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what do all of these things have in common

ACHIEVE Initiative Action Communities for Health, Innovation, and EnVironmental Change

Mia_John
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what do all of these things have in common

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    1. What do all of these things have in common? Eat 5+ servings of fruits and veggies a day Ride a bike or take a walk Go to the doctor for an annual check-up Turn off the TV and work in the garden instead Drink a glass of water instead a can of soda Avoid smoking They’re individual actions a person may take to improve their health.They’re individual actions a person may take to improve their health.

    2. Good health isn’t just about personal choices. We need collective action to make the healthy choice the easy choice. The ACHIEVE initiative is designed to do just that!Good health isn’t just about personal choices. We need collective action to make the healthy choice the easy choice. The ACHIEVE initiative is designed to do just that!

    3. ACHIEVE, which stands for Action Communities for Health, Innovation, and Environmental Change is a nationwide initiative to bring together community leaders to build healthier communities. ACHIEVE communities—53 in total (10 selected last year, 43 this year)—are funded by CDC and their funding partners (NACCHO, NACDD, NRPA, and YMCA).ACHIEVE, which stands for Action Communities for Health, Innovation, and Environmental Change is a nationwide initiative to bring together community leaders to build healthier communities. ACHIEVE communities—53 in total (10 selected last year, 43 this year)—are funded by CDC and their funding partners (NACCHO, NACDD, NRPA, and YMCA).

    4. Northwest ACHIEVE Communities About 20% of the ACHIEVE communities are based in the NW. 5 are in WA state.About 20% of the ACHIEVE communities are based in the NW. 5 are in WA state.

    5. ACHIEVE Goals Building community capacity- commitment, resources, and skills- to develop and implement policy, systems, and environmental change strategies that will: Reduce health risk factors. Insufficient physical activity Poor nutrition Tobacco use and exposure to secondhand smoke Support attaining health equity. The ACHIEVE communities are charged with developing and implementing policy, systems, or environmental changes that will influence the way we live, work, and play with a specific focus on physical activity, nutrition, and tobacco use.The ACHIEVE communities are charged with developing and implementing policy, systems, or environmental changes that will influence the way we live, work, and play with a specific focus on physical activity, nutrition, and tobacco use.

    6. With ACHIEVE, communities follow a five-step process that includes commitment, assessment, planning, implementation, and evaluation. Our Island County ACHIEVE coalition began this process about eight months ago. I’ll be sharing the outcomes of our work to date. In March, Carol Sele, our community coach, and I attended a coaches’ meeting in Atlanta to acquire skills for building our coalition. When we returned, we began recruiting members to our leadership team (next slide). With ACHIEVE, communities follow a five-step process that includes commitment, assessment, planning, implementation, and evaluation. Our Island County ACHIEVE coalition began this process about eight months ago. I’ll be sharing the outcomes of our work to date. In March, Carol Sele, our community coach, and I attended a coaches’ meeting in Atlanta to acquire skills for building our coalition. When we returned, we began recruiting members to our leadership team (next slide).

    7. ACHIEVE Leadership Team Cac Kamak, City of Oak Harbor Carol Sele, ACHIEVE Community Coach Carrie McLachlan, Assessment & Healthy Communities Jessica Minder, Tobacco Prevention & Control Joantha Guthrie, Island County Public Works Leon Shordon, Human Services Michele Renninger, Whidbey General Hospital Patricia Terry, Community Health Advisory Board Terri Arnold, South Whidbey Parks and Recreation Whitney Webber, ACHIEVE Health Department Coach Our Leadership Team, which is here today, includes the following individuals representing sectors such as non-motorized transportation, planning, youth services, parks and recreation, public health, healthcare, and business (previous slide).Our Leadership Team, which is here today, includes the following individuals representing sectors such as non-motorized transportation, planning, youth services, parks and recreation, public health, healthcare, and business (previous slide).

