MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHY LIVING APPLICATION GRIC 2017.PDF

Created: 02/15/2017 • Last updated: 03/03/2017
General information
Organization Maricopa County Department of Public Health
Contact First name Cheryl
Contact Last name Rentscheler
Contact e-mail cherylrentscheler@mail.maricopa.gov
Contact phone number 602-506-6886
Address
Street 4041 N Central Ave, Ste 1400
City Phoenix
State Az
ZIP Code 85012
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 121,500
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The Gila River Indian Community offers multi-year awards. If your
organization is requesting a multi-year grant for this project or program
from the Gila River Indian Community, enter the amount to be requested
each year.
Amount
Year 1 (Gila River Indian
40,500
Community Grants Only)
Year 2 (Gila River Indian
40,500
Community Grants Only)
Year 3 (Gila River Indian
40,500
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2017
Cover Sheet
Municipality Information
1. Date of Application: 2/28/2017 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Denny Barney, Chairman,
Maricopa County
4. Mailing Address: 301 W Jefferson, 10th Floor
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Melody Henderson, Maricopa County Government Relations,
301 W Jefferson, 10th Floor, Phoenix, AZ 85003 Signature:
Applicant Information
7. Department/Organization Name: Department of Public Health, Office of Community Health Innovation
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Mark Gallegos Title: Program Supervisor
10. Phone Number: 602-372-8444
11. Mailing Address: 4041 N Central Ave, Ste 700
12. City: Phoenix State: Arizona Zip Code: 85012
13. Email Address: markgallegos@mail.maricopa.gov Website Address: Click here to enter text.
Project Information
14. Project Name: Healthy Living of Maricopa County Initiative
15. Purpose of Grant: The Healthy Living Initiative of Maricopa County will help bridge that gap in access to
self-management workshops by empowering community partners to deliver this evidence-based program
within Maricopa County
16. Priority Funding Area Education
17. Annual amount requested $40,500.00
18. Number of years that funding is 3
requested
19. Total amount requested (annual $121,500.00
amount x number of years)
20. Has your organization received past Yes, 2012 Mobil STD Svcs - $150,000
funding from GRIC? If yes, list each year
and amount
21. Geographic area served Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation
Outcome  Approval Recommended/Amount $  Denial

Gila River Indian Community Grant Application
Grant Cycle 2017

Gila River Indian Community Grant Application
Grant Cycle 2017
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
The Maricopa County Department of Public Health (MCDPH) serves the third largest local public
health jurisdiction in the U.S., with more than 4.1 million residents according to the 2015
census. Maricopa County encompasses over 9,200 square miles, roughly the size of the state
of Massachusetts, composed of a mix of urban, suburban, and rural areas including the whole
or parts of five sovereign American Indian Reservations. Home to the major metropolitan cities
of Phoenix, Scottsdale, Mesa, Glendale, and Tempe, Maricopa County serves as the state’s
major geopolitical and economic center.
Our mission is to protect and promote the health and well-being of all of our residents and visitors. This
means providing protection from the health threats such as food-borne illnesses, natural and man-made
disasters, toxic exposures, and preventable injury. Public Health also works to prevent chronic diseases,
such as heart disease, cancer, and diabetes by addressing their risk factors: poor nutrition, inadequate
physical activity, and tobacco use. We are increasingly moving towards policy, systems and
environmental approaches to improving the health of our community. As a partner of the Arizona
Departmant of Health Services we have a long history of implementing innovative and effective health
promotions within Maricopa County.
One of our goals as a large health department is to implement self-management programs to populations
who have a need for Diabetes and/or Chronic Disease education with the combined goal of increasing
the self-efficacy of completers, reducing costs associated with healthcare and reducing preventable
hospital readmissions within Maricopa County.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether it be through partnerships,

