de S a l u d P úb l ica September 20, 2012 Awards Committees Amy Dillon Kyle Legleiter Dianna Damask Martha Hubbard Alicia Myers LeAnne Jeffers Martha Meyer Cerise Hunt Laurie Schneider Adrienne Wolf Pam Kurth Tsering Dorjee Jim Dale Burke Fishburn Erin Suelmann Christine Billings Carol McDonald Kendall Krause Emily O’Winter Sarah Lampe Amber Banducci Tarik Walker Alix Hopkins Jan Gascoigne Steve Holloway Lisa Cohen Norman Tubman Kellie Teter Charles Smedly Kathy Jacobsen Rita Beam Stephanie Stark Carol McDonald Tsering Dorjee Kathy Gaines Nanette Wong Leigh Fischer Lindsey Hopper Adrienne Veyna Susan Westhof Anna Vickery Amy Bubar Melanie Stopponi Margaret Wacker Westley Reed Kim Buettner-Garrett With over 350 members, the Colorado Public Health Association works to assure healty people and healthy places in Colorado. Members receive networking, professional education and advocacy through CPHA. SABIN AWARD The Florence Sabin Award was established in 1947 by the Colorado Public Health Association. The award is made for achievement in the public health field, in recognition of the outstanding leadership of Dr. Florence Sabin in the promotion of better public health in Colorado. The person must not be employed full time in public health. Rick Hughes Colorado Springs School District 11 Who would have thought that Colorado Springs School District 11, the school district with the dubious distinction of being featured in Fast Food Nation: The Dark Side of the All-American Meal, by Eric Schlosser, would help lead the healthy school meal revolution. Thanks to the determined, visionary leadership of Rick H. Hughes, Director, Food & Nutrition Services, Colorado Springs School District 11 can now boast about the food it serves to its students. Gone are pre-cooked, frozen foods. Gone are fried foods. Gone is the national food service company, Sodexo that once provided all of the district’s meals. But the changes didn’t happen overnight. Mr. Hughes came to D-11 in 1997 as an employee of Sodexo, but insights from Kenner’s movie Food, Inc. and other experts such as Eric Schlosser, Michael Pollan, Joel Salatin, and Ana Sofia Jones made Mr. Hughes question the status quo and look for ways to improve the system. “In 2006 we got rid of Sodexo,’ he said. ‘Then we could make better decisions about the best foods for kids. And we could keep track of the money and how it was being spent. We could put money back into food for the kids, the staff and community’” (Farney, T., The Gazette, The new school lunch: D-11 students eat meals made by staff from natural, local foods, August 15, 2011). A clear vision and plan followed that emphasized eliminating highly processed foods from the menus. For more than five years now, the beef and chicken has been antibiotic/hormone-free, and the Farm to School program was started to increase the supply of local foods to the school. New foods prepared on site meant that a chef was needed to make sure the students would eat these healthier new meals. So, executive chef Brian Axworthy was hired to create the menus. And changing the menus meant that the food service staff would now be cooking, much like they did decades ago. The new staff demands resulted in extensive training for the food service staff. Dubbed culinary boot camp, staff learns food safety, baking techniques, culinary math, vegetable cookery, sauce preparation and knife skills among other things. While some of the dishes on today’s menu may sound like old favorites, they are lower in fats, sugar and sodium, yet high in flavor and nutrition. Ever mindful that changes had to be financially sustainable, Mr. Hughes was instrumental in obtaining grant funding for the boot camps from LiveWell Colorado and in redirecting money that was spent on the Sodexo contract to make needed changes. Changes continue to be made in 2012 to achieve the goal of serving healthy, sustainable foods. “Through a grant at Galileo MS, we built a 42’ geodesic dome greenhouse and began the Galileo Garden Project, where we grow fresh vegetables and herbs to utilize throughout the department. We also began a new community partnership this Spring with Discover Goodwill to serve healthy, sustainable foods to their disabled and elderly adult clients in two of their site cafeterias as a way to generate additional income to cover fixed costs of the department” (Rick Hughes, SY2012 Accomplishments in D11 Food & Nutrition Services). “While we have been climbing this mountain to move away from highly processed foods for the last several years, we had reached only a ‘false summit’ with our efforts and had a ways to go to make our goal of removing all highly-processed foods from D11 breakfast and lunch menus by January 2012. In order to make this change away from still serving some highly processed items to a system of mostly scratch-cooked foods, we needed a significant final push. Through major efforts, which completely turned our systems upside-down, we moved from a production and distribution system with five Base Kitchens who prepared almost everything to a more efficient and effective system of four Production Centers which prepares only specific items. This resulted in a menu, now being served, which contains mostly scratch-cooked and only a few minimally processed items (with clean labels) where this makes financial sense. We have provided training to hundreds of ESP FNS staff members through ‘boot camp’ training and constant support through our Executive Chef, Brian Axworthy. We are also purchasing ‘local’ whenever we can, adding approximately $750,000 back to the local economy this year through local purchases of beef, milk, fruits, vegetables, and yes, coffee!” (ibid.). Mr. Hughes has changed what the 29,000 plus students in Colorado Springs School District 11 can eat for breakfast and lunch each school day. Mr. Hughes has shown that providing healthy, sustainable foods in our schools makes good financial sense. He has introduced countless numbers of children to healthy eating habits. He has attacked the problem of childhood obesity by eliminating some of its contributing factors and developing healthier habits. He did it before it was popular, trendy or before others had shown the way. Given the success in making the transformation, Mr. Hughes and a few of his team members have started a new company called “School Meal Solutions” www.SchoolMealSolutions.com. Mr. Hughes exemplifies the spirit of Florence Sabin by doing what he believed was right in the face of overwhelming odds thereby making a profound impact on the health of our children. Award for Technical Innovation in Public Health This award was established in 1972 by an anonymous CPHA member in recognition of Mr. Jacoe’s devotion to duty, his excellence of work and accomplishments, his interest, his leadership and contributions to the physical science field of public health. The award is to be given to a person working in public health who has made an outstanding contribution in the field of physical sciences. The recipient must work in a public health laboratory, in water pollution, air pollution, radiological health, occupational health, sanitation or public health engineering. Berrin Sedar Colorado School of Public Health Dr. Sedar manages an environmental lab within the Colorado School of Public Health. She is also associated with the University of Colorado Cancer Center. Recently Dr. Serdar published a paper with the British Medical Journal indicating that roofers have high PAH blood-levels after working a shift and that these levels of PAHs are linked to increased rates of DNA damage and possibly higher cancer risks. PAHs are a complex mixture of chemicals some of which are known human carcinogens. They are produced by incomplete combustion of organic materials and exist in tobacco smoke, engine exhaust, or can come from environmental sources like forest fires, but the highest exposure is among occupational groups, for example coke oven workers or workers who use hot asphalt. Although we can’t say with certainty that exposure to hot asphalt causes roofers’ increased cancer rate, that possibility is becoming increasingly likely. Hot asphalt leads to PAH exposure, leads to higher PAH biomarkers, leads to increased DNA damage – we hope to further explore the final link between DNA damage due to PAH exposure and higher cancer rates in this population.” Dr. Serdar and colleagues at the CU Cancer Center have initiated a wider study of roofers in the Denver metropolitan area. This study will simultaneously investigate air, blood, and urine levels of PAHs and their link to DNA damage in samples collected over a workweek. Roy Cleere Distinguished Service Award The award goes to someone who has made an outstanding contribution to the association and to public health in Colorado. The Colorado Public Health Association’s Distinguished Service Award was renamed in 1974 in honor of Dr. Cleere who was the director of the Colorado Department of Health for 38 years. Christine Nevin-Woods Pueblo City-County Health Department • Currently serving her second term on the Colorado State Board of Health; • Worked with the community, medical profession and professional associations to pass one of the first comprehensive community SmokeFree ordinances in the State of Colorado, specifically in Pueblo, Colorado; • Served as CPHA President from 2009-2010; member since 2006; • Appointed to serve on National Vaccine Advisory Committee for the U.S. Department of Health and Human Services representing state/local public health from September 2007 – June 2012; served as co-chair of the Healthcare Personnel Vaccination Subgroup; • President of the Pueblo County Medical Society (2011-2012; • Instrumental in forming and maintaining a relationship between public health and Pueblo’s federally qualified health center; this relationship has served as a model throughout the State of Colorado; • In 2010, Institute for Healthcare Improvement (IHI) and Kaiser Permanente contacted Chris to explore using IHI principles with public health and through this partnership Chris is helping to form a non-profit group that will apply the Triple Aim approach to health care in Pueblo. The population health aspect of Triple Aim is critical to public health as a whole. • Active role in communicable disease, international travel clinic, teen pregnancy prevention and sees patients in family planning clinic on a regular basis; • Continually promotes the profession of public health. Developed curriculum to teach physicians in residency about public health and how public health interacts and serves as a partner with private practice specifically related to prevention and promotion; mentors students who have an interest in the medical field, and offers internships to support not only those with an interest in the medical