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Home My WebLink About20252774.tiffResolution Approve Local Public Health Agency (LPHA) Chronic Disease Pilot Mini -Application Pursuant to 2026 State Tobacco Education, Prevention, and Cessation Grants Program (STEPP) and Authorize Department of Public Health and Environment to Submit Electronically Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and Whereas, the Board has been presented with a Local Public Health Agency (LPHA) Chronic Disease Pilot Mini -Application pursuant to the 2026 State Tobacco Education, Prevention, and Cessation Grants Program (STEPP) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, to the Colorado Department of Public Health and Environment, with further terms and conditions being as stated in said application, and Whereas, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. Now, therefore, be it resolved by the Board of County Commissioners of Weld County, Colorado, that the Local Public Health Agency (LPHA) Chronic Disease Pilot Mini -Application pursuant to the 2026 State Tobacco Education, Prevention, and Cessation Grants Program (STEPP) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, to the Colorado Department of Public Health and Environment, be, and hereby is, approved. Be it further resolved by the Board that the Olivia Egen, Department of Public Health and Environment, be, and hereby is, authorized to electronically submit said application. Cc:HL(6FIz C/Off). Ac-rC RWICD,) 1b\aCt 2025-2774 HL0058 Local Public Health Agency (LPHA) Chronic Disease Pilot Mini- Application Pursuant to 2026 State Tobacco Education, Prevention, and Cessation Grants Program (STEPP) Page 2 The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 13th day of October, A.D., 2025: Perry L. Buck, Chair: Aye Scott K. James, Pro-Tem: Excused Jason S. Maxey: Aye Lynette Peppier: Aye Kevin D. Ross: Aye Approved as to Form: Bruce Barker, County Attorney Attest: Esther E. Gesick, Clerk to the Board 2025-2774 HL0058 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: FY 26 LPHA Chronic Disease Pilot Application DEPARTMENT: WCDPHE — Community Health Division PERSON REQUESTING: Jason Chessher, WCDPHE Executive Director DATE: October 1, 2025 Brief description of the problem/issue: To request the Board's approval to submit a grant application to the Colorado Department of Public Health (CDPHE) for the FY26 Chronic Disease Pilot. Part time Community Health Workers (CHWs) area foundational part of the department's chronic disease prevention outreach and funding for CHWs lapses in 2026. The goal of this grant application is to provide continued funding for CHWs beyond 2027 to maintain support for chronic disease prevention outreach. What options exist for the Board? The Board can approve or decline the proposal for grant funding. Consequences: Approval of this grant proposal will allow the Health Department to seek funding to reduce chronic diseases in Weld County and provide an avenue to retain CHWs after current funding ends in 2026. Impacts: Declining the grant proposal would limit funding for chronic disease prevention and management programming and may prevent the continuation of the CHW Program when current funding ends. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): No associated county cost. $500,000 (maximum) to be requested for program planning and subsequent implementation with no additional FTE (over 3 -year grant). If grant funds are awarded, the pilot will begin no sooner than Jan. 2026 and run through June 30, 2028. Recommendation: I recommend approval to place this item on a future Board agenda for formal consideration. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Jason S. Maxey Lynette Peppier Kevin D. Ross 7/0 2025-2774 io/13 HLODSZ Google Form: FY 26 LPHA Chronic Disease Pilot Interest and Mini -Application Form for LPHA (All final applications must be submitted through the Google Form). Section 1 1. Email address oegen@weld.gov 2. What is the name of your agency? Weld County Department of Public Health and Environment 3. Who can CDPHE contact with any questions about the information in this form and the next steps? Please include name, job title, email and phone number. Olivia Egen, Public Health Initiatives Manager, oegen(cr�weld.gov, 970-400-2387 4. Does your agency currently receive STEPP funding? At this time, Chronic Disease funding is only available for agencies already receiving STEPP funding. Yes 5. Is your agency interested in receiving additional funding for the Chronic Disease work? Proposed FY26 Phase 1 LPHA Chronic Disease funding amounts (opens PDF) are outlined in the linked document. Phase 1 funding will be awarded for agencies for capacity building activities and to identify strategies listed in the framework that are most needed in LPHA's service area. LPHAs will have an opportunity to request funding for strategy -specific work in Phase 2. Cross-jurisdictional/multi-agency collaborations are encouraged. Yes 6. Does your agency intend to apply as part of a cross-jurisdictional/multi- agency collaborative (multiple agencies working together under the same contract)? Please note, at this time, agencies will not be receiving any additional or administrative financial incentives for participating in a collaboration. No Section 2 Project Narrative: 7. Based on the stated 2030 Chronic Disease State Plan, please briefly describe the following in 300 words or less • Your current agency and program infrastructure and capacity • Your agency's current funding, if any, to implement chronic disease capacity -building activities, including the Chronic Disease Community Assessment process and chronic disease strategies included in the LPHA Chronic Disease Framework. * LPHA can use Phase 1 funding to build agency infrastructure to support chronic disease work. • Is chronic disease work currently being funded by other sources (CCPD or other)? • Is chronic disease work part of your Public Health Improvement Plan? • Does your agency and program plan to hire and retain chronic disease staff? Weld County Department of Public Health and Environment (WCDPHE) is organized into four divisions: • Administration & Finance • Environmental Health • Community Health • Public Health Services The department is overseen by an Executive Director, appointed by the Board of County Commissioners. With approximately 100 employees and an annual budget of $15 million, WCDPHE is a moderately sized LPHA. Within the Community Health division there are several programs that have the infrastructure, knowledge, and skills needed to implement chronic disease capacity building strategies and the 1-3-4-50 Framework. WCDPHE's Data Team that can support the completion of the Chronic Disease Community Assessment, and all health educators have experience with developing community partnerships and in health education and promotion (for their focus area). While there are some current positions which can assist in implementing the capacity -building activities (i.e. Data Team and Healthy Eating Active Living (HEAL) Coordinator) additional funding is needed to fully implement strategies to build community capacity, change social norms, and foster community readiness. WCDPHE does have some external funding for chronic disease work through the CDC Infrastructure Grant funding. However, WCDPHE's CDC Infrastructure payments from CDPHE will end in June 2026. Therefore, WCDPHE would use funds from the Pilot to hire and retain chronic disease staff. Currently, chronic disease work is not part of the Community Health Improvement Plan (CHIP) for Weld County. However, we will be starting the process to develop a new CHIP in 2026 and chronic diseases may, once again, be a focus. Prior CHIPs identified chronic disease and associated risk factors as priority areas and WCDPHE and Thriving Weld (Weld County's health -related community coalition) implemented and continues to implement HEAL strategies. WCDPHE's program infrastructure and capacity along with current programs that align with state -level goals, make us well-equipped to advance chronic disease prevention and management efforts. 8. What specific capacity -building needs, aside from funding, do you anticipate for your agency to participate successfully in Phase 1: Capacity Building? To successfully participate in the Phase 1 capacity building strategies, we will likely need additional resources such as effective media strategies to increase education and connection to resources for different population groups, support to expand capacity for community -clinical linkages, training for culturally competent programming to reduce chronic diseases, and program evaluation assistance. 9. Are there particular chronic disease strategies that your agency is interested in working on in Phase 2? CDPHE understands that this information could change based on the data assessment process and plans to use this information for our internal planning purposes. Healthcare Access Physical Activity Access Breastfeeding Cardiovascular Disease: Education and/or Access to Programming Access to Diabetes Programming Community -Clinical Linkages Section 3: Use the scale below to indicate your team's confidence and comfort level working in each of the following strategic goal areas. confidence/comfort level: Low = 1 High = 5 Education: Educate the community about the importance of programs and policies that influence chronic disease and reduce health disparities. 