Center for Health Living and Chronic Disease Prevention at the Colorado Department of Public Health and Environment

The Situation

The Centers for Disease Control selected only four agencies nationwide to be sites for its Chronic Disease Integration Demonstration Project in 2008. The Center for Healthy Living and Chronic Disease Prevention (the Center) of the Colorado Department of Public Health and Environment was one of those four. The Center had been working towards integration as a means to increase its effectiveness and their selection as a demonstration site became a catalyst to increase the pace of those efforts.

The Process

The Center contracted Nonprofit Impact to facilitate the integration planning process. The process began with the Center’s management and leadership team working to create a statement of purpose and shared goals to encompass all Center programs. As the process moved to strategy selection and the building of work plans, Shelli and the team ensured that the entire staff was included in the planning process in a meaningful way.

Shelli then worked to address organizational structure by making specific organizational development recommendations to support successful implementation of the integration plan. According to Andrea Poniers, Deputy Director, “We can talk things to death sometimes and Shelli really kept us moving forward so we knew we were getting somewhere.”

The Results

The Center is entering the second year of the demonstration project. As staff creates work plans for next year, they are focused on identifying strategies that tie more closely to outcomes. Also, the need to make formal structural changes is top of mind. Andrea notes, “Shelli helped us see how all the different pieces of the integration plan are linked and how the right organizational structure is required to really implement the plan successfully.”

Injury and Violence Prevention Branch, North Carolina Division of Public Health, Department of Health and Human Services

The Situation

In 2007, the North Caroline Legislature designated the Department of Health and Human Services as the state’s lead agency for injury and violence prevention. This spurred the Injury and Violence Prevention Branch within the Department to build partnerships with other stakeholders and highlighted the need for a statewide injury and violence prevention strategic plan. Having such a plan would also make North Carolina eligible to apply for certain types of federal funding.

The Process

The Branch selected Nonprofit Impact to guide the development of a statewide strategic plan. The process began internally by holding a retreat where Branch staff created a mission statement and clarified the Branch’s role and priorities distinct from others in the injury and violence prevention community. With this newfound clarity, the Branch moved forward to create a plan that was truly statewide, rather than a plan that only informed its own efforts.

Twenty-five key injury and violence prevention leaders from around North Carolina were invited to a 2-day meeting where the mission, values and goals for the statewide plan were developed. Shelli’s expertise and experience signaled needed credibility so that the group trusted the process. According to Valerie Collins Russell, Branch Head, “People left those two days feeling like they had accomplished something really significant.”

The Results

The Branch is putting the final touches on the statewide plan. The draft has been vetted by many stakeholders around the state and seven goal groups have drafted objectives, work plans, and action steps for each goal. Another outcome has been the creation of the new North Carolina Injury and Violence Prevention Advisory Council. Valerie explains, “We didn’t have the infrastructure in this field in North Carolina, and now we are building leadership to seek support for policy change and pursue new funding.”

Center Colorado HIV / AIDS Community Partnership

The Situation

The Colorado HIV / AIDS Community Partnership was created by three local foundations in collaboration with the National AIDS Fund. As its first project, it asked the state’s five independent Colorado AIDS Projects (CAPs) to engage in a sustainability planning project. As federal funding for HIV / AIDS services declines and demand for services increases, finding ways to improve the sustainability of these organizations has become even more important.

The Process

The CAPs selected Nonprofit Impact to facilitate the project, the first stage of which was to conduct sustainability assessments for each of the five organizations. Karen worked to ensure that each assessment highlighted the uniqueness of that CAPs’ work and geographic service area and provided a set of organization-specific recommendations to improve sustainability.

Next, the staff and board leaders of the CAPs came together to explore what new types of collaboration might be possible. The process served to build trust among the CAPs so that these critical issues could be discussed in a substantive way. Karen also worked to keep the funders in the loop. Christiano Sosa, Program Officer for the Denver Foundation and Partnership leader noted, “Nonprofit Impact attended our meetings and became a bridge between the CAPs’ collective work and what the Partnership was doing. We had not anticipated how important that bridge would be .”

The Results

The sustainability project is now in its third year and the CAPs are exploring the possibility of consolidating some their operations. A transition committee that includes staff and board leaders from each of the CAPs is guiding the process and maintaining the relationships that were built during the project. Christiano said, “We needed this honest, confidential assessment among the CAPs to make this happen.”

Presentation and Training History

Trainings

• Partner Relations, Delivered to the Colorado School of Public Health, Center for Public Health Practice, Denver, CO, August 17, 2009.
• Public Health Project Management, Delivered to the Colorado School of Public Health, Center for Public Health Practice, Denver, CO, August 26, 2009.
• Using Organizational Analysis for Development and Growth, Presented at the National Association of Chronic Disease Directors, 2009 Chronic Disease Academy, Seattle WA, March 26-27, 2009.
• Planning, Developing and Implementing a Sustainable Chronic Disease Program, Presented at the National Association of Chronic Disease Directors, 2009 Chronic Disease Academy, Seattle, WA March 25, 2009.
• Using Organizational Analysis for Development, Growth and Impact, Presented at the National Association of Chronic Disease Directors, 2008 Chronic Disease Academy, Denver, CO, February 21-22, 2008.
• Planning, Developing and Implementing a Sustainable Chronic Disease Program, Presented at the National Association of Chronic Disease Directors, 2008 Chronic Disease Academy, Denver, CO, February 20, 2008.

