CPPW and ACHIEVE by State and Coalition
Communities Putting Prevention to Work by State with NBCH Member Business Coalition
Alabama
ECHO – Employers Coalition for Healthcare Options, Inc., Huntsville
Jefferson County Department of Health, Alabama $13.3 Million (Obesity $6.3 Million, Tobacco $7 Million)
Alabama ranks as the third unhealthiest state and the second most obese state in the nation. The Jefferson County project is
committed to changing environments where residents live, work, learn, and play to ensure that the healthy choice is the easy choice
to make for all generations. Focused interventions include improving options for safe physical activity by supporting mixed-use land
development; developing greenways to increase everyday movement and access to physical activity hot spots; improving access to
healthy food and beverage options in “food deserts”; establishing neighborhood walking groups in low-income communities;
promoting exercise as medicine through employer-sponsored flexible spending accounts; and disseminating health information
through mass media and targeted radio dramas.
Jefferson County’s tobacco use prevention and cessation initiative will promote changes in policies to reduce smoking opportunities
and reduce access to tobacco products. The county will encourage coverage of cessation services and products through worksite
insurance and health policies. The county will also continue its efforts to highlight the negative aspects of tobacco use via an
aggressive educational campaign including social networking sites
ACHIEVE Community – National Recreation and Park Association, Montgomery, AL
Project Description:
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Adopt worksite smoking ban
Provide healthier food options in worksite cafeterias
Promote Share the Road Initiatives to encourage and protect bicyclists
Address physical activity policies for park and recreation programs
Arkansas
Employers' Health Coalition, Fort Smith
California
Pacific Business Group on Health, San Francisco
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CPPW and ACHIEVE by State and Coalition
(1) County of Los Angeles Department of Public Health, California $32.1 Million (Obesity $15.9 Million, Tobacco $16.2 Million)
The Department of Public Health will launch a new initiative, Renew Environments for Nutrition, Exercise & Wellness in Los Angeles
County (Renew LAC), to reduce the obesity epidemic in this populous region. In the area of nutrition, the initiative will implement a
targeted public education campaign in an effort to reduce sugar-sweetened beverage consumption and promote healthy eating. To
target physical activity, the initiative will increase capacity to implement physical education policies in schools.
The Tobacco Control & Prevention Program will implement Project TRUST, which aims to further reduce smoking prevalence and
decrease exposure to secondhand smoke, especially in disadvantaged communities. Activities include producing a multifaceted
educational campaign and encouraging comprehensive smoke-free outdoor air policies.
(2) County of San Diego Health & Human Services Agency, California $16.1 Million
To promote improved nutrition, the County of San Diego will address regional food systems and the establishment of a San Diegobased food distribution center, link local food demand to supply, and increase access to healthy foods, especially in high-need areas.
To increase physical activity, interventions will improve the built environment through integrating public health in transportation
and land use planning policies. To promote healthy school environments, the county will enhance and implement school wellness
and before- and after-school physical activity policies to create environments that promote nutrition, physical activity, and overall
student wellness.
(3) County of Santa Clara Public Health Department, California $6.9 Million
Santa Clara County’s Tobacco Prevention and Control Program will use media and other educational strategies to counter protobacco influences, support the establishment of local tobacco retail licensing requirements, limit tobacco advertising near schools,
support evidence-based pricing strategies to deter tobacco use, and build greater capacity for smoking cession services. The
program also will include focused efforts on populations that smoke in disproportionately high numbers and suffer
disproportionately from the burdens of chronic disease.
ACHIEVE Community – YMCA of the USA, Anaheim, CA
Project Description:
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Build and maintain a network of sidewalks and street crossings that connect to schools, parks, and other destinations
Build and maintain parks and playgrounds that are safe and attractive for playing and in close proximity to residential areas
Adopt community policing strategies that improve safety and security of streets and park use
Establish agreements that would allow playgrounds and recreation centers to be used by residents when closed
Develop policies to increase physical activity to at least 30 minutes before, during, and after school each day
Collaborate with schools to implement a Safe Routes to School Program
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CPPW and ACHIEVE by State and Coalition
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Improve stairway access and appeal
Offer incentives to restaurants that promote healthier options
Encourage non-chain restaurants to provide calorie information
Link residents to affordable healthy foods
Encourage daycare and afterschool programs to utilize nutrition assistance programs
Limit fast food establishments near schools and public playgrounds
Restrict advertising of unhealthy foods and beverages near schools and public playgrounds
Create incentives for local food retailers to reduce point-of-sale marketing
Develop targeted media campaigns to promote access to available resources related to physical activity and healthy eating
Provide physicians with resources to counsel patients on physical activity and healthy eating
ACHIEVE Community – National Recreation and Park Association, La Mirada, CA
Project Description:
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Initiate walking school bus
Develop worksite wellness policy for the city of La Mirada
Improve bike and handicap walkability and accessibility
ACHIEVE Community – National Association of County and City Health Officials, Sacramento, CA
Project Description:
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Implement Safe Routes to School program
Colorado
Colorado Business Group on Health, Denver
Tri-County Health Department, Colorado $10.5 Million
The Tri-County Health Department, the largest local health department in Colorado which serves more than a million residents of
Adams, Arapahoe and Douglas Counties, will partner with schools to enhance school wellness policies and support Safe Routes to
School activities. The Department will also conduct an educational campaign to raise awareness of the many benefits of healthy
eating and physical activity; advise municipalities in their city planning, zoning, and transportation efforts to promote physical
activity and access to healthy foods; increase signage for healthy menu items in restaurants; establish community gardens to
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CPPW and ACHIEVE by State and Coalition
increase access to fresh fruits and vegetables and physical activity; and support community partners in advancing additional policy,
systems, and environmental changes to promote healthy eating and physical activity.
