NW/E Special Project
Coordinator
Meghan Claney
ClaneyML@scsk12.org
NE/E Special Project
Coordinator
Ashley McKinley
Alternative SchoolsSpecial
Project Manager
E. Jean Massey
McKinleyAN@scsk12.org
MasseyEJ@scsk12.org
SE/E Special Project
Coordinator
Vachenzia McGraw-
McKinney
McGrawMcKinneyVL@scsk12.org
SW/E Special Project
Coordinator
Kelley Greene
GreeneKP@scsk12.org

•
•
•
•
•
•
•
•
• Power Point Presentation
Healthy School Team Overview
Review 2013-2014 CSH goals
Review Healthy School Team calendar
Share ideas for HST health initiatives and events
Organization of Binders
Overview of Data Collection:
SHI, PACER, Quarterly PA/PE
Mini-Grants Support
Provide contact info for regional SPC
Revised 7/13 2

Coordinated School Health is an effective system of 8 inter-related components designed to connect health (physical, emotional and social) with education.
Revised 7/13 3

• The mission of Coordinated School Health is to improve children’s health and their capacity to learn through the support of families, communities, and the schools working together.
Revised 7/13 4

• What progress did you make toward 2012-
13 Healthy School goals?
• Compare years through graphs or verbal summaries with available BMI, blood pressure, and PA/PE data.
Revised 7/13 5

Basic steps to team success:
• Gather team members
• Identify school needs
• Identify local school resources
• Write a School Health Improvement Plan
• Manage and monitor implementation
• Market successes
• Data Collection
• Screening
Revised 7/13 6

• Seek faculty/staff who have a commitment to the cause
• Look for community partners to join team
• Secure administrative support
• Set time for regularly scheduled meetings
Revised 7/13 7

2013 - 2014 Healthy School Team
School: ____________________________
Principal: ____________________________________
*Mandated Members
Healthy School Team Position Name Email
Teacher (HST Leader*)
Assistant Principal (Coordinator*)
Professional School Counselor*
School Nurse*
Nutrition Manager*
Health/PE teacher (s)*
Student*
Parent*
Community Member/Partner*
SPC/Regional Rep*
Coaching Staff
PTA President
Afterschool Program Coordinator
Family Life Teacher(s)
Other:
Revised 7/13 8

• Reduce Childhood Obesity by 2% as measured by SCS baseline data
• Healthy School Team will engage all 8
Components of the CDC Model.
• Utilize School Improvement Plan to support Healthy School Plans.
Revised 7/13
9

Revised 7/13 10

2013 Semester 1
Deadline Date
August 1, 2013
August 2, 2013
September 1
September 16
September 19
September 20
September 30
September 30
October 7-11
October 2013
October 2 , 2013
October 14, 2013
Actual
Date
Completed
Action Items
Training on the Michigan Model for
Health Education
Healthy School Teams Training n/a n/a n/a
State Compliance Objective
Integrate school training on National initiatives
School Health Index (Modules 1-4)
School Health Index (Modules 1-4)
Orient team mission: “Healthier Students Make
Better Learners”
State requirement to structure Healthy School initiatives
(Not an option w/Alliance for Healthier
Generation)
Set framework and school goals to enhance academic progress. Include in School
Improvement Plan.
Parent Conferences Inform parents of student academic and health progress
District Learning Day Support ongoing Professional Development
Identified Number of CPR Trained Staff Support Healthy School Environment
School Health Index (Modules 5-8) &
School Health Improvement Plan (SHIP)
Alliance for Healthier Generation
Set framework and school goals to enhance academic progress. Include in School
Improvement Plan.
Provide additional resource, partnership, and support for initiatives
Fall Break Employee and student de-stress
TN Healthy Child Week opportunity
Pool resources and coordinate community efforts.
Walking School Bus Day Participate in global efforts to celebrate the many benefits of walking and bicycling to
CSH Mini Grant Application school.
Request assistance with implementing new school health components projects through SCS
CSH .
Revised 7/13
# of Stakeholders
11

