HomeMy WebLinkAbout20202869.tiffCommunity Health
Improvement Plan
2018 -2020
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2020-2869
Weld County Department of Public Health and Environment
December 17, 2018
Letter to the Community:
I am pleased to present the 2018-2020 Thriving Weld Community Health Improvement Plan (CHIP) .
This roadmap for improving health in Weld County was developed with input from hundreds of
residents and in partnership with a wide variety of organizations . The CHIP is meant to guide public
and private activities, initiatives, and investments with the aim to not only improve community health,
but also to improve the conditions that foster health . This plan provides guidance on the prevention
of chronic diseases, such as cancer, heart disease and obesity; and , moves beyond conventional public
health to address a social condition that also significantly affects health mental well - being .
To achieve the goals within the CHIP, the Health Department and its partners are committed to
collaboration . We are eager to engage new partners with unique perspectives to create healthier and
safer communities across Weld County. Collectively, we will need to be innovative while also utilizing
proven and promising practices. The Health Department cannot bring about the desired
improvements for Weld County alone. It is only through partnerships that we can create healthy
communities where the healthy choice is the easy choice.
There are many critical pieces that will assist in transforming our collective efforts to improve health in
Weld County apart from the strategies listed in this CHIP. By collectively addressing focused goals, we
can take the important first step towards setting a course to improve the health of Weld County.
would like to thank the many people who contributed their ideas, expertise, energy, and commitment
to develop this plan .
I look forward to working with you to make a difference in the health of Weld County.
Sincerely,
Mark E. Wallace, MD MPH
Executive Director
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Acknowledgements
NCHAS
North Colorado Health Alliance
94NORTH RANGE
�BEHAVIORAL HEALTH
LIVE UNITED
United Way of Weld County
Table of Contents
Executive Summary 1
2018-2020 Community Health Improvement Plan 4
Community Health Profile ... 4
CHIP Initial 2012 Prioritization ...5
2018 Prioritization ...5
Summary of CHIP Process ...7
Considerations of Social Determinants of Health ... 7
Collective Impact Approach ... 8
Partnerships ... 9
Community Engagement ... 10
CHIP Workgroups and Plans for Policy and Systems Change ... 14
Healthy Eating Action Plan ... 15
Active Living Action Plan ... 16
Healthy Mind and Spirit Action Plan ... 16
Appendices 17
A. November 2017 Summit Takeaways
B. Prioritization Results
C. Thriving Weld Partnership Groups
Executive Summary
WHAT IS A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)?
A community health improvement plan describes long-term, collaborative efforts to address
community health issues. The health issues are typically identified by conducting a comprehensive
community health assessment. A community health improvement plan, or CHIP, can also be viewed as
a community -driven strategic plan. A CHIP is considered part of a national standard for all public
health departments. This document briefly describes how Weld County Department of Public Health
and Environment and the community have worked together and will continue to work together to
improve the health of Weld County residents. The vision of the plan is to have a community where the
healthy choice is the easy choice. The overarching goal of Thriving Weld County's CHIP is two -fold: 1)
to reduce people's risk for chronic disease and help them maintain a healthy body weight through
nutrition, physical activity, and obesity prevention strategies, and 2) to increase years of healthy life
and reduce disparities among all Weld County residents through multiple social and emotional
wellness strategies.
HOW WE USE OUR CHIP?
The CHIP has been continually reviewed and revised to incorporate new challenges needs, and
outcomes. The initial five-year CHIP was initiated in December 2012 after more than a year of
gathering and reviewing assessment data, prioritizing health issues, and developing strategic maps
for each health priority. The current CHIP is available at the Thriving Weld Website:
www.thrivingweld.com . There are now over 95 organizations in the community working on 23
strategies and tracking progress on hundreds of measures. Three workgroups meet regularly, and the
entire collaborative meets quarterly to share progress and challenges on their activities. An oversight
committee meets monthly to guide vision and strategy, support alignment of activities, help mobilize
resources, and maintain the shared measurement tool used by the collaborative group.
HOW DID WE CHOOSE OUR PRIORITIES?
2012 Prioritization Process
In 2012, Weld County's top priorities were chosen by community partners from a longer list of
priorities based on information from a variety of assessments that identified issues, themes, assets,
and resources using a real-time electronic voting process. The prioritization process rated each health
issue based on the issue's importance in preventing resident death or disability, the capacity and
readiness to work on the issue, and the collective ability of the health department and its partners to
work on the issue together. The resulting priority areas were: 1) nutrition, physical activity, and obesity
and 2) mental health and substance abuse.
2018 Prioritization Process
Between November 2017 and February 2018, Weld County Department of Public Health and
Environment (WCDPHE) in partnership with the North Colorado Health Alliance and over 95
organizations as well as community members reviewed the most recent community health
assessment data taking into consideration current local capacity, national and state priorities, and the
extent which progress has been made on the existing priorities. Over 200 people participated in at
least one of two community meetings looking at data, considering strategies, identifying priorities,
and then voting, again using an electronic voting process.
WHAT PRIORITIES WERE CHOSEN IN 2018?
The 2018 priorities chosen were: 1) healthy eating, 2) active living, and 3) healthy mind and spirit,
which, although slightly re -branded in name from 2012, are a continuation from the initial 2012-2017
Thriving Weld CHIP. A related emerging topic that was identified during the voting process was
(opioid) addiction. This issue is a top concern for the health department and for several partners
including North Range Behavior Health and the North Colorado Health Alliance. A recently formed
collaborative, The Opioid Abuse Prevention and Treatment Collaborative, includes partners from
neighboring Larimer County are working to address opioid addiction issues. The healthy mind and
spirit workgroup is keeping abreast of this emerging issue.
Detailed information about the priorities, expected outcomes, strategies employed, measures being
tracked, and key individuals and organizations responsible for implementing strategies can be found
at www.thrivingweld.com
ACTIVE LIVING
HEALTHY MIND &
SPIRIT
WHAT CHANGED FROM THE PREVIOUS ACTION PLAN?
Although the broad priority areas have largely remained the same, some of the strategies and
activities have been revised or modified over time to reflect shifts in resource or capacity to work on
them. For example, strategies have been revised, expanded, or condensed in all three priority areas to
better reflect the focus of ongoing activity for the workgroups. Another change is that the next CHIP
cycle will be three years instead of five, to be timely and align with other internal and external partner
efforts.
WHAT STRATEGIES ARE THE FOCUS IN 2018?
In February 2018, each workgroup met and prioritized strategies to focus on in 2018.
The Healthy Eating Workgroup is looking at focusing their activities related to the strategy around
"improving availability of affordable healthy food and beverages to lower -income residents".
The Active Living Workgroup wants to work on activities that will increase physical activity in adults
and children. The two strategies they will focus on are: 1) to improve the built environment and
accessibility for physical activity, and 2) to engage healthcare provider through education and
encouragement and referrals for physical activity.
While the Healthy Mind and Spirit Group has not decided on priorities yet, the group has a lot of
momentum in the strategic areas of: 1) improving awareness and early detection of depression,
suicide, bullying, and violence, 2) improving access to community services through programs and
policies, and 3) expanding community service support systems for vulnerable populations.
HOW IS CHIP PLAN PROGRESS BEING TRACKED?
All information about the CHIP including progress is tracked on the Thriving Weld platform which is
maintained by the North Colorado Health Alliance and publicly available at www.thrivingweld.com .
Participating partners including Weld County Department of Public Health and Environment have
access to the platform so that CHIP strategies and activities can by revised and indicators can be
updated in a timely fashion. Progress is tracked regularly with workgroups, the collaborative, and
oversight committee. On the website are links to CHIP progress reports.
HOW IS THE PLAN UPDATED?
