2nd Quarter Interim Report
June 2011 – Aug 2011
Project Plan
Applicant Name and Project Name: _Lafayette County-Live Healthy, Live Well
Goal 1: To improve overall community health by decreasing tobacco use and exposure to tobacco, increasing access
to healthy, fresh food, and providing an environment that encourages active and healthy lifestyles.
Objective 1: Increasing access to healthy, fresh food.
M EASUREMENT(S)
ACTIVITIES /T ACTICS
PRODUCT (OUTPUT)
Meetings with local farmers,
school food service
management, Opaa! Food
Service Corporate Managers,
& food distributors to
determine produce needs of
schools and produce plans for
vegetable & fruit production &
means of distribution
Institute “Chef” training for use
of fresh produce for food
service personnel including
knife skills, Hobart slice, chop
attachments, prep methods
(i.e. steaming) & kid-friendly,
healthy recipes
Improved availability and
mechanisms for
purchasing food from
farm for school food
service programs.
How many school food service and
farmers attended?
What did people learn from the meeting?
Enhanced knowledge &
skills of food service
personnel to prep &
service fresh produce as
part of school lunch
1. # of food service personnel trained.
Equip five schools with Hobart
slicer, shred & grate
attachments & salad bar
equipment to more efficiently
prepare and serve fresh fruits
& veggies
Increased healthy & local
food choices served for
school lunch.
Increased use of fresh fruits vegetables
by 20%; vegetable plate waste reduced
by 10%
PROJECT M EASURES
How many connections were made and
what did those connections produce?
2. Increased knowledge on equipment
use & prep tech for fresh produce
PROGRESS DURING
REPORTING PERIOD
RESPONSIBILITY
T IMELINE
Progress: Timeline revisedefforts to be redirected. Plans
for one on one consultation
with end users to facilitate
connections with appropriate
growers.
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School partners
Fall 2011
/March 2012
1. 20 food service staff trained
2. Chef demo & experiential
training re: /slicing & chopping
equipment; steaming/shocking
& other prep methods
Progress: Seasonal, Fresh &
Oh So Simple workshop
attendees demonstrated their
new knowledge of fresh
produce prep and equipment
via teach back session. They
successfully introduced and
equipment to prepare 7
seasonal, school recipes with
local, fresh produce.
Progress: on target
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School Food
Service
May 2011
June 1, 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School food
service partners
April-Oct 2011
4 school MOUs finalized; 2
school MOUs pending.
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2nd Quarter Interim Report
June 2011 – Aug 2011
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2nd Quarter Interim Report
June 2011 – Aug 2011
ACTIVITIES /T ACTICS
PRODUCT (OUTPUT)
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Purchase & install 4 coolers
/cold storage units at
Community Food Pantries in
Waverly, Odessa, Lexington
& Higginsville for use by
food pantries
Improved storage
capacity for produce.
# of units installed
Increase low-income
user access to fresh
produce.
Track amounts of fresh produce
distributed by food pantries to low
income families.
Purchase & implement EBT
technology for 4 county
farmer’s market locations;
Lexington, Higginsville,
Odessa, Concordia
Allow low-income
families to purchase
healthy food choices
with SNAP benefits
generating increased
sales for farmer’s
market growers
SNAP transactions
/debit/credit transactions tracked at
farmer’s markets
Workshop to educate & train
local restaurant chefs to
increase use of locally grown
fresh produce
Increased # of healthy
menu options at local
restaurants featuring
local products
Provide informational table
tents and menu markers
denoting healthy options at
restaurants
Increased consumer
awareness of healthy
menu options at
restaurants with stickers
marking menu items
designated a healthy
choice and table tents
share healthy food
choice suggestions
Students increase
knowledge regarding
role of fruits &
vegetables as a part of
a healthy diet
Lafayette County MU
Extension evidence-based
Show-Me nutrition
curriculum offered for grades
1 thru 4 in Lexington,
Higginsville, Odessa,
Concordia, Waverly,
Wellington
RESPONSIBILITY
T IMELINE
Progress: Ongoing
Units ordered for Waverly;
Evaluation of space w/sales
rep scheduled for Lex
Healthy Lifestyle Associate
has consulted with equipment
representative for
determination of specifics
Progress: Ongoing;
Token design determined;
equipment alternatives being
researched at current time.