Florida
Florida Health Care Coalition, Orlando
(1) Miami-Dade County Health Department, Florida $14.7 Million
The Miami-Dade County Health Department will increase the availability of healthy foods and beverages by revising procurement
policies and practices at schools, worksites, hospitals, and other community institutions. Miami-Dade hopes to reduce sodium
consumption in Miami-Dade County through labeling initiatives and restaurant standards. These efforts will be complemented by a
media campaign to promote healthy food and drink choices and increased physical activity. The department plans to enhance
signage for bike lanes, boulevards, and walkable neighborhoods to encourage physical activity such as biking and walking. The
Department will also work with child care facilities to increase the amount of physical activity.
(2) Orange County Health Department, Florida $6.6 Million
Orange County will implement tobacco prevention and control policy changes that will expand the smoke-free environment to all
Orange County and municipal parks, reduce youth access to tobacco, and implement Ask, Advise, Refer as part of tobacco use
assessments by health care providers. To accomplish these goals, Orange County will educate policy makers about the impact of
usage bans (100% smoke-free policies or 100% tobacco-free policies) and zoning restrictions; increase labeling, signage, and
placement to discourage consumption of tobacco; support evidence-based pricing strategies that discourage tobacco use; and
implement quitline and other cessation services. Policy, systems, and environmental interventions will be implemented in schools,
parks, health care provider offices, and neighborhoods to support behavior change among residents of all ages.
ACHIEVE Community – National Recreation and Park Association, North Miami, FL
Project Description:
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Implement traffic calming measures within the city to promote pedestrian and bicycle usage
Adopt school wellness policies
Create worksite wellness and vending machine policies
Promote worksite stairwell usage
Create a policy to support development of farmer’s markets and community gardens
ACHIEVE Community – National Association of Chronic Disease Directors, Palm Beach County, FL
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CPPW and ACHIEVE by State and Coalition
Project Description:
The mission of the Palm Beach County Coalition to ACHIEVE Wellness is to prevent/reduce chronic illness in all demographic
segments of the community by promoting education and self-responsibility within individual, private, and public organization sectors
about the health benefits of not smoking, maintaining a balanced diet, and adequate physical activity levels. The vision of the Palm
Beach County Coalition to ACHIEVE Wellness is a healthy community that is well educated, motivated, and provided with sufficient
resources to optimize wellness, prevent and live with chronic illness, and be responsible for their well-being.
Georgia
Savannah Business Group on Health, Savannah
DeKalb County Board of Health, Georgia $3.2 Million
The DeKalb County Initiative aims to create a healthier, tobacco-free community by implementing evidence-based intervention
strategies to increase awareness of the health consequences of tobacco use, decrease exposure to secondhand smoke, increase
efforts to restrict youth access to tobacco products, support pricing strategies to decrease tobacco use, increase access to cessation
resources, and increase social support for residents ready to quit using tobacco. Proposed interventions include establishing
tobacco-free parks and college campuses and conducting a multi-ethnic educational campaign to ensure that tobacco-free messages
span the spectrum of DeKalb's population.
Hawaii
Hawaii Business Health Council, Honolulu
(1) Kauai
Kauai will increase residents’ awareness and knowledge of healthy eating and active living through multiple media venues; increase
physical activity and improve nutrition through social support, culturally appropriate education, and behavior change; increase
access to and consumption of local produce including links to restaurants and grocery stores; restrict the availability of unhealthy
foods in schools; promote healthy foods in grocery stores; and improve active transport and public transportation infrastructure.
(2) Maui
Maui will work to prevent obesity by educating residents, increasing knowledge, and raising awareness about healthy eating and
active living through multiple media venues; increasing physical activity and improving nutrition through social support, culturally
appropriate education and behavior change; increasing access to and consumption of local produce; restricting the availability of
unhealthy foods in schools; promoting healthy foods in grocery stores; and improving active transport and public transportation
infrastructure.