    8. For about two months leading up to the planning phase, our Leadership Team compiled existing information on community health and chronic disease prevention initiatives, and conducted a community health assessment using CDC’s CHANGE tool. In all, they interviewed 24 organizations across 5 different sectors. I’ll briefly touch on the results of this work now (slides 8-14). Our initial grant was a travel grant to send our Leadership Team to the Action Institute in July in Denver to learn more about policy, systems, and environmental change strategies and how to develop our community action plan. We developed and submitted our action plan in August and learned in early November that we received a grant to implement our grant (slide 15).For about two months leading up to the planning phase, our Leadership Team compiled existing information on community health and chronic disease prevention initiatives, and conducted a community health assessment using CDC’s CHANGE tool. In all, they interviewed 24 organizations across 5 different sectors. I’ll briefly touch on the results of this work now (slides 8-14). Our initial grant was a travel grant to send our Leadership Team to the Action Institute in July in Denver to learn more about policy, systems, and environmental change strategies and how to develop our community action plan. We developed and submitted our action plan in August and learned in early November that we received a grant to implement our grant (slide 15).

    9. Island County Health Data This is data from the Behavioral Risk Factor Surveillance Survey. You can go online to the Washington State Public Health Indicators website to find this information. As you can see, we are doing better than the state or nation for these five adult health measures, but we are not meeting the national Healthy People 2010 goals that our Community Health Advisory Board uses to report on the overall health of our residents.This is data from the Behavioral Risk Factor Surveillance Survey. You can go online to the Washington State Public Health Indicators website to find this information. As you can see, we are doing better than the state or nation for these five adult health measures, but we are not meeting the national Healthy People 2010 goals that our Community Health Advisory Board uses to report on the overall health of our residents.

    10. Island County Health Data Looking at our youth, our youth are less active than youth statewide, and in fact, have become less active over time. We are not meeting our goals for teen physical activity or overweight.Looking at our youth, our youth are less active than youth statewide, and in fact, have become less active over time. We are not meeting our goals for teen physical activity or overweight.

    11. CHANGE Tool In addition to looking at existing health information, our ACHIEVE Leadership Team used CDC’s CHANGE tool to capture a current snapshot of our community’s health, which had the added benefit of helping us build consensus as a group and better know our community. The CHANGE tool is organized into 5 Excel workbooks representing 5 sectors: community, worksite, school, community institution/organization, and healthcare. Each of the 5 workbooks has 6 worksheet modules: demographics, physical activity, nutrition, tobacco use, chronic disease management, and leadership.In addition to looking at existing health information, our ACHIEVE Leadership Team used CDC’s CHANGE tool to capture a current snapshot of our community’s health, which had the added benefit of helping us build consensus as a group and better know our community. The CHANGE tool is organized into 5 Excel workbooks representing 5 sectors: community, worksite, school, community institution/organization, and healthcare. Each of the 5 workbooks has 6 worksheet modules: demographics, physical activity, nutrition, tobacco use, chronic disease management, and leadership.

    12. This screen snapshot depicts the physical activity module of the worksite sector. Using a scale of 1 to 5 and 99 for does not apply, the Leadership Team scored policy and environmental change strategies at each site, and then calculated a total percentage for each module.This screen snapshot depicts the physical activity module of the worksite sector. Using a scale of 1 to 5 and 99 for does not apply, the Leadership Team scored policy and environmental change strategies at each site, and then calculated a total percentage for each module.

    13. Island County CHANGE Data Here are the results for our healthcare sector. Anything below 40%, we characterized as a need in our community, and anything above 80% as an asset.Here are the results for our healthcare sector. Anything below 40%, we characterized as a need in our community, and anything above 80% as an asset.

    14. Island County CHANGE Data Going back to the CHANGE tool, we can determine what specific policy or environmental changes account for our policy and environmental assets or needs. These assets and needs are specific to healthcare policy for our community, which you’ll later see reflected in ACHIEVE’s community action plan.Going back to the CHANGE tool, we can determine what specific policy or environmental changes account for our policy and environmental assets or needs. These assets and needs are specific to healthcare policy for our community, which you’ll later see reflected in ACHIEVE’s community action plan.

