Download (CAP) Guidebook - ACHIEVE Healthy Communities

2012
Community Action Plan (CAP) Guidebook
With special thanks to the National
Association of Chronic Disease Directors
Table of Contents
Page
Introduction
3
Part 1 Commitment (Steps 1-7)
4-5
Part 2 Assessment (Steps 1-2)
6
Part 3A Development Guidance
7
Part 3A Planning, Implementation and Evaluation
8-12
Part 3B Sustainability, Communication and Resources
13
Community Action Plan (CAP) Template
14-22
Recommended Implementation Strategies
23-32
Sample Workplan
33-36
2
Introduction
This guidebook has been developed to assist the ACHIEVE teams during the development of the Community
Action Plan (CAP). The CAP is more than just a strategic plan or work plan. It is a holistic document that your team
can use to document and track action, store information about the CHART membership and use as a historical
document as the CHART progresses through ACHIEVE. The proposed model for working through this holistic plan
is to first review CHANGE and other data to identify priority areas for inclusion in the CAP. This is an opportunity
for the CHART to work together to identify strategies to impact the data gathered and begin working towards a
healthier community.
The ACHIEVE model involves a five-phase approach. The team can document progress moving through the five
phases: commitment, assessment, planning, implementation, and evaluation. Additional areas included are for
describing the communication plan, sustainability plan and additional resources. Included in this document is a
copy of the CAP template as well as an example of a completed CAP.
3
PART 1: COMMITMENT
Step 1: CHART Membership
This section provides an area to document who is on the CHART, what organization they represent, what role they play in that
organization, what type of organization they are from and what sector they represent. This list may grow over time. As new
members are added, please update.
Step 2: Vision
Your vision statement is your inspiration, the framework that describes your strategic planning. It highlights what will be
achieved when the activity is successful. It describes a healthier future and answers the question, “Where do we want to be in
a few years?” Example: “All citizens of Any Town, USA, will, on a daily basis, consume a nutritionally-balanced diet, acquire the
minimum recommended daily physical activity, and refrain from using tobacco products.” The vision is what will be achieved
by your efforts.
Step 3: Mission
The mission statement informs what impact your CHART will make and describes why it is important to achieve the vision.
Example: “The ACHIEVE CHART of Any Town, USA, will work with top-level leaders in all community sectors to implement
policy and environmental strategies to facilitate for residents better diets, increased physical activity, and the cessation and
abstinence of tobacco products.” The mission includes efforts your CHART will undertake to achieve the vision.
Step 4: Community Description
Information to provide in this section includes demographic information, target population, socio-economic and health data,
community size, community strengths, weakness, assets and threats. Data to include here can be found in census data
(www.census.gov), the Behavioral Risk Factor Surveillance System (www.CDC.gov/BRFSS), and the Youth Risk Behavior
Surveillance System (www.cdc.gov/HealthyYouth/yrbs/). Your state, county, or city might also have local data to share;
consult their websites to find
helpful local data.
See page 16 of the CHANGE Action Guide for further information about locating
and using data for your community description.
4
http://www.cdc.gov/healthycommunitiesprogram/tools/change/downloads.htm
Step 5: Intervention Area Map [optional]
A map is helpful to show where your intervention area is, if it is a smaller part of a county or city. For example, if you have
chosen to focus on several zip code areas or school districts, using a map to indicate where the priority area is within the
larger county is recommended.
Step 6: Existing Efforts
Describe existing efforts and experience with identified sectors, populations, risk factors, and chronic disease areas that may
support or be a barrier to the implementation of healthy community strategies. Describe also existing coalitions and efforts
that have been made and that will be leveraged to advance ACHIEVE.
Step 7: CHART
Provide information about your CHART. In your description, include information about
 Structures and processes developed for decision making within the CHART.
 Structures and processes that have been put in place to ensure that CHART member involvement matches their skills,
interests, and resources.
 Structures and processes for communication within the CHART.
 Describe how the CHART prioritized the strategies within the CAP.
5
PART 2: COMMUNITY ASSESSMENT
Part 2 is where you describe what you learned about your community by using the
CHANGE tool and other assessments. You will also describe how you used data gained
through the assessments to develop your community action plan (CAP). For example, if
you find that your community has many areas where there are no options for physical
activity, you might have decided to prioritize physical activity options in your CAP.
Similarly, if you find that your community has well-enforced smoke-free ordinances in
most public areas, you might have decided to not address tobacco in your CAP this year.
See Action Step 7: Review
Consolidated Data in the
CHANGE Action Guide
(pages 31 – 38) for ideas
of how CHANGE data can
be used.
