1. Growing
Fit
Big Rapids
Kimberly Holden, Benjamin Kasper, Tonya Thompson, and Sharon Lumbert
Fall 2012 NURS 440 OSP Project, Ferris State University

2. (231)499-4444 www.GrowingFitMC.com
Services Overview
Growing Fit
Mecosta County
321 Maple Street
Big Rapids MI 49307
(231)
Monday – Friday after school until 7:45 PM & Saturdays 9:00 AM – 2:00 PM
Providing health education services to adult and youth population in the Big Rapids area:
Education
Obesity management
Physical activity programs

3. Need for Services
Obese children are more likely to become obese adults
Obesity complications include:
Heart disease
Stroke
Hypertension
Death
High Cholesterol
Diabetes

4. Needs Assessment External Environment
13.3% children obese in Michigan between ages 2-5 years
Higher prevalence of obesity in Michigan than US
70%-80% obese children become obese adults
Big Rapids area has high rates of obesity and inactivity
Internal Environment
No childhood obesity reduction groups in Big Rapids area
Need for obesity reduction services providing dietician, sports training and nursing care
Need for collaboration with schools and parents/children

5. Mission Statement
Growing Fit is dedicated to improving the health of children between the ages of 5-14 years in the Big Rapids, Michigan area by providing education and support to families to prevent or reverse childhood obesity

6. Philosophy Clients have the right to: Respect & dignity
Person centered, non- discriminatory care
Education and Support
Freedom from obesity related illness
Nurses have a duty to:
Uphold professional nursing standards
Advocate for clients’ rights and needs
Provide evidence based, dedicated care to the community

7. Create an active lifestyle for
Organizational Goals
Create an active lifestyle for
Children!
Assist families in becoming motivated and increase knowledge of events in the community
Enhance community support programs that will aid families in leading an active lifestyle
Ensure children have after school activities to help reduce the risk of childhood obesity
Make sure education is provided to parents of children ages 5-14 years in regards to making healthy food choices in turn assisting in a healthy lifestyle

8. Organizational Objectives
To decrease the risk of childhood obesity in children ages 5-14 in the Big Rapids, Michigan area
To educate parents and children on making healthy food choices to decrease the risk of becoming obese
To collaborate with the community recreation department in creating new high energy after school and summer activities
To implement nutritional guidelines into after school / summer activity programs

9. Organizational Chart
Executive Director
Registered Nurse
Registered Dietician
Sports Trainer
Director of Nursing
We offer services in the least complicated manner possible.
Using a phase one shared governance structure lets the nurse executive retain decision making authority while staff is responsible for practice issues and determining roles, functions and processes.

10. Job Descriptions Registered Nurses Executive Director Sports Trainer
Collaborate care between sports trainer and dietitian.
Provide professional care to clients using the nursing process to achieve desired outcomes.
Report and collaborate with Director of Nursing
Provide assessments of children in the program
Maintain client plan of care
Executive Director
Perform leadership functions of governance and decision making.
Coordinate all planning, organization and directing of financial funds.
Collaborate with all staff member and run day-to- day operations.
Maintain a safe and effective environment where obesity prevention is a shared goal.
Sports Trainer
Provide direct and indirect care to clients
Identifies client needs, skills and knowledge needed to increase physical activity
Collaborate with the dietician and nursing staff.
Promote community events ,
Director of Nursing
Provide direct and indirect care to clients.
Program and employee oversight and care plan approval
Collaboration with executive director for budget decisions
Collaborate care with nurse practitioner, dietician and nursing staff.
Registered Dietician
Develop specialized diets for at risk children
Teach patients and families the importance of nutrition, diet and food selection.
Evaluate how patients respond to their specialized diets and make adjustments when necessary
Teach class about diet, nutrition and food related to obesity management.

11. Budget Components Advertising Salaries Operating costs Funds & Revenue
Benefits
Operating costs
Supplies
Equipment
Funds & Revenue
Critical Appraisal

12. Job Advertisement For staff recruitment & community exposure:
Allnurses.com
One month on Allnurses.com $249.00
Mlive / Grand Rapids Press
Thirty day ad $195.00
Brochures & flyers to hospital & healthcare organizations
Free electronic resources
Ads.indeed.com
Craig's List
Facebook

13. Fringe Benefits: $8,000/employee
Staff Salaries
Fringe Benefits: $8,000/employee

14. Operating Costs REVENUE & FUNDING Grants Donations
Operating Expenses
Cost Annually
Electric, Gas, and Heat
$ 13,000
Water
$ 3,360
Rent
$ Included from school system
Phone System
$ 16,000
Medical Supplies
$ 16,400
Office Supplies
$ 19,600
Postage
$ 2,000
Advertisement
$ 17,000
Insurance
$ 20,000
Total
$107,360
REVENUE & FUNDING
Grants
Donations
Blue Cross Blue Shield
Priority Health

15. Budget: Critical Appraisal
Expenditures for staffing, advertising and operating costs are justified due to the need of comprehensive, high quality, evidenced based care for obese children
Clinic has potential to grow and expand over time
Funding will be obtained from multiple sources that assist in operating clinic and contribute to the research knowledge base of obesity care

16. Together We Can Make a Difference!
Summary
Growing Fit Big Rapids
Clinic created to address serious identified need
Serving client population with elevated risk of obesity
Mission statement, philosophy & goals support need
Plan created for staffing, advertisement and budget
Together We Can Make a Difference!
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