AMENDMENT RE SMOKE-FREE ARIZONA WITH AMERICAN LUNG ASSOCIATION.PDF

CONTRACT NO: C-86-13-107-3-01 AMENDMENT NO: 1
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400, Phoenix, Arizona 85012
and
AMERICAN LUNG ASSOCIATION
The above named contract is hereby amended as specified below:
A. Cover Page, Section 1.1, Expiration Date is extended through June 30, 2014 with the
option to renew the term for additional terms up to a maximum of five (5) years.
B. Exhibit A, Budget replaced in its entirety.
C. Exhibit B, Scope of Work replaced in its entirety.
All other terms and conditions of the original contract shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF AMERICAN
MARICOPA COUNTY LUNG ASSOCIATION
By:
Chairman, Board of Supervisors
Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date

American Lung Association EXHIBIT A
Proposed Budget 1/1/14 to 6/30/14
Sal & Bens $ 158,338.00
Contracts $ 20,400.00
Media 4,000.00
Travel 6,806.00
Supplies 6,860.00
Dues & Fees 964.00
C & 0 30,132.00
Indirect 16,957.00
$ 244,457.00
Director x 1 $ 27,372.00
Mgr x 1 $ 22,279.00
Mgr x 1 $ 23,000.00
Mgr X 2 $ 44,290.00
Benefits 35.40% $ 1 16,941.00 $ 41,397.00 $ 158,338.00
Contractual 3,400 x 6 mos $20,400
Paid ads $ 4,000.00
Mileage $ 3,560.00
Lodging $ 1,296.00
Airfare $ 1,500.00
Per diem $ 450.00
$ 6,806.00 $ 6,806.00
Supplies $ 1,000.00
Brochures $ 5,000.00
Postage $ 860.00
$ 6,860.00 $ 6,860.00
AMA dues 425.00
Meeting 59.00
Web license 120.00
Spirometer 360.00
964.00 $ 964.00
Office IT $ 5,532.00
Cel phones $ 1,200.00
Occupancy $ 23,400.00
$ 30,132.00 $ 30,132.00
Indirect $ 16,957.00
$ 244,457.00

EXHIBIT B American Lung Association in Arizona
Proposal
1. Describe how the proposed project will address systems building related to smoke-free
living in multi-housing.
The American Lung Association in Arizona (ALAA) has played a leadership role in building a solid
infrastructure for smokefree housing work in Marieopa County during the past 18 months and looks to
continue that effort. For the next six months, ALAA will continue to build on several key components to
support smokefree living in multi-unit housing including:
a) Arizona SmokeFree Living (ASFL) database: ALAA has been working with a developer
since March of this year to create an online database that will track all contacts and activities of
ASFL community partners. ALAA and the developer provided a demonstration to ASFL
partners in May and the web-based database was activated in mid-June. The ASFL database is
proving to be invaluable in capturing detailed information about multi-unit housing properties
in Maricopa County that will aid in targeted outreach and coordinated follow-up with those
properties. The database will allow ALAA and ASFL partners to track those properties
interested in receiving more information about smokefree living, properties that are in the
process of moving forward with smoke-free policies, and those that have gone smoke-free.
b) Arizona SmokeFree Living Community Partners: Comprised of 22 partners representing 10
different organizations, the group meets monthly with the goal of expanding the number of
people protected from secondhand smoke exposure in multi-unit housing. The partners have
created five workgroups focused on media and branding; data management; policy, community
development, and outreach. There is also a Leadership Council with seven members that meets
intermittently to establish operating and policy guidelines for the partners. Over the past 18
months, the work of the group has resulted in the development of a strong brand, creation of
evidenced-based materials, and a structure that encourages community representation and
collaborative outreach.
c) Collateral materials: Thanks to efforts by the branding workgroup of the AFSL community
partners, ALAA has contracted with a design firm to create professional marketing materials to
use when conducting outreach to building owners and managers. Materials developed to date
include a brochure, palm card, presentation folders, event banners, and a tabbed guide for
property managers on transitioning to smoke free policies.
d) Web sites: Two professionally branded web sites also support the ASFL effort:
www.AZSmokeFreeLiving.org and www,BreatheEasyAZ.org . AZSmokeFreeLiving.org
provides an easy-to-navigate resource for property owners and tenants where they can access
information about public support for smokefree housing, online trainings and toolkits for taking
a property smokefree, information about the dangers of secondhand smoke and the economic
benefits of making properties smokefree, and tips for renters dealing with smoke intrusion. The
BreatheEasyAZ web site supports chronic disease self management and the ASFL effort, The
web site offers information about evidence based self management programs, support groups,
links to evidence-based smoking cessation programs, videos and other tools for people with
chronic conditions. ALAA has also complemented the resources on both web sites through a
strong social media presence.
e) Polling data: In 2012, ALAA contracted with Campbell DeLong Resources, Inc. to conduct
polling among Maricopa County residents who rent their homes to learn about their smoking
behavior, exposure to secondhand smoke, and opinions related to secondhand smoke and

American Lung Association in Arizona
smokefree housing. This research has established that about a quarter of renters are
experiencing smoke drifting into their residence; half of residents who smoke do not smoke or
allow smoking in their own home; and 70 percent of renters would chose srnokefree housing if
it was available. This valuable data is available on the AZSmokeFreeLiving.org website and a
PowerPoint presentation has been made available to all ASFL partners.
