Wisconsin Office of Rural Health
Rural Communities Grant Program 2014-15
APPLICATION COVER SHEET -- Attachment A
Project Title:
Healthy Oregon
Planning Proposal:
Coalition Name:
Oregon Area Wellness Coalition (OAWC)
Implementation Proposal: X
Amount Requested:
$5,085.00
Applicant Organization (who will contract with the University of Wisconsin)
Legal Name:
Stoughton Hospital
Name:
Terry Brenny
Administrator, Executive Director, or CEO
Title:
President/CEO
Name:
Karen Myers
Person authorized to sign the contract
Title:
VP Finance/CFO
Project Contact Person
Name:
Title:
Laura Mays
Business Development/Public Relations Director
Organization:
Stoughton Hospital
List all active partners (those responsible for activities and/or contributing matching/in-kind
contributions). Use an additional page if necessary—this will not count against your page total:
Brooklyn Recreation
Oregon Area Senior Center
Oregon Athletic Booster Club
Oregon School District
Oregon School District Community Education & Recreation
Dean Clinic Oregon
UW Clinic Oregon
Oregon Public Library
Oregon Area Faith Community
Village of Oregon
Oregon Community Members
Oregon Area Chamber of Commerce
Oregon Area Fire and EMS
Oregon Police Department
Stoughton Hospital
Executive Summary
Healthy Oregon
Description of Project
The Oregon Area Wellness Coalition (OAWC) was established in May 2013 to address population
health concerns within the Oregon School District (OSD). The 2012 Stoughton Hospital Community
Health Needs Assessment found that 14.2 % of all hospitalizations in Dane County in 2010 were
diabetes-related, 60% of Dane County adults and 23% of adolescents are either overweight or obese
and in OSD 84% of high school students eat less than four servings of fruit and vegetables daily. Over
the past 30 years, childhood obesity rates in the U.S. have tripled and lack of healthy diets and limited
physical activity are contributing factors to diabetes.
Because OAWC has been in existence for over a year and has implemented successful past events and
programs, a strong partnership has developed between Oregon School District, Stoughton Hospital and
the Village of Oregon with assistance and collaboration from Oregon Police Department, Fire & EMS,
Brooklyn Recreation, Oregon Area Senior Center, Oregon Athletic Booster Club, local physician
clinics, Oregon Public Library, Oregon Chamber of Commerce, faith communities and residents of
OSD.
The OAWC is requesting a $5,085.00 implementation grant for 2014/2015 to engage children,
families and community members in the OSD to eat healthier and increase physical activity. Under
the direction of this grant, the OAWC will continue collaboration with community partners and
implement evidence based strategies which include:
 Offer monthly supermarket tours guided by a clinical dietician to help attendees choose
healthier foods, read labels and ingredients and shop on budget.
 Offer outreach and education through free cooking demonstrations on easy, low-cost healthy
meal preparation
 Coordinate community and family events to engage participation in various physical activity
events such as a Walk with the Doc event led by local physicians, Stoughton in Motion
Community Walk, and Healthy Trip 2015 to encourage teams to get fit and engage in exercise
 Support opportunities for school aged children to participate with school gardens
 Encourage trying new vegetables and healthy foods within the school setting.
 Implement Kids Get Fit Program for the first time with 12 -15 challenging fitness stations.
 Promote and coordinate safe biking and walking in Oregon and participate with National Bike
to School Day.
The OAWC will serve as the catalyst to decrease obesity by providing multiple opportunities for
adults and youth to engage in more physical activity and create a better understanding of healthy
nutritional choices.
Problem/Need Being Addressed
A Community Health Needs Assessment (CHNA) looks at the health of a community by using data and
collecting community input. The first Stoughton Hospital Community Health Needs Assessment was
completed in the fall of 2012 and a strategic implementation plan was approved by the hospital governing
board in 2013. The CHNA process included gathering feedback from local focus groups and review of
primary and secondary data from the National Cancer Institute, Environmental Protection Agency, U.S.