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CPPW and ACHIEVE by State and Coalition
Illinois
Employer's Coalition on Health, Rockford
Heartland Healthcare Coalition, Morton
Midwest Business Group on Health, Chicago
Tri-State Health Care Coalition, Quincy
(1) Cook County (Cook County Department of Public Health/Public Health Institute of Metropolitan Chicago), Illinois $15.9 Million
The Cook County initiative will include two principal components: informing state and local decision makers about evidence- and
practice-based pricing and access strategies to improve nutrition and physical activity outcomes, and facilitating and empowering
local-level change by providing financial and technical resources to local governments, community-based organizations, and other
institutions participating in a proposed Model Communities and Model Schools program.
(2) City of Chicago (Respiratory Health Association of Metropolitan Chicago), Illinois $11.6 Million
Chicago’s Tobacco Prevention Project will implement citywide policy strategies designed to decrease tobacco use and exposure to
secondhand smoke, with concentrated efforts aimed at high-burden population groups. Population-based strategies include public
education and policies to prohibit vending and restrict tobacco advertising in retail outlets and in the community. The project will
increase the availability of cessation services by enhancing insurance coverage and creating health care and community systems that
support tobacco control initiatives through engaging diverse communities.
ACHIEVE Community – National Recreation and Park Association, Chicago, IL
Project Description:
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Implement healthy vending machine policies
Provide healthier options at food stands and park vendors
Adopt worksite wellness policies
Implement traffic calming measures around parks
ACHIEVE Community – National Association of County and City Health Officials, Cook County, IL
Project Description:
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Develop a social marketing campaign around chronic disease risk factors
Establish Complete Streets Taskforce
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CPPW and ACHIEVE by State and Coalition
Indiana
Indiana Employers Quality Health Alliance, Indianapolis
Tri-State Business Group on Health, Newburg
Indiana State Department of Health $5.4 Million
(1) Bartholomew County, Indiana
Bartholomew County will promote healthy nutrition by decreasing the cost of healthy foods relative to unhealthy foods and
increasing the number of organizations adopting healthy meeting guidelines. The county will promote increased physical activity by
reducing screen time in after-school programs, supporting daily physical activity in after-school programs, and increasing point-ofdecision health prompts at stairwells and elevators in public venues.
(2) Vanderburgh County, Indiana
Vanderburgh County will expand the reach of its HEROES healthy schools initiative, based on CDC’s Coordinated School Health
Model, by adding more schools within the public system and introducing the initiative within several of the Catholic Diocese schools.
On the broader community level, the Move•ment initiative will negotiate healthy vending options, post signage in walkable areas
and point-of-decision prompts in high-traffic areas, support breastfeeding in the workplace, and develop a Safe Routes to School
plan.
Kansas
Wichita Business Coalition on Health Care, Wichita,
Louisiana
Louisiana Health Care Alliance, Baton Rouge, Baton Rouge
Maine
Maine Health Management Coalition, Scarborough
Maine Department of Health and Human Services $4.3 Million
(1) Healthy Portland, City of Portland Health and Human Services Department, Public Health Division
The Power up Portland initiative will increase access to healthy foods and promote physical activity by establishing farm-to-school
food systems; sponsoring a public education campaign to promote healthy foods and beverages; providing support for required daily
structured physical activity in after-school/child care settings; taking actions designed to increase the number of safe, attractive, and
accessible places for activity; increasing physical activity opportunities and signage in walkable/mixed-use neighborhoods and public
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CPPW and ACHIEVE by State and Coalition
transportation (e.g., through bike lanes/boulevards); facilitating increased use of parks and facilities through subsidization of
membership; and facilitating increased physical activity through Safe Routes to School programs.
(2) Healthy Lakes, Communities Promoting Health Coalition, People’s Regional Opportunity Program
The Healthy Lakes, Healthy Lives initiative will work with schools and community institutions in the Lakes Region to increase
knowledge of and access to nutritious locally grown food. The community will increase options for physical activity in elementary
schools and after-school programs; for older youth, it will create outing clubs at each middle and high school, offering opportunities
to students not interested in traditional school sports to become engaged in less competitive ways of getting physically fit. To
encourage increased physical activity by adults, the community will increase signage for public trails and will work with Lakes Region
recreation departments, adult education centers, and private fitness facilities to offer subsidized memberships. The community also
will conduct public education campaigns promoting healthy foods, healthy beverages, and physical activity opportunities.
Maryland
Mid-Atlantic Business Group on Health, Greenbelt
Michigan
AFL-CIO Employer Purchasing Coalition, Bloomfield
Alliance for Health, Grand Rapids
Michigan Purchasers Health Alliance, Ann Arbor
ACHIEVE Community – National Association of County and City Health Officials, Muskegon County, Michigan
Project Description:
Activities that the ACHIEVE team will undertake include supporting strategies that encourage intake of and increase access to
healthy food, such as working with locally grown food advocates and building a community garden; incorporating healthy strategies
in workplaces; and reestablishing connections with Muskegon policymakers.