    15. Island County Community Initiatives Matrix As another part of the assessment process, our Leadership Team developed a matrix of existing community initiatives in Island County addressing chronic disease. There are close to 15 that we know about, and I’ve shown three here (return to slide 6).As another part of the assessment process, our Leadership Team developed a matrix of existing community initiatives in Island County addressing chronic disease. There are close to 15 that we know about, and I’ve shown three here (return to slide 6).

    16. Our initial grant was a travel grant to send our Leadership Team to the Action Institute in July in Denver to learn more about policy, systems, and environmental change strategies and how to develop our community action plan. We developed and submitted our action plan in August and learned in early November that we received a grant to implement our community action plan (slide 15). CDC and their partners will be providing us evaluation support as we implement our community action plan.Our initial grant was a travel grant to send our Leadership Team to the Action Institute in July in Denver to learn more about policy, systems, and environmental change strategies and how to develop our community action plan. We developed and submitted our action plan in August and learned in early November that we received a grant to implement our community action plan (slide 15). CDC and their partners will be providing us evaluation support as we implement our community action plan.

    17. What process did we use to develop our Community Action Plan? Brainstorming with team (cluster like ideas on sticky notes) Used an impact/effort grid to prioritize the list Filled in CAP development table as a group Compared with policy and environment sector assessment data to make sure assets and needs were incorporated To develop our community action plan, our Leadership Team brainstormed ideas at the Action Institute and considered the effort and impact of our ideas to prioritize a list of policy and environmental strategies. We compared this list with our assessment data to make sure our community’s assets and needs were incorporated.To develop our community action plan, our Leadership Team brainstormed ideas at the Action Institute and considered the effort and impact of our ideas to prioritize a list of policy and environmental strategies. We compared this list with our assessment data to make sure our community’s assets and needs were incorporated.

    18. CAP Goals (June 2011) Healthcare A system that helps providers routinely address physical activity, nutrition, and tobacco prevention with their patients Free-range kids – Kids that are free to explore their surroundings safely on their own Changes in city and county code that foster safe, accessible places for youth and families to be active Social marketing through signage and community events Elected officials A new dialogue on how to address physical activity, nutrition, and tobacco use in our community Adopted policy resolutions with plans for implementation Our final community action plans highlights our goals for June of 2011. We’ll be working to impact the healthcare system, to support safe, accessible places for youth and families to be active, and to work with our community leaders to develop and implement policies that address physical activity, nutrition, and tobacco use.Our final community action plans highlights our goals for June of 2011. We’ll be working to impact the healthcare system, to support safe, accessible places for youth and families to be active, and to work with our community leaders to develop and implement policies that address physical activity, nutrition, and tobacco use.

    19. This is a still evolving organizational framework for ACHIEVE. Representatives from our task forces, who also serve on our Leadership Team, will take a few minutes to share their latest thinking with you. I’d like to now introduce Joantha Guthrie, a Project Manager with Island County Public Works, to tell you about the Free-Range Kids Task Force.This is a still evolving organizational framework for ACHIEVE. Representatives from our task forces, who also serve on our Leadership Team, will take a few minutes to share their latest thinking with you. I’d like to now introduce Joantha Guthrie, a Project Manager with Island County Public Works, to tell you about the Free-Range Kids Task Force.

    20. Free-Range Kids Task Force Establish an interdisciplinary approach to creating and maintaining healthy communities Balance representation across sectors on boards, committees, commissions, and task forces Solicit input from diverse sectors when updating any GMA plan or portion thereof

    21. Potential Policy Outcomes from Collaboration

    22. Health Care Task Force People Jessica Minder, Tobacco Prevention & Control Michele Renninger, Whidbey General Hospital Carol Sele, ACHIEVE Community Coach Organizations NHOH WGH Whidbey Community Physicians* Whidbey Island Internal Medicine* Pediatric Associates Goal: To have a tool that consistently assesses a patient at each visit for nutrition, exercise, and tobacco use. Discuss strengths of each player Mention supportive task force members (champions) Identify pilot group Clarify current types of assessment tools and why they are not adequateDiscuss strengths of each player Mention supportive task force members (champions) Identify pilot group Clarify current types of assessment tools and why they are not adequate

