Community Impact Grant Application Applicant Info Name:

Community Impact Grant Application
Deadline: April 01, 2013 at 11:59 PM EDT
Applicant Info
Name:
Email:
Application ID:
Status:
Last Modified:
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App Created:
Denise Holland
dholland@majorhospital.org
00247256
Submitted
Mar 29 2013 14:46 EDT by dholland@majorhospital.org
Mar 29 2013 14:46 EDT by dholland@majorhospital.org
Jan 08 2013 10:01 EST by dholland@majorhospital.org
Grant Cover Sheet
General information
Name of Organization or Group
Healthy Shelby County
Address of the organization or group
(Please be sure to include your City,
State and Zip Code)
150 West Washington, Shelbyville, IN 46176
Telephone # for organization
317-398-5240
Name of organization's Executive
Director/CEO. (If your group is more of a Denise Holland
volunteer/grassroots ty...
Please list the contact person for this
grant application along with their job title
or position, ...
Please list a phone # and email address
for the grant contact person.
317-398-5240; dholland@majorhospital.org
Please state the name of your proposed
Healthy Shelby County Community Impact
program/project for this grant.
Is your organization or group an IRS
recognized 501(c)3 registered charity?
If yes, please attach a copy of your IRS
No
determination letter.
If no, please write a brief narrative telling us your plans for becoming a recognized
charity. If ...
Major Health Partners acts as the fiscal sponsor for Healthy Shelby County. See attached
Project Narrative
Organizational Information
Please write a brief history and purpose of your organization (be sure to include
your mission sta...
Healthy Shelby County Organizational Information
In 2011 per the County Health Rankings, out of 92 Indiana counties, Shelby County ranked 78th in its
Health Outcomes related to premature deaths and the poor health of its residents. Shelby County
ranked 80th in its Health Behaviors: those behaviors that largely cause or contribute to chronic
disease. This was alarming.
In the 3rd quarter of 2011, a broad cross-section of Shelby County stakeholders met to complete the
Centers for Disease Control's “Local Public Health System Assessmentâ€. This is a nationally
recognized, evidence-based public health system evaluation tool that was facilitated by Purdue
University. Several community strengths were identified, including a nationally recognized community
hospital and health system. However, what could not be ignored was that Shelby County residents
were not healthy. The stakeholders recognized that the poor health of our residents was a
community-level problem and therefore, demanded a community-level response. The overwhelming
consensus was that a public health coalition was needed to look at data and to develop strategies for
a coordinated approach to the community's health challenges: Healthy Shelby County.
In January 2012, stakeholders convened and quickly organized around compiling essential community
health resources in accessible formats. A partnership was formed with Shelbyvilletoday.com to create
an electronic health and wellness directory. Relationships were forged with healthy community
coalitions in Bartholomew and Johnson counties; with the Indiana State Department of Health, Division
of Nutrition and Physical Activity; and with the Community Health Network's Community Benefits
Department. Major Hospital and Purdue University, through the Shelby County Health Department,
each made financial investments to help launch the new Healthy Shelby County initiative. Grants were
pursued from the Blue River Community Foundation, the Shelby County Health Department, and the
Shelby County Drug Free Coalition for the development, equipping, and promotion of Healthy Shelby
County. The website, www.healthyshelbycounty.org, was launched as a repository of Shelby County
health data and health and wellness resources.
Healthy Shelby County's mission is making the healthy choice the easy choice where we live, learn,
work and play. Our vision is that a shift will occur in how residents think about health. Health will be
seen not just as something purchased at the doctor's office or drug store; not only as a treatment for
illness or disease. We envision a Shelby County where the tools and options for wellness are
accessible to all residents, empowering them to choose a path leading to improved health and quality
of life. In our homes and neighborhoods, our schools and work environments, and in all the places
that touch our lives in the community – this is where health begins and where opportunities for
better health are nurtured.
In order to fulfill our mission, Healthy Shelby County's overarching goal is to educate, plan and
implement collaborative, measurable strategies to improve the wellness of residents in the
community of Shelby County. These strategies will address the environment, infrastructure, policies,
and programming that promote prevention and wellness and support management and reduction of
chronic diseases. The fundamental guiding principles of Health Shelby County are:
* Collaboration
* Community Ownership
* Inclusive and Broad Based
* Benchmark and Measure Outcomes
* Long Term Commitment
* Continuous Learning
* Positive Motivation
Healthy Shelby County's initial Action Teams include a comprehensive Tobacco Cessation and
Prevention team and a targeted team to increase mammography screenings with Medicare
beneficiaries. These teams address Health Behaviors that impact the Health Outcomes of Shelby
County. More Action Teams will be added as the work of Healthy Shelby County evolves.
If applicable, briefly describe a past project or program that you administered that
was similar i...
As this is a newly formed organization, this is the first project of this scope and size that we have
been involved in.
Description of Project
Describe in detail the nature of the program for which you are requesting funding.
HEALTHY SHELBY COUNTY
Community Impact
COMMUNITY NEED
Shelby County is at a tipping point. The phrase “tipping point†comes from epidemiology. It
describes the point when an infectious disease is beyond any ability to control it from spreading ever
more widely. The phrase has become popular and is widely used to describe all kinds of turning
points. Shelby County is at a turning point with its health. If there is no strategic intervention halting
the current trends, where will Shelby County be next year at this time? Will we be ranked 92nd in the
state? And with that ranking, what business; what family will want to make Shelby County their home?
On March 20, 2013 the most recent County Health Rankings were published. The County Health
Rankings are a county-by-county analysis by the Robert Wood Johnson Foundation and the University
of Wisconsin's Population Health Institute. Shelby County fell again for the 4th consecutive year in its
state ranking for Health Behaviors. Health behaviors strongly influence overall health outcomes. The
majority of preventable deaths and illnesses are caused by behaviors such as smoking, unhealthy
food choices, and physical inactivity.
2010 74th
2011 80th
2012 82nd
2013 88th
Of all Shelby County adults, 26% use tobacco; 36% are obese; 33% are physically inactive. Shelby
County does not just rank poorly out of the 92 Indiana counties; we are also far from meeting any of
the National Benchmarks for health behaviors. Among the counties surrounding Shelby County and
the donut counties surrounding Marion County, Shelby County has the highest tobacco use rate, the
highest level of adult obesity, and the highest level of physical inactivity. (See attachment # 1) These
behaviors are among the Health Factors that impact health in our community along with:
• Clinical Care
• Social and Economic Factors
• Physical Environment
We also rank poorly in Morbidity: the proportion of our citizens who experience sickness or disease.
(See attachment # 2 detailing County Health Rankings)
These disturbing numbers are not just found in our adult population. In the Major Pediatrics practice,
40% of 5 year olds are overweight; 25% are obese. These young patients are being treated for joint
problems, diabetes, heart disease, and other chronic diseases once primarily found in older adults. In
addressing the near epidemic levels of childhood obesity and inactivity, The Safe Routes to School
National Partnership asserts that if the trends of physical inactivity continue, this current generation of
children is expected to be the first to have a shorter lifespan than their parents. Shelby County is at a
tipping point.
Per the Indiana State Department of Health, Indiana spent $3.5 billion in obesity-related health care
costs and lost productivity last year. Of this staggering number, 36% of these costs were financed by
the public sector through Medicaid and Medicare. In “F as in Fatâ€, a report released by the Robert
Wood Johnson Foundation and Trust for America's Health, Indiana's projected obesity rate by 2030 is
56% of the population. Shelby County currently has a higher obesity rate than the state. At the same
rate of increase, by 2030 nearly 65% of Shelby County's population would be obese and likely
experiencing the diseases that accompany obesity. However, this report also forecasts that if
Indiana citizens reduced their Body Mass Index by just 5% in the next two decades, the state could
potentially save over 13 billion dollars or 7.1 % in health care costs. What would a 7.1 % reduction in
health care costs mean to the industries in Shelby County? What would it mean to the family budget?
