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Joint Program Oversight and Grants Committee October 7, 2016 Noon- 1:30 p.m. Grants Committee 1:30 p.m. - 2:30 p.m. 1640 Lyndon Farm Court, Suite 100 Louisville AGENDA 12:00 PM Joint Program Oversight and Grants Committee Welcome Lunch Provided Review of Minutes Action Minutes, July 8, 2016 Meeting Enclosed Action: Approval of Minutes Allen Montgomery Charlie Ross 12:30 PM Foundation Initiatives Update I. Investing in Kentucky’s Future (IKF) IKF Update Enclosed II. Promoting Responsive Health Policy (PRHP) : including KHIP, Data Forum, Communication Grantees, Bost Evaluation PRHP Update Enclosed Amalia Mendoza Erica Bindner- Wooten 1:00 Program Evaluation Update Matching and Challenge Grants Evaluation IKF Evaluation Advisory Committee Stakeholder Interviews Maggie Jones, CCHE 1:30 PM Adjournment 1:30 PM Grants Committee 1:30 PM Welcome Role and Purpose of Committee Enclosed Charlie Ross 1:40 PM Review of Minutes Action Minutes, July 8, 2016 Meeting Enclosed Charlie Ross 1

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Joint Program Oversight and Grants Committee October 7, 2016 Noon- 1:30 p.m.

Grants Committee 1:30 p.m. - 2:30 p.m.

1640 Lyndon Farm Court, Suite 100 Louisville

AGENDA

12:00 PM Joint Program Oversight and Grants Committee Welcome Lunch Provided

Review of Minutes Action Minutes, July 8, 2016 Meeting Enclosed Action: Approval of Minutes

Allen Montgomery Charlie Ross

12:30 PM Foundation Initiatives Update

I. Investing in Kentucky’s Future (IKF) IKF Update Enclosed

II. Promoting Responsive Health Policy (PRHP) : including KHIP,Data Forum, Communication Grantees, Bost Evaluation

PRHP Update Enclosed

Amalia Mendoza

Erica Bindner-Wooten

1:00 Program Evaluation Update

• Matching and Challenge Grants Evaluation• IKF Evaluation Advisory Committee• Stakeholder Interviews

Maggie Jones, CCHE

1:30 PM Adjournment

1:30 PM Grants Committee

1:30 PM Welcome Role and Purpose of Committee Enclosed

Charlie Ross

1:40 PM Review of Minutes Action Minutes, July 8, 2016 Meeting Enclosed

Charlie Ross

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Action: Approval of Minutes

1:50 PM Investing in Kentucky’s Future (IKF)

• Consideration of renewal funding of the Louisville BounceCoalition (Fiscal Sponsor, Community Foundation of Louisville).Work Plan and Budget Enclosed

• Consideration of renewal funding for FLAGG, Fitness for LifeAround Grant County (Fiscal Sponsor, Northern KentuckyHealth Department). Work Plan and Budget Enclosed

Action: To recommend to the Executive Committee, for their 10/21/16 meeting, approval of these two projects at proposed funding level. Staff Report and Recommendations Enclosed.

Amalia Mendoza

2:30 PM Adjournment Charlie Ross

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Joint Meeting of Program Oversight Committee (POC) and

Grants Committee July 8, 2016

1640 Lyndon Farm Court, Suite 100 Louisville

Minutes

Members Participating by Video: Mary Ann Barnes, Carol Hustedde, Wynn Radford, Dona Rains, Brent Wright. Members participating in Person: Allen Montgomery and Charlie Ross (Co-Chairs), Nancy Addington, LeChrista Finn, Amanda Goldman, Maria Gomez, Randy Gooch, Laura Hancock Jones, Vivian Lasley-Bibbs, Carlos Marin, Wynn Radford, Robert Slaton. Members Absent: David Bailey, Diane Coleman, Alison Davis, Jennifer Hatcher

Others Present: Erica Bindner-Wooten, Alexa Kerley, Angela Koch, Amalia Mendoza, Rachelle Seger, Ross Stanton (Norton intern), Susan Zepeda

Continued Discussion of External Evaluator Update on Foundation’s PRHP Initiative

In further discussion of the questions posed by external evaluator Maggie Jones to the Program Oversight Committee, comments offered included:

Given the Foundation’s mission, what are the core messages that it wants to convey? How is that reflected through the Foundation’s strategies?

In a world with more messages than we can process, it is important to keep the focus on our brand, message and mission.

The Foundation’s Communications Director was encouraged to create an ad hoc advisory committee on communications to support this work. Jill Bell (of Passport) and Board member Dona Rains were suggested as possible members. Other suggestions were:

• Make greater use of infographics (like those the State Health Access Data AssistanceCenter - SHADAC – creates for us) and our YouTube channel

• Board and CAC to “like” and share Foundation items on Facebook, and retweetFoundation tweets to their network

• CAC members to “map” their relationships with key media, elected and civic leaders intheir communities and reach out to them, sharing the Foundation’s work

• Present the Communications Plan update at September CAC meeting, to furtherencourage their engagement and outreach

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Convening: How can the Foundation leverage this strength to advance conversations and build capacity?

• Consider further joint convenings with business community partners• “Genius” to focus 2016 Bost Forum on health as an economic driver• Employers can be partners in cost-containment efforts of “doing care differently”• The business community shares our interest in getting Kentucky going, getting healthy,

getting jobs – combating the challenges of the state’s high rates of ill health and poverty• There may be convening opportunities around nutrition/physical activity policy

Targeted research: How can the Foundation sustain the credibility and usefulness of its data and research efforts?

• This is a strong suit: lead with the data• Evidence base for prevention as a good investment• How research translates to visualization, application

Relationship and capacity building: How does the relationship building strategy evolve given the new political landscape?

• Opportunities to build rapport with new administration; shared interest in the health ofKentucky’s children

• Constructive framing of shared interests• We tend to think of policy at the state level – some of the most important changes are

happening at the local level: smoke free, shared use, walkable communities• Engage the business community by listening: link of healthy workers to productivity,

healthcare costs• Use business community leverage for policy change in Frankfort• Let’s look for our areas of common interest with agribusiness

Grantmaking: How does the Foundation want to position itself in relationship to its grantees? • We fund them, but we don’t control what they say• Just want to be sure they are getting the work done, that we agree to support• Want our name tied to conferences and convenings; other advocacy, staff may continue

to evaluate on a case by case basis.

At the July 22 meeting of the Executive Committee of the Board and CAC Leadership, there will be further discussion of how best to present the Communications Plan and engage CAC members at the September 20 meeting.

Adjourn

The meeting adjourned at 1:25 PM, on motion of Robert Slaton, seconded by Carlos Marin, to be followed by a meeting of the Grants Committee.