Step 1: CHANGE Tool Information
Describe key findings of CHANGE and how the data will be used to inform the CAP.
Step 2: Community Assessment Information
Enter any assessments conducted in addition to CHANGE. Other assessments may include the School Health Index and
Community Healthy Living Index. While it is not a requirement to conduct additional assessments, communities often do so to
enrich the data they have to use for developing their CAP. If no other assessments have been conducted, leave this section
blank.
6
PART 3A : CHART STRATEGY RANKING DEVELOPMENT GUIDANCE
Part 3A is an optional exercise that your CHART may find useful to help review assessment data (CHANGE and other) and
consider how the following issues impact your community. By developing your plan based on assessment data as well as these
criteria, you will increase likelihood of success. For each of the strategies the CHART is considering, ask and rank the below
criteria as high, medium or low.
Political will – What focus areas and strategies are supported by multiple and influential stakeholders? Do the strategies reach
distressed communities without imposing an undue burden on them? Do the strategies address concerns raised by the
opposition? Do they elicit a strong media interest?
Community receptivity – Will the strategies be welcomed by most people in the community? Do they fit with the community’s
needs and values?
Sustainability – What is the likelihood that the strategies will promote sustained positive change? Do they include a welldefined process and timeline for implementation? Do they establish authority for oversight and/or enforcement? Do they
include work plans for evaluation? Will they withstand legal scrutiny?
Effectiveness in key communities – What is the likelihood that the strategies will be effective in promoting healthy eating,
active living, and tobacco-free lifestyles? What is their impact? Will they achieve meaningful change? Influence social norms?
Address a clearly identified issue? Build the healthy communities movement for change? Reflect the best available evidence?
Cost effectiveness/feasibility – Do the strategies have a high return on investment? Do they allocate necessary funds to
support implementation?
7
PART 3B: PLANNING, IMPLEMENTATION, AND EVALUATION
Part 3B is where you describe your work plan, including the goals, objectives and action steps.
Step 1: Goals (list up to 5)
Goals are broad statements that establish the overall direction for and focus of your project, describe your project’s overall
purpose, and serve as a framework for developing your objectives. For purposes of this work plan, you will have up to 5 goals,
and your goals will span the entire project period. Use the following format for developing your goals:
By [date], [increase, decrease, or maintain] [#, %, or rate] [what will be measured] from [baseline] to [target].
Example: By September 2013, increase the percent of total miles of physical infrastructure for walking from 35 to 65.
Priority area
For each goal, select which priority area(s) the goal addresses. Priority areas include chronic
diseases (arthritis, cancer, cardiovascular disease, diabetes, and obesity) and related risk
factors (nutrition, physical activity, and tobacco).
How the goal impacts the priority area(s)
Explain how the goal impacts the priority area(s) you chose above. Include background,
history, and a rationale for the goal.
Measuring progress
Finally, include information on how the goal will be measured [i.e., source(s) of data]. Describe
the progress and challenges to meeting the goal. Number goals as 1.0, 2.0, etc.
Step 2: Objectives
Objectives
For purposes of this work plan, each goal will have at least one objective; it is
recommended to have three to five objectives per goal. Objectives will span
quantify the
a one-year period and use the following format:
results
achieved
within a 12
month period.
All goals and objectives
should be SMART:
Specific
Measurable
Achievable
Relevant
Time-bound
8
By [date], [increase, decrease, or maintain] [#, %, or rate] [what will be measured] from [baseline] to
[target]. Example: By September 2012, increase the percent of new developments with paved sidewalks
from 10 to 100.
Setting/Sector Each objective will be categorized by one or more settings (Community at large, Community
institution/organization, Health care, School, Work site).
Strategy to achieve this objective For each objective, select the strategy it addresses. See Appendix B for a list of strategies
for each setting/sector and priority area. Also review the list of criteria on page 7 to ensure you are selecting strategies that
are appropriate for your community.
Evidence/practice base for the strategy
Describe the evidence- or practice-base for the objective. Evidence can come from numerous sources including those listed
on the following page. Practice-base support can come from sources including expert opinion, local experience, and pilot
project results.
Step 3: Capacity Building Goals and Objectives
Your community workplan should include at least one capacity building goal and corresponding objective. Capacity building
goals and objectives should follow the format outlined above, but focus on building the infrastructure, promotion, and
9
knowledge base of your initiative and your coalition. You may include more than one capacity building goal and objective if
you wish. Examples include:
Project Goal 1.0: Increase the number of infrastructure components supporting implementation of ACHIEVE policy
strategies from 0 to 3.
