1. Advancing California Opportunities to Renew Native health Systems (ACORNS)
Funded by the Centers for disease control and Prevention’s (CDC)
Good Health and Wellness in Indian country (GHWIC) Cooperative agreement
9/21/2018

2. CDC’s Good Health and Wellness in Indian Country (GHWIC) & ACORNS
Goals:
Increase chronic disease prevention
Create sustained policy, system and environment (PSEs) improvements
Increase community and clinical linkages within California
Increase team-based systems of care
through culturally competent interventions in Native communities.
As a GHWIC grantee, California Rural Indian Health Board’s (CRIHB) Research and Public Health staff provide: funding, training, and technical assistance to Tribes and Tribal Health Programs (THPs) in California to implement such programs, through ACORNS.
9/21/2018

3. ACORNS Funding
GHWIC is a 5 year grant (2014 – 2019) awarded to CRIHB and funding was open to all California Tribes and THPs through two phases as sub-awardees.
Phase I – Community Health Assessment (CHA): Funds were allocated for Tribes to conduct a comprehensive CHA and develop an assessment-based Community Action Plan (CAP) that address community-specific health needs.
Phase II – Program implementation: Funding to implement effective, community chosen and culturally adapted policies, systems, and environmental changes to address commercial tobacco use, access to healthful nutrition, physical activity, and strengthen team-based care and community-clinical linkages.
California Indian Tobacco Education (CITE): Additional supplemental funding for activities that focus on the reduction of commercial tobacco use and exposure.
9/21/2018

4. Phase I AWARDEES: Assembled a “Community Team”
Produced a CAP to guide implementation of policy, systems, and environment changes
Produced a community assessment
Gathered information on community
Assembled a “Community Team”
(Representatives of the community, health care, school, & work site sectors)
9/21/2018

5. Phase II AWARDEES are:
Implementing community action plans aimed to address one or more of the following:
Prevent commercial tobacco use & exposure
Increase physical activity
Increase access & consumption of healthy foods
Strengthen clinical-community linkages
Promote breastfeeding
9/21/2018

6. ACORNS Program Approach
ACORNS supports sustainable chronic disease prevention through policy, systems, and environmental (PSE) changes.
Policy
Written statement of organizational position, decision or course of action, such as ordinances, resolutions, mandates, guidelines, or rules.
System
Changes in organizational procedures such as, personnel, resource allocation, programs.
Environment
Physical, observable changes in the built, economic, and/or social environment.
9/21/2018

7. Health Promotion vs. PSE Changes
Setting
Program/Event
PSE Change
School
Have an event or assembly promoting healthy food
Establish a school garden
Community
Host a community walk
Establish and maintain a walking trail in your community
Worksite
Have a physical fitness challenge
Implement a policy which encourages and allows employees to engage in physical activity during work breaks
Clinics
Hold free breastfeeding courses for new moms
Designate a breastfeeding room for nursing mothers
9/21/2018

8. ACORNS/CITE Example program strategies
The community garden at Cold Springs Rancheria where they are planting vegetables, traditional plants, and fruit trees.
The greenhouse for Bridgeport Indian Colony’s community garden.
Greenville Rancheria’s healthy vending machine.
Tule River Indian Health Center’s new vending machine for healthy snacks.
Institute healthy food and beverage options in vending machines
Establishing community gardens
9/21/2018

9. ACORNS/CITE Example program strategies
No smoking signage outside of Cloverdale Rancheria’s Tribal Office.
Indian Child and Family Preservation Program has made their Wellness garden smoke free.
Bridgeport Indian Colony’s bikes from their bike-share program.
Big Pine Paiute Tribe of the Owens Valley’s bike-share program.
Institute a smoke-free policy for outdoor public places
Institute a bike sharing program
9/21/2018

10. ACORNS/CITE Example program strategies
Round Valley Indian Health Center’s garden trailhead.
Bishop Paiute Tribe’s Wellness Center.
Bridgeport Indian Colony’s community walking trail.
Cold Springs Rancheria’s Wellness Center.
Maintain a network of walking routes or nature trails
Big Pine Paiute Tribe’s Wellness Center.
Provide access to public recreation facilities for people of all abilities
Bishop Paiute Tribe’s walking trail.
9/21/2018

11. ACORNS/CITE Other example program strategies
Implementing wellness and healthy eating policies
Developing referral systems linking clinical and community services
Developing community partnerships which increase access to nutritious food or physical activity
Developing culturally competent communications promoting health
9/21/2018

12. ACORNS/CITE Awardees Reach:
40 CA Tribes or THPs have completed Phase I
Currently, 27 Tribes and THPs are implementing funded Phase II programs
Since 2015, 52 CA Tribes have been reached through Phase II programing
Setting:
Rural and urban
Tribes, clinics, and health programs
9/21/2018

13. (Insert Tribe/THPS name here) ACORNS Program
Completed Phase I Community Health Assessment in (add month and year).
Our CHA results showed:
List some of the major findings of your CHA
Insert finding here
Based off those results, we developed an action plan focusing on (Insert program focus areas: commercial tobacco, healthy foods/nutrition, community clinical linkages, physical activity).
Phase II program implementation began (Insert Phase II start date).
Insert photo taken during Phase I or of your CHA
9/21/2018

14. (Insert Tribe/THPS name here) ACORNS Program Team
(Add names, roles, and photos of the ACORNS team, office etc.)
9/21/2018

15. ACORNS Phase II Work Plan (add work plan year)
Overall goal: (Write program goal here)
Objective 1: (Write objective here)
Activity 1: (Insert supporting activities)
Activity 2
Activity 3
Objective 2:
Activity 1
Insert photo of work plan/work/goals
9/21/2018

16. ACORNS Program Evaluation
(Insert information about how you are measuring or plan to measure your program success)
9/21/2018

17. ACORNS Program Progress
(Insert information about your project’s progress…
- What activities have you completed?
How many people have you reached?
# of policies implemented
# of referrals made
# of physical activity opportunities provided
# people who have quit smoking
# of MOUs written or partnerships developed
# of gardens established
Add photos, videos, survey results etc. This could be several slides.
9/21/2018

18. Greatest Successes
(Use this space to talk about some of the successes of your work and why you are committed to this program or work)
(Using pictures, stories, videos, etc. are good ways to share this)
9/21/2018

19. Biggest Challenges
(Use this space to talk about some of the past and current challenges of your work and how you will or did overcome them)
(Using pictures, stories, videos, etc. are good ways to share this)
9/21/2018

20. The future of ACORNS
(What is your vision for the future of the ACORNS program ?)
(How do you plan to make these program efforts sustainable?)
(Why is this work important to continue?)
9/21/2018

21. Your Role
(This could be a slide for informing the people watching the presentation how they could be a part of this program )
(Who are you presenting this to and what do you need from them to support your work?)
Donate their time or resources
Implement/pass a policy
Enter into a partnership with you
Endorse the program
Participate in program activities
Contribute ideas for program growth or improvement
9/21/2018

22. Questions?
9/21/2018

23. (Insert name and contact information here)
9/21/2018