    23. Quick Script Wellness Tool Are there any barriers to you eating five fruits and vegetables every day? ? Yes ? No In the past two months have you found it difficult to exercise for 30-60 minutes 3-5 days a week? ?Yes ? No Do you use tobacco or are you exposed to second hand smoke? ? Yes ? No

    24. Next Steps Share the tool with key players Coach the staff using the tool on when, where, & how to hold the conversation Develop a resource guide to support the three key areas Trial the tool with 10 patients in each clinic Review results and refine the tool & resources

    25. ACHIEVE Policy Committee Provide technical assistance to ACHIEVE Leadership Team and Task Force policy recommendations and to the Island County Board of Health Serves in both proactive mode—based on Task Force policy recommendations will work to build a supportive base of policymakers, identify appropriate policy venues and advocate for policy recommendations, as well as a reactive mode—reviewing health impacts of proposed policies Initially, we are hoping the Island County Board of Health will serve as the ACHIEVE Policy Council, reviewing and acting on policy recommendations Will you serve in this role? We will work with you to further define the roles of both the ACHIEVE Policy Committee and the Board of Health as the ACHIEVE Policy Council. The ACHIEVE Policy Committee will provide technical assistance to our Leadership Team, Task Forces, and to the Island County Board of Health. They will serve in a proactive role building a supportive group of policymakers, identifying appropriate policy venues, and advocating for policy recommendations. They will also serve in a reactive mode reviewing health impacts of proposed policies. Initially, our Leadership Team is hoping that the Board of Health will serve as the ACHIEVE Policy Council, reviewing and acting on policy recommendations that the ACHIEVE coalition brings forward. Our question to all of you is: Will you serve in this role? As it’s still not clear to us the linkages between groups because we’ve had such a short time to think about the implementation of our community action plan, we’d work closely with you to further define the role of this committee and the Board of Health as the ACHIEVE Policy Council. The ACHIEVE Policy Committee will provide technical assistance to our Leadership Team, Task Forces, and to the Island County Board of Health. They will serve in a proactive role building a supportive group of policymakers, identifying appropriate policy venues, and advocating for policy recommendations. They will also serve in a reactive mode reviewing health impacts of proposed policies. Initially, our Leadership Team is hoping that the Board of Health will serve as the ACHIEVE Policy Council, reviewing and acting on policy recommendations that the ACHIEVE coalition brings forward. Our question to all of you is: Will you serve in this role? As it’s still not clear to us the linkages between groups because we’ve had such a short time to think about the implementation of our community action plan, we’d work closely with you to further define the role of this committee and the Board of Health as the ACHIEVE Policy Council.

    26. Before I close, I’d like to extend an invitation to all of you to attend the 9th Annual New Partners for Smart Growth Conference in Seattle on February 4-6. The conference is an opportunity for you to hear from over 300 speakers in 95 different sessions about how to build safe, healthy, and livable communities. We will be covering the costs of your registration and travel. Your participation will be invaluable should you decide to serve in the role of the ACHIEVE Policy Council and work with our ACHIEVE Policy Committee to review and adopt promising policy and environmental strategies. If you would like to attend, I need to know by Monday, December 28.Before I close, I’d like to extend an invitation to all of you to attend the 9th Annual New Partners for Smart Growth Conference in Seattle on February 4-6. The conference is an opportunity for you to hear from over 300 speakers in 95 different sessions about how to build safe, healthy, and livable communities. We will be covering the costs of your registration and travel. Your participation will be invaluable should you decide to serve in the role of the ACHIEVE Policy Council and work with our ACHIEVE Policy Committee to review and adopt promising policy and environmental strategies. If you would like to attend, I need to know by Monday, December 28.

    27. Contact Information If you would like additional information on ACHIEVE, please don’t hesitate to contact me or others on our Leadership Team. We look forward to continuing to update you on the work of ACHIEVE. If you would like additional information on ACHIEVE, please don’t hesitate to contact me or others on our Leadership Team. We look forward to continuing to update you on the work of ACHIEVE.

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