Community Needs Assessment
In the Community Health Needs Assessment completed by Major Hospital in the 3rd quarter of 2012,
respondents were asked to identify personal concerns and perceived community concerns. Obesity
was identified both as a significant community problem and a significant personal problem. The
survey revealed chronic diseases present in all age, race, income, and gender categories: 42% had
high blood pressure, 36% high cholesterol, 15% diabetes, 24% overweight or obese, and 9% cancer.
Compared to all respondents, those with 2 or more chronic diseases (36%) reported a decrease in
personal income and in healthy habits:
• Approximately 10% fewer individuals exercised
o Overall, 64% respondents reported exercising, but
less than a quarter were exercising the recommended
amount.
• Fewer persons consumed fruits and vegetables
o Overall, 18% reported eating fruits and vegetables,
but were consuming at most only half of the
recommended amount.
• Top personal concerns: Obesity and Diabetes
• Top chronic health conditions:
o High Blood Pressure: nearly 84%
o High Cholesterol: over 72%
o Diabetes: over 37%
o Overweight or Obese: over 47%
In reviewing the poor quality of healthy habits and the high disease burden of Shelby County
residents, clearly some of the costs to our economy and our quality of life could be mitigated and
even prevented by an improvement in our health and wellness behaviors.
Our nation and our county are facing an unprecedented aging of its population.
• Shelby County's 65 and older residents comprise 14%
of the population.
• Our fastest growing aging demographic is persons 80
years and older.
• The Central Indiana Council on Aging sets 60 as the
eligibility age for their services. If we look at
residents who are 60 and older, seniors comprise
one fifth of our population.
Older adults are typically the largest consumers of healthcare. They bear a heavier burden of chronic
diseases associated with both the aging process and the culmination of poor health habits. And this
health care is costly. Analysis from Health Services Research out of the National Institutes of Health,
finds that half of lifetime health care expenditures occur in the senior years. For those who live
beyond 85 years, one third of their lifetime health care expenditures will occur after that benchmark.
Our community's older population is living longer but not necessarily in optimum health. In the
Community Health Needs Assessment, among those age 65 and older, 3 key concerns expressed
were:
• Diabetes
• Access to care (including affordability)
• Access to health promotion or prevention services.
Health care is changing. While health care reform has been in the news, several of the major changes
for hospitals and health systems have been moving forward, apparently just below the public's radar.
The Centers for Medicare and Medicaid is implementing a new payment structure to hospitals based
on quality indicators, including avoidable admissions and readmissions: avoidable because the
condition can and should be managed outside of the hospital walls or prevented altogether. Hospitals
and health systems have been gearing up for these changes.
Ultimately, the majority of healthcare will increasingly occur in outpatient settings and in the
community, thereby giving community resources and partnerships heightened importance and value
in preventing and mitigating chronic diseases. This shift will also place greater responsibility on
individuals to more fully participate in their wellness and health care decision making. In Shelby
County, do the environments in which we live, work, learn and play produce and support options to
make the healthy choice the easy choice for our residents? Do we have the resources to empower
individuals and families to take care of themselves and their families outside of the doctor's office?
Shelby County is at a tipping point. When looking at the downward trend in our resident's health
habits, we hypothesize that unhealthy choices have increasingly become the accepted norm in our
community. However, there is no social or economic indicator that is not being negatively impacted
by our county's health. Population projections by the Indiana Research Center, Kelly School of
Business at Indiana University forecast Shelby County as the only donut county expected to
experience a decline in its population of up to 10% by 2050. This decline is projected to come from a
decrease in the birth rate and a migration out of our county. All the other donut counties are projected
to experience more than a 40% growth in their population. Who will migrate out of Shelby County?
Who will be left behind? One definition of a tipping point is the critical point in an evolving situation that
leads to a new and irreversible development. Does this describe Shelby County?
There is an increased awareness and sense of urgency throughout many sectors of our community
that strategic investments must be made and made now if Shelby County is going to stem its
downward spiral. Shelby County is home to so many rich cultural and civic resources that support and
enhance the lives of our residents. Still, we know in comparison to the outcomes of robust
communities, we are not necessarily attractive to investors or even to our sons and daughters who
are newly launching careers and families. Analysis and case studies by Healthier Americans for a
Healthier Economy of the Trust for America's Health focuses on the correlation between a
community's health and economic development. The report looks at how health impacts the ability of
a community to attract and retain employers. The health of Shelby County impacts health care costs
and productivity, and therefore, the bottom line of business and industry. A key conclusion of this
report is that community wellness initiatives whose coordinated strategies improve the health of a
community and its workforce are essential to a robust economy. Shelby County is at a tipping point.
IMPACT
The data on the health of Shelby County is sobering and alarming. The temptation is to refocus on
less overwhelming issues where we perceive we can more readily make an impact. But how can we
ignore that in less than 20 years, 65% of our population could be sick and less productive from
obesity alone? How can we ignore the reality that the entire cohort of Baby Boomers and their
expanding health care needs will have retired by 2030? How can we ignore that our young children are
already experiencing chronic diseases and subsequently, may very well have shorter life spans than
their parents? Healthy Shelby County is ready to implement a strategic plan to equip and empower
our residents to make healthy choices. Shelby County may be at a tipping point, but Dictionary.com
also describes a tipping point as:
1. The point at which an issue or idea crosses a certain
threshold and gains significant momentum, triggered by
some minor factor or change.
2. A series of small changes that may have little effect
until they build up to a critical mass. Then the next
small change may suddenly change everything.
3. The levels at which the momentum for change becomes
unstoppable.
What small changes can create opportunities for making healthy choices in Shelby County? How can
the idea that health starts in our families, schools, workplaces, and playgrounds gain momentum in
our community? How can Shelby County residents begin to see that keeping their health is a priority
rather than working to get it back? Healthy Shelby County proposes a two-pronged approach to
begin the momentum of change: a clear messaging and branding campaign for promoting healthy
choices and intervention in 3 critical areas of concern.
IMPACT: Messaging and Branding
Healthy Shelby County's mission is to improve the health of our community by making the healthy
choice the easy choice where we live, learn, work and play. The long term goal is to facilitate a cultural
shift in how our community thinks and acts about health and wellness. However, improving the health
of Shelby County is a journey. There will not be any overnight transformations. There will be
measurable progress, but moving the needle will be a marathon, not a sprint.
Identifying compelling message(s) that resonate with all the residents of Shelby County will be crucial.
For communications to be successful, they must be based on an understanding of the needs and
perceptions of our residents. Healthy Shelby County needs to take the next step and engage an
individual or agency with marketing expertise in health promotion. Cogent and compelling messaging
and branding will be an essential strategy in effecting change.
The National Institutes of Health promotes branding as an effective means of promoting health and
building positive relationships between health behaviors and target audiences. Consider the Red
Dress campaign that has shifted awareness of heart disease as a men's health problem to a women's
health problem. Surveys continue to reveal brand recognition, a message that resonates with women,
and clinically, a decrease in the number of women with heart disease.
Because of the alarming state of our nation's health, Americans are routinely exposed to messages
and images about the long-term benefits of healthy behaviors or conversely, the long-term negative
consequences of unhealthful behaviors, like tobacco use. A University of Michigan study,
“Rebranding Exercise: Closing the Gap between Values and Behavior,†found that linking
wellness behaviors like exercise with a longer, better quality life was simply not meaningful or
motivating. However, when the immediate benefits of exercise were linked to stress reduction and
increased vitality, there was a positive response. A recommendation from the study was that health
promotion should shift from a logical, medical model to a marketing model that is more visceral, more
connected to the emotional way people make everyday decisions.