5 Data: Complete the Chronic Disease Community Assessment process to determine strategy -specific work in Phase 2. 5 Community Partnerships: Engage with your community and build partnerships that advance chronic disease prevention and management efforts. 4 Health,Promotion: Promote chronic disease interventions and treatment options. 5 Internal expertise: Build and maintain internal team or staff expertise in chronic disease prevention and management, and deepen an understanding of the root causes of chronic conditions. 5 Funding Requirements: Comply with applicable grant administration duties, including progress reporting. 5 Section 4: CDPHE would like to have a better understanding of your agency's data/epidemiology capacity for the Chronic Disease Community Assessment work in this project. In the following section, use the scale below to indicate your confidence, comfort level or experience with data/epi work. 10. How would you describe your agency's current data/epidemiology capacity to perform the assessment work needed for the LPHA Chronic Disease Assessment? Select only one option that most closely matches your agency capacity. We currently have staff within our agency who have the skills to do the data and epidemiology work needed for this project. 11. For any of your assessment work, past or present, which kinds of data/epidemiology resources did your agency use to complete the work? Past assessment work includes the CO Health Assessment and Planning System (CHAPS) with OPHP, community hospital assessment work, maternal and child health assessments, etc. Check all that apply Data from CDPHE websites (CoHID, CO Health Indicators, VISION, etc) Data from external websites Data collected in the community (qualitative and/or quantitative) Contractors Academic partners (students, interns, partnerships with classes) CDPHE OPHP staff and guidance resources Data from other assessments (MCH, CTC, hospital, environmental, etc) 12. Which of the following best describes the experience your agency has working with chronic disease data: Select only one option that most closely matches your agency capacity. Our agency currently has staff who regularly work with chronic disease data. 10/9/25, 1:21 PM FY26 LPHA Chronic Disease Pilot Mini -Application I Colorado Department of Public Health and Environment Select Language TM Home (/), FY26 LPHA Chronic Disease Pilot Mini -Application COLORADO Department of Public Health £t Environment FY26 LPHA Chronic Disease Pilot Mini Application Smoking and tobacco Quit tobacco Secondhand smoke (/smoking-and-tobacco/secondhand-smoke) Prenatal smoking cessation resources for health care providers (/smoking-and-tobacco/prenatal-smoking-cessation-resources-for- health-care-providers) For health care providers treating tobacco use (/smoking-and-tobacco/resources-for-health-care-providers-treating-tobacco-use) Resources for health care providers treating tobacco use (/smoking-and-tobacco/resources-for-health-care-providers-treating- tobacco-use) Tobacco education, prevention and cessation grant program About Amendment 35 (/prevention-and-wellness/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant-0) Amendment 35 funding opportunities (/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant- program/amendment-35-funding) Tobacco funding opportunities FY26 LPHA Chronic Disease Pilot Mini -Application (/smoking-and-tobacco/tobacco-education-prevention-and-cessation- grant-program /tobacco-funding/fy26) RFA #48964768 FY27-29 State and Community Tobacco Interventions (/smoking-and-tobacco/tobacco-education-prevention- 1/5 10/9/25, 1:21 PM FY26 LPHA Chronic Disease Pilot Mini -Application I Colorado Department of Public Health and Environment and -cessation -grant -program /tobacco -funding/ rfa) Tobacco Grant Program Review Committee (/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant- program / tobacco -grant -program ) Tobacco Grant Program: Cessation and health systems change (/smoking-and-tobacco/tobacco-education-prevention-and- cessation-grant- program / tobacco -grant -0) Tobacco policy (/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant-program /tobacco- policy) Tobacco data and reports (/smoking-and-tobacco/tobacco-data-and-reports) Tobacco Free Colorado (https://www.tobaccofreeco.org/) Ordering platform for anti -tobacco education and cessation services (/ordering -platform -for -anti -tobacco -education -and -cessation - services) Prevention and wellness (/health/prevention-and-wellness) FY26 LPHA Chronic Disease Pilot Mini -Application Announcement On September 11, 2025, the State Tobacco Education, Prevention, and Cessation Grants Program (STEPP) at the Colorado Department of Public Health and Environment (CDPHE), Prevention Services Division, released its mini -application for the Local Public Health Agencies Chronic Disease Pilot. The intent of this non-competitive mini -application process is for CDPHE to identify Local Public Health Agencies (LPHA) interested in piloting the LPHA Chronic Disease capacity building and evidence -based strategies outlined in the LPHA Chronic Disease Framework (https: / /drive.goog,e.com/file/d/ 1,keWDSQLUscFh 8PGwvOGHCgTgV41 nT8/view) (opens PDF). Agencies will focus on implementing the Capacity Building Strategies and identifying evidence -based strategies listed in the framework that are most needed in the LPHA's service area during the Phase 1 funding. LPHAs will have an opportunity to request funding for strategy -specific work in Phase 2. Some examples of expected activities are: 1. Build positive rapport and engage with formal and informal community leaders and residents to inform/educate on the importance of chronic disease prevention and the programs available. Build partnerships that advance chronic disease prevention and management efforts. 2. Utilize population health data to develop and monitor program goals, improve health outcomes, and advance community health indicators. 3. Provide education that supports changes to and adoption of policies and program initiatives in a variety of organizations, schools/districts, city, or county settings. Promote chronic disease intervention and treatment options (e.g., screening, blood pressure management). Funding and Duration of Grants CDPHE anticipates awarding grants for a three-year grant period and reserves the option to shorten or extend awards. All annual renewals are contingent upon grantee performance, availability of funds, and Tobacco Review Committee (TRC) and Board of Health recommendations and approvals. CDPHE reserves the right to modify funding as deemed appropriate. Additional funds may be made available over time and may result in increased or additional awards. All funded agencies will be required to implement capacity -building strategies with Phase 1 funding. Please refer to the 6 -month totals column in the Proposed FY26 Phase 1 LPHA Chronic Disease for reference when determining funding amounts for Phase 1. Please note that current STEPP-funded cross -jurisdictional collaborations are assumed for proposed funding amounts. Information will be updated based on the applications received. Funding is subject to annual appropriations by the Colorado General Assembly https://cdphe.colorado.gov/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant-program/tobacco-funding/fy26 2/5 10/9/25, 1 21 PM FY26 LPHA Chronic Disease Pilot Mini -Application I Colorado Department of Public Health and Environment and approval by the Colorado Board of Health ,(BOH) Absent a significant change in state economic circumstances, applicants can expect level funding for each year of the funding period • Proposed FY26 Phase 1 LPHA Chronic Disease funding amounts (https //drive google com/file/d/1dLWGNrV41 IHsuAoT9R- HM )Ho1n8ut5/view) (PDF) Submission Information This application process will assist CDPHE in program planning, identifying needed resources, and ensuring that adequate support and technical assistance are available to support funded Local Public Health Agencies Executive directors are strongly encouraged to work collaboratively with program staff on completing the mini -application Please complete the following 1 Submit a Letter of interest to cdphe hpcdp®state co us (mailto cdphe hpcdp®state co us) no later than 5 p m MDT on September 30, 2025 2 Download, make a copy, complete, and submit the Contact Form (https //drive google com/file/d/1U3MXUX3e cblPL loX5Fc- 7o7mvM4UWK/view?usp=shanng) (PDF) 3 Complete and submit the Google Application Form (https //docs google com/forms/d/e/1FAIpQLScGJ60rk 3ZyTiJY82 GcHAp8ipLHlgI3UO7ThPhbDe kyW5g/viewform) 4 For the lead agencies of cross -jurisdictional collaborations only a Letters of support from participating agencies Submission Deadline • Submit a Letter of interest to cdphe hpcdp@state