The CHIP plan is updated and revised over the course of the multi -year effort by each priority area
working group with input as needed by the oversight committee. The Thriving Weld interactive
strategy management system and website make it easier to revise the plans and, more importantly,
communicate those changes to partners and the community as a whole.
WHO IMPLEMENTS THE CHIP?
The Thriving Weld CHIP is implemented by over 90 partners and organizations across the county. A
coordinating leadership committee made up of leaders and decision makers from four organizations
(Weld County Department of Health and Environment, North Colorado Health Alliance, North Range
Behavioral Health, and United Way of Weld County) meet monthly to provide strategic oversight,
engage and convene partner organizations, cultivate community engagement and ownership,
mobilize and coordinate resources, advance policy (big and small) and maintain Thriving Weld's
shared measurement system. Three priority area workgroups meet regularly (bi-monthly or quarterly)
to monitor CHIP progress and challenges and coordinate their activities. Everyone also gets together
quarterly to remain engaged and learn and grow the movement to make Weld County the healthiest
place to live, work, learn, and play.
WHAT YOU CAN DO TO HELP
Community -level change takes time. However, when the community comes together, real and
measurable change can happen. Weld County's CHIP has been developed with extensive community
involvement, but we encourage more organizations and individuals to become involved. Businesses,
local governments, health care systems, insurers, clinicians, educators, non-profit, and faith -based
organizations can align health improvement efforts around the CHIP and promote policies and
leverage resources that focus on one or more of the health priorities. If you would like to join the
Thriving Weld Community Group or participate in a working group, contact: Cindy Kronauge at
ckronauge@weldgov.com orcall 970-400-2221.
2018-2020 Community Health Improvement Plan
COMMUNITY HEALTH PROFILE
Background - Who lives in Weld County and what is the community like?
With just over 300,000 population, Weld County, established in 1861, is a key geographic area of the
Colorado Northern Front Range. It is situated between the foothills of the Rocky Mountains and the
Great Plains, about 40 miles east of the Continental Divide and is the third largest county in land mass
across the state. The northeastern portions of the county contain the vast Pawnee National Grassland
and the Pawnee Buttes. Along the western border are low hills that are an indication of the foothills
further west. Weld County is the 9th most populous county in the state.
While traditionally rural and agricultural in nature, due to its proximity to major transit routes and the
Denver metro area, many communities in the county have seen rapid population growth and are
becoming more urban and suburban in character. The median age of all people in Weld County is
34.3, which is quite a bit younger than the state median age of 37. The median age is expected to rise
over time due to a large growth in the population aged 65 and over. Hispanics are the largest minority
group in Weld County with most having ties to Mexico. Currently, about 3 out of 10 adults and 4 out of
10 children are Hispanic or Latino. The overall population density in the county is 63 persons per
square mile which is lower than its neighboring western border counties of Larimer which is 115
persons per square mile and Boulder which is 406 persons per square mile.
Weld County has 26 incorporated and 21 unincorporated towns and municipalities. Greeley is the
largest city with 103,990 people or 35% of the population. There are 12 organized school districts in
Weld County ranging from the largest, School District Six in Greeley/Evans, to the smaller school
districts of Prairie and Pawnee on the eastern plains. Greeley is home to the University of Northern
Colorado as well as Aims Community College with a second Aims Campus in Ft Lupton. The county is
served by several health care systems including two community -based health centers, and a large
network of medical providers. The transit routes in the county include two interstate highways:
Interstate 25 which runs north and south through western Weld County and Interstate 76 that runs
from the south-central edge northeastward to the Morgan county border. Other major roads include
US 85 and US 34, which intersect near Greeley, and State Highway 14, which runs through Ault. Local
bus service is available within Greeley and Evans but is more limited or nonexistent in other Weld
County communities.
Weld County's economy is doing well due in large part due to a mix of jobs in the agricultural, oil and
gas, manufacturing, and health -related industries. The median household income is $66,489, which is
substantial but still some families have a hard time making ends meet due to the cost of child care,
housing, and health care in the area primarily.
There are over 4,000 resident births and 2,000 deaths per year in Weld County. The overall fertility rate
has been decreasing including the teen fertility rate. Deaths due to chronic disease are the most
common cause of death for residents, followed by injuries, then communicable diseases.
Life expectancy is a measure that is often used to gauge overall health of a community. Life
expectancy at birth refers to the average number of years a newborn is expected to live if everything
else remains constant in the future. Life expectancy varies widely across Weld County. Two areas in
Weld County (one between Windsor and Greeley and another around LaSalle) are ranked among the
top ten counties in Colorado with a life expectancy of 88.5 and 88.0 years respectively, which are well
above the Colorado average of 80.5 years. But in many areas across the county, life expectancy at birth
is well below the state average. The lowest life expectancy in Weld County is 73.2 years.
CHIP INITIAL PRIORITIZATION (2012)
In 2012, Weld County's top priorities were chosen by community partners from a longer list of six
potential health concerns based on information from a variety of assessments that identified issues,
themes, assets, and resources using a real-time electronic voting process. The prioritization process
rated each health issue based on the issue's importance in preventing resident death or disability, the
capacity and readiness to work on the issue, and the collective ability of the health department and its
partners to work on the issue together. The top two priority areas were: 1) nutrition, physical activity,
and obesity and 2) mental health and substance abuse.
2018 PRIORITIZATION
Between November 2017 and February 2018, Weld County Department of Public Health and
Environment (WCDPHE) in partnership with the North Colorado Health Alliance and over 90
organizations including community members reviewed the most recent community health
assessment data taking into consideration current local capacity, national and state priorities, and the
extent which progress has been made on the existing priorities. Over 200 people participated in at
least one of two community meetings looking at data, considering strategies, identifying priorities,
and then voting, again using an electronic voting process.
The issues and findings considered during the prioritization process included:
1. The overall health status of Weld County's adult population is mixed because while many
people are in good to excellent health, many are also overweight or obese. Weld County's
obesity rate is significantly higher than Colorado's.
2. More Weld County residents than ever had some type of health insurance in 2016 and the gap
in uninsured rates narrowed between Hispanic and non -Hispanic residents. But many low-
income residents are still uninsured, and costs and scheduling barriers are still major barriers
to accessing health care.
3. People are engaging in healthy eating and active living behaviors but there is still room for
improvement, especially in terms of dietary habits.
4. Residents are not immune to experiencing mental health conditions. About 2 in 10 residents
said they thought they needed mental health care or counseling recently but only half of
these residents actually sought care.
5. It is important to note that almost 5 in 10 Weld County working age adults in the workforce
have one or more chronic physical conditions such as hypertension, coronary heart disease,
stroke, diabetes, cancer, arthritis, current asthma, or chronic obstructive
pulmonary disease (COPD) or depression, anxiety, PTSD, or alcohol or drug dependence.
6. People do partake in risky behaviors of smoking and drinking. Binge drinking is much higher
among Weld adults than across the state. Also, about 1 in 10 residents say they use marijuana
and use rates increased the most for adults between 18 and 34 years old.
7. Many residents say they talk on the phone or text or email while driving. Residents said
distracted driving is also a problem and Weld County's traffic fatality and injury rates are high
compared to the state rates.
8. Health status varies by where we live, our income and education level, and other social and
economic factors.
9. Many residents said Weld County is a great place to live. They expressed interest in improving
the built environment through either supporting bike and/or pedestrian infrastructure;
desiring more parks and recreation facilities; having better access to and preservation of open
spaces; or suggesting either road, trail, or sidewalk improvements, maintenance, or
construction so that individuals in communities can get around more actively and safely.
10. Children are the future but many face barriers to becoming healthy productive adults due to
diet and exercise habits. More high school students are graduating on time and more children
had health insurance than before, but children and youth are still at risk.