Minnesota
Buyers Health Care Action Group, Bloomington
Labor/Management Health Care Coalition of the Upper Midwest, Roseville
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CPPW and ACHIEVE by State and Coalition
Minnesota Department of Health $5.9 Million
(1) Minneapolis, Minnesota
To reduce obesity by improving nutrition and increasing physical activity, Minneapolis will improve park safety; increase youth
access to transportation; improve mobility/access plans; improve the biking and walking environment and access to locally grown
foods in underserved neighborhoods; provide structured family recreational opportunities in school buildings; support access to
farmer’s markets; and enhance Safe Routes to School.
(2) Olmsted County, Minnesota
To reduce the burden of obesity, Olmsted County will implement way-finding signage, and promote Olmsted County as a destination
for recreational trails; decrease the relative costs of healthy foods and beverages in community vending machines; and enhance Safe
Routes to School.
Missouri
Mid-America Coalition on Health Care, Kansas City
Missouri Consolidated Health Care Plan, Jefferson City
St. Louis Area Business Health Coalition, St. Louis
St. Louis County, Missouri $7.6 Million
The St. Louis County Department of Health will engage in a variety of interventions to decrease secondhand smoke exposure,
increase smoking cessation, and reduce smoking initiation. Strategies include mounting an educational campaign to promote
comprehensive tobacco control, implementing voluntary retailer advertising policies, increasing use of the quitline, increasing
employer-sponsored cessation coverage, and implementing a system of tobacco use screening and counseling. Changing Tobacco
Norms in St. Louis County is a collaborative effort that will promote 100% smoke-free workplaces and public venues for county
ACHIEVE Community – National Recreation and Park Association, O’Fallon, MO
Project Description:
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Establish policies that require all new and existing subdivisions and business districts to have complete streets and sidewalks
Establish helmet safety laws to make citizens feel safer riding their bikes and therefore encourage increased physical activity
in the community
Expand the existing trail system, clean and improve existing paths, and connect sidewalks/paths that do not link together
Establish policies within the school district to incorporate the use of school gardens and their value/benefits into student’s
curriculum
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CPPW and ACHIEVE by State and Coalition
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Live Well O’Fallon will form a partnership between Ft. Zumwalt school district and local farmers to provide fruits and
vegetables to be used in making meals for students. The school district was able to customize their bid language to indicate
that local produce would be used whenever possible and that the lowest of those bids would be used for the contractual
school year
Montana
Montana Association of Health Care Purchasers, Missoula
ACHIEVE Community – National Association of County and City Health Officials, Yellowstone County, MT
Project Description:
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Adopt Complete Streets Policy
Adopt healthy meeting policies
Nevada
Health Services Coalition, Las Vegas
Nevada Health Care Coalition, Reno
Southern Nevada Health District, Nevada $14.6 Million
Located in Clark County, the project will be managed by the Southern Nevada Health District Tobacco Control Program. Specific
strategies will include supporting the elimination of tobacco industry sponsorships and implementing restrictions related to minors’
possessing, using, and purchasing cigarettes. These changes are intended to support residents in making choices to abstain from
using tobacco products and to limit exposure to secondhand smoke. The program’s interventions and strategies will impact all age
groups in multiple sectors (i.e., schools, worksites, places of faith, communities). Practice- and evidence-based strategies will include
social support in the schools and communities to reinforce the behaviors being promoted by the proposed policy and environmental
changes
New Jersey
New Jersey Health Care Quality Institute, Trenton,
New York
New York Business Group on Health, New York
Niagara Health Quality Coalition, Buffalo
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CPPW and ACHIEVE by State and Coalition
New York City (Fund for Public Health in New York, Inc.), New York $31.1 Million (Obesity $15.5 Million, Tobacco $15.6 Million)
New York City will use multiple strategies to prevent obesity and improve health. To encourage consumption of healthy foods, the
city will increase the availability of fresh produce, promote venues (e.g. farmers’ markets, mobile vendors, local bodegas) where
fruits and vegetables are sold, and make produce and tap water more accessible in schools. At the same time, the city will sponsor
major awareness campaigns to discourage consumption of unhealthy foods, sugar-sweetened beverages, and oversized portions.
NYC will also work to set policies and create environments that reduce consumption of sugar-sweetened beverages and overly
salted foods. And to get New Yorkers moving, the city will train thousands of teachers in physical education and promote “active
design” by planners and architects. It will also use communication campaigns to encourage people to improve their health and
protect the environment by biking, walking, and using the stairs instead of elevators.
New York City will also expand and enhance its comprehensive tobacco control program. Proposed activities include expanding the
department’s campaign to educate the public and policy makers about the adverse impacts of tobacco; enhancing the city’s nicotine
patch and gum program to better support smokers trying to quit; and supporting interventions to benefit groups with
disproportionately high rates of smoking, including individuals with mental health and substance abuse disorders, low-income
residents, and young adults.