field, but other educational fields in order to acquaint them with public health; • Active role as the liaison between the child protection system in Pueblo and public health by serving as the medical consultant for 19 years at the Pueblo Child Advocacy Center and maintaining a connection of the system with public health. CHAMP Award The Community Health Action-Motivated Person (CHAMP) Award was created in 1982 and goes to a full-time public health employee who is not in a high level management position. The recipient must be a member of CPHA and will be selected on the basis of his or her helpful, courteous and professional service in working with the public and fellow employees and whose outstanding service brings credibility and respect to the public health agency. Cassondra Franco Chaffee County Public Health Cassondra began her employment at Chaffee County Public Health as a fulltime RN/ PHN December 2011. Due to an unforeseen nursing shortage in our agency at that time, her orientation was put into fast track. She accepted that challenge without complaint and remained positive and motivated throughout her PHN training. During her intense 6 month orientation, she took the initiative to start a new public health program! With her background in labor and delivery and community education for new parents, Cassondra recognized a gap in home visitation for newborns and mothers in our county. She aspired to develop a nurse home visitation program (NHVP) with the goal of increasing rates of exclusive breastfeeding from birth to 6 months. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months and it is a key component of CDPHE’s Winnable Battles on Obesity. In addition to home visitation breastfeeding support, Cassondra’s NHVP will also provide education about infant development, infant passenger safety, support for tobacco cessation, and perinatal depression screening. To prepare for implementation of the NHVP, she completed several courses in the past 6 months: Lactation Counselor Program (1 week training) and became a Certified Lactation Counselor; National Child Passenger Safety Certification Training Program (4 day training) and became a Certified Passenger Safety Technician; Travel Safe for All Kids; Cavity Free at 3 program and became a provider; Bright Beginnings parent educational course; Using an EvidenceBased Public Health Framework to Improve Outcomes; Breastfeeding: New Pathways for Evidence-Based Practice; Healthcare Provider Breastfeeding Seminar. The new Chaffee County NHVP will be an MCH deliverable for the option: promote screening, referral and support for pregnancy-related depression. In addition to initiation of a new public health program, Cassondra completed a multitude of EPR and Communicable Disease trainings, participated in EPR tabletops, and attended PHNAC, MCH, and Immunization conferences. She coordinates our Immunization and HCP programs, is on our CHAPS project management team, and participates in several county coalitions. With her insight into population based health care, Cassondra is an excellent public health nurse who promotes the mission of public health through collaboration with community partners. In just 8 months, Cassondra has demonstrated a true passion for public health nursing which is highly commendable. Her accomplishments and contributions to our public health agency are remarkable. Award for Legislative Excellence Established in 1988 by CPHA, this award is presented annually to a person or organization for highly visible past or present efforts within the state or nation in support of public health issues. Membership in CPHA is not a prerequisite. Bill Fisher City of Golden (City Council Member) / Rose Medical Center (nurse) Golden City Councilor Bill Fisher is deserving of the CPHA Legislative Excellence Award because of his exemplary leadership in making health a priority in the City of Golden, Colorado. Councilor Fisher serves as the Tobacco-Free Jefferson County liaison on the Golden City Council and recently led the charge on the passage of an ordinance requiring that any retailer that sells non-cigarette tobacco in the City of Golden be licensed by the City to do so. Licensing is a critical component of a comprehensive policy strategy to prevent tobacco use among minors. The tobacco licensing ordinance passed unanimously among the Golden City Council this past April, and the unanimous vote among City Council was evidence of Councilor Fisher’s tireless support of the legislation. He carefully reviewed data and information provided to him while also doing research on his own to better understand the benefits of the community prevention strategy of licensing. His efforts to encourage civic engagement should also be recognized. Councilor Fisher models a consistent balance of logic and practicality when making decisions on behalf of the community about which he cares so much. He takes a hands-on approach in health-promotion as a nurse in his “day job”, and his passion for health is made obvious through his thoughtful consideration of how proposed legislation might impact the community across multiple dimensions. In addition, Councilor Fisher recognizes the important role that government plays in protecting the health and safety of a community through enacting effective policies. Councilor Fisher received a Public Health Champion Award in 2010 from Jefferson County Public Health