0 Educational materials: The American Lung Association is a recognized expert on tobacco use
and lung health. As such, ALAA has access to a wide-breadth of evidence-based educational
tools about smoking, smoking cessation, secondhand smoke exposure, asthma, Chronic
Obstructive Pulmonary Disease, lung cancer, etc.
During the next six months, the American Lung Association in Arizona plans to continue to address the
needs of the Arizona SmokeFree Living community partners, as the group expands its outreach efforts by
creating additional tools and enhancing the resources identified above. Through surveys and one-on-one
conversations, ALAA will seek to identify the training, technical assistance, or resource needs of ASFL
stakeholders; will communicate and facilitate educational opportunities to community partners; and will
foster the development of the ASFL Leadership Council. ALAA will continue to lead and guide ASFL
partners to ensure data is collected, inputted into the ASFL database, and managed for all partners' use
and benefit. Based on input from ASFL partners and ALAA's experience working with property
owners/managers, ALAA will develop additional tools to support the advancing levels of outreach and
changes in the multi-unit housing market. ALAA will work closely with its media consultant to refine
messaging and creative materials regarding chronic disease management and smokefree housing efforts
and will regularly add new content to social media pages and to www.BreatheEasvAZ.org and
www.AZSmokeFreeLiving.org web sites.
2. Describe how the proposed project will improve collaboration and community capacity
within stakeholders in Maricopa County.
ALAA has first-hand experience with the powerful collaboration and community impact that can come
from stakeholder involvement and investment in a project. Therefore, the Arizona Smoke-Free Living
partnerships are integral to this project's success. The ASFL group currently has ten member
organizations represented by approximately 22 individuals. During the formal strategic planning stages,
the group identified its values which included diversity, grassroots involvement, and inclusiveness. The
stakeholders committed to smart growth which would include inviting members from segments of the
community not yet represented, such as people who represent those who live in apartments or
representatives from different areas within the housing sector, or young people; and subject matter
experts, such as a scientist or physician. Smart growth will add to the group's overall capacity and
expertise, as well as to the project's potential reach and impact.
ALAA will add to ASFL partners' capacity to address secondhand smoke in shared housing by providing
ongoing training opportunities. Training topics will be identified based on the group's needs as it grows
and expands its activities, and will be responsive to needs and desires expressed by stakeholders,
Training will include the American Lung Association's online Smoke Free Policies in Mutli-Unit
Housing course. Other training opportunities will focus on the new ASFL database and its use, smoking
and secondhand smoke exposure, and health equity. ALAA will take the lead on organizing training and
capacity-building opportunities for the ASFL partners, providing some of the training itself, and looking
to other partners and subject-matter experts for other learning opportunities.
ALAA will ensure that information and resources regarding self-management of chronic disease
continue to be included in the content of www.BreatheEasvAZ.org and promoted to stakeholders via
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American Lung Association in Arizona
newsletters. As an additional method of expanded outreach and collaboration, ALAA will utilize
members of an existing volunteer speakers' bureau to provide education on dangers of smoking,
secondhand smoke exposure, and chronic disease self-management in the greater Maricopa County
community.
3. Identify the activity(ies), as listed in 2.1.1 — 2.1.8, to be completed and describe how each
will be accomplished through the proposed project.
Please see #4 as to how ALAA intends to address the four priority areas outlined in 2.1.1.
ALAA will conduct the following activities to address the four goals outlined in 2.1.2:
Goal 1: Collect and manage apartment community outreach data to determine the impact of indoor air
utility project and activities.
OBJECTIVE ACTIVITIES
Manage data collected on Provide training to ASFL community partners on
outreach conducted by ASFL Database
Community Partners. (Data will • Develop tools and forms to facilitate collection of data
include apartment community • Ensure data input on outreach conducted by strategic
contacts, meeting summaries, partners
events, educational materials • Liaise with database producer on technical issues and
distributed, resident complaints, questions on behalf of ASFL stakeholders
required follow up, etc.) 0 Ensure that database is available online for ASFL
partners to access and use
Goal 2: Educate the public, people living with COPD, healthcare community, and decision makers
about risks for chronic lung disease, relevant resources, and build awareness of indoor air quality
issues through a social media campaign, collateral material, and websites.