The Indiana Healthy Weight Initiative's Nutrition and Physical Activity Plan has as an objective that by
2020, at least 20 communities will implement community-wide health promotion campaigns with a
clear brand and message. Given the health status of Shelby County, we need to be one of the
communities who takes the lead in empowering our residents to choose the healthy path. Healthy
Shelby County envisions a clear message and branding that all community health promotion activities
and organizations can use to highlight and support the health promotion message of Shelby County.
Healthy Shelby County has the benefit of several streams of community health data; analysis from the
Community Health Needs Assessment; and access to evidence-based programs and promising
practices, and knowledgeable partners. Subsequently, we have good resources, good ideas, and
good metrics for impacting the health of Shelby County. But to maximize effectiveness, we need the
proven analytics of a strategic health promotion campaign to develop messaging and branding that
will resonate with all the residents of Shelby County. This will help focus and drive the Healthy Shelby
County initiative both now and in the future. Branding and messaging will be a factor in positioning
Healthy Shelby County to leverage funding as it signifies a real commitment to the work of improving
our community's health. Healthy Shelby County aspires to create a positive tipping point; the point at
which an issue or idea crosses a certain threshold and change becomes unstoppable.
IMPACT: Video Voice Project
The message of health and wellness for Shelby County must be uniquely from Shelby County. In
order to improve our health, we must increase awareness and ownership of our unique strengths,
perspectives, and challenges. Healthy Shelby County will use a Video Voice Project to broadly
engage our residents in answering these two questions:
1. What makes it hard to be healthy in Shelby County?
2. What is your vision or perception of a healthy Shelby County?
Healthy Shelby County will engage marketing expertise to maximize the benefit of the Healthy Shelby
County Video Voice Project.
Video or Photo Voice Projects have been widely used throughout the United States and the world to
enable residents of all ages to share information about their communities through photographs or
video pictures. Residents take pictures to tell stories from their unique perspectives. The
methodology was developed by Dr. Caroline Wang in 1992 to empower women living in a remote area
of China by using photography to give voice to the issues affecting their lives. Video or Photo Voice
Projects have been used to address several community issues and have even won academy awards
as documentaries.
A Video Voice Project allows participants to define for themselves and others what needs to be
protected and what needs to be improved. Dr. Wang asserted that there is often incongruence
between what experts think is important and what people at the grassroots think is important. A
picture often creates a compelling call to action. The Kaiser Permanente's Center for Community
Health and Evaluation has employed a Photo Voice Project in its Community Health Needs
Assessment. Healthy Shelby County will follow the Kaiser Permanente's model for conducting the
Healthy Shelby County Video Voice Project.
Healthy Shelby County recognizes that the residents of our county are also experts on barriers to
healthful living and the valuable resources that support their health and wellness. Pictures are
powerful stories and the Video Voice Project has the potential to influence our community more than
any alarming statistic. The Healthy Shelby County Video Voice Project will:
• Create a shared vision of health and wellness in Shelby County;
• Engage Shelby County residents in visually documenting
their community's strengths and problems;
• Promote conversation about important community health challenges;
• Provide qualitative data for program and policy planning,
needs assessment, and evaluation;
• Engage residents and policy makers in partnership for improving the health of Shelby County;
• Educate the broader community about Shelby County's health issues.
The Healthy Shelby County Video Voice Project opportunity will be widely promoted throughout
Shelby County. In order to participate, entrants will be required to attend a technical workshop that will
include:
• Data on the health status of Shelby County;
• Viewing Weight of the Nation, a recent HBO documentary
by the Institute of Medicine, in association with the
Centers for Disease Control and Prevention and the
National Institutes of Health;
• Experts in the field of health and wellness
o Marcie Memmer of the Indiana State Department of
Health Division of Nutrition and Physical Activity
o Dr. Paula Gustafson of Major Pediatrics and the
creator of Major Easy 3 to address childhood obesity
• Project guidelines and ethical considerations in filming or photographing people;
• Technical guidance on composition and practical operation
of a video camera
o Steve Gardner, instructor of 3D Animation and
Visual Arts at the Blue River Vocational School.
Today many people own video cameras or routinely film from their smart phones or tablets.
However, in order to make the Video Voice opportunity widely available, video cameras will be
available for borrowing through the Shelby County Public Library. Library cards are free and will not be
a barrier for using the library system. There will be no entry fee other than the data card or disc of
the video or photos. If transportation is a barrier for a rural resident to access a video camera, a
camera will be made available in that rural community. Participants who need assistance in editing
their up to 10 minute film may participate in hands-on workshops with the instructor and advanced
students of the 3D Animation and Visual Arts Class.
The Healthy Shelby County Video Voice Project will be:
• A competitive venture.
• Screened by the Healthy Shelby County Coordinating
Committee.
•Judged in a special screening at the Strand by leaders from city and county government, schools,
and industry.
o Currently Dr. David Adams, Superintendent of
Shelbyville Central Schools, Jack Horner, President
and CEO of Major Health Partners, and Tom DeBaun,
Mayor of the City of Shelbyville have agreed to be
judges.
o Additional industry and county leaders will be
secured as judges.
The top 3 films and all the honorable mention films will have a public viewing at the Strand, complete
with a collage of all entries. At the public screening, the audience will vote for a People's Choice
Award per basic criteria available on the program. The top 3 winners and the People's Choice winner
will be announced at the close of the viewing.
Awards will be as follows:
1. First Place: $250 personal award and $1000 to be donated to a health-related issue or program of
her choice. The images from the winning entry will become part of the visual message of the Healthy
Shelby County campaign.
2. Second Place: $150 personal award and $500 to be donated to a health-related issue or program
of his choice.
3. Third Place: $100 personal award and $300 to be donated to a health-related issue or program of
her choice.
4. People's Choice: $100 personal award and $300 to be donated to a health-related issue or
program of his choice.
All entrants will have their names placed in a drawing for a bicycle and helmet in collaboration with The
Bicycle Shop. All entrants will also be encouraged to participate in a discussion about their
experience with the Healthy Shelby County video Voice Project. Healthy Shelby County will facilitate
additional public forums to keep the conversation going about creating a healthier Shelby County. If
there are sufficient entries to so warrant, additional public screenings will be made available.
All winners will be required to participate in a seminar on philanthropy in partnership with Lynne
Ensminger, Program Director of the Blue River Community Foundation. Having observed health
challenges and strengths in Shelby County, these residents will now be empowered to make a
difference by directing funds to the stories they have witnessed and told.
IMPACT
A branding and messaging campaign requires considerable community engagement and analysis.
While that work is in process, there are 3 critical areas of concern that require immediate intervention:
health promotion with seniors in rural communities and persons with disabilities, and prevention and
intervention with elementary students in 1st – 3rd grades.
CRITICAL AREA OF CONCERN: Access to Health Promotion for Older Adults in Rural Communities
NEED:
Shelby County has a 65 and older population that is currently 14% of Shelby County's population.
Older adults tend to have the highest percentage of chronic disease associated with both the aging
process and the culmination of poor health habits. Not only do older adults require more health care,
it is also costly care. Healthy habits not only prevent chronic diseases but can also contribute to
effective management of those diseases which improves quality of life.
Shelby Senior Services offers health and wellness programming through the Horizon Center. Last
year 4,873 persons (395 unduplicated) participated wellness programming ranging from physical
activity classes to chronic disease management courses. There are 14 zip codes in Shelby County.