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Ministerial Alliance,
School partners
May-Oct 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Farmer’s Market
May-Sept 2011
May-Sept 2012
# of local chefs receiving training.
Commitment to use more fresh
produce
Progress: Timeline revised
Fall 2011
Spring 2012
# of local restaurants making
healthy menu options available
Progress: Timeline revised to
coordinate with chef training
above
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Partners
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Partners
Student report behavior changes
in eating more fruits & vegetables
Progress: Timeline revisedall start in Fall 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School partners
March-May
2011;
Sept –May
2011-2012 (all
schools)
Spring 2012
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2nd Quarter Interim Report
June 2011 – Aug 2011
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
Classroom tasting of new veggies to
be served in school lunch.
Stickers for children who try new
veggies in cafeteria lunch.
“Point of Decision” posters/prompts
throughout school (i.e. You are What
You Eat! “Veggie Power”)
Students experience taste of
new veggies.
Provide training & support for school
garden programs at Lexington,
Higginsville, & Concordia. Establish
school gardens in Odessa, Waverly,
& Wellington
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
RESPONSIBILITY
Student report behavior changes
in eating more fruits &
vegetables
Progress: Ongoing
Timeline revised-implementation will
begin at Lexington and Higginsville
schools September - November
2011
Meeting with Opaa on 9/15/11 to
coordinate 2011-12 plans for
Lexington, Higginsville, & Odessa
elementary schools
Lafayette County MU
Extension Healthy
Lifestyle Associate
School partners
Opaa! School Food
Service
Students increase
knowledge of how
vegetables grow &
gardening skills.
# students helping to care for
garden
Progress: Ongoing
Timeline revised-implementation will
begin at Lex/Higg/Odessa MarchMay 2012
Lafayette County MU
Extension Healthy
Lifestyle Associate
School/community
partners
Teachers, Parents
Support Grow Lab indoor gardens
with curriculum & activities in all 6
school districts
Greater acceptance of new
vegetables.
Greater acceptance for
eating new veggies among
students.
Consume more fruits &
vegetables
Student reported behavior
changes & observations by
parents & teachers.
Progress: On target
Timeline revised
Curriculum trainings will begin at
Lexington, Higginsville, and Odessa
schools in October 2011
Lafayette County MU
Extension Healthy
Lifestyle Associate
School & community
partners
Teachers, Parents
Farmer’s market celebration at
worksites as a promotional event
prior to opening day for farmer’s
markets.
Food demonstrations & tastings.
More Matters (food promotion. (3
worksites Yr 1; 3 worksites Yr 2)
Increase opportunity to
purchase fresh produce &
sample new veggies & new
ways to prepare
Produce sales at event
Progress: Timeline to be revised
pending commitment (i.e., MOU) of
targeted worksites
Lafayette County MU
Extension Healthy
Lifestyle Associate
Worksite Wellness
Committee
Students rewarded for trying
new veggies.
Students reminded about
importance of fruits &
veggies to health
T IMELINE
Mar-May 2011
-Lexington;
Sept-Nov
2011Higginsville;
Jan-Mar 2012Odessa
& Wellington;
Mar-May 2012Concordia &
Waverly
Mar-May 2011
Lex, Higg
Sept-May’11
Conc Odessa
Mar-May12-13
Waverly/Wellin
gton
Mar-May 2011
Lexington/
Higginsville
Sept-May 2011
Concordia/Ode
ssa
March-May
2012-13
Waverly/Wellin
gton
3 worksites
April-May,
2011
3 worksites
April-May
2012
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2nd Quarter Interim Report
June 2011 – Aug 2011
Objective 2: Provide an environment that encourages safe physical activity, accessibility, and community use of the built environment.
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
Determine walkability of Lexington &
Higginsville
200 students in Lexington &
Higginsville complete
“Community Walkability”
survey with parent or
guardian
Train six high school
students to use disposable
camera to create a “Photo
Voice” project in Lexington
and Higginsville
Summarized results of
“Walkability Survey”&
“Photo Voice” for
Higginsville & Lexington
Trailnet “Walkability Survey”
Progress: Ongoing
Timeline revisedSurvey completed @ Higg;
Lexington-Oct.