OUTCOME OBJECTIVES ACTIVITIES
The vnvw.BrecttheEasvAZorg • Stakeholders/ volunteers participating in the
and marketing and communication workgroup will
www.AZ5nrokeFreeLiving.org review the www.AZSmokeFreeLiving.org website
webs ites will serve as a and provide input and updates on an ongoing basis
repository for information and • Engage patients with chronic lung
resources for indoor air quality disease/caregiver/volunteers in creating content for
and for COP]). websites and Breathe Easy Arizona newsletter
• Continually add new data and resources to the
www.AZSmokareeLiving.org and
wwvv.BreatheEasyAZ.org websites focused on
indoor air quality, multi-unit housing issues and
resources, and managing chronic lung diseases
• Create a directory to publicize qualified smokefree
apartment communities
The public education media • Develop social media campaign themes around lung
campaign will continue and will disease, tobacco, secondhand smoke exposure,
include increased social media indoor air quality; and plan for daily updates
postings with an emphasis on air 0 Initiate and organize awareness events via social
quality and how it impacts those media
with chronic disease. * Develop and post new content such as video profiles
of multi-unit housing apartment community owners
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American Lung Association in Arizona
and managers who support smokefree environments
and/or patients who will tell their stories, especially
with regard to smoke exposure
• Incorporate program information collected from
ASFL Database into presentations and collateral
material
• Develop paid media plan and place ads in
industry/and rental consumer vehicles to drive more
visitors to the websites
• Produce a monthly Breathe Easy Arizona newsletter
to focus on disease management for patients with
chronic lung disease and their caregivers
Public awareness of COPD and • Collaborate with ASFL partners on outreach events
tobacco issues will increase to raise awareness with calls to action (e.g. tobacco
through outreach activities based cessation or creating smokefree policies in multi-unit
on calendar events: Kick Butts housing apartment communities)
Day and National Public Health • Initiate and organize awareness events via social
Week. media
• Plan follow-up activities with outreach and event
partners
• Engage ASFL partners, patients with chronic lung
disease, youth groups, healthcare professionals,
stakeholders/volunteers in writing letters to the editor
and/ or guest editorial submissions
• Partner with youth organizations to host awareness
events in March
At risk communities, such as • Reach out to community decision-makers in high risk
residents in affordable housing communities to inform them on the issues around
communities and senior centers, tobacco, lung disease and indoor air quality
will learn about respiratory • Prepare volunteers and staff to deliver presentations
chronic disease symptoms and in multi-unit housing, COPD, and at risk
risk factors through evidence- communities
based presentations such as • Deliver presentations in Spanish when appropriate
Understanding COPD and
Tobacco, Smoke and You.
Goal 3: Provide a statewide forum for individuals living with lung disease, medical professionals,
members of the healthcare industry and community agencies invested in respiratory issues to convene.
OBJECTIVES ACTIVITIES
Convene stakeholders to discuss • Cultivate relationships with stakeholders/volunteers
community needs and develop invested in chronic lung disease and tobacco issues
plans and activities around including residents in low-income communities
factors that impact chronic • Provide training opportunities to ASFL and COPD
respiratory disease. stakeholders
• Communicate regularly with ASFL partners, AZ
COPD stakeholders, and other community members
via an online marketing vehicle, teleconference, work
group and regular group meetings
• Support leadership (Arizona Smoke Free Living
Leadershi Council) efforts b coordinating meetings
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American Lung Association in Arizona
and meaningful discussions at the group's bi-monthly
meetings
• Engage the community in grassroots planning efforts
to chart future activities
Expand stakeholder/volunteer 0 Support ASFL leadership in developing a plan for
group to include a broader set of "smart growth" of the group and guide the
individuals and entities impacted Development workgroup in creating an action plan at
by COPD, other chronic the tactical level.
respiratory conditions, and * Reach out to leaders in the pulmonary community
related concerns such as tobacco across Arizona to engage them in COPD and multi-
and indoor air quality; ensuring unit housing activities, such as a speakers' bureau
members of disparate e Engage community-based organizations in outreach
communities are included, and education (for example Chicanos Por La Causa,
ASU's Sandra Day O'Connor College of Law,
Native American Connections, Arizona Multi-
housing Association)
• Create partnership opportunities for
stakeholders/volunteers
Support a statewide system to • Distribute COPD/respiratory toollcit on request
provide COPD patients and their • Provide communication to announce webinars on
caregivers with information and indoor air quality, tobacco, and chronic pulmonary
tools needed for disease disease management
management, • Provide support and referrals to Better Breathers
Clubs (ALA's evidence-based, patient-focused
national core program) and other respiratory support
groups http://www.lung.org/lung-
disease/copd/connect-with-others/better-breathers-
clubs/
• Endorse and provide referrals to evidence-based
chronic disease self-management programs! state
quit line for tobacco cessation
* Conduct outreach to healthcare professionals
encouraging them to make referrals to evidence-
based chronic disease self-management programs /
state quit line for tobacco cessation
• Continue to develop and groom individual volunteers
to assist with outreach and education
• Offer Freedom From Smoking clinics in highest-risk
environments (ALA's evidence based in-person
tobacco cessation program)
http://www.lungorg/stop-smoking/how-to-
uit/freedom-from-smokin I
Goal 4: Build relationships with decision makers in the multi-unit housing community to assist them in
creating smoke- free nolicies in communities throughout Maricopa County.