ACHIEVE Community – National Association of County and City Health Officials, Clinton County, NY
Project Description:
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Develop and adopt a revised master land use plan
Establish farmer’s markets that accept WIC and EBT
Establish worksite wellness committees for two large employers
ACHIEVE Community – National Association of Chronic Disease Directors, Rockland County, NY
Project Description:
The mission of the Monsey Community Coalition for Health and Wellness is to improve the community’s health through
collaboration and lasting policy, systems, and environmental changes, in keeping with the ideals of arvus (communal responsibility)
and venishmartem m’od lenafshoseichem (religious imperative to maintain one’s health). The vision of the Monsey Community
Coalition for Health and Wellness is for the Greater Monsey Community to have healthy schools, children, and families through
increased health education, access to physical activity, and attention to a nutritionally balanced diet.
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CPPW and ACHIEVE by State and Coalition
North Carolina
Piedmont Health Coalition, Inc., Burlington
Western North Carolina Health Coalition, Asheville
ACHIEVE Community – YMCA of the USA, Belmont, NC
Project Description:
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Implement Safe Routes to School Program
Improve safety of sidewalks and walkways
Encourage medical providers to discuss the importance of physical activity with their patients
Adopt a pedestrian master plan
Increase physical activity opportunities within the workplace
ACHIEVE Community – National Association of Chronic Disease Directors, Mecklenburg County, NC
Project Description:
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The vision of the Worksite Wellness Policy Council is to provide worksites in Mecklenburg County with tools and resources to
create policy and environmental changes that help develop a culture of wellness in the workplace. Those changes will
support and sustain healthy lifestyles for their employees not only in the workplace, but through all aspects of their life and
positively impact the lives of those around them. The ultimate goal is to create work environments that support and
encourage healthy living and that will reduce chronic diseases that can result from sedentary lifestyles, unhealthy eating, and
tobacco use.
ACHIEVE Community – YMCA of the USA, Cleveland County, NC
Project Description:
The mission of the Cleveland County CHART team is to empower Cleveland County residents to prevent and reduce chronic diseases
and related risk factors through environmental approaches that impact policies addressing lifestyle changes such as healthy eating,
physical activity, and tobacco use.
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CPPW and ACHIEVE by State and Coalition
Ohio
Employer Health Care Alliance, Cincinnati
Employers Health Purchasing Corporation of Ohio, Canton
FrontPath Health Coalition, Perrysburg
Health Action Council, Cleveland
Hamilton County General Health District, Ohio $6.7 Million
Project strategies will include an educational campaign to promote healthy eating and physical activity, improved access to healthy
options through implementation of school-based vending policies and community garden development, improved access to safe
spaces for physical activity through school-to-community shared-use agreements, and policies to support 30 minutes of daily
physical activity in after-school programs. The project also plans to expand the use of existing subsidies for community recreation,
use geographic information systems (GIS) mapping to document and promote healthy eating and physical activity resources, and
expand infrastructure for faith-based health ministries to provide social support for change.
ACHIEVE Community – YMCA of the USA, Stark County, OH
Project Description:
Live Well Stark County is a group of leaders working together to make Stark County a healthier community through promoting
policy and environmental changes that focus on chronic diseases such as: obesity, diabetes, and heart disease.
Plans include:
•
Improving worksite wellness
•
Increasing community gardens and farmers markets
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More bike lanes and paths
•
Caloric information on menu boards
•
Neighborhood walking groups
ACHIEVE Community – National Association of Chronic Disease Directors, Lake County, OH
Project Description:
The mission of ACHIEVE Lake County is to educate the community and build an environment that will improve the overall quality of
life for Lake County residents and offer more opportunities for physical activity, healthy eating, and catering to mental and physical
health.
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CPPW and ACHIEVE by State and Coalition
Oregon
Oregon Coalition of Health Care Purchasers, Portland
Multnomah County Health Department, Oregon $7.5 Million
To promote healthy eating, the Chronic Disease Prevention Program (CDPP) will create a Healthy Active Schools Network to work
collaboratively with school districts and community partners to reduce the availability of unhealthy foods and beverages and
increase the availability of healthy foods and beverages. To promote physical activity, CDPP will work to increase the proportion of
bike, pedestrian, public transit, and other active transportation projects rather than road-widening and expansion projects.
ACHIEVE Community – National Association of County and City Health Officials, Columbia County, OR
Project Description:
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Adopt school wellness policies
Adopt healthy meeting policy
Integrate healthy foods campaign in WIC and Head Start programs
ACHIEVE Community – National Association of Chronic Disease Directors, Multnomah, Oregon
Project Description:
The vision of Healthy Active Multnomah County is to make black equal Healthy (making ‘blackness’ synonymous with health and
healthy lifestyles). All African American, African, and black people in Multnomah County will live, work, play, worship, and study in
environments that promote daily physical activity, good nutrition, and tobacco-free lifestyles.