11. Our population is growing fast, especially our older adult population. Even though our
economy is good, many households are struggling to make ends meet, worrying about the
cost of housing, or have problems with childcare.
During the November 2017 convening, roundtable and large group discussion resulted in a collective
aspiration to "Make Weld County the best place to live, learn, work, and play by working toward
"health for all people" (physical and behavioral) through having a safe, clean, health -promoting built
environment." (see Appendix A)
During the February 2018 convening, also as a group, Thriving Weld partners agreed that behavioral
health issues, drug/opioid addiction, and obesity to be among the more pressing health problems in
Weld County. After considering all these factors and issues, the group voted to continue prioritizing
healthy eating, active living, and emotional wellbeing for the next three years (see Appendix B).
Figure 1.2018-2020 CHIP Priorities
SUMMARY OF THE CHIP PROCESS
Weld County's 2012-2017 CHIP process was described in our 2012 Health Status Report and
Community Health Improvement Plan. The 2018-2020 CHIP process builds upon the previous effort.
The Thriving Weld collaborative, workgroups, and oversight committee reviewed the most recent
community health assessment data taking into consideration current local capacity, national and state
priorities, and the extent which progress has been made on existing priorities. Over 200 people
participated in up to two community meetings looking at data, considering strategies, identifying
priorities, and then voting, using an electronic voting process. The priorities chosen were: 1) healthy
eating, 2) active living, and 3) healthy mind and spirit. The Thriving Weld CHIP is implemented by over
90 partners and organizations across the county. A coordinating leadership committee made up of
leaders and decision makers from four backbone organizations (Weld County Department of Health
and Environment, North Colorado Health Alliance, North Range Behavioral Health, and United Way of
Weld County) meet monthly to help provide strategic oversight, engage and convene partner
organizations, cultivate community engagement and ownership, mobilize and coordinate resources,
advance policy (big and small) and maintain Thriving Weld's shared measurement system. Three
priority area workgroups are responsible for implementing priority area strategies. They meet
regularly (bi-monthly or quarterly) to monitor CHIP progress and challenges and coordinate their
activities. Everyone also gets together quarterly to remain engaged and learn and grow the
movement to make Weld County the healthiest place to live, work, learn, and play. All information
about the 2018-2020 CHIP including progress is being continually tracked on the Thriving Weld
platform which is maintained by the North Colorado Health Alliance and publicly available at
www.thrivingweld.com . Participating partners including Weld County Department of Public Health
and Environment have access to the platform so that CHIP strategies and activities can by revised and
indicators can be updated in a timely fashion. The CHIP plan is updated and revised over the course of
the multi -year effort by each priority area working group with input as needed by the oversight
committee.
CONSIDERATIONS OF SOCIAL DETERMINANTS OF HEALTH
The 2016 Community Health Survey identified several key determinants that directly impact the
health of Weld County residents: affordable housing, barriers to healthcare, geographic location and
educational attainment.
Housing
Many households are struggling to make ends meet in Weld County. In 2016, almost 40% of four -
person households with children made $65,000 or less, which is the minimum income needed to be
self-sufficient (e.g. pay for housing, food, transportation, childcare, taxes, etc.) in Weld County. The
2015 Weld County median household income was $69,434.
Barriers to Healthcare
Only 7% of Weld County residents lacked health insurance in 2016, down from 18% in 2007. However,
costs and scheduling barriers are still major barriers to accessing healthcare. Regardless of income
status, over five in ten residents said the cost of healthcare was a reason for not getting needed
treatment.
Geographic Location and Educational Attainment
In Weld County, health status varies by where people live and their educational attainment among
other factors. For example, in the Southeast part of the county, residents report rates of frequent
mental distress three times higher (12%) than in the North (4%). Rates of mental distress are also five
times higher for adults with less than a high school education (20%) than for college graduates (4%).
Other social demographic factors that affect the health of residents are shown in Table 1.
Table 1. Select Health Indicators
General Subgroup Health Determinant
Population Rate Rate
Uninsured
Obesity
Tobacco User
7%
13%
Hispanic/Latino
Very low income
Very low income
Older adult
31%
45%
17%
36%
High Blood Pressure
Diabetes
27%
1 59%
10%
Depression or Anxiety l 19%
Source: 1016 Weld Community Health Survey
19%
31%
Low education
Low income
COLLECTIVE IMPACT APPROACH
What is collective impact?
The formal concept of "collective impact" has been around for nearly a decade. Collective impact is
essentially a group of people working across sectors to develop and align efforts around a shared goal.
There are five core elements to collective impact:
• Agreement on a common agenda
• Development of shared measurement approach
• Leveraging resources through mutually reinforcing activities
• Building continuous communications
• Backbone structure to mobilize efforts
Using collective impact for community health improvement in Weld County
Weld County partners have used the collective impact process to develop and implement our
community health improvement plan since 2012. Some critics say that using the collective impact
approach can result in initiatives that are too narrowly framed or that community members
themselves may not always be at the center of the change process. Weld County's CHIP is broad and
far reaching, not narrowly focused, but continually engaging community members has been a
challenge. Moving forward with the new plan, our commitment to using a collective impact approach
has expanded. Namely that:
• Those most affected by our priority issues need to be involved more actively in the efforts to
improve the issue.
• Robust community engagement is hard work. It takes time and skill to create good
opportunities to engage people at each stage of the change process. It also takes confidence
and humility to more openly communicate with community members, especially when the
inevitable tensions and conflicts arise.
New paradigm for collective impact and community health improvement
As efforts to address the variety of health issues in Weld County have advanced, thinking about
collective impact has matured. The following is our future vision about using collective impact in our
community health improvement work:
From common agenda to shared vision
• A true common agenda requires leadership to bring key stakeholders together; to review the
key data which informs the issue; develop a shared vision for change; and determine the core
pathways and strategies to drive the change. It also requires partners to find or create
common ground despite their unique values, interests, and positions.
From shared measurement to strategic learning
• A common agenda is not possible without agreement on the ways success will be measured
and reported. This measurement also helps hold partners accountable and learn from
successes and failures. A robust learning and evaluation process is critical in community -wide
change efforts.
From mutually reinforcing activities to a focus on high -leverage and loose/tight working relationships
• Partners may need the ability to pursue independent —even competing —pathways to a
common goal. Partners should have the flexibility to focus on high -leverage strategies, and
permission to work as loosely or a tightly as the situation requires.
From backbone support to a container for change
• Work on community change requires partners to set the work firmly in the center, rather than
on the sides, of their organizational missions. It is important to have self -refueling that can
sustain multiple cycles of learning and periodic drops in momentum and morale.
PARTNERSHIPS
A diverse group of community partners are actively involved in community -wide health improvement
efforts (see Figure 2). In addition to government partners, partners from business, healthcare,
education, community organizations, mental health, youth -focused, older -adult focused, and the
general public are involved in Weld County's community health improvement efforts. Since 2012,
more partners have become involved. Recently, more individuals and organizations from the business
sector (14%) and the general public (8%) have become involved. Over the past five years, the number
of partners has more than doubled from about 35 in 2012 to more than 90 partners in 2017. Over 200
people attended the November 2017 Thriving Weld Summit.
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Figure 2. CHIP Partner Representation
COMMUNITY ENGAGEMENT
Community engagement is ongoing . The health department and its partners have been improving
the connections between residents, communities, organizations, and programs in effecting positive
change around health-related programs, services, and polices in a variety of ways . It is also well - known
that there are different levels of community engagement (See Figure 3 ) . Some of the ways community
engagement has occurred locally are described next.
Outreach Consult Involve Collaborate Shared
Leadership
Figure 3. Community Engagement Con tin uum
Fall 2015 Community Engagement Forums
Five community meetings were held during September 2015 to consult with the general public. The
meetings were advertised and then held at libraries in Greeley, Evans, Fort Lupton, Windsor, and
Firestone . The purpose of the meetings was to facilitate discussion from community members about
health issues and concerns of importance to them .