Gila River Indian Community Grant Application
Grant Cycle 2017
collaborations, in-kind contributions, grants, tax-based funding or other. Describe the supporting
municipality’s role in this project. If the applying organization is a municipality governmental sub-
division please enter the text “Not applicable.”
Not applicable.
3. Describe the proposed project and planned goals and activities.
From cancer and stroke to diabetes and Alzheimer’s, seven out of the 10 leading causes of
death in Arizona are attributed to a chronic disease. Regardless of race or ethnic group, arthritis
is the number one cause of disability, with one in four adults receiving a diagnosis from a
provider. The Stanford Model of evidence-based self-management programs specific to chronic
disease and diabetes education are a key way to help Arizonans lead longer, healthier lives and
has a proven return on investment that decreases the amount of health related expenditures
related to a patient or paticpant’s health care. However, many do not know that this opportunity
exists within our community and are not referred to workshops by a healthcare providers. The
Healthy Living Initiative of Maricopa County will help bridge that gap in access to self-
management workshops by empowering community partners to deliver this evidence-based
program within Maricopa County.
Planned goals:
Goal #1: To create partnerships that result in the facilitation of Chronic Disease Self-
Management (CDSMP) and/or Diabetes Self-Management (DSMP) workshops per grant year
(self-management workshops can be provided in both English or Spanish, depending on the
audience’s needs).
Goal #2: To train 30 lay-leaders of CDSMP and/or DSMP workshops per grant year.
Goal #3: To deliver workshops of the Stanford model of self-management curriculum by
creating partnerships that result in the facilitation of 30 CDSMP and/or DSMP workshops per
grant year.
Goal #4: Provide technical assistance for workshop implementation that includes activities
related to workshop logistics and support to include:
Workshop Books, Workshop Coordination Stipends, Workshop Lay Leader
Training and workshop Nutrition Support through Farmer’ Market produce
support for attendees of self-management workshops
Activities:

Gila River Indian Community Grant Application
Grant Cycle 2017
(1). Develop partnerships to assist in reaching community members who can benfit from self-
management workshops within Maricopa County.
(2). Create infrastructure to support self-management education to community members.
(3). Create a network of self-management partners and lay-leaders to support workshop
delivery in designated communities within Maricopa County.
(4). Train lay-leaders to conduct CDSMP and DSMP workshops.
(5). Provide support and technical assistance to partners who contribute to the implementation
of self-management workshops within Maricopa County.
(6.) Employing the use of nutritional support activities by providing workshop participants with
an opportunity to receive fresh produce as a benefit of completing the workshop. The one-time
issue of nutrition related items will fortify the nutritional component of the self-management
workshops employed throughout Maricopa County.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
Healthcare – The proposed project features self-management of chronic disease and diabetes
education workshops. These evidence-based workshops promote an increase in self-efficacy in those
who are at risk or are suffering from chronic disease and/or diabetes. The Stanford Model of self-
management workshops are designed to assist in improving the overall health of participants.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
Problems to be addressed:
According to data obtained through the Behavioral Risk Factor Surveillance System, a self-
reporting survey, (1) high blood pressure and cholesterol are still major contributors to the
national epidemic of cardiovascular disease. High blood pressure affects approximately 1 in 3
adults in the United States, and more than half of Americans with high blood pressure do not
have it under control. High sodium intake is a known risk factor for high blood pressure and
heart disease, yet about 90 percent of American adults exceed their recommendation for sodium
intake. (2) Diabetes was ranked the first most important health problem by community members
(African American, American Indian, Asian American, and Hispanic) in the Maricopa County
Community Health Survey, 2012.
By developing partnerships with health networks, the patient population in the healthcare
footprint and surrounding communities will be educated on the concept of self-management of
chronic disease and/or Diabetes. This targeted education will directly decrease the cost burden
of those health network partners as target populations increase their health literacy and self-
efficacy in regards to their own health. This will create better health related outcomes for
participants, while a return on investment is realized through cost savings from the changed
behaviors of participants. The number of people to be served by this project will be in excess of

