s^^J Agenda Item Summary: Item #09-1287

Transcription

Page 1 of2
Fulton County Board of Commissioners
s^^J Agenda Item Summary: Item #09-1287
BOC Meeting Date
FULTON COUNTY
December 16, 2009
Requesting Agency
Commission Districts Affected
Health and Wellness
All
Requested A c t i o n (Identify appropriate Action or Motion, purpose, cost, tlmeframe. etc.)
Approval by the Board of Commissioners to apply for and accept a grant for funding from the American
Recovery Reinvestment Act of 2009, Communities Putting Prevention to Work, in the amount of
$9,677,856.00. This project, with Fulton County as the lead agency, will mobilize community partners to
implement strategies to address health disparities associated with obesity, physical activity and poor nutrition
especially in high risk communities throughout Fulton County. This initiative will promote healthy behaviors
such as healthy eating and increased physical activity. Project Time Period: February 26, 2010 to February 27,
2012. No county match is required.
____
Requirement for Board Action (Cite specific Board policy, statute or code requirement)
West Code of Georgia 36-10-1; All official contracts entered into by the County governing authority with
other persons in behalf of the County shall be in writing and entered on its minutes.
Is this I t e m G o a l R e l a t e d ? (Ifyes, describe how this action meets the specific Board Focus Area or Goal)
es
This action supports the Board of commissioner's goals for Health and Human
Services, specifically to coordinate health and social services in collaboration with
|—| NO t n e j u s t j c e system and community partners and to provide prevention programs to
needy and at-risk populations that enhance the quality of life.
_^__^_
Cummin/ Jt t3iîrnm,,nri
(First sentence includes Agency recommendation. Provide an executive summary of the action that gives an
Summary & aaCKgrOUna
overview of the relevant details for the item.)
The Department of Health and Wellness as the lead agency will mobilize a coalition of eighteen
community partners representing faith-based organizations, local government, corporations,
businesses, foundations, school boards, universities and county residents to combat obesity. The
main goal of this project is to address the negative impact of obesity, physical inactivity, and poor
nutrition on the health and wellness of children and their families. The Department will utilize a community
action plan to eliminate health disparities associated with obesity, physical inactivity, and poor nutrition
in communities throughout Fulton County. This initiative has four main objectives 1) increasing levels of
physical activity for children and adults, 2) improving nutrition, 3) decreasing obesity rates, and 4) policy
change and implementation. Ultimately, the objective is to improve the general health of Fulton County
residents through collaborative planning, advocacy, empowerment, community action, environmental and
system change. At the center of this initiative is a comprehensive Wellness Zone Health Network. The Oak
Hill Children, Adolescent and Family Center (central hub and primary site for children and family services)
and five other sites will provide health homes for the uninsured and underinsured population. Nutritionists and
physicians, public health nurses, health coordinators and behavioral health clinicians will provide counseling,
health evaluations and social support for overweight and obese children and their families. The project will
include the promotion of exercise/fitness activities, nutritional awareness programs, community gardening
activities and residential camps for weight loss. This initiative will provide services for 200,000 participants
(unduplicated) during the 2 year grant period.
imn^rot / c.imiin/, Cmii-i-n
impact / I-Unaing SOUrce
(Include projected cost, approved budget amount and account number, source of funds, and any future funding
requirements.)
The funding will be utilized to develop collaborative projects to address behaviors that lead to poor health
outcomes, poor nutrition, and physical inactivity in high risk communities to improve health outcomes and
reduce associated health disparities. Funding is through the Centers for Disease Control and Prevention,
Opportunity # CDC-RFA-DP09-912ARRA09. No funding match required. We did request reimbursement
for indirect costs.
Revised 03/12/09 (Previous versions are obsolete)
Continued'*.'?
Page 2 of 2
Exhibits Attached
(Provide copies of originals, number exhibits consecutively, and label all exhibits in the upper right corner.)
American Recovery Reinvestment Act of 2009 Communities Grant Application Package
S o u r c e Of A d d i t i o n a l I n f o r m a t i o n
(Type Name, Title, Agency and Phone)
Christine Greene, Director of Administrative Services, Health and Human Services, 404-612-9390
Agency Director Approval
Phone
Typed Name and Title
Patrice A./flaJris,
Signature
D., Director of Health Services
404-730-1202
Date
County Manager's
Approval
Grant Application Package
Opportunity Title:
American Recovery Reinvestment Act of 2009 Communities
Offering Agency:
Centers f o r Disease C o n t r o l and Prevention
CFDA Number:
93.724
CFDA Description:
Prevention and Wellness—Communities P u t t i n g
Opportunity Number:
CDC-RFA-DP09-912ARRA09
Competition JD;
NB
Opportunity Open Date:
09/17/2009
Opportunity Close Date:
Agency Contact:
12/01/2009
This electronic grants application is intended to
be useq to applyyfor the specific Federal funding
opportunity referenced here *"
>
*
Prevention
If the Federal funding opportunity Ijltetf is not
the opportunity forwhich you want to apply,
close triis application^package by clicking on the
'Cancel button atthe'top'ofihi^scifee^ You
wl|l then neêdjolocate'the correct Federal
i
funding opportunity, download its application? L
l
and then apply
'
^
PGO TIMS
E - m a i l : [email protected]
Phone: 770-488-2700
This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or
tribal government, acadetnia, or other type of organization.
'Application Filing Name: j
Mandatory Documents
Fulton County, Georgia
MOVE Form to
Complete
Move Form lo
Delete
Optional Documents
Move Form ID
Submission List
Mandatory Documents for Submission
ure of Lobbying a c t i v i t i e s (SF-LLL)
Application for Federal Assistance {SF-424)
Budget Information for Non-Construction Program
HHS Checklist Form PHS-5161
Project Narrative attachment Form
Project a b s t r a c t Summary
Budget Narrative Attachment Form
Optional Documents for Submission
Other Attachments Form
Move Form to
Delete
Enter a name for the application in the Application Filing Name field.
- This application can be completed In its entirety offline; however, you will need to login to the Gran5s.gov website during the submission process.
- You can save your application al any time by clicking tne "Save" button at thetopof your screen.
- Trie "Save S Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and
confirmed all data required data fields are completed.
Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first
- It is recommended that the SF-424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in cither mandalory and
optional forms and the user cannot enter data in these fields.
- The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF-424, forms where a document needs to be attached,
such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional
support for this application or may be required for specific types of grant activity. Reference the application packagB instructions for more information regarding "Optional
Documents".
- To open and complete a form, simply click on the form's name to select the item and ihen click on the - > button, This will move the document to the appropriate "Documents
for Submission" box and the Form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and click on the
"Open Form" button lo begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, dick the document name to select it,
and then click the <•= button. This will return theform/documentto tha "Mandatory Documents" or "Optional Documents" box.
- All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which
must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a
field, you will receive an error message.
Click the "Save & Submit" button to submit your application to Grants.gov.
- Once you have properly completed all requfred documents and attached any raquired or opiional documentation, save the completed application by clicking on the "Save"
button.
- Click on the "Check Package for Errors" button to ensure that yo j have completed all required data fields. Correct any errors or if none are found, save the application
package.
- The "Save a Submit" button will become active; click on the "Save & Submit" button to begin the application submission process.
- You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen Instructions for submission.
OMB Number: 4040-0004
Expiration Date: 01/31/2009
Version 02
Application for Federal Assistance SF-424
1. Type of Submission:
Q
* 2. Type of Application:
1
If Revision, select appropriate letters):
1
Other (Specify)
{xjNew
Preapplication
[X] Application
Q Continuation
Q
Q Revision
Changed/Corrected Application
3. Date Received:
4. Applicant Identifier:
Completed by Grants.gov upon submission.
* 5b. Federal Award Identifier:
5a. Federal Entity Identifier:
State Use Only:
6. Date Received by State:
7. State Application Identifier:
8. APPLICANT INFORMATION:
*a. Legal Name:
Fulton County, Georgia, Department of Health and-Wellness
* b. Employer/Taxpayer Identification Number (EIN/TIN):
* c. Organizational DUNS:
58-6001729
133894167
d. Address:
* Streeti:
(99 Jesse Kill Jr. Drive
Street!:
•City:
fltlanta
County:
Fulton
* State:
GA: Georgia
Province:
* Country:
USA: UNITED STRTES
* Zip / Postal Code:
30303
e. Organizational Unit:
Department Name:
Division Name:
Health and Hellness
f. Name and contact informat'on of person to be contacted on matters involving this application:
Prefix:
* First Name:
Patrice
Middle Name:
* Last Name:
Harris
Suffix;
Tltfe: Director, Health Services
Organizational Affiliation:
Fulton County, GR, Department of Health and Wellness
" Telephone Number:
404-730-1202
* Email: Patrice. harrisd fultoncountyga. gov
Fax Number
9. Type of Applicant 1: Select Applicant Type:
B: County Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
10. Name of Federal Agency:
Centers for Disease Control and Prevention
11. Catalog of Federal Domestic Assistance Number:
93.724
CFDA Title:
Prevention and Wellness—Coimnunities Putting Prevention to work
*12. Funding Opportunity Number:
CDC-RFA-DP09-912ARRA0 9
• Title:
American Recovery Reinvestment Act of 2009 Communities Putting Prevention to Work
13. Competition Identification Number:
WR
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
* 15. Descriptive Title of Applicant's Project:
Be Fit For Life
Attach supporting documents as specified in agency instnjclions.
Version 02
OMB Number: 4040-OQ04
Version 02
16. Congressional Districts Of:
* a. Applicant
b. Pfogram/Pfoject
5, 6
5,
6
Attach an additional list of Program/Project Congressional Districts if needed.
17. Proposed Project:
* a. Start Date:
*b. End Date:
02/26/2010
02/27/2012
18. Estimated Funding ($}:
* a. Federal
9, 677, 856.00
* b. Applicant
240, 000.00
* c. State
0.00
* d. Local
0.00
* e. Other
0.00
*f. Program Income
0.00
9,917, 855.00
* g. TOTAL
' 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
Q
a. This application was made available to the State underthe Executive Order 12372 Process for review on .-,
J | b. Program is subject to E.O. 12372 but has not been selected by the State for review.
[XJ c. Program is not covered by E.O. 12372.
'
:
i
* 20. Is the Applicant Delinquent On Any Federal Debt? {If "Yes", provide explanation.)
Yes
E x p l a n a t i o n ; ,•,;•'
21. *By signing this application, 1 certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
[X] ** I AGREE
" The list of certifications and assurances, or an internet site where y o j may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
* First Name:
Prefix:
Zachary
Middle Name:
* Last Name:
Williams
Suffix:
[County Manager
- Telephone Number:
Fax Number:
404-730-4500
* Email: zachary. williaras@f ultoncountyga. gov
* Signature of Authorized Representative:
Authorized for Local Reproduction
Completed by 6tants.gov upon submission.
* Date Signed:
CompleletlbyGranls.gov upon submission.
Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A-102
* Applicant Federal Debt Delinquency Explanation
The following field should contain an explanation if the Applicant organizalion is delinquent on any Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.
Version 02
Expiration Date; 12/31/2009
Project Abstract Summary
Program Announcement (CFDA)
93.724
Program Announcement (Funding Opportunity Number)
CDORFfl-DP09-912ARRA09
Closing Date
L2/01/2009
'Applicant Name
Fulton County, Georgia, Department of Health and Wellness
* Length of Proposed Project
Application Control No.