Lafayette County MU
Extension Healthy Lifestyle
Associate
April 2011
Fall 2011
“Photo Voice” project visual of
“built environment” in Lexington &
Higginsville completed
Progress: Ongoing
Student volunteers determined &
direction obtained from city
officials. Timeline revised- Fall
2011
Progress: Timeline to be revised
to correspond to above.
Lafayette County MU
Extension Healthy Lifestyle
Associate
Students
& supervising teacher
Lafayette County MU
Extension Healthy Lifestyle
Associate,
Students & Supervising
Teacher
April 2011
Consultant develops
“master plan” for
connectivity of trails &
sidewalks
Master Plan developed
Progress: On target.Workgroup
meeting with SIM partners &
consultant. Presentation in Higg
8/13; scheduled in Lex 9/13 &
9/20.
Lafayette County MU
Extension Healthy Lifestyle
Associate
Sept 2011
Trail design plan developed
for Higginsville and
Lexington
Site prep initiated
Progress of trail construction
N/A
Lafayette County MU
Extension Healthy Lifestyle
Associate
Sept 2012
Install minimum of 500
linear feet. of new or
upgraded sidewalk in two
communities.
Sidewalks renovated/installed
N/A
Lafayette County MU
Extension Healthy Lifestyle
Associate
March 2012
Policies developed and adopted
Progress: Ongoing
Timeline revised for program
meetings
“Photo Voice” project depicts
supportive assets & deterrents to
physical activity in Lexington &
Higginsville
Empower six students to meet with
School Boards & City Council to
discuss infrastructure & built
environment needs of city
(Higginsville & Lexington) to promote
physical activity
Partner with Higginsville & Lexington
City Councils to secure consultant to
create master plan that incorporates
current built assets & future
development of walking trails &
sidewalks
Collaborate with Higginsville &
Lexington Park Departments to hire
engineering services to develop trail
design plan and begin first steps of
trail construction
Assist two communities to expand
current built environment efforts
through direct funding and assistance
in applying for other funding
opportunities.
Present “Complete Street Policy”
programs to 4 City Councils to create
safe routes to schools for students
and access for community members
to parks & trails
Mayors appoint committee
to review & develop
Complete Street Policies.
Power Point and written report
summarizing “Walkabiltiy” survey
&“Photo Voice” slides
Responsibility
Lafayette County MU
Extension Healthy Lifestyle
Associate
Timeline
Oct/Nov 2011
Programs Fall
2011
Policies
adopted
December
2012
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2nd Quarter Interim Report
June 2011 – Aug 2011
M EASUREMENT(S)
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
Expand the evidence-based Active &
Healthy School Program (AHS)
implementation to additional schools
in the county creating an environment
that leads to increased physical
activity
Train 100 teachers, staff, &
administrators on
implementation process for
the “Active & healthy
School” (AHS) Program at
Higginsville Elementary &
Odessa Elementary.
Measure student & teacher
physical activity change.
Minutes of classroom physical
activity
Establish AHS Zoned areas that lead
to increased student physical activity
on playgrounds
AHS Zoned playground at
Higginsville and Odessa
elementary
Zoned playgrounds established
Students physical activity
increase during recess
Students participate in afterschool
Walking Clubs
Implement six AHS Walking
clubs (2 per school site)
Lexington, Higginsville, &
Odessa
6 walking clubs (high school
students partner to lead middle &
elementary school students
walking clubs)
School Health Advisory Council
(SHAC) promote, implement, and
create structure to sustain AHS model
for district
School Health Advisory
Councils create AHS
Committee & adopt AHS
Program as health policy for
district
Use interactive 4EverFit
website to promote health &
fitness for middle & high
School students. Year 1, 3
school districts partner to
sign up students. Year 2,
final 3 school districts sign
up students
Recruit & train 80 team
leaders in Lafayette County
communities to coordinate
1600 residents to participate
in walking program through
the use of pedometers.
Year One-3 communities
Students use website to monitor
physical activity in & out of school
Increase physical activity through
evidence-based community
walking program
PROGRESS DURING
REPORTING PERIOD
PROJECT MEASURES
Progress: On target
School MOUs signed by 4 of
schools.