Annual Objective 1.1: Increase the number of community coalitions composed of high level leaders from 0 to 1.
Annual Objective 1.2: Increase the number of community action plans focused on implementing policy, systems,
and environmental change strategies to prevent chronic diseases from 0 to 1.
Activity Title (specific to Annual Objective 1.2):
1. CHANGE Tool Assessment
2. Specific, Measurable, Achievable, Realistic, Time-Oriented Objectives
3. Data Sources
4. Evaluation Plan
5. Sustainability Plan
Project Goal 2.0: Increase the number of capacity building technical assistance opportunities attended by coalition
members from 0 to 10.
Annual Objective 2.1: Increase the number of policy, systems, and environmental change trainings attended from
0 to 3.
Annual Objective 2.2: Increase the number of ACHIEVE policy and process conference calls from 0 to 5.
Project Goal 3.0: Increase the number of tools and products developed and disseminated to promote ACHIEVE from 0
to 3.
10
Annual Objective 3.1: Increase the number of community success stories developed from 0 to 1.
Annual Objective 3.2: Increase the number of national conference abstracts accepted for presentation from 0 to
1.
Annual Objective 3.3: Increase the number of best practice publications developed from 0 to 1.
Project Goal 4.0: Increase the number of evaluation components supporting ACHIEVE from 0 to 5.
Annual Objective 4.1: Increase the number of evaluation plans from 0 to 1.
Annual Objective 4.2: Increase the number of sustainability approaches utilized from 0 to 3.
Step 4: CAP Review Process
It is recommended that each community should review and update their CAP at least two times each year. The CHART
should review the most recent CAP and provide updates and include additional information as needed. Review the current
goals and objectives. Provide details about the work that has been completed toward the goal/objective in the progress
section and describe barriers or difficulties in the barriers section. Be sure to clearly indicate the current numerical level you
have achieved (i.e. achieved 1 new strategy out of the targeted 3 strategies). If the goals or objectives have changed and
certain ones are no longer being pursued, indicate this with a brief explanation in the progress and barriers section of the
goal/objective. If additional areas are being pursued, add these as new goals/objectives.
Selected Resources for Evidence-Based Practice
CDC’s Community Guide: http://www.thecommunityguide.org
CDC’s Recommended Community Strategies and Measurements to Prevent Obesity in the United States:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm
American Heart Association Recommendations: http://www.heart.org/HEARTORG/Advocate/PolicyResources/PolicyResources_UCM_001135_SubHomePage.jsp
11
PART 3C – SUSTAINABILITY, COMMUNICATIONS AND RESOURCES
This section includes additional information about what your CHART has accomplished. Begin by describing how the CHART
prioritized strategies within the community action plan. Then, provide any additional information about what your CHART
has done for the following:
Sustainability Plan
Describe the plan to maintain the CHART and/or associated activities beyond the national funding commitments. Elements
of sustainability include CHART infrastructure, maintenance, and development of local capacity, identification of additional
12
funding sources, or policy implementation that may continue beyond the life of this funding. Please list timeframes and
action steps.
Communications Plan
Describe any plans your CHART has to communicate this plan or your ACHIEVE work to your greater community or
stakeholders. This may include a report you plan to release to the community, or media opportunities you have found to
share the message.
Resources
Describe what additional resources (e.g., funding, equipment, media, human resources, in-kind) have been committed, and
by whom, to leverage ACHIEVE resources. Have you received additional grant funding? Does one of your community
partners allow you to use their offices for meeting space? How many hours have CHART members contributed to ACHIEVE?
All of these things are critical resources that you could include here.
13
Appendix A – Community Action Plan Template
Community Action Plan
INTRODUCTION
The Community Action Plan(CAP) is intended to be completed in sections as your CHART progresses through the phases of ACHIEVE. These phases
are:
1. Commitment
2. Assessment
3. Planning
4. Implementation
5. Evaluation
Each section of this plan gathers information relevant to a phase of ACHIEVE which, when complete, will provide a comprehensive plan and
summary of your ACHIEVE activities.
Each section should be completed as relevant activities are completed. Communities have the option of submitting sections of the CAP as they are
completed or submitting the entire CAP all at once. CAPs must be submitted through the community page within the collaboration section of the
ACHIEVE website.
CAPs are due no later than June 15, 2012.