co us (mailto cdphe hpcdp®state co us) no later than 5 p.m. MDT on September 30, 2025 • All application materials, including the Google Form, should be submitted no later than 5 p m. MDT on October 17, 2025 • The Contact Form and any letters of support should be submitted separately as a PDF to cdphe hpcdp®state co us (mailto cdphe hpcdp@state co us) o Please include Your Agency Name_Chronic Disease Pilot, in the email subject line Additional Information For additional information, please refer to Additional Information for FY26 LPHA Chronic Disease Pilot Applicants (https //docs google com/document/d/10 DxTXaJEpy2g9tj1KF hR uablw2AZshxkZJvrUjcc/editntab=t 0) (Google Doc) All LPHA Chronic Disease Pilot application materials are available on the STEPP Funding Opportunities webpage (https //cdphe colorado gov/smoking-and- tobacco/tobacco-education-prevention-and-cessation-grant pragram/tobacco-funding) Additional Questions If applicants have additional questions, please submit them to cdphe hpcdp®state co us (mailto cdphe hpcdp®state co us) Please include LPHA Chronic Disease Pilot in the subject line of the email Answers to application questions will be posted online and can also be found on the STEPP Funding Opportunities webpage The document will be updated weekly on Fridays, from October 3 through October 10, 2025 • LPHA Chronic Disease Pilot Answers to Questions Received (https //docs google com/document/d/1kvGE9dlXXGSi6oYYSSVEWrnrPCWcr7j9JsfzW27X-Bs/edititab=t 0) (Google Doc) https //cdphe colorado gov/smoking-and-tobacco/tobacco-education-prevention-and-cessation-grant-program/tobacco-funding/fy26 3/5 10/9/25, 1:21 PM FY26 LPHA Chronic Disease Pilot Mini -Application I Colorado Department of Public Health and Environment 4300 Cherry Creek S Dr we View larger map r • see Ave oDI Ave 6'O CO E Alameda Ave Target , d� Sams No. 3 Glendale O o ws' Z O. o O ..1_ BELCARO �o 0Four Mite' ait n Historic Park The Horne Depot . � 1 Barnes & Noble Ad. 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LPHA Chronic Disease Framework Section One: Overview The Colorado Department of Public Health and Environment (CDPHE) developed this Chronic Disease (CD) Framework for Local Public Health Agencies (LPHA) that includes a menu of evidence -based chronic disease interventions and strategies based on the 1-3-4-50 Chronic Disease Framework in CDPHE's Chronic Disease State Plan 2022-2030 (opens webpage). Those who live with chronic conditions are often blamed out of a belief that they have made poor choices or failed to exercise self-control. These assumptions miss that place matters in shaping our choices, the resources available to us, and our opportunities to be healthy. To blame individuals ignores the factors created by history and embedded within community environments. This framework widens the focus from changing individual behavior to making communities healthier for all. By increasing opportunities for everyone to be healthy in the places where we live, learn, work, play, and age, we can reduce the prevalence of risk factors and chronic diseases; lessen the stigma of living with them; and make a tong, healthier life available to every Coloradan. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 1 of 22 CDPHE acknowledges that generations -long social, economic, and environmental injustices produce adverse and inequitable health outcomes. They affect communities differently and can influence health outcomes more than an individual's choices or access to healthcare. Reducing health disparities through policies, practices, and organizational systems changes can help improve opportunities for all Coloradans. • Local Public Health Agencies receive Core, non-competitive Tobacco Amendment 35 funding for capacity -building activities and evidence -based strategies to eliminate tobacco -related disparities and carry out the STEPP 2030 Strategic Plan (opens PDF). The additional Proposition EE funding to LPHAs provides the opportunity to approach core public health services, specifically related to tobacco and chronic disease work, more comprehensively across the 1-3-4-50 Chronic Disease Framework. Those funded to address the chronic disease burden will align and coordinate with their funded efforts from the State Tobacco Education and Prevention Partnership (STEPP). The Chronic Disease Framework is based on STEPP's Commercial Tobacco Framework (opens PDF). ♦ Tobacco, in this document, refers specifically to the use of manufactured, commercial tobacco products and not the sacred, medicinal, and traditional use of tobacco by American Indian people and other groups. The strategies in this document outline evidence -based work to address chronic disease through policy, systems, and environmental change. Each community will select and address what is most needed in their community. Proposition EE funding doesn't have a separate statutory framework, new processes, or criteria for distributing these new funds, but rather is integrated with the education, prevention, and cessation grants program described in CRS 25-3.5-805, which requires compliance with the terms of the existing statutory scheme. DRAFT Pilot Timeline and Logistics CDPHE is working on the next steps of implementation and will share additional details as they become available. CDPHE will select a group of LPHAs to pilot the Chronic Disease Framework. Selected LPHAs will pilot the Capacity Building Strategies, and up to two Additional Strategies outlined in this document, based on funding level. All grantees will conduct the Capacity LPHA Chronic Disease Framework - June 2025 (Version 1) Page 2 of 22 Building Strategies described later in this document. The pilot wilt begin no sooner than Fall 2025 (State Fiscal Year 2026 (July 1, 2025 - June 30, 2026)). As part of Capacity Building, LPHAs will implement a Chronic Disease Community Assessment Process. CDPHE will then support grantees in developing an annual Implementation Plan that reflects planned pilot work based on their assessment findings. If, during the pilot, Chronic Disease work is included as a part of the existing STEPP contract with CDPHE, a distinct Implementation Plan for Chronic Disease wilt be created to address this expanded work. LPHAs receiving funding for the Chronic Disease pilot must coordinate with those working on the Commercial Tobacco Framework to align efforts for chronic disease prevention. Chronic Disease Community Assessment Process LPHAs will be required to complete a Chronic Disease Community Assessment. This process wilt help assess needs, opportunities, readiness, and community support for addressing the chronic disease burden in their area. To prevent duplication of efforts, LPHAs can access data and resources from their Colorado Health Assessment and Planning System (CHAPS) process or other recent data -gathering and analysis efforts in their county or region. The assessment will also ensure that interventions are chosen with community(ies) considerations and that local needs are addressed. This process will help your team utilize local resources, including identifying and partnering with priority populations and the organizations that serve them. Through this process, you'll collect new information, analyze existing data, and select evidence -based interventions and strategies based on agency capacity and community readiness. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 3 of 22 Access the Assessment Tool and Instructions (opens link to create a spreadsheet copy) View Only Version (opens link to spreadsheet) Capacity Building Strategies Requirement The Capacity Building Strategies serve as the building blocks for addressing Chronic Disease for funded LPHAs. They are outlined in Section Two below. Grantees wilt decide how to approach this work based on community readiness, need, and input. Each of these capacity -building strategies is required for all grantees. However, the approaches and activities to address these will vary based on their community. Example approaches and activities are included to help LPHAs consider what types of work might be addressed. These activities may be linked to the strategy(ies), setting(s), and priority populations identified during the assessment process. They may build and enhance the existing efforts already being conducted within the community(ies) they serve. These strategies and activities wilt help build community capacity, change social norms, and foster community readiness and support for Chronic Disease Prevention and Management. They should serve as a starting point to identify community -driven interventions to address the chronic disease burden. Support for Pilot Agencies LPHAs funded for the pilot should decide how to approach this work based on community readiness, needs, and input. This work will build community capacity, change social norms, and foster community readiness. Sal * We're here to help! CDPHE will provide resources and technical assistance to those in the pilot to learn about effective approaches together. Each pilot location wilt have a project contact person. The pilot group will convene through the pilot to share learnings, concerns, questions, and provide feedback. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 4 of 22 Section Two: Capacity Building Strategies Grantees should decide how to approach this Capacity Building work based on community readiness, need, and input. These strategies will help build community capacity, change social norms, and foster community readiness and support for Chronic Disease Prevention and Management. These six strategies should serve as a starting point to identify community -driven interventions needed to address the chronic disease burden. NOTE: These strategies mirror capacity -building activities found in STEPP's Commercial Tobacco Framework (opens PDF). Required Capacity Building Strategies Strategy 1 - Educate Community: Educate the community about the importance of programs and policies that influence chronic disease and reduce health disparities. Example Approaches/Actions: 0 Educate the community about: 1) the value of public health and the role of public health in addressing chronic disease, 2) the importance of chronic disease prevention and the programs available, and 3) the importance of policies that influence chronic diseases and reduce health disparities. Engage community members, healthcare providers, and local leaders to raise awareness about the role of policies in preventing chronic diseases like heart disease, diabetes, obesity, cancer, or Chronic Obstructive Pulmonary Disease (COPD ). Provide community education based on local needs, such as: In -person presentations, meetings, and community events, Earned media (e.g., letters to the editor, editorials, radio or television interviews), Digital storytelling, photovoice, or other participatory media, Paid media (e.g., radio, print ads) - funding dependent. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 5 of 22 Collect information and share data to demonstrate how policies that support increasing access to healthy food, improving physical activity opportunities, utilizing diabetes and cardiovascular disease prevention and management programs, and regulating harmful substances can reduce health disparities. Provide resources and training to ensure communities can actively participate in advocacy efforts that address chronic disease prevention and health disparities effectively. Involve community members in the development of communication and outreach strategies to ensure cultural relevance and effectiveness. Community education activities should be ongoing throughout the grant period. Encourage the adoption of standards like the Culturally and Linguistically Appropriate Services (CLAS) guidelines within agencies and with partner groups. Strategy 2 - Data: Encourage, promote, and advocate for participation in state and local data collection to gather critical information and build staff capacity to use local data to communicate health disparities. Example Approaches/Actions: Complete the Chronic Disease Community Assessment process to determine Additional Strategies and other local needs. Educate LPHA staff on available local data sources and build staff capacity to understand, analyze, and share data results. Utilize data tools such as Colorado EnviroScreen, health data (i.e., COHID, D, VISION, HKCS, BRFSS, etc.), and geographic information systems (GIS) to identify needs within communities and understand the relationship between health and neighborhood conditions. Engage community members, leaders, and decision -makers to raise awareness about the importance of data collection and its role in identifying health disparities. Use local data to communicate about health disparities and their root causes. Provide education and resources to help communities understand and use data to influence policies that address chronic disease and health inequities. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 6 of 22 Strategy 3 - Community Partnerships: Engage with your community, support and/or lead coalitions, and build partnerships that advance chronic disease prevention and management efforts. Example Approaches/Actions: Engage with communities to build partnerships that advance understanding and action on chronic disease prevention and management. Engage with community members, leaders, and decision -makers to identify effective, evidence -based strategies that address chronic disease. Collaborate with, but not limited to, community members, healthcare providers, local organizations and governments, diverse stakeholders such as non -profits, municipal leaders/city councils, zoning/planning departments, local employers and businesses, libraries, mental health providers, regional health connectors, community health workers, faith -based organizations, etc. to raise awareness about the risk factors and impact of chronic diseases, and to create and implement policies that address these key factors. Collect information, share resources, and promote evidence -based practices to prevent and manage chronic conditions like diabetes, cardiovascular disease (high blood pressure, high cholesterol), and obesity. Provide education and training to empower community members to take an active role in advocating for policies and initiatives that improve chronic disease outcomes in their neighborhoods. Facilitate community -driven conversations and partnerships, collect information to understand local health challenges, and promote the most relevant policies and practices. Provide assistance and other resources to communities for projects focused on chronic disease prevention and management, through micro -grant programs, volunteering, workshops, and mentorship. Work with partners to address stigma related to accessing needed resources or support for chronic disease prevention and management, including associated mental health needs, social isolation, and hesitation with seeking care. Advocate for the use of interpreters, bilingual staff, and culturally tailored outreach to improve communication and foster trust within the community. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 7 of 22 1 _ Strategy 4 - Promote Chronic Disease Intervention and Treatment Options: Promote chronic disease prevention and management options (e.g., screening, blood pressure management). Example Approaches/Actions: �• Learn about chronic disease prevention and management strategies and existing resources in the community. Promote chronic disease prevention and management strategies and help people find culturally relevant intervention and treatment options. • Promote and normalize seeking preventive care, such as breast, cervical, colorectal, and lung cancer screening, blood pressure and cholesterol checks, and diabetes prevention lifestyle change programs. Promote chronic disease interventions and treatment, provide resource and benefit information, and offer referrals to evidence -based treatments. Community members are more likely to use treatment services that are recommended to them by trusted members of their own community. Serve as a trusted resource for community members, increasing awareness of chronic disease preventative screenings, disease management, and treatment options, and linking individuals to existing resources. Identify outreach and messaging strategies that will work best in your community. Grantees will not be expected to provide formal training or deliver direct treatment services. The goal is to create culturally appropriate networks of information and referral support for those not currently accessing existing tobacco or other chronic disease treatment services. Learn how to create connections and referral relationships between clinics and community -based organizations that can provide social supports and chronic disease prevention and management programming. Strategy 5 - Internal Expertise: Build and maintain internal team or staff expertise in chronic disease prevention and management, and deepen an understanding of the root causes of chronic conditions. Example Approaches/Actions: Is Hire and/or train staff. Build and maintain internal team expertise to deepen the understanding of the root causes of chronic conditions. Consider staffing needs for selected efforts. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 8 of 22 Participate in training and professional development for staff to enhance their knowledge of chronic disease prevention, management, and the social determinants of health, and build skills to address and implement chronic disease strategies (using data, engaging community, social norming campaigns, etc Provide information to stay updated on the latest research, trends, and best practices related to chronic conditions. Foster a culture of continuous learning and cross -department collaboration to address the factors contributing to chronic diseases. Strategy 6 - Funding Requirements: Comply with applicable grant administration duties, including progress reporting and implementation of the evaluation plan for the Chronic Disease Framework. Example Approaches/Actions: Ensure timely and accurate reporting on grant -funded activities, tracking progress toward achieving chronic disease prevention and management goals. Adhere to all reporting guidelines, provide updates on outcomes, and work withfunders to ensure that the evaluation plan is executed effectively. a- apt . .0 - •.