Winona County HIA Meeting Minutes April 9, 2014

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Winona County Active Living Plan HIA
Advisory Committee Meeting #3
MEETING MINUTES
Wednesday, April 9, 2014
9:30 AM – 11:30 AM
Winona County Government Center, Board Room
177 Main St, Winona, MN 55987
Attendees:
Sandra Burke, Winona Volunteer Services
Jodi Dansingburg, Ridgeway Community School
Andrea Gierok, Winona County – Community Services
Jill Johnson, Winona County - Administration
Janel Miller, Winona Health
Kelly Muellman, Minnesota Dept Health
Dena Otto, Golden Living – St. Charles
Peter Sternberg, Winona State
Marcia Ward, County Commissioner
Marsha Yancy, Friendship Center
9:30 – 9:35
Welcome and introductions (Jill Johnson)
9:35 – 9:40
Review agenda (Jill Johnson)
9:40 – 9:45
Active Living Plan progress updates (Andrea Gierok)
Active Living Plan committee met on March 19 to conduct a SWOT (Strengths, Weaknesses,
Opportunities and Threats) analysis on Winona County around active living.
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Strengths: Natural environment, access to nature, diversity of people, expertise
(Universities)
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Opportunities: Communication among organizations in Winona, Complete Streets policy
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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Weaknesses: Connections, street markings, signage, resistance to change (leadership)
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Threats: Funding (for promotion, policies, etc.), education, lifestyle (e.g., aging
population)
Active Living Plan committee will meet again April 16 to work on the visioning process and goals.
The draft Active Living Plan should be available early June.
There was a question about whether the Active Living Plan will address more than just bike
trails. Andrea said, yes, the Active Living Plan will address making walking, biking, and physical
activity part of everyday life.
Kelly gave an update on the Comprehensive Plan from Jason Gilman who could not attend. Kelly
shared draft vision, goals, and strategies in the Comp Plan for a Community Health and Well
Being section. Commissioner Ward commented that the Comp Plan committee has a strong
rural focus/representation.
9:45 – 10:30
Review Stakeholder Engagement Plan (group)
Kelly asked the group to review the stakeholder analysis on pages 4-5 that identifies the
Advisory Committee and whether Michelle and Jake should be removed from the analysis or if
clarification that they were not part of the Advisory Committee could be noted in the paragraph
following the chart. The group agreed that the participants in the Advisory Committee could be
clarified in the paragraph following the chart. A discussion followed on whether there are
people who are missing from the Advisory Committee and how/if they could be added to the
HIA. Specific people identified included:
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Judy Lumpkin (sp?) – Lewiston representative – Jill agreed to follow-up and invite her
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HR Director at SE Tech (Gail Lanning?) – Peter agreed to follow-up and invite her
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Marketing (professor?) at St. Mary’s – Jill agreed to follow-up and invite him
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Young woman in Lewiston who is farmer – Commissioner Ward agreed to follow-up and
invite her
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Jennifer & Mark (farmers’ market “makers”) - Commissioner Ward agreed to follow-up
and invite her?
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HyVee Dietitian (Alex Economy?) – Janel agreed to follow-up and invite her
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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Kelly asked the group to review the stakeholder analysis on pages 7-10 that was started at the
February HIA meeting, to verify the interest, power, role and contribution statements were
reflective of the group’s thoughts. This conversation led into a discussion of survey
dissemination, which follows below.