While the programming at the Horizon Center is open to all, in 2012 nearly 87% of the participants
were from the 46176 zip code area. While 10 other zip codes were represented, the next most
frequently represented areas of the county were Fairland – just over 4%, and Waldron – nearly
3%.
Per the 2010 Census, there are nearly 3,500 adults age 65 and older in the 46176 zip code and nearly
2,800 in the rest of the county. Clearly, older adults in rural areas are not accessing the rich health and
wellness resources offered through Shelby Senior Services. Per the Community Health Needs
Assessment, our community's seniors are concerned about their ability to access health promotion
and wellness resources.
The Indiana State Department of Health reports that 44% of 65-74 year old adults and 58% of 75+
adults are failing to meet the Federal Physical Activity Guidelines of moderate intensity exercise for at
least 150 minutes a week or 75 minutes a week of vigorous intensity exercise. Physical activity is
beneficial for the health of older adults because it:
• Reduces risk of some chronic diseases;
• Relieves some symptoms of depression;
• Aids independent living;
• Aids management of chronic disease;
• Enhances overall quality of life;
• Improves mobility and functioning even for very frail older adults.
INTERVENTION:
Shelby Senior Services knows that rural older adults do not participate in community meals at the
Horizon Center. In fact, they are pursuing a grant to address this barrier. They have developed
agreements with churches in Fairland and Waldron, and the Masonic Lodge in Fairland to be community
meal sites for seniors. The meals would be prepared by the Major Hospital cafeteria and delivered to
the churches. Building on this, Healthy Shelby County will promote wellness programming in rural
communities.
Currently, in order for Shelby Senior Services to receive funding from the Central Indiana Council on
Aging, all health and wellness programming must be evidence-based. Facilitator training is expensive
and therefore, it has been cost-prohibitive to train more than one facilitator. With only one trained
facilitator, Shelby Senior Services risks losing most of its wellness programming if they no longer had
their current Health and Wellness Coordinator.
Active Living Every Day is an evidenced-based physical activity program. Unlike many evidencebased programs, the training is completed on-line and is reasonably priced. To extend the reach and
sustainability of wellness programming for older adults, Healthy Shelby County will fund training for 2
facilitators in Active Living Every Day: one from Shelby Senior Services and one from Major Health
Partners.
Active Living Everyday has been used in retirement communities, community health programs, and in
grant-funded initiatives. The program will be taught at the Horizon Center and at 2 different rural
venues each year on a rotating basis. Major Health Partners will provide a Health Risk Assessments at
the new venues for at least the first 3 years in order to provide new participants with health
information and recommendations. The facilitator will be able to encourage follow-through on the
recommendations.
The Indiana State Department of Health recommends interventions that go beyond people acquiring
new knowledge to those that allow people to build the skills and practice the behaviors leading to a
healthier life. Supportive environments are necessary for sustaining healthy behaviors. The Active
Living Every Day program incorporates these strategies. By collaborating with Shelby Senior Services
and rural communities, more of our county's seniors will be supported in practicing healthy behaviors
to improve or maintain their health and quality of life.
ANTICIPATED RESULTS:
• Seniors in rural communities will have access to local health and wellness resources;
• Older adults will increase their physical activity in a supportive environment;
• Rural communities will increase their resources for older adults;
• Active Living Every Day participants and the seniors of the host sites will have access to a
personal Health Risk Assessment and referrals to needed health resources;
• The Indiana Healthy Weight Initiative's Nutrition and Physical Activity Plan has objectives for faithbased and community organizations to partner in health promotion initiatives;
o Extending wellness programming to our rural
communities is aligned with the state's health
goals.
SUSTAINABILITY:
• Once 2 persons have become certified facilitators and have taught their first classes, each is
eligible to train another facilitator for a reduced fee;
o Healthy Shelby County will fund training for up to
2 additional facilitators.
• After Active Living Every Day is launched with initial financial support from Healthy Shelby County,
the normal routes of health and wellness grant funding can sustain the program;
• Once wellness programming is established in the rural communities with Active Living Every Day,
Healthy Shelby County and Shelby Senior Services will actively seek other collaborations for health
promotion;
• Healthy Shelby County will be pursuing a KaBoom! grant to assist rural schools with the costs of
utilities, legal and policy work in order to participate in a Joint Use Agreement of their facilities for
community use.
o KaBoom! grants are part of Let's Play, a community
partnership to get kids and families active
nationwide.
o Joint Use Agreements with schools is a strategy of
the Indiana Healthy Weight Initiative's
Comprehensive Nutrition and Physical Activity Plan.
o Joint Use Agreements allow people to use the
physical activity space of a community school
outside of school hours for safe exercise and
recreation as part of a healthy community
initiative.
CRITICAL AREA OF CONCERN: Access to Fresh Fruits and Vegetables, Especially for Seniors and
Adults with Disabilities and Mobility Challenges
NEED:
A growing body of research emphasizes the importance of fruits and vegetables for good health. It
also underscores that most people need to increase the amount of fruits and vegetables they eat
every day. Community gardens are a way that many communities are improving access to fresh fruits
and vegetables. Shelbyville, in conjunction with the Parks and Recreation Department and PurdueExtension of Shelby County has been working toward community single-crop gardens in vacant lots.
However, for several adults, traditional gardening is not accessible because it requires kneeling,
reaching, and bending that are not possible or difficult at best for someone with mobility challenges
like arthritis or using a walker or wheelchair.
Our aging and disability populations carry a high burden of chronic diseases and related health
challenges. Obesity and being overweight is a problem for these populations as well. The Center for
Diseases and Prevention sites disability as one of the nation's most important public health issues
because this population is underserved in health promotion and wellness opportunities. Raised bed
gardens in Bartholomew County located at senior apartments resulted not just in increased access to
fresh fruits and vegetables, but also an increased sense of community. Social support is an important
aspect of wellness for older persons and those with disabilities and will be an indirect benefit of
community raised-bed gardens.
INTERVENTION:
To date, the following collaborations are in place:
• Purdue-Extension of Shelby County directed the construction of raised-bed community gardens
for the Horizon Center of Shelby Senior Services and Shares, Incorporated. They will be ready for
planting this spring.
* Shares has a traditional garden plot, but their
consumers with mobility challenges are unable to participate. The raised-bed garden will allow all of
the consumers to participate in the physical and social activity of gardening.
* Waldron Health and Rehab is also receptive to the
possibility of a raised-bed garden not only for their residents and patients, but for the Waldron
community as well. The nursing facility has a Master Gardener on staff.
* The Executive Director of the Purdue-Extension of Shelby County has voiced enthusiasm for
bringing cooking and freezing classes to Shares through the Family Nutrition Program of PurdueExtension. The Family Nutrition Program already provides cooking and nutrition classes for seniors.
* The Horizon Center is a community meal site for older adults and a Gleaner's food pantry site. The
garden produce will supplement these opportunities.
* The Master Gardeners will teach classes around the gardens on planting, tending, harvesting, and
seed preservation.
* The Aktion Club and Kiwanis have committed to help build a raised-bed garden.
* Conversations with SCUFFY have yielded a verbal agreement to provide volunteers for building
additional raised-bed gardens.
* At least 2 additional raised-raised bed gardens will be ready for spring of 2014.
ANTICIPATED RESULTS:
• Increase fresh fruit and vegetable consumption among older adults and adults with disabilities.
• Increase access to gardening for persons with mobility challenges.
• Increase access to health promotion for persons with disabilities and seniors.
• Increase knowledge about gardening and food sources
for gardeners through the Master Gardeners.
• Provide experiential education about preparation of fresh produce.
SUSTAINABILITY:
• The first two raised-bed garden sites and the next one at Waldron Health and Rehabilitation have
been chosen secondary to stakeholder investment.
o Future raised-bed gardens will be chosen based on
access for persons with mobility challenges and
investment of stakeholders.