After brief introductions and an explanation of the current health issues based on survey and other
data, community members were asked what they viewed as the most important health issues. Thirty-
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two community members attended at least one meeting. Residents from Greeley, Evans, Loveland,
Windsor, Frederick, and Longmont participated.
There were eight important health issues identified by the residents. The health issues include the
following: healthy eating and drinking, physical activity, obesity, diabetes, health insurance access,
mental wellbeing, distracted driving, and access to services. Obesity and mental wellbeing were
mentioned as an important health issue during three of the four voting groups. Several of the other
health issues overlap with the issue of obesity such as physical health, healthy eating and drinking,
and diabetes. Health insurance access, access to services, and distracted driving were also mentioned
in two out of the four voting groups. Participants made several suggestions about how to deal the
various health issues. A wide range of strategies were suggested including programmatic, education,
environmental, and policy -type changes.
Residents Input - 2016 Community Health Survey
Residents are routinely asked how concerned they are about a variety of health issues on the health
department's population -based community health surveys which are administered every three years.
In 2016, over 2,000 residents responded. Over 650 residents made nearly 1,300 comments on making
Weld County a healthier place to live, work, and play. The top 5 overall broad themes from those
comments were related to:
1. Transportation (all types)
2. Government Services/ Community Programming
3. Environment
4. Parks, Recreation, and Open Spaces
5. Healthcare
The overall themes were further examined for major sub -themes. The top three sub -themes were
related to:
1. expressing support for bike and pedestrian infrastructure
2. desiring more parks/recreation facilities, better access, or preservation of open spaces
3. suggestions for road, trail, and sidewalk maintenance, improvements, or construction which
were all related to active living, physical activity, and improving the built environment.
Make Today Count Initiative 2013-2016
Make TODAY Count! was a three-year community health outreach campaign that was initiated in 2013
by the North Colorado Health Alliance in collaboration with the Weld County Community Health
Improvement Plan Joint Implementation Committee and with funding from Kaiser Permanente of
Colorado. The goal of the campaign was to directly engage residents in making simple choices every
day that together will make Weld County thrive. The campaign worked closely with its partners to
achieve the three goals of the community health improvement plan - improving well-being,
increasing healthy eating, and increasing physical activity. The campaign conducted a variety of
activities including supporting and expanding community gardens and farmer's markets, encouraging
organizations to adopt healthy beverage policies, promoting consistent health messaging with the
5210 campaign for youth and their families, working to make Weld County more bike and walk -
friendly, and supporting the Little Free Libraries Project and Community Murals Projects. The Make
TODAY Count! campaign was successfully implemented, with strong leadership, committed partners,
and conducted a multitude of activities. The campaign directly reached nearly 50,000 adults and
children in a variety of community events. More than 100 volunteers and 70 partner organizations
collaboratively engaged in Make TODAY Count! activities. In terms of systems change, nearly 30
children's programs and 16 other organizations adopted wellness and/or healthy beverage policies
which have been sustained. In addition to the widespread local marketing organized by the campaign,
campaign staff collaborated with partners on several successful community -oriented projects
including the double -value SNAP program, the Family Fun Program, and community gardens. Overall,
it was estimated that the population penetration rate for the campaign was 19 percent.
Thriving Weld Steering Committee 2014 to present
The Thriving Weld Community Health Improvement effort is supported by multiple organizations who
share responsibility for helping maintain overall strategic coherence and manages implementation of
the community work including stakeholder engagement, communications, data collection and
analysis. Key responsibilities of steering committee members are to guide vision and strategy,
maintain and establish shared measurement practice, cultivate community engagement and
ownership, support aligning activities, and advancing policy and mobilizing resources. The Thriving
Weld steering group was initially an internal health department team but quickly expanded to include
community partner organizations. Currently, the steering group consists of four organizations:
WCDPHE, North Range Behavioral Health, North Colorado Health Alliance, and United Way of Weld
County. The steering committee is continuously monitoring and evaluating the initiative and itself and
plans to expand its membership in 2018 and beyond to bring in more key community influencers and
leaders.
North
Colorado
Health
Alliance
United Way
Weld County
Thriving
Weld
Backbone
Weld
Department
of Public
Health
North Range
Behavioral
Health
Figure 4. Thriving Weld Backbone Organizations
Thriving Weld Summit 2017
In November 2017, a community health summit called "Health is Everyone's Business" was organized
collaboratively by Weld County Department of Public Health and Environment, North Colorado Health
Alliance, North Range Behavioral Health, and the United Way of Weld County. The purpose of the
summit was to celebrate existing partnerships, develop new ones, and to help shape the direction for
the next several years on how to make Weld County the healthiest place to live, learn, work, and play.
Over 200 attended the half day event with over a dozen speakers.
THRIVING WELD SUMMIT
Health is Everyone's Business
Celebrating existing partnerships, while developing new ones;
to make Weld County a healthy place to live, work, and play
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North Colorado Health Affiance
Figure 5. Thriving Weld 2017 Summit Flyer
�7/ NORTH RANGE
BEHAVIORAL HEALTH
LIVE UNITED
United
Way
United Waya web Can,
CHIP WORKGROUPS AND POLICY AND SYSTEMS LEVEL CHANGE
The Community Health Assessment (CHA) identified that many residents said Weld County is a great
place to live. Over 1,300 comments received from the 2016 CHA shows residents want more places to
safely walk and ride their bicycles, including places to play outdoors. Residents clearly are desiring
more parks and recreation facilities, access to open spaces, and trails.
In 2018, the Active Living Workgroup reviewed and voted to address two policy improvement areas:
Improve the Built Environment and Increase Accessibility for Physical Activity; and, Engage Healthcare
Provider Education, Encouragement, and Referrals for Physical Activity. These two strategy areas were
identified from the Active Living Strategy Map (see www.ThrivingWeld.com). There are current efforts
to explore the development of a new north -south running trail from the towns of Milliken to Firestone,
which could also include significant open space. An additional east -west trail corridor is nearing
completion between the city of Windsor and Eaton. A new youth -oriented outdoor adventure park is
also under development in East Greeley. Several municipalities, including the city of Greeley, are
expanding bike lanes and safe street crossings for pedestrians and bicyclists. The town of Johnstown
is the latest municipality to be constructing a new recreation complex, which will serve over 12,000
residents. Outreach to healthcare providers and a variety of partners, include a prescription for
physical activity and time outdoors in nature, are in development.
The Health Eating Workgroup is working to Improve Availability of Affordable Healthy Food and
Beverages to Lower Income Residents, identified from the Healthy Eating Strategy Map (see
www.ThrivingWeld.com). A subset of this strategy includes increasing access to the Women, Infants,
and Children (WIC) nutrition program and increasing access to the Supplemental Nutrition Assistance
Program Education (SNAP -Ed) program. Colorado and Weld County residents have had historically low
participation in these programs.
The Mental Wellbeing workgroup is currently considering their options from the Mental Well-being
Strategy Map (see www.ThrivingWeld.com) and possible policy or educational outreach efforts.
ACTION PLAN: HEALTHY EATING
The goal of this priority is to increase access and consumption of healthy and affordable foods across
the lifespan in Weld County. The ultimate outcomes are to increase people living at a healthy body
weight, decrease the consumption of sugary drinks, and increase the consumption of healthy foods.
The action plan has a robust set of strategies shown in Figure 6. A more detailed interactive version of
the action plan can be found at www.thrivingweld.com . The action plan shown in Figure 6 was
developed and revised to its current form during the first CHIP cycle.