Federal Share Requested (for each year)
* Federal Share 1st Year
$
• • '• ;:
!
"""
9,677,856
* Federal Share 4th Year
Federal Share 2nd Year
Federal Share 3rd Year
9,677,856
Federal Share 5th Year
$
Non-Federal Share Requested (for each year)
" Non-Federal Share 1st Year
240,000
* Non-Federal Share 4th Year
S
•Project Title
Be F i t For Life
Non-Federat Share 2nd Year
240,000
* Non-Federal Share 6th Year
* Non-Federal snare 3rd Year
Project Abstract Summary
"Project Summary
Abstract
The Fulton County Department of Health and Wellness (FCDHW) as the lead agency, proposes to implement the "Be Fit
4 Life" (BF4L) project. The BF4L project is coordinated by a community-based coalition that represents eighteen
organizations to include faith-based, government, corporations, local businesses, foundations, school boards,
universities and community residents. The main goal of this project is to address the negative impact of obesity,
physical inactivity, and poor nutrition on the health and wellness, economy and quality of life of children and
their families. The BF4L project will develop a community action plan that will consist of several prevention
strategies encompassing all five MAPPS evidence-based strategies (Media, Access, Point of Purchase/Promotion,
Price and Social Support and Services).
This project will utilize a broad range of evidenced-based methodologies including community prevention
strategies designed to eliminate health disparities associated with obesity, physical inactivity, and poor
nutrition especially in low-income communities' throughout Fulton County. We will employ a community based
participatory approach and a social-ecological framework to carry forward the research-to-practice knowledge and
lessons learned from past and current CDC Racial and Ethnic Approaches to Community Health 2010 (REACH) grantees.
At the center of the BF4L initiatives a comprehensive Wellness Zone health network. The Oak Hill children.
Adolescent and Family Center (central hub and primary site for children and family interventions) and five other
sites will provide health homes for the uninsured and under-insured population. The Be Fit 4 Life initiative has
four main objectives 1) increasing levels of physical activity, 2) improving nutrition, 3) decreasing obesity
rates, <ar.i 1) policy change and implementation. Ultimately, our objective is to -establish;.health equity by
impjiovii-y' the general health of Fulton County residents through collaborative planning, advocacy, empowerment,
community action, environmental and system change.
Estimated number of people to be served as a result of the award of this grant.
1014932
DISCLOSURE OF LOBBYING ACTIVITIES
Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
1. "Type of Federal Action:
2. * Status uf Fedeial Action:
a. contract
I
X ] " fj™t
3. * Report Type:
j a. bid/offer/application
*• initial filing
I b. material change
X [ b. initial award
| c. cooperative agreement
0348-0046
c. post-award
~ J d. loan
e. loan guarantee
If. ban insurance
4. Name and Address of Reporting Entity:
| X J Prime
'Name
j ~ J SubAwardee
FUlton County, Georgia
•SttBBti
Street 2
H I Pryor Street
'City
Stale
Zip
!GA; Georgia
Congressional District, if known: p.
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
7. * Federal Program Name/Description:
6. * Federal Department/Agency:
Health and Human Services CDC
Prevention and Hellness—Communities Putting Prevention to Work
CFDA Number, if applicable:
8. Federal Action Number, if known:
93.724
9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant:
'First Name
'Last Name
Middle Name
Patton & Boggs, LLP
Suffix
Patton £ Bog^s,
Street 2
2550 M S t r e e t , NW
•City
State
Washington
Zip
DC: District of Columbia
b. I n d i v i d u a l P e r f o r m i n g S e r v i c e s {including address if differentfromNo. 10a)
Prefix
'First Name
Mr.
Middle Name
Harek
"Last Na me
• Sfreef 1
•City
Sutfix j
Street 2
2550 M Street
Slafe
Washington
Zip
DC: District of Columbia
20037
•^ •( _ Information requested through this form is authorized by title 31 U.S.C. section 13S2. This disclosure of lobbyfng activities is a material representation of fact upon which
reliance was placed by Ihe tier above when the transact ion was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
the Congress semi-annuaily and win be available for public inspectioa An/ person who fails to file the required disclosure shall bs subject lo a c M penalty of not less than
510,000 and not more than 5100,000 for each such failure.
* Signature:
Completed on submission to Grants.gav
•Name:
Pmfa
'First Name
Middle Name
Zschary
• Lasf Name
Title: county Manager
Suffix
Telephone No.:
404-130-4500
Date: Couple ted on a u b a i s s i n n t o GEBtits.gov
Authorised for Local Reproduction
Standard Form • LLL (Rev. 7-97)
OMB Approval No. 4040-DD06
Expiration Date 07/30/2010
BUDGET INFORMATION - Non-Construction Programs
SECTION A-BUDGET SUMMARY
Grant Program
Function or
Activity
Catalog of Federal
Domestic Assistance
Number
1.
Be Fit
fax Life
93.724
Non-Federal
(d)
Federal
(c)
(b)
(a)
New or Revised Budget
Estimated Unobligated Funds
$
Non-Federa!
(f)
Federal
(•>
$
$
9,005,225.00
$
24 0,000.00
Total
(g)
$
9,246,225.00
2.
|
3.
4.
5.
Totals
$
$
$
9,006,225.00
$
240,000.00
$
9,246,225.00
Standard Form 424A (Rev. 7- 97)
Prescribed by OMB (Circular A -102) Page 1
SECTION B - BUDGET CATEGORIES
6. Object Class Categories
(2)
(D
GRANT PROGRAM, FUNCTION OR ACTIVITY
(3)
(4)
$
s
Total
(5)
Be P i t for L i f e
a. Personnel
1,460,068.00 $
$
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
1,460,053.00
SOB,122.00
506,122.00
30,000.00
30,000.00
3B7.000.00
387,000.00
20,200.00
20,200.00
I
6,402,335.00
f. Contractual
*
6,402,835.00
g. Construction
100,OOD.DO
h. Other
9,006,225.00
i. Total Direct Charges (sum of 6a-6h}
j . Indirect Charges
k. TOTALS (sum of 6i and 6j)
7. Program Income
100,000.00
|
$
1
671,531.00
9,677,956.00
•p
$
$
$
$
*
9,006,225.00
671,631.00
9,677,856.00
It
Prescribed by oWlB (Circular A -102) Page 1A
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program
(b) Applicant
fc) State
8.
(d) Other Sources
(e)TOTALS
S
$
$
I
9.
10.
i
I
I
I
I
r
11.
12. TOTAL (sum of lines 8-11)
$
*l
$
|
$
SECTION D - FORECASTED CASH NEEDS •
|
1st Quarter
Total for 1st Year
13. Federal
$l
14. Non-Federal
$l
15. TOTAL (sum of lines 13 and 14)
$l
2nd Quarter
I$
$
$l
3rd Quarter
-A
4th Quarter
$
I $l
$
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
(a) Grant Program
(d) Third
(c) Second
(b)First
16.
Be Fit
for
Life
9,577,856.00
$
$l
(e) Fourth
9,677,856.00!
$
$
9,677,856.00
$
*
17.
.
.
•
- .
- - • • . ,
18.
19.
20. TOTAL (sum of lines 16-19)
9,677,856.00
$
$
SECTION F - OTHER BUDGET INFORMATION
21. Direct Charges:
I
22. Indirect Charges; I
I
23. Remarks:
Prescribed by OMB (Circular A-102) Page 2
PHS-5161-1 (7/00)
OMB Approval No. 0920-tMZS
CHECKLIST
Public Burden Statement:
Public reporting burden of this collection of information Is estimated to average 4
hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. Send
commenls regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to CDC,
Type of Application:
NEW
Clearance Officer, 1600 Clifton Road, MS D-24, Atlanta. GA 30333, ATTN: PRA
(0920-0428). Do net send the completed form to this address.
NOTE TO APPLICANT:
This form must be completed and submitted with the original of your
application. Be sure to complete both sides of this form. Check the
appropriate boxes and provide the Information requested. This form should be
attached as the last age of the signed original of the application. This page is
reserved for PHS staff usa only.
Noncompeting Continuation
QCompeting Continuation
["^Supplemental
PART A: The following checklist is provided to assure that proper signatures, assurances, and certifications have been submitted.
Included
[x]
1. Proper Signature and Date
2. Proper Signature and Date on PHS-5161-1 "Certifications" page
[>jj
3. Proper Signature and Date on appropriate "Assurances" page, i.e., SF-424B (Non-Construction Programs)
orSF-424D (Conslruction Programs)
4. If your organization currently has on file with DHHS the following assurances, please Identify which have
been filed by indicating the date of such filing on the line provided. (All four have been consolidated into a
single form, HHS Form 690)
.—.
l^J
•
NOT Applicable
Civil Rights Assurance (45 CFR 80)
O Assurance Concerning the Handicapped (45 CFR 84)
LJ Assurance Concerning Sex Discrimination (45.CFR 86)
[J Assurance Concerning Age Discrimination (45 CFR 90 & 45 CFR 91)
*»•••
•
5. Human Subjects Certification, when applicable (45 CFR 46)
PART B; This part is provided to assure that pertinent information has been addressed and included in the application.
YES
NOT Applicable
^
{_l
L J .-.:••
l*J
^
• .-•• i..
1. Has a Public Health System impact Statement for the proposed program/project been completed and
distributed as required?:
2. Has the appropriate box b'aen checked on the SF-424 (FACE PAGE) regarding intergovernmental review. •
underE.O. 12372;'? (45 CFR Part 100)
l*l
3. Has the entire proposed project period been identified on the SF-424?
4. Have biographical sketch(es) with job description(s) been attached, when required?.
•
6. Has the 12 month detailed budget been provided?
7. Has the budget for the entire proposed project period with sufficient detail been provided?
•
•
8. For a Supplemental application, does the detailed budget address only (he additional funds requested?
9. For Competing Continuation and Supplemental applications, has a progress report been included?
PART C: In the spaces provided below, please provide the requested information.
Business Official to be notified If an award Is to be made
prefix:
D r
_
" Last Name:
Title:
Patrice
Middle Name;
Suffix:
Harris
Director, Health Services
Organization:
Address:
-streeti;
99 Jesse Hill J r . Drive
Street 2:
•City:
* Stale:
Atlanta
: Georgia
* Country: jiJSA: UHITED STATES
-Telcphona Number: [404-730-1202
E-mail Address:
[email protected]
Fax Number:
APPLICANT ORGANIZATION'S 12-DIGIT DHHS EIN (If already assigned)
•"!
58-6001729
,
D
5. Has the "Budget Information" page, SF-424A (Non-Construction Programs) or SF-424C (Construction
Programs), been completed and included?
Name:
_
[vl
Province:
* Zip/Postal Coda:
30303
•
PHS-5161-1(7/0O)
PART C (Continued): In the spaces provided below, please provide the requested information.
Program Director/Projec!Direaor/Prino'pal I rweslioator designated to dree) the proposed project
Prefix: j p r >
| • First Name: | P a t r i c e
I
•LaslNamo: j f j a r r i a
Middle N a m e :
|
e
™ l Ipirector, Health Services
Suffix:
I
Organization:
At
*dress:
"Streeti: J99 Jesse H i l l J r . Drive
SireeQ:
•City;
fitlanta
• Stale:
GA: Georqia
Province:
"Country;
DSfl: UNITED STATES
'Zip/Postal Code: J303Q3
'Telephone Number:
404-730-1202
E-mail Address:
Patrice•harrisgfultoncoTmtvqa.gov
Fax Number:
SOCIAL SECURITY NUMBER
HIGHEST DEGREE EARNED
PART D.' A private, nonprofit organization must include evidence of its nonprofit stains with the application. Any of the'followirigf'js1 ac'ceptaDle '
evidence. Check the appropriate box or complete the "Previously Filed" section, whichever is applicable.