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Program Oversight Committee October 07, 2016

Investing in Kentucky’s Future (IKF) Update Grantmaking

Springboard to Resiliency

Adverse Childhood Experiences (ACEs) such as abuse, neglect, or witnessing crime, parental conflict, mental illness, and substance abuse can create dangerous levels of stress and derail healthy brain development, with long-term effects. ACEs have been linked to chronic health conditions, risky health behaviors, low life potential and early death and are therefore becoming an important public health priority. The Bounce coalition, the IKF grantee piloting strategies to address ACEs in two elementary schools in Louisville – Semple and Wheatley- continues to show significant progress as it moves into its third year of funding.

Most measures being followed show improvement. For example, behavior referrals with the highest intensity declined from 260 (33%) to 171 (28%), a considerable drop.

Bounce has highlighted that the most important changes were seen with the Jefferson County Public Schools (JCPS) Comprehensive School Survey (CSS) data, which show gains for 7 of 9 items this year. It is commonly held that positive school climate change is a requisite for academic progress and the CSS data show nice gains on items for students and staff, and favorable comparisons to elementary district data. The largest gain (7%) was for the item “I believe the adults in my school will take care of any unsafe situation”.

Additionally, Bounce had higher agreement ratings than elementary district ratings for 6 of the 9 items. This is noteworthy because the elementary data includes non-struggling schools. Especially noteworthy is the 4.2% gain for the item “I feel my teachers really care about me.”

Not only is it a substantial gain, it also is above the district average.

Following improvements to school climate, one would hope to see changes in student attendance, and the attendance rate improved by 1%. In terms of staff, pre‐post survey results show that the percentage of teachers rating themselves as having adequate or extensive skills in providing support to students experiencing traumatic events has risen by 32.8% since the fall 2014 baseline data was collected.

“I believe the adults in my school will take care of any unsafe situation.”

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Action on Childhood Obesity Prevention

The six grantee counties working on childhood obesity prevention – Breathitt, Clinton, Grant, McLean, McCracken and Perry- continue to make progress in the development of their business plans.

The Partnership for a Healthy McLean County has signed a Memorandum of Understanding between the coalition and the McLean County School District. An important part of the collaboration is the inclusion of the SPARK physical activity and nutrition program in schools.

SPARK has been recognized as an Exemplary Program of the U.S. Department of Education and featured in the Surgeon General’s Report as a “School-based solution

to our nation’s healthcare crisis.” The coalition held a training for staff in the use of SPARK, and implementation of the program in elementary schools has begun with the start of the new school year.

McLean County is also using its School Backpack Program to offer healthier food options for those participants in the program. Surveys were sent to parents in order to evaluate the reception of the healthy food in the home along with gauging the response of receiving educational materials that address healthy eating in the future. Parents’ response to the program was unanimously positive.

The Partnership for a Healthy McLean County is also working on community strategies. In this area they held a nutrition fair, which will be repeated this fall, and also hosted a Regional Health Council meeting.

In Grant County, along with the improvements made to the basketball, tennis and volley ball court at Corinth Park, the Fitness for Life Around Grant County (FFLAG) coalition completed a walking path in the park. Students from Grant County schools participated in the design and development of the path, as part of their engagement in improving the environment necessary to make physical activity possible.

Youth engagement is a growing area of work among IKF grantee counties. The Clinton County Healthy Hometown Coalition has youth members on their coalition board. These youth coalition members participated in the Albany Elementary School Health Fair, talking with 675 elementary students about the importance of good nutrition and quizzing students on good choice/bad choice

regarding food.

The Clinton County coalition also hosted a Healthcare Professional Roundtable Luncheon specifically directed at talking with providers about childhood obesity in the community and obtaining feedback on how best to coordinate with them in the prevention efforts being made by the community.

SPARK program in McLean Elementary School

Grant - students working on improvements to path.

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The Purchase Area Connections for Health Coalition that is working on the development of the Fountain Gardens Get Fit Youth Wellness Program has been granted a no-cost extension on their first year contract. Since the part of the project that is related to the development of a park contains federal funds in the funding package, they require additional reviews through federal agencies. Their first delay came from a required environmental clearance. Now the Transportation Cabinet must approve the plans and specifications for the health park improvements. Those plans are under review at this time. Once approved, the City is required to advertise for bids for at least 30 days prior to opening the bidding period. Once

the bids are obtained, it will take an additional 3-5 weeks to award a contract through the Paducah City Commission. In the meantime, the implementation of the Coordinated Approach to Child Health (CATCH) program, focused on nutrition and physical activity in the schools, is in development.

The Breathitt County Health Planning Council for Children coalition hosted another Community Fun Run in coordination with the Parks and Recreation Department. “Glow in the Park “was held on July 31st and nearly 100 people participated, including 20 volunteers. The event had marketing support from the radio station.

Participants of Breathitt's Glow in the Park run.

Besides the development of their IKF grant activities, many of these communities are expanding the change prompted by the IKF grant by leveraging funding and greater community involvement. For example, the Clinton County Healthy Hometown Coalition has added a new toddler playground to the IKF-funded playground in Mountain View Park, through the funding and collaboration with the Clinton County Extension Office, the EPHECT Coalition and the Clinton County Early Childhood Coalition. These partners also added a fence around the toddler playground and received an additional donation from American Woodmark to purchase a revolution spinner for this new playground.

Youth talking to youth at Clinton Health Fair

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Clinton County Schools received a $25,000.00 grant from Kentucky Department of Education to purchase new kitchen equipment to improve the nutrition content for students as well as staff. Clinton County Extension Office was recently

awarded a grant from the CDC to focus on obesity which they are applying to things like the park equipment.

Another community and coalition success has been the creation of the Clinton County Farmer’s Market Association. The Agriculture Extension Agent and the Parks and Recreation Director, both on the Clinton County Healthy Hometown Coalition board, are leading the project. They have already obtained a grant from USDA to open a location for the Farmer’s Market downtown, which accepts WIC and Senior Vouchers, and they are working on the certification to extend SNAP and EBT cards. Farmers were trained before entering the program.

Policies and System Change

Some of the policy and system change outcomes related to the Bounce coalition and ACEs include:

• A policy change by Louisville Metro Government (LMG) office of Youth Development to modify the LMG contract so that any agency working with youth and receiving agency funding must send an executive director or a designated representative to be trained in adverse childhood experiences (ACES) through the Bounce Coalition. Presently, LMG office of Youth Development provides 44 grants representing 36 agencies.

• Bounce in partnership with BLOCS (Building Louisville’s Out of School Time, a partnership between Metro United Way, Louisville Metro Government, Louisville Alliance for Youth and Jefferson County Public Schools) will be providing training which leads to a youth development certificate which requires 60 training hours, 4 hours of which will be provided by Bounce via the Level 1 and Level 2 trauma-informed care training modules.

• The school district’s Comprehensive District Improvement Plan was reviewed and recommendations for trauma-informed practices were given to district leadership.

• Training manual: Bounce is becoming known and respected throughout the community and is now receiving calls from beyond Jefferson County to replicate the work in other counties. In order to meet the need for further expansion within Jefferson County and the surrounding areas, Bounce is in the process of designing and producing a training manual that will be available online.