Thriving Weld County: Healthy Eating
Increased People Living at a Healthy Body Weight
Decreased Consumption of
Sugary Drinks
Sustain & Promote Farmers'
Markets & Community Garden
P `
Increased Consumption of
Healthy Foods
Educate & Promote Healthy
Food & Beverage Choices
Improve Availability of Affordable
I Healthy Food & Beverages to
Lower Income Residents
Enable Use ofSNAP/EBT
for Healthy Food
Collaborate to Strengthen Farmers'
k —Markets &Community Gardens
Build a Strong Coalition of
Diverse Partners to
Support HEAL
Figure 6. Healthy Eating Action Plan Diagram
Increase Healthy Food Options
in Restaurants & Retailers
Improve Nutrition in
Schools
Expand Farm -to -School
Programs &
Participants......
Align Local Org Nutrition
Standards/Policies with Latest Dietary
Guidelines
Gather &Share Data to
Improve Prioritization &
Monitoring
4
I Collaborate to
Secure Funding for
HEAL
Support Local/Regional
Farm to Table Efforts
Improve Local Food System
Leverage Best Practices and
Tools for Collective Impact
The Healthy Eating Action Plan is monitored and tracked by the Healthy Eating Workgroup partners
using the Thriving Weld Dashboard at www.thrivingweld.com . There are over a dozen measures
being used to track progress on this action plan. The Healthy Eating scorecard measures can be found
here: http://thrivingweld.com/healthy-eating/ As of February 2018, over 80% of the measures were
either on target or close to their target and at least 50% were trending in a positive direction.
Organizations participating and responsible for implementing strategies can be found in Appendix C.
ACTION PLAN: ACTIVE LIVING
The goal of this priority is to increase access and participation in physical activity especially among less
active adults and children in Weld County. The ultimate outcomes are to increase people living at a
healthy body weight, increase physical activity in adults and children, reduce screen time in youth,
and increase active transportation options in Weld County. The action plan describing the strategies is
shown in Figure 7 and details can be found at www.thrivingweld.com .
Thriving Weld County: Active Living
E
O
O
Increased Physical Activity in Adults
& Children
Increased People Living at a Healthy Body Weight
Reduced Screen Time for Youth
1 \ i
Expand Programs& Policies for Integrate Community -wide Messaging &
Active Living Education with Active Living Strategy
Engage Healthcare Provider
Education, Encouragement &
Referrals for PA
Leverage State & National
Messaging & Tools that Support
PA Programs
Increased Active
Transportation
I
Improve the Built Environment
& Accessibility for Physical
Activity
Engage Citizens to Advocate to
Build Healthy Communities &
Trails
*
Build a Strong Coalition of
Diverse partners to Support
HEAL
Gather &Share Data to
Improve Prioritization &
Monitoring
f
Collaborate to Secure
Funding for HEAL.
Leverage Best Practices and !.
Tools for Collective Impact ^.
Figure 7 Active Living Action Plan Diagram
The Active Living Action Plan is monitored and tracked by the Active Living Workgroup partners using
the Thriving Weld Dashboard at www.thrivingweld.com . There are eight measures being used to
track progress on this action plan. The Active Living scorecard measures can be found here:
http://thrivingweld.com/active-living/ As of February 2018, over 80% of the measures were either on
target or close to their target and at least 60% were trending in a positive direction. Organizations
participating and responsible for implementing strategies can be found in Appendix C.
ACTION PLAN: HEALTHY MIND AND SPIRIT
The goal of this priority is to promote positive mental and emotional well-being in homes, schools,
workplaces, and neighborhoods. The ultimate outcomes are to improve mental and emotional
wellbeing among residents, increase the amount of people who receive needed care, reduce self -
harm and intrapersonal violence, and increase the amount of youth and adults who abstain from
alcohol, tobacco, and other drugs. The action plan describing the strategies is shown in Figure 8 below
and details can be found at www.thrivingweld.com
Thriving Weld County: Healthy Mind & Spirit
v
E
O
O
E
a
improve Mental/Emotional Wellbeing
Increase Amount of People
Who Receive Needed Care
i
Improve Access to Community
I Services through Supportive
Programs& Policies
I Increase Amount of Primary Care
i., Providers and Community -based
Organizations Who Offer
Prevention Activities
Gather & Share Data to Improve
Prioritization & Monitoring
Reduce Self -Harm &
Intrapersonal Violence
I .\
Improve Prevention & Early
Detection of Depression,
Suicide, Bullying, & Violence
Engage Businesses and Citizens in
Prevention. & Early Intervention
Activities
Build a Strong Coalition of Diverse
Partners to Support Strategies
Figure 8. Healthy Mind and Spirit Action Plan Diagram
Ibstf from
Alcohol,
s
Abstain from Alcohol, Tobacco,
Other Illicit Drugs
Increase Programs that
Promote Social Connectedness
across the Lifespan
Expand Community Support
Systems for Vulnerable
Populations
Leverage Best Practices and
Tools for Collective Impact
The Healthy Mind and Spirit Action Plan is monitored and tracked by the Healthy Mind and Spirit
Workgroup partners using the Thriving Weld Dashboard at www.thrivingweld.com . There are 14
measures being used to track progress on this action plan. The Healthy Mind and Spirit scorecard
measures can be found here: http://thrivingweld.com/healthy-mind-spirit/ As of February 2018, over
90% of the measures were either on target or close to their target and at least 50% were trending in a
positive direction. Organizations participating and responsible for implementing strategies can be
found in Appendix C.
Appendices
Appendix A
November 2017 Summit Takeaways
Weld Health Surve201 +6
1 5 1 I I Ithr
, .ri t_ r 1.
lOTakeaways
al
• The overall health status of Weld County's adult People are engaging in healthy behaviors but there
population is mixed . While many residents say they are in good is still room for improvement, especially in terms of dietary
to excellent health, since 2010, more people have become overweight habits. Only 2 in 10 residents eat two fruit and three vegetable
and obese. The obesity rate increased 24%; the percent of residents servings every day.
with high blood pressure has increased 19%; and the percent of residents
with diabetes increased 36%. `4 � '„
1 a
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tort, : S r "s � "ire 3:i _ak ,E
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1 Vet\t Par
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1. 70 o.y �`. p
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a i �i y° a s " ,�,e, y �!`°�o,, t°'1??.',,
+
. G ° Ws [ °� �"`� r' 'a3'C k y4 ..
�`� ', A�eo+K���o°a,�1.444 tie'�+°4` ° 44)0'a +�ss>>�.,� 0 ess'i rG r
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.4�f�' r ,,', ykta a, ao ,.�9C a c
�'n. G r+ �i �<4h u Y TGs a^9r o ° Never1,., �4� - � � ' or RarelyDrink
., .Ywwaa ° dE°srrox� �r.3e "" ° 9R�,`,p
Y
a t �
Sugar Sweetened
,�t
Obesity Good to Excellent . �;
,,
�. � Beverages
Health Rate A�
`4,4",eo M ,d
-°xfic
More Weld County residents than ever (93%) had ° aW
k w' i 1♦
some type of health insurance in 201 6. There was also a p,
p Eat Two or More °° IA
large reduction in the gap in uninsured between Hispanic/Latino and tp`yyy,,,n
_''
non-Hispanic/Latino residents. But there is still room for improvement Servings of Fruit
,
11144
because 15% of very low-income residents remain uninsured. .s; @`
Every Day ii.0,
4*
u n ke] n s u r„* d 4., ,,,..„
, ,
Eat Three or More ` r y to a.
t`/ Servings of 004%tr, �,
'7L. Vegetables Every �sw A s
r k
r�
18% <
.� Day
1 % ' '
_ __ _
1 1 % ,
, _
_____
Residents are not immune to experiencing mental
° health conditions. In 2016, about 2 in 10 residents said they
thought they needed mental health care or counseling in the past 12
2007 20100 2013 c 1 months. Only about one half of those who thought they needed mental
health care actually sought care.
e de MentS HeM are
r- '5
Costs and scheduling arriers are still major " i % - tf.:.
bafflers t,� ti accessin health care. Regardless of income �. 17%
r reason 15%
status, over 5 in 10 residents said the cost of health care was afor
not getting needed health care. Almost 3 in 10 residents cited scheduling
barriers as a reason for delayed care.