14
PART 1: COMMITMENT
[ENTER YOUR COMMUNITY NAME HERE]
STEP 1: CHART MEMBERSHIP
STEP 2: CREATE YOUR VISION
Organization Type (choose from the following)
CHART Member Name
Organization
Name
Organization Role
Academia/Education
An Individual
Profit/Consultant
Civic Organization
Community Based Organization
Cultural/Ethnic Organization
Environmental Organization
Foundations/Philanthropic
Health Care Organization
Nonprofit organization
priority
Professional Association
Public Relations/Media
Advocacy Group
Business/For
Coalition/Alliance
Community Health Center
Elected/Appointed Official
Faith-based Organization
Government Organization
Health Insurance Company
Organization representing
population
Public Health Organization
Other (specify)
Sector (choose
from the following)
Community-at-large
Community
Institution/Organization
Coach?
Yes/No
Health Care
School
Work Site
15
Your vision statement is your inspiration, the framework that describes your strategic planning. It highlights what will be achieved when the activity
is successful. It describes a healthier future and answers the question, “Where do we want to be in a few years?” Example: “All citizens of Any
Town, USA will, on a daily basis, consume a nutritionally-balanced diet, acquire the minimum recommended daily physical activity, and refrain from
using tobacco products.” The vision is what will be achieved by your efforts.
[Enter text]
STEP 3: CREATE YOUR MISSION
The mission statement informs what impact your CHART will make and describes why it is important to achieve the vision. Example: “The ACHIEVE
CHART of Any Town, USA will work with top-level leaders in all community sectors to implement policy and environmental strategies to facilitate
for residents better diets, increased physical activity, and the cessation and abstinence of tobacco products.” The mission includes efforts your
CHART will undertake to achieve the vision.
[Enter text]
STEP 4: DESCRIBE YOUR COMMUNITY
Demographic information, target population, socio-economic and health data, community size.
[Enter text]
STEP 5: INTERVENTION AREA MAP [OPTIONAL]
STEP 6: EXISTING EFFORTS IN COMBATING CHRONIC DISEASE
16
Describe existing efforts and experience with the identified sectors, populations, risk factors, and chronic disease areas that may support or be a
barrier to the implementation of healthy community strategies. Also, describe existing coalitions and efforts that to be leveraged to advance
ACHIEVE.
[Enter text]
STEP 7: YOUR CHART TEAM
Summarize the structures and processes developed for decision making within the CHART.
[Enter text]
Describe the structures and processes that have been put in place to ensure that CHART member involvement matches their skills, interests, and
resources.
[Enter text]
Summarize structures and processes for communication within the CHART.
[Enter text]
Describe how the CHART prioritized strategies within the CAP.
[Enter text]
17
PART 2: COMMUNITY ASSESSMENT
STEP 1: CHANGE TOOL INFORMATION
Describe key findings of CHANGE and how the data will be used to inform the CAP.
[Enter text]
STEP 2: COMMUNITY ASSESSMENT INFORMATION
Enter any assessments conducted in addition to CHANGE. If no other assessments have been conducted, leave this section blank.
Add additional rows as needed.
Name of Assessment
18 | P a g e
Date Assessment
Completed
Description of Assessment
How Assessment Data
Informed the CAP
PART 3: WORKPLAN
[ENTER YOUR COMMUNITY NAME HERE]
Project Goal 1.0 (list up to 5)
Goal:
State your goal here using the following format: By [date], [increase, decrease, or maintain] [#, %, or rate] [what will be measured]
from [baseline] to [target].
Priority area(s) the goal addresses:
Chronic diseases:
Related risk factors:
□ arthritis □ cancer □ cardiovascular disease □ diabetes □ obesity
□ nutrition □ physical activity □ tobacco
How the goal impacts the priority area(s):
[Enter text]
Measuring progress:
Primary Data Source
Describe the progress
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Secondary Data Source
Describe barriers or issues and plans to
overcome them
Annual Objective 1.1 (minimum of 1 objective per goal)
Setting/Sector:
□ Community at large
□ Community institution/organization □ Health care
□ School
□ Work site
Policy/environmental change strategy to achieve this objective:
Identify the selected sector’s corresponding focus area and strategy from list found in Appendix A
e.g. physical activity: mixed land use
Evidence/practice base for the strategy:
[Enter text]
Target number of people that will be reached:
How the objective impacts the problem:
[Enter text]
Objective:
State your objective here using the following format: By [date], [increase, decrease, or maintain] [#, %, or rate] [what will be measured] from
[baseline] to [target].
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Measuring progress:
Primary Data Source
Secondary Data Source
Describe the progress
Describe barriers or issues and plans to
overcome them
Action Steps (list up to 10):
Action Steps
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
21 | P a g e
Specific Person(s)/
Organization(s) Responsible
Timeframe
Part 3 (CONTINUED): SUSTAINABILITY PLAN
Describe the plan to maintain the CHART and/or associated activities beyond the national funding commitments. Elements of
sustainability include CHART infrastructure, maintenance, and development of local capacity, identification of additional funding
sources, or policy implementation that may continue beyond the life of this funding.