Some of the policy and system change outcomes for the IKF grantees working on childhood obesity prevention include:

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McLean County Public Schools has recently passed health related policies. Members of the Partnership for aHealthy McLean County are on the school’s wellness committee and are assisting with monitoring theimplementation of those policies. These are some of the policies approved:

o Physical activity will not be used for or withheld as punishment.o Physical Education requirements are not waived for other activities, classes, or disciplinary reasons.o Food will not be used as a reward or reinforcement.o Ensuring all students have access to nutrition education.o The school will make efforts to provide physical activity opportunities and healthy eating programs.o Staff will be given info on preventive health, physical activity, and good nutrition.

McLean county schools have also conducted School Health Assessments.

The Site Based Decision Making Councils in Grant County have become more committed to reducingunhealthy fundraisers.

The Breathitt Health Planning Council for Children has reported that a new Diabetes Coalition has formed andhas received a grant from Marshall University in West Virginia along with training. The new coalition iscoordinating with the BCHPCC.

The UK Extension Office in Breathitt is doing a lot of good work in the area of nutrition and physical activity,including social marketing through their billboards. They are working with 4-H youth on farmer’s market events.

Convening / Relationship Capacity Building

The Investing in Kentucky’s Future Evaluation Advisory Committee met on September 14 at the Foundationoffices. As a result of the advisory committee’s recommendations, the midpoint administration of the schoolsurveys will be eliminated, given that the ideal is to survey after five years, but a minimum of three years isrequired to see any sort of change; therefore the survey will be administered in the third year of each grant.

An important accomplishment that resulted from the work of the Bounce coalition was to win funding for a newinitiative, Building Resilience in Our Community’s Kids (BRICK), to bring together community leaders from over90 agencies to network and learn more about childhood trauma, its relationship to health, and ways to promoteresilience. The first meeting of the BRICK World Café took place on July 13 and the second meeting will takeplace on November 1 at the Foundation office.

The Fall IKF Grantee Convening will be held November 10 and 11 at the Foundation office. Mark Friedman,Founder and Director of the Fiscal Policies Studies Institute, will present on results-based accountability, aframework to help communities, cities, counties and states working to measurably improve the well-being of theircitizens. Additionally Troy Hearn, from the Kentucky Transportation Cabinet, and Elaine Russell and ShellieWingate, from the Partnership for a Fit Kentucky, will present on pedestrian/ bicycle planning.

Please don’t hesitate to contact Senior Program Officer Amalia Mendoza if you have any questions or comments on these activities: [email protected]

Library Fitness Day in Clinton County

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Program Oversight Committee October 7, 2016

Promoting Responsive Health Policy Update Grantmaking Five policy partner grantees continue to work towards making public policy more responsive to the health and health care needs of the people of KY, within four priority areas.

Kentucky Equal Justice Center (KEJC) http://www.kyequaljustice.org/

Increase access to safe and effective integrated health care services

Kentucky Voices for Health (KVH) https://www.kyvoicesforhealth.org/

Increase access to safe and effective integrated health care services*

Kentucky Center for Smoke-Free Policy (KCSP) http://www.mc.uky.edu/TobaccoPolicy/KCSP/

Increase the proportion of Kentuckians living in smoke-free jurisdictions

Kentucky Youth Advocates (KYA) http://kyyouth.org/

Improve the health of Kentucky’s children*

Kentucky Population Health institute (KPHI) http://www.kypophealth.org/home.html

Strengthen local public health

*Grantees working on multiple focus areas including access to safe and effective integrated care, smoke-free, andchildren’s health

Grantee Reporting & Action Steps Reporting: All grantees are compliant with reporting requirements. Grantees are scheduled to submit reports in October and November.

Site Visits: Fall site visits are currently being scheduled. Please check your email for upcoming dates.

Awards/Contracts: On July 22, 2016 the executive committee approved a third year of support to Jessamine County Health Department, as fiscal sponsor for the Kentucky Population Health Institute, in the requested amount of $50,000, with conditions that:

• The grantee provide a timeline for the year’s proposed activities• Modifications to the curriculum for training on health in all policies be shared with staff• The grantee work with the Foundation’s external evaluator to assure that evaluation of the

modified approach to training local policy decision-makers captures participation levels andimpacts of these training sessions

KPHI has complied with the three conditions.

Increase access to safe and effective integrated care: The Foundation policy staff and PRHP Grantees are currently drafting comments on Governor Bevin’s 1115 waiver proposal. The federal comment period ends on October 8th; however, the federal government will continue to accept comments during the negotiation process. Comments should be submitted at Medicaid.gov.

As part of the federal comment period, as well as an effort to get input from communities left out of the state’s comment period, KVH is hosting eight community forums starting on Monday, Sept 26th and going through October 6th. To learn more about the forums, click here. KVH collected over 800 public

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comments through an online survey during the state comment period.

KYA lifted up Kentucky children’s voices in a special report, Medicaid Expansion in Kentucky: Benefits to Kids and Families. “All children, especially those living in low-income and vulnerable families, need access to affordable health care.” The report was released on September 7th and to date has reached over 7,500 Kentuckians. The full report with references can be found here.

KEJC worked with the Bevin administration to create a rapid response team for Benefind consumer complaints. The Cabinet created a high up, quick turnaround chain of communication that has now been accessible for all legal aid lawyers in Kentucky via KEJC. Cara Stewart and Miranda Brown have both sent many cases through the rapid response protocols with quicker and in fact often even quick success and resolution. To learn more about Benefind click here.

Increase proportion of Kentuckians living in smoke-free jurisdictions: KCSP director Dr. Ellen Hahn and Prestonsburg community advocate, Jean Rosenberg discussed local smoke-free policy on Mountain Talk Monday, an Eastern Kentucky community radio show. What does it take to make your businesses and public spaces free of the harmful chemicals found in second hand smoke? Why should you advocate for smoke free policy in your community? Is smoke free policy discriminatory? Listen here to learn more.

Strengthen local public health: KPHI continues to provide peer consultation, mentoring, and facilitation support to local health departments. Kentucky was one of the first states in the nation to have accredited health departments and have continued the trend by ensuring that a total of ten health departments are currently accredited with several more in the pipeline.

KPHI and Kentucky Health Department Association are partnering to host six legislative meet and greets this fall. The first one will be held October 4th from 4:30-6:30 at the Foundation for a Healthy Kentucky. To learn more about future events click here.

Join KPHI and members of the Kentucky Public Health Leadership Institute on October 25th for a webinar titled, Building a Stronger Governance - A Toolkit for Education and Engagement for Boards of Health. This toolkit was created to address a gap of understanding local boards of health, as well as serve as a training tool for accreditation and quality improvement. Registration for this webinar will open on September 28th.

Training

PRHP Grantees and about 300 other Kentuckians interested in health policy attended the Howard L. Bost Memorial Health Policy Forum on September 20th in Lexington, KY. In addition to hearing from engaging national and local presenters, Ellen Hahn, director of KCSP participated in a panel discussion titled, A Strong Economy is Good for Community Health and Vice Versa. Her presentation slides are available here. KEJC Health law fellow, Cara Stewart noted that the forum provided her with an opportunity to interact with Secretary Glission and members of the administration in an effort to continue the dialogue about Medicaid reform.