Census Bureau, U.S. Department of Education, County Health Rankings, data and reports from Public
Health Madison and Dane County, 2012 Dane County Youth Assessment Overview, Healthy People
2020, and more. From that data and review, six health issues were identified. They are listed in the order
ranked by all participants in our primary data collection process.






Type 2 Diabetes
Cancer
Drugs/Poisoning
Asthma/COPD
Preventable Stroke/Uncontrolled Hypertension
Poor Birth Outcomes
The incidence of Type 2 Diabetes has increased dramatically in the U.S. as a result of the rapid rise in
obesity over the past 30 years. Because prevention and reduction in obesity are key to reducing rates of
Type 2 Diabetes, obesity data is included.



Approximately 60% of Dane County adults are overweight (BMI 25-29.9) or obese
23.2% of Dane County 7th-12th graders are overweight or obese (BMI for age percentile ≥85%).
9.2% of Dane County high school youth are obese (BMI for age percentile ≥95%), comparable to
the obesity rate for Wisconsin high school youth. African-American, Latino, Hmong and mixedrace youth have significantly higher rates of being overweight/obese than white youth.
The Wisconsin Diabetes Prevention and Control program reports in the The 2011 Burden of
Diabetes in Dane County:
o An estimated 7% of adults in Dane County, or 24,150 individuals, have diagnosed or
undiagnosed diabetes.
o People with pre-diabetes have an increased risk of developing type 2 diabetes, heart disease
and stroke. In Dane County, an estimated 129,180 people who are 20 years and older have prediabetes.
o 14.2% of all hospitalizations of Dane County residents in 2010 were diabetes-related.
o Rate of diabetes-related hospitalizations has increased by 27% from 1999
Given the poor lifestyle choices modeled by too many adults and other adolescent peers in Dane County,
the OAWC was not surprised to find that these negative habits are also exhibited by Oregon youth.
(Oregon is located within Dane County.) A June 2012 survey conducted among 868 Oregon students in
grades 9-12 revealed that:
 44% exercise independently two or fewer days a week. When asked what stopped them from
exercising, 11% said “it costs too much,” 9% said “my skills aren’t good enough,” and 11% said “I
don’t like it.”
 36% of 9th-12th graders log more than 3 hours of non-homework “screen time” per day
 52% of high school students are unhappy with their current weight
 30% of high school students were physically active for 60 minutes less than two days per week
 84% of high school students eat less than four servings of fruit and vegetables daily
 60% eat two or fewer servings of fruit and vegetables daily
 Nearly one-quarter skip breakfast up to three days per week


55% claim to eat more junk food during the school year (vs. summer).
30% of students drink one or more cans of soda, sports drink, or other sugary beverages per day
The same survey given to 544 Oregon 7th and 8th graders in June 2012 revealed that half of all students
(49%) eat less than 3 servings of fruit and vegetables daily; 30% drink one or more cans of sugary
beverages/soda per day. 41% of middle school students were physically active three or fewer days of the
last seven; 35% of these students log three or more hours of non-homework “screen time” per day,
watching TV, surfing the Web, or playing video games.
Additional quantitative evidence of their poor health can be found in the OSD’s 2012-2013
FITNESSGRAM testing results. FITNESSGRAM's Healthy Fitness Zones (HFZs) are research-based
standards based on gender and age for aerobic capacity; body composition; and muscular strength,
endurance, and flexibility. These standards indicate levels of fitness necessary for good health. They have
been developed and refined over more than 25 years by the FITNESSGRAM Advisory Board. Since only
modest amounts of exercise are needed for obtaining health benefits, most students who participate in
physical activity almost every day will be able to achieve a score that will place them in the Healthy
Fitness Zone. The results for Oregon students are concerning as many students across ages are not
currently in the Healthy Fitness Zones. Results in Oregon for Aerobic Capacity show 27% of our 15 year
old boys and 33% of our 14 year old girls are not in the HFZ. In body composition, 40% of our 10 year
old boys and 33% of our 14 year old girls are not in the HFZ. In the muscular strength category, 33% of
our 13 year old males and 36% of our 11 year old females are not in the HFZ. In flexibility, 58% of our
13 year old boys and 35% of our 11 year old girls are not in the HFZ.