• Stakeholders in the raised-bed gardens will receive
education on seed preservation for planting the following year's garden.
o Some seeds will be available through the Master
Gardeners and Purdue-Extension
• Refresher class in the 2nd year of each garden to improve gardening success.
CRITICAL AREA OF CONCERN:
Access to Health Promotion for Adults with Disabilities
NEED:
Per the 2010 Census, and the Indiana Council on Independent Living, nearly 11% of Shelby County
civilian residents have a disability or over 5,200 persons. Disabilities include
• Ambulatory
• Cognitive (developmental, intellectual, mental or emotional)
• Sensory (vision, hearing)
• Independent Living and Self-Care
Nearly 3000 persons with disabilities in Shelby County are within the 18 – 64 age range and 837 are
in the 65-74 range. An individual can get a disabling impairment or chronic condition at any point in
life – a motor vehicle accident or a disease. Disability is not just descriptive of conditions that are
present at birth.
The literature tells a disturbing story about the health status of persons with disabilities. Disability and
good health are often viewed as mutually exclusive. Adults with disabilities often do have complex
health issues, many of them differing from those of the general population. Because of these
complex health issues, public perception is often that persons with disabilities are heavy consumers
of the medical system. Often persons with disabilities use the Emergency Room for their healthcare
needs – expensive care that is neither holistic nor health promoting in nature.
Per a Surgeon General 2002 report on disability and health, people with disabilities can be healthy and
well, opening the door to a better quality of life just as it does for persons who do not have
disabilities. Compared to people without disabilities, people with disabilities:
• Experience difficulties or delays in getting the health care they need;
• Have not had a mammogram in the last 2 years nor a Pap test in the past 3 years;
• Do not engage in fitness activities
• Use tobacco at a higher rate
• Have a high rate of obesity
• Have a high rate of high blood pressure
• Are more likely to not have access to high quality health promotion and wellness activities
• Have a higher-than-average rate for preventable chronic problems such as osteoporosis,
obesity, diabetes and heart disease that not only challenge quality of life but result in premature
death. Per the Healthy Athletes program of Special Olympics, life span is shortened by 13+ years
compared to persons without disabilities.
Conversations with Shares, Inc. highlighted the health challenges and disparities of the consumers
they serve. Unfortunately, the consumers at Shares, staff, and caregivers are not exempt from the
health problems previously noted. The challenges are multi-faceted including:
• Having caregivers ill-equipped to advocate for the health of consumers;
• Not having access to high quality health promotion activities;
• Not having prevention screenings, such as mammograms and diabetes screenings;
• Perceiving that medical providers are not responsive to concerns.
Two years ago, Shelby Senior Services and Major Health Partners partnered on a grant from the
Indiana Institute on Disability and Aging at Indiana University. They did not receive the grant but the
feedback was eye-opening. The reviewers clearly recognized the failure of Shelby County to have a
meaningful collaboration with the disability community – a community whose needs parallel those of
aging residents. Increasing access to health promotion for persons with disabilities is one area of
collaboration that can improve quality of life, community engagement, and the overall health of Shelby
County.
INTERVENTION:
Healthy People Goals 2020, federal health and wellness goals, includes objectives for improving the
health of persons with disabilities, including:
• Inclusion in health promotion activities;
• Assessment of health disparities;
• Expansion of disability and health training opportunities for health care providers;
• Empowering individual responsibility of healthy behaviors.
Healthy Shelby County is partnering with Shares and Major Health Partners to provide health
assessment and education to consumers, caregivers, staff, and medical providers.
• Health Fairs to conduct Health Risk Assessments an average of twice annually for consumers,
Shares employees, direct care staff, and caregivers;
• Outreach to engage persons with disabilities throughout Shelby County who are not part of
existing services through Shares, Shelby Senior Services, Vocational Rehabilitation and other
organizations;
• Education for caregivers and staff to empower them to be health advocates for consumers with
their medical providers;
• Education for consumers to empower them to take steps towards greater responsibility for their
daily health choices;
• Roundtable of stakeholders from Shares, caregivers, Major Health Partners, etc. to gain an
understanding of the health disparities experienced by this population and to develop strategies for
improving health care access.
ANTICIPATED RESULTS:
• Increased access to health promotion for persons with disabilities, especially developmental and
cognitive disabilities;
• Increased confidence and competence of caregivers and staff as health advocates;
• Improved access to prevention services for persons with disabilities;
• Improved stakeholder understanding of health disparity for persons with disabilities;
• Improved relationships and processes between persons with disabilities, caregivers and staff,
and medical providers;
• Outreach to the broader disability community beyond cognitive disabilities.
SUSTAINABILITY:
• Now that this health disparity has been identified, Major Health Partners has made a commitment
to address the disparity in order to improve health outcomes;
• Major Health Partners is providing the health fairs, caregiver education, and facilitating the
Roundtable as in-kind support;
• The long term goal is to develop a model that is not only sustainable for the disability community
but that could be replicated for other populations with complex presentations and similar health
access challenges, such as those with mental illness.
CRITICAL AREA OF CONCERN:
Childhood Obesity and Physical Inactivity
NEED:
In Indiana, nearly 15% of children are overweight or obese. In the Major Pediatrics practice, 40% of 5
year olds are overweight and over 25% are obese. These children are being treated for chronic
diseases historically seen in older adults. While there is a growing discussion among our state's
decision-makers about the role of physical activity in our public schools, Shelby County must address
this problem now.
Per the Indiana Standards for 1st – 3rd grade students, students are to learn how physical activities
contribute to health and an active lifestyle. The amount of daily physical activity a young student
receives in school is influenced by the weather for which the code allows for alternative activity.
Anecdotally, young students sometimes watch movies or play board games in lieu of physical activity
at recess.
Given that childhood obesity is considered an epidemic by many health professionals, there is a
growing body of research on the importance of increased physical activity as essential for reaching
and maintaining a healthy weight for children. Schools have begun using pedometers both as an
enhancement of their physical education instruction and as a means of obtaining certain biometrics to
drive efforts for improving health and fitness. Research on the efficacy of pedometer use with young
children (Kindergarten through 3rd grade) has found that pedometers do increase both awareness
and physical activity. The literature also recommends that schools purchase the best quality
pedometer they can afford for reliability and that pedometer use be part of a comprehensive
physical fitness curriculum.
INTERVENTION:
The Indiana State Department of Health's Indiana Healthy Weight Initiative promotes the “Student
and Staff Pedometer Challenge of Greater Clark County Schools†as a successful program that
raises awareness of the importance of physical activity. The 12 elementary schools in the school
system competed in 3 different tiers based on the amount of time the pedometers were worn.
Conversations with the 8 Shelby County elementary school principals, physical education instructors,
and the Assistant Superintendent of Shelbyville Central Schools yielded enthusiastic endorsement of
a county-wide pedometer challenge with 1st – 3rd grade students. Shelbyville Parks and Recreation
Department will collaborate with Healthy Shelby County in the use of their facilities for a physically
active, fun field trip for the winning tiers. A local field trip increases the likelihood that families could
continue to engage in the park system. School cafeterias/food service programs will provide healthy
sack lunches for the field trips. The Physical Education instructors will be the point persons for the
competitions in their schools. The pedometer challenge will end in conjunction with the Major 1-2-3
Go school walking competition in May.
ANTICIPATED RESULTS:
• Increased awareness of and opportunity for physical activity among 1st – 3rd grade students
in each of the 8 elementary schools in Shelby County;
• Increased awareness of the relationship between childhood obesity and physical inactivity
through media coverage and family outreach;
• Heightened experience of physical activity as enjoyable and as a fun challenge;
• Consistent message of the importance and fun of physical activity by concluding in conjunction
with the Major 1-2-3 Go event.