OBJECTIVES ACTIVITIES
Cultivate relationships with • Work with ASFL stakeholders to coordinate efforts
decision makers and other and expand outreach, education, and policy change
stakeholders in the multi-unit among multi-unit housing apartment communities
housing community to engage • Complement multi-unit housing ASFL community
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American Lung Association in Arizona
them in discussions around partners' efforts by providing education on chronic
tobacco and indoor air quality, diseases caused by tobacco and secondhand smoke
• Network at meetings of Arizona Multi-housing
Association and Arizona Housing Alliance to
introduce ASFL
• Deliver a presentation at the National Healthy Homes
conference
• Call on targeted multi-unit housing apartment
community managers and owners to introduce
smokefree concepts and services
* Schedule follow up visits with multi-unit housing
apartment community managers and owners to
monitor progress and coach them on enforcing no-
smoking rules
• Host resident education events in collaboration with
ASFL strategic partners.
• Provide technical support and resources to multi-unit
housing managers through the ASFL partners and
AZSmokeFreeLiving.org website to support their
transition to smokefree status.
Multi-unit housing complexes in • Work with Bureau of Tobacco and Chronic Disease
Maricopa County will commit to and ASFL partners on outreach and education at
establish smokefree or smoke- multi-unit housing communities, promote making
reduction policies, active referrals to the state quit line
• Follow up with support for multi-unit housing
properties that adopt smokefree policies
• Follow up with high-potential properties with
additional support, coaching, and education
• Deliver recognition to multi-unit housing
communities that adopt smokefree policies by
ensuring they are noted on the website, at events, and
throuth earned media
Additionally, ALAA will:
a Collaborate with the ASFL stakeholders and Office of Tobacco and Chronic Disease
Prevention (OTCDP) throughout the implementation phase to support the mission and goals of
the ASFL community partners.
• Conduct meetings/phone conferences at least monthly and whenever deemed necessary, with
members of the ASFL group throughout the implementation phase of the project.
• Facilitate ASFL meetings, workgroups and events.
• Complete required evaluation, reports, and information requests throughout the implementation
phase of the project.
• Submit a written final report of the project to OTCDP within 25 days of completion of the
project.
• Deliver presentations on the project at an ASFL/OTCDP meeting or events upon request.
4. Identify and describe the priority areas(s), as listed in 2.1.1.1 — 2.1.1.4, to be addressed
through the proposed project.
Arizona SmokeFree Living Community Partners: ALAA will continue to provide leadership and
guidance for the group moving forward, ALAA will facilitate regular meetings with partners and will
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American Lung Association in Arizona
coordinate strategic learning opportunities to continue to increase the ASFL members' capacity to
successfully advance smokefree multi-unit housing efforts. During this next phase, ALAA will support
the ASFL on its goal to on achieving smart growth. Key components to achieving smart growth include:
communicating the established guidelines for growth established by the ASFL Leadership Council to the
existing Development Workgroup; reviewing the previously-developed membership matrix; building
consensus around targeted member recruitment; and ultimately assisting partners in outreach to targeted
potential members. ALAA will also continue to manage ASFL messaging through regular discussions
during monthly meetings and working closely with a media consultant to leverage that entity's experience
and expertise in tobacco control, marketing, and media in all forms.
Data: ALAA will continue to coordinate training for and provide coaching to all partners who wish to use
the existing ASFL online database. The organization will provide support and assistance to partners in
conducting data entry and generating reports from the database. Additionally, ALAA will provide data
upon request from partners who have selected not to be trained on the database themselves. Based on
partner input, ALAA will determine what reports should be prepared and disseminated regularly to the
group. ALAA will continue to work with the ASFL Data Management Workgroup and provide oversight
of data collection and reporting activities.
Information: ALAA will coordinate and manage messaging that targets the general public, stakeholders,
policy makers, and community based organizations via social media, websites, earned and paid media,
and collateral materials. The organization has a strong track record of ensuring that the messaging that is
used is professional, evidence-based, consistent, and appropriate for the intended audience. ALAA will
work with and provide support to the ASFL Branding and Communications Workgroup in its activities
related to messaging and will manage the subcontract with Critical Public Relations.
During the past 18 months, ALAA and partners have succeeded in raising awareness about smokefree
housing among the public, residents, and property owners and managers through presentations, targeted
Outreach to property owners/managers, the Arizona SmokeFree Living website, and distribution of
materials at community events. A few examples of ALAA and ASFL partners' outreach include:
collaborating on introducing ASFL at a Arizona Multi-housing Association trade show in fall 2013;
jointly hosting a formal presentation in November 2013 to subsidized and market-rate housing managers;
creating data-oriented PowerPoint presentations on the health risks of secondhand smoke and the
feasibility of taking apartments smokefree; and co-facilitating discussions with residents at Tanner
Terrace Apartments and Biltmore Properties. In the seven months since the website launched, it is
attracting an average of 1,412 unique visitors and 3,206 total visitors per month. Patients, caregivers, and
volunteers receive disease management information and are linked to resources to promote improved
health and quality of life through the Breathe Easy Arizona website and newsletter.
For the next six months, ALAA plans to continue tactics such as presentations to stakeholder groups,
showcasing at strategic events, newsletter to support those living with chronic lung disease, and ensuring
fresh content is added to the web sites. In addition, ALAA will further develop social media campaigns
with themes around lung disease, tobacco, secondhand smoke exposure, healthy homes, and indoor air
quality. ALAA will also develop a paid media plan focused on reaching renters and property
owners/managers through targeted publications. Using the information collected via the ASFL online
database, ALAA will create a smokefree housing directory that can be accessed via the ASFL website.