in recognition of championing the cause for inclusion of radon resistant new construction language into the residential construction code for the City of Golden. In addition to raising awareness of the heightened risk of radon in Golden, Jefferson County Public Health is honored to also recognize Councilor Fisher for his valuable contributions to tobacco prevention. Emerging Leader in Public Health This award is given to an individual with less than five years practice serving in a public health capacity who has demonstrated outstanding initiative on behalf of the Colorado public health community. Amber Leytem Denver Public Health Amber exemplifies the leadership qualities and attributes needed in public health. Since coming to Denver Public Health, Amber has provided tremendous leadership not only in overseeing her programs but in continually striving for innovation and advancement on behalf of the communities that we serve. Amber Leytem, though early in her public health career, has demonstrated great knowledge of the essential public health services. She constantly encourages those around her to, “move down the pyramid”. She has helped lead Denver Public Health in several initiatives including department wide staff development standards and expectations and incorporating a results accountability framework into the programing of Denver Public Health. In terms of staff development, she helped to lead the development and implementation of a comprehensive staff development program for all of Denver Public Health that focuses on the professional development for the entire workforce. Staff development demonstrates support for all employees ensuring that each employee is able to reach their potential. Amber facilitated the processes used to ensure that staff had a voice regarding what was important to them and then helped to develop and implement a comprehensive approach to workforce development. Denver Public Health has a strategic plan to implement a results accountability framework to all of our strategic areas in order to assess each program’s contribution to protecting and improving the health of residents of Denver, Colorado. This is a large scale endeavor that is shifting how strategic areas will address quality in their public health work. Amber is providing tremendous leadership in implementing this approach into all of our programs. She is facilitating a number of workshops for the various groups and providing support and encouragement as the various programs address population results and performance goals. This transformation is challenging and requires great skill and leadership in order to move programmatic teams forward. Staff has acknowledged that while the process is challenging, Amber has provided valuable guidance and support in facilitating this system level change in our organization. In summary, Amber is a very hard working and dedicated public health employee, demonstrating ingenuity in all aspects of her work. Since coming to Denver Public Health, she has grown into one of the strongest employees we have. Never daunted by challenges or adversity, she sees them as opportunities, always trying to grow and learn. Lifetime Achievement Award This award honors an individual who has retired from full-time employment in public health, in recognition of their outstanding contributions and leadership in the field of public health. Jacqueline Brown Prowers County Public Health & Environment (Retired) Jackie Brown is the consummate public health nurse and advocate for local public health. Her career in public health essentially began more than three decades ago when she worked as a medical assistant in a government-sponsored community clinic in a designated health professional shortage area in southeast Colorado. As a single mother with three small children, Jackie not only found the time to provide assistance in the clinic and raise her children, she also had the stamina and passion to take the necessary coursework to receive her degree in nursing, and then go on to get her advanced degree as a family nurse practitioner. Early on she also exhibited the knowledge and skills that quite naturally led her into the field of public health. She seemed to know everyone in the County, and treated each of them with a special mix of compassion and respect that always helped put them at ease, even in frightening and potentially embarrassing situations. She also never lost her composure. Coworkers still remember the calm and deliberate manner with which she dealt with tragedies and emergencies that occurred in the workplace. Her serene and empathetic kindness helped to soothe the entire staff, while her unwavering dedication to keeping the clinic running demonstrated the kind of steady leadership qualities she would one day need as a local public health director. Jackie Brown has been a terrific leader, mentor, friend and defender of public health in Colorado. As she moves on to a new position outside of local public health, we want to honor the energy, passion and service she provided to public health and to the communities of southeastern Colorado. She has been a tireless promoter of rural public health, while continually challenging her colleagues and elected officials to work for the improvement of public health in all of Colorado. We will miss her passion, her leadership and her ability to keep a balance between being delightfully