I I fa) A reference to the organization's listing in the Internal Revenue Service's (IRS) most recent list of tax-exempt organizations described In section
L
- ' 501(c){3) of the IRS Code.
jT] £b) A copy of a currently valid Internal Revenue Service Tax exemption certificate.
. .,
f—j
'—'
(c) A statement from a State taxing body, State Attorney General, or other appropriate State official certifying that the applicant organization has a
nonprofit status and that none of the net earnings accrue io any private shareholders or individuals. •
P]
(d) A certified copy of the organization's certificate of incorporation or similar document if it clearly establishes the nonprofit status of the organization.
j—i
'—'
(e) Any of (he above proof for a State or national parent organization, and a statement signed by-the parentorganization that the applicant organization
is a local nonprofit affiliate.
If an applicant has evidence of current nonprofit status on file with an agency of PHS, it will not be necessary to file similar papers again, but the place
and date of filing must be indicated.
Previously Filed with: "(Agency)
on '(Date)
INVENTIONS
If this is an application for continued support, include: (1) the report of inventions conceived or reduced to practice required by the terms and conditions of
the grant; or (2) a list of inventions already reported, or (3) a negative certification.
EXECUTIVE ORDER 12372
Effective September 30,1983, Executive Order 12372
{Intergovernmental Review of Federal Programs) directed OMB to
abolish OMB Circular A-95 and establish a new process for consulting
with State and local elected officials on proposed Federal financial
assistance. The Department of Health and Human Services
implemented the Executive Order through regulations at 45 CFR Part
100 (Inter-governmental Review of Department of Health and Human
Services Programs and Activities). The objectives of the Executive
Order are to (1) increase State flexibility to design a consultation
process and select the programs it wishes to review, (2) Increase the
ability of State and local elected officials to influence Federal decisions
and (3) compel Federal officials to be responsive to State concerns, or
explain the reasons.
The regulations at 45 CFR Part 100 were published in Federal
Registeron June 24,1983, along with a notice identifying the
Department's programs that are subject to the provisions of Executive Order
12372. Information regarding PHS programs subject to Executive Order 12372
is also available from the appropriate awarding office.
states participating in this program establish State Single Points of Contact
(SPOCs) to coordinate and manage the review and comment on proposed Federal
financial assistance. Applicants should contact the Governor's office for
information regarding the SPOC, programs selected for review, and the
consultation (review) process designed by their State.
Applicants are to certify on the face page of the SF-424 (attached) whether the
request is for a program covered under Executive Order. 12372 and, where
appropriate, whether the State has been given an opportunity to comment.
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I.
Program Infrastructure and Fiscal Management
A. Identify required staff, qualifications and responsibilities.
The staff leader for this project will be Dr. Patricia Harris, Director of Health Services for
Fulton County. She is responsible for the oversight of public health, behavioral health, and
primary care services provided to all county residents. She holds a medical degree from West
Virginia University School of Medicine and completed her residency and fellowship training at
the Emory University School of Medicine. Dr. Harris possesses extensive experience in health
care delivery, program development and implementation, quality assurance, policy development,
and legislative advocacy. The project will :be staffed by the following positions:
Health Program Manager, Project Director, two Administrative Coordinators, two
Health Outreach Worker Supervisors, five Health Coordinators, five Behavioral Health
Clinicians, ten Health Outreach Workers and ten Peer Educators.
(See Appendix 1: Organizational Chart),
Program Manager (Larry Johnson, MPH) 1.0 FTE With a Masters degree in public health from
the University of Northern Colorado, Mr. Larry Johnson brings to this position over 14
years experience in managing Community Based Participatory Approach (CPBA)
driven community initiatives locally and nationally. He has participated in broadcast radio and
television programs. He has been a featured speaker at national conferences and serves as a
consultant to other similar programs across the nation. For the past 6 years, Mr. Johnson has
managed Fulton County Department of Health and Wellness' (FCDHW) existing CDC
funded REACH 2010 project and through that has established working relationships with
many key community stakeholders. As the Program Manager for this project, he will
supervise the project director and provide oversight for the Be Fit 4 Life (BF4L) initiative.
Project Director, (To Be Hired) 1.0 full time employee (FTE) This position will have overall
responsibility for the day-to-day operation of this initiative, oversee the coordination of key
community partners/stakeholders; assigned staff supervision; oversight of program evaluation
and the generation and submission of required CDC reports. The project director will report to
the Health Program Manager. The minimum qualifications for this position will be a bachelor's
degree.
Health Coordinators (Colet Odenigbo, BS, MPA and Deborah Cherry, B.S.) (4 full time FTE
and 2 part time) We plan on hiring two (FTE) additional Health Coordinators (HC) and two part
time HCs. These positions will be .responsible for program development and guiding the
program implementation. These positions will provide the coordination of the. BF4L and RFW
Coalitions, monitor and evaluates the program's progress; manage the work of the service
providers along with having responsibility for providing oversight for a specified set of
intervention strategies. The minimum qualifications for this position will be a bachelor's degree.
Behavioral Health Clinician II 5 full time (FTE) positions These positions will focus on
providing individual, family, and/or group behavioral health therapy. These Behavioral Health
Clinician Us will provide community consultation, education, and prevention services.
Coordinate meetings between family members, psychologists, educators, and other professionals.
Provide in-home screenings and evaluation of clients. The minimum qualifications for these
positions will be a Master's degree in behavioral science, 2 years experience providing
behavioral health services, and a valid State of Georgia license as a professional counselor.
Administrative Coordinator I (To Be Hired, 2.0 Full time (FTE) positions) These individuals
must have several years experience in office management. These positions will be responsible
for the overall office management; procurement; assisting the Program Manager with the
coordination of activities with the BF4L Coalition and personnel evaluation; assist with
preparation and submission of project reports and co-coordination of community events. The
minimum qualifications for this position will be a bachelor's degree.
Health Outreach Worker Supervisor (To be Hired, 2.0 Full time (FTE) positions) Staff will
coordinate community outreach and engagement efforts and assist with preparation and
submission of project reports and co-coordination of community events. The minimum
qualifications for these positions will be a high school diploma and 3 years experience in public
health and outreach program duties with 1 year supervisory experience.
Health Outreach Workers/To Be Hired, 10 Full time (FTE) positions) Staff will do outreach,
activities to connect residents with the Wellness Zone activities and programs. They will assist
in getting residents to attend coalition meetings. These staff will routinely interface with the
community through community site visits, surveys, information distribution and all other
community outreach projects. The minimum qualifications for these positions will be a high
school diploma and 2 years experience in public health..
Public Health Nurses II (To Be Hired, 2 Full time (FTE) positions) Staff will support the
physicians during client evaluation and assist with patient assessments at Wellness Zones. The
Physicians (1 full time FTE and 1 part time) Performs physical exams and assess all children for
health and wellness. Assess children for obesity during annual physical. Monitors progress.
Fitness Health Coordinator (To Be Hired, 1 Full time (FTE) positions)Individual will
coordinate Fitness activities at all Wellness Zones and partner sites. The minimum qualifications
for this position will be a bachelor's degree.
Nutritionist (To Be Hired, 2 Full time (FTE) positions) Will evaluate diets of obese clients,
perform assessments and provide dietary counseling.
Monitor progress of children and make
recommendations to parents. Oversee nutritional labs and cooking demonstrations. The
(See Appendix 2: Curriculum Vitae/Resumes for Key Personnel)
C. Describefinancialmanagement systems that are in place to fulfill the Recovery Act reporting
requirements outlined in section VI. 3,
AMS Advantage is the financial management system that Fulton County will use to
fulfill--the Recovery. Act reporting requirements. This system allows Fulton jCounty..tpicapture
expenditures and revenues by sub-recipient (sub-grantee and sub-contractor).
The system
generates several reports (A103, A203) that contain the following information: The total amount
of me Recovery Act funds, the amount of funds received, obligated, and expended to projects or
activities. The amount of unobligated award balances, and detailed list of all projects or
activities. These are the procedures in which Fulton County's Grant Management Division will
adhere to ensure compliance with all Federal regulations:
1.
The Grants Division will review the detailed budget to ensure compliance with the
grant contract. New grants are review for financial reporting requirements and the
method of requesting and receiving grants funds.
The Financial Systems
Administrator of the Accounting Division establishes a unit number and object codes.
2.
The FCDHW will establish the detailed budget in the AMS financial management
system.
3.
The Grants Division (GD) personnel will review the budget established in AMS
comparing it with the hard copy of the budget. Once the budget is validated by the
GD, the budget department will receive and approve the operating budget.
4.
This establishes the budget in AMS for used by the user department.
5.
The Grants Division personnel will submit the financial quarterly reports to the
granting agency. The user department will submit any programmatic reports required
by the grant to the granting agency.
D. Describe how proposed efforts will be sustained after Recovery Act funding has ceased.
•••«i'j\.y>...The. activities in this proposal will continue beyon&,grant,fu£ding with .support
from our community partnerships and county in-kind donations. Policy initiatives and
advocacy will go beyond the life> of this .proposal, as will the multidisciplinary
facilities which will continue to provide obesity camps, nutritional counseling,
healthcare and other weight control services. Nontraditional health sites such as
churches, beauty salons and barber shops will continue to be used as information
centers. Fulton County has focused on health disparities for the past ten years and that
work has included a focus on obesity. This proposal helps move those initiatives
forward and intensifies the commitment toward reducing obesity. Fulton County is
prepared to continue the efforts proposed in this request and looks forward to doing so
with assistance from its collaborative partners. The BF4L Coalition has a strong
commitment to identifying alternative funding sources to sustain operational costs of
this project and will therefore cultivate funding streams for sustatnability. This includes
partners donating their time to serve as guest speakers, consultants and community
advocates on health issues. Health care suppliers will be solicited to offer special
discounts for Coalition partners who provide care to patients. In addition, Coalition
partners will actively pursue public and private funding sources such as the National
Institute
of Health,
Robert
Wood Johnson
Foundation,
State
and
local
government agencies and area corporations. This project will serve as a national model for
improving access to health care and social services, potential donors are likely to view
the project more favorably than projects that have not been able to demonstrate their
effectiveness. Partners will work with congressional and state officials to gain their support for
setting aside funds in their respective budgets for this project. Finally, our wellness
..websites, brochures, and newsletters will encourage prospective- donoxs to support this
project along with our other initiatives. Funding acquired through sale of produce generated
through community gardens will be reinvested in this initiative for sustainability. As Coalition
Members gain experience during the.implementation process, they will raise funds to support the
project through consultant fees by mentoring other counties. The County and City of Atlanta
governments and their community partners have identified funding streams that are specifically
dedicated
to
improve
community
infrastructure
including
funding
for
nutritional
supplement/counseling and development of safe highways, parks and streets and housing that
will help to sustain this initiative. Wellness Zones (WZ) that are strategically placed within the
targeted communities that have a disproportionate burden of health disparities will sustain
community engagement as service sites and health homes. The WZs are located in areas with
the highest disease burdens in children and adults in several City of Atlanta neighborhood
planning units. These neighborhood planning units are NPU-V, NPU-L, NPU-Y and NPU-H
(See the attached charts). These sites are as follows: Oak Hill Children, Adolescent and Family
Center (central hub for this initiative), North Fulton Service Center, Neighborhood Union
Health Center, The Atlanta Civic Site, Adamsville Health Center, and College Park Regional
Health Center. These multidisciplinary facilities were designed to support the individuals in
communities with special service needs. Each site provides public health services with the
integration of social services and primary care. Fulton County will expand its efforts to address
behavioral health issues related to obesity and physical inactivity at all these sites through the
BF4L project by implementing a Behavioral Health component at all WZ sites. Nutritionists and
physicians, public health nurses and behavioral clinicians will provide behavioral counseling,
cognitive restructuring, health evaluations and social support for obese children and their
families at the Oak Hill site. High risk clients will be,referred.to Oak Hill by all partners and
other wellness zone sites. This Wellness Campus will provide exercise regimens, diet
modifications and other health /wellness programming to support high risk children. Behavioral
Clinicians will counsel clients on cognitive issues associated with obesity to improve and.
promote healthy eating behaviors. The BF4L campaign will include the creation of health
coordinators to coordinate obesity prevention at the remaining wellness zone sites to include
exercise, nutritional awareness programs, culinary demonstrations and community gardening
activities to ensure access to Fulton County Overall.
