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Health Advisory Committee Action Plan 4 5

Mission 6 Educate, advocate and collaborate as community partners to strengthen community 7

health and wellness 8

9 Vision 10

Sierra Vista will be a strong, healthy and vibrant community where everyone can 11 achieve their full health potential 12

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Executive Summary and Policy 18

As stated in the executive summary, Cochise Health and Social Services has developed a strategic 19 plan to ensure that health services provided to residents in Cochise County are of high quality and 20 meet the need for thriving communities. In conjunction with a Community Health Assessment 21 (CHA), Arizona Department of Health Services (ADHS) data and a Community Health Improvement 22 Plan (CHIP), this strategic plan provides for focus of efforts, department wide direction, and 23 provides a common ground for the delivery of high quality, appropriate, efficient and sustainable 24 public health services in Cochise County. In fulfillment of this strategic plan, the Cochise County 25 Board of Health and Cochise Health and Social Services together will achieve the goals required for 26 a collaborative approach to recognize public health priorities, define objectives for each priority 27 and further assess the capacity to address the priorities through the creation of localized Health 28 Advisory Committees (i.e. Sierra Vista, Douglas, Bisbee, Benson, Wilcox).29

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Leading public health issues identified are those health issues impacting the health and quality of 32 life of a significant number of residents in Cochise County, and are areas where significant 33 opportunities exist for the local public health agencies, cities, community partners and the state to 34 play a role in achieving positive results towards healthy community transformation. 35 36

Arizona Department of Health Services

Health Indicators

Primary & Secondary Collected Data

ADHS Advisory Group

County Health Assessment

(CHA)

Top 10 County Health Priorities

State Health Assessment

(SHA)

County Health Improvement Plan

County Board of Health

Cochise Health and Social Services

Community Health Advisory Committees

Be Healthy! Sierra Vista

City of Sierra Vista City Council Sierra Vista Unified School District Cochise Health and Social Services U/A Cooperative Extension Canyon Vista Medical Center The Herald Cochise College

Fort Huachuca RWBAHC Legacy Foundation of Southeast Arizona Sierra Vista Fire Department Fort Huachuca Schools Cenpatico Local Parish Community Fry Fire District

Overview 37

The Be Healthy! Sierra Vista Action Plan documents the strategies and actions the Health 38 Advisory Committee, and its partners, will undertake over a two year period to achieve the goals 39 and objectives of the Lets Move, Cities, Towns and Counties that address obesity in the 40 community. This Action Plan will also support the strategic direction for both the City of Sierra 41 Vista and Cochise Health and Social Services. 42

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Focus: Be Healthy! Sierra Vista will assess program needs and the capacity to enhance current 44 programs as they relate to targeting obesity in the Sierra Vista community. Be Healthy! Sierra 45 Vista will coordinate efforts with the City of SV, Ft Huachuca, Department of Health and Human 46 Services and will deliver an Action Plan that is in line with the city recognized Lets Move! Cities, 47 Towns and Counties initiative for prevention of obesity. 48 49 Initiative History: The National League of Cities (NLC) works in partnership with Lets Move! and 50 the U.S. Department of Health and Human Services to provide cities, towns and counties with the 51 tools and support they need to build healthy communities (Lets Move Cities, Towns and Counties 52 LMCTC). 53

Obesity is in large part a result of lifestyle and the environments in which we live. The challenge is 54 to impact behavior and reset the cultural norm to include active lifestyles and healthier eating. 55 Challenges in achieving healthier lifestyles are having access to healthy foods, parks, recreation 56 areas, and an environment that supports activity and appropriate nutrition. Environment in this 57 context is defined as it applies to homes, communities, schools, and work sites; all these places can 58 support or hinder an individuals ability to maintain a healthy weight through physical 59 activity and appropriate nutrition. 60

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City of Sierra Vista Leisure Services

64 Obesity has become a national epidemic with a dramatic increase in the last 20 years. Since 1993, 65 Arizona has seen a 19% increase in individuals who are overweight or obese. This is the largest 66 increase in the nation. 67 68

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71 Strategy: Lead, promote, and advance sustainable health through the development of goals and 72 objectives to address health priorities. The Committee will respond to challenges in the Sierra Vista 73 area by engaging and involving the local community, and will review work to present 74 recommendations for systems, policy and environmental changes when necessary. This Committee 75 will also serve as a liaison to communicate with leadership and the general public. 76

77 Type of Change What it Means Examples

Systems Change Changes that impact all elements of an organization, institution or system

Changing bus routes to increase access to parks or grocery stores

Policy Change Laws, ordinances, mandates, resolutions, or rules

Establishing an employee wellness policy that supports tobacco-free campuses.