ACHIEVE Community – National Association of Chronic Disease Directors, Jefferson County, Oregon
Project Description:
The vision of Jefferson County ACHIEVERS is a united community in which policies and infrastructure support healthy living yearround for all citizens.
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CPPW and ACHIEVE by State and Coalition
Pennsylvania
Hanover Area Health Care Alliance, Inc., Hanover
Lancaster County Business Group on Health, Lancaster
Pittsburgh Business Group on Health, Ambridge
Philadelphia Department of Public Health, Pennsylvania $25.4 Million (Obesity $15 Million, Tobacco $10.4 Million)
In the area of nutrition and physical activity, Philadelphia will make healthy foods more available and affordable by dramatically
expanding the number of farmers' markets in low-income neighborhoods and by creating 1,000 healthy corner stores that sell fresh
produce and water. Unhealthy foods will be removed from school stores and fundraisers, and a citywide pedestrian and bike plan
will be completed.
Philadelphia's tobacco initiative will utilize public education campaigns and policies to promote an anti-smoking, pro-cessation
climate in a city where nearly three in ten adults smoke regularly. Smokers will be encouraged to quit with assistance from the state
quitline, large-scale giveaways of nicotine replacement products, and comprehensive cessation benefits through employers and
insurers. Philadelphia will also seek to limit access to and marketing of tobacco products to minors
ACHIEVE Community – YMCA of the USA, Uniontown, PA
Project Description:
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Adopt a Complete Streets policy
Increase access to fresh fruits and vegetables through the establishment of farmer’s markets
ACHIEVE Community – YMCA of the USA, Wilkes-Barre, PA
Project Description:
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Adopt a Complete Streets Policy
Support and promote trail, greenway, and waterway connectivity
Implement Safe Routes to School Program
Encourage and expand recess
Incorporate 30 minutes of daily physical activity in schools
Establish joint use agreements
Use zoning regulations and incentives to attract grocers to underserved areas
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CPPW and ACHIEVE by State and Coalition
Rhode Island
Rhode Island Business Group on Health, Providence
Providence, Rhode Island
The Providence Putting Prevention to Work, Tobacco-Free Campaign is a state-coordinated, small-city partnership led by the Rhode
Island Department of Health and the City of Providence. The project will work to curtail tobacco vendor marketing and point-of-sale
practices, restrict tobacco advertising within 1,000 feet of schools, create a new city registration requirement for tobacco vendors,
enhance tobacco vendor training and support to ensure compliance with new tobacco laws, pilot a smoke-free policy in a
Providence Housing Authority complex for possible expansion to other units, implement a tobacco cessation program for uninsured
Providence smokers who want to quit, initiate a Providence Public School-based policy change creating smoke-free campuses and
restricting tobacco sponsorship, and launch a city-wide public education campaign.
South Carolina
South Carolina Business Coalition on Health, Greenville
South Carolina Department of Health and Environmental Control $6 Million
(1) Florence County, South Carolina
The Florence County Community Coalition for Alcohol, Tobacco and Other Drug Abuse Prevention Community in Florence County
will implement a campaign to educate the public about the dangers of secondhand smoke exposure; support 100% smoke-free
policies, tobacco-free worksites, and tobacco-free public/technical school campuses; reduce tobacco advertising in retail markets to
discourage tobacco consumption at the point of purchase; promote adoption of the Clinical Practice Guideline among healthcare
providers; and expand referrals of tobacco users to South Carolina's tobacco quitline with nicotine replacement therapy and other
community cessation support services.
(2) Horry County, South Carolina
The BREATHE Coalition in Horry County will address the health burden of tobacco by implementing educational campaigns
supporting 100% smoke-free policies, tobacco-free worksites, and tobacco-free school campuses; reducing tobacco advertising in
retail markets to discourage tobacco consumption at the point of purchase; promoting the adoption of the Clinical Practice
Guideline among healthcare providers; and expanding referrals to the South Carolina tobacco quitline with nicotine replacement
therapy and other community cessation support services.
ACHIEVE Community – YMCA of the USA, Columbia, SC
Project Description:
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CPPW and ACHIEVE by State and Coalition
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Create safe walking and biking routes with appropriate signage
Increase availability of bike racks within the community
Require sidewalks and bike lanes to be built for all new housing, school, and commercial development
Increase faith-based physical activity policies and opportunities
Provide attractive areas for nursing mothers
Increase shared/joint use recreational facilities
Promote stairwell activity
Institute healthy menu choices in restaurants
Institute nutritional labeling in restaurants
Connect locally grown foods to restaurants
Encourage healthy faith based nutrition policies
ACHIEVE Community – National Recreation and Park Association, Greenville, SC
Project Description:
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Create an environment that supports walking and biking (bike racks, curb cuts, crosswalks)
Establish worksite wellness policies
Influence policy for WIC and EBT acceptance at local farmer’s markets and convenience stores
Increase access to healthy food options
Implement policies that restrict sales and the marketing of unhealthy foods during school hours
Implement healthy vending machine policies within schools
Implement CATCH
Influence community center policies and guidelines for meals shared at functions and communitywide events
ACHIEVE Community – National Association of Chronic Disease Directors, Kershaw County, SC
Project Description:
The mission of Eat Smart, Move More Kershaw County is to coordinate collaborative and sustainable efforts to support healthy
eating and active living where Kershaw County residents live, learn, work, and play.