II. Leadership Team and Coalitions
A, Identify potential members of the leadership team.
The leadership team is composed of leaders of the BF4L collaborative partners. Those leaders
and their organizations are as follows: 1) Dr. Patrice Harris, Director of Health Services, Fulton
County, 2) Zachary Williams, County Manager ,Fulton County Government, 3) Mayor Shirley
Franklin, City of Atlanta, 4) Gayle Hayes, Annie E. Casey Foundation, 5) Dr. Yvonne Sanders
Butler, Healthy Behavior Resource Group, Inc., 7) Dr. Richard Bullard, Clark Atlanta University
8) Cindy Loe, PhD, Superintendent, Fulton County Board of Education, 8) Beverly L. Hall, PhD,
Superintendent, Atlanta Board of Education 9) Larry Johnson, MPH, Program Director, Fulton
County Health and Wellness and 10) Cathy Richards, Chairperson Neighborhood Planning UnitH. (See Appendix 3) The Leadership team will advocate for public policy to support inclusion of
all Fulton County residents and their communities in this initiative. This team will produce
empowered communities as community leaders drive this process. These public policy efforts
will be all-inclusive and mandate wrap-around services including both traditional socioeconomic approaches and new approaches that address the social climate and physical
environment. (Letters of Support Detailing Broad abased policy Changes in Appendix 4)
B. Coalitions- Provide a description of existing community coalitions or coalitions.
Describe past successes of, existing coalitions.
Fulton County Department of •Health and Wellness (FCDHW) has an established history
of collaborating with and providing leadership to large multi-jurisdictional and local community
collaborative, including serving as a lead agency in the following coalitions: Atlanta REACHfor
Wellness Coalition, Fulton County Chronic Disease Prevention Coalition, Atlanta Regional
Health Forum, H.E.A.R.T. Coalition, Atlanta Healthy Start Consortium, Atlanta Fulton
Family Connection, Atlanta Community Access Coalition, Zap Asthma Coalition and
numerous other community coalitions. FCDHW also completed a 5-year HRSA funded
Community Access Program (CAP) grant which used a community-based participatory
approach (CBPA) model to improve health care access for underserved populations.
The principal partners of the REACH Coalition included Morehouse School of Medicine,
Association of Black Cardiologists, Divine Universal Sisterhood, and Sisters Action
Team. These principle partners have worked closely together on the REACH for
Wellness project for eight years and plan to continue this relationship. Coalition Member
Rosters - Appendix 5:
As a recipient of the REACH for Wellness grant for the past 8 years, the FCDHW has
proudly implemented this highly successful project. The Fulton County Department of Health and
Wellness has received national recognition for efforts toward improving the health and well
being of Atlanta residents. Through this initiative, the collaborators hope to build upon the
programs and projects that were previously implemented.
Below is a brief summary of successes:
•
Served over 28,000 persons through nutrition education, empowerment groups, smoking
cessation sessions, physical activity classes, and blood pressure monitoring and special
events.
•
Hosted the National Organization of Black Officials, Inc. health disparities initiative in
conjunction with the Joint Center for Political and Economic Studies Health Policy
Institute and the Summit Health Institute for Research Education.
•
Selected as the feature site to host the REACH 2010 Video Production 2005
•
Featured in weekly MMWR publication - Health Disparities Experienced by Racial/
Ethnic Minority Populations on August 27,2004.
•
Recognized in the U. S. Department of Health and Human Services 2003 Prevention
Programs in Action "Steps to a Healthier US" publication as a lead organization in
improving the cardiovascular health among African Americans residing the Atlanta
Empowerment Zone.
•
Presented at the Research through Academy-Community Partnership (RAP) conference
on Community Partnership with the United Negro College Fund Special Programs
Corporation.
•
Highlighted in CDC Prevention Programs in Action, Steps to a Healthier US
publication.
•
A complete listing of accomplishments entitled, "We Are So Proud" can be found in
Attachment J: Evidence of Prior Work.
D. Include list of other Federal ARRA collaborations.
Fulton County has been awarded 12 ARRA grants to date. Preservation of Jobs in the
Arts grant, STOP Violence Against Women grant, two Byrne Local Justice Assistance grants,
Energy
Efficiency
and- Conservation
grant,
Community
Development
Block
Grant,
Neighborhood Stabilization grant, Homeless Prevention grant, three Workforce Investment
grants and COPS Hiring grant. While these projects do not directly address obesity, many do
address other factors in some of the targeted communities that affect the overall health of
neighborhoods and individuals. For example, Fulton County will be able to provide affordable
housing, ensure adequate police protection, and support various social services through .block
grant funding while targeting human needs that must be addressed in order to focus on critical
health issues.
Our partners with the BF4L initiative have received ARRA funding, and will be
supporting this initiative to sustain this work in Fulton County and several targeted communities.
The following partners have received awards: Fulton County Human Services and Public Works,
Annie E. Casey Foundation, Atlanta Regional Commission, Clark Atlanta University, Georgia
State University, Georgia Institute of Technology University, Fulton County Schools and Atlanta
Public Schools.
HI. Intervention Area and Populations of Need
10
A.
Describe the jurisdiction
of the health department (intervention area)
including a thorough description of the exact population size and location of the populations
to be served.
Fulton County's Department of Health and WelLaess serves all of Fulton County.
According to U.S. Census Bureau figures obtained from the 2008 American Community Survey
(ACS), the total population of Fulton County, GA is estimated at 1,014,932. There are 10
municipalities (Alpharetta, Chattahoochee Hills, East Point, Fairburn, Hapeville, Johns
Creek, Milton, Roswell, Sandy Springs, and Union City) and four others located
partially in the.count-y.^-Atianta, College Park, Mountain Park, and Palmetto).. While-some.,
of the city of Atlanta is located outside of Fulton County, it holds the largest portion of
the county's residents, serving as the home to more than 49% of the total County's
population. Most of the population resides in one of the fourteen incorporated areas, with
only. 11% residing in unincorporated Fulton County, in the southern portiorôf the county.
The existing burden and disparities of chronic diseases and conditions is well
documented in the 2008 Georgia Health Disparities Report, published annually by the
Georgia Department of Community Health. While health risk behaviors are not available at the
county level in this report, they are well documented at the state level. For example
according to this report, African-American middle school children were more likely to be
obese (17%) than white children (11%). The report also states that Hispanic/Latino
and African-American children get less recommended physical activity than their white
classmates. (Georgia Health Disparities Report 2008) Other data about Georgia's
obesity includes the following facts;
•
1.9 million (29%) adult Georgians are obese (Georgia Department of Community
11
Health, 2008 Georgia Data Summary)
•
In Georgia, the medical costs associated with adult obesity were $2.1 billion
in 2003 (CDC, Overweight and Obesity-Georgia Profile).
•
15,000 (15%) children ages 2-4 years in the Women, Infant, and
Children (WIC) program are obese (Georgia 2008 Obesity Summary)
•
YBRSS data indicate that 13.8% of Georgia students in grades 9 to 12 are obese.
•
28,000 (24%) third grade children are obese (2006 Pediatric
Nutrition
Surveillance System).
According<'to the Georgia Department of Community Health Disparity-Report
the existing burden of chronic disease in Fulton County is most notably expressed in
the YPLL (years of productive life lost) factor with a comparison ratio between
African American or black and white of 2 to .04, creating a failing grade for Fulton
County and representing 4,514 years of life lost due to premature deaths. Other health
disparities and health behaviors in the report include:
•
Hispanics/Latinos are twice as likely to diefromheart disease than whites
•
The death rate from diabetes is two times higher for African-American women
than for white women
•
African-American middle school children were more likely to be obese (17%) than
white children (11%)
Other data substantiating the existing burden of chronic disease in Fulton County is
reported in the Georgia Division of Public Health's Online Analytical Statistical
Information System (OASIS.) According to OASIS morbidity data, there were 1,569
hospital discharges with a principle diagnosis of diabetes among Fulton County
12
residents in 2007. This data also indicate 11,247 hospital discharges with a principle
diagnosis of cardiovascular disease (CVD) among Fuiton County residents during the
same period.
This project is designed to reach all Fulton County residents. Four specific areas of
Fulton County stand out as areas of high need with significant disparities in mortality
rates from both heart disease and diabetes. Data were collected on these areas using
census tracts in a five mile radius surrounding the health centers described. Some
census tracts/service areas overlap so percentages do not reflect 100%. The first of
.tlies.e1,i.:arjeas,.is Adamsville Regional Health Center's catchment, locaj£cL.in. the- area
surrounding the intersection of MLK Jr. Drive and Fairburn Road in NPU-H. The
northern boundary is defined by-interstate 20 and the eastern boundary by interstate
285. The area is also defined by a high .concentration of poverty as almost 60% of-all
Fulton County families receiving Temporary Assistance for Needy Families (TANF)
reside in this area. (Fulton County Department of Family and Children's Services) This
area suffers from a higher mortality rate from heart disease at 247.3 deaths per 100,000
persons, a rate 1.7 times higher than the rate for Fulton County overall. From 2003 —
2007, 1,825 Adamsville deaths resulted from heart disease, representing 17.3% of all
heart disease deaths in Fulton County. (Georgia Department of Community Health) Deaths
from diabetes are 2.2% higher in the Adamsville area than in the rest of Fulton County,
representing 35% of all diabetes deaths in Fulton County. (Georgia Department of
Community Health)
The second area demonstrating high need, based on mortality rates, is the
area surrounding the College Park Regional Health Center. According to the 2000 U.S.
13
Census, approximately 20% of residents in this area live below the poverty level.