-a • r 1 _ASR' a z��'fr?'. _ h LPHA Chronic Disease Framework - June 2025 (Version 1) Page 9 of 22 Section Three: Additional Strategies, Based on Needs Based on the local Chronic Disease Community Assessment Process and needs identified during Capacity Building, LPHAs will be able to select a small number of additional strategies to implement. Funding for these additional strategies will depend on community size and other factors. These strategies are themed to align with the 1-3-4-50 Framework (opens PDF). Those in the pilot will select appropriate strategies, which could be across different themes. Theme: Social Determinants of Health Strategies Each Person's Lived Experience Shapes Behaviors and Disease Risk: Lived Experiences and the Social Determinants of Health include Physical Environment and Healthcare Access Strategy 7 - Physical Environments: Promote access to stable and healthy housing, nutritious food, and safe and connected neighborhoods. Example Approaches/Actions: Educate communities about the importance of Healthy Housing initiatives, including smoke -free housing, radon testing, asthma home assessments, and lead testing. Work with community members and decision -makers, conduct research, and promote effective practices to improve housing conditions that protect health. Learn about and conduct community outreach strategies for air quality mitigation education, community -level policies for air quality, extreme heat mitigation education, and guidance on protective measures for vulnerable populations. Partner across sectors and with community coalitions to address SDOH through policy and environmental change (e.g., safe, stable housing, parks, transportation, food access, alcohol outlet density, access to mental health resources) . LPHA Chronic Disease Framework - June 2025 (Version 1) Page 10 of 22 Educate and promote the adoption of neighborhood and built environment land use and transportation policies to increase access to parks, transportation, and healthy foods close to home. Provide education and resources to help communities implement and enforce policies that ensure safe, connected, and healthy living environments for all residents. Strategy 8 - Healthcare Access: Increase access to comprehensive, high -quality healthcare and preventative services. Example Approaches/Actions: Educate communities and health systems about the value of the health navigation, Community Health Worker, and Promotores de Salud professions. Support the sustainability and integration of these professions, and utilize Regional Health Connectors to foster connections between clinical and community resources. o Engage with community members, decision -makers, and healthcare providers to promote the integration, sustainability, and expansion of Community Health Worker services and foster stronger connections between clinical care, mental health, and community -based health resources Identify and partner with local organizations that currently have these staff positions and expertise, when not available internally. Educate communities and organizations about the importance of and support the expansion of social health information exchange across physical, behavioral, and social sectors to elevate whole -person care. Identify current exchanges or networks used in your area or region (e.g., Community Resource Network or Quality Health Network), and support alignment and potential integration of data across physical, behavioral, and social sectors. Engage with community organizations, healthcare providers, and stakeholders to promote the adoption of social health information exchange technology. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 11 of 22 Theme: 3+ Behaviors Strategies These Behaviors Shape Health Throughout Life: Including Tobacco Use, Physical Activity, and Healthy Eating, with Alcohol as an Emerging Behavior • _ Strategy 9 - Tobacco Alignment: Coordinate with those working on the Local Public Health Agency Colorado Tobacco Framework to align efforts for chronic disease prevention. Example Approaches/Actions: Collaborate and coordinate with staff and partners working to address tobacco control objectives to align efforts for chronic disease prevention. Collaborate with tobacco control programs to integrate tobacco prevention and cessation strategies into chronic disease management initiatives. Educate the community on the importance of policies to reduce tobacco -related health disparities and promote chronic disease prevention strategies to improve public health and reduce the burden of chronic diseases associated with tobacco use. Strategy 10 - Physical Activity Access: Advance community -level policies and practices to increase safe routes for walking and biking to everyday destinations. Example Approaches/Actions: Participate in cross -sector partnerships and coalitions to advance community -level policies and practices that increase safe, equitable, and affordable access to parks and recreation facilities by engaging with community stakeholders, local governments, and organizations. Conduct a policy assessment to identify opportunities for community -level policy action to connect walking, biking, or transit networks to everyday destinations and encourage the development of recreational spaces. Educate community members on the importance of policies such as "complete streets" to prioritize safe, accessible walking and biking to everyday destinations such as parks and schools. Promote evidence -based practices like Safe Routes to Parks, which improve access to parks through safe, walkable paths. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 12 of 22 Conduct built environment assessments, such as walk or park audits, to identify barriers to accessing places for physical activity and partner with organizations such as local parks departments to remove/lower the cost of those barriers. Participate in cross -sector partnerships and coalitions to implement evidence -based strategies to promote physical activity and equity. Educate community partners on the importance of inclusive physical activity programs and accessible park designs that cater to diverse populations, including individuals with disabilities. Partner with local schools to implement shared -use agreements to allow public access to existing school facilities for physical activity outside of school hours. Strategy 11 - Physical Activity Social Supports: Increase social supports for physical activity, such as community -based walking programs, programs integrated into local recreation centers, etc. Example Approaches/Actions: Promote community -based programs that encourage participation in physical activity and foster social connections. Educate on the benefits of social supports such as walking or other activity groups to create a shared experience of being physically active among people of all ages and abilities. Partner with local organizations to support the expansion of evidence -based practices, such as group -based physical activity interventions implemented in community centers or parks (i.e., Walk with Ease, Silver Sneakers). Support the integration of inclusive and welcoming physical activity programs appropriate for people with disabilities or chronic conditions into local recreation centers. Strategy 12 - Breastfeeding: Implement evidence -based policies and activities that achieve continuity of care and supportive environments for breastfeeding families. Example Approaches/Actions: Collaborate and coordinate with LPHA staff working on existing breastfeeding continuity of care efforts, such as Maternal and Child Health (MCH) and WIC. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 13 of 22 Provide education on and support the implementation of policies that protect and promote breastfeeding in the workplace and community spaces, such as lactation rooms and flexible break times for lactating parents. Promote programs such as the Ten Steps to Successful Breastfeeding or the Baby -Friendly Hospital Initiative (BFHI) at local hospitals to ensure that families receive consistent breastfeeding support during and after hospital discharge. Collaborate with local child care centers to establish lactation -friendly environments and offer education for staff to support breastfeeding families. Provide or promote community -based breastfeeding support programs, such as peer counseling or lactation consultant services, to help families navigate challenges. Strategy 13 - Healthy Food Access: Advance community -level policies and practices to increase access to healthy foods. Example Approaches/Actions: Conduct local assessments to identify transportation barriers to accessing places for healthy food. Partner with local organizations to remove/tower the cost of those barriers. Partner with organizations and groups, such as WIC, SNAP, and Double Up Food Bucks, to connect people to nutrition assistance programs, as welt as working with local retailers to accept these benefits. Work toward community -level policies, including zoning and land use regulations, that support healthy food retailers, mobile markets, farmers' markets, community gardens, and urban farming in underserved areas. Strategy 14 - Healthy Food Distribution: Improve local and regional distribution and procurement systems for healthy foods and beverages. Example Approaches/Actions: Improve local and regional distribution and procurement systems for healthy foods by supporting or initiating local food policy councils and initiatives such as Farm to Institution and Farm to Community programs that connect local farmers with childcare centers, schools, hospitals, and other community institutions. