National Association of Chronic Disease Directors
General Member Call
June 23, 2011 3:00-4:00pm ET
Agenda
Time
Topic
Speaker
3:00 – 3:10
Welcome and Introductions
Opening Remarks
John Robitscher, MPH CEO, NACDD
Jennie Hefelfinger, MS Project Director, ACHIEVE
3:10 – 3:15
Overview of ACHIEVE as a successful model Jennie Hefelfinger
to build state and community capacity for
policy, environmental and infrastructure
change
3:15 – 3:35
Learning from Successful Communities and
States:
 Multnomah, OR
 Salamanca, NY
 Allentown, PA
 Oregon State Health Department
3:35 – 3:45
Building in Sustainability through:
 Peer Learning/Mentoring
 Evaluation
 Social Media
Rachael Banks, 2009 Coach
Deb Nichols, 2008 Coach
Tina Amato, 2008 Coach
Luci Longoria, State Health Department Expert
Advisor
3:45 – 3:55
Question and Answer Session
Ali Patty, MSPH, CHES Project Coordinator,
ACHIEVE
Ann Ussery-Hall, MPH, CHES Project Evaluator,
ACHIEVE
Jaclyn King, MPH, CHES Project Coordinator
ALL
3:55 -- 4:00
Closing Comments
Jennie Hefelfinger
Welcome and Introductions
John Robitscher,
NACDD Chief Executive Officer
Jennie Hefelfinger,
ACHIEVE Project Director
NACDD ACHIEVE Staff
Ali Patty,
Project Coordinator
Ann Ussery-Hall,
Project Evaluator
Jaclyn King,
Project Coordinator
What is ACHIEVE?
 Action Communities for Health, Innovation and
EnVironmental ChangE
 National and state partnership that provides training
and technical assistance to empower communities to
find local solutions and to take local action to prevent
and control chronic disease.
What is ACHIEVE?
 Communities working in partnership to create
healthier places where people live, work and play.
 Focusing on promoting and implementing policies,
systems and environmental changes that support and
sustain healthy living.
123 communities creating local solutions to
change the landscape to improve health and the
environment
NACDD ACHIEVE TEAMS
• Over 3,328,000 people now have
increased access to lead healthy
lifestyles
• $10,000,000 leveraged in
additional funds over the past
two years to support community
efforts
• 53 strategies now in communities
to support people being healthy
(08 only)
(2008, 2009 and 2010 teams)
Partnerships are Critical to Success
and Sustainability
 National
• NACDD, Y-USA,
NRPA, NACCHO,
SOPHE, and CDC
 State Heath Department
Chronic Disease Prevention
Programs
 Community Coalitions-CHARTs
Five-phase Model
• Commitment (Coalition Building)
• Assessment
• Planning
• Implementation
Commitment
Evaluation
Assessment
• Evaluation
Implementation
Planning
NACDD Supports Communities through:
 Training and skill development to
help make the healthy choice the
easy choice
 Linkages to national and state
resources and expertise
 Funding to support collaboration
and partnership
 Referrals to other resources and
funding opportunities
To read this and more
NACDD Success Stories
please visit NACDD website.
http://www.chronicdisease.org/policy/state-success-stories
Successes ‘Where they live’
 Over 35,000 residents now live in
communities with Complete
Streets policies in place
 Bike racks have been added to
communities, allowing 7,000
community members to chose
biking over driving
 Over 7,000 people have better
access to fresh fruits and
vegetables because their local
farmers markets accept senior
and WIC vouchers
 200,000 people live in a
community where healthy
choices are now highlighted on
restaurants’ menus
Healthy Communities
Successes ‘Where they learn’
 17,000 students can safely
Healthy Schools
walk to school because their
communities have
implemented Safe Routes to
School efforts
 Over 1,000 students are
receiving an extra 50 minutes
of physical activity weekly
 Over 4,000 students now
attend schools that have an
“active recess” policy,
 1,230 students have healthy
smoothies and healthy
meals-to-go options to
purchase at school
Successes ‘Where they work’
 15,000 employees have
healthier items to chose from
in the vending machines at
work
 4,000 workers have physical
activity options at their
workplace
 More than 4,000 employees
have indoor and/or outdoor
walking paths where they can
safely be physically active
 1,500 county employees are
protected from second-hand
smoke by a tobacco-free
workplace policy
Healthy Worksites
Lessons from the field
 Multnomah, OR
 Salamanca, NY
 Allentown, PA
 Oregon State Health Department
2009 ACHIEVE Community
Portland, Oregon
Rachael Banks,
Program Supervisor
Community Wellness and Prevention
Program
Multnomah County Health Department
(503) 988-3663 ext. 22975
rachael.m.banks@multco.us
http://www.multco-itstartshere.org
Yugen Rashad
yugen.rashad@multco.us
503 988-3663 Ext. 27205
Examples of Nutrition Policy Efforts
 Faith-based settings
 Healthy Worksites
 Healthy Retail Initiative
Keys to Success
 Build on past efforts
 Engage community
 Coordinate with other coalitions and initiatives
 Focus on policy;
link to other efforts
 Build a legacy and have fun!
2008 ACHIEVE Community
Salamanca, NY
Deb Nichols
Public Health Educator, Public
Information Officer
Cattaraugus County Health
Department
djnichols@cattco.org
Salamanca, NY
Demographics
American Indian – 15%
Hispanic – 3%
African American – 1%
Asian – 1%
2 or more races – 3%
White – 77%
6.2 square miles (city)
43.7 square miles (Res)
22.2% residents below poverty level compared to 14.6% NYS
41.7% children living below poverty level compared to 19.1% NYS
Median family income = $32,004 compared to $56,003 NYS
Salamanca HS ranked 120 out of 133 schools in WNY
Salamanca ACHIEVE PROJECTS:
Youth Possession of Tobacco Products
 Prohibits use of tob products by minors
 Tob products are confiscated/destroyed
 NO arrests or penalties; education only
Young Lungs @ Play (YLAP)
 NO smoking allowed in public parks
 Self-enforced
Reclamation of the PENNSY Trail
 Annual Clean-up Day
 Adopt-a-Trail program
 Brochures project
2008 ACHIEVE Community
Allentown, PA
Tina Amato,
Nutrition and Physical Activity
Manager
Chronic Disease Programs
Allentown Health Bureau
amato@allentowncity.org
Supplemental ACHIEVE Grant Funding
Overall Positive Changes
 Lesson length increased at all three (3)