Finally, ALAA will expand the ways in which it capitalizes on events such as the National Public Health
Week to incorporate messaging about tobacco cessation and smokefree housing. ALAA will encourage
ASFL members, patients with chronic lung disease, healthcare professionals, and other stakeholders to
write letters to the editor. ALAA will also continue to explore new and unique ways to share information
including partnering with youth groups to initiate and organize awareness events via social media such as
"smart mobs" that would build on the concept of "flash mobs," incorporating a social change message.
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American Lung Association in Arizona
Policy: ALAA will facilitate the work of the ASFL Policy Workgroup and Leadership Council as they
further define srnokefree property language and distinctions, and will communicate this back to the ASFL
partners to ensure coordinated and consistent messaging. As additional clarification and policy needs
arise, ALAA will work with the ASFL Policy Workgroup and Leadership Council to provide direction.
Through the ASFL online database, ALAA will determine the number of smokefree multi-unit properties
and post that information on the web site.
ALAA will work with ASFL partners to coordinate efforts and expand outreach, education, and policy
change among multi-unit housing apartment communities. ALAA will provide guidance in targeted
outreach and will offer resources such as resident education events, presentations to property owners or
tenants, and supporting materials on cessation, lung disease, indoor air quality, etc. The organization will
also provide technical assistance and resources to housing managers to support their transition to
smokefree status. This assistance could include providing cessation resources, policy development
support, and promotion via earned media and the new smokefree directory.
5. Describe how apartment owners, managers, and tenants will be involved in the proposal
Apartment owners, managers, and tenants are key stakeholders that will be engaged throughout this
project. The ASFL Development Workgroup included these stakeholders in a matrix of potential
members as the group pursues smart growth. In 2012, the ALAA invited the Vice President of Tiempo
Inc., a subsidiary of Chicanos Por La Causa, to join ASFL efforts. Tiempo Inc. owns more than 20
subsidized multi-unit housing communities and is contemplating smokefree policies, Tiempo Inc. is now
a member of the ASFL group and serves as an advisor and reviewer of collateral material. It has been
quite valuable to have the perspective of a property owner and ALAA is committed to recruiting
additional property managers and owners to participate in ASFL. Likewise, ASFL will benefit from the
insight and voice of residents who are interested in advancing smokefree housing efforts, and ALAA will
work to identify potential members from this sector.
ALAA is a member of the Arizona Multi-unit Housing Association and will work to make additional
connections with multi-unit housing owners through this network. Additionally, ALAA is making
inroads with the Arizona Housing Alliance which offers a valuable means to conduct outreach to and
connect with subsidized housing. Finally, ALAA along with the Maricopa County Health Department
met with the Arizona Department of Housing and exhibited at the Department of Housing's conference in
September. During the next six months, ALAA will foster these relationships to seek additional ways to
engage members of the housing sector in this project.
6. List your existing assets and community resources that will be utilized and how the
proposed project will build on those assets.
The American Lung Association in Arizona's strongest assets are its staff who are experienced working
on both smokefree housing and COPD; the relationships it has established with Arizona SmokeFree
Living members and other local and national partners working on chronic disease and smokefree housing;
and its reputation and resources available as part of the nation's oldest voluntary health organization.
ALAA has existing staff who are already working on the goals outlined in this proposal; therefore there
would be no interruption in education and outreach activities. Detailed staff bios are included in the
Experience/Qualification section. In addition to the ASFL community partners, ALAA has strong
relationships with groups such as the Arizona Housing Alliance, Arizona Department of Housing, Live
Smoke Free (Minnesota), GASP (Group to Alleviate Smoking Pollution) of Colorado, SmokeFree
Housing NW (Oregon), the Public Health Law Center (Minnesota), Arizona Public Health Association,
Centers for Disease Control and Prevention, Arizona Thoracic Society, Dignity Healthcare, Arizona
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American Lung Association in Arizona
Smokers Helpline, and many others. As part of a nationwide organization, ALAA has access to
professionally developed and evidenced-based resources such as the online Smokefree Multi-unit
Housing training and collateral materials, and webinars that build skills in tobacco control, disease
management, and emerging trends in healthcare and tobacco control.
Many of the assets that ALAA has are openly shared with the ASFL and COPD partners and the
community including access to national webinars; educational materials on smoking, secondhand smoke,
smoking cessation, chronic lung diseases, and related topics; the custom online database designed for the
ASFL program; the polling data on Maricopa County renters; a large conference room and office
amenities for meetings; copyrighted and cited websites and domains for www.BreatheEasyAZ.org and
www.AZSmokeFreeLiving.org ; and other communication tools such as Constant Contact (though which
the Breathe Easy newsletter is developed and distributed); Ready Talk (a web and conference call hosting
service); and FaceBook and Twitter accounts.