Oregon youth experience high obesity rates due to low physical activity and inadequate nutrition. Oregon
Area Wellness Coalition (OAWC) recognizes the incidence of Type 2 Diabetes has increased dramatically
in the U.S, therefore, the OAWC proposes to focus on reducing the burden of diabetes by implementing a
plan to increase physical activity and improve nutrition in the community of Oregon.
Coalition Information
The Oregon Area Wellness Coalition (OAWC) was formed in May 2013. The mission of the Coalition is
to promote active and healthy lifestyles among children, families and the greater community. The OAWC
is a collaborative partnership between Stoughton Hospital, the Village of Oregon and the Oregon School
District (OSD). Each partner has a defined role, but all partners will have at least one representative at
coalition meetings and support events and initiatives developed by the OAWC.
Stoughton Hospital will act as fiscal agent and submit invoices and reports, participate in conference calls
throughout the year, receive money for the purpose of the Oregon Area Wellness Coalition, provide
marketing and outreach support of approved events and initiatives including promotion of events in the
hospital newsletter that is mailed to over 30,000 households, (including 5,000 in the OSD), include events
on website, promote on digital and electronic screens both inside and outside of hospital, coordinate
Walk-With-A-Doc events, grocery store tours, and provide speakers and presentations to the Oregon
community on nutrition and physical activity.
The Village of Oregon will act as the chief community advocate for wellness and active lifestyles for
youth, families and community members. They will continue support for walking and biking instead of
driving, advocate for health focused policy change, and they will open community facilities for New
Year’s Eve family event and activities that are promoting active and healthy lifestyles.
Oregon School District will facilitate OAWC Meetings including sending out agendas and taking minutes
at meetings, develop Wellness newsletters for OSD families, support development of social media,
newsletters and other ways to inform the community about programs and events of OAWC, continue
Parent University Workshop series with community partners, support Community Youth Sports programs
and Kids Get Fit, offer a variety of health, fitness and nutrition activities in classes offered, and open
community facilities for Oregon in Motion and other activities that are promoting active and healthy
lifestyles.
Since forming in May 2013, OAWC has expanded interest and attendance at monthly meetings from
Brooklyn Recreation, Oregon Area Senior Center, Oregon Athletic Booster Club, Oregon School District
Community Education & Recreation, Dean Clinic Oregon, UW Clinic Oregon, Oregon Public Library,
Oregon Area Faith Community, Oregon Community Members, Oregon Area Chamber of Commerce,
Oregon Area Fire and EMS, and Oregon Police Department.
Each partner has success and experience implementing active and healthy initiatives. The Village of
Oregon has limited youth access to alcohol through policy work, the schools have initiated outdoor
classrooms and garden development and the hospital has increased participation with community
education from 1,648 participants in FY 2011 to 3,404 attendees in FY 2013. OAWC had successfully
implemented its first Oregon in Motion and Walk with the Doc event with over 100 people in attendance.
All the partners have developed relationships in the community and have a strong network of
organizations that trust in our work and understand our focus and intent.
ATTACHMENT B
Work-plan
Project Goal
Outcome
Engage children, families and community members in
community of Oregon to eat healthier and increase physical
activity levels
Reduce high obesity rates of Oregon youth
Objective # 1: By 8/31/15 Minimum of 120 adults in the community of Oregon will participate with nutrition
focused educational programs.