Gila River Indian Community Grant Application
Grant Cycle 2017
1000 (1080 participants projected).
6. Define the project as a new or continuing program.
This is a new project that is designed to implement self-management through partnerships with
community centers of influence within Maricopa County.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
10/01/2017 - Work will begin with the creation of partnerships and lay-leader training activities
to support workshop volume that is projected.
- Partnerships will be fostered
- Creation of Lay leader cadre will take place
Years # 1-3 - Partnerships, training and workshop implementation activities to support program
goals will be implemented throughout all three years of this grant proposal.
The project will conclude on 9/30/2020 with completion of project objectives.
- The timeline is flexible.
8. Identify other organizations, partners or funders participating in the project and their roles.
(1). The Arizona Living Well Institute is the state endorsed vendor of self-management
workshop implementation in the state. They will provide workshop fidelity and training in
support of self-management workshop implementation and training.
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
No
10. Describe your plan for project sustainability beyond the grant period. If this is a program/project
previously funded by the Gila River Indian Community describe efforts made towards the previously
described sustainability plan.
The Arizona Living Well Institute has been historically supported by the Arizona Department of Health
Services; funding is expected to continue. By training staff and/or volunteers in communities within
Maricopa County to deliver self-management workshops, we are building the capacity of organizations
and communities to deliver self-management education to their own residents/population. Lay-leaders
who are trained will continue to be engaged in the future to deliver self-management education through
a community referral network. The benefit of cost savings, the provision of workshop books will be
coupled with technical support of MCDPH in order to sustain the delivery of self-management

Gila River Indian Community Grant Application
Grant Cycle 2017
workshops within Maricopa County, this will create the environment necessary to delivery further
workshops well into the future, in support of community partners.
11. Describe your plan to document progress and results.
Progress:
(1). Increases in self-efficacy will be measured by pre and post survey for every participant.
This is a key evaluation tool that measure the self-confidence of workshop participants.
(2). Workshop coordination and support activities will be the responsibility of the Community
Health Development Coordinator and will be electronically managed through existing
infrastructure existing within the Community Health Development Team of the MCDPH.
Results:
The following results are anticipated:
(1). 360 workshop completers per year (x3) = 1180 total completers during grant period
(2). 30 Lay-leaders trained per year (x3) = 90 total lay-leaders trained during grant period
(3). 30 Workshops implemented per year (x3) = 90 Workshops completed during grant period
(4). Significant cost savings will be anticipated based on the completion of workshops by
participants
(5). Partnership satisfaction will be assessed throughout the process of the project,
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
1. Year 2014, Tohono O’ODham Nation Grant, Maricopa County Dept of Public Health, Parent
Ambassadors, $50,000, (not awarded)
2. Year 2012, Tohono O’ODham Nation Grant, Maricopar County Dept of Public Health, Parent
Ambassadors, $50,000, (awarded)

Gila River Indian Community Grant Application
Grant Cycle 2017
Project Budget
Budget Period: 3-Year Project Budget
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Lay-leader training $22,500.00 $0 $0 $22,500.00
2. Workshop Books $36,000.00 $0 $0 $36,000.00
3. Workshop Coordination Stipend $45,000.00 $0 $0 $45,000.00
4. Nutrition Support (Fresh $18,000.00 $0 $0 $18,000.00
Produce)
5. Click here to enter text. $0 $0 $0 $0
6. Click here to enter text. $0 $0 $0 $0
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $121,500.00 $0 $0 $121,500.00

Gila River Indian Community Grant Application
Grant Cycle 2017
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Lay-leader training – 30 alloted training slots per year, not to exceed 90 training slots at a price of
$250.00 per training slot ($7,500.00 per year). Prices are set by the Arizona Living Well Institute.
2. Workshop Books – 20 alloted per new site not to exceed 600 books per year at a price of $20.00 per
book ($12,000.00 per year). Prices are set by Bullpup Publishing.
3. Workshop Coordination Stipend - $500.00 per workshop coordinated (minimum 12 participants) at the rate
of 30 per year ($15,000.00 per year). Prices coincide with the standard per diem for workshop coordination by
two lay leaders per workshop.
4. Nutrition Support (fresh produce) – Will be used to supplement the nutrition education that is part of the self-
management curriculum. Prices are sent by local produce vendors and equate to $200 of produce per
workshop ($6,000.00 per year).
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Gila River Indian Community Grant Application
Grant Cycle 2017
17. Click here to enter text.
Other explanation: Click here to enter text.