One of the most significant resources within the community are the Arizona SmokeFree Living and
COPD partners themselves. The partner agencies involved in these programs each bring with them a
unique network of constituents as well as different perspectives and points of connection with the
smokefree housing and COPD issue. During the past 18 months, partners have increased their own levels
of understanding and capacity to address smokefree housing by participating in national webinars and
learning opportunities. ALAA staff members have presented to property owners/managers; connected
with residents dealing with smoke intrusion; identified opportunities the COPD or ASFL stakeholders to
have a presence at community events or conferences; written letters to the editor to raise awareness of
chronic lung disease; presented to employers, health professionals, and other community groups about
chronic lung disease; co-promoted the SmokeFree Living and Breathe Easy Arizona websites on their
organization's sites and helped to grow the groups' social media presence.
This project will build on existing assets to further raise awareness among stakeholders about the dangers
of secondhand smoke and the importance of smokefree living environments. ALAA's developing
relationships with members of the housing sector will be strengthened during the next phase of this
project. Likewise, ALAA will build on the collaborative nature of the ASFL partner group to expand to
include under-represented sectors.
7. Describe the community outreach/awareness that will be completed.
As outlined in the activities and timeline chart in 4 10, ALAA will conduct outreach and awareness
activities to the following audiences:
• Public: ALAA will raise awareness of smokefree housing, secondhand smoke, smoking cessation,
chronic lung disease diagnosis and management through community events, especially during the
months of March and April centered around Kick Butts Day and National Public Health Week.
Additionally, ALAA will utilize paid and earned media, add regularly updated information on the
Breathe Easy and ASFL web sites, and employ social media to keep the public informed and raise
awareness.
• Property Owners and Managers: ALAA and partners will reach out to this population through
networking at meetings of the Arizona Multi-housing Association and the Arizona Housing
Alliance. In addition, there is considerable follow-up outreach to be conducted by ALAA and
ASFL partners with the nearly 400 owners/managers who expressed interest in learning more
about smokefree housing on Maricopa County's survey. ALAA and partners will provide
presentations and collateral materials to owners and managers, ensure that content relevant to
property owners/managers on the ASFL web site is updated; and promote the American Lung
Association's online smokefree multi-unit housing training.
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American Lung Association in Arizona
• Residents: ALAA will again participate in the Arizona Multi-housing Association's resident
health and safety events (Project SAFE) to talk with residents about lung health issues including
exposure to secondhand smoke, asthma triggers such as smoke, and introductions to smoking
cessation resources including the Arizona Smokers Helpline. The ASFL web site will also add to
content specific to residents.
• Patients and Caregivers: ALAA will reach this audience through the Breathe Easy web site and
newsletter, through paid and earned media, and through community events. ALAA will promote
webinars on indoor air quality, tobacco, and chronic pulmonary disease management to this
stakeholder group and engage them in COPD program meetings which provide an opportunity to
increase awareness and understanding.
• Healthcare Providers: ALAA will conduct outreach to healthcare professionals encouraging them
to make referrals to evidence-based chronic disease self-management programs and to the
Arizona Smokers Helpline; the Breathe Easy web site, newsletter, and the COPD program
meetings will also provide an opportunity to promote available resources and raise awareness.
8. Describe how the proposed project will collaborate with community organizations currently
working on the project. List any previous experience working with these agencies.
ALAA will continue its strong collaboration with the ten organizations currently part of the ASFL
project. Five of the partners-- Glenda Lumpmouth (Inter Tribal Council of AZ), Philip Carpenter
(Arizonans Concerned About Smoking), Zeenat Hasan (Asian Pacific Community in Action), Linda
Arroyo (Tanner Community Development Corp.), and Mary Lopez (Tiempo Property Management)—
served as active participants on ALAA's Leadership Team for a Community Transformation Grant (CTG)
through the American Lung Association and attended the Centers for Disease Control's three-day "Action
Institute" last August. As part of ALAA's Leadership Team for its CTG grant focused on smokefree
multi-unit housing, these partners provided valuable assistance with assessment and planning activities.
Though ALAA' s CTG funding ended in September, ALAA will continue to collaborate with the
organizations serving as part of its Leadership Team through the Arizona SmokeFree Living activities.
ALAA will continue to partner with other agencies to have a presence at community events, industry
meetings, and trade shows. During the summer of this year, ALAA and ASFL partners supported three
health events held in apartment communities that are part of the Project SAFE program of the Arizona
Multi- Housing Association. ALAA and ASFL partners had a booth at Arizona Department of Housing's
annual conference. Likewise, ASFL partners from Asian Pacific Community in Action helped to staff a
booth at the annual Arizona Public Health Association conference, alongside ALAA.
Through previous funding from CTG and the Arizona Department of Health, ALAA has been able to
produce brochures, banners, logo items, and other outreach tools, which are available for use by all
strategic partners. In December, a staff member from the partner agency Arizonans Concerned About
Smoking presented at a national conference for Community Transformation Grants in Dallas, Texas,
Meetings with individual property managers or the Director of Arizona Department of Housing, for
example, are typically conducted by members of the ASFL group. During the next phase of the project,
ALAA hopes to expand these collaborations by engaging more partners in outreach efforts and
brainstorming with the strategic partners about how to utilize their organizations' existing networks,
Trudie Jackson with Native Health was previously involved with the Leadership Team until a job change shifted
her responsibilities elsewhere.