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 14 of 22 Promote Community Supported Agriculture (CSA) programs to facilitate direct sates between local farms and community members. Support mobile food markets and food hubs to help distribute healthy foods to rural and underserved communities. IStrategy 15 - Sugary Drinks: Decrease access to and consumption of sugary beverages. I Example Approaches/Actions: Provide education about the health risks and the importance of municipal -level policies to decrease access to sugary beverages. Establish healthy checkout areas that feature water, unsweetened beverages, and other healthier alternatives. Build on federal standards to expand sugary drink restrictions, including marketing, in youth -oriented settings, such as after -school and recreational centers. Partner with anchor institutions, such as hospitals and universities, to reduce sugary drink availability. Strategy 16 - Alcohol Use- Awareness and Substance Use Supports: Promote healthy, substance -free environments and increase educational efforts and support to reduce excessive alcohol use and foster community well-being. Example Approaches/Actions: Educate the community about the impact and importance of policies, such as place (e.g., outlet density), promotion (e.g., restrictions on marketing tactics), and price (e.g., increased minimum unit price or restrictions on price discounting, such as sales/happy hour promotions), that reduce alcohol -related harm, impact substance abuse, youth initiation, and youth access to alcohol. Educate the community about the harms associated with excessive alcohol consumption, including but not limited to alcohol -attributable cancers and chronic diseases. Collaborate and partner with Communities Organizing for Prevention (COFP) to advance shared risk and protective factors approaches to substance misuse LPHA Chronic Disease Framework - June 2025 (Version 1) Page 15 of 22 prevention at the community level (e.g., improve local policies, like zoning, or reduce promotion of and access to alcohol in communities). Provide connections to mental health resources, addiction support, and alcohol cessation resources. Establish and/or promote alcohol-free/substance-free spaces and activities that foster belonging (including for those in recovery) and promote healthier social norms. Theme: 4 Chronic Conditions Strategies These Chronic Conditions Can Result from the 3+ Behaviors, including Cardiovascular Disease, Diabetes, Cancer, and Pulmonary Disease Strategy 17 - Cardiovascular Disease Education: Advance educational efforts to inform communities to understand issues related to Cardiovascular Disease, such as blood pressure and cholesterol management. Example Approaches/Actions: Advance educational efforts focused on blood pressure and cholesterol management at the community level (e.g., community -based organizations, libraries, workplaces, faith -based organizations, etc.). Conduct culturally relevant outreach to and engage communities with disproportionately high rates of high blood pressure, high cholesterol, or risk factors for either condition to encourage clinic -based wellness visits and screenings. • Provide education to those with high blood pressure or high cholesterol, and those at risk for either condition, ensuring they know their disease status and are appropriately practicing management strategies to prevent serious complications such as stroke or heart attack. Support community workshops and screenings to provide education on the importance of blood pressure and cholesterol management, healthy eating, and regular physical activity. Collaborate with healthcare providers, schools, and local organizations to offer evidence -based programs and work with local healthcare facilities to ensure access to cholesterol and blood pressure screenings, particularly in underserved LPHA Chronic Disease Framework - June 2025 (Version 1) Page 16 of 22 areas. Strategy 18 - Access to Cardiovascular Disease Programming: Expand access to Self -Measured Blood Pressure (SMBP) Monitoring efforts. Example Approaches/Actions: Expand access to Self -Measured Blood Pressure (SMBP) Monitoring with partners such as healthcare providers, accountable care organizations, pharmacies, community organizations, etc., to distribute blood pressure monitoring devices and offer training on their use. Establish partnerships with local pharmacies to offer free or low-cost blood pressure monitors to residents, particularly in high -risk populations. Collaborate with insurers and community health programs to integrate SMBP monitoring into routine care. Offer educational sessions and workshops on high blood pressure management, proper blood pressure measurement techniques, and the importance of regular monitoring; empowering individuals to take a proactive role in managing their cardiovascular health. Strategy 19 - Access to Diabetes Programming: Increase access to National Diabetes Prevention Programs (DPP) and accredited /recognized Diabetes Self -Management Education and Support (DSMES) programs by supporting new program development and sustainability of existing programs. Example Approaches/Actions: Work with local employers to cover these programs as a health benefit or as part of employee wellness initiatives, supporting individuals at risk for or living with diabetes to have access to preventive care and management resources. Among employers who already have coverage for these programs, provide technical assistance to increase utilization of the benefit. Work with clinic providers to screen for diabetes and increase provider referrals to the National DPP and DSMES. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 17 of 22 Promote the adoption and implementation of programs that reach underserved populations, ensuring equitable access to diabetes prevention and management resources across all communities. Deliver the National Diabetes Prevention Program. Provide technical assistance to organizations that reach underserved populations to implement these programs. rStrategy 20 - Cancer Screening: Increase screening rates for colorectal, lung, breast, and cervical cancers. Example Approaches/Actions: Use local health data (provided by CDPHE) to understand the screening disparities for screenable cancers and focus resources on those cancers. Collaborate with local and regional health systems and other partners, including local media, to promote cancer screenings and relevant messages through social media, radio, and local events to inform the public about the importance of regular screenings and encourage individuals to take action. Collaborate with local clinics and hospitals to ensure cancer screenings are offered, and to promote access in underserved areas, such as through the use of mobile units (if available) and non -clinical spaces like community centers or churches to bring screenings closer to those in need. Partner with local groups to work on reducing barriers related to transportation, scheduling, and language services to support screening participation. Collaborate with local transit groups to provide free or discounted bus passes or rides for clients needing transportation to screenings. Promote appropriate at-home screening options, like at-home tests for colorectal cancer, especially in underserved areas. j Work with local businesses to integrate cancer screenings into workplace wellness programs and provide paid time off for screenings. Work with Community Health Workers to provide outreach and education, and to assist with connecting to a health system for screenings. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 18 of 22 Strategy 21 - Access to Cancer Survivor Support: Increase availability and access to cancer survivorship -related resources. J Example Approaches/Actions: • Collaborate with local healthcare providers, cancer support organizations, and community centers to expand the availability of survivor -focused services. Raise awareness about existing resources, such as support groups, counseling, and rehabilitation services, promoting accessibility to all survivors, especially in underserved areas. • Partner with local cancer support services to promote resources for emotional support and help navigate the healthcare system post -diagnosis. Strategy 22 - Pulmonary Support: Increase access to and utilization of Asthma and Chronic Obstructive Pulmonary Disease (COPD) management programs by increasing screening, referrals, and care coordination. Example Approaches/Actions: • Promote utilization of asthma and COPD management programs by enhancing screenings, improving referrals, and strengthening care coordination. Partner with healthcare providers and community organizations to conduct regular screenings and raise awareness of available programs. Educate the community on the importance of increased access to services in underserved areas, address barriers like transportation and cost, and increase the number of health plans covering asthma and COPD management programs to improve health outcomes for those with asthma or COPD. • Advance community -level efforts to improve indoor and outdoor air quality by collaborating with local governments, environmental organizations, and community stakeholders. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 19 of 22 Theme: Cross -Cutting Strategies These Strategies Cut Across Themes, Addressing Multiple Behaviors or Conditions Strategy 23 - Community -Clinical Linkage: Support community -clinical linkages between the community and clinical sectors to improve population health through utilizing LINKAGE strategies and referrals. Example Approaches/Actions: Strengthen community -clinical linkages by actively promoting partnerships between community organizations, healthcare, and mental health providers. Establish referral networks that connect individuals to needed services, such as preventive care, chronic disease management programs, oral health, and/or mental health resources. Support the development of shared data systems to streamline referrals and track patient outcomes. Organize training for healthcare providers on available community resources and collaborate with community organizations to raise awareness of available clinical services. Support the implementation of Community Health Worker services to guide individuals through both community and clinical systems, ensuring that people access the full range of support they need for better health outcomes. Implement or support existing Regional Health Connectors on staff to build comprehensive community systems and linkages that address healthy eating, active living, and cancer and chronic disease prevention and management. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 20 of 22 Strategy 24 - Screening, Brief Intervention, and Referral to Treatment (SBIRT): Promote integration of SBIRT into chronic disease management education for people with chronic disease. Example Approaches/Actions: Promote the integration of Screening, Brief Intervention, and Referral to Treatment (SBIRT) into chronic disease management education by collaborating with healthcare providers and community organizations. Encourage providers to incorporate SBIRT into routine care for individuals with chronic diseases, such as diabetes or hypertension, to identify and address substance use issues that may impact disease management. Offer or promote training for healthcare staff to property implement SBIRT and educate patients on the importance of addressing mental health and substance use as part of comprehensive care. Promote the availability of referral resources for individuals who need treatment to provide connections to support services. Strategy 25 - Chronic Disease and Aging: Provide support for addressing co-occurring chronic diseases within an aging population, including considerations for Alzheimer's and Related Dementia. Example Approaches/Actions: Support the aging population by addressing co-occurring chronic diseases, including Alzheimer's and related dementias, through the promotion of integrated care models. Collaborate with healthcare providers to ensure that older adults receive comprehensive assessments that identify multiple chronic conditions, including cognitive impairments. Promote caregiver support programs and connect individuals to dementia -friendly services, including memory care, support groups, and respite care. Educate the community on the importance of policies that improve access to treatment and resources for aging individuals with chronic conditions. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 21 of 22 Accessibility Our efforts are part of a meaningful change in making all State of Colorado services inclusive and accessible. We welcome your feedback about the accessibility of these resources. Please let us know if you encounter accessibility barriers. E-mail: cdphe hpcdp@state.co.us. We are committed to responding within 5 business days. Visit https://cdphe.colorado.gov/accessibility for a complete statement and to learn more. LPHA Chronic Disease Framework - June 2025 (Version 1) Page 22 of 22 Houstan Aragon From: Sent: To: Subject: Forms response receipts <forms-receipts-noreply@google.com> Tuesday, October 14, 2025 12:50 PM Olivia Egen Thanks for filling out this form: FY26 LPHA Chronic Disease Pilot Interest and Mini - Application Form for Local Public Health Agencies (LPHAs) his I TMessage Is From an External Sender This email was sent by someone outside Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Ci Thanks for filling out this form: FY26 LPHA Chronic Disease Pilot Interest and Mini -Application Form for Local Public Health Agencies (LPHAs) You're receiving this email because you filled out the following form using your email address. This form is owned by State.co.us Executive Branch. Make sure you recognize and trust this form before copying or clicking on any links. If it looks suspicious, report it. Here's what was received. Edit response FY26 LPHA Chronic Disease Pilot Interest and Mini -Application Form for Local Public Health Agencies (LPHAs) The intent of this non-competitive mini -application process is for CDPHE to identify Local Public Health Agencies (LPHA) interested in piloting the LPHA Chronic Disease capacity building strategies outlined in the LPHA Chronic Disease Framework (opens PDF). Agencies will focus on implementing the Capacity Building Strategies and identifying evidence -based strategies listed in the framework that are most needed in LPHA's service area during the Phase 1 funding. LPHAs will have an opportunity to request funding for strategy -specific work in Phase 2. This funding opportunity is only available for Local Public Health Agencies that receive STEPP funding. CDPHE anticipates awarding grants for a three-year grant period and reserves the option to shorten or extend awards. CDPHE anticipates awarding Phase 1 funding for an approximately 6 -month period, starting on or about January 2, 2026 or upon contract execution. Phase 2 funding is expected to start on July 1, 2026. All annual renewals are contingent upon grantee performance, availability of funds, and Tobacco Review Committee (TRC) and Board of Health recommendations and approvals. CDPHE reserves the right to modify funding as deemed appropriate. Additional funds may be made available over time and may result in increased or additional awards. All funded agencies will be required to implement capacity -building strategies with Phase 1 funding. Please review the LPHA Chronic Disease Framework (opens PDF) in its entirety before completing this form. Additional information about this form, including list of application questions, can be found here (open google doc) include link with additional info doc. All LPHA Chronic Disease Pilot application materials are available on the STEPP Funding Opportunities webpage. If applicants have additional questions, please submit them to cdphe_hpcdp@state.co.us. Please indicate LPHA Chronic Disease Pilot in the subject line of the email. Answers to application questions will be posted here (Google doc) and can also be found on the STEPP Funding Opportunities webpage weekly on Fridays, from October 3 through October 10. Only 1 response is allowed per agency. Submit a Letter of Interest to cdphe hpcdp@state.co.us no later than 5:00 pm MDT on September 30, 2025. All application materials, including the Google Form, should be submitted no later than 5:00 pm MDT on October 17, 2025. The Contact Form and any letters of support should be submitted separately as a PDF to cdphe_hpcdp@state.co.us. Please include the <agency name>_Chronic Disease Pilot in the email subject. Accessibility statement and support Email * oegen@weld.gov What is the name of your agency? * Weld County Department of Public Health and Environment Who can CDPHE contact with any questions about the information in this form and the next steps? Please include name, job title, email and phone number. * Olivia Egen, Public Health Initiatives Manager, oegen@weld.gov, 970-400-2387 2 Does your agency currently receive Colorado State Tobacco Education and Prevention Partnership (STEPP) funding? At this time, Chronic Disease funding is only available for agencies already receiving STEPP funding. * Yes No Is your agency interested in receiving additional funding for the Chronic Disease work? Proposed FY26 Phase 1 LPHA Chronic Disease funding amounts (opens PDF) are outlined in the linked document. Please use the 6 -month totals column for reference