2107 2010 2013 2016
�,c Mt y+ A
i
AHAB
Weld 'County Department of Public Health & Environment, 1555 g 176 Ave>, Greeley, CO �>6 www w& d a hMrg ,. I
Public Health °` ,41crosiAt
______
2016 Weld Communit Health Survey :Y11 . !
People do partake in risky behaviors of Health status varies by where we live, our income and education level,
smoking and drinking® About 1 in 6 adults use and other factors. One health variable is frequent mental distress which is defined as
one or more tobacco products. Binge drinking is high in reporting 14 or more days in the past month when mental health is not good. Rates of frequent
Weld County at 31 % compared to 18% statewide. mental distress in the Southeast part of the county are three times higher than rates in the
North part of the county. Rates are five times higher for adults with less than a high school
About 10% of residents use marijuana, education (20%) than for college graduates (4%). And, over 20% of residents living in poverty
which is lower than Colorado's rate of 14% but report frequent mental distress compared to only 8% of residents not living in poverty.
marijuana use among 18 to 34-year-old has nearly
doubled from about 8% in 2013 to about 15% in 2016. _
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, ,
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uunn s
Marijuana Use ,
,,
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8%, 2013 {Y
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r - -.: . :iii . ES[
7% southwest,. ..,., a , tip- ;
7,; it '_, _ .,J s-.,� 1
Distracted driving is also a problem i - - 2 -�,
iz,
with 76% saying they talk on the phone while driving �c = ' .ceenesbuig
144.01, Jai' a• misors
and 41 % saying they text or email while driving. : � '
, , O,i.a /
:1,41. th
Frequent Mental Distress
Our environment matters too. Many residents said Weld County is a great place to
',W
`i' live. The overwhelming theme in the 1 ,300 comments expressed by residents, however,
,
!
.-.4„n>1 ,7 - about making the county an even healthier place to live, work, and play was to improve the
built environment through either supporting bike and/or pedestrian infrastructure; desiring
more parks and recreation facilities; having better access to and preservation of open spaces;
or suggesting either road, trail, or sidewalk improvements, maintenance, or construction so
that individuals in communities can get around more actively and safely. This was the
taton thePhone
overwhelming theme is all parts of the county. Survey respondents said :
and Drive
"Continue to add to the trails for biking, running, walking, etc.
so we have more places to exercise safely away from traffic. "
4' o ab•
n
4,1Y1.,OZ.
T, .
R M a �,
mn (4 "More family friendly activities, trails, bigger parks to encourage activity. "
' ' fR."{ �'k ��y. µdl
yR� � y %° Better bike and walking trails that are integrated throughout city,
� 9 9 9
" Aerie. . . . allowing movement throughout the city.
Text o Email
"More bike trails that go on for miles and miles. I think you would see
I D ".:(1 , didz,
ana ., ,. I.4,t1 y e O.
a healthier community if you gave people the means to be healthy. . .
For more information goor contact : ckronauge@welcigov. com
4
, :„ ,.. „,....„..,,,.,
J.,..„. _ Our Communit Future
1
1' !I It°cLal #
P� f I:
I 11 r�/II � I`1 ' /� 1
tl
i
Y
° Few MoreTakeaways
_a_sii
.... _
Children are the future but some are facing barriers to The county's population is expected to continue to
becoming healthy g productive adults. About 3 in 10 children row — a lot. By 2040, the population is expected to almost double. For
are overweight or obese, 6 in 10 do not meet physical activity guidelines, and o
residents aged 65 and older, the population is expected to increase 127%.
about 1 in 7 have had mental or behavioral problems, according to their
parents. - -N.
z .. tC 'Arne N,( ° in
^Yr:4'1 y " °��' s '�
6 �1 6Q, l r� 601 305
Y i• d; e Y. Y. r '.F
IrI *r ;fir
,� ,. 4 e 893
d , q
�„ a x tier • /
ewa A r ,1:,„; 4
61�mi. ,ke ta+, M,,,,tY ": w ��,✓T� 337,072
*�. , :. �.a `� �.�. 304,671
overweight or Children Aged - 14
vi3Ob s, `h : e - Years arePhyskafly
r p1 �, , � � Active6OMinutesor2030 2040
fib jjip . 22 Y ~�' 1S -r.i t i "t s t It; ,n f7,,� �F h'1El.n, `S; �is -v'.. c.s., ff�� . E. li L' n:� of
More Each Day
Many households are struggling to make ends meet.
In 2016, almost 40% of 4-person households with children made $65,000
\, 1 ,p / or less, which is the minimum income needed to be self-sufficient (e.g ., pay
Children Aced 4�> n Mf \ �v� Y.1�, I 'JJ :�r ry a
for housing, food, transportation, childcare, healthcare, taxes) in Weld
Years with Mental! County for a family of four.
. 4 1 tr 4).
5 i I ; \41 �I 1 :, iii'.,;,;.),(A:',1,
'I i i/ >Yv( ntt Iwj^a ' r v a
t l v D'/ nr 0xf.4M\te, V, NM' ,'1 a. .�
S.
it " i r ti i fP0 K 0�� &/ .w 1 R W:'ra.-7,5r� t
. JJAj‘N
• / 4 h
li
High school graduation is an important indicator of how young $65,000 le
people are thriving . Weld County's youth high school graduation rate is u . O El O El 1
increasing and better than the state rate of 79%. PI
A: ; ' :.IIIIIIS
4-year on -Tile Graduation Rate
Annual Cost for Basic 2015 Median Household
____,. __,
, __ ___
Necessities, Family of Four Income $69,434
- - - - - _ ,
____ . .
, .
82 % 1
74%
4: lth 1 ► h IV eld Counts economy is good, did you
k8 l *vv. ® . 0
2011 >1013 2016
> Nearly 2 in 10 residents said they were usually or always worried or
stressed about paying mortgage or rent in the past 12 months.
To be healthy, children need > In 2016, 15% of residents provided temporary housing to at least one
AS'„ anotherperson due to a healthproblem, loss of housing, or other
`eM�.;a ft
access to health care when g'
o',iw A ,a: ` rr °' financial hardship.
btb '` Y J' needed . Currently, about 4,000 Weld
I. �i `J' , ir J County children are uninsured and another
raw t1 a er ,
. ' , °w a °` 4 > Among workers with children living at or below the federal poverty level,
; ' 4 , x 5,600 children may be at risk of becoming
°t��� ' uninsured. almost 1 in 4 workers had to quit, not take a job, or change their job due
to problems with childcare.
.0 cs, _____ c rei.
er r
• PHAB zc
Public Health ,,,, v
THRIVING EIS SU AT: 2t1 7 RO UNDTA 'tLE CSC S I SU A
RECAP
Two questions were asked :
e Question 1 : What does a "healthiest community" mean to you ?
® Question 2: How can you and your organization help make Weld County a
"healthiest community"?
There were 95 comments cards collected and analyzed . 194 coded comments for question
1 and 119 coded comments for question 2 .
All three priority area themes were mentioned in the comments. There were 25 references
related to mental well -being, 15 references related to healthy eating, and 7 references
related to physical activity.
