HEALTHY COMMUNITIES IMPLEMENTATION PROGRAM

LPHA Triennial Site Review Tool

AGENCY: / REVIEWER:
ADMINISTRATOR:
PARTICIPANTS:
DATES OF REVIEW (mm/dd/yyyy): - / DATE OF REPORT (mm/dd/yyyy):
Compliance
Criteria for Compliance / Yes / No / Documentation/Comments/Explanation/Timelines
I.Application of Healthy Communitiesassessment and capacity-building efforts
  1. In coordination with the Tobacco Prevention and Education Program (TPEP), prioritized objectives are implemented based on the local plan developed through the Healthy Communities Training Institutes.
(PE 15 1.a)
  1. Implementation of prioritized objectives incorporates prevention, risk reduction and management activities related to arthritis, asthma, cancers, diabetes, heart disease and stroke.
(PE 15 1.a)
Compliance
Criteria for Compliance / Yes / No / Documentation/Comments/Explanation/Timelines
II. Facilitation of community partnerships
  1. Accomplishes movement toward establishment of policies, environments and systems that support healthy communities through a coalition or other group dedicated to the pursuit of agreed upon best and promising practice objectives based on Healthy Communities community assessments. Community partners include nongovernmental entities as well as community leaders.
(PE 15 1.b)
III. Development of local champions
  1. Fosters ongoing communication and education with community leaders, including elected leaders, on effective comprehensive strategies for reducing the burden of tobacco-related and other chronic diseases in communities, schools, worksites and health systems through establishment of policies and sustainable system change. Coordinates with statewide partners for strategic planning for the purpose of developing and sustaining a county and statewide infrastructure for tobacco-related and other chronic disease prevention and health promotion.
(PE 15 1.c)
IV. Promotion of healthy food and physical activity
  1. Promotes healthy food choices and physical activity opportunities for chronic disease prevention and risk reduction through the establishment of policies and sustainable systems change that supports healthy communities, schools, worksites and health systems.
(PE 15 1.d)
V. Countering unhealthy food and tobacco influences
  1. Promotes protection from exposure or access to secondhand smoke, tobacco products, unhealthy foods, and the advertising and promotions of tobacco and unhealthy food through establishment of policies and sustainable systems change that supports healthy communities, schools, worksites and health systems. Promotes and connects to arthritis, asthma, cancer, diabetes, heart disease and stroke, chronic disease self-management, and the Quit Line in all activities.
(PE 15 1.e)
VI. Facilitate development of chronic disease self-management networks and systems
  1. Promotes optimal availability of and access to chronic disease self-management programs in communities, schools, worksites and health systems through the establishment of policies, environments and local delivery systems for chronic disease self-management programs tailored to specific chronic conditions including arthritis, asthma, cancer, diabetes, heart disease and stroke. Incorporates the promotion of tobacco cessation, healthy eating and physical activity into chronic disease management systems.
(PE15 1.f)
VII. Integrate tobacco use reduction in all Healthy Communities interventions
  1. Conducts tobacco use reduction strategies in all Healthy Communities programs in partnership with TPEP.
(PE15 1.g)
VIII. Enforcement
  1. Assists, through formal agreements with office of Public Health Division, with the enforcement of statewide chronic disease prevention and laws.
(PE 15 1.h)
IX. Procedural and operational requirements
  1. The LPHA has on file with OHA an approved local program plan by June 30.
(PE15 2.a)
  1. The LPHA implements its Healthy Communities activities in accordance with its approved local program plan.
(PE15 2.a)
  1. Modifications to the local program plan are made only with OHA approval.
(PE15 2.a)
  1. The LPHA assures that its Healthy Communities program is staffed at the appropriate level, depending on its level of funding, as specified in the award of funds for this program element.
(PE 15 2.b)
  1. Modifications to the budget are made only with OHA approval.
(PE 15 2.c)
  1. Funds awarded for this program element are not used for medical treatment, delivery of cessation services, or other health-related efforts not devoted to Healthy Communities.
(PE 15 2.c)
  1. The LPHA attends all Healthy Communities program meetings, as reasonably required by OHA. LPHA participates in Healthy Communities program evaluation activities, as reasonably required by OHA.
(PE 15 2.d)
  1. The LPHA complies with OHA’s Healthy Communities program guidelines and policies, including as amended from time to time.
(PE 15 2.e)
  1. The LPHA coordinates its Healthy Communities activities and collaborates with other entities receiving Healthy Communities funds or providing Healthy Communities services.
(PE 15 2.f)
  1. The LPHA submits local program plan reports on a schedule to be determined by OHA. The reports include, at a minimum, LPHA’s progress during the reporting period in completing activities described in its local program plan.
(PE 15 3)
  1. The LPHA submits the following upon request by OHA: outcomes reports that detail quantifiable outcomes of activities and data accumulated from community-based assessments included in the local program plan.
(PE 15 3)
  1. The LPHA participates in coordinated Healthy Communities program evaluation activities, as reasonably required by the OHA.
(PE 15 3)

Hover over link for date it was verifiedPage 1 of 5LE 9804aRevised and Approved: May 2013

Oregon Health Authority, Public Health Division, Local Public Health Authority Financial Assistance Agreement

  • Program Element 15: Healthy Communities Phase II – Implementation