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OVERVIEW OF SHIP 4 Application Requirements from the Minnesota

Dept. of Health SHIP 4 will continue to focus on obesity prevention and tobacco control through policy, systems and

environmental changes that support healthy eating, physical activity and tobacco cessation.

The SHIP 4 grant cycle runs from November 1, 2015-October 31, 2020. The Minnesota Department of

Health (MDH) has asked us to submit a work plan for Year 1 of the 2-year funding cycle, but to describe

our vision & plan for years 2-5. SHIP funding is contingent on legislative approval each biennium. Draft

application is due on July 27, 2015. The final application is due on August 31, 2015.

In SHIP 4, some strategies have been combined, and others are optional for counties with populations in

the same range as ours. The strategies are listed below; those in italics are optional in SHIP 4:

1. Healthy Eating in the Community

2. Active Living in the Community

3. Schools Healthy Eating & Active Living

4. Health Care

5. Child Care

6. Tobacco-Free Living - Smoke-Free Multi-Unit Housing

7. Tobacco-Free Living Point of Sale (may pick one or both tobacco strategies)

8. Workplace Wellness

There were 9 required strategies in SHIP 3: Healthy Eating in the Community, Active Living in the

Community (including falls prevention), Healthy School Food, Active School Day, Clinical-Community

Linkages for Prevention, Advance Community Linkages with State & Federal Health Reform

Initiatives, Child Care, Tobacco-Free Living - Smoke-Free Multi-Unit Housing and Workplace Wellness.

Funding: state is broken down into 3 tiers based on population. Wright County is in Tier 2.

1. Tier 2 4 strategies required in all 4 settings and across all 3 behavior areas.

2. Funding Amount:

a. Fiscal Year 2016: $312,365

b. Fiscal Year 2017: $314,614

c. 1-time County Distribution $7,000 (for a community health survey)

d. Total Biennium Award: $633,978

Many SHIP 3 requirements will remain the same in SHIP 4:

SHIP grantees must have a Community Leadership Team.

A 10% local match of the total funding award is required. Local match may include in-kind

match.

Most of the same funding restrictions apply.

In SHIP 4, there is an increased emphasis on:

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Health equity

o Grantees are required to incorporate healthy equity principles into their year 1 work

plans. Grantees will be required to complete a health equity data analysis process in

year 1 of the grant. Grantees are required to engage in learning around health equity,

building staff capacity to incorporate health equity into their work

Populations over age 60 and dementia prevention

o The SHIP 4 legislation includes new language around preventing dementia in the 60+

population.

Shift away from mini-grants; increased emphasis on using SHIP grant funds to provide

services/staff time and establish strong partnerships that lead to ongoing relationships.

Layering

o Layering is formally defined for the first time in SHIP 4.

o The application includes definitions of 4 kinds of layering. The most pertinent are:

Site-Based Layering: When a single partner site functions under more than one

setting by implementing two (or more) different activities that each fall under a

different setting;

Example: A single school is implementing both the School Strategy and

the Workplace Wellness Strategy.

Place-Based/Geographic Layering: When a specific geographic area is targeted

for SHIP, where multiple partner sites in close proximity to each other engage in

SHIP work that spans multiple settings and behaviors.

Example: Within the town of Minnesotaville, several worksites are

engaging in the Workplace Wellness Strategy, all the schools are

engaging in the School Strategy, the clinic is engaging in the Health Care

strategy, and SHIP is helping the town improve its farmers market.

LIVE WRIGHT SHIP 4 PLANNING Wright County Public Health SHIP staff is proposing that we put health equity at the forefront of SHIP 4

decision-making:

As much as possible, focus our efforts in each strategy on the parts of Wright County with the

lowest median household income, highest percentage of students receiving free & reduced

school lunch, and the least access to grocery stores, health care, etc. as a proxy for health

disparities: the Hwy 12 corridor, including Montrose, Waverly, Howard Lake, & Cokato.

Layer our efforts by site & geographic area to give SHIP a visible, impactful presence in these

communities.

Continue to work across the county as resources & staff capacity allow:

o Crow River Food Council

o Regional Active Transportation Plan/Safe Routes to School

o Bike Fleet

o Open Streets Buffalo, Open Streets STMA

o Migrant Headstart in Monticello

o Allina Buffalo Hospital & Monticello Hospital, Ridgeview Clinic (Howard Lake)

o Smoke-Free Multi-Unit Housing

o Workplace Wellness depending on interest in Howard Lake/Waverly/Montrose/Cokato

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SHIP 4 STRATEGIES We plan to continue working on all SHIP strategies, including the optional ones. In year 1, our focus will

be on the following initiatives in each strategy:

Healthy Eating in the Community Continue to support the Crow River Food Council, work toward

financial sustainability without SHIP funds. Continue/expand Power of Produce. Convene farmers

markets winter 2015-2016. Develop a subcommittee to work on emergency food systems. Include

representation from Hwy 12 corridor; possible opportunity to prevent arrival of fast food restaurants

along the corridor.

Active Living in the Community Work to implement the Regional Active Transportation Plan (RATP)

that was developed in SHIP 3; continue convening Regional Active Living Advisory Group. Continue to

support Open Streets Buffalo & STMA; work toward sustainability for these events. Work on Safe Routes

to School as outlined in the RATP. Possibly work to establish a city or county-level active transportation

advisory council.

Schools Healthy Eating & Active Living Partner with 1-2 school districts; priority given to Howard

Lake-Waverly-Winsted. Work with the district & individual schools to establish a district-wide student-

focused wellness committee, conduct a comprehensive assessment of the food & physical activity

environment in the school, and implement at least one physical activity change & one healthy eating

change.

Health Care Work with Allina-Buffalo to create a county-wide calendar to promote evidence-based

prevention programs. If possible, work with Allina Cokato & Ridgeview Howard Lake to implement

Screen, Counsel, Refer, Follow-Up for pre-diabetes, diabetes, hypertension, falls risk, or tobacco

cessation. Build referral & follow-up components into WOW Van Program. (Amy Nystuen will join Becky

Graham in working on this strategy.)

Child Care Continue to provide physical activity & nutrition trainings to child care providersI am

Moving, I am Learning (IMIL), Learning About Nutrition through Activities (LANA), Supporting

Breastfeeding in Child Care, Coordinated Approach to Child Health (CATCH). Continue to work 1:1 with

child care providers to develop written physical activity & nutrition policies. CSA-to-child care on Hwy 12

corridor. Gardening training for child care centers? Work more with child care centers in years 2-5.

Tobacco-Free Living - Smoke-Free Multi-Unit Housing Continue to contract with the Association for

Non-Smokers (ANSR) to work with property managers in Wright County to promote & support

implementation of smoke-free indoor air policies. Increased focus on Hwy 12 corridor.

Tobacco-Free Living Point of Sale Will consider contracting with the Association for Non-Smokers

(ANSR) to do Point of Sale (POS) work in future years.

Workplace Wellness Beginning October/November 2015 worksite collaborative for 8-10 Wright

County worksites. Worksites will meet 1x/month; will work to establish foundation for worksite wellness

(wellness committee, vision/brand, priorities) and implement at least 1 policy or environmental change

related to physical activity, nutrition, tobacco or breastfeeding support. Priority for recruitment will be

worksite along the Hwy 12 corridor.