Activities
1. Monthly Supermarket Tours
from Dietician in local grocery
store
2.Offer quarterly community
education classes on easy,
practical, low cost nutritional
meals
Completion
Date
8/31/15
Responsible
Organization
Stoughton
Hospital
8/31/15
Stoughton
Hospital
Measures
Outcomes
# of people attending
tours
Min. of 90 people will
increase
understanding of
reading labels and
ingredients
# people attending
#of pre/post-tests that
indicate increase in
knowledge
Min. of 30 people will
increase knowledge of
preparing healthy
meals
Objective # 2: By 8/31/15 a minimum of 400 youth will participate with nutrition and physical activity programs.
Activities
1. Coordinate New Years Eve
celebration with swimming and
family games
Completion
Date
1/1/15
2. Coordinate Kids Get Fit
Community Event to include 1215 stations with trainers at each
station
8/31/15
3. Support Community Gardens
& Encourage students to try
new vegetables/foods within
schools.
8/31/15
4.Organize National Bike to
School Days
6/1/15
Responsible
Measures
Organization
Oregon School # Attendees at event
District &
Village of
Oregon
Village of
# children attending
Oregon led
with police
dept.
Oregon School # children participate
District
with gardens
# children try new
foods
Oregon School #children
District
participating with
ride/walk
#of routes set up to
ride/walk
Outcomes
Min. of 80 youth will
participate and engage
in physical activity
Min. of 50 youth will
participate and engage
in physical activity
Min. of 300 youth will
increase knowledge of
healthy nutritional
choices
Min. of 150 students
will ride bike or walk
to school
Objective # 3: By 8/31/15 300 adults in the community of Oregon will engage with physical activity programs and
events coordinated by the OAWC.
Completion
Date
8/31/15
Responsible
Organization
Stoughton
Hospital
2. Organize second annual
Oregon in Motion community
walk
10/31/14
Oregon School # participants
District
3.Coordinate annual Healthy
Trip 2015
5/31/15
Oregon School # signed up teams
District
Activities
1. Organize minimum of four
Walk with the Doc Events led by
local community physicians
Measures
# of walks scheduled
# of participants
Outcomes
Min. of 80 people
engage in physical
activity
More than 120 people
participate with
engagement of
physical activity
More than 150 people
will participate with
Healthy Trip Plan and
engage in exercise
Work Plan Narrative
One objective to help us increase engagement in healthy eating is to reach at least 120 adults in the community to
increase understanding and knowledge about nutrition. To do this we plan to offer a free, hour-long field trip to a
local grocery store led by a certified dietician from Stoughton Hospital. Participants will learn how to read labels
and ingredients, pick healthy snacks, shop on a budget, and how marketing influences food choices. The tours can
be themed for example to include back to school, holiday, grilling, family favorites, shopping for one, disease
management and prevention such as diabetes or weight management. We anticipate a minimum of 90 people will
attend. Another activity will be to offer quarterly education classes to civic organizations, senior center, and
community on preparing easy, practical, low cost nutritional meals. We anticipate a minimum of 30 people will
attend.
OAWC second objective is to reach a minimum of 400 youth to participate in a variety of nutritional and physical
activity programs. To do this, we plan of expand on what we successfully started last year with coordinating a New
Year’s Eve celebration to make it a family event and include games, swimming and a healthy cooking
demonstration. We expect at least 10% more attendees than last year. A second activity we will expand is
participation with National Ride Bike to School. We will work with volunteers, police, and school to map safe
routes. We would like to promote safety for bikes and walkers with distribution of yard signs before the ride and
during summer. This past May we had bikers and anticipate a minimum of 150 will join us from the school
district. Also carrying on what was initiated last year is support for community gardens and trying new foods within
the school. OAWC will help provide supplies as needed and provide a dietician to speak to the youth in outdoor
class. We anticipate at least 300 youth will increase knowledge about healthy choices. The last activity we will
implement is coordination of a Kids Get Fit event which will include trainers at 12 fitness stations. We expect a
minimum of 50 youth to actively engage in this new initiative.