Deadline Date
October 18
October 18
November 27-
29
December 2-6
(Dates may change per
District needs)
December 10
December 10
December 10
December 10
December 12
SEMESTER 1
2013 Semester 1
Actual
Date
Completed
Action Items
1 st Quarter Meeting Minutes
State Compliance Objective n/a
PA/PE (electronic survey )
Thanksgiving Break
Healthy Choices Week
Healthy Choices Week
Documentation included with 2 nd
Quarter Meeting Minutes
2 nd Quarter Meeting Minutes
PA/PE (electronic survey )
Mid-Year Binder Report: 1 st
Semester List with CSH Evaluation
Data
Semester PACER Assessment
4 th
Term
6 th 8 th 9 th Wellness Fall
Other CSH initiatives/projects
Document progress towards Healthy School
Teams goals
State mandated data for 90 min PA Law
Employee and student de-stress opportunity
An awareness campaign designed to promote simple steps students can take to ensure healthy youth development and make healthy choices that will be created for a lifetime.
Verify integration of District themed observances
Document progress towards Healthy School
Teams goals
State mandated data for 90 min PA Law
Evaluate progress towards Healthy School
Teams initiatives
State Mandated Cardiovascular Endurance
Testing
Document special projects/District wide observances to support stakeholder health
# of
Stakeholders
Revised 7/13 12

Deadline
Date
January 6
January 7
February 13
February 14
March 21
March 21
April 17
April 17
May 9, 2014
May 9, 2014
May 9, 2014
May 9, 2014
Actual
Date
Complet ed
2013-2014 Semester 2
Action Items State Compliance Objective
PD/Admin Day
Students Return
Screening Dates Scheduled
K 2 nd 4 th 6 th 8 th 9 th
Wellness Fall Term
Wellness Spring Term
Healthy Themed Event (Parents and
Community)
3 rd Quarter Meeting Minutes
Support ongoing Professional Development
Continue to ensure Healthier Students Make
Better Learners.
All student health screenings must be scheduled and parent notifications sent home. Check with Health Promotions
Manager or school designee.
Engage all 8 Components of the CDC Model
Document progress towards Healthy School
Teams goals
State mandated data for 90 min PA Law PA/PE (electronic survey )
Screening Blood Pressure Rechecks Rechecks from previous screenings must be completed by school nurse.
Student Health Screening Referrals Referrals will be sent home to notify parents of students health status from school health screening.
End of Year Binder Report with CSH
Evaluation Data
Evaluate progress towards Healthy School
Teams initiatives
4 th Quarter Meeting Minutes
PA/PE (electronic survey )
BMI Data Submission
Document progress towards Healthy School
Team goals
State mandated data for 90 min PA Law
State requirement to measure baseline
# of Stakeholders
13

2013-2014 Semester 2
Deadline
Date
May 9, 2014
May 21-22,
2014
May 23,
2014
SEMESTER 2
Actual
Date
Completed
Action Items State Compliance Objective
PACER Assessment Data
4 th 6 th 8 th 9 th
Wellness Spring Term
State requirement to measure baseline data n/a Semester Exams Measurement of how Healthier
Students are Better Learners.
n/a Last Day of School Regional Reps must finalize state reporting.
Other CSH initiatives/projects Document special projects/District wide observances to support stakeholder health
# of
Stakeholders n/a
As Needed
As Needed
As Needed
As Needed
As Needed
As Needed
PD /Technical Assistance at
School Level
Take 10!
School Health Index
CSH Binder
PAPE Reporting
Wise Guys
Michigan Model Lessons
Contact your regional representatives for information.
Revised 7/13 14

Semester
1 CSH Evaluation Data:
Semester
2
No. hours: ________
No. participants: ________
No. leaders: ________
No. parents: ________
No. partners: ________
No. students: _________
Date: __________
Total amt. of Staff Development time spent on health-related issues (CPR, first aid, suicide prevention,
Behavioral S-teams, asthma, diabetes, bloodborne…)
Total number of students participating in CSH initiatives/projects
No. hours: ________
No. participants: ________
No. leaders: ________ Total number of students leading
CSH initiatives / projects
Total number of Parents participating in CSH initiatives/projects
Total number of Community/Business
Partners participating in CSH initiatives/projects
No. parents: ________
No. partners: ________
Total Number of students with 504 accommodations:
CSH Evaluation Data (BMI, PACER, and Youth Risk Behavior Survey results) presented to HST:
No. students: _________
Date: __________
List of Community/Business Partners participating in CSH initiatives/projects:
_________________________________ ______________________________ ____________________________
_________________________________ ______________________________ ________________________
Revised 7/13 15

Qualifications
• 1 st Quarterly PA/PE
• SHI and Action Plan
• Needs documented with data
• Effective implementation
Revised 7/13 16