supportive of others while strongly advocating for her own community, for rural public health and for public health nursing. John Muth Award This award is given to a member of CPHA who has made an outstanding contribution to the Association. Erin Suelmann Former CPHA Membership Chair Erin has been an outstanding member of CPHA’s board as our Membership Chair. Among her many accomplishments, Erin has: • Launched our first active membership committee • Implemented a new membership cycle and structure • Developed a functional model for organizational memberships • Developed our first member e-bulletins • Organized several membership networking events and strengthened relationships with our Alliance partners Erin has made CPHA’s membership experience better, and we are a stronger organization because of her leadership. The Public Health Nurses Association of Colorado is a specialty nursing organization for more than 175 professional nurses committed to the advancement of public health nursing. Most Innovative Project Awarded to an innovative, outstanding and adaptable project developed or implemented by a local public health agency in addressing a public health issue(s) in the community. Rebecca Persing Jefferson County Public Health The Jefferson County Public Health Nursing/Human Services Program was created in 2009 as the result of a unique partnership between Public Health, Human Services and community partners to address the issue of child maltreatment. An innovative model of public health nurse home visitation was developed to improve health and social outcomes in child welfare clients by addressing unobserved barriers to self-sufficiency and optimal health frequently experienced by these families. The model is based on research which indicates individuals living in poverty often exhibit decision making skills that affect their ability to attain goals. The program’s primary intervention is Public Health Nurses providing education and support to clients in the use of effective decision-making skills. The empirically-based BrainWise© program is used in this new approach to teach clients how to replace impulsive and emotional reactions (Limbic System of the Brain) with rational decision making (Executive Functions). Community partnerships for program evaluation/research have been developed with major universities (CSU and the University of Texas Arlington), a community non-profit organization (BrainWise©), and Human Services. Outcome data from this new approach supports continued use and ongoing evaluation of the model to address child maltreatment. Lillian Wald Award Awarded to a public health nurse who demonstrates leadership skills among peers and community, has practiced a minimum of five years, is creative, resourceful and innovative in addressing public health concerns in the community, is caring in relationships with colleagues and clients, initiates, implements and evaluates public health interventions that focus on health promotion and disease prevention, shares public health knowledge with colleagues and the community and is a member of PHNAC and CPHA. Norma Patterson Tri-County Health Department Norma Patterson worked for CDPHE during her career. She came to Tri-County Health Department to work in the Health Care Program for Children with Special Health Care Needs and has put her whole heart into helping these children and their families. Norma created a new pilot project in Adams County to strengthen supports available for babies discharged from the NICU. She participates in multiple community collaborations. Norma mentored and supported a younger nurse when she took on the role of HCP Program Coordinator. When that nurse left, she was considering retirement but instead agreed to step into the Program Coordinator role and has done an amazing job strengthening the program and the relationships TCHD HCP has within our communities. New Public Health Nurse of the Year This is awarded to a public health nurse with less than five years practice serving in a public health capacity who has demonstrated the ability to establish community partnerships that resulted in improved utilization of public health programs and/or services. Jacqueline Davis Teller County Public Health Jacqueline Davis was hired all the way from New Jersey to case manage the Teller County Chronic Disease grant and lost funding after 2 years. Jacque has a BSN and a Masters in Counseling. With her hospital and health education background, Jacque has jumped in to learn all of public health in the county. She has completed Immunization competencies, assisted in the Title X family planning clinic, and has served as Coordinator for Project Public Health Ready on our third try and we passed! She was assigned to be IC for our first Drive Through Flu POD and completed that event successfully in October 2010! She also co-chairs the Child Protective Team in Teller County, serves as a Medical Reserve Corps volunteer and on the Community Partnership of Teller County board. She says she loves public health and Teller County and plans on staying here in the new home she is building. We hope she serves TCPH as well for a long time! She is very worthy of the New Public Health Nurse Award! PHNAC Award for Excellence This award is to be presented to a public health nurse who has made outstanding contributions in the field of public health and public health nursing over a