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CPPW and ACHIEVE by State and Coalition
South Dakota
Sioux Empire Health Care Coalition, Sioux Falls
ACHIEVE Community – National Recreation and Park Association, Pierre, SD
Project Description:
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Implement healthy concessions/vending machines where 51% of the offerings are nutritious choices with appropriate serving
sizes.
Eliminate use of food/snacks/candy as rewards in class, school or work settings
Encourage “Healthy Meetings” contracts for office meetings, conferences, etc
Provide garbage receptacles and water fountains throughout bike and walk paths
Provide bike racks throughout community at schools, grocery stores, workplaces
Provide safe cross walks at major intersections with markings and counters
Encourage use of stairs when available.
Incorporate walk and bike paths as well as roadways in new developments
Increase fruit and vegetable offerings at every meal
Offer only 100% fruit juices with no added sugars
Offer only white skim or 1% milk.
Provide 51% whole grains
Tennessee
Healthcare 21 Business Coalition of East & Middle Tennessee, Knoxville
Memphis Business Group on Health, Memphis
Nashville/Davidson County Metro Public Health Department, Tennessee $7.5 Million
Nashville/Davidson County will support healthier urban design that promotes physical activity and work to increase access to other
safe opportunities for physical activity. The project also will work to increase access to fresh fruits and vegetables in schools and
targeted neighborhoods as well as promote increased policy, environmental, and social support for breastfeeding.
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Texas
Dallas/Fort Worth Business Group on Health, Dallas
Houston Business Group on Health, Bellaire
(1) San Antonio Metropolitan Health District, Texas $15.6 Million
To improve opportunities for physical activity, nutrition, and active living, the San Antonio Metropolitan Health District will work
with community partners to expand the number of public facilities, including schools that are available for after-hours use for
physical activity. San Antonio also will encourage city development projects to improve protection for vulnerable users, in
accordance with Complete Streets recommendations. The project also will implement voluntary healthy food and beverage
guidelines for local restaurants and will conduct trainings for education leaders to improve physical activity and the availability of
healthy foods in schools.
(2) Austin/Travis County Health and Human Services Department, Texas $7.5 Million
Austin /Travis County will prevent and reduce tobacco use by working with community partners in schools, worksites, health care
settings, faith-based organizations, retail settings, and the media. Key activities include assisting major health care providers and
substance abuse facilities in referring clients to telephone quitlines and other local community cessation services; reducing youth
access to tobacco products and marketing; implementing educational campaigns to promote a tobacco-free lifestyle and counteract
tobacco industry promotions; and promote tobacco-free environments in worksites and other community settings
ACHIEVE Community – National Association of Chronic Disease Directors, Nacogdoches, Texas
Project Description:
The mission of the Healthy Nacogdoches Coalition is to work to improve the heart and stroke health of Nacogdoches County
residents through community driven initiatives and environmental change efforts. The vision of the Healthy Nacogdoches Coalition is
that all citizens in Nacogdoches, Texas will strive for improved health by making smarter choices regarding physical activity,
nutrition, and tobacco use.
ACHIEVE Community – National Association of Chronic Disease Directors, Williamson County, Texas
Project Description:
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The mission of the Williamson County Healthy Hearts Coalition is to empower the people of Williamson County to lead healthy
lifestyles by promoting a safe environment through public and private initiatives. The vision of the Williamson County Healthy Hearts
Coalition is people living in a healthy, active, and tobacco-free environment.
Virginia
Virginia Business Coalition on Health, Virginia Beach
ACHIEVE Community – National Association of County and City Health Officials, Alexandria, VA
Project Description:
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Support breastfeeding
Establish school gardens
Increase vendors that accept EBT/food stamps at farmer’s markets
Adopt Complete Streets policy
Establish planning and zoning to ensure healthy food access
Washington
Puget Sound Health Alliance, Seattle
Seattle & King County Department of Public Health, Washington $25.5 Million (Obesity $15.5 Million, Tobacco $10 Million)
King County, including its principal city of Seattle, will implement multiple interventions to prevent obesity. Healthy eating strategies
include increasing access to healthy foods in schools and childcare settings and supporting the development of healthy corner
stores. To increase active living, King County and its cities will include elements in master plans that promote walking and biking,
increase access to safe and accessible places for activity in schools and parks, and increase opportunities for physical activity in
schools by instituting daily quality physical education and recess in grades K–8.