[Enter text]
COMMUNICATIONS PLAN
Describe any plans your CHART has to communicate this plan or your ACHIEVE work to your greater community or stakeholders.
[Enter text]
RESOURCES
Describe what additional resources (e.g., funding, equipment, media, human resources, in-kind) that have been committed, and by
whom, to leverage ACHIEVE resources.
[Enter text]
Date completed
Date revised
Date revised
22 | P a g e
Appendix B – Recommended Implementation Strategies
Community-At-Large Sector
Focus Area: Physical Activity
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
7.
8.
9.
Sidewalks
Land use plan
Bike facilities
Complete streets plan
Walking route maintenance
Biking route maintenance
Park maintenance
Parks, shared-use paths and trails, or open spaces
Mixed land use
10. Sidewalk compliance with the Americans with Disabilities Act
11. Public parks and recreation facilities compliance with the
Americans with Disabilities Act
12. Public recreation programs and activities (e.g., walking, biking,
or other physical activity opportunities) for all
13. Public transportation within reasonable walking distance
14. Street traffic calming measures
15. Personal safety strategies
16. Other (specify)
Focus Area: Nutrition
CHANGE STRATEGIES
1. Healthy food and beverage option retail strategies
2. Healthy food and beverage options at local restaurants and
food venues
3. Healthy food and beverage options at public parks and
recreation facilities
4. Community gardens
5. Public transportation to supermarkets and grocery stores
6. Farmers’ markets
7. WIC and food stamp vouchers or food stamp benefits at
farmers’ markets
8. Locally grown foods
9. Fruit and vegetable promotion
23 | P a g e
10.
11.
12.
13.
14.
15.
16.
17.
18.
Nutritional labeling
Smaller portion sizes
Trans fat ban
Recruitment of supermarkets and large grocery stores in
underserved areas
Private spaces for nursing or pumping
Right to breastfeed in public places
Pricing strategies
Safe, unflavored, cool drinking water at no cost at public parks
and recreation facilities
Other (specify)
Focus Area: Tobacco
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
Smoke-free policy 24/7 for indoor public places
Tobacco-free policy 24/7 for indoor public places
Smoke-free policy 24/7 for outdoor public places
Tobacco-free policy 24/7 for outdoor public places
Tobacco advertisement ban
Tobacco promotions, promotional offers, and prizes ban
7.
8.
9.
10.
11.
12.
Tobacco retail outlets regulation
Tobacco vending machine restriction
Single cigarette sale ban
Tobacco product price increase
Tobacco cessation referral system
Other (specify)
6.
7.
8.
9.
10.
Heart attack and stroke symptom strategies
Preventive care strategies
Emergency medical services
Chronic disease health disparities strategies
Other (specify)
Focus Area: Chronic Disease Management
CHANGE STRATEGIES
1.
2.
3.
4.
5.
Chronic disease self-management programs
Obesity prevention strategies
High blood pressure control strategies
Cholesterol control strategies
Blood sugar or insulin level control strategies
Focus Area: Leadership
CHANGE STRATEGIES
1. Chronic disease community coalitions and partnerships
2. Public policy process to address chronic diseases and related
risk factors
3. Financing shared-use paths or trails
4. Financing public recreation facilities
5. Financing public parks or greenways
6. Financing public sports facilities
7. Financing pedestrian enhancements
8. Financing bicycle enhancements
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9. Physical activity a priority in operating budget
10. Mixed land use promotion through regulation or other
incentives
11. Management program to improve transportation system safety
12. Staff for overseeing community-wide healthy living
opportunities
13. Marketing of community-wide healthy living strategies
14. Other (specify)
Community Institution/Organization Sector
Focus Area: Physical Activity
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
7.
8.
Stairwell use
Safe area outside to walk or be active
Walking path
Non-motorized commutes
Public transportation within reasonable walking distance
Onsite fitness center or classes
Changing room or locker room with showers
Bicycle parking
9. Access to competitive and noncompetitive physical activities
10. Opportunity for unstructured play or leisure-time physical
activity
11. Physical activity as punishment prohibition
12. Screen time restriction
13. Direct support for community-wide physical activity
opportunities
14. Other (specify)
Focus Area: Nutrition
CHANGE STRATEGIES
1. Healthy food and beverage options in vending machines
2. Healthy food and beverage options at meetings and events
3. Healthy food and beverage options in onsite cafeteria and food
venues
4. Healthy food purchasing
5. Healthy food preparation practices
6. Pricing strategies
7. Marketing ban of less than healthy foods and beverages
8. Smaller portion sizes
9. Nutritional labeling
10. Safe, unflavored, cool drinking water
11. Food as a reward or punishment
12. Direct support for community-wide nutrition opportunities
13. Private space for nursing or pumping
14. Other (specify)
Focus Area: Tobacco
CHANGE STRATEGIES
1.