(S)
Responsibility M EASUREMENT
Timeline
Lafayette County MU
Extension Physical Activity
Associate;
School partners
Orientation held in May 2011 with
Higginsville & Odessa Upper and
Lower Elementary Schools. In
August, 2011, trained 96 faculty
members on AHS components &
leading activity breaks. Conducted
a baseline survey on classroom
time allocated for “activity breaks”.
May 2011orientation
August 2011training &
implementati
on
In Aug. & Sept., baseline
observational survey (SOPLAY)
conducted for grades 2 and 5
students during activity time
(recess) at all three schools. AHS
activity zones will be established
in October.
Timeline revised
Lafayette County MU
Extension Physical Activity
Associate;
School PE Teacher,
classroom teachers,
AHS Implementer,
Sept 2011
Higginsville
Sept 2012
Odessa
Lafayette County MU
Extension Physical Activity
Associate;
School personnel
School policy to create & maintain
school environment that supports
active & healthy children
N/A
# students registered users of site
Initial meetings are scheduled for
Fall 2011 with 4 schools.
School partners
SHAC
Lafayette County MU
Extension Healthy Lifestyle
Associate
Health Care Coalition (HCC)
Marketing Consultant
Oct. 2011
Lexington;
April 2012
Higginsville &
Odessa
December
2012
Website information has been
introduced and will launch/be
presented to students in fall 2011.
# of Team Leaders recruited.
(churches, senior centers, etc.)
# of Individuals record base
line steps, compare with
weekly step average at end of
Revise to 8 week program to
(Y-1) 42 team leaders
recruited & trained for
Lexington, Higginsville,
Corder, Wellington &
Napoleon communities.
430 participants to walk Sept
Lafayette County MU
Extension Physical
Activity Associate
Community Volunteer
Team Leaders
Mar-Dec
2011
3 school
districts
Jan-Dec 2012
3 school
districts
Begin fall
2011
Completed
in six
communities
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2nd Quarter Interim Report
June 2011 – Aug 2011
Year Two-3 communities
ACTIVITIES /T ACTICS
Introduction of Worksite Wellness
Policy
Worksite Wellness Committees
implement “Start!” walking
programs
PRODUCT (O UTPUT)
Consult with employers
on development and
implementation of
Worksite Wellness
policies
Organize six worksite
wellness committees
finish before Thanksgiving
19 – Nov. 18. Baseline first
week.
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
# of employers offering
employee wellness programs
Initial meetings with 2
worksites have begun
# of Start! Programs
implemented at worksites,
Continue to meet with the
worksites.
Initial meetings with 2
worksites have begun
Continue to meet with the
worksites.
by Dec 2012
Timeline
Responsibility
HCC Consultant
Policies
adopted by
March 1,
2013
HCC Consultant
March 2011
Lafayette County MU
Extension Physical
Activity Associate
3 sites
completed
by March 1,
2012
Worksite Comm.
Walking Chairs
3 site
completed
by March 1,
2013
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2nd Quarter Interim Report
June 2011 – Aug 2011
ACTIVITIES /T ACTICS
Recruit employers willing to
implement adult tobacco cessation
programs by presenting data on
cost benefits; including health,
absenteeism, worker productivity
PRODUCT (O UTPUT)
Identify worksites to
participate to in Train- theTrainer programs
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Number of worksites willing to
participate
Progress: On target
Through collaboration with
Grace Research Group and
HCC, employers with employee wellness program are
being recruited for the adult
tobacco cessation program.
Responsibility
Timeline
Lafayette County Health
Department (LCHD)
Tobacco initiative
associate
Obtain
commitment from
at least 3 of the
largest employers
by Spring 2011;
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate;
Begin facilitator
training by Fall
2011; Evaluate for
further expansion
by Spring 2012
Good Shepherd (Nursing)
Home expressed interest
with another employer (I-70
Community Hospital), with
strong potential to become a
willing worksite participant.
MOU’s are currently being
developed for SIM project
worksite component.
Hold Train-the-Trainer classes for
worksite facilitators
Worksite facilitators ready
to deliver Smoking
Cessation classes
Number of facilitators ready to
deliver Smoking Cessation
classes;
The first workplace MOU
was signed and classes
already completed at Good
Sheperd Home (a long term
& assisted living facility in
Concordia. 3 of 10 enrollees
successfully quit smoking.
The employees were allowed
paid time to complete
classes. Evaluations indicate
that discussion even among
other workers who did not
enroll is showing greater
awareness about the health
effects of tobacco use.