From 2003 to 2007, the mortality rate due to heart disease was 1.4 times higher than
the rate for the rest of Fulton County. During the same period, deaths from heart disease
in this area represented 30% of all heart disease deaths in Fulton County. (Georgia
Department of Community Health) Deaths from diabetes were 1.7 times higher than
that of Fulton County overall and 36% of all diabetes deaths in Fulton County were
among residents from this area. (Georgia Department of Community Health)
The third significant area of high need is located in NPU-V, NPU-Y,
vaad. NPU-L.-These communities are serviced by the Neighborhood Union Health
Center, in the Vine City area of Atlanta. A five mile radius surrounding this health
center has both the highest percentage.; of TANF and Food Stamp recipients of
Fulton County. (Fulton County Department of Family and Children's Services) From
2003 to 2007 the mortality rate due to heart disease was 1.3 times higher than the rate
•for the rest of the county. During that same period deaths from diabetes were 1.4 times
higher than the rate for the entire county. (Georgia Department of Community Health) The rates
of poverty within the NPU-V are higher than the rest of Atlanta, Fulton County, and the state of
Georgia. The rate of families living in poverty in the NPU-V and its neighboring NPUs Y and L
is four times greater then the rate of families living in poverty in the U.S. and three times greater
then Fulton County. Additionally, only 53% of residents 25 years and older have a high school
diploma/GED in these NPUs, compared to Fulton County with 84% and City of Atlanta with
76.9%. Studies have shown that children with parents who have less than a high school diploma
show disparities in their general health. Furthermore, within these NPUs there is a lack of access
to and availability of grocery stores and/or businesses that offer nutritional food options. There
14
are also a limited number of locations or providers for organized physical activities. As a result
of these factors, one of the most prevalent health problems for residents of NPU- V, NPU-Y and
NPU- L is obesity.
IV. Selection of Risk Factors and InterventionsA. Riskfactors to be addressed:
The proposed intervention will address three major risk factors: obesity, physical activity
and nutrition. Risk factors and behaviors that are associated with increased risk for obesity and
a sentinel disease of cardiovascular disease were selected.
Obesity/Physical Activity: The objectives of this-activity..are:. 1). to prevent obesity by
developing a county-wide Active Living Master Plan that identifies existing pedestrian, bicycle,
and park facilities, recommends policy changes, and prioritizes future investments; 2) to develop
a Walking Demand Index, which measures factors likely to generate walking; 3) to develop a
Deficiency Index, which measures how critically pedestrian facilities are needed based on traffic
volume, crash data, and lack of sidewalks, lighting, and safe crossings; 4) to develop establishing
walkable streets in high risk of areas for pedestrian injuries or fatalities; 5) identifying barriers to
walking and prioritizing potential solutions; 6) to develop educational materials on pedestrian
safety that have been widely distributed by the Governor's Office on Highway Safety, as well as
local police officers and judges; 7) assist the Department of Driver Services to update the
Georgia Drivers Manual; 8) to promote the installation of "in-street" crosswalk signs, which
have resulted in dramatic increases in motorist compliance with crosswalk laws; and 9) to
implement an effective 8-year Safe Routes to School Program.
Obesity/Nutrition: The objectives of this activity are: 1) to increase the proportion of
intervention participants who report eating five servings of fruits and vegetables a day by 15% as
15
evaluated by both the internal evaluation, and the YRBSS and BRFSS surveys; 2) to increase
the participants' knowledge of CVD risk factors and risk factors reduction strategies; 3) to
increase the participants' understanding of dietary risk factors, i.e., fat and types of fats
(saturated vs. unsaturated; trans-fatty acids; omega-fatty acids (fish); types of cholesterol), fibers,
salt, sugar, liquid; 4) to increase the participants' skills regarding reading and understanding food
labels and labeling; 5) to increase the participants' knowledge and ability to replicate healthy
cooking techniques and adoption of such techniques; and
6) to decrease the participants'
consumption of fast food.
The project evaluation will use a.-Jongitudinal ..design to test the efficacy of obesity,
physical activity and nutrition risk reduction and health promotion intervention designed to
reduce risk CVDs health outcomes. This prevention intervention incorporates a communitybased intervention component -foi community member ages IS to 70 and their families
(children). This study will compare all MAPPS conditions to discern effectiveness of each
intervention activity across the entire study sample.
Participants across all conditions will
receive the same protocols with respect to obesity, physical activity and nutrition health
messages. For example in schools participants will receive the standard education in the form of
prevention and knowledge messages disseminated with report cards and progress reports, in
churches knowledge messages will be disseminated via fans and church bulletins,
and to
children under age of eight an their parents via coloring books. Participants enrolled in the study
will complete interviews at baseline (Ti), immediate post-intervention (T2), 2-month (T3), 3month (T4), and 9-month (T5) 15 months following Ti.
Pre- Intervention Activities:
16
1. Focus Group: The focus group interview is a useful qualitative method to gain
participants' perspectives and identify patterns that will aid in programmatic planning (1).
During months 2-5 of year 1, project staff proposes a series of focus groups with participants
from selected intervention sites. Nine focus groups will be held with 8-10 members each.
Individuals who participate will be offered a food incentive that will be made available to them
during the groups. Discussion guides will be developed to direct the discussions and capture
desired information. Topics will include: suggestions/feedback for social marketing CVD risk
reduction prevention messages, intervention content, format for community intervention, and
suggestions for suitable incentives.--Participants .will b& provided healthy demonstration meals as.
an incentive to participate.
2. Establishing an Advisory Committee: The Project Advisory Committee (PAC) will be
used to provide valuable insight and additional human resources during various phases of the
proposed study. (Members to be determined) Tasks include, but are not limited to, reviewing the
content and format of the protocol, design and refinement of recruitment and interview and
intervention procedures, and general oversight of issues regarding health promotion concerns
among the target population. The committee will meet approximately four times per year. In lieu
of face-to-face quarterly meetings, two of the quarterly meetings will utilize a conference call
procedure.
In addition to their presence and participation during these meetings, members will
also review materials periodically. Committee members' participation is on an in-kind basis.
3. Training Peer/Community Educators:
For the purpose of the proposed intervention,
youth educators will be incorporated. The peer educators will be recruited from the selected
target sites.
The peer educators will serve to not only assist in facilitating the community
sessions, but also serve as project interviewers. The peer educators will also conduct follow-up
17
telephone calls when required to aid in retention. Careful attention will be paid in selecting peer
educators who will be seen as credible in the eyes of the participants. Peer educators will attend a
training workshop conducted by the Principal Investigator with the assistance of other members
of the project team. They will have an additional training session to address the responsibility of
being viewed as representatives of the community and the project.
The monitoring of the
community leaders will mirror the monitoring of the facilitators. Interviewers and peer educators
will be required to conduct the baseline and follow-up interviews at intervention sites.
The
interviewers will attend a one-day intensive training session at the beginning of the project and a
two-day training session.one .week.before data collection. This session will include a thorough-;
description of the rationale and aims of the project and a discussion of ethical guidelines for
interviewing adolescent participants. The session will also cover basic interviewing skills such as
item presentation, topic control., and relationship building with participants; probing, feedback,
and problems that could arise during an interview. Procedures for handling abuse, assault, and
mental health problems and any. required reporting guidelines will be covered. The interviewers
will have adequate time to practice the screening and baseline interviews.
The 2-day training
session will include familiarizing the interviewers with church regulations, and meeting the staff.
4. Training Facility and Community Facilitators: The project team will conduct training
of the peer/Community educators. Training will take place together so that a team approach is
developed and a clear definition of responsibilities is established. A training manual will be
developed and clear guidelines for program implementation specified.
The training for the
facilitators will provide an overview of the theoretical underpinnings and goals of the project, and
hands-on training in presenting material and leading group discussions for church members. They
will be coached and observed in conducting practice sessions and the training will also include the
18
use of actual print media (based on initial focus group findings) to address their own personal
biases. Program implementation will be monitored by the program manager and project director.
Team meetings via conference calls (for facility facilitators) will be scheduled on a bi-weekly
basis to provide detailed feedback and to address any issues. Bi-weekly meetings with the
community facilitators will take place at FCDHW. The project team will tape record random
interventions for the sole purpose of monitoring and evaluating the peer educators.
Peer
educators will be required to initial a checklist, after each session, acknowledging completion of
all activities or noting why an activity was not completed. Additional monitoring and evaluation
-of the peer educators will-take .place by their peers in a peer review process. The project director* <
will review all evaluations, self or peer, within 24 hours of the process. Booster training sessions
.>will be conducted with peer educators on a regular basis to .ensure adherence to the curriculum
and fidelity of intervention delivery. In addition, the peer educators will be able to obtain current
information about the participant's address and phone number upon study enrollment to be kept in
a secure file to be accessed only by project staff.
B. Identify Intervention Strategies:
In order to address the specific chronic disease risk factors regarding nutrition, obesity
and physical activity, project leaders will implement population-based approaches such as
policy, systems, and environmental changes across five evidence-based MAPPS strategies
(Media, Access, Point of purchase and promotion, Price, and Social support and services) in both
communities and schools.
The BF4L Coalition will combine their resources to implement the following intervention
strategies to address obesity, obesity, poor nutrition and physical inactivity. The interventions
will be multifaceted and target the following general areas:
19
1. Community Intervention Strategies for Increased Physical Activity (Media,
Access, Point of purchase and Promotion, Price): This project seeks to prevent obesity by
developing a county-wide Active Living Master Plan that identifies existing pedestrian, bicycle,
and park facilities, recommends policy changes, and prioritize future investments.
The
pedestrian component would use GIS Mapping to develop a Walking Demand Index, which
measures factors likely to generate walking, and a Deficiency Index, which measures how
critically pedestrian facilities are needed based on traffic volume, crash data, and lack of
sidewalks, lighting, and safe crossings. The plan would also use the findings of the FHWA
r e p o r t e r safety,effects of marked and unmarked crosswalks to identify crossing improvementsneeded to enable people to access transit safely. This proposal also seeks to prevent obesity and
chronic health problems associated with it by establishing walkable and bikable routes for
residents.
Studies have shown that living in activity-friendly neighborhoods have positive
benefits in preventing weight gain, increasing life expectancy, reducing the risk of developing
several chronic rillnesses, including CVD, type 2 diabetes, and some cancers. The strategies to
increase physical activity are as follows:
a. Promote increased overall general physical activity for children and adults:
This initiative is aimed at creating and maintaining healthy lifestyles for kids and their parents
and getting kids to be active throughout the day. Physical Activity programs for the youth are
most likely to be effective when they:
Offer a diverse range of noncompetitive and competitive activities appropriate for different
ages and abilities.
Give the youth the skills and confidence they need to be physically active.