2.
3.
4.
5.
Smoke-free policy 24/7 for indoor public places
Tobacco-free policy 24/7 for indoor public places
Smoke-free policy 24/7 for outdoor public places
Tobacco-free policy 24/7 for outdoor public places
Tobacco vending machine sales ban
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6.
7.
8.
9.
Tobacco promotions, promotional offers, and prizes ban
Tobacco advertisements ban
Tobacco cessation referral system
Other (specify)
Focus Area: Chronic Disease Management
CHANGE STRATEGIES
1.
2.
3.
4.
5.
Chronic disease self-management programs
Onsite nurse
Onsite medical clinic
Routine screening, follow-up counseling and education
Heart attack and stroke curricula adoption
6.
7.
8.
9.
9-1-1 curricula adoption
Chronic disease prevention promotion
Emergency response plan
Other (specify)
6.
7.
8.
9.
10.
11.
Mission statement including patron health and well-being
Needs assessment for health promotion programs
Evaluation of health promotion programs
Patron feedback about health promotion programs
Chronic disease community coalitions and partnerships
Other (specify)
Focus Area: Leadership
CHANGE STRATEGIES
1. Chronic disease prevention incentives
2. Public policy process to address chronic diseases and related
risk factors
3. Wellness coordinator
4. Wellness committee
5. Health promotion budget
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Health Care Sector
Focus Area: Physical Activity
CHANGE STRATEGIES
1. Stairwell use
2. Screening of patients’ physical activity habits
3. Regular counseling about physical activity
4. Physical activity referral system
5. Other (specify)
Focus Area: Nutrition
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
7.
8.
Breastfeeding initiative
Screening of patients’ nutritional habits
Regular counseling about good nutrition
Weight management or nutrition programs
Nutrition referral system
Healthy food and beverage options in vending machines
Healthy food and beverage options served to patients
Healthy food and beverage options in the onsite cafeteria and
food venues
9.
10.
11.
12.
13.
14.
15.
Pricing strategies
Healthy food purchasing
Healthy food preparation practices
Nutritional labeling
Marketing ban of less than healthy foods and beverages
Smaller portion sizes
Other (specify)
7.
8.
9.
10.
11.
Regular counseling about the harm of tobacco use and exposure
Tobacco cessation referral system
Pharmacological quitting aids
Provider-reminder system
Other (specify)
Focus Area: Tobacco
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
Smoke-free policy 24/7 for indoor public places
Tobacco-free policy 24/7 for indoor public places
Smoke-free policy 24/7 for outdoor public places
Tobacco-free policy 24/7 for outdoor public places
Screening of patients’ tobacco use
Screening of patients’ exposure to tobacco smoke
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Focus Area: Chronic Disease Management
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
Chronic disease referral system
Routine follow-up counseling and education
Screening for chronic diseases
BMI measurement
Plan to increase patient adherence to chronic disease treatment
Systematic approach to diabetes care
7.
8.
9.
10.
11.
Emergency heart disease and stroke treatment guidelines
Stroke rating scale training
Specialized stroke care units
Specialized heart disease units
Other (specify)
Focus Area: Leadership
CHANGE STRATEGIES
1. Chronic disease community coalitions and partnerships
2. Public policy process to address chronic diseases and related
risk factors
3. Childhood overweight prevention and treatment services
4. Standards of modifiable risk factor practice
5. Standardized treatment and prevention protocols
6. Electronic medical records system and patient data registries
7. Chronic Care Model
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8. Provider care team
9. Medical services or access to medical services outside of regular
working hours
10. Collaboration between health care professionals
11. Partners to provide chronic disease health screenings, follow-up
counseling, and education
12. Cultural competence training
13. Other (specify)
School Sector
Focus Area: District
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Physical education for middle and high school students
Physical education for elementary school students
Daily recess education for elementary school students
Physical education waivers
Fruits or vegetables required wherever foods and beverages are
sold
Sale and distribution of less than healthy foods and beverages
eliminated
Sugar-sweetened beverages
Tobacco-free policy 24/7
Tobacco advertising ban
Tobacco promotions, promotional offers, and prizes ban
11. Full-time, qualified healthcare provider
12. Case management plan for students with chronic diseases or
conditions
13. Access to prescribed medications
14. District health group
15. Designated school health coordinator
16. School compliance with district school wellness policy
17. Public use of school buildings and facilities
18. Physical education curriculum adoption
19. Nutrition education curriculum adoption
20. Tobacco-use prevention curriculum adoption
21. Other (specify)
Focus Area: Physical Activity
CHANGE STRATEGIES
1.