schools
“Active Time”(MVPA) increased in 2 of 3
schools
Incorporating activity into the roll-taking
process
Changed their warm-ups
Introducing more co-ed activities at the
upper levels
Stopped using "elimination” games
Common Barriers
• Space/Facilities
• Class Size
• Separation of Grade
Levels (high schools)
• Scheduling
Oregon State Health Department
Expert
 ACHIEVE supports state and local
coordination as key to success
 ACHIEVE complements existing
efforts for local capacity building for
policy advocacy
 ACHIEVE develops leadership in
public health staff and partners
 ACHIEVE reinforces effectiveness
and accountability in engagement,
assessment, planning, policy
development, and sustainability
29
Health Promotion &
Chronic Disease Prevention
Luci Longoria, MPH
Community Programs Team Lead
Oregon Public Health Division
971-673-1064
luci.longoria@state.or.us
30
NACDD Services and Resources
 In support, NACDD provides technical
assistance and support for:
 Technical assistance and training

Coalition development and maintenance
Project sustainability
 Peer to peer learning opportunities
 Evaluation strategies
 Communications and social media

Technical Assistance and Training
 Face to face meetings to provide training and technical




assistance (Coaches Meeting and Action Institute)
One on one conference calls
Group conference calls
Site visits to communities
Webinars
Technical Assistance and Training
 Topics such as:
 Coalition development and maintenance
 Assessment and data collection
 Policy, systems and environmental strategies
 Developing an ‘Community Action Plan’
 Evaluation
 Communication planning
 Using Social Media
 Project sustainability
Peer Learning Network (PLN)
 For whom?
 Leaders/coaches working to support local ‘Healthy
Community’ efforts
 What?
 Opportunity to learn and share experiences and best
practices with other leaders/coaches
 How?
 Teams meet over facilitated conference call and are
provided additional opportunities to connect over email
and phone
NACDD: Evaluation Resources
 Assessment processes and tools
 Evaluation plans
 Data analyses and reporting
 Sharing data and results
Assessment processes and tools
 CHANGE
 Photovoice
 Surveys
 Focus groups
 Environmental scans
Other Assessments
Evaluation Plans
 Logic models
 Goals and objectives
 Data sources
 Reporting schedules
Evaluation Plan: Example
Goal
By December 2012, increase physical
activity in 100% of schools from 30 to
150 minutes/week
Strategy
Active recess policy
Objective
By December 2011, increase the physical activity minutes from 30 to 150
in 10 elementary schools
Data source
Kentucky Department of Education’s Nutrition and Physical Education
Report Card Annual Report
Data analyses and reporting
 Process and outcome
 Progress updates
 Summary data
 Local, state and national data
Sharing data and results
 Summary reports
 Success stories
 Presentations
 Abstracts
 Articles
Why Use Social Media for Public Health?
 Fundamental shift in the way we communicate
 Reach people when, where, and how they want to receive
health messages
 Leverage social networks to encourage participation,
conversation, and community
 Spread key messages and influence decision making
 Variety of social media tools can be used as part of an
integrated health communications plan
Source: CDC “The Health Communicator’s Social Media Toolkit” available at:
http://www.cdc.gov/healthcommunication/ToolsTemplates/SocialMediaTool
kit_BM.pdf
NACDD ACHIEVE Expands Communication
Strategy; Creates Social Media Network
 Podcasts
 Facebook
 Twitter
 YouTube
 Flickr
 LinkedIn
Communities Continue to Spread the
ACHIEVE Message

Watch: http://www.youtube.com/user/ACHIEVEingHealth
Share: https://www.facebook.com/ACHIEVENACDD
Follow: http://twitter.com/#!/NACDDACHIEVE
Listen: http://www.achievecast.com/
Connect:
http://www.linkedin.com/groups?about=&gid=3928586&trk=anet_ug_grppro
NACDD is ready to assist you on Community
Transformation Grants
 Coalition/Capacity




Building
Peer Learning Networking
and Mentoring
Using Social Media to
Build Momentum
Community-based
Evaluation Strategies
Policy, Systems and
Environmental Change
Academy
 State Technical Assistance




and Review (STAR)
Program
State Success Stories
EBPH State Based Program
State Chronic Disease
Academy
Technical Assistance in
Developing and
Implementing Evaluation
Programs
Questions??
Thank you for your participation today. For
more information about ACHIEVE please
visit:
www.chronicdisease.org
www.achievecommunities.org
www.achievecasts.com
www.achievecasts.com/retro