Promote physical activity through all components of a coordinated school health program
20
•
Develop links between school and community programs.
b. Develop residential camp programs: this project will establish camps designed to
address childhood obesity and to promote healthier lifestyles through health literacy, nutrition,
fitness, exercise, positive thinking, and self-responsibility. Partners will offer scholarships for
youths in high risk areas for physical activity programs, athletic camps, afterschool programs and
obesity camps.
c. Traditional Physical Activity Programs: Initiative will focus on increased
programmatic support for Swimming, Tennis and Basketball. This includes lessons and support
foE-building and coaching sports teams. .,
-
-..^.,~ <...,,
d. Healthy Lifestyle Programs: Initiative will focus on increased programmatic support
for other physical activity programs like yoga;"dance, etc that support healthy active lifestyles for
children and adults. Identify coinmunity health fitness resources and to;advocate for the
expansion of these resources.
e. Advocacy and literacy workshops: Inclusive of health education and disease prevention
through behavioral modification and personal empowerment of life management skills, partners
will employ advocacy and economic literacy workshops and seminars to support this project
2. Nutrition: Ensure Availability of Affordable Healthy Food and Beverages (Media,
Access, Point of purchase and Promotion, Price): This activity has the following objectives:
1) to increase the proportion of intervention participants who report eating five servings of fruits
and vegetables a day by 15% as evaluated by both the internal evaluation and the YRBSS and
BRPSS surveys; 2) to increase the participants' knowledge of CVD risk factors and risk factors
reduction strategies; 3) to increase the participants' understanding of dietary risk factors, i.e., fat
and types of fats (saturated vs. unsaturated; trans-fatty acids; omega-fatty acids (fish); types of
21
cholesterol), fibers, salt, sugar, liquid; 4) to increase the participants' skills regarding reading and
understanding food labels and labeling; 5) to increase the participants' knowledge and ability to
replicate healthy cooking techniques and adoption of such techniques; and 6) to decrease the
participants' consumptions of fast food).
a. Improve Availability of Affordable Healthier Food and Beverage Choices in Public
Service Venues: This intervention strategy will be implemented to improve availability and
affordability of healthier foods and beverages with an incentive of lowering prices of healthier
foods in public service venues (e.g., schools and recreation centers) include, but are not limited
-to,, decreasing the prices of healthier foods sold in vending ..machines and in cafeterias and
relative to less healthy foods.
Fulton County Public Schools and Atlanta Public Schools have an integral role in this
initiative by providing systems change to ensure the availability of healthier foods and beverages
for children. The BF4L collaborative will also advocate expanding the availability of healthier
foods in other public service venues positioned to influence children and their families to include
after-school programs, child care centers, community parks and recreational facilities.
The
collaborative will also advocate for healthier foods and beverages for vending machines within
city and county buildings, prisons, and juvenile detention centers in an effort to promote the
consumption of healthier foods.
b. Community Gardens and Farmer's Markets: The FCDHW will establish and support
the operation and maintenance of community gardens and farmer markets at sites to include
wellness zones, neighborhood centers, multi-purpose senior and community centers, low-income
housing to expand access to nutritious food, increase physical activity levels, provide opportunity
for socialization and learning, and promote healthy living and healthy aging. This initiative will
22
be a collaborative effort to develop a model to guide community based organizations with the
design, implementation and sustainability of community gardens. Project leaders will develop a
plan to enhance coordination and expand access to fresh fruits and vegetables by expanding the
number and types of sites.
c. Community Health Promotion, Health and Nutrition Centers: These centers will be
established at twenty neighborhood churches and will employ (on a part-time basis) congregation
members who are health personnel to serve as Community Health Workers (CHW). These
Chews will help church members monitor their health status (blood pressure, weight, and other
indicators), provide basic health promotion mformation,-tand refer members to health system
resources as needed.
e. Nutrition/Physical Activity Health Practices Awareness: Initiative will promote images
of individuals engaged in positive -nutrition/physical activity health practices. The following
social marketing activities will be implemented across the county to promote positive images of
participants engaged in beneficial nutrition and physical activity practices.
f. Empowering Parents to Embrace Excellence (EP)3: This program is designed for
parents to not only understand the value of lifestyle changes, nutrition, physical activities and
challenges, it also provides parents an opportunity to come together with their peers (other
parents) to share, network and bond. The parents have an opportunity to understand the effect
of establishing healthy lifestyles for the family and help understand the impact of childhood
obesity.
g. Project Advisory Council (PAC): The PAC will meet bimonthly to learn about
gardening, physical activity, health and nutrition and to learn and practice leadership skills such
as speaking to an audience, organizing events, and running a community or school garden.
23
Trainers from the American Community Gardening Association (ACGA) will use a proven trainthe-trainer module to train new and returning community gardeners in good practices designed to
sustain the gardens over long periods.
h. increase Availability of Healthier Food and Beverage Choices in Community: The
main goals for this activity are to improve the availability of healthy foods in local stores and
promote the purchase of healthy food alternatives in local stores using health communications
approaches.
3. Policy and system change throughout Fulton County and City Governments: Fulton
County is working with its partners'to improve'transportation and housing options, promoting"
health and wellness activities, and providing access to information that are the key components
of building a healthy community for all ages and a place individuals can live throughout their
lifetime.
a. Promote walking arid bicycling by Fulton County residents: This objective seeks to
prevent obesity by developing a county-wide Active Living Master Plan that identifies existing
pedestrian, bicycle, and park facilities, recommends policy changes, and prioritize future
investment dedicated to making the environment safe for all pedestrians. Project leaders will
work to improve engineering of the pedestrian environment, increase enforcement of pedestrian
safety and educate drivers about their responsibilities to pedestrians and change community
attitudes to favor pedestrians.
b. Increase community participation in community coalitions or partnerships to address
obesity: Project goal will be to establish on-going collaborations for staff training of network of
community based organizations (CBOs) around healthy foods, physical activity, childhood
obesity and related health problems. Staff will work with youth in the community to carry out
24
Community Asset Mapping (CAM), a creative and participatory tool used to build capacity and
engage youth with their communities.
c. Promote strategies to Support Healthy, Sustainable, and Just Environments Where
People Live, Work, Play, Learn, and Worship: These strategies include implementation of a
public awareness campaign targeted towards parents and students around current nutrition
standards and health problems due to childhood obesity through peer-to-peer education and
outreach; utilization of existing and creation of new partnerships with state and local agencies
and community organizations to identify, develop and implement evidence-based programs and
strategies aimed at reducing cbildriood obesity; development and. implementation of a
community-based communication and education strategy focused on obesity reduction, and
.increasing the occurrence and length of breastfeeding and nutrition.
d. Advocate for "Green Impact Zones" in designated "target" neighborhoods in Fulton
County: Project leaders and staff will mobilize parents, youth, and community members to
. advocate to government officials and policy makers for targeted resources to create "Green
Impact Zones," with resources and planning targeted at "greening" underserved low-income
neighborhoods, including green jobs, health cares, transit, schools, parks, physical activity
centers, designated bike paths, and nature trials, urban gardens, farmers markets, full service
supermarkets, and clean energy.
e. Evaluate existing ordinances, land uses, physical design, and related environmental
factors: Initiative will be utilized to develop policy changes to promote walking/biking and
transit-friendly communities, parks and green space, and neighborhoods with improved access to
healthy foods, community gardens, farmers markets, and full service supermarkets. Partners will
implement a campaign to modify and or create new ordinances and regulations designed to
25
promote physical activity and healthy living.
D. Explain how interventions will impact entire jurisdictionIn summary, neighborhoods with an array of socio-economic opportunities - such as
strong business and industry, affordable housing, shopping centers with restaurants, cultural
activities, theatres, playgrounds, good transportation, parks, walking trails, enhanced street
lighting, and public safety — will also have an improved health status. Environmental attributes
such as walking trails, parks and recreation can have a major positive and preventive impact on
County residents' health problems such as obesity, hypertension, diabetes, and cardio-vascular
•disease. Fulton.^County-.government has chosen to develop partnerships and policies that.will..
have a positive impact on the health of all children and their families throughout this region.
Interventions are specifically designed to address service gaps for communities that lack
opportunities for physical activity and healthy food outlets such as community gardens and
grocery stores. By forging solid relationships with other human service agencies, businesses and
community based organizations and community partners, Fulton County will be able to
effectively utilize all its assets to address health disparities caused by unhealthy behavior, poor
nutrition, physical inactivity and other social determinants of health.
E. Include a Community Action plan that describes an overall integrated strategy that
identifies the selected interventions. Appendix 6
F. Provide examples of how awardee will interact with the state Health department,
national experts, foundations and CDC on the implementation of selected interventions.
The Department of Health and Wellness received a grant from the State Health
department that focuses on childhood obesity and gardening. The County plans on expanding
this program by working with the state health department staff on training needs, technical
26
assistance and further sustainability. This initiative has several national experts who are part of
the leadership team such as Dr Patrice Harris, past president of the Black Psychologist and a
member of the Atlanta Medical Association. Dr. Yvonne Butler started an initiative to promote
the sugar free school concept that is now used as a national model. The Annie E. Casey
Foundation is part of the leadership team and will serve as one of the Wellness Zones for this
project in NPU- V where they have invested $21 million to build a healthy vibrant community.
FCDHW is active participant in the CDC fellowship program. The department will leverage this
relationship to assist with the training of more MPH fellows as staff to gain more knowledge and
skills, in, community outreach. These collaborations will support the developmentâf*stronger
interventions.
V. Evaluation to Monitor/Measure ProgressA. Evaluation Plan:
The'logic model, upon which the evaluation plan was developed with input "from all of
the stakeholders, will be utilized. The evaluation plan uses evidence-based practices with respect
to partner activities and their intended impact among program participants. Through the use of a
systems change approach, the evaluation plan will be refined and improved as stakeholders gain
experience in this new collaborative endeavor to impact obesity via nutrition and physical
activity interventions implemented in the County.. The Lead Evaluator will participate on the
project committee and will consult with partners and FCDHW staff members about collecting
and analyzing information, drawing conclusions and results, and developing reports for
dissemination such to assess the progress, process and impact of selected intervention activities.
Evaluation activities are divided into two components: 1) process outcomes measurement
(primary emphasis) and 2) pre/post intervention measurements of relevant obesity risk factors
27
and risk reduction behaviors/practices from the Fulton County Department of Health and
Wellness BRFSS (secondary emphasis). Primary evaluation end-points will include relevant
macro level cornmunity intervention indices of: (1) nutrition enhancement activities (increased
fruit and vegetable consumption - five or more daily), (2) enhanced regular physical activity and
exercise, (3) knowledge of obesity risk factors, and (4) developing resilience to maintain obesity
risk reduction practices and behaviors. Secondary evaluation endpoints associated with changes
in prevalence of excess body weight, smoking, physical inactivity, and hypertension will be
assessed among intervention participants based on an analyses of the existing Fulton County's
Department of Health and Wellness BRFSS and YBRSS.
•-.-
..^w.t
Primary and secondary indices will be assessed before the intervention is implemented
and again after an intervention period has been completed. In addition, program participants will
be randomly selected to receive text messages via cell phone to emphasizehealth communication
messages related to obesity risk reduction behaviors. This will provide a subset to discern the
utility of using motivational interviewing (MI) to enhance behavior change. Results of the
evaluation will be disseminated to the CDC, local community leaders, organizations and public
health groups.
Process Evaluation: General Considerations - The proposed evaluation will use a
participatory design with a system-of-change focus. FCDHW will continuously use evaluation
information to improve program functioning through a "recursive" feedback loop. For example,
if the pretest demonstrates that members of the target communities have limited knowledge of
health practices to reduce obesity risk behaviors, program activities will be reviewed to ensure
that this issue is fully covered.
28
The process evaluation will first examine the context in which the intervention is
designed and implemented. Information from needs assessments and from the coalition modelbuilding process will be analyzed in order to document factors in the county.
Process Evaluation: Design and Analysis - There are two main tasks for the process
evaluation. They include (a) review of the consensus building process and (b) evaluation of the
pilot initiatives in the school and community. Intermediate objectives contained within the plan
are designed to promote and achieve sustainable changes in policies, regulations, environmental
and social norms, and physical activity and nutrition behaviors. Intervention reports from
partners will-contribute to monitoring progress towards achieving .the nutrition and physical
activity intermediate objectives since state surveillance data is not designed to measure
community-specific data.
.
-
.