Early evaluation results indicate the Bost Forum is already having an impact in Kentucky.

“I have already shared data, materials, and information gleaned from the event with co-workers. I will continue to utilize this basis of knowledge in my work in health care related business development and grant generation/management. Networking with others at the event is very important. I enjoyed talking with other attendees and learning of their own efforts to increase awareness and health status in the state.”

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Targeted Research

State Health Access Data Assistance Center (SHADAC) continues to issue timely, useful reports. The most recent reports are available here. The semi-annual report is scheduled to be released this week.

The Request for Qualifications for the 2017 Kentucky Parent Survey was issued and is available here.

The report, Health Disparities in the Commonwealth, A Report on Race and Ethnicity and Health in Kentucky, was released. It is available here.

Convening

Planning is underway for the fall 2017 Data! Forum Fostering Health Innovation in Kentucky & Ohio, planned and sponsored in partnership with Interact for Health.

Communications grantee, Institute for Rural Journalism will host a Health Coverage Workshop on November 11, 2016 at Natural Bridge State Resort Park. Specific health topics will include oral health, smoking, obesity and cancer, where to find information on these issues and how to localize it for your audience. Revenue building through special health sections will also be addressed. The workshop is open to any Kentucky journalist. More information is available here.

Relationship and Capacity Building

Senior Program Officer, Erica Bindner-Wooten attended the Kentucky Chamber Health Care Policy Council meeting on September 21. The Chamber is currently finalizing their 2017 legislative agenda. Senator Ralph Alvarado was a guest speaker. He expressed his interest in smoke-free schools legislation and in medical panels.

The 2016 Kentucky Health Coalition Directory was released with nearly 300 coalitions representing all 120 counties. It is available here.

A Health for a Change webinar is scheduled for September 28. The title is “Kentucky Health: Making Data Count.” The webinar will cover how to understand and communicate health-related data, and will focus on data citations, sources, maps, graphs and visualizations. Registration is open here.

A Health for a Change workshop is scheduled for November 2 at the Foundation’s offices. The workshop is designed to improve understanding of how the world of grant funding fits within a comprehensive fund raising strategy. Attention will be given to developing a quality understanding of grant seeking processes and the ability to demonstrate a match between your funding needs and potential funder’s interests. Registration is open here.

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Grants Committee July 8, 2016

1:30 p.m. – 2:00 p.m. 1640 Lyndon Farm Court, Suite 100

Louisville

Minutes Members Participating: Charlie Ross (Chair); Nancy Addington, Maria Gomez, LeChrista Finn, Vivian Lasley-Bibbs, Amanda Goldman, Randy Gooch

Members Participating by Video: Carol Hustedde, Wynn Radford

Members Absent: Diane Coleman, Tracy Antle, Jennifer Hatcher

Staff/Guests Participating: Alexa Kerley, Angela Koch, Erica Bindner-Wooten, Bonnie Hackbarth, Susan Zepeda

AGENDA ITEMS

Approval of Minutes of October 21, 2015 Meeting Presentation/ Discussion:

Charlie Ross asked for discussion or approval of the minutes.

Recommendation/ Action: A motion was made by Randy Gooch, seconded by Amanda Goldman, to accept the April 1, 2016 Minutes. Motion carried.

Investing in Kentucky’s Future (IKF) Presentation/ Discussion:

The Committee reviewed the proposal from the Kentucky Population Health Institute. Erica Bindner-Wooten and Randy Gooch, as representative of the Jessamine County Health Department, provided background on the project and the need to revise the scope of work to accommodate challenges and barriers discovered in the first two years of work.

Recommendation/Action: A motion was made by Vivian Lasley-Bibbs, seconded by Amanda Goldman, to recommend to the Board approval of a grant in the requested amount of $50,000 to the Jessamine County Health Department as fiscal sponsor for the Kentucky Population Health Institute with the conditions that:

The grantee provide a timeline for the year’s proposed activities

Modifications to the curriculum for training on health in all policies beshared with staff

The grantee work with the Foundation’s external evaluator to assure thatevaluation of the modified approach to training local policy decision-

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makers captures participation levels and impacts of these training sessions

Randy Gooch recused himself from the vote.

Motion carried.

Responsible Party: Charlie Ross to bring recommendation to the Executive Committee for action.

Due Date: July 22, 2016 Executive Committee meeting.

Adjournment The meeting adjourned on motion of Nancy Addington, seconded by Carol Hustedde. Motion carried. The next meeting is set for Friday, October 7, 2016.

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Bounce Coalition Investing in Kentucky’s Future Grant

Implementation Year 3

Activity Person(s) Responsible

Timeline

Full Coalition (Quarterly) and Executive Committee meeting (Bi-monthly)

Complete required program reports

Wheatley Staf

Tony Zipple/ Alice Bridges/ Tracy Monks

Tracy Monks/Bev Winsch

David Finke/Anne Perryman/Bev Winsch

Ongoing

Conduct Semple self-assessment of personnel: Trauma skills and ACEs prevalence. August 8th

Assist with school start-up

Bev Winsch

Tracy Monks

October 2016

Conduct Bounce Training: Semple/Wheatley New Staff (36 participants) OST Youth Workers Training (BLOCS): OST YMCA

Wheatley Implementation/HPSE Meeting Kick off Tier I Guidance Groups

Semple Parent Lunch and Learn

David Finke/Anne Perryman/Bev Winsch

School Counselor

Parent Engagement Committee

Tracy Monks

October 2016

Collaborative training: Semple and Wheatley: Oct 3rd- 9a.m.-12p.m.

Semple staff training: Oct 11th

Wheatley Parent Lunch and Learn- Oct. 18th

OST Youth Workers Training (BLOCS) : Oct. 19th

Semple Implementation/HPSE Meeting: Oct. 26th

Document in parent/teacher/student conference attendance

Monitor case load of school-based therapist

Kick off Tier II Resiliency Groups -(Bounce will provide a sub for hour a week for six weeks)