----------------------------------------------------------------------------------------------------------------
School Region:
□
Northwest
□
Southwest
□
Northeast
□
Southeast
□
East
Name of School: _______________________________________________________________
School Address: _______________________________________________________________
City/Zip Code: ________________________________________________________________
Healthy School Team Person for This Proposal: ____________________________________
Contact Person Title/Position : ___________________________________________________
Phone of Contact Person: _______________________________________________________
Email of Contact Person: _______________________________________________________
Project Title: _________________________________________________________________
Amount Requested: $_________________________________
Date(s) of Project: ____________________________________
In order to qualify for this mini-grant, all state mandated compliance and reporting such as Healthy School Team,
PAPE reports, and School Health Index must be completed.
Signature of Applicant: _________________________________________________
Signature of Principal: __________________________________________________
Revised 7/13 17

(Note to principals: Only one application per school per academic year will be considered.)
Program Description
(PLEASE USE ARIAL 12-POINT FONT FOR THE GRANT TEXT!!
) P lease answer each of the following questions in 250 words or less:
1. What is the primary goal of your proposed Coordinated School Health Mini-grant
Program project?
2. Describe your project , how this event / program / class will enhance the students’ and/or teacher’s health-related learning and the anticipated numbers served. Be very clear about the activities that will occur and what results you intend to achieve.
Revised 7/13 18

• Provide a project budget. Vendor must be an SCS approved vendor. The budget will only pay for equipment. No contracted services, and salaries/benefits will be used per this grant request. Be sure to include discounts, shipping and handling in your order. You may use a 9-font in this table. Remove highlighted example.
• Do you have a Healthy School Team? □ Yes □ No
• Have you completed the School Health Index? □ Yes □ No
1.If yes, did you submit the following to the Office of Coordinated School Health?
a.Overall Score Card□ Yes □ No i.Module 1 %-_________________ ii.Module 2 %-_________________ iii.Module 3%-__________________ iv.Module 4%-__________________ v.Module 5%-__________________ vi.Module 6%-__________________ vii.Module 7%-__________________ viii.Module 8%-__________________ b.School Health Improvement Plan□ Yes □ No
Please keep all vendor items together.
UNIT
OF
TOTAL COST
OF ITEMS
QUANTITY
WHSE.
PLEASE TYPE OR PRINT EACH
VENDOR
Sportime
PG #
161 1
ISSUE
1
STOCK
NO.
US-
1202175
(Exact Name of Item)
E10 Ekho heart rate monitor class
PRICE
159.99
159.99
S&H (check with vendor)
Revised 7/13 19

Shelby County Schools
Office of Coordinated School Health
In- Kind Activity/Program/Service Contribution Report
Please complete the In-Kind Contribution Report for services, programs, activities in your school that are provided by community partners, programs or agencies.
• Affix a monetary amount to these services and document on the In-Kind form.
•
Each organization should have their own form.
• Place a copy of the completed report in your Healthy School Team binder.
•
Send a copy to the Office of Coordinated School Health at the end of the year.
• In-Kind contribution reports may be completed monthly and/or totaled quarterly.
Organization Name:
CSH Component:
Activity/Program/Service:
Address:
Email:
Phone:
Fax:
In-Kind Contributions: Volunteer equivalent rate: $19.42/hr (Tennessee Rate- If otherwise unknown.)
Date Name Description of Task Hours Rate Total
Quarter-Total:
Annual Total:
Revised 7/13
Total Total
20

SCS Coordinated School Health
Healthy School Teams
Meeting Agenda and Action Plan
Members Present:
[Date]
[School]
Team Goals:
(Provide brief meeting goal related to student health and wellness)
Agenda
1 Introductions
2. Component Reports (CSH Model)
3. Action Plan Updates
4. Community Partnership Update
5. Team Communication Strategies
Meeting Summary:
Next Meeting Date:
Forward a copy of this page to the Office of Coordinated School Health along with a copy of the action plan and any other information related to ongoing activities, support needed and resources available to share with other schools.
Revised 7/13 21

Improving student health and safety can increase students’ capacity to learn reduce absenteeism improve physical fitness and mental alertness
Identify a coordinator for the School Health Index. The identity of the SHI coordinator varies from school to school. Many schools have found that it is best to have someone neutral to facilitate the SHI process.
This person might be, for example, a retired health educator, a communitybased dietitian, a professor at a local university, a graduate student, or a volunteer at a community-based health organization.
Revised 7/13 22

• http://www.cdc.gov/HealthyYouth/SHI/
• Scroll down and click “Enter SHI”
• Register/create a new team
• Follow instructions.
• Enter District ID:
790 Legacy SCS or 791 Legacy MCS
• Look up School ID for your school.
• After you create your team, document your reference code for log-in: ______
23
Revised 7/13