SUSTAINABILITY:
• Per the literature and the experience of the Greater Clark County Schools, Healthy Shelby County
will purchase good quality pedometers and one extra set of batteries that will be used for at least two
8 week pedometer challenges;
o Then they will become the property of the schools for use in additional physical activity
programming.
• Each school will also receive a CD of dynamic physical education lesson plans designed for use
with pedometers in the physical education program;
• Develop a county-wide forum for increasing physical activity among children through the physical
education instructors in elementary schools;
o There are other evidenced-based programs or promising practices that could be brought to
schools to support them in their physical education instruction and outreach to families.
• Develop a relationship with the schools for pursuing future grants.
IMPACT: Healthy Shelby County
Shelby County is at a tipping point: an aging population and unhealthy behaviors resulting in a high
rate of chronic disease; obese children who are also beginning to experience chronic disease; a
shrinking population; employers who are finding their bottom lines adversely affected by health care
costs and lost productivity; and our county Health Behavior rank falling for the fourth consecutive
year. Perhaps the question is “what kind of tipping point?â€
Healthy Shelby County has a strategy to impact the health of Shelby County. The ideas are tested
ones – built on our county's health data and the research and practices of other healthy community
initiatives from the national, state and local levels. The two-pronged approach of the Healthy Shelby
County Community Impact Initiative:
• Brands our community's health promotion message for use by all health and wellness activities in
our county;
* Engages our county at the grass roots level to create a call to action for each of us;
* Positions Healthy Shelby County to leverage other funding and to engage the community in
addressing broader policy and infrastructure concerns to help make the healthy choice the easy
choice where we live, learn, work, and play;
* Impacts crucial health concerns by improving access to health promotion for our seniors, our rural
communities, and our disability population;
* Targets our young children in order to keep a full-court press on disrupting and turning around
childhood obesity.
Shelby County is at a tipping point but it can be a positive turning point:
• The point at which an issue or idea crosses a certain threshold and gains significant momentum,
triggered by some minor factor or change.
• A series of small changes that may have little effect until they build up to a critical mass. Then
the next small change may suddenly change everything.
• The levels at which the momentum for change becomes unstoppable.
You can propel the momentum with the Community Impact Grant. You can launch the change that
changes everything.
Thank you for your consideration of the Healthy Shelby County Community Impact Initiative.
Describe the community needs/issues/opportunity to be addressed. How was this
determined? (Include...
Please see the beginning of the Project Description for data and description of community
needs/issues/opportunities to be addressed by the Healthy Shelby County Community Impact
initiative. Additional community health data may be found in:
• Attachment 1: County Health Rankings health indicators
• Attachment 2: County Health Rankings comparison chart – Shelby County and surrounding
counties
• Attachment 3: Healthy Communities Institute health indicators
o Both County Health Rankings and Healthy Communities Institute data may be reviewed at
www.healthyshelbycounty.org , Community Health Data tab
Target Populations for Healthy Shelby County Community Impact initiative:
• Healthy Shelby County Branding and Messaging
o Target: Shelby County; Reach: 44,337
• Healthy Shelby County Video Voice Project
o Target: Shelby County; Reach: 44,337
• Active Living Every Day
o Target: adults 65 and older; Reach: 6,250 (all seniors); Reach: 2,800 Rural seniors
• Raised Bed Gardens
o Target: adults with mobility challenges; Reach is unknown. Reach at the Horizon Center and
Shares, Inc. (sites of first two gardens): 1300
• Health Promotion for Adults with Disabilities
o Target: adults with cognitive disabilities and their caregivers and staff
o Reach: 200 persons through Shares. Per census and disability data as well as reports from
Shares, it is somewhat challenging to know how many adults with cognitive disabilities live in Shelby
County as not all are connected with established agencies like Shares, Vocational Rehabilitation and
Shelby Senior Services; nor do all receive assistance through the Social Security Administration or the
Medicaid system. The goal is to do outreach and so it remains to be seen what Reach is possible. Per
the data for all disabilities, over 3,000 civilian adults with disabilities live in Shelby County. Per the
literature, a significant percentage of these likely have both a cognitive impairment and at least one
other disability. The long range goals are to engage persons with all disabilities; Shares is the
launching point.
• Pedometer Challenge
o Target: 1st – 3rd grade students of all 8 Shelby County elementary schools; Reach (students
and their staff): 2625 for 2 pedometer challenges
Please describe the project goals, measurable objectives, action plans and
statement as to whether...
The Healthy Shelby County Community Impact Initiative has an overarching goal of a county-wide
health promotion awareness campaign. There are targeted interventions for several areas of critical
concern: two populations with a high burden of chronic disease and one population for whom
prevention and awareness are crucial. The Healthy Shelby County Community Impact Initiative is new,
but an extension of the ongoing work of Healthy Shelby County. Please see Attachment #4 for a
comprehensive outline of the grant objectives; action plan activities, timelines, measures, and lead
staff and partners.
Goals are:
• Health Promotion Branding and Messaging
o Healthy Shelby County Video Voice Project
• Health Promotion for Populations with a High
Burden of Chronic Disease
o Active Living Every Day for seniors in rural
communities; prevention screenings
o Raised-bed gardens for residents with mobility
challenges
o Prevention screenings and education for persons
with cognitive disabilities, their caregivers, and
the employees of Shares, Incorporated
* Prevention and intervention with all Shelby County 1st - 3rd grade students in pedometer challenges
Acknowledgment of any similar existing projects/programs, if any, and an
explanation of how this p...
Healthy Shelby County has built relationships with other established healthy community initiatives in
the surrounding area. Examples include: Partnership for a Healthier Johnson County, Reach Healthy
Communities of Bartholomew County, the Healthy Communities Partnership of Southwest Indiana, and
the Greater Clark County School System. In addition, Healthy Shelby County is connected with the
Indiana Healthy Weight Initiative which has a task force with representatives from around the state.
This project will use their expertise and lessons learned to guide this initiative.
For example, Healthy Shelby County will be modeling our pedometer challenge after the Student and
Staff Pedometer Challenge implemented by the Greater Clark County Schools.
Please list any other partners or collaborators in this project, if any, and detail their
roles. P...
Please refer to MOA's (attached)
Please describe any active involvement of constituents in defining the needs/issues
to be addresse...
In the development of this project, we actively engaged the following:
Shares, Inc.
All Shelby County School Principals
Elementary Physical Education Instructors and Coordinators
Shelby Senior Services
Purdue Extension
Blue River Career Programs
Major Health Partners Education Coordinator
Coordinating Committee for Healthy Shelby County
We utilized their feedback and expertise to guide our project.
Describe the qualifications of key staff and/or volunteers that will ensure the
success of the pro...
Denise N. Holland, M.Div., LMFT, LCAC
641 South 450 East
Shelbyville, Indiana 46176
(317)398-1075
POSITION: Community Liaison, Major Health Partners
Coordinator, Healthy Shelby County
QUALIFIED BY:
*Field practice for twenty two years in behavioral health,
substance abuse, ministry, hospital social services and case management, community organizing.
*Experience in various delivery systems: inpatient and outpatient,
clinics and hospitals, private practice, local church, community.
*Skilled in developing and facilitating psycho-education and
psycho- therapy groups on grief, depression, panic, and
substance abuse.
*Proficient in assessment, intervention, treatment and referral of
urgent and emergent patients.
*Practiced providing patient care on multi-disciplinary teams.
*Accomplished in resource and relationship building as a
community organizer and liaison.
*Capable trainer and presenter for employee and community
groups on advance directives, stress management, substance
abuse, customer service, and spirituality.