Anne Perryman

David Finke/Anne Perryman/Bev Winsch Parent Engagement Committee

David Finke

Tracy Monks/Bev Winsch/ David Finke/ Anne Perryman

Bev Winsch/Tracy Monks

Tracy Monks/Bev Winsch/Seven Counties

Oct. 2016

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Counselor

Wheatley bimonthly training for staff: Nov. 1st

IKF Convening: Nov. 10th-11th

Bounce Coalition Meeting: Nov. 16th

Wheatley Implementation/HPSE Meeting: Nov .22nd

Semple Parent Lunch and Learn: Nov. 30th

David Finke/Anne Perryman

Bounce Executive Committee Members

Bounce Coalition Members

Parent Engagement Committee

Nov. 2016

Semple Implementation/HPSE Meeting: Dec. 7th

Wheatley Implementation/HPSE Meeting: Dec. 13th

Wheatley Parent Lunch and Learn- Dec 13th

Tracy Monks/Bev Winsch/ David Finke/ Anne Perryman

Tracy Monks

Dec. 2016

Wheatley bimonthly training for staff: Jan. 3rd

Wheatley Implementation/HPSE Meeting: Jan. 24th

Meet with JCPS administration to discuss school expansion

David Finke/Anne Perryman

Tracy Monks

Bounce Executive Committee

January 2017

Document in parent/teacher/student conference attendance-

Wheatley Parent Lunch and Learn- Feb 21st

Semple Implementation/HPSE Meeting: Feb. 22nd

Semple Parent Lunch and Learn: Feb.22nd

Tracy Monks/Bev Winsch

Parent Engagement Committee

Tracy Monks/Bev Winsch/ David Finke/ Anne Perryman

Parent Engagement Committee

February 2017

Meet with new school administration

Wheatley bimonthly training for staff: March 7th

Wheatley Implementation/HPSE Meeting: March 21st

Tracy Monks/Bev Winsch

David Finke/Anne Perryman

March 2017

Participate in the Spring Festival

Semple Implementation/HPSE Meeting: April 26th

Wheatley Parent Lunch and Learn- April 25th

Semple Parent Lunch and Learn: April 26th

Tracy Monks/Coalition members

Tracy Monks/Bev Winsch/ David Finke/ Anne Perryman Parent Engagement Committee

April 2017

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Parent Engagement Committee

Conduct Bi-monthly training for existing staff

Survey personnel on ACEs prevalence among student body (compare to baseline)

David Finke

Tracy Monks/Bev Winsch

May 2017

Conduct BOUNCE Training Sessions for new school personnel plus sessions for bus drivers at alternate time.

Conduct refresher trainings for existing school staff

Conduct self-assessment of schools personnel on trauma skills and ACEs prevalence

David Finke

David Finke

Tracy Monks/Bev Winsch

August 2017

Kick off Tier I Guidance Groups School Counselor Sept. 2017

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Foundation for a Healthy Kentucky Investing in Kentucky's Future (IKF) Initiative

BOUNCE: Building Resilient Children and Families Proposed Grant Period: from 10/01/14 to 09/30/17

___ Year 1 ____Year 2 √ Year 3

Base Salary FTEs Total Foundation Funds

Applicant Cash

Match

Other / In-Kind Support

Personnel

Project Manager $ 80,083

1.00 $ 80,083

$ 20,000

$ 60,083

$ -

YMCA Coordinator $ 40,000

0.10 4,000

- - 4,000

JCPS Counselor (retiree support) 1,560 1,560

- -

Seven Counties School-Site Therapist 12,000

- 12,000

Sub-total 97,643 21,560 60,083 16,000

Tax & Fringe 24,411 5,390 15,021 4,000

Personnel Total $ 120,083 122,054 26,950 75,104 20,000

Other Direct Costs

OST Training Materials/Meetings 500

- 500

-

New School Parent Training Materials/Mtgs 5,000 5,000

- -

Equipment 1,500 1,500

-

Communications/Marketing 6,000 6,000

-

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Travel 3,500 1,500 2,000

-

New School Staff Training Time 3,923 790 3,133

-

Copy costs 1,500 1,500

-

Miscellanous 2,500 2,500

Other Direct Costs 24,423 7,290 17,133

-

Purchased Services

Training Consultants 47,000 32,000 15,000

JCPS Evaluator 30,000

- 10,000 20,000

Training Consultants/JCPS 15,000 15,000

Contracted-Data assistant 12,000 12,000

Total Purchased Services 104,000

- 54,000 50,000

TOTAL DIRECT COSTS $ 250,477

$ 34,240

$ 146,237

$ 70,000

TOTAL INDIRECT COSTS 1,000 1,000

GRAND TOTAL $ 251,477

$ 34,240

$ 147,237

$ 70,000

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Fitness for Life Around Grant County (FFLAG) Starting with Children Initiative

Investing in Kentucky’s Future Grant – Phase 2 – Year 3

Activity Person(s) Responsible

Deliverable Target Date

Ongoing

Nutrition in Schools: as part of the school wellness policies the following components are ongoing from year 1 projects and are continuously monitored and implemented. This is reflected in the yearly school evaluations

a. Develop more choices of vegetablesand fruits for lunch and snack b. Offer healthier options for school fundraisers c. Integrate school garden, marketing andpromotion of locally grown vegetables Farm to School curriculum is part of the Williamstown Ag class.

FFLAG Wellness policy implementation / follow up

Ongoing

October – December 2016

Determine the site of the Williamstown Splash Park 1

Rick Skinnner Location of the splash park 10/1/2016

Prepare mailing for Funders pledges for Year 3

Marc Tepe Letter to Funders 10/1/2016

Evaluation activity- Complete show of hands survey - Williamstown Middle School

Molly McComas Completed show of Hands survey

10/15/2016

Mail pledge letter to Funders Marsha Bach mailing 10/15/2016

Obtain plans for the splash park Rick Skinnner Plans for Splash Park 11/1/2016

Create contract between the Northern Kentucky Health Department, FFLAG and the City of Dry Ridge for the Construction of the sidewalk on one side of Warsaw Road to complete the connection to the Grant County High School (GCHS) 2

Deb Muench Contract 11/1/2016

Determine the dependencies for building the splash park since the splash park is part of a larger project.

Rick Skinnner list of dependancies 11/1/2016

Create contract between NKHD, FFLAG and City of Williamstown for the Williamstown Splash Park

Deb Muench Contract 11/1/2016

Create contract between NKHD and FFLAG for the Step it Up Program3

Deb Muench Contract 11/1/2016

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Activity Person(s) Responsible

Deliverable Target Date

Get contract signed by Williamstown, NKHD and FFLAG for the Williamstown Splash Park

Marc Tepe Signed contract 11/15/2016

Get contract signed by City of Dry Ridge, NKHD and FFLAG for sidewalk Warsaw Rd - GCHS

Marc Tepe Signed contract 11/15/2016

Get contract signed between the Northern Kentucky Health Department and FFLAG for the Step it Up program and determine which school will be participating.

Marc Tepe Signed contract 11/15/2016

Determine any impact to the access road to the splash park.