Survey Dissemination
To-date:
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Posted on Winona County website
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Posted on MDH’s Winona HIA website
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Hard copies to Winona schools & Ridgeway Community School (have also reached out
to St. Charles and Lewiston schools)
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Hard copies to Winona Volunteer Services
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Hard copies to St. Charles Resource Center
Additional outreach proposed/in-progress:
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City of St. Charles Facebook page (Andrea)
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Live Well Winona website (Andrea – done 4/10)
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YMCA email list (Kelly)
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Community Ed Facebook page (Andrea)
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Lewiston: maybe Community Ed listserv? Or hard copies to Lewiston Elementary? (Kelly)
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Winona Occupational Rehabilitation Center – Jill will give them hard copies
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Hiawatha Valley mental health staff (Kelly)
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Winona Health staff (Janel)
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Township Officers – Jill handed out at Township Officer meeting on April 9
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Business members
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Society of Human Resource Managers *via email (Kelly)
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Chamber of Commerce (Contact Della Schmidt – for newsletter) (Kelly)
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Winona County Farm Bureau (Liz & Duane Wirt) – Janel will check for contact info
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Land Stewardship Project (Andrea will check with Caroline van Shaik)
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Winona State students – Ben Nagel; faculty – Peter could send email
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St. Mary’s Chartwells Manager (Andy Modjeski ?) – could contact students – Sandra has
contact info
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St. Mary’s IT person – Jodi has contact info
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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Press Release – HIA update and promote survey – media contacts (Jill)
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Project Fine – Jill will distribute
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Senior Advocacy (Kelly)
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SEMCAC (Kelly)
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Churches – If anyone has contacts please let Kelly know
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Winona State retiree org (Kelly)
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Learning Club (Kelly)
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Winona Development Achievement Center (Kelly)
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Home and Community Options (Kelly)
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SE Tech (Peter)
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Winona Community Liaison (Kelly)
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HBC noon news show – Jill could talk about HIA and promote survey
Kelly will send the HIA Advisory Committee the survey cover letter and Winona HIA 1-pager for
outreach, and make sure to explain how the HIA survey is different from the CHNA survey.
Focus Group Schedule
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Winona State: 4/9, 3-4:30pm
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ECFE: 4/24, 1-2:15pm
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High School: TBD – Andrea will try again to reach health teacher; a back-up option
would be to contact Service Learning classes – Jodi has contact information and will
send to Andrea
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Friendship Center: 5/22, 10:30-11:45am
Peter asked if we should have a more “general population” focus group? Possible venues to
reach them would be through the Friends of Winona Library or the History Center “Food for
Thought” group – Kelly will follow-up and see if there is any interest
Kelly briefly reviewed stakeholder engagement for the remaining steps of HIA. Specifically, there
will be little public engagement during Assessment – unless asking partners for data or analysis.
More engagement will happen to develop Recommendations and get feedback on
Recommendations. The HIA Advisory Committee will discuss this at a future meeting. The
Reporting step of HIA involves communicating the findings and recommendations to
stakeholders, the public and decision makers. The final step of HIA, Monitoring & Evaluation,
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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will ask stakeholders for their input on the HIA process: did they learn about HIA; how effective
was HIA for this project or as a tool in general; did the HIA impact the Active Living Plan; etc.?
10:30 – 11:25 Presentation on Scoping and Pathway Diagrams Exercises (Kelly Muellman/group)
Kelly presented on the purpose of Scoping (develop plan for HIA and select priority health
measures).
The group then did an exercise brainstorming issues that could be related to Active Living Plans
(using example policies from other Active Living Plans). The group came up with a wide variety
of health determinants and outcomes, including: air quality/emissions; traffic; safety; physical
activity; equity issues, such as access (to public transit, bicycles), or specific effects on disabled
or elderly (positive or negative); lifestyle issues (need to drop off kids); angry drivers; and
impacts on shopping/sales/economy.
Kelly presented on pathway diagrams (also known as logic models) that help visualize the
thought process of making a decision and its impacts on health.
The group used the policy examples from the previous brainstorming exercise to develop
pathway diagrams to visualize their thought process. The diagrams for the three Active Living
Plan scenarios follow below. This exercise will be repeated at the next meeting using the draft
Winona County Active Living Plan policies/recommendations.
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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Kelly wrapped up the presentation by talking about how health determinants/outcomes are
prioritized to determine the Scope of the HIA. Prioritization is based on community input,
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]
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existing data, equity issues (disparate impacts on subpopulations), and resource limitations (e.g.,
data, time, expertise). This will be the focus of the June HIA Advisory Committee meeting.
11:25 – 11:30 Wrap up and next steps
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Schedule next meeting: Early June (6/9 – 6/13), Kelly will send a Meeting Wizard
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Next HIA meeting topics: Review stakeholder input (surveys, focus groups), Review
baseline data, Develop Pathway Diagrams, Finalize Scope & Develop Research
Questions
Minnesota Department of Health
625 Robert St N, PO Box 64975  St. Paul, MN 55164
651-201-5000 Phone  888-345-0823 Toll-free
[email protected]