The last objective for the purpose of this grant is to engage a minimum of 300 adults an a physical activity program
coordinated by OAWC. We plan to organize a least four Walk with the Doc Events led by local physicians. We
will also organize our second annual Oregon in Motion community walk event. Last year over 100 people
participated and we expect an increase of at least 10%. The last program we will coordinate will be a Healthy Trip
2015 and encourage support for exercise through teams. OAWC will offer activities such as Walk with Doc and
promote other free classes to help count towards exercise goals. A prize will be offered to the winning team.
By offering multiple opportunities to engage in physical activity and learn more about healthy nutritional choices,
OAWC believes we can encourage families and members of the community to exercise more and eat healthier,
therefore; working towards reducing the high obesity rates in youth and in the long-term decrease hospitalization
rates due to diabetes which was identified in the community health needs assessment.
Evaluation Plan
Because of the high rate of Oregon youth obesity rates and the growing burden of diabetes in our community, the
goal of the OAWC is to engage children, families and community members to eat healthier and increase physical
activity levels. The coalition plans to engage both adults and youth in the community through coordinating various
free programs and events focused on physical activity focused community free events/programming and through
educational offering.
OAWC plans to offer a free, hour-long field trip to a local grocery store to help attendees choose healthier foods.
We anticipate at least 90 people will attend those monthly tours and we can evaluate our success by implementing
an evaluation at the end of the tour. We can ask participants to evaluate their beginning knowledge and compare
that to end of class - what degree of change took place. We can also measure success along the way with number
of people attending the program. Another implementation strategy is to offer community education classes and
demonstrations on healthy cooking. Again, OAWC can evaluate success by number of people attending the
presentations and implementation of a survey to determine change in knowledge.
For youth involved with the numerous nutrition physical activity programs and events planned, we can measure
success by tracking number of attendees at events and compare to last year if have baseline data. (Exception of Kids
Get Fit, because this is a new program being offered.) OAWC can provide further evaluation on outcomes with
short verbal follow up questions and ask whether plan to continue exercising or are they doing more physical
activity. To evaluate the nutritional programming of offering new foods in schools, OAWC will monitor the
number of students trying new foods. After the classroom presentation by the outside speaker, we can implement a
short survey to measure change in knowledge or a short question and answer session. For attendees at the family
New Year’s Eve event we can follow up with a brief survey with those who share their e-mail and ask families if
gained knowledge or plan or are engaged in eating healthier or exercising more. We will also be able to monitor
the Fitness Gram Statistical Report that is given to Oregon Students and compare results. We will also have
evidence of evaluation through comparing data and look at trending of the Oregon School District Youth
Assessment Survey.
To evaluate the level of participation with adults who are engaging in physical activity and exercise, OAWC can
measure the number of participants at the planned activities. We will also do a post survey with participants that
share their e-mail to determine if people are now engaged in more exercise or have a change in knowledge about
the importance of exercising.
By strengthening the programs and events offered by the Oregon Area Wellness Coalition, we hope to also raise
awareness and have additional supporting partners to promote and provide resources for the coalition initiatives,
build sustainability, and increase support for choosing a healthy lifestyle.
Program: Healthy Oregon__ Logic Model
Situation:
Type 2 Diabetes was identified as a significant health issue in the 2012 Community Health Needs Assessment of Stoughton
Hospital. The Oregon Area Wellness Coalition will be a catalyst in improving the burden of diabetes by engaging youth,
families and community members to eat healthier and increase physical activity.