Rick Skinnner impact study of the access road

12/1/2016

January 2017

Hold meeting with teacher and student committee to decide on how to select students that will participate in the Step it Up program

Marsha Bach Meeting minutes; 1/15/2017

February 2017

Obtain Kentucky Department of Transportation District 6 approval to proceed with the Warsaw Rd. to GCHS sidewalk

Jim Wells District 6’s approval, encroachment permit

2/1/2017

Hold meeting with students to provide input on the Step it Up program

Marsha Bach meeting notes 2/1/2017

Prepare Year 3, first newsletter Marc Tepe Newsletter 2/1/2017

March 2017

Hire engineer to determine access and right of way for sidewalks (Warsaw Rd. to GCHS)

Jim Wells Access and right-of-way determination

3/1/2017

April 2017

Prepare the land for construction for the Williamstown Splash Park

Rick Skinnner Land worked to allow construction

4/1/2017

Construction starts for the Williamstown Splash Park

Rick Skinnner Construction begins on the splash park

4/1/2017

If any access road improvements, start the process for the Williamstown Splash Park

Rick Skinnner Road improvements 4/1/2017

Sidewalk construction begins on Warsaw to GCHS

Jim Wells Work starts on sidewalk 4/1/2017

Students start work on the Step it Up program/study

students Progress reports 4/1/2017

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Activity Person(s) Responsible

Deliverable Target Date

Get on City council’s agenda to present the Step it Up program

Marsha Bach Council agenda 4/1/2017

May 2017

Williamstown School garden: ongoing work marketing crops from garden in the cafeteria

Molly McComas Report on strategies used to market crops in the cafeteria with focus to increase vegetable and/or fruit consumption

5/1/2017

Walking Paths: ongoing – Apply Grant County walking paths usage forms@ 5 schools

teachers survey Completed Usage Rate forms

5/1/2017

Active Workstations – ongoing - Active Workstation Usage Reports

teachers survey Completed Usage Rate forms

5/1/2017

TAKE 10! - Ongoing - Teacher Implementation Evaluation

teachers survey Completed Evaluation 5/1/2017

Students complete study and document Step it Up program

students Formal document 5/1/2017

Determine incentives for students for the Step it Up program

Marsha Bach; Marc Tepe

List of Incentives 5/1/2017

Purchase and deliver incentives for the Step it Up program

Marsha Bach; Marc Tepe

Purchased incentives 5/1/2017

Evaluation - Administer the Youth Survey in grades 5, 7 and 9th in Grant County and Williamstown Schools

FHKY; Molly McComas; Mary Beagle

Completed survey 5/1//2017

Evaluation - Administer the Teacher Survey in grades 5, 7 and 9th in Grant County and Williamstown Schools

FHKY; Molly McComas; Mary Beagle

Completed survey 5/1//2017

Prepare first Progress Report for Year 3 to the Foundation for a Healthy Kentucky

Marc Tepe First Progress Report 5/15/2017

Evaluation - SOPLAY assessment at Mason-Corinth and Williamstown new playgrounds

Marsha Bach Completed assessment 5/31/2017

June 2017

Prepare Year 3, second newsletter Marc Tepe Newsletter 6/1/2017

Students make presentation of their study to the Council on the Step it Up Program

students Presentation to Council 6/15/2017

Submit invoices to Project Coordinator for reimbursement to FFLAG for the Step it Up program

Marc Tepe Project Coordinator sends invoice to NKHD for reimbursement

6/1/2017

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Activity Person(s) Responsible

Deliverable Target Date

September 2017

Construction ends for the Williamstown Splash Park

Rick Skinnner Splash park completed 9/1/2017

Submit invoices to Project Coordinator for reimbursement to Williamstown for the Williamstown Splash Park

Rick Skinnner, Marc Tepe

Project Coordinator will invoice NKHD for reimbursement

9/1/2017

Obtain usage rates for the Williamstown Splash Park

Marc Tepe Usage forms 9/1/2017

Sidewalk construction ends on Warsaw to GCHS

Jim Wells Completed sidewalk 9/1/2017

Submit invoices to Project Coordinator for reimbursement to City of Dry Ridge for sidewalk Warsaw Rd. to GCHS

Jim Wells, Marc Tepe

Project Coordinator sends invoice to NKHD for reimbursement

9/1/2017

Obtain usage rates for the current street. No sidewalks are present currently.

Marc Tepe Usage forms 9/1/2017

Improve Health Education with Parents and Children: the NKY Health Department and FFLAG will promote “5.2.1.0” campaign within each school district

Marc Tepe, Marsha Bach

Implemented program 9/1/2017

Assess current state of wellness policies: the NKY Health Department will use WellSat tool to score wellness policies

NKY Health WellSat completed 9/1/2017

Investigate potential strategies to add value to the new additions to the community: the walking paths, playground equipment, etc.

NKY Health, FFLAG

Determine if strategies exists and can be implemented

9/1/2017

Define and develop Year end communication for press release

Marsha Bach; Marc Tepe

Communication plan and content

9/1/2017

Evaluation - Park Usage rate form at Corinth Park, Jonesville Park, Piddle Park

Marc Tepe Completed Usage Rate forms

9/15/2017

Evaluation - Pedestrian Counts Humes Ridge; Warsaw Road and Arnie Risen

Marc Tepe Completed Pedestrian count form

9/15/2017

October 2017

Prepare Year 3, third newsletter Marc Tepe Newsletter 10/1/2017

November 2017

Prepare Final Report for Year 3 to the Foundation for a Healthy Kentucky

Marc Tepe Final Report 11/15/2017

1 This is part of a larger project that includes the construction of (4) baseball fields and a soccer field. In the original business plan an additional amount was budgeted for the “Williamstown Lake Swim Area”. This project will be removed. The location of the

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swim area was to be at the site of the current water plant and dependent on the completion of the new water plant. The work on the new plant did not start until May 2016 (delayed over a year to line up financing and grants) with an expected completion date of November 2017. Also, even after the new water plant is completed, the old one needs to remain operational for at least 6 more months beyond the completion date. The Swim Area could not be started until late 2018 which does not make it feasible for the third year of the grant. However, this project remains a priority for the City of Williamstown and is expected to be completed at a later date. 2 The sidewalk is approximately .4 miles. In the original business plan proposal, the sidewalk to be developed was the Stewart Road to Grant County Middle School sidewalk. The Starting with Children (SWC) Committee of FFLAG held a meeting and discussed the sidewalks in Dry Ridge. From the discussion it became clear that the budget for this project ($47,520) was not enough for the proposed Stewart Road to GCMS sidewalk construction. The Committee therefore proposed an alternative sidewalk project also based on a clear community need: to connect the Grant County High School (GCHS) to Taft Highway. There is a partial sidewalk already in place at both ends of the connection points (intersection of Warsaw Road/SR 467 and GCHS), so the Committee has sought to finish the sidewalk to provide students with safe walking routes to the High School. The Committee believes that this project would have more students utilizing the new sidewalk since this would be for the High School versus the sidewalk to the Middle School. The new budget amount for this project would $62,971, with $39,357 from the Foundation and $23,614 coming from the community matching dollars. The Committee also recognizes that this new amount will not be near enough to complete the sidewalk. Even though both alternatives will be very costly, this sidewalk will be less complicated than the Stewart Road sidewalk. The mayor of Dry Ridge is in agreement that additional resources would be used to complete any unfinished work and has signed a letter of commitment (sent to the Foundation). 3 Step it Up – a program to provide incentives to students to prepare an analysis of the Grant County environment for walkability. This program is replacing the Safe Routes to School (SRTS) program originally proposed in the business plan. The reason for the change provided is that until the infrastructure is in place (i.e. the completion of the safe sidewalks), the Grant County School district will not support a policy for students to walk to school. Therefore, SRTS will not be a project to move forward with this year or be reflected in the work plan. That said, FFLAG is committed to having Safe Routes to School and will continue to move forward with policy change once infrastructure is in place. Other than the City of Crittenden, FFLAG has competed the Complete Streets policy task. In other words, the cities of Corinth, Dry Ridge and Williamstown now have a complete streets policy. Along with those cities we were able to get Grant County Fiscal Court to institute a complete streets policy at the county level. The policy itself states that new construction should take into account concepts such as bike lanes and sidewalks. The expectation is that with the Step It Up program in Year 3 that FFLAG will be able to have a recommendation from the students to institute a complete streets policy in Crittenden. However, this is based on the analysis performed by the students and we can’t ensure what they would recommend and present to the Crittenden City Council. As such, we have activity in the plan for the students to present their findings but of course we cannot know what their findings will be.