Progress: On target.
Once worksite MOU’s are
returned, employer-based
facilitators will be identified
for train the trainer classes.
LCHD staff will receive “Beat
the Pack” worksite cessation
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2nd Quarter Interim Report
June 2011 – Aug 2011
curriculum at a July 12th
train-the-trainer class.
Monitor class participation at
enrolled worksites through
facilitators to determine overall
program effectiveness
Individuals who refrain
from smoking post class Freedom From Smoking;
Number of employees per
Worksite who refrain or
maintain their non-smoking
status for a pre-determined
amount of time based on
curriculum.
The first workplace MOU
was signed, classes there
complete. A second
workplace has been
engaged, and a third
prospective site has been
identified.
Progress: Ongoing
Once worksite MOU’s are
returned, employer-based
facilitators will be identified
for train the trainer classes.
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate; Worksite
facilitators
Summer 2011
throughout 2 year
project
Good Sheperd Home has
returned a signed MOU and
completed the first class of
employees. 3 of 10 reported
success with smoking
cessation. This facility is now
asking about a cessation
class for residents of the
assisted living with the intent
of making these apartments
smoke free.
A second work site has been
engaged, awaiting return of
MOU, classes are set to
begin October 3.
A third work site is inquiring
about getting classes there.
Evaluations from the first
class indicate that even
among non participating
workers, awareness is
increasing about the need to
stop tobacco use, and the
CO meters had a great
impact on participants in
impressing them about the
effect of cigarette smoke on
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2nd Quarter Interim Report
June 2011 – Aug 2011
their lungs.
Survey leaders in incorporated
areas for existing ordinances or
policies related to smoking
Matrix of ordinances in
place in the County
Number of existing ordinances
related to smoking;
Progress: On target
Leaders in nine (9)
incorporated areas in the
county were polled for
existing policies and/or
ordinances. Result: none (0)
of the 9 reported existence of
any existing policies or
ordinances.
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Spring 2011
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Summer 2011
through project
end
Presentations about the
Lafayette County Live
Healthy Live Well project
have been made to 7 of the
councils.
Signage promoting clean air
spaces has been distributed
in two communities
(Lexington and Concordia) in
response to these
presentations.
Provide model language to civic
leaders for discouraging smoking in
public areas
Increased public use areas
that implement new
ordinances or signage by
at least one area per 17
incorporated communities
Number of new ordinances or
areas implementing signage
Progress: Efforts redirected.
On 5/17 & 18 LCHD staff
attended SIM Orientation.
Tech. Asst. Advisors suggest
use of a variety of media to
educate civic leaders and the
public. This approach would
replace previously stated
strategy of providing civic
leaders with model language.
City council visits are
scheduled, with a goal of
educating civic leaders about
the SIM grant and related
county tobacco issues.
Sample language has been
provided by the MDHSS
Tobacco Use Prevention
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2nd Quarter Interim Report
June 2011 – Aug 2011
Program Manager for use to
recognize existing venues
(restaurants/businesses) that
are smoke free, and to
provide additional signage to
venues (i.e., schools) who
are smoke free but lack
sufficient signage to post.
Signage promoting clean air
spaces has been distributed
in two communities
(Lexington and Concordia) in
response to the
presentations to city
councils.
Based on assessment, target
communities receptive to taking a
stronger position on exposure to
second hand smoke to adopt
ordinances
Smoke-free ordinances
adopted at the community
level
Number of new ordinances
Progress: Currently revising
activities and outputs
Based on SIM Orientation
training, advice of technical
assistance advisors, and
based on the meeting with
MDHSS Community Policy
Specialist, and Tobacco Use
Prevention Program
Manager, the Municipality
Readiness Assessment tool
(Tobacco Free Missouri) will
be used (pending approval
from the project evaluator).
Community leaders will be
educated to prepare them for
future tobacco free initiatives.
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Summer 2011
through project
end
Part of the community
education campaign has
included reaching out to food
service establishments to
reward those that have
maintained smoke free
atmospheres with new and
more eye catching signage
promoting smoke free dining.
Four restaurants that
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2nd Quarter Interim Report
June 2011 – Aug 2011
currently permit smoking are
considering going smoke
free.
12