DELIVERABLES -
*Health Care State Channel Advisory Committee and field
director staff will conduct one presentation on tobacco use
cessation counseling opportunities to be delivered to pharmacists
attending the Colorado Pharmacists Association's annual
conference.
June, 1994
Cost: $2000 (non-contractual
36
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Page 6
Contract Deliverables
COMMUNITY GROUPS CHANNEL:
I. State Objective: By 1998, involve community groups and
organizations that represent the priority populations and have
broad-based statewide reach in ASSIST activities.
DELIVERABLES -
*Community Groups State Channel Advisory Committee and field
director staff will develop one package of marketing/promotional
ASSIST material to recruit community groups and organizations.
December, 1993
Cost: $3500 (non-contractual)
*PICs and the Alliance Board will develop and deliver 20
recruitment presentations across the state to targeted community
groups.
June, 1994
Cost: $4200 (PICs contracts)
. *Community Groups State Channel Advisory Committee and field
director staff will develop one tobacco use cessation resource
directory template for PICs to be used as a model for local
directories.
December, 1993
Cost: $300 (non-contractual)
37
931290
mEmORAnDUm
7c Constance L. Harbert,mm Chairman
r
Board of County Commissioners Date November 17, 19 3
John S. Pickle, Director, Weld County Health Dep
COLORADO From
ASSIST Contract
Subject:
Attached for your review is a copy of the current contract for ASSIST Tobacco Use
Prevention Project funds from the Colorado Department of Health. This contract
awards $20,000 over a 10 month period beginning December 1, 1993 and ending
September 30, 1994.
These funds will allow the department to work towards our goal of reducing
chronic disease and tobacco related morbidity and mortality through:
1. Supporting implementation of the Weld District 6 tobacco free schools
Policy.
2. Assessment of prevalence of tobacco sales to minors.
3. Training health care providers to facilitate smoking cessation among their
patients.
4. Review of Greeley's clean indoor air ordinance in light of the EPA's report
on the health effects of second hand smoke.
We would appreciate your approval of this contract.
93120G
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