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Year 3, proposed budgetEstimated Actual Remaining

Project Cost

Foundation Funds

Match Funds

Project Cost

Foundation Funds

Match Funds

Project Cost

Foundation Funds

Match Funds

Foundation factor

Projects to be Funded

Sidewalk - Taft Highway to GCHS

$63,893 $39,933 $23,960 .625

“Step It Up” promoting walking

$1,000 $625 $375 .625

Williamstown Splash Park

$75,000 $46,875 $28,125 .625

Projects To Be Funded Total

$139,893 $87,433 $52,460

Personnel Costs

Project Coordinator

$3,500 $ 3,500

Project Manager

Personnel Costs Total

$3,500 $0 $3,500

Other Direct Costs

Travel

Laptop

Office Supplies $300 $191 $109 .635

Cell Phone Service Plan

Evaluation Software

Meetings $300 $190 $110 .635

Communication/Marketing/Web

$2,000 $1,270 $730 .635

Other Direct Costs Total

$2,600 $1,651 $949 $0.00 $0.00 $0.00 $0 $0 $0 $0

Total Costs for Year 3

$145,993 $89,084 $56,909

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Investing in Kentucky’s Future (IKF) Staff Report – Year 3 Renewal Funding

I. Background and Instructions

Based on the recommendations of the Grants Committee, on September 14, 2014 the Foundation Board of Directors approved the three year business plans for the implementation phase (Phase 2) of the Investing in Kentucky’s Future (IKF) grant to Grant County and Louisville Metro.

1. Grant County:Grantee: Northern Kentucky Health Department (Fiscal Sponsor) Coalition: Fitness for Life Around Grant County (FFLAG) Total Grant Award over 3 Years: $366,941 Total Cash Match over 3 Years: $265,682 Year 1 IKF Grant Award: $182,033 Year 2 IKF Grant Award: $95,824

2. Louisville Metro:Grantee: Community Foundation of Louisville (Fiscal Sponsor) Coalition: Bounce Coalition Total Grant Award over 3 Years: $300,000 Total Cash Match over 3 Years: $235,108 Year 1 IKF Grant Award: $161,850 Year 2 IKF Grant Award: $103,785

Both grantees have been compliant with the progress reporting and evaluation, which have been reviewed by Foundation staff and the Center for Community Health Evaluation (CCHE), the evaluation consultant on contract with the Foundation. These grantees have now submitted their Work Plans/Timelines and Budgets for the third year of this multi-year funding initiative, which are included in this packet.

Because this is not a grant application, there is no scoring sheet attached. You are asked to review the Year 3 Work Plans /Timelines and Budgets submitted by the IKF grantees and make a recommendation. The approved complete business plans, progress and status reports for these grantee are available upon request.

If a conflict of interest exists with any of the applicant organizations, please let Alexa Kerley ([email protected]) know as soon as possible and refrain from reviewing the documents.

If you have any questions, do not hesitate to contact IKF Senior Program Officer Amalia Mendoza at 502-326-2583; [email protected].

Thank you for your time and thoughtful review of these documents.

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II. Staff Recommendation

1. Staff recommends continued support for the Fitness for Life Around Grant County Coalition.

Fitness for Life Around Grant County - $89,084 (Year 3 IKF Grant Award)

Fitness for Life Around Grant County (FFLAG) is working on childhood obesity prevention through a combined school and community approach.

During the second year of implementation of the IKF grant, FFLAG was successful in modifying the school and community environment to help children to be more physically active, providing programs and equipment to promote physical activity and nutrition, and obtaining policy gains in the community. Their second year completed strategies include:

Changes to the build environment

Piddle Park basketball court

Piddle Park tennis court

Sidewalk to school in Williamstown from Humes Ridge to Sunrise Street

Jonesville park volley-ball court

Corinth Park walking path

Corinth Park, mulching and basket-ball court

Signage on walking paths

Nutrition and Physical Activity strategies

Take 10! physical activity and nutrition program in Schools

Active workstations - Williamstown

Nutrition policy implementation –Grant County Schools

The Williamstown school-community garden

The Chamber of Commerce awarded FFLAG the Volunteer of Grant County Award. FFLAG representatives have been invited to present at conferences on their successful Complete Streets policy.

For the third year FFLAG proposes, among other strategies outlined in the Work Plan included in this packet:

Sidewalk from Warsaw Road to the Grant County High School

Williamstown Splash Park

Step it Up! program in schools and walkability assessments

Health education for parents and children

School Wellness Policies

Continuation of Take 10! physical activity and nutrition program in schools, as well as schoolstrategies for use of walking paths, sidewalks, playgrounds, etc.

As is stipulated in the budget, included in this packet, FFLAG is requesting $89,084 from the Foundation for Year 3 of the business plan implementation. The applicant will contribute a cash match of $56,909 for Year 3.

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2. Staff recommends continued support for the Louisville Metro Bounce Coalition.

Bounce Coalition - $34,240 (Year 3 IKF Grant Award)

Bounce is working to strengthen the resilience and protective factors of children and families vulnerable to trauma through the implementation of a trauma resiliency model in two pilot schools in Jefferson County. Bounce is also working to improve the knowledge and skills of providers of out-of-school-time (OST) programming.

During the second year of implementation of the IKF grant, the Bounce coalition was able to complete its strategies, as well as advance important local policies, including:

In their first year, Bounce began work at the piloted Ellen C. Semple Elementary school. In Year 2of implementation, Bounce selected a second pilot school, Wheatley Elementary School, todevelop the resiliency interventions.

The development of a Youth Certification Program in partnership with Building Louisville’s Outof School Time (BLOCS), a partnership between Metro United Way, Louisville MetroGovernment, Louisville Alliance for Youth and Jefferson County Public Schools (JCPS).

Bounce partnered with Louisville Metro Government (LMG) office of Youth Development tomodify the LMG contract, for any agency working with youth and is receiving funding throughtheir external agency funding stream, an executive director or a designated representative mustbe trained in adverse childhood experiences (ACES) through the Bounce Coalition.

JCPS has been in development of a new school code of conduct. Once completed, this will guidethe Bounce school-based policy committee to give policy recommendations as well as trauma-informed behavior procedures. New verbiage from the JCPS Comprehensive DistrictImprovement Plan now includes trauma- informed language, which will assist in thesustainability of Bounce.