Outputs
Outcomes -- Impact
Inputs
Activities
Participation
Short
Medium
Long
Staff
Volunteers
Time
Plan and
coordinate Walk
with Docs, New
Year Eve, Kids
Get Fit, Grocery
tours, and more
Businesses
Civic
Organizations
Increase
awareness of
Oregon Area
Wellness
Coalition (OAWC)
Money
Materials/Supplies
Hold monthly
coalition
meetings
Families
Equipment
Technology
Partners
Research Base
Community
Groups
Invite
guests/youth to
coalition
meetings
Coordinate
nutritional
presentations to
civic, senior,
business &
community
organizations
Implement media
campaigns on
coalition events
Students/Youth
Seniors
Faith Groups
Increase
knowledge of
benefits of healthy
food choices
Increased
physical activity
Increased eating
of vegetables and
fruits
Increased
engagement of
physical activity
Increased social
action within
community
Increased
membership of
OAWC
Decrease in
hospitalization
rate of diabetes,
heart disease
and other related
health issues
Decrease
economic
burden due to
health care costs
Positive affect on
social norm
toward healthy
lifestyles
Law
Enforcement
Schools
Hospital/Medical
Staff
Police
Assumptions
Partners and grant funding available, dietician time and
cooperation with local grocery store - partnerships can be
created
External Factors
Budget factors from partners, time
commitments from coalition members
Healthy Oregon
BUDGET
CATEGORY
DESCRIPTION
GRANT
REQUEST
MATCHING/INKIND
CONTRIBUTIONS
TOTAL
PROJECT
EXPENSE
Wages
50% of dietician
wages for monthly
prep, store tours &
community
presentations
$1,460.00
$1,460.00
$2,920.00
(Grant Request +
Matching)
Fringe Benefits
Travel
Equipment
Supplies
(Grant Request +
Matching)
1029 miles for
monthly dietician
travel to grocery
tours, student
presentation, and
quarterly
nutritional
presentations. In
Kind mileage
provided for
hospital staff to
attend monthly
planning
meetings, Walk
with Doc, New
Years Eve, Kids
Get Fit and
Oregon in Motion
events
(Calculate mileage
at $.51/mile)
Kids Get Fit
Station
equipment, 150
community yard
signs to promote
OAWC health
initiatives & safe
biking/walking
$1,000.00
Give a-ways
(pedometers, tshirts, back packs,
etc.) for drawings
at New Year’s
Event, Oregon in
$1,500.00
$400.00
$925.00
(Grant Request +
Matching)
$525.00
0
$1,000
(Grant Request +
Matching)
$400.00
$1,900
(Grant Request +
Matching)
Motion, Kids Get
Fit, Walk with Doc
Events, food for
cooking
demonstrations,
school garden
supplies & Health
Trip team prize
Consultants/ Grants
Other Costs
TOTAL
12 Get Fit Trainer
Stipends
$600.00
Advertising
through school
and hospital
newsletters, ads in
paper, local cable
TV, printing of
flyers
0
0
$600.00
(Grant Request +
Matching)
$2,000
$2,000
(Grant Request +
Matching)
$5,085.00
$4,260.00
$9,345.00
(Must be at least
25% of Grant
Request Total)
Attachment C
The majority of for supplies with the anticipated costs associated with the projects we plan to implement in the
coming year: School gardens which could consist of soil, mulch, vegetable plants, and garden tools, the Kids Get
Fit Activity Stations incentives, water, and prizes such as t-shirts and back pack slings, pedometers and water
bottles will be needed for Walk-With-The-Doc & Oregon in Motion events, New Year’s Eve family event supplies
are needed to make posters and possible drawings, yard signs for promoting safe walking and biking will be
needed, and food costs for cooking presentations.
Another large expense is request for dietician wages. The coalition will offer grocery store tours with a certified
dietician, demonstration at New Year’s Eve event, speaker for elementary students at outdoor classroom, additional
quarterly community classes will be offered on how to make meals, with samples and demonstrations and
preparation time. It is anticipated roughly 100 hours of a clinical dietician’s time will be used and 50% of the
dietician’s time is requested through this grant, while 50% of time will be an in-kind contribution. We anticipate 12
trainers are needed for each station which may require a stipend for the two-three hour time period.
Advertising will be provided as in-kind through all the partner’s newsletters, websites, social media sites, and
internal digital boards, printing of flyers and will be included through paid print ads for local paper, magazines and
local TV.
If we are chosen as a recipient of this year’s implementation grant, we plan to continue our plan to engage families
and community members next year through donations from civic groups, local grants and businesses within the
community.