QUESTI • N 1 : CCHMENT THEMES cA, ND C LINTS
Count Theme
33 Access to res * urc s, healthcare, * r health pramttthig environment
26 Environment that is supportly.,:i t*, the ¢i uu t environment, safe, an - s; clean
24 Health equity and incl sive ..wess bar all * -lograp is and -tt e *ijraphlc
groups
11 Health promoting culture
11 Wholistic/integrated health
10 Economic health and opportunities
9 Personal connections among neighbors, families, and community members
8 Organizational connections, networking, and collaboration
5 Measurement tracking and meeting targets
4 Positive emotions (engaged and happy people)
3 Adaptability to changing issues
2 Overcoming mental health stigma
QUESTION 1 MAIN THEMES AND QUOTES: A HEALTHIEST COMMUNITY MEANS . . . ..
1 . ACCESS - There were 33 references to this theme . About 25% of the references were
primarily related to access to healthcare, another 25% were primarily related to having
access to a health promoting environment, another 25 % mentioned access to
healthcare and a health promoting environment, and the remaining 25% did not
specify what they meant by access. A few comments made were:
® "Everyone has access to a safe and healthy environment and access to available
services to promote mental and physical health and wellbeing ."
• " . . . all community members have access to the resources to achieve optimal
health; spiritual, emotional, occupational , behavioral , medical ."
® " . . . . [to have an] accessible built environment that facilitates healthy active
lifestyles."
2 . ENVIRONMENT - There were 26 references related to the environment. The most
frequently mentioned environment issue was around safety and feeling safe ( 11
references) . Other environmental sub-themes mentioned were having a supportive
built environment that promotes health, and having a clean environment.
3 . HEALTH EQUITY - There were 24 references to this theme. Several references
mentioned equity directly but many comments referenced "health for all people". One
summit attendee said that the healthiest community is [the] "belief that people are
more than the number of days they work, the color of their skin, how much money they
have - they are a whole person with real needs and real value. "
QUESTION 2: COMMENT THEMES AND COUNTS
Count Theme
74 Collective planning and development ( i .e., collective impact)
Active Partnerships (40)
Connect People with Resources ( 18)
Funding and Resource Management ( 11 )
Organizational Sharing (5 )
10 Community Engagement
9 Education
6 Advocacy for Most Vulnerable
5 Integrity
QUESTION 2 MAIN THEMES AND QUOTES : HOW CAN YOU/YOUR ORGANIZATION HELP . . . .
The main theme mentioned in response to question 2 about making Weld County the
healthiest community was about collective planning and development. Although not
mentioned directly many participants seemed to reference working collectively to impact
community health .
ACTIVE PARTNERSHIPS - Many summit participants mentioned this theme. They mentioned
collaborating, partnering, and engaging their partners. One notable quote from a participant
was "Collaborate! Work with other agencies as much as possible and try to develop
partnerships for now and for the future endeavors. "
CONNECTING PEOPLE/THE PUBLIC WITH LOCAL RESOURCES - For this theme, some
participants were very specific in saying what their organization could do and others answered
more broadly. For example, Weld Food Bank said their vision is to provide access to healthy
food which helps keep health care costs lower and fuels children for learning . Someone from
Northrange said that committing to providing Mental Health First Aid to every organization on
the dashboard was desirable. Public health staff mentioned staffing more mobile units while
another participant mentioned that more outreach to rural areas is needed .
FUNDING AND RESOURCE MANAGEMENT - The comments mentioned in this sub-theme
included referencing leveraging assets, supporting efficient data collection and sharing and
use, continuing to use our community health survey to develop relevant and responsive
programs, and finding more funding .
ORGANIZATIONAL SHARING - Several participants mentioned sharing data and survey
information in order to as one person put it: "identify common goals/projects and work
to wards these; helping to figure out how to resolve/reduce redundancy and inefficiencies to
collabora tion. "
Appendix B
Prioritization Results
At the February 7, 2018 Thriving Weld Partnership Meeting, the attendees voted to continue to
prioritize healthy eating, active living, and healthy mind and spirit as top-level priorities in the
community health improvement plan . In a live poll , the majority of attendees also responded
to the question : What emerging health trend, if any, are you most concerned about? The raw
results are shown below.
, 6 1 tr n e U • n tme
0 Poll is full and no longer accepting responses
increasings r fors o d iti r s b � ior , vor p -,
su stance reduction entalhe t food s tob o : sa {
nutrition
diabetes � on d sugar
i� tit im � i r` tiontii
harm time . .. nt
[workforce inf ctious ° 1_ , Y _ ci, oplOid .
sg''ns1 My`}�"��\�• .��{/1y�j�{{; ag �(tj�\/� �� y j�(y8 i/��yj� 96e tel issues
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s r b sex O
mL � w devutoornent r .�
s s children s
o t o = i o rindependence .
ors � o seoie tai
,LI
The live poll results were further analyzed, and the top three most frequent themes were:
addiction (some said opioid •
daddiction ), mental/behavioral health, and obesity. The emerging
health concern themes are shown below,
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Appendix C
Thriving Weld Partnership Groups
Steering Group
The Thriving Weld Steering Group includes members from Weld County Department of Public
Health and Environment, North Colorado Health Alliance, United Way of Weld County, and
North Range Behavioral Health.
Eric
Leslie
Noah
Melanie
Audrey
Cindy
Deirdre
Lyle
Mark
Kendall
Aakko
Beckstrom
Chornyak
Falvo
Goold
Kronauge
Pearson
Smith-Graybeal
Wallace
Alexander
Weld County Department of Public Health and Environment
Weld County Department of Public Health and Environment
North Colorado Health Alliance
United Way of Weld County
Weld County Department of Public Health and Environment
Weld County Department of Public Health and Environment
North Colorado Health Alliance
United Way of Weld County
Weld County Department of Public Health and Environment
North Range Behavioral Health
Healthy Eating Workgroup
The Healthy Eating Workgroup currently consists of 32 members and is facilitated by: Maggie
Shawcross, High Plains Library District and Leslie Beckstrom, Weld County Department of Public
Health and Environment. Kelly Martinez, Weld County Department of Public Health and
Environment and Jennifer Linder, North Colorado Health Alliance also assist the workgroup
when needed.
Nanette
Annie
Leslie
Menan
Ellie
Moranda
Katie
Deb
Ellie
Lori
Rene
Erma
Olga
Nancy
Rachel
Jennifer
Kelly
Kristin
Lauren
Alexia
Linda
Achziger
Baker
Beckstrom
Bergman
Betts
Boles
Castillo
DeBoutez
Dudley
Ealey
Gonzalez
Gonzalez
Gonzalez
Haffner
Hurshman
Linder
Martinez
Montoya
Murray
Peake Inhulsen
Pierre
LPR Construction
North Colorado Health Alliance
Weld County Department of Public Health and Environment
Bank of Colorado
Sunrise Community Health
Greeley -Evans School District 6
UCHealth
City of Greeley
Integrated Nutrition Education Program
Aetna
Colorado Access
Sunrise Community Health
Weld County Department of Public Health and Environment
North Range Behavioral Health
Greeley -Evans School District 6
North Colorado Health Alliance
Weld County Department of Public Health and Environment
Create Your Health
Greeley -Evans School District 6
Peake Wellness Center
Community Member
Kevin
Natalie
Rebecca
Mike
Teresa
Maggie
Meredith
Lorrie
Nancy
Patrick
Kathy
Quinn
Rehurek
Robbins
Schwan
Sharp
Shawcross
Skoglund
Wellman
Wendirad
Willoughby
Zavela Tyson
Major Medical Supply
Greeley -Evans School District 6
Greeley -Evans School District 6
Weld County Department of Public Health and Environment
Colorado School of Public Health at UNC
High Plains Library District
Weld County Area Agency on Aging
Weld County Area Agency on Aging
Community Member
Major Medical Supply
Community Member
Active Living Workgroup
The Active Living Workgroup currently consists of 28 members and is facilitated by: Stacey
Brown, High Plains Library District, Amanda Lalonde, City of Greeley, and Eric Aakko, Weld
County Department of Public Health and Environment. Erin Olson and Leslie Beckstrom also
assist this workgroup when needed.