period of several years and has demonstrated exemplary leadership and service to take public health nursing into the future. The nominee must be a leader, a member of PHNAC, and may hold a leadership role in his / her agency. Amy Wineland Summit County Public Health Amy Wineland has been a Summit County Public Health (SCPH) Nurse for twelve years. She is an RN, with a MS, a ND and a CPNP. For the first 2 years Amy worked for SCPH, she provided well child exams, service coordination for children with special needs, and immunizations. Amy also participated in communicable disease prevention, investigation and treatment. Amy received the PHNAC New Public Health Nurse of the Year Award in 2002 for her good work. During these early years Amy began working in the Nurse Family Program (NFP) as a nurse home visitor and began the process to become the Supervisor of the Intermountain Nurse Home Visitor Program. During the time that Amy has been the supervisor, the program has expanded twice from its 4 county base (Summit, Lake, Clear Creek, Gilpin) to its current 6 county configuration which includes Fairplay (Park County) and Chaffee. As the supervisor of the Intermountain NFP, Amy has been very successful in providing guidance and support to her staff as they interface with some of the most difficult clients. She has used the principles of motivational interviewing, coaching and reflective practice while modeling therapeutic relationships, change theory, selfefficacy, and client centered, strength based and solution focused approaches. Amy has been so good at her relationship building with her staff that they nominated Amy for the 2011 President’s Award for Nurse Family Partnership Supervisor of the year. Amy was selected to receive this award from a pool of nine finalists from across the country. Pretty darn good! In 2011, Amy applied for and was promoted to the position of Assistant Director of Summit County Public Health. In her application Amy says that she has a “passion for providing education and building collaborative relationships with families, team members and communities. “ In this first year Amy has done an outstanding job moving in this direction. In addition Amy has supported both public health staff and NFP staff as they all transitioned to her leadership. Amy has moved forward with the 10 winnable battles and participated in the community health assessment. Amy really showed her risk taking capabilities when she took the role as the Incident Commander for our county-wide functional exercise that had a public health focus. This really showed Amy’s interest in the total public health package. Amy deserves the 2012 PHNAC Award for Excellence for her wonderful accomplishments over the years and her determination to take public health into the future. President’s Recognition Award The President’s Recognition Award is awarded to an individual or individuals whose unique contribution(s) or achievement(s) significantly impact the Public Health Nurses Association of Colorado. This Award has been given as a special recognition by the President of PHNAC. Dawn James Kit Carson County Health and Human Services Lauren Mitchell Tri-County Health Department Dawn James and Lauren Mitchell pursued their vision for public health nursing through a Regional Institute for Health and Environmental Leadership (RIHEL) project and made that plan a reality. Through their creativity, leadership, and persistence the Public Health Nurse Practice Council (PHNPC) was born. In 2009, the Practice Council became an active branch of the Public Health Nursing Association of Colorado. This council has established a mission of providing a unified statewide representation of public health nursing practice within Colorado and to endorse recognition of public health nursing as a specialty profession. Lauren Mitchell and Dawn James represent the “cream of the crop” when it comes to the nursing profession. Both possess advanced degrees and have used their education extremely well in serving their communities. Public health in Colorado has reaped enormous benefits because of the efforts of these two public health nurses. The Colorado Society for Public Health Education is committed to excellence in health education by providing leadership to the profession and advancing health education. Excellence in Public Health Education Award This is awarded to a practicing health educator who has portrayed outstanding leadership in the profession and field of public health. Karen O’Brien Delta County Department of Health & Human Services The 1998 BRFFS indicated that 37% of all Delta County residents smoked. The 2009-10 BRFFS survey indicates that the rate is now 18.8%. While Delta County has had a STEPP grant since 2003, I would like to recognize Karen O’Brien for her heroic efforts in policy development which culminated in the multiunit housing units of the Delta Housing Authority going smoke-free effective September 1, 2011. Delta County doesn’t even having zoning, and for a staff person to collaborate with community partners to bring such a major policy to life deserves recognition. Karen has staffed the Tobacco Education program in Delta County for nearly 4 years, and if a rural mid-sized county can accomplish such a major policy change, it can happen anywhere. Her belief in what could be and her willingness to move heaven and earth to accomplish it deserve to be recognized.