– All schools will be compliant to the 90 minute activity law.
– Nutrition Services Manager and Administrators will comply with USDA guidelines.
– PTA will help reduce celebrations and fundraising that does not support the Wellness Policy.
– All middle school students will receive ongoing comprehensive health education according to the Michigan Model.
– Utilize SHI to guide School Improvement Plan.
– Integrate 8 components to connect health with learning.
Revised 7/13 24

Revised 7/13 25

Please list all activities that you have going on in your school and any partnerships that relate to any CSH Component.
Health Education Physical Education
Healthy School Environment Nutrition
Health Services
Mental Health & School Counseling
Family and Community Engagement
Health Promotion for Staff
Revised 7/13 26

Each team should have procedures for reinforcing and maintaining healthy students through the 8 components. Identify vendors, ideas, and procedures for the following:
Breakfast:
Lunch
Students enter building at 7 am. Go through breakfast line and report to classroom by 7:20 AM.
Nutrition and Exercise routine
•
Physical Education/Physical Activity Take 10, Stop Everything And Move, Flash
Mob, Organ Wise
•
Break/Snack Time : Healthy Concessions
• Fundraising: Healthy alternatives (i.e.-Gift wrap, fruit, popcorn, coupon booklets)
•
Celebrations: Dances
• Extracurricular: Intramural sports
Revised 7/13 27

Physical Education/Physical Activity
• Complete SHI.
• Fill out the tracking forms.
• Have incentives for the PACER.
• Ensure 90 minutes of PA/PE met & documented.
– Both PACER and PAPE will be documented via Survey
Monkey. A link will be sent to the HST Leader from Survey
Monkey.
– Only one reported document per school.
• Include accomplishments that are met outside of school hours:
– Creating a team for a local race
– Extra-curricular activities
– After-school programs (Collierville Elem. Blister ’s Brigade,
Teacher Yoga, Zumba )
28
Revised 7/13

Revised 7/13 29

Grade:
School Enrollment:
Number of Students: Total number of students taking part in PE/PA or both
Number of Exempt Students: Number of students with a 504 exemption from PA
Total Minutes of PE/Wk:
Grade level of students (PK-12th)
Total number of students by grade by school
Total Minutes of PA/Wk:
Number of minutes of PE offered to students in a week
Number of minutes of PA offered to students in a week (including structured or active recess)
Total Minutes of PAPE/Wk: Sum of PE/Wk + PA/Wk
Compliance:
PA1-PA6:
YES if Total Minutes of PAPE/Wk are > 90 minutes;
NO if Total Minutes of PAPE/Wk are < 90 minutes
Use to id up to 6 Physical Activities offered to students; each activity has a PA code
Other/Additional Physical Activity: Used for physical activities exceeding more than 6 or if a state adopted program being used is not listed on the Physical Activity
Identification Sheet
Revised 7/13 30

• Get help from your cafeteria manager
• Highlight things that you believe are unique to your school:
– Bartlett Elem. breakfast in the classroom & smoothie days
– Houston High: student food tastings for new healthy lunch items
– Fresh Fruit and Vegetables Grant
– Nutrition Council
– Nurse Presentations
Revised 7/13 31

• Include photos or documentation of special presentations beyond the regular health education
– Elementary: OrganWise Guys, UT Extension
Programs,
– Middle: Health Education Presenters, Health Fairs
– High: Driver’s Ed, Health Promotion
Clubs/Organizations, CPR/First Aid Certifications for students
– National Health Observances displayed on bulletin board/newsletter/school announcements
Revised 7/13 32

Document Everything:
School nurses should document any teacher training or health education provided
(training type/date/sign-in sheet)
•CPR
•First Aid Training
•Blood Borne Pathogen Training
•Asthma and ADD Education
•Regional Clinic Collaborations
•Human growth and development
•School wide Health Screenings: BP, BMI,
Ht, Wt, Vision, & Hearing
Revised 7/13 33

• List everyone in your school who is CPR/First
Aid Trained.
• Vending Choices
• Hand washing posters
• Train staff on how to check AEDs
• List AED locations
• Flu, Pneumonia, B12 shots
• OSHA training
• Fire Drill
Revised 7/13 34

• Include photos and/or documentation
– Health Fairs
– Races (Relay Recess), Fire Dept., Police Dept.
– (Healthy) Muffins for Mom
– Students volunteering organized hours
– Services/grant funding from community partners
(i.e.-Healthy Kids & Teen, Sherwood Elem.’s Gym)
– Healthy Choices Week
– Bike Rodeo
– Red Ribbon Week Volunteers
Revised 7/13 35

