May 16, 2011
Ms. Toniann Richard
Executive Director
Health Care Coalition of Lafayette County
811-D HWY 13
Lexington, MO 64067-1572
RE: Missouri Foundation for Health Agreement 10-0384-SIM-11
Dear Ms. Richard:
In accordance with item #6 of the grant award agreement, your interim financial and project status reports are due
6/15/2011. Please complete the following:
1. Interim Report Cover Sheet (attached, please sign and date);
2. Interim Financial Report questions on attached cover sheet; and
3. Interim Project Status Report questions on attached cover sheet.
And email to sfrisbee@mffh.org or return two (2) copies of the report in care of:
Grants Manager
Missouri Foundation for Health
1000 St. Louis Union Station, Suite 400
St. Louis, MO 63103
Please be advised that scheduled disbursements are contingent on the Foundation’s receipt and approval of interim
reports.
If you would like these documents electronically please contact me at (314) 345-5560 or via e-mail at
sfrisbee@mffh.org. For any other questions, you can either go to http://www.mffh.org/content/458/mfh-granteeresources.aspx or contact your assigned Grants Manager at (314) 345-5500.
Sincerely,
Steven Frisbee
Operations Specialist
(enclosures)
Missouri Foundation for Health
SOCIAL INNOVATION FOR MISSOURI
INTERIM REPORT COVER SHEET
Date:
Grant Number: 10-0384-SIM-11
Grantee Name: Health Care Coalition of Lafayette County
Project Title: Lafayette County-Live Healthy, Live Well
Grant Period: 3/1/2011 2/29/2012
Reporting Period: for activity 03/11 - 05/11
Email: toniann@hccnetwork.org
Phone: 660.259.9019
Interim Financial Report – see attached
1. Using the MFH electronic financial spreadsheet, report expenses since the project start date in the column
titled ‘YTD Actual Expenses’ for MFH funds only.
2. If expenses are +/-10% of the budget for any line item, tell us why. This is not approval to make budget
changes. Any changes to the approved budget in Attachment B of your Grant Award Agreement require
prior written approval from your Grants Manager and Program Officer.
3. Report local match dollars committed to date.
4. Report local match dollars received to date.
Before your grant ends . . .

If necessary, a no-cost grant extension can be requested 60 days prior to the project end date (2/29/2012).

If all grant funds are not expected to be spent by the project end date (2/29/2012), contact your Grants
Manager.
Interim Report Questions
Be sure to fully address each question for the current reporting period ( for activity 03/11 - 05/11). Refer
to Attachment C from your Grant Award Agreement, which includes your final Project Plan.
Project Plan Update – see attached
1. Using the Project Plan found in Attachment C of your Grant Award Agreement as a reference, report
your progress on each Activity/Tactic in attached Project Plan Update form. There is only one column to
complete, “Progress During Reporting Period”. If you need assistance in completing this form, please
contact Charles Gasper, cgasper@mffh.org.
Narrative Section Supplement
1. Based on the goals and objectives in the Project Plan, describe major accomplishments and/or success
stories occurring during the reporting period.
The HCC and collaborators have spent the first quarter working with schools, government and worksites to
establish meeting schedules and goals of the project. We were successful in securing over half of our school
districts in participation of the programs offered to them through this funding opportunity. Meetings have been
scheduled and are in process of taking place with city councils and other government agencies regarding
tobacco and healthy food policies. School staff has been trained in fresh food prep methods and equipment.
Processes have been finalized for the implementation of an EBT system for the farmers market that will allow
purchasers to use debit, credit and food stamp cards. Worksites have been evaluated for the implementation
of wellness programs. Most of the programs will be implemented in Fall 2011.
2. Describe any challenges experienced in implementing the Project Plan and explain how they are being
solved. Explain any difficulties anticipated in accomplishing the project’s objectives in the timeframe
outlined in the Project Plan.
A few projects were revised due to feedback from the partners. The first is meetings with local farmers, school
food services management, Opaa! Food Service Corporate Managers and food distributors. We will meet one
on one with some partners as opposed to group settings. This will allow for the appropriate connections to be
made between growers and facilities.
We will also push back the trainings to educate local restaurant chefs to increase the use of locally grown
fresh produce. This is happening now through Fall 2011. Having local farmers markets in each community
will help with the promotion of this effort.
The University of Missouri Extension will be hiring a staff person to help with physical activity
initiatives. Position will be filled beginning June 20, 2011.
Worksite wellness programs will begin in Fall 2011. Meetings with worksites have been scheduled.
All school based programs will begin in Fall 2011 as opposed to Summer 2011. This is due to the lack of staff
available during the Summer months at the schools.
Based on suggestions from SIM Orientation the public area smoking policy goal has changed. Instead of
making a policy the partners will work with civic leaders to educate them about the county tobacco issues.
HCC will use MDHSS Tobacco Use Prevention Program Manager suggestions for signage language.
3. Detail any technical assistance received from Trailnet and/or Americans for Nonsmokers’ Rights during the
reporting period.
No specific Technical Assistance has been received at this time. We anticipate needing more support as the
project is implemented.
4. Describe progress during the reporting period in implementing the three components of the Community
Health Improvement model (e.g., professional development activities, expansion of task force, and
securing local government support). For your reference, the three components of the model include:

Community assessment determines community readiness, including levels of diverse community
representation, local government commitment, and presence of other programs addressing tobacco
use and obesity.
SIM Partners continue to gather information from schools, communities and stakeholders about the needs of
the community. HCC just completed a community assessment and much information from that assessment
has been used to determine our steps for SIM and beyond. The HCC and partners will work on additional
needs assessment/community assessment models throughout the SIM grant process.

Community capacity building focuses on organizing a local task force; presenting best practices to
community leadership; bolstering social networks in communities; and providing professional
development opportunities to expand task force members’ knowledge of target issues.
The SIM team meets every other Monday as well as every other month with community stakeholders.
Additional funds are being sought to add partners and build a strategic plan around the SIM initiatives through
the Lafayette County Health Department. The HCC continues to use media outlets to communicate our
initiatives including a dedicated section on our website http://www.hccnetwork.org/health-and-wellness-
hcc facebook and twitter.

Technical assistance supports the task force to implement the project plan, including modifying policy
language and assisting in navigating bureaucratic hurdles to policy change.
The HCC has participated in group technical assistance but no single technical assistance efforts have taken
place so far. We anticipate that as we start to implement the workplan with additional partners there will be a
need for technical assistance.
Certification: I have reviewed the above financial and program requirements. I verify that the
enclosed report materials accurately reflect the status of the aforementioned grant.
Authorized Signature:
Date:
Print Name: Toniann Richard
Title: Executive Director
*Financial supporting documentation is to be provided with final reports only*