10

American Lung Association in Arizona
programming, and communication tools to help raise awareness about and promote the goals of
smokefree living.
ALAA has and will continue to capitalize on collaboration opportunities to address chronic disease as
well. Through its community outreach, ALAA identifies local areas that do not have support for chronic
disease management. The organization then partner S with local healthcare providers to help them
establish and manage evidence-based support groups that promote healthy living and disease
management. ALAA will also continue to engage community members who are passionate about helping
people manage their chronic conditions and will link these individuals to chronic disease support groups
through its speakers' bureau, Additionally, ALAA collaborates with health professionals in the field who
want to raise awareness of secondhand smoke health risks and/or COPD and provides them with training
and resources that they can share with patients and their colleagues.
9. Describe how the proposed project will complete internal evaluation of its success.
ALAA will evaluate its efforts on this project based on a survey of ASFL partners to determine
satisfaction in the leadership and resources provided to the group by ALAA. The ASFL database will
also serve as a resource for ALAA to evaluate the extent to which outreach to properties was conducted,
and the result of that outreach (i.e., number of properties transitioning to smokefree). ALAA will also
track the reach for this project through monitoring unique visitors to the ASFL web site, the number of
people who are bookmarking the website as a resource, and the number of FaceBook friends. Along with
the ASFL partners, ALAA will do an internal assessment as to its progress toward recruiting targeted new
members to expand the group as part of the goal to achieve "smart growth." Additionally, ALAA will
track participation in chronic disease support groups and conducts an annual needs assessment that
evaluates support groups' needs in regards to resources and technical assistance.
10. Describe how the proposed project goals and activities will be accomplished. Include a
detailed action plan with activities and timelines, which will be included as some of the
deliverables for the project (3 page limit).
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American Lung Association in Arizona
Gi-00,1::Colpood:Moggg:apailmentomitionity:o•wreeich , - , - : ::: :: • data t6: delominelheithpa0 : : :: of indoor
:or ipolitj!:projor oft activities
oNgaiye 1.1: Manage data c011ected on Outreach conducted by (onnthatiry .Parttu.4.S. Data kin inchtde
apartment community contacts, meeting s1.1111inarieS, t9 cuts educational materials .distributed, resident
complaints, required folloW up. etc.)
ACTIVITIES Jan. Feb. Mar. A r . Ma Jun.
Coach partners on ASFL Database ICIIMEIMEIIIIIEIIIIIIIIIIIII x
Develop tools and forms to facilitate collection of 111111111.
data
Ensure outreach data is in sutted IMIIIIEIIIIIrIMIUEMIII MEI
Liaise with database producer on technical issues
and questions on behalf of ASFL stakeholders
Ensure database is accessible to ASH., Lartners x x x x x x
' :0,00.,:::.;::iieiliOrkit1/40:00110,:pealde :: . : livilOg ij#1ii(OpP4::11:001dreaie:c6hananity;: , : ;aodidoisi0 ::01: i
akooteis*si fo. E:elirok .1.00:(1.400*;:tdoont,!:e..s.0000. 00:,./...01:4,4..opiireno.s:..::(?:fifiti000r:..4•01:by:!:E, :
:10!4,6'1.00.00ii.c.oeiotioediii:i44.40o0;::goliaterooieggrii*oft *01)$#e'N.::: :: :
:01.yecl 2. I: :.111.ij iiiviv.Breatili:':EasyylZeiwaild 14:144,,4ZSMoke Fit eLivingthw websites:willSerl ,e. as a
re ositorv for info, Mation ohot 0.0.'s.ore 0 for indaOr an .qualily and Ibr COM. ,
ACTIVITIES Jan. Feb. Mar. April. May Jun.
Stakeholders/ volunteers participating in the x x x x x x
marketing and communication workgroup will
review the www.AZSmokeFreeLiving.org webs ite
and provide input and updates on an ongoing basis
Engage patients with chronic lung x x x x x x
disease/caregiver/volunteers in creating content for
websites and Breathe Easy Arizona newsletter
Add new data and resources to websites focused on x x x x x x
indoor air quality, multi-unit housing issues and
resources, and managing chronic lung diseases
Create a smokefree apartment directory . . x x x
Objective 2.2: The public jeducation media campaigit),1411 contintie and will to:chide :increased soc al
media postings with 60 emphasis on air quality and :bow it impacts those with . c'broitic disease.
ACTIVITIES Jan. Feb. Mar. i April. May Jun.
Develop social media campaigns around lung x x x x x x
disease, tobacco, secondhand smoke exposure,
indoor air quality; and plan for daily updates
Develop presentations on ASFL programs that can x x x x
be modified for use by other ASFL partners
Develop and post new content (Le., video Profiles of x x x
multi-unit housing owners and managers who
support smokefree environments and/or patients who
will tell their stories about smoke exposure)
Incorporate program information collected from x x x
ASH, Database into presentations and materials
Develop paid media plan, including ads placed in x x x x
industry/and rental consumer vehicles
Produce a monthly Breathe Easy Arizona newsletter x x x x x x
to focus on disease management for patients with
chronic lung disease and their caregivers
Objective.. 2.3: The public awareness ofC0PD and tobacco issues will incivase through ontreach
12

American Lung Association in Arizona
activities based on calendar events: Kick Butts Day and National Public Health Week.
