1 Healthy Livable Communities, Cattaraugus County, New York
2 Our Partners: Cattaraugus County Health DepartmentCattaraugus County Department of Aging/ NY Connects Universal Primary Care City of Salamanca Youth Bureau Healthy Community Alliance Southern Tier Health Care System Cattaraugus Region Community Foundation Cattaraugus Community Action St. Bonaventure University Seneca Nation of Indians Cornell Cooperative Extension Boards of Cooperative Educational Services (BOCES) Southern Tier West YMCA of Olean Canticle Farm Olean Housing Authority CAReS (Council on Addiction Recovery Services)
3 Our SCALE Team:
4 Since the last CHILA, we are excited to share what we are proud of…Since the last CHILA, we are excited to share what we are proud of…. Veggie Mobile Comes to Olean! Anne Kivari, Housing Authority executive director, said the program has been very well received by residents. “We’re looking to expanding this pilot program,” Godet-Calogeras said. “The problem is access. Also, many people aren’t familiar with how to prepare some of these vegetables. The result is obesity and a rise in type II diabetes.” Sister Joyce Ramage also was there to watch what the grant that she and Kimberly LaMendola of Southern Tier West Local Foods program were making possible. “This is very good,” she said with a smile. People brought their own containers to take home squash, zucchini, lettuce, green and sweet onions, garlic, cabbage, cucumbers, beets, beans, radishes and peas. They could also take recipes that use this week’s produce. By RICK MILLER Olean Times Herald OLEAN — A pilot program which provides fresh vegetables and tips on preparing them is being warmly received by residents at Seneca and Alder courts. The Veggie Mobile, a truck carrying fresh vegetables from Canticle Farm in Allegany, has been parking at the housing site off Seneca Street each Wednesday afternoon for the past month. When the truck pulls in about 2 p.m., there is already a line of families and individuals — many senior citizens from Alder Court — waiting for the delivery. Between 30 and 40 people received free vegetables. Athena Godet-Calogeras, one of the volunteers helping to get the Veggie Mobile off the ground, said it is a cooperative venture between the Franciscan Sisters of Allegany, which owns Canticle Farm, and the Cattaraugus County Health Department. “The Olean Housing Authority has been very supportive,” she added.
5 Beverly Bennett, a Health Department educator who was dressed in a carrot costume, passed out raw vegetables to people standing in line, including kids. Some kids even asked for a second slice of radish. There were also beans and cucumbers on the plate. “They’re eating them,” she said. “And enjoying it.” One resident who brought her children along, Tegan Stanton, said the children seemed to like the farm fresh vegetables. Dr. Kevin Watkins, county public health director, watched as people lined up for the vegetables and children sampled the vegetable tray offered by Bennett. “Anywhere we can try to improve our health outcomes is good,” Watkins said. “This is one way of bringing fresh vegetables to people who might not otherwise get them.” Beverly Bennett, a health educator for the Cattaraugus County Department of Health, hands out vegetables to Jacob Stanton, Richie Stanton, Arianna Patterer and Annamarie Stanton on Wednesday as part of the Veggie Mobile program at Alder Court in Olean .
6 A story about something we learned since CHILA1….Many of our key stakeholders are already engaged with projects that align with our SCALE goals and objectives. Rather than introducing new projects to meet SCALE objectives, we decided to meet one on one with each stakeholder to discuss what they were already working on and then then discussing with them how SCALE can support their already existing efforts. These are a couple of key stakeholders who are working on access to healthy foods. They have grants and funding to do this work, and the SCALE project can support those efforts through use of improvement science, Switch thinking, formalizing their planned activities through Aim and Driver diagrams and brainstorming to determine other support mechanisms. Meeting our stakeholders where they are at, and helping them be more successful has them engaged and enthusiastic. Rather than being daunted at the idea of taking on more tasks, they are really appreciative of the support that the SCALE Initiative can give them.