when determining up to funding amounts for Phase 1. Phase 1 funding will be awarded for agencies for capacity building activities and to identify strategies listed in the framework that are most needed in LPHA's service area. LPHAs will have an opportunity to request funding for strategy specific work in Phase 2. Cross-jurisdictional/multi- agency collaborations are encouraged. * Yes No Does your agency intend to apply as part of a cross-jurisdictional/multi-agency collaborative? (multiple agencies working together under the same contract) * Please note, at this time, agencies will not be receiving any additional or administrative financial incentives for participating in a collaboration. Yes No If applying as part of a collaboration, please indicate the lead agency on this contract. N/A 3 If applying as part of a cross -jurisdictional collaboration, please list all the counties/agencies which will be represented as part of this cross -jurisdictional collaborative. *Reminder to submit letters of support from all entities included in the collaboration, including names of all participating entities and their key roles. * N/A Project Narrative Answers to the questions below will be used for program planning purposes. Based on the stated 2030 Chronic Disease State Plan (opens link)goals, please briefly describe the following in 300 words or less: -Your current agency and program infrastructure and capacity. Do you have agency leadership support for chronic disease work? -Your agency's current funding, if any, to implement chronic disease capacity -building activities, including the Chronic Disease Community Assessment process and chronic disease strategies included in the LPHA Chronic Disease Framework. * LPHA can use Phase 1 funding to build agency infrastructure to support chronic disease work. -Is chronic disease work currently being funded by other sources (CCPD or other)? -Is chronic disease work part of your Public Health Improvement Plan? -Does your agency and program plan to hire and retain chronic disease staff? Weld County Department of Public Health and Environment (WCDPHE) is organized into four divisions: • Administration & Finance • Environmental Health • Community Health • Public Health Services The department is overseen by an Executive Director, appointed by the Board of County Commissioners. With approximately 100 employees and an annual budget of $15 million, WCDPHE is a moderately sized LPHA. Within the Community Health division there are several programs that have the infrastructure, knowledge, and skills needed to implement chronic disease capacity building strategies and the 1-3-4-50 Framework. WCDPHE's Data Team can support completion of the Chronic Disease Community Assessment, and all health educators have experience with developing community partnerships and in health education and promotion (within their focus area). While there are some current positions which can assist in implementing capacity -building activities (i.e. Data Team and Healthy Eating Active Living (HEAL) Coordinator) additional funding is needed to fully implement strategies to build community capacity, change social norms, and foster community readiness. WCDPHE does have some internal 4 (county funds) and external funding we utilize for chronic disease work, namely the CDC Infrastructure Grant. However, WCDPHE's CDC Infrastructure funding will end in June 2026. Therefore, WCDPHE would use funds from the Pilot to hire and retain chronic disease staff and expand programming. Currently, chronic disease work is not part of the Weld Community Health Improvement Plan (CHIP). However, we will be starting the process to develop a new CHIP in 2026 and chronic diseases may, once again, be a focus. Prior CHIPs identified chronic disease and associated risk factors as priority areas and WCDPHE and Thriving Weld (Weld County's health -related community coalition) implemented and continues to implement HEAL strategies. WCDPHE's program infrastructure and capacity along with current programs that align with state -level goals, make us well-equipped to advance chronic disease prevention and management efforts. What specific capacity building needs, aside from funding, do you anticipate, in order for your agency to participate successfully in Phase 1: Capacity Building? To successfully participate in the Phase 1 capacity building strategies, we will likely need additional resources such as effective media strategies to increase education and connection to resources for different population groups, support to expand capacity for community -clinical linkages, training for culturally competent programming to reduce chronic diseases, and program evaluation assistance. Are there particular chronic disease strategies that your agency is interested in working on in Phase 2? CDPHE understands that this information could change based on the data assessment process and plans to use this information for our internal planning purposes. Select all that apply. Social Determinants of Health: Physical Environments Social Determinants of Health: Health Care Access Physical Activity:Access and/or Social Supports Healthy Eating: Breastfeeding Healthy Eating: Healthy Food Access and/or Healthy Food Distribution Healthy Eating: Sugary Drinks Alcohol Use: Awareness and Substance Use Supports Cardiovascular Disease: Education and/or Access to Programming Diabetes: Access to Programming Cancer: Screening and/or Access to Survivor Support 5 Pulmonary: Access to Asthma and COPD programming Cross -cutting: Community -Clinical Linkages Cross -cutting: Screening, Brief Intervention, and Referral to Treatment (SBIRT) In the following section, use the scale below to indicate your confidence and comfort level working in the following capacity building strategies, 1 being the lowest and 5 being the highest. 1. Educate: Educate the community about the importance of programs and policies that influence chronic disease and reduce health disparities 12345 2. Data: Complete the Chronic Disease Community Assessment process to determine strategy - specific work in Phase 2. 12345 3. Community Partnerships: Engage with your community and build partnerships that advance chronic disease prevention and management efforts. * 12345 4. Health Promotion: Promote Chronic Disease Interventions and Treatment options. 12345 6 5. Internal expertise: Build and maintain internal team or staff expertise in chronic disease prevention and management, and deepen an understanding of the root causes of chronic conditions. * 12345 6. Funding Requirements: Comply with applicable grant administration duties, including progress reporting. * 12345 CDPHE would like to have a better understanding of your agency's data/epidemiology capacity for the Chronic Disease Community Assessment work in this project. In the following section, use the scale below to indicate your confidence, comfort level or experience with data/epi work. How would you describe your agency's current data/epidemiology capacity to perform the assessment work needed for the LPHA Chronic Disease Assessment? Select only one option that most closely matches your agency capacity. We currently have staff within our agency who have the skills to do the data and epidemiology work needed for this project. We will need to use a contract to hire an external entity to do the data and epidemiology work for this project. We have a known resource (student, community partner, etc) through partnership that has the skills to do the data and epidemiology work for this project. Other: For any of your assessment work, past or present, which kinds of data/epidemiology resources did your agency use to complete the work? Past assessment work includes the CO Health Assessment and Planning System (CHAPS) with OPHP, community hospital assessment work, maternal and child health assessments, etc. Check all that apply. I Data from CDPHE websites (CoHID, CO Health Indicators, VISION, etc) Data from external websites © Data collected in the community (qualitative and/or quantitative) Contractors © Academic partners (students, interns, partnerships with classes) CDPHE epidemiology staff (Chronic Disease or Tobacco Epidemiology Team, Alison Grace Bui, etc) CDPHE OPHP staff and guidance resources Hospital partners Data from other assessments (MCH, CTC, hospital, environmental, etc) Other: Which of the following best describes the experience your agency has working with chronic disease data? Select only one option that most closely matches your agency capacity. * Our agency currently has staff who regularly work with chronic disease data. Our agency has staff with some experience, who occasionally work with chronic disease data. Our agency has staff with data experience, but not specifically with chronic disease data. Our agency does not currently have staff with any data experience. Thank you for submitting the Chronic Disease Pilot Interest and Mini Application form. The CDPHE team will review your responses and will be in touch with the contact you listed in the form as soon as possible. Create your own Google Form Does this form look suspicious? Report 8 Hello