2.
3.
4.
Physical activity as punishment ban
Active time during physical education class
Competitive and noncompetitive physical activities
Walk or bike to school initiative
5. Proper equipment and facilities
6. School location within reasonable walking distance of residential
areas
7. Other (specify)
Focus Area: Nutrition
CHANGE STRATEGIES
1. Healthy food and beverage options beyond the school food
services
2. School breakfast and lunch programs
3. Healthy food preparation practices
4. Marketing ban of less than healthy foods and beverages
5. Promotion and marketing only of healthy food and beverage
options
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6.
7.
8.
9.
10.
11.
12.
Adequate time to eat school meals
Safe environment to eat school meals
Food as a reward or punishment ban
Safe, unflavored, cool drinking water
School garden and resources
Multiple channels to promote healthy eating behaviors
Other (specify)
Focus Area: Tobacco
CHANGE STRATEGIES
1. Tobacco cessation referral system
2. Other (specify)
Focus Area: Chronic Disease Management
CHANGE STRATEGIES
1. Chronic disease self-management programs
2. Nutritional needs of students with special health care or dietary
requirements
3. Heart attack and stroke curricula adoption
4.
5.
6.
7.
9-1-1 curricula adoption
CPR curricula adoption
Family involvement in the development of school plans
Other (specify)
Focus Area: Leadership
CHANGE STRATEGIES
1. Chronic disease community coalitions and partnerships
2. Public policy process to address chronic diseases and related
risk factors
3. School building health group
4. Individual responsible for leading school health activities
5. Health promotion budget
6. Mission or position statement that includes student health and
well-being
7.
8.
9.
10.
Teachers with appropriate training, education, and background
Training and support to food service/relevant staff
Professional development or continued education to staff
Training for teachers and staff on school physical activity,
nutrition, and tobacco prevention policies
11. Health-promoting fund raising efforts
12. Other (specify)
Focus Area: After-School
CHANGE STRATEGIES
1.
2.
3.
4.
Physical activity as punishment ban
Food as reward or punishment ban
Physical activity programs
Active time during after-school programs or events
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5. Healthy food and beverage options
6. Sugar-sweetened beverages prohibition
7. Other (specify)
Work Site Sector
Focus Area: Physical Activity
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
7.
8.
Stairwell use
Flexible work arrangements
Non-motorized commutes
Public transportation within reasonable walking distance
Clubs or groups to encourage physical activity
Safe area outside to walk or be active
Walking path
Onsite fitness center or classes
9.
10.
11.
12.
13.
Changing room or locker room with showers
Subsidized membership to offsite workout facility
Bicycle parking
Activity breaks for meetings
Direct support for community-wide physical activity
opportunities
14. Other (specify)
Focus Area: Nutrition
CHANGE STRATEGIES
1. Healthy food and beverage options at meetings and events
2. Healthy food and beverage options in vending machines
3. Healthy food and beverage options in onsite cafeteria and food
venues
4. Healthy food purchasing practices
5. Healthy food preparation practices
6. Marketing ban of less than healthy foods and beverages
7. Smaller portion sizes
8. Safe, unflavored, cool drinking water
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9.
10.
11.
12.
13.
14.
15.
16.
Nutritional labeling
Pricing strategies
Refrigerator access
Microwave access
Sink with water faucet access
Direct support for community-wide nutrition opportunities
Breastfeeding support through maternity care practices
Other (specify)
Focus Area: Tobacco
CHANGE STRATEGIES
1.
2.
3.
4.
5.
6.
Smoke-free policy 24/7 for indoor public places
Tobacco-free policy 24/7 for indoor public places
Smoke-free policy 24/7 for outdoor public places
Tobacco-free policy 24/7 for outdoor public places
Insurance coverage for tobacco cessation services
Insurance coverage for tobacco cessation products
7.
8.
9.
10.
11.
Tobacco vending machine sales ban
Tobacco promotions, promotional offers, and prizes ban
Tobacco advertisements ban
Tobacco cessation referral system
Other (specify)
7.
8.
9.
10.
11.
12.