>
.
.
Review of the Consensus Building Process - With respect to consensus building
activities, the evaluation includes: (1) Monthly .Reviews and Action - This involves reviewingminutes of each consensus-building meeting as well as a review of the process .of the meeting. In
addition, project leaders will develop a checklist of activities that are to be achieved over a given
time period and this will be reviewed against what has actually occurred.
(2)
Stakeholders Questionnaires and Observations - The evaluators will also develop a
questionnaire to assess participants' satisfaction with the process.
(3) Measurement of Achievements - The Evaluator, with input from the stakeholders, will
review project achievements as compared to intended goals and all evaluation information will
be shared with the stakeholders group for discussion.
Evaluation of the Program Activities - Project leaders will evaluate this aspect of the
intervention activities against its goals of: 1) developing the capacity of the target community to
29
implement effective health promotion activities, 2) identifying major components of decisionmaking regarding the adoption of intervention programming efforts, 3) increasing the short and
long-term capacity to increase health protective practices and 4) adding to the knowledge and
skill base of community stakeholders and participants. Project evaluators will make use of both
quantitative and qualitative data to monitor and document the process of selecting, adopting and
adapting health promotion initiative and overweight trends, as well as provide data to assess
other long-term objectives associated with implementation of the multi-level, comprehensive
approach to promote physical activity and nutrition for healthier weight. As a result, we will
dxploreôpportunities to include new questions in these., surveys as identified by the Partners,
FCDHW and Lead Evaluator. Project evaluators will particularly note community and system
changes and/or change factors manifested in the form of public policy that impact obesity; risk
factors via physical activity and nutrition interventions. Sources for these inputs wilhinclude but
not be limited to local and state laws, policies, activities, events, and programs that impact any of.
the risk factors. For example, documenting the development of new sidewalks may be viewed as-,
an output that promotes walking as a form of regular physical activity. FCDHW surveillance
systems will monitor obesity and overweight trends, as well as provide data to assess other longterm objectives associated with implementation of the multi-level, comprehensive approach to
promote physical activity and nutrition for healthier weight.
C. Provide examples how the will awardee will interact with the state health departmentFulton County will continue to work with the state health department staff on training
needs, technical assistance and further suslainability. Data sharing and surveillance activities
will be enhanced by this project on local, state and federal levels. Fulton County has several
national experts who are part of the leadership team that will provide technical support..
30
Budget Narrative:
Total Project Budget Request: $9,677,857
Fulton County Department of Health and Wellness:
Total FCDHW Budget: $2,603,390
Personnel:
Salaries and Fringe Benefits
Total
$2,066,190
Fringe benefits are calculated at a rate of 43% and are included in the total personnel budget.
Dr. Patrice Harris, Principal Investigator, committed to the project at 10% effort.
$27,003
Health Program Manager: Larry Johnson (20% time, 12 months)
$16,233
This individual will have overall management responsibility for the project, supervising all
FCDHW staff assigned to the project as well as the contractors.
Health Coordinator: Colet Odenigbo (50% time, 12 months)
$37,589
This individual will oversee and coordinate the contractors within the community, provide
technical assistance to the subcontractors, review contract performance, prepare reports, and
monitor progress toward project goals.
.
Health Coordinator: Deborah. Cherry (50%, 12 months)
''•
'
..' $37,589
:
Health Coordinator: Lydia Poromon (100%, 12 months)
$75,177
Health Coordinator: Public Health Institute: Joseph Little (100%, 12 months)
$75,177
technical assistance to the subcontractors, review contract perfonnance, prepare reports, and
Health Coordinator: TBA (100%, 12 months)
$75,177
technical assistance to the subcontractors, review contract perfonnance, prepare reports, and
Work_-_CPPW_-_BiidgetJustification-Final
Page 1 of 9
Health Coordinator: TBA (100%, 12 months)
$75,177
Administrative Coordinator I: 2 FTE (TBA) (@$69,861 for 12 months)
$139,722
This individual is a highly skilled administrative staff person who directs the administrative
components of the program to include procurement, reporting, documentation and supervision of
the clerical function.
Wellness Zone Network
Project Support- Oak Hill Child Adolescent and Family Center and five other Wellness
Zone sites will be supported by the following positions. These multidisciplinary facilities were
designed to support the individuals in communities with special service needs. Each site
provides-public health services'" with the integration of social services and primary care. Fulton
County will expand its efforts to address behavioral health issues related to obesity and physical
inactivity at all these sites through the BF4L project by implementing a Behavioral Health
component at all WZ sites. The BF4L project will include the creation of health coordinators to
coordinate obesity prevention at each of these sites to include exercise, nutritional awareness
programs, culinary demonstrations and community gardening activities etc.; Nutritionists and
physicians, public health nurses and behavioral clinicians will provide behavioral counseling,
cognitive restructuring, health evaluations and social support for obese children and their
families at the Oak Hill Site. High risk clients will be referred to Oak Hill by all partners and
other wellness zone sites. This Wellness Campus will provide exercise regimen, diet
modification and health /wellness programming. The facility will include equipment such as
treadmills, elliptical and fitness balls, nutritional resources in a media center, a fitness
coordinator, expanded intramural programs and nutritional labs.
Behavioral Health Clinician II: 5 FTEs (TBA) (@$75,177 for 12 months)
$375,885
These individuals will counsel clients on cognitive issues associated with obesity to improve and
promote healthy eating behaviors.
Public Health Nurses II: 2 FTEs (TBA) (@$80,489 for 12 months)
$160,978
The Public Health Nurses will support the physicians during client evaluation and assist with
patient assessments at Wellness Zones.
Work_-_CPPW_-J3udgetJustification-Final
Page 2 of 9
Physician-1 FTE and 1 PTE (@ $148,099 and @ $59,034 respectively)
$207,133
Performs physical exams and assess ail children for health and wellness. Assess children for
obesity during annual physical. Monitors progress. Advises parents regarding prevention and
treatment options.
Fitness Health Coordinator: 1 FTE (TBA) (@ 75,177 for 12 months)
$75,177
Individual will coordinate Fitness activities at all Wellness Zones and partner sites.
Nutritionist: 2 FTEs (TBA) (@ $69,861 for 12 months)
$139,722
Will evaluate diets of obese clients, perform assessments and provide dietary counseling.
Monitor progress of children and make recommendations to parents. Oversee nutritional labs and
cooking demonstrations.
Health Outreach Worker Supervisor: 2 FTEs (TBA) (@$55,228" forl2 months)
$110,455
These individuals will oversee the outreach activities of staff and assist with developing
community partnerships.
Health Outreach Workers: 10 FTEs (TBA): (@$37,946forl2 months)
. .:
$379,460
These individuals will serve in the role of community liaisons ensuring that.residents are
connected to the various programs and services available through the project.
Teen Peer Educators: 15 Positions (TBA):
$54,375
These teens will serve as community educators working a total often hours weekly at a rate of
$7.25 per hour. They will be responsible for recruiting residents for focus groups and
conducting follow up.
Supplies:
20,200
Printing, postage, office supplies, etc.)
Equipment
387,000
Computers, Furniture, Copiers, Exercise Equipment
Travel
30,000
Conferences, Mileage, etc.
Social Marketing
100,000
Implement a county wide social marketing campaign using media outlets to include
television, radio, internet, print, billboards, outreach events and other identified resources.
Contractual Services:
Name of Contractor: Annie E. Casey Foundation (AEQ
Work_-_CPP\V_-_Budget_Justification-Final
$500,000
Page 3 of 9
Project Support: The Atlanta Civic Site is partnering as a dedicated Wellness Zone. The
Atlanta Civic Site focuses its programs and services primarily within NPU-V. NPU-V consists
of five Atlanta neighborhoods, Adair Park, MechanicsviUe, Peoplestown, Pittsburgh and
Surnmerhill/Capital Homes. These neighborhoods are some of Atlanta's oldest residential areas
and are also some it's most vulnerable. The AEC will be responsible for creating new
partnerships with state and local agencies and community organizations to identify, develop and
implement evidence based programs and strategies aimed at reducmg childhood obesity; develop
and implement a community based communication and education strategy focused on obesity
reduction increasing the occurrence and length of breastfeeding and nutrition; ensure that all
children that are physically able are enrolled in one of the physical activity programs offered
through the project and provide regular opportunities for parent involvement in learning and
physical activities.
Personnel
75,000
Travel, training and supplies
8,000
Evaluator
Programmatic Expenses
25,000
392,000
Name of Contractor: Association of Black Cardiologists (ABC)
265,000
Project Support: The Association of Black Cardiologists will manage the day to day
operations of the Cardiovascular Wellness Centers. The ABC will establish these centers in
churches, barbershops and beauty salons as well as other identified locations in the wellness
zones. The ABC will also recruit and train community volunteers as REACH Health Promotion
Specialists (HPS). They will be responsible for the implementation and facilitation of the
community aerobics classes. This initiative is designed to provide cardiovascular health
education and to promote and encourage personal cardiovascular risk reduction for residents ages
12 and up.
Personnel
Training and Coalition Building
Aerobics Instructors
Health Promotion Specialists
Supplies & Equipment
Printing & Signage
Incentives
Social Marketing
65,000
13,000
15,000
30,000
30,000
25,000
10,000
77,000
Name of Contractor: Atlanta Bicycle Coalition
200,000
Project Support: The Atlanta Bicycle Coalition will be responsible for the developing an
education campaign targeting drivers and bicyclists to increase road safety in order to encourage
residents, to feel safe enough to adopt bicycling as an active transportation mode. This coalition
will coordinate bicycle education programs; organize community bike rides and create safety
Work - CPPW - Budget Justification-Final
Page 4 of 9
streets events. This coalition will also advocate along with local government to plan and fund
bicycle facilities and to develop business community support for bike investments.
Personnel
Parts and Safety Gear
Training Materials & Signage
Educational Sessions, Advertising, Special Events
100,000
21,550
25,000
53,450
Name of Contractor: Atlanta Public Schools (APS)
$334,000
Project Support: Along with Center Helping Obesity in Children End Successfully
(C.H.O J.C.E.S), APS will provide innovative programs and services to promote health awareness,
weight management and lifestyle change through education, peer socialization, individual coaching, and
physical activity programs in the school environment. Atlanta Public Schools' Student Wellness
Ambassadors Program will be expanded in their school system to promote healthy eating and regular
.physical activity for the student body, teachers and parents.
•*>,.,.»,.
Consultants/Contractors
215,000
Printing/Publications
44,000
Media Cost
25,000
Supplies and Incentives
50,000
Name of Contractor: Atlanta Regional Commission (ARC)
\
$250,000
Project Support: The ARC will be responsible for the provision of the Lifelong Community
Design which will include assessment and planning activities for county and city government
centered on improvement of the built environment to increase exercise opportunities and access
to nutritious foods. The ARC currently supportsa network of 14 neighborhood centers, four
multi-purpose senior centers and three Atlanta Housing Authority facilities. The Healthy Aging
Coalition, with its broad representation for public and private entities will be called upon for
assistance.
Personnel
Travel & Office Supplies
Programmatic Supplies
165,000
17,500
67,500
Name of Contractor: Atlanta Urban Gardening
$672,000
Project Support: Atlanta Urban Gardening will be responsible for expanding and enhancing
existing community gardens and organize 25 - 35 new gardens at schools, churches, senior
centers and in neighborhoods. Participants will be provided with plots, access to tools, natural
soil additives and basic land preparation. The availability of locally produced food by gardeners
will be marketed through Farm to School programs, Farmers Market Nutrition Program, Farmers
Markets and WIC coupons.