7 What we learned about engaging community members with lived experienceThe Consortium first learned about the Veggie Mobile in June, and after the presentation about this project, several Consortium members suggested that we should put together a recipe book for the community members who would be receiving their free vegetables, with the assumption that they would need this assistance in learning how to cook vegetables. It turns out, many of the community members have recipes that they use or would like to use. When our Carrot Lady from the Health Department made carrot slaw, some of the community members talked about dishes they would make with their free vegetables. We are now thinking we should put together a community recipe book from the community members at the Housing Authority who are making use of the Veggie Mobile. We could help them put those recipes together and then share it with their fellow community members.
8 What we learned about engaging the BROADER community in developing our aimWe are searching for that bridge to the larger community. With our goals of a healthier Cattaraugus County, we want to focus on greater access to and consumption of healthy food, reduction in consumption of sugary sweetened beverages and an increase in physical activity, but finding the emotional tug that will get the greater community engaged in these efforts has eluded us to date. We have a wonderful group of engaged partners, yet they also represent our agencies and other organizations that are already working on these goals. How to get the broader community engaged is going to be a topic of discussion at our next consortium meeting in September with the hopes of collecting enough change ideas to build an Aim and Driver diagram for this aspect of our work.
9 Our aim for SCALE is….. By 2020, Cattaraugus County will rank in the third quarterly percentile (31 – 46) in the New York State Department of Health County Health Rankings and/or will significantly reduce premature deaths. Cattaraugus County is currently in the lowest quarter (54 out of 61 in the County Health Rankings) and has a premature death rate of 42.6% with the goal of a reduction to 38% or better.
10 AIM: For our Food and School Subcommittee Primary DriversSecondary Drivers Change Ideas Run PDSA in different stores Use school BMI data to identify bright spots Use Office for Aging sites for education and PDSA cycles Use Head Start sites for educational outreach PCP zip code BMI tracking Use weight and teeth as motivating factors uTube PSAs Synchronize efforts Work with vending machine vendors Look at farmers markets accessibility issues Recruit newly retired people as volunteer Educational Outreach Toolkits Branding Posters Presentations at schools Presentations at community centers Increased Awareness By December 2017, decrease the percentage of children and adults who consume 1 or more SSB per day by 5% Educational Outreach Labeling Emolabeling Food Standard Initiative Making Healthy Choices Store policy School policy Healthy meeting policy Employer healthy food guidelines policy Increase in Healthy Options School Sporting event policies Fire Companies Community Organization Drives Unions Reduce Demand for Unhealthy Choices
11 Metrics we are considering to our track progressReduction in consumption of sugary sweetened beverages Reduction in Body Mass Index Increase in Physical Activity Increase in access to healthy foods Increase in breastfeeding rates
12 What we learned from “Switch”Rider: That we need to use data to drive our decision making processes Elephant: That we need to emotionally engage our community, and we don’t want to overwhelm them (One Small Change is our possible branded them for our SCALE work) Path: Within the same thread as “One Small Change” is the opportunity to make small changes that can be celebrated and help people feel that they are already moving along the path to health
13 Top two things we learned from other communities since CHILA1Teal from Algoma provided lots of great resources around their Aim and Driver development and PDSA tracking. We used these materials to start developing some of our PDSA work. The USDA mapping that Fran from Waterville presented was really helpful for us to know that there are other resources for finding that kind of information about our county as we develop mechanisms to track our measures and progress.
14 Our biggest challenge(s) right now are…..How to get the broader community engaged in our SCALE work and how to engage community members with lived experience. As our Aim for this initiative is creating a healthier Cattaraugus County, we see anyone who has gotten healthier within our county as qualified for “lived experience”. To now get deeper into the meaning of “lived experience” to determine who best would represent that category within our SCALE community is a challenge for us right now.
15 We hope to learn this at CHILA2…We would really like to learn more about how to further apply Switch thinking and improvement science to our work. Additionally, we would like to start the building of our foundational work for sustainability of the different efforts being made by our stakeholders. We want to learn more about how to engage thought leaders in our community who can help us design sustainability strategies. Finally, that whole idea of engaging the health system to support population health efforts is fascinating and we would like to learn more about how to do that as part of our sustainability plan.
16 Best way to contact us: LIA: Kate Ebersole, [email protected]Asst LIA: Sue Brisky, Consortium Chair: Deb Nichols,