EXPERIENCE:
January 2013 Present: Major Health Partners, Shelbyville, Indiana
Community Liaison. Create and develop new role of Community Benefits Coordinator and community
health coalition coordinator. Maximize collaboration between Major Health Partners and the
community.
April 2003 December 2013: Major Hospital, Shelbyville, Indiana
Social Services Coordinator. Create and develop new social
services role and infrastructure for hospital and affiliates. Collaborate with multi-disciplinary medical
team in care of the complex patient. Facilitate program-development and provide education. Create
and facilitate networking group for service providers and launch healthy communities initiative.
September 2000 April 2003: Columbus Behavioral Health Care, Columbus, Indiana and Valle Vista Health System,
Greenwood, Indiana
Coordinated behavioral health services and managed clinicians for inpatient, partial hospitalization,
and intensive outpatient services. Program development and implementation resulted in outcomes
key to Joint Commission recertification with commendation. Success at Valle Vista led to opportunity
at sister facility in Columbus with enhanced management responsibilities.
September 1994 –
February 2000: Beacon Behavioral Health, Louisville, Kentucky and
Charter at Jefferson, Jeffersonville, Indiana
Provided assessment, intervention, and treatment for individuals,couples and families. Created and
facilitated groups for grief, depression and panic. Managed satellite office in a Family Medicine
Practice. Success at Beacon led to opportunity at sister psychiatric facility at Charter where I codeveloped and facilitated intensive outpatient treatment programs for mental illness, substance
abuse, and for adolescents.
May 1992 –
August 1994: United Behavioral Health Systems, Louisville, Kentucky
Performed crisis assessment and intervention for urgent and emergent behavioral health patients.
Facilitated psychiatric consults in area hospitals, crisis debriefing for community, and educational
programming for employee groups.
September 1991 –
May 1992: Private Practice, Graysville, Indiana
Practiced in an under-served rural area. Provided general psychotherapy as well as pastoral
counseling.
September 1989 –
May 1992: Charter Hospital of Terre Haute, Terre Haute, Indiana
Provided assessment and treatment for adult inpatients and their families in psychiatric facility.
Developed and facilitated family support group for patients and their families.
January 1989 –
January 1990: Regional Hospital, Terre Haute, Indiana
Internship paved way for a therapist to be hired as a member of the multi-disciplinary team on the
psychiatric unit of a medical-surgical hospital.
June 1989 –
May 1992: Midway Larger Parish, Graysville, Indiana (United Methodist)
Associate Pastor with preaching responsibilities. Developed and facilitated youth and children's
programs.
April 1987 –
May 1988: Spring Branch Baptist Church, Vevay, Indiana (American Baptist)
Minister of Education. Developed and facilitated adult and children's intergenerational educational
programming.
October 1984 –
May 1986: Sellersburg United Methodist Church, Sellersburg, Indiana
Minister to Youth with worship leadership responsibilities.
August 1980 –
May 1984: Bluffton High School, Bluffton, Indiana
High School Teacher. Created and developed speech and theatre program.
EDUCATION: 1990 M.S. Marriage and Family Therapy Indiana State University
1988 M.Div. Christian Education
Southern Seminary
1979 B.S. Communications, Theatre
Taylor University
Ongoing continuing education in addiction studies, end-of-life issues, behavioral health care, and
spirituality.
PROFESSIONAL: Licensed Marriage and Family Therapist in Indiana and Kentucky
Licensed Chemical Addiction Counselor
Certified Alcohol & Drug Abuse Counselor, Level II
Certified Co-Occurring Disorders Professional
Certified Criminal Justice Addictions Professional
Clinical Member Indiana Counselors Association on Alcohol and Drug Abuse
Associate Member of National Association of Social Workers
Healthy Shelby County Coordinating Committee:
Denise Holland, Coordinator Healthy Shelby County
Community Liaison, Major Health Partners
317-398-5240
Amber Anderson
Executive Director, Shelby Community Health Center
317) 392-3779
Don Current
Shelbyvilletoday, Current Financial Concepts
(317) 395-3328
Lydi Davidson, MSW
Community Aspiration Coordinator
(317) 825-0584
Michelle Herbert, RN
Health Services Director, Shelbyville Central Schools
(317) 392-2505
George Horning
Environmental Health Specialist, Public Health Coordinator
Shelby County Health Department
(317) 392-6470
Candy Oliger, RN
Risk Manager, Major Health Partners
Shelby County Health Department Board Member
(317) 421-3212
Cecilia Ortiz
Public Health Nurse, Shelby County Health Department
(317) 392-6470
Dianna Pandak,
Executive Director, Shelby Senior Services
(317) 392-9727
Carol Showers
Women's Health Nurse Practitioner, Shelby Community Health Center
(317) 392-3779
What is the timetable for implementation for this project?
Project will begin with establishing a marketing plan, then working towards addressing our Critical
Areas of Concern. Some work, such as the Raised Bed Gardens project will begin this spring prior to
the awarding of this grant and will expand when grant awarded. Due to conversations that occurred in
preparing this grant application, we learned of opportunities that would propel our project forward,
such as the Raised Bed Gardens project. Additional timeline and implementation information may be
found in the Action Plans in Attachment #4.
Is there any additional information that you would like to share about this project
with us that w...
INDYSTAR.COM
Indiana's On-Line News Source
March 20, 2030.
Shelby County, Indiana.
The County Health Rankings out of the University of Wisconsin were just published again this week
with the annual assessment of how counties throughout America are managing their health. Hamilton
County remains 1st in the state as they have over the past decade. Shelby County was ranked 55th
out of 92 Indiana counties. But before you snicker, take a look backwards to nearly 20 years ago.
Shelby County was at a tipping point.
Like the rest of the nation, Shelby County's population was aging. One fifth was 60+ years old. All the
other counties surrounding Marion were projected to have a 40% increase in population by 2050. Not
Shelby County. It was forecast to have up to a 10% decrease. And not just because there were
fewer births. People were moving out of Shelby County.
Shelby County was not healthy. The March 2013 County Health Rankings reported that Shelby County
had fallen for the 4th consecutive year in its Health Behavior ranking: 36% of adults were obese; 33%
were physically inactive. With a 26% smoking rate, they were 50th in the nation.
Erin Slevin, Healthy Shelby County Coordinator, remembers the community 17 years ago, “It was
really pretty dire. Lots of sectors were working to improve the county's economic vitality. But
underneath it all was an unhealthy workforce. It didn't make us a very attractive option for businesses
or families.â€
It wasn't just the adults who were unhealthy. In the Major pediatric practice, 40% of 5 year olds were
overweight or obese. These children were fighting diabetes, joint problems, heart disease, liver
disease and other chronic diseases typically seen in adults.
Ranking 88th out of 92 Indiana counties, Shelby County was in trouble. Today their Health Behavior
Ranking is 79th. Still a long way to go, but that is a 10% improvement, besting the state's goals of
5%. So what started Shelby County on a healthier path?
The then newly formed community health coalition, Healthy Shelby County, said enough is enough.
The coalition investigated the problems, researched promising practices, marshaled their resources
and crafted a strategy to make Shelby County residents think twice about lounging on the sofa with
their super-size fries and soda.
Eric Smith, a teacher at Waldron Elementary, remembers back when he was a 1st grade student at
Loper Elementary. “We wore pedometers during recess. I was used to just hanging around with
my friends, not really doing much of anything except getting in trouble! I remember panicking
because I had hardly any numbers on my pedometer! So I started running relays and being more
active at recess because I wanted to get big numbers on that pedometer!†Pedometers and
accelerometers are standard physical education equipment today.
The Healthy Shelby County mission, Making the Healthy Choice the Easy Choice Where We Live,
Learn, Work, and Play has guided their work over the last 2 decades.