ACTIVITIES Jan, Feb. Mar. April. May Jun.
Collaborate with ASFL partners on outreach events x x x x x x
to raise awareness with calls to action (e.g. tobacco
cessation or creating smokefree policies in multi-unit
housing apartment communities)
Initiate/organize awareness events via social media x
Plan follow-up activities with outreach/event x x x x x x
partners
Engage ASFL partners, patients with chronic lung x x x x x
disease, healthcare professionals, sand stakeholders
in writing letters to the editor
Partner with youth organizations on awareness x x x x
events
Objective 2.4: Al risk communities, such as residents in affordable housing communities and senior
centem will learn about respiratory chronic disease symptoms and risk factors through evidence-based
• -esentations such as COPD 10.1ancl Tobacco, Smoke and .You.
ACTIVITIES Jan. Feb. Mar. April. May Jun.
Reach out to community decision-makers in high x x x x x x
risk communities to inform them on the issues
around tobacco, lung disease and indoor air quality
Prepare volunteers and staff to deliver presentations x x x x x x
in multi-unit housing, COPD, and at risk
communities
Deliver presental jOriS in Spanish when appropriate x x x x x x
Goal 3: . Provide a .statewide ; fOrian for individuals living . with lung disease, medical professionals, .
members of the healthcare industry and conanunity agencies invested in respiratory iNSIICS to convene.
Objective 3.1: COnivne stakeholders to discuss community needs and develop plans and activities.
around factors that impact chronic re,spiratoty disease. .
ACTIVITIES Jan. Feb. Mar. April. May Jun
Cultivate relationships with stakeholders/volunteers x x x x x x
invested in chronic lung disease and tobacco issues
including residents in low-income communities
Provide training opportunities to ASFL and COPD x x x x x x
stakeholders
Communicate regularly with ASFL and COPD x x x x x x
partners and other stakeholders
Support leadership (ASFL Leadership Council) x x x
efforts by coordinating meetings and meaningful
discussions at the group's hi-monthly meetings
Engage the community in grassroots planning efforts x x x
to chart future activities
Objective 3,3: Support a statewide system to provide COPD patients and their caregivers with
information and tools needed for disease management.
ACTIVITIES Jan, Feb. Mar. April. May Jun.
Promote and distribute COPD/respiratory toolkit x x x x x x
Communicate upcoming webinars on indoor air x x x x x x
quality, tobacco, and chronic pulmonary disease
management
13

American Lung Association in Arizona
Provide support and referrals to Better Breathers x x x x x x
Clubs, other respiratory support groups, and
evidence-based chronic disease self-management
programs / state quit line for tobacco cessation
Continue to develop and groom individual x x x x x x
volunteers to assist with outreach and education
Offer Freedom From Smoking clinics in highest-risk x x x x x x
environments
Goal 4: Build relationships with decision makers in the muin-unit housing community to assist them
n creating smoke- free policies in communities throughout ,Warieopa County
Objective 4.1: Cultivate relationships W ith decision makers and other stakeholders in the multi unit
housing community to engage them in discussions around tobacco and indoor air quality.
ACTIVITIES Jan, Feb. Mar. April. May Jun.
Work with ASFL partners to coordinate efforts and x x x x x x
expand outreach, education, and policy change
amon multi-unit housing apartment communities
Complement multi-unit housing ASFL partners' x x x x x x
efforts by providing education on chronic diseases
caused by tobacco and secondhand smoke
Network at meetings of Arizona Multi-housing x x x x x x
Association and Arizona Housing Alliance to
introduce ASFL
Present on behalf of ASFL at National Healthy
Homes conference
Call on targeted multi-unit housing apartment x x x x x x
community managers and owners to introduce
smokefree concepts and services
Schedule follow up visits with multi-unit housing x x x x x x
apartment community managers and owners to
monitor progress and coach them on enforcing no-
smoking rules
Host resident education events in collaboration with x x x x x x
ASFL group.
Provide technical support and resources to multi-unit x x x x x x
housing managers through the ASFL partners and
AZSmokeFreeLiving.org web site to support their
transition to smokefree status.
Objective 4.2: Multi-unit housing complexes in Mai icopa County will commit to establish smokefree or
smoke-reduction policies.
ACTIVITIES Jan. Feb. Mar. April. May Jun.
Work with ASFL partners on outreach and education x x x x x x
at community events, promote state quit line
Develop follow-up plans for multi-unit housing x x x x x x
complexes that adopt smokefree policies
Follow up with high-potential complexes with x x x x x x
additional support, coaching, and reinforcement
Recognize multi-unit housing communities that x x x x x x
adopt smokefree policies by ensuring they are noted
on the website, at events, and through earned media
14