In the area of tobacco prevention, funds will be used in the seven sectors best positioned in King County to advance tobacco control:
media, schools, community organizations, worksites, housing, local government, and community health clinics. The strategies
include instituting 100% smoke-free housing, parks, schools, and college campuses and further restricting advertising of tobacco
products. Educational campaigns addressing tobacco and unhealthy foods will support these interventions.
ACHIEVE Community – National Recreation and Park Association, Longview, WA
Project Description:
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CPPW and ACHIEVE by State and Coalition
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Update Longview’s parks and transportation plans (implement Complete Streets policies)
Establish policy and infrastructure for farmer’s markets to offer EBT
Implement policies to increase access to healthy foods
Implement physical activity and nutrition policies within schools
ACHIEVE Community – National Recreation and Park Association, Lynnwood, WA
Project Description:
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Establish farmer’s markets
Establish policy and infrastructure for farmer’s markets to offer EBT
Increase walking and biking access to schools
ACHIEVE Community – National Association of County and City Health Officials, Klickitat County, WA
Project Description:
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Implement breastfeeding policies
Implement worksite wellness programs
Enhance trails
ACHIEVE Community – National Association of County and City Health Officials, Island County, WA
Project Description:
Through ACHIEVE, the Island County Community Health Action Response Team (CHART) developed strategies that target three key
areas: elected officials, the healthcare sector, and community organizations. The ACHIEVE coalition will engage elected officials in a
new dialogue on how to address physical inactivity, poor nutrition, and tobacco use in the community and will work with them to
adopt new policies in these areas. The coalition will work with healthcare providers to develop a system that helps them routinely
address physical activity, nutrition, and tobacco prevention with their patients. This will include assessing a patient’s physical
activity, nutrition, and tobacco use as part of a written checklist used in all routine office visits; providing regular counseling on the
benefits of physical activity, nutrition, and tobacco prevention/cessation; and helping patients access community resources on
physical activity. The coalition will facilitate changes in city and county code that foster free-range kids and promote free-range kids
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through signage and community events. In addition, Island County, serving as a pilot worksite, will institute three policy changes that
foster opportunities for physical activity and healthy eating.
ACHIEVE Community – National Association of Chronic Disease Directors, Whatcom County, WA
Project Description:
The mission of the Whatcom ACHIEVE Partnership is to collaborate with community members to implement policy and
environmental changes that will reduce risk of chronic disease and enhance the health and quality of life for everyone in Whatcom
County. The vision of the Whatcom ACHIEVE Partnership is for all residents of Whatcom County to have equal access to healthy
foods, safe and active environments, and be free from tobacco exposure. Healthy choices should be the easy choices for every
Whatcom County resident.
Wisconsin
Business Health Care Group of South East Wisconsin, Franklin
Fond Du Lac Area Businesses on Health, Fond Du Lac
Greater Milwaukee Business Foundation on Health, Inc., Sussex
The Alliance (WI), Madison
WisconsinRx, Madison
Wisconsin Department of Health Services $6 Million
(1) La Crosse County, Wisconsin
La Crosse County will achieve increases in the following markers for health: awareness of the importance of healthy eating and
physical activity, number of school districts adopting farm-to-school policies, number of 500 (calories) Club’s healthy dining
programs offered in restaurants, purchases of fresh fruits and vegetables in grocery stores, number of Wellness Warriors healthy
vending food sites, number of adults biking to work, number of children walking and biking to school with Safe Routes to School, and
number of seniors who participate in the Strong Seniors physical activity program.
(2) Wood County, Wisconsin
Located rurally in the geographic center of the state of Wisconsin, Wood County will tackle the issue of obesity by achieving
increases in the following markers for health: number of students who limit screen time to less than two hours per day, number of
after-school and regulated child care programs that require daily physical activity, adult physical activity levels, access to local fruits
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and vegetables, number of restaurants that provide nutritional content of food on their menus, and the availability and accessibility
of affordable healthy food.
(3) Great Lakes Inter-Tribal Council, Wisconsin $1 Million
The Great Lakes Inter-Tribal Council is a consortium of 12 federally recognized Indian tribes in Wisconsin and Upper Michigan. The
Council will bring tobacco abuse prevention and control activities to five Indian tribes in Wisconsin through radio and television
public service announcements; develop an educational kit on traditional tobacco use; host educational community gatherings;
restrict tobacco sales to minors; support 100% smoke-free workplaces, including casinos; distribute educational posters at all retail
outlets on reservations and encourage retailers to place tobacco products out of sight; support the elimination of free tobacco
product samples; encourage tribes to use tobacco tax rebates for tobacco abuse prevention programs; support no rebates on
tobacco sales to tribal members; host a Youth Retreat and Cultural Cessation Camp; and provide nicotine replacement therapies to
tribal clinics.
Wyoming
Wyoming Business Coalition on Health, Casper
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