Personnel
Contractual Community Consultants
Supplies
Travel
Work_-_CPPW_-_Budget_Justification-Final
299,000
130,980
54,500
20,000
Page 5 of 9
Other Expenses
167,520
Name of Contractor: Black Entertainment Television (BET)
$220,000
Project Support: BET will be responsible for implementing the BET Summer Camp for Girls
at the Oak Hill Children Adolescent and Family Center. This residential camp program is
designed to address childhood obesity and to promote healthier lifestyles through health literacy,
nutrition, fitness, exercise, positive thinking and self responsibility. Girls between the ages of
10-12 will be allowed to participate. Participating girls are referred to a 4 month after camp
program which expands on the camp health, nutrition andfitnesscurriculum.
Personnel
Printing & Communication
Marketing & Promotion
Travel & Entertainment
Consultants
Other Expenses
9,000
5,950
13,000
61,900
33,750
96,400
, .......
Name of Contractor: Brain Cell Inc - Dr. Torrance Stephens, Evaluator
$150,000
Project Support: Dr. Stephens will serve as the project's principal evaluator. He will oversee
and direct all aspects of the evaluation activities. Dr. Stephens will assist in the statistical
analysis and evaluation of research data gathered for this project as well as,any outside data :
being evaluated for this project.
Name of Contractor: Center Helping Obesity in Children End Successfully (C.H.O.I.C.E.S)
$667,000
Project Support: C.H.O.I.C.E.S will be responsible for promoting health awareness, weight
management and lifestyle changes through education, peer socialization, individual coaching and
physical activity programs. Specifically, C.H.O.I.C.E.S will implement Children's Nutritional
Education and Physical Expos, Children's Expo on Wheels, Sisters in the Lite Empowerment
sessions and a Community Outreach Campaign using the Zoey and Friends SmartCHOICES
animated character. They will provide coaching for local school systems.
Personnel
Consultants
Printing & Publications
Media Costs
Supplies
Other Expenses
204,924
116,416
37,590
92,299
150,598
65,173
Name of Contractor: Clark Atlanta University (CAU)
$250,000
Project Support: CAU's Environmental Justice Resource Center will be responsible for
developing strategies to support healthy, sustainable and just environments where people live,
Page 6 of 9
work, play, iearn and worship.This group will build new intergenerational leadership to support a
policy agenda that promotes health equity, environmental justice, food security, parks justice and
green access and equitable, development throughout Fulton County. CAT J will also work with
youth in the community to carry out Community Asset Mapping and organize a Healthy, Green
and Just Community Summit to generate momentum around a policy platform.
Personnel
Consultant Services
Equipment
Other Expenses
Indirect Cost
170,953
39,000
6,500
10,820
22,727
Name of Contractor: Divine Universal Sisterhood (BUS)
$300,000
Project Support: Divine Universal Sisterhood will be responsible for county-wide nutritional
educational sessions for all residents. This will include nutritional training classes, live cooking
classes, nutritional seminars and supermarket tours. DUS will also be responsible for conducting
outreach at supermarkets and developing signagetobeplaced-in the stores indicating nutritional
values of various fruits and vegetables. Nutritional sessions will be held at various locations
within the wellness zone areas to include, but not limited to, cardiovascular wellness centers,
housing development centers and community centers.
Personnel
Promotional Materials. .
Demonstration Materials • .
;
Marketing '
•
Supplies and Equipment
;
;
;
• 144,500
7-000
•/ 15,000
: 75,000
58^500
:
Name of Contractor: Fulton County Public Schools
$538,500
Project Support: Fulton County Schools will enhance the Healthy Kids, Smart Kids by
creating a wellness facility in each participating school. The facility will include equipment such
as treadmills, elliptical and fitness balls, nutritional resources in the media centers, a personal
trainer, expanded intramural programs and nutritional labs in school cafeterias. A
communication and advocacy plan will be developed.
Personnel
Supplies
Equipment
Marketing & Communications
Program materials & Postage
Travel
365,400
19,000
123,100
10,000
11,000
10,000
Page 7 of 9
Name of Contractor: Fulton County Parks and Recreation
$900,000
Project Support: Fulton County Parks and Recreation will be responsible for the
implementation of an afterschool and summer camp programs. These programs will provide a
diversity of recreation programs with a balance between indoor, outdoor, active and passive
program opportunities for residents. Alternative age specific active recreation programs for
underserved teens and youth such as skating, martial arts, rock climbing, tennis, swimming and
fishing. The professional expertise and experience of local residents will be used in the
development of programs, in the planning and design of facilities and the training of staff.
Personnel
Scholarships for After School Program
Scholarships for Summer Camps
685,155
155,445
59,400
Name of Contractor: Georgia Technical Institute
$170,335
Center for Quality Growth and Regional Development (CQGRD)
Project Support: CQGRD will target policies and planning activities to include active ..•
transportation to school, transportation facilities planning, land use and zoning policies and
regional planning,, CQGRD will also provide training and technical assistance that will allow /•
partners to conduct Health Impact Assessments as a prevention implementation strategy post the
grant period. Training would include the development of resource materials -and training
workshops.
Personnel
Meetings and Materials
Printing and Supplies
Travel
Consultation
Indirect Costs
GRAs
95,157
3,160
23000
2,965
5,000
55,222
6,831
Name of Contractor: Healthy Behaviors Resource Group
•
$350,000
Project Support: The Healthy Behaviors Resource Group will be responsible for implementing
the Healthy Kids, Smart Kids wellness program in the school system. The program trains school
administrators how to establish program elements to motivate students to adopt health nutrition,
fitness and health management behaviors. A series of three comprehensive workshops teach
administrators how to manage and measure wellness programs that target school food services
and fitness environments and curriculum integration.
Personnel
Work_-_CPPW_-_Budget_Justifi cation-Final
262,500
Page 8 of 9
Direct Expenses
Indirect Expenses
70,000
17,500
Name of Contractor: Pedestrians Educating Drivers on Safety, Inc (PEDS)
$336,000
Project Support: PEDS will be responsible for developing a county-wide Active Living Master
Plan that identifies existing pedestrian, bicycle and park facilities and recommends policy
changes. GIS mapping would be used to develop a Walking Demand Index and a Deficiency
Index. PEDS will also establish Walkabie Streets for seniors programs as well as host ongoing
Walkabie Street Workshops which will engage communities in identifying barriers to walking.
Personnel
Building Rental
Supplies & Equipment
Telephone, Marketing, Communications
Materials & Postage
Travel
Accounting, Fees, Insurance
.
288,400
12,000
6,400
8,250
12,200
3,000
5,750
Name of Contractor: Sisters Action Team (SAT)
$300,000
Project Support: Sisters Action Team will implement and manage the fiscal and
administrative components of a community self-help intervention. SAT will maintain
responsibility for the entire project to include identification of trainers, sites, and coordination of
training curriculum. SAT will supervise staff, volunteers, consultants and interns. Additionally,
Sisters Action Team will manage partnerships and serve as a liaison to the community and its
partners.
Personnel
Consultants
Marketing
Work_-_CPP W_-_Budget_Justification-Final
125,000
100,000
75,000
Page 9 of 9
Abstract
The Fulton County Department of Health and Wellness (FCDHW) as the lead agency,
proposes to implement the "Be Fit 4 Life" (BF4L) project. The BF4L project is
coordinated by a community-based coalition that represents eighteen
organizations to include faith-based, government, corporations, local businesses,
foundations, school boards, universities and community residents. The main goal
of this project is to address the negative impact of obesity, physical inactivity, and
poor nutrition on the health and wellness, economy and quality of life of children and
their families. The BF4L project will develop a community action plan that will consist
of several prevention strategies encompassing all five MAPPS evidence-based strategies
(Media, Access, Point of Purchase/Promotion, Price and Social Support and
Services).
This project will utilize a broad range of evidenced-based methodologies including
community prevention strategies designed to eliminate health disparities associated
with obesity^, physical inactivity, and poor nutrition especially in .low-incorne..
communities', throughout Fulton County. We will employ a community based
participatory approach and a social-ecological framework to carry forward the
research-to-practice knowledge and lessons learned from past and current CDC
Racial and Ethnic Approaches to Community Health 2010 (REACH) grantees.
At the center of the BF4L initiatives is a comprehensive Wellness Zone health network.
The Oak Hill Children, Adolescent and Family Center (central hub and primary site for
children and family interventions) and five other sites will provide health homes for the
uninsured and underinsured population. The Be Fit 4 Life initiative has four main
objectives 1) increasing levels of physical activity, 2) improving nutrition, 3) decreasing
obesity rates, and 4) policy change and implementation. Ultimately, our objective is to
establish health equity by improving the general health of Fulton County residents
through collaborative planning, advocacy, empowerment, community action,
environmental and system change.
jfT^
FULTON COUNTY BOARD OF COWIIVIISSIONERS
H
Agenda Approval & Routing Form
Contract Attached:
No
Solicitation Number:
Previous Contracts:
No
Submitting Agency:
Health & Wellness
Proposed Action:
New Item
Contact Phone:
Procurement Type:
Grant
Staff Contact:
Janet Adams
(404)730-1201
Description: To apply for and accept a grant for funding from the American Recovery Reinvestment Act of 2009,
Communities Puttinq Prevention to Work.
CONTRACTOR INFORMATION
NON-MFBE
MBE
FBE
Other Contract Party(s):
Solicitation information
No. Bid Notices Sent:
No. Bids Received:
Prime Contractor Information:
Contractor Type: Non MBE/FBE
Name: American Recovery Reinvestment Act of 2009 Comm
Address: 2550 M. Street, NW
City: Washington State: DC Zip: 20037
Contact Name: Mr. Gootman Phone:
Start Date: End Date: 2/27/12 Upon Approval: [X]
Amount: $ 9,677,856
Subcontractor Information:
Contractor Type: M/FBE
Name:
Address:
City:
State:
Zip:
Contact Name:
Phone:
Start Date:
End Date:
Upon Approval: •
Amount:
TOTAL
FINANCIAL SUMMARY
Total Contract Value:
Original Approved Amount: $9,677,856
Previous Adjustments:
This Request: $9,677,856
TOTALS 9,677.856
Funding Line 1:
Grant Information Summary:
Amount Requested:
Q Cash
Match Required:
• In-Kind
Start Date:
D Approval to Award
End Date:
Q Apply & Accept
Match Account #:
Funding Lin e 4
Funding Line 3:
MBE/FBE Participation:
Amount:
%:
Amount:
%:
Amount
%:
Amount:
%:
Funding Line 2:
KEY CONTRACT TERMS
Start Date:
Upon Approval
Cost Adjustment:
Contract Type:
End Date:
2/27/12
Renewal/Extension Terms:
Payment Terms:
Termination Provisions:
ROUTING/^XF^ROYM-S
-EL
•
a
•
Q
-CU
tn
Oriqinatinq Department:
County Attorney:
Information Technology:
General Services:
Risk Management:
Grants Manaqement:
Purchasinq/Contract Compliance:
Finance/Budqet:
"i
Date: 17^(6001
Date:
Date:
Date:
Date:
Date:
Date:
Date:

s^^J Agenda Item Summary: Item #09-1287

Transcription

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