Eric
Rachel
John
Leslie
Sarah
Stacey
Russell
Sean
Jennifer
John
Clint
Lindsay
Andrea
Matthew
Whitney
Eva
Lisa
Sylvia
Zach
Joel
Amanda
Kelly
James
Erin
Megan
Aakko
Artz-Steinberg
Barnett
Beckstrom
Boyd
Brown
Carson
Casten
Cooney
Cordova
Dudley
Guard
Haring
Hortt
Janzen-Pankratz
Jewell
Joyner, MHA
Kamau-Small
Kilimann
Krzan
Lalonde
Leffler
Neill
Olson
Packard
Weld County Department of Public Health and Environment
North Colorado Health Alliance
City of Greeley
Weld County Department of Public Health and Environment
City of Greeley
High Plains Library District
University of Northern Colorado
Team Tom Gym
City of Greeley
North Range Behavioral Health
Thompson Rivers Parks and Recreation
Thompson Rivers Parks and Recreation
City of Greeley
High Plains Library District
Weld County Area Agency on Aging
Weld County Area Agency on Aging
North Colorado Health Alliance
Kaiser Permanente
Soccer Without Borders
Aetna
City of Greeley
Weld County
Town of Kersey
Weld County Department of Public Health and Environment
North Colorado Youth for Christ
Rebecca Robbins Greeley -Evans School District 6
Mike Schwan Weld County Department of Public Health and Environment
Karen Scopel City of Greeley
Healthy Mind and Spirit Workgroup
The Healthy Mind and Spirit Workgroup currently consists of 53 members and is facilitated by:
Courtney Bell, Greeley -Evans School District 6 and Audrey Goold, Weld County Department of
Public Health and Environment. Kat Ventoruzzo, Weld County Department of Public Health and
Environment also assists the workgroup when needed.
Nanette Achziger LPR Construction
Annette Alfano UCHealth
Sujeith Barraza North Colorado Health Alliance
Courtney Bell Greeley -Evans School District 6
Debra Bianchi Alzheimer's Association
Lesley Brooks Sunrise Community Health
Jessie Caggiano Greeley -Evans School District 6
Melanie Cyphers Weld County Department of Public Health and Environment
Melanie Falvo United Way of Weld County
Dorothy Farrel Sava Center
Caitlin Frantz North Range Behavioral Health
Rachel Freeman Weld County Department of Public Health and Environment
Anne Fritz North Colorado Health Alliance
Rosaryo Gallegos Salud Family Health Centers
Rene Gonzalez Colorado Access
Audrey Goold Weld County Department of Public Health and Environment
Corrie Groesbeck Weld County Department of Public Health and Environment
Amanda Hartshorn North Colorado Health Alliance
Abe Herrera The Children's Health Place
Christy Howell UCHealth
Heather Hyndman North Colorado Health Alliance
Peggy Jarrett SCL Health (Platte Valley Medical Center)
Melissa Jensen Community Grief Center
Clara Juarez North Colorado Health Alliance
Christina Kauffman High Plains Library District
Jacki Kennedy North Range Behavioral Health
Jennifer Linder North Colorado Health Alliance
Kelsey Lyon Larimer County Department of Health & Environment
Joanna Martinson North Colorado Health Alliance
Shawna Miller Almost Home Online
Meredith Munoz North Colorado Health Alliance
Samantha Orozco Sunrise Community Health
Adrian Oxton Heart Centered Counseling
Linda
Larry
Sara
Jeannette
Lindy
Micaela
Cindy
Marilyn
Mike
Katie
Joanna
Samantha
Catherine
Katie
Tanya
Katherine
Patrick
Jane
Lydia
Kathy
Pierre
Pottorff
Rhoten
Rodriguez
Ruiz
Sanchez
Schmidt
Schock
Schwan
Shilts
Sinnwell
Slenker
Stacey
Tann
Trujillo -Martinez
Ventoruzzo
Willoughby
Wilson
Wolfe
Zavela Tyson
Community Member
North Range Behavioral Health
Larimer County Department of Health & Environment
Apoyo Con Carino
Children's Health Place
High Plains Library District
North Colorado Health Alliance
UCHealth
Weld County Department of Public Health and Environment
UCHealth
North Range Behavioral Health
North Colorado Health Alliance
The Arc of Weld County
North Colorado Health Alliance
North Colorado Health Alliance
Weld County Department of Public Health and Environment
Major Medical Supply
Health Links
Boys and Girls Club of Weld County
Community Member
Thriving Weld Organizational Partners
Over 300 participants (including 11 community members) from over 100 organizations are now
a part of the Thriving Weld Community Group.
A Woman's Place, Inc.
Aetna
Aims Community College
Almost Home Online
Alzheimer's Association
American Cancer Society
American Lung Association
Apoyo Con Carino
Aunt Helens Coffee House
Bank of Colorado
Banner Health
Boys and Girls Club of Weld County
CAHEC
Catholic Charities
Children's Health Place
Christ Community Church
Cigna
Insightformation
Integrated Nutrition Education Program
Island Grove Village Apartments
Kaiser Permanente
King Soopers
LAM Ministries
Larimer County Department of Health &
Environment
LPR Construction
Lutheran Family Services Refugee & Asylee
Program
Major Medical Supply
McWhinney
MM Solutions
North Colorado Health Alliance
North Colorado Youth for Christ
North Range Behavioral Health
Office of U.S. Senator Cory Gardner
One NOCO
City of Evans
City of Greeley
Colorado Access
Colorado Department of Human Services
Colorado Department of Public Health and
Environment
Colorado Early Education Network
Colorado Rockies
Colorado School of Public Health at UNC
Community Advantage/ResCare
Community Foundation of Greeley and Weld
County
Community Grief Center
Cranford Cove Tea Tavern
Create Your Health
Division of Vocational Rehabilitation
Dr. Mayeda
Drive Smart Weld County
Ehrlich Motors
Encompass Healthcare Data Solutions
First National Bank
Flood and Peterson
Front Range Dermatology Associates
Front Range Energy, LLC
Good Samaritan Society -Loveland Village
Goodwill Denver
Greeley Chamber of Commerce
Greeley Downtown Development Authority
Greeley Easy Home Rentals LLC
Greeley Transitional House
Greeley -Evans School District 6
Health District of Northern Larimer County
Health Links
Heart Centered Counseling
High Plains Library District
Highland High School
Homewatch CareGivers
Immigrant and Refugee Center of Northern
Colorado
In -Situ, Inc.
InnovAge
Partners Mentoring Youth
Peake Wellness Center
Phase 2 Company
Project Angel Heart
Rocky Mountain Service Employment
Redevelopment
Salud
Salud Family Health Centers
Sava Center
SCL Health (Platte Valley Medical Center)
Senior Resource Services
Sexual Assault Victim Advocate Center
Soccer Without Borders
State of Colorado
Sunrise Community Health
Team Tom Gym
The Arc of Weld County
The Children's Health Place
The Colorado Health Foundation
The Greeley Dream Team, Inc.
Thompson Rivers Parks and Recreation
Tobacco -Free Coalition of Weld County
Town of Kersey
Town of LaSalle
UCHealth
United Way of Weld County
University of Colorado Denver
University of Northern Colorado
Volunteers of America
Weld County Government
Weld County Area Agency on Aging
Weld County Board of Health
Weld County Department of Human Services
Weld County Department of Public Health and
Environment
Weld Food Bank
Woodward, Inc.
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