Environmental Changes Physical or material change to the economic, social or physical environment

Ensuring routes to school are accessible and safe by adding sidewalks to residential streets

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Development of Goals and Objectives: Using State and County health data, stakeholder input and 79 other citywide plans, Be Healthy! Sierra Vista will define in detail a goal with objectives that will 80 address obesity through a series of events and policy recommendations. This goal with objectives, 81

and their associated performance measures, will compose the Be Healthy! Sierra Vista Action 82 Plan and will demonstrate work to be done over the next years 2015-2016: 83

Goals Broad statements of measurable outcomes to be achieved on behalf of residents or community

Objectives Statements of what must be done well, or barriers that must be overcome to achieve a specific goal

Outcome Measures

Indicators that assess progress toward accomplishment of goals

A coordinated action plan will ensure an avenue for communication, evaluation and sustainability. 84 We have established partners in the community that are motivated and are currently working 85 towards enhancing promotion and engagement with physical activity and healthy habits in the 86 school community for parents, kids, families and staff. 87

Goal: Increase Access to Active Lifestyles and Health Education

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Action Plan 89

Objectives Measures Timeframe

Reinforce Partnerships that Support Active Lifestyles

I. Implement National Walk or Bike to School event.

Meet with community partners to

inventory current programs and systems within the school environment

Establish event media campaign

through Be Healthy! media sub-committee, Fort Huachuca CHPC and RWBAHC

Plan, route and coordinate Walk

or Bike to School event using local and national resources (SVUSD, Fort Huachuca Schools, Local Public Safety and National Center for Safe Routes to School Guide)

Obtain and evaluate data from

event for on-going programs within the school community

II. Partner with businesses and the school

community to advocate involvement and support for identified wellness activities and events

III. Coordinate with partners to develop an effective city-wide media system for event and health message communication

# of students participating with pedometers, # of steps per student, miles/steps conversion for students on bikes, % increase in safe routes to school # of schools and charters participating in active lifestyle promotion, # of partners (business and resident) participating in Legacy of Excellence Established Be Healthy! Sierra Vista website, established and maintained media master list, increase # for media site-distribution

FY 2015 FY 2015 FY 2015

Promote and Implement Programs Designed to Increase Physical Activity for School Aged Children and Families

I. Walking School Bus

FY 2015 - 2016

Identify current programs to

coordinate with for event success

Develop interest through event promotion with HAC, SHAC, and partners

Coordinate with public safety,

SHAC, HAC and city for establishment of safe routes and event logistics

Recruit WSB Guides from PTO, Staff,

Volunteers or Partnering Organizations to supervise walkers.

Establish WSB parameters for each

participating school

On-going evaluation and program development within school community

II. Active8 Prelude to Thunder Mountain Games 2016

Meet with school partners to

inventory current programs and activities within the school environment

Create Active8 Challenge based on

student, family and staff physical activity and monthly forum participation

Coordinate Active8 procedures

with Thunder Mountain Games 2016 committee

Develop and maintain Active8

website and media campaign

Coordinate Active8 execution with staff from participating schools

Guidelines completed, training provided for faculty Active8 website developed, Active8 Toolkit developed, # of students registered for Active8, # of Active8 participants in TMG, # of charters participation from Toolkit, estimate group calories burned TMG

Promote Active8 Challenge throughout the SVUSD and Fort Huachuca Schools

Develop Active8 Toolkit

Increase the Prevalence of Health Education in the School Community

I. Legacy of Excellence Corporate Community Dinner

Establish logistics and media for

requested partners

Recognize and celebrate partnering organizations

Provide support and resource

information for healthy work and home environment post event

II. Dinner Socials

Meet with school partners to inventory current programs and activities within the school environment

Coordinate with events in

community

Preplan topics for forums and recruit partners for planning, delivery and referrals (i.e. CDSMP, ASHLine)

Coordinate healthy dinner menu

and event logistics with partners

Promote dinner social schedule through established media lists, HAC and community partners

increase # sponsorship, survey # employers providing healthy work and home environment resources Increase health education opportunities after school for students/family/staff, increase # participating in monthly healthy dinners, # referred to CDSMP and ASHLine, identify barriers in communication

FY 2015 2016 FY 2015 - 2016

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Resources 91

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Prepare and implement evaluation for school community health and communication