World Café for ACEs awareness and resiliency building: Bounce convened a diverse group ofstakeholders in Louisville Metro to discuss how to support resilience when working with childrenand families that experience trauma or are at-risk. A first meeting of the stakeholders took placein July.

Parent Lunch and Learns.

Spring Flings – over 100 parents and youth attended.

Training Manual on ACES

For the third year Bounce proposes, among other activities outlined in the Work Plan included in this packet:

Continuation of work in the pilot schools selected, Semple and Wheatley Elementary, providingTier I, II and III interventions:

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o Tier I is for all students: a counselor conducts a curriculum with the children to open andestablish communications in order for them to feel safe and to begin a conversationabout trauma.

o Tier II is the Resiliency Groups: a six week group with at-risk children and works onbuilding resiliency.

o Tier III- this is for students that have had a traumatic event in their lives, they arereferred out of school to the mental health partner of the coalition.

School staff and out-of-school-time provider ACEs training

Collaboration with other Louisville Metro organizations through a second World Café

Evaluation of ACEs interventions

Parent Lunch and Learns

Training Manual On-Line dissemination to other counties.

As is stipulated in the budget, included in this packet, the Bounce coalition is requesting $34,240 from the Foundation for Year 3 of the business plan implementation. The applicant will contribute a cash match of $147,237 for Year 3.

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Foundation for a Healthy Kentucky Travel Expense/Expense Form

Please return to the Foundation office within 30 days of completion of the travel.

Name of Traveler

Address

City, State, Zip

Phone/Email

Organization (if applicable)

MAKE CHECK PAYABLE TO:

Dates of Travel or

Expense

DONATION SUBTOTALS*

REIMBURSEMENT SUBTOTALS

Purpose of Travel i.e. Board Meeting

Location of Event i.e. Embassy Suites, Lexington, Ky

Expenses

Airfare

Car Rental

Hotel

Meals

Mileage: Indicate # of miles X $.54 per mile =

Parking

Other Expenses

Taxi

TOTAL

Comments

Signature of Traveler Date

Submit completed form along with attached receipts to: Foundation for a Healthy Kentucky 1640 Lyndon Farm Court, Suite 100 Louisville, KY 40223

Questions pertaining to this form should be directed to the Foundation for a Healthy Kentucky 502-326-2583 or by email to Alexa Kerley at [email protected] .

*Some travelers may wish to donate all or a portion of expenses. To acknowledge your contribution, please use this column to indicate expensesincurred, but NOT to be reimbursed. Please consult your tax advisor with questions regarding deductable expenses. Donated expenses are subject tothe same Travel Policy as reimbursable expenses. Thank you for your support.

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Travel Policy

The following travel policy applies to Board Members, Community Advisory Committee Members, staff and those authorized by the Board to travel on behalf of the Foundation for any official activity. Authorized travelers may include technical assistance providers, grantees and participants in trainings conducted as an initiative of the Foundation. Official activities include, but are not limited to Foundation Board, CAC and Committee meetings, grantee site visits, stakeholder meetings and speaking engagements on behalf of the Foundation.

All travel arrangements should be made in a cost-effective manner and in accordance with the approved annual operating budget. Authorized travelers shall book travel well in advance to access competitive air travel rates and hotel group rates.

The Foundation will not customarily pay for attendance and travel of more than two members of Board, CAC or staff at the same event, unless there are multiple co-occurring sessions of value. An exception is made for Foundation-sponsored conferences and training events, to which some or all Board, CAC and staff members may be invited. Other exceptions may be authorized during the Annual Budget process, or by the CEO in consultation with a Board Officer.

Employees of the Foundation are authorized to travel per the approved travel budget. Out-of-state travel deemed necessary, yet not budgeted, must be approved by the CEO. CEO out-of-state travel deemed necessary, yet not budgeted, must be approved by an Officer of the Board.

Reimbursement Limits

Mileage will be reimbursed at the prevailing Federal business rate.

Expenses incurred during travel, such as meals and parking tolls must be accompaniedby a receipt.

The Foundation will reimburse the actual costs of meals incurred during travel and notprovided as part of a conference or training session, up to $53 per day. Meal expensesare not reimbursed per diem. Receipts for meals should be clearly marked with the dateand amount. If the expense is not supported by sufficient documentation, the expensewill be disallowed.

The Foundation does not reimburse for alcoholic beverages purchased at any time,including during travel.

Travel Reimbursement Procedure

To request reimbursement of travel expenses, authorized travelers must submit acompleted Travel Reimbursement Form.

The form must be signed and dated by the traveler and include attached supportingdocumentation and receipts.

The dates, locations and purpose of travel MUST BE CLEARLY marked.

Travel reimbursement should be submitted within 30 days of travel.

Ongoing travel (i.e. mileage reimbursement) shall be submitted to the Foundation officeat the end of each month, not after every trip.

Travel expense checks will be issued within 30 days.

Incomplete or illegible forms will cause delays in reimbursement.

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DIRECTIONS

Foundation for a Healthy Kentucky

1640 Lyndon Farm Court, Suite 100

Louisville, KY 40223

PH: 877-326-2583

From I-64

Take Exit 15 N Hurstbourne Parkway heading North/U of L Shelby Campus

Continue onto N Hurstbourne Parkway for 2.8 miles

Turn left onto Ormsby Station Road/Forest Green and continue for 0.6 miles

Turn left onto Lyndon Farm Court (You will see an Epic Insurance sign on the corner

of Lyndon Farm Court and Ormsby Station Road)

Continue onto Lyndon Farm Court for 0.1 miles and merge left at the loop toward the

building

Parking is available at the front or side of the building

Enter the Foundation Suite through the second entrance on the left (as seen in the picture)

From I-65

Take I-264 East/Watterson Expressway

toward the airport

Merge onto Shelbyville Road (Exit 20)

toward Middletown and continue for 2.5

miles

Turn left onto N Hurstbourne Parkway

and continue for 1.3 miles

Turn left onto Ormsby Station

Road/Forest Green and continue for 0.6

miles

Turn left onto Lyndon Farm Court (You

will see an Epic Insurance sign on the

corner of Lyndon Farm Court and Ormsby Station Road)

Continue onto Lyndon Farm Court for 0.1 miles and merge left at the loop toward the

building

Parking is available at the front or side of the building

Enter the Foundation Suite through the second entrance on the left (as seen in the picture)

From I-71S

Merge onto I-265 S/Gene Snyder Freeway (Exit 9A) and continue 0.7 miles

Merge onto Brownsboro Road (Exit 34) and continue 0.6 miles

Turn left onto N Hurstbourne Parkway and continue 3.2 miles

Turn right onto Ormsby Station Road and continue for 0.4 miles

Turn right onto Lyndon Farm Court (You will see an Epic Insurance sign on the corner

of Lyndon Farm Court and Ormsby Station Road)

Parking is available at the front or side of the building

Enter the Foundation Suite through the second entrance on the left (as seen in the picture)

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