Chronic disease self-management programs
Heart attack and stroke curricula adoption
9-1-1 curricula adoption
Chronic disease prevention promotion
Emergency response plan
Other (specify)
Focus Area: Chronic Disease Management
CHANGE STRATEGIES
1.
2.
3.
4.
5.
Routine screening, follow-up counseling and education
Onsite nurse
Onsite medical clinic
Time off to attend health promotion programs or classes
Insurance coverage for preventive services and quality medical
care
6. Free or low cost employee health risk appraisal or health
screenings
Focus Area: Leadership
CHANGE STRATEGIES
1. Reimbursement for preventive health or wellness activities
2. Public policy process to address chronic diseases and related
risk factors
3. Wellness coordinator
4. Wellness committee
5. Health promotion budget
6. Mission statement that includes employee health and wellbeing
7. Employee health and well-being organizational or performance
objectives
8. Health insurance plan
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9. Office-based incentives for participating in chronic disease
prevention measures
10. Needs assessment for health promotion program
11. Evaluation of health promotion programs
12. Employee feedback about health promotion programs
13. Chronic disease community coalitions and partnerships
14. Other (specify)
APPENDIX C: SAMPLE COMMUNITY WORK PLAN
Helpful Tips and Notes:
Target number of people who will be reached
For this section, include the number of people expected to be reached through this objective (e.g., number of residents in a
neighborhood, number of students in a school district). If the objective is county- or city-wide (e.g., a county-wide tobacco
policy), include the number of residents of the jurisdiction.
How the objective impacts the problem
This section needs to provide a rationale for objective and how it will impact the problem. This is a text-based description
of what you are doing and why. The measurement section below will identify how an objective is measured; this section
should include background, history, and rationale for the objective.
Measuring objective progress
Finally, include information on how the objective will be measured [i.e., source(s) of data]. Describe the progress and
challenges to meeting the objective. Number objectives as 1.1, 1.2 (for Goal 1), 2.1, 2.2 (for Goal 2), etc.
Project Goal 1.0 (list up to 5)
Goal:
By September 2014, increase the number of miles of non-motorized transportation infrastructure from 130 to 195.
Priority area(s) the goal addresses:
Chronic diseases:
Related risk factors:
□ arthritis □ cancer x cardiovascular disease x diabetes x obesity
□ nutrition x physical activity □ tobacco
How the goal impacts the priority area(s):
The goal of this objective is to increase non-motorized transportation infrastructure in the community, including sidewalks, bike lanes, shared use
paths, and crosswalks in order to increase walking and biking. This will increase physical activity levels of residents, thereby reducing rates of
cardiovascular disease, diabetes and obesity in adults and children.
Measuring progress:
Primary Data Source
Secondary Data Source
City Master Plan
City Recreation Plan
Describe the progress
Will review CAP and complete this section in March 2013
Describe barriers or issues and plans to
overcome them
Will review CAP and complete this section in March 2013
34
Annual Objective 1.1 (minimum of 1 objective per goal)
Setting/Sector:
x Community at large
□ Community institution/organization □ Health care
□ School
□ Work site
Policy/environmental change strategy to achieve this objective:
Complete streets plan
Evidence/practice base for the strategy:
Design and land use policies and practices that support physical activity in urban areas of several square miles based on sufficient evidence of
effectiveness in facilitating an increase in physical activity. The Community Guide – http://www.thecommunityguide.org/pa/environmentalpolicy/communitypolicies.html
Target number of people that will be reached:
14,087 (US Census Population Estimate, 2008)
How the objective impacts the problem:
The goal of this objective is to increase non-motorized transportation infrastructure in the community, including sidewalks, bike lanes, shared use
paths, and crosswalks in order to increase walking and biking. This will increase physical activity levels of residents, thereby reducing rates of
cardiovascular disease, diabetes and obesity in adults and children.
Objective:
By September 2012, Increase the number of miles of bike lanes from 0 to 9.
35
Measuring progress:
Primary Data Source
Secondary Data Source
City Master Plan
City Recreation Plan
Describe the progress
Will review CAP and complete this section in March 2013
Describe barriers or issues and plans to
overcome them
Will review CAP and complete this section in March 2013
Action Steps (list up to 10):
Specific Person(s)/
Organization(s) Responsible
Action Steps
1. Conduct walkable community workshops and walking audits
2. Community Presentations
3. Review the City Master Recreation Plan and incorporate Complete Streets
recommendations
4. Community wide campaign
5. Lunch Loop Design
6. Provide a presentation to the City Planning Commission, and the City Commission,
providing Resolutions of Support and a CALL to Action to adopt a City Resolution in
support of Complete Streets.
7.
8.
9.
10.
36
Timeframe