Seniors and persons with disabilities were targeted for improved health, too. From raised-bed
gardens, senior physical activity classes and health fairs, wellness programming was targeted to
reduce and better manage the chronic diseases that were typical in these populations.
Allison Hackman, long time employee of Shares, Inc. and now the Director of Programming, recalls,
“Our consumers were just not getting the health care they needed. Everything changed when all
the players sat down to discuss the challenge and figure out how to make sure that disability and
health were not mutually exclusive.â€
We tracked down the first Healthy Shelby Coordinator, Denise Holland at her weekly yoga lesson.
“We knew from the Indiana State Department of Health and other health coalitions that a major
branding and messaging campaign was essential if we were going to get people to wake up and think
about health differently. That and a lot of little steps have added up to some big changes over
time.â€
Nearly 20 years ago, stakeholders throughout Shelby County made a bold decision to stop the
downward trend and turn around the health of Shelby County. Today area restaurants highlight
nutrition and calories of their healthier fare so diners can make healthy choices. Workplaces are
smoke free and employers' health care costs have decreased. Increasingly, children in Shelbyville
and the rural communities have safe routes to school so they can be naturally physically active by
walking or riding their bikes. More people have access to fresh fruits and vegetables and the chronic
disease rates have been trending down along with the waistlines.
Yes, Shelby County still has a lot of work to do, but the legacy of improved health and healthy
opportunities are a testament to what a community can do when its investors and stakeholders come
together with a vision and a determination to create a different tomorrow for their children and
grandchildren.
Please attach a detailed budget for the
project. You may include any budget
narrative here as well...
AppID-00247256-CIG_Budget.xlsx
Sustainability of project
Please discuss your specific long-term strategies for continuation of the project
beyond this gran...
• Funding for Coordinator of HSC is provided by MHP. This provides continuity of the work.
• Sites will maintain Raised Bed Gardens after project ends.
• Video Voice Project will allow use of visual images that will be used for future campaigns and
hopefully change attitudes for future generations.
• Having a brand will allow us to reach citizens and provide consistent messaging for the future.
• Active Living Every Day will be sustained through established grant and programming processes
of Shelb Senior Services
• Pedometers will remain with schools post grant. Schools will also receive a CD of lesson plans for
pedometer use in Physical Education classes.
• Disability Health initiative is an in-kind investment by Major Health Partners and will be sustained
through their community benefits.
Evaluation
What are the plans for evaluation of the project, including how success will be
defined and measur...
The Healthy Shelby County Community Impact Initiative has activity measurement in each Action Plan.
Ongoing informal program evaluation will be part of each of the objectives for the Critical Areas of
Concern. Surveys will occur for the health promotion activities and events at Shares and the new rural
venues for senior wellness programming. The pedometer challenges and the Video Voice Project will
also have post-event surveys. Since all but the Video Voice Project will occur more than once in a 3
year period, feedback will be critical for making necessary adjustments in the new ventures. The
raised-bed gardens will likely have more informal evaluation gleaned from talking with gardeners and
hosts.
Healthy Shelby County will document its grant activities and the Coordinating Committee will provide
ongoing evaluation of the grant work.
Of course, for the long-term, we want to see the needle move on Shelby County health and wellness
indicators, but realistically, it will be difficult to see that in 3 years time. However, if we don't start
today to make that difference, then in 5 and 10 years down the road, we are not likely to see
improvement
Describe how evaluation results will be used and/or disseminated and if
appropriate, how the proje...
Evaluation results will be shared with stakeholders, the Healthy Shelby County Coordinating
Committee and Advisory Council, and the Community Impact Grant investors. Some of the feedback
may be appropriate for media.
One key goal of the initiative of Health Promotion for Persons with Disabilities is taking the model that
is crafted for Shares and the wider disability community and then replicating it with other complex
health disparities, such as persons with mental illness.
The pedometer challenge is based on the one conducted at the Greater Clark County Schools in
Southern Indiana. Their program was promoted by the Indiana State Department of Health. Healthy
Shelby County hopes that careful documentation of the activities of the grant as well as the feedback
from the experiences will be something we can promote to the Indiana State Department of Health,
especially because so many of the grant objectives are aligned with the state's objectives for
decreasing the state's obesity level by 5% in the next 10 years.
In order to make the healthy choice the easy choice where we live, learn, work and play, the
objectives of the Healthy Shelby County Community Impact Initiative will provide important
relationships and results to build-on for ongoing and future work with environment, policy,
programming, and infra-structure so that Shelby County residents have healthy options from which to
make their own healthy choices.
Describe how you will actively involve constituents in evaluating the program.
Some of the Action Plan activity measurements include pre- and post- tests. Surveys will be used at
the end of classes held for seniors and for caregivers and staff. We hope to catch some of the
informal evaluation of constituents with film, such as engaging with gardeners and with the students in
the pedometer challenges or the consumers of Shares. Formal and informal feedback from the
constituents will be crucial for identifying course adjustments and for validating that these
interventions are meaningful.
Sponsoring Organization Board Information
List of Current Board Members
Please list current members of the governing board and offices they hold. Please
list a contact ph...
Healthy Shelby County
Coordinating Committee
Director:
Denise N. Holland
Coordinator
Healthy Shelby County
dholland@majorhospital.org
Members:
Lydi Davidson
Coordinator
Shelby County Community Aspiration
ldavidson@ouraspiration.org
317 825-0584
Michelle Herbert
Director of Health Services
Shelbyville Central Schools
mfherbert@shelbycs.k12.in.us
George Horning
Local Public Health Coordinator
Shelby County Health Department
schd.horning@gmail.com
317 392-6470
Cecilia Ortiz, RN
Health Nurse
Shelby County Health Department
Shelby_Health@hotmail.com
(317) 392-6470
Dianna Pandak
Executive Director
Shelby Senior Services
dpandak@shelbyseniorservices.org
317 398-0127
Lisa Schnepp, Dietician
Major Hospital
lschnepp@majorhospital.org
317 392-3211
Carol Showers
Nurse Practitioner
Shelby Community Health Center
cshowers@tds.net
317 392-3779
Amber Anderson, Director
Shelby Community Health Center
392-3779
317 392-6470
Desiree Moore, Director
Department of Child Services
Desiree.Moore@dcs.IN.gov
317 392-5040
Erin Slevin
Health Consultant
erinslevin@yahoo.com
Don Current
Web Design & Hosting
don.current@currentfinances.com
(317) 395-3328
Diana Stone
Field Extension Educator
stoned@purdue.edu
317 392-6460
Please attach a copy of the current year
AppID-00247256operating budget for the sponsoring
operating budget for the sponsoring
organization.
BRCF_budget_worksheet_for_proposal_and_report.xls
Please attach one of the following 1. Most recent financial audit
2. Most recently fi...
AppID-00247256Healthy_Shelby_County_Accounting.xls
Other Information
Letters of Support/Other Supporting Documents
Please attach any letters of support for
this project from pertinent community
members, businesses...
AppID-00247256-Support_Ltrs..pdf
Add'l letters/documents
AppID-00247256-Financial_Officer_ltr.doc.jpeg
Add'l letters/documents
AppID-00247256CIG_Attachments20130328_142307.pdf
Add'l letters/documents
AppID-00247256CIG_Plan___Budget_20130329_105850.pdf
MOUs
Please attach copies of any
memorandums of understanding that you AppID-00247256-MOUs.pdf
may have with partners or provid...
Add'l MOUs
AppID-00247256-CIG_MOA_20130328_160345.pdf
Add'l MOUs
Other funding
If you have secured funding for this
project from other sources, please
attach a copy of any award...
Add'l award letter
Add'l award letter
Add'l award letter