What do all of these things have in common

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What do all of these things have in common?

• Eat 5 servings of fruits and veggies a day
• Ride a bike or take a walk
• Go to the doctor for an annual check-up
• Turn off the TV and work in the garden instead
• Drink a glass of water instead a can of soda
• Avoid smoking

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ACHIEVE Initiative Action Communities for
Health, Innovation, and EnVironmental Change 
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CDC Year 2 43 Projects
NACDD
NRPA
NACCHO
YMCA
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Northwest ACHIEVE Communities
Nearly 20 of ACHIEVE communities are located in
the Pacific Northwest!
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ACHIEVE Goals

• Building community capacity- commitment,
• resources, and skills- to develop and
• implement policy, systems, and environmental
• change strategies that will
• Reduce health risk factors.
• Insufficient physical activity
• Poor nutrition
• Tobacco use and exposure to secondhand smoke
• Support attaining health equity.

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ACHIEVE PROCESS
Coaches Meeting Leadership Team Development
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ACHIEVE Leadership Team

• Cac Kamak, City of Oak Harbor
• Carol Sele, ACHIEVE Community Coach
• Carrie McLachlan, Assessment Healthy
  Communities
• Jessica Minder, Tobacco Prevention Control
• Joantha Guthrie, Island County Public Works
• Leon Shordon, Human Services
• Michele Renninger, Whidbey General Hospital
• Patricia Terry, Community Health Advisory Board
• Terri Arnold, South Whidbey Parks and Recreation
• Whitney Webber, ACHIEVE Health Department Coach

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ACHIEVE PROCESS
CHANGE Tool Completion Interviewed 24 orgs for
5 sectors
Coaches Meeting Leadership Team Development
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Island County Health Data
Goal 60 BMI lt 25
Recommended physical activity Goal 30 30 min a
day, 5 days a week (28)
Goal 12
Source http//www.doh.wa.gov/phip/khi/lphi/overvi
ew.htm
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Island County Health Data
60 minutes a day, 5 days a week
Goal 16
Goal 5 BMI lt top 15
Goal 85 20 minutes a day, 3 days a week (61)
Source http//www.doh.wa.gov/phip/khi/lphi/overvi
ew.htm
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CHANGE Tool

• Purpose Capture current snapshot of the
  community and build consensus as a group
• 5 Sectors Community, Worksite, School, Community
  Institution/Organization, and Healthcare
• Modules Demographics, Physical Activity,
  Nutrition, Tobacco Use, Chronic Disease
  Management, Leadership

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Island County CHANGE Data
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Island County CHANGE Data

• Healthcare Policy Assets
• Provide access to smoking cessation resources or
  programs
• Implement a referral system to help employees
  access tobacco cessation resources
• Healthcare Policy Needs
• Assess patients physical activity as part of a
  written checklist
• Provide regular counseling on benefits of
  physical activity
• Implement a referral system to help patients
  access community resources on physical activity
• Promote collaboration between health care
  professionals

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Island County Community Initiatives Matrix
There are close to 15 different initiatives
addressing chronic disease in Island County!
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ACHIEVE PROCESS
CHANGE Tool Completion Interviewed 24 orgs for
5 sectors
Coaches Meeting Leadership Team Development
Action Institute
Community-Level Outcomes Impact
Community Action Plan We just got funded for
our CAP!!
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What process did we use to develop our Community
Action Plan?

• Brainstorming with team (cluster like ideas on
  sticky notes)
• Used an impact/effort grid to prioritize the list
• Filled in CAP development table as a group
• Compared with policy and environment sector
  assessment data to make sure assets and needs
  were incorporated

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CAP Goals (June 2011)

• Healthcare
• A system that helps providers routinely address
  physical activity, nutrition, and tobacco
  prevention with their patients
• Free-range kids Kids that are free to explore
  their surroundings safely on their own
• Changes in city and county code that foster safe,
  accessible places for youth and families to be
  active
• Social marketing through signage and community
  events
• Elected officials
• A new dialogue on how to address physical
  activity, nutrition, and tobacco use in our
  community
• Adopted policy resolutions with plans for
  implementation

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Free-Range Kids Task Force

• Establish an interdisciplinary approach to
  creating and maintaining healthy communities
• Balance representation across sectors on boards,
  committees, commissions, and task forces
• Solicit input from diverse sectors when updating
  any GMA plan or portion thereof

For additional information http//www.planning.or
g/research/healthy/index.htm
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Potential Policy Outcomes from Collaboration
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Health Care Task Force

• People
• Jessica Minder, Tobacco Prevention Control
• Michele Renninger, Whidbey General Hospital
• Carol Sele, ACHIEVE Community Coach
• Organizations
• NHOH
• WGH
• Whidbey Community Physicians
• Whidbey Island Internal Medicine
• Pediatric Associates
• Goal
• To have a tool that consistently assesses a
  patient at each visit for nutrition,
• exercise, and tobacco use.

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Quick Script Wellness Tool

• Are there any barriers to you eating five fruits
  and vegetables every day? ? Yes ? No
• In the past two months have you found it
  difficult to exercise for 30-60 minutes 3-5 days
  a week?
• ?Yes ? No
• Do you use tobacco or are you exposed to second
  hand smoke? ? Yes ?
  No

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Next Steps

• Share the tool with key players
• Coach the staff using the tool on when, where,
  how to hold the conversation
• Develop a resource guide to support the three key
  areas
• Trial the tool with 10 patients in each clinic
• Review results and refine the tool resources

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ACHIEVE Policy Committee

• Provide technical assistance to ACHIEVE
  Leadership Team and Task Force policy
  recommendations and to the Island County Board of
  Health
• Serves in both proactive modebased on Task Force
  policy recommendations will work to build a
  supportive base of policymakers, identify
  appropriate policy venues and advocate for policy
  recommendations, as well as a reactive
  modereviewing health impacts of proposed
  policies
• Initially, we are hoping the Island County Board
  of Health will serve as the ACHIEVE Policy
  Council, reviewing and acting on policy
  recommendations
• Will you serve in this role?
• We will work with you to further define the roles
  of both the ACHIEVE Policy Committee and the
  Board of Health as the ACHIEVE Policy Council.

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9th Annual New Partners for Smart Growth
ConferenceBuilding Safe, Healthy, and Livable
Communities

• Three-day program (may opt for one or all days)
• Includes 95 sessions and over 300 speakers
• Learn more http//www.newpartners.org/program.htm
  l

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Contact Information
Cac Kamak, City of Oak Harbor, ckamak_at_oakharbor.or
g Carol Sele, ACHIEVE Community Coach,
unsizeme_at_yahoo.com Carrie McLachlan, Assessment
Healthy Communities, carriem_at_co.island.wa.us
Jessica Minder, Tobacco Prevention Control,
j.minder_at_co.island.wa.us Joantha Guthrie, Island
County Public Works, joanthag_at_co.island.wa.us
Leon Shordon, Human Services, l.shordon_at_co.island
.wa.us Michele Renninger, Whidbey General
Hospital, rennim_at_whidbeygen.org Patricia Terry,
Community Health Advisory Board,
terryp.mpa_at_gmail.com Terri Arnold, South Whidbey
Parks and Recreation, dirswprd_at_whidbey.com
Whitney Webber, ACHIEVE Health Department Coach,
whitneyw_at_co.island.wa.us
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