• Afterschool workout programs
• Shot Nurse (i.e.-B12, Flu, Lipo)
• Weight Watchers/Biggest Loser Contest
• Blood Pressure/Staff Wellness Screenings
• Millington Elem. Faculty Staff Health Newsletter
• Weight Loss/ Healthy Potlucks
• Walking Programs (i.e.-Lunch walks, Walk with Us)
• EAP/ Employee Assistance Program
– 901-458-4000
• Sherwood Middle Spa Day
• SCS Family Care Centers (Employee Health Clinics)
– 901-473-2628
Revised 7/13
36

• Document school counselor’s involvement
• Mental health training/awareness programs
 ATOD Prevention
Alcohol, Tobacco, and Other Drug prevention education
 Bullying/Gang Prevention
 Small Groups
 Child Abuse Training
 Suicide Prevention
 Character Education
 504 Accommodations
 S-team Testing
• Stress relief activities
Revised 7/13 37

Announcements
Community Events
Photos
Flyers
School wide
Presentations…

• Breast Cancer Awareness
• ADHD Parent Presentation
• Afterschool Taekwondo
• HOSA National Competition
Revised 7/13 39

Insert SHIP goals into SIP
• Building Safety
• Healthier Students are Better Learners

Checklist for Binder o Healthy School Team Members o Tracking Form o CSH Evaluation Data o List of CPR Certified Staff o SCS Mini-Grant o In-Kind Forms o Meeting Agenda/Notes o School Health Index &
Plan for Improvement o 8 Components Outline Sem 1 o 8 Components Outline Sem 2 o Healthy Choices Week Activities o o
Special Observances/Activities
SIP Verification w/SHIP
Revised
Revised 7/13
Revised
41

Director, Shunji Brown-Woods
BrownWoodsSQ@scsk12.org
Manager, Jean Massey
MasseyEJ@scsk12.org
Revised 7/13 42

Special Project Coordinator:
Meghan Claney
ClaneyML@scsk12.org
East Schools: Collierville Elementary
Collierville High
Dogwood Elementary
E.A. Harold Elementary
Farmington Elementary
Lucy Elementary
Millington Elementary
Millington Middle
Millington High
Northaven Elementary
Tara Oaks Elementary
Woodstock Middle
43
Revised 7/13

Special Project Coordinator:
Ashley McKinley
McKinleyAN@scsk12.org
East Schools: Arlington Elementary
Arlington Middle
Arlington High
Bolton High
Donnelson Elementary
Germantown Elementary
Germantown Middle
Germantown High
Jeter Elementary
Lakeland Elementary
Macon Hall
Mt. Pisgah
Riverdale
Revised 7/13 44

Revised 7/13 45

SE/E Special Project Coordinator:
Vachenzia McKinney
McGrawMcKinneyVL@scsk12.org
East Schools: Bailey Station
Collierville Middle
Crosswind Elementary
Highland Oaks Elementary
Highland Oaks Middle
Houston Middle
Houston High
Lowrance Elementary
Schilling Farms Middle
Southwind Elementary
Southwind High
Sycamore Elementary
Revised 7/13 46

SW/E Special Project Coordinator:
Kelley Greene
GreeneKP@scsk12.org
East Schools: Appling Middle
Alturia Elementary
Bartlett Elementary
Bartlett High
Bon Lin Elementary
Bon Lin Middle
Dexter Elementary
Dexter Middle
Ellendale Elementary
Elmore Park Middle
Oak Elementary
Rivercrest Elementary
Revised 7/13 47

• TN Coordinated School Health http://www.tennessee.gov/education/schoolhealth/
• SHI http://www.cdc.gov/HealthyYouth/SHI/
– District ID: 790 or 791
___________
Reference Code:
• Michigan Model : http://www.emc.cmich.edu/cshp/healthed.htm
Revised 7/13
48

SCS Websites:
• Coordinated School Health
– http://www.scsk12.org/uf/csh/cdc.php
– HST Powerpoint Presentation
– Forms for Binders
• Employee Health Clinics
– http://www.scsk12.org/uf/csh/family.php
– SCS Facility Services , 2800 Grays Creek Drive, Arlington, TN 38002
– 130 Flicker Street, Memphis, TN 38104 ( entrance to clinic on street side Garden Street near train track)
– Call 901-473-2628 for appointment; scheduled same day upon request.
•
Health Shop
– https://www.hrconnection.com/Home/tabid/614717/language/en-US/Default.aspx
• EAP
– https://www.hrconnection.com/Benefits/PlanInformation/tabid/614738/language/en-
US/Default.aspx
Title/Department:
Address:
Address 2:
City:
Phone:
Concern: Employee Assistance
2670 Union Extended
Suite 610
Memphis, TN 38112
901-458-4000
Revised 7/13
49