Presentations

• How to Make Community Programs Last Where to Start and What Changes to Make! Presented at the Michigan Partners on the PATH Statewide Meeting, Lansing, MI, November 10, 2009.
• How to Make Community Programs Last Where to Start and What Changes to Make! Presented to the Asthma Initiative of Michigan Partnership Forum, Lansing, MI, November 10, 2009.
• Strategic Positioning. Presented at the Annual Rural Philanthropy Days, Steamboat Springs, CO, September 16, 2009.
• Creating Sustainable Chronic Disease Programs, Presented to the National Association of Chronic Disease Directors, General Member Call, August 27, 2009.
• Building Meaningful Partnerships.Presented at LiveWell Community Grants Orientation Meeting, March 4, 2009, Colorado Springs, CO.
• From Coalitions to Community Constituents. Presented at LiveWell Community Grants Orientation Meeting, Colorado Springs CO, March 3, 2009.
• Planning & Positioning to Create a More Sustainable Community Health Program, Presented to the Sustaining Healthy Carolinians Partnerships: 16^th Annual Conference, Greensboro, NC, October 9, 2008.
• From Coalitions to Constituents, Presented to the Sustaining Healthy Carolinians Partnerships: 16^th Annual Conference, Greensboro, NC, October 9, 2008.
• The Integrated Strategy for Success & Sustainability, Presented at the Sustaining Healthy Carolinians Partnerships: 16^th Annual Conference, Greensboro, NC, October 9, 2008.
• Four Years and One Day: Sustaining Interventions for the Long Term, Presented at CDC State Arthritis Programs Grantee Meeting, Atlanta GA, September 17, 2008.
• Using a Systems Change Approach, Presented at the 2008 National Institute for Heart Disease & Stroke Prevention, Atlanta GA, September 10, 2008.
• The Definitive Answer to the Dreaded Question: “How do you plan to sustain this program at the end of the grant cycle?” Presented at the Public Health in the Rockies Conference, Breckenridge CO, September 15, 2008.
• Setting the Stage: External Support & Sustainability, Presented to The National Campaign to Prevent Teen & Unplanned Pregnancy, 2008 Training, Washington, DC, July 29, 2008
• Creating a Strong, Sustainable Public Health Program, Presented to the Colorado Society for Public Health Education, Denver, CO March 11, 2008.
• Using Your Brand for Impact, Leverage and Sustainability, Presented to the Colorado Trust – Health Professions Initiative Grantee Networking and Initiative Celebration, Denver CO, February 8, 2008.
• Creating Sustainable Community Health Programs, Presented at the Public Health in the Rockies 2007 Annual Conference, Fort Collins, CO, September 19, 2007.
• Creating Sustainable School Health Programs, Presented at the Healthy Schools Leadership Retreat, Boulder, CO, June 13 and 14, 2007.
• An Integrated Strategy for Success and Sustainability, Presented at the School Health Coordinators Meeting, Denver, CO December 8, 2006.
• Strategic Positioning: Delivering on the Promise of the Brand, Presented to the Alliance for Families and Children, Executive Leadership Conference, Santa Fe, NM, June 23, 2006.
• Ten Imperatives for Successful (Corporate) Fundraising, Presented at the Child Welfare League of America National Conference, Washington DC, February 27, 2006.
• Raising Money from the Business Community – From Sponsorships to Relationships, Presented to the Colorado Chautauqua Association, Boulder CO, December 9, 2005.
• Program Planning and Evaluation, Presented to the New Leaders Network Initiative at Hampshire College, April 2, 2004.

Representative Client List

(Shelli B. Inc. is the parent company of both Nonprofit Impact and Conservation Impact. Prior to 2007, some health education and human services clients were served by Conservation Impact or Shelli B. Inc.)

Academia Ana Marie Sandoval
Alliance for Children and Families
America Scores
American Association of Homes and Services for the Aging
Amigos Bravos
Anschutz Family Foundation; Rural Philanthropy Days
Better Business Bureau*
B’nai Brith Youth
Bonfils-Stanton Foundation
Boulder County Democratic Party
Brainerd Foundation*
Bullitt Foundation
Centers for Disease Control and Prevention
Center for Public Health Practice*
Center for Women’s Employment and Education
Child Welfare League of America
Clinica Campesina
College of the Atlantic
Colorado AIDS Project*
Colorado Area Health Education Centers System
Colorado Association of Nonprofit Organizations*
Colorado Chautauqua Association*
Colorado Community Coalition for Health Equity
Colorado Community College System
Colorado Department of Public Health & Environment*
– Obesity, Physical Activity and Nutrition Program
– Prevention Services Division
– State Tobacco Education Prevention
– Steps to a Healthier Colorado
Colorado Healthy Communities Council
Colorado Health Foundation
Colorado HIV / AIDS Community Partnership
Colorado Music Festival
Colorado SIDS Program
Colorado Society for Public Health Educators
Colorado Trust; Health Professions’ Initiative
Diana Price-Fish Cancer Foundation
Denver, City & County; Mayors Office
Denver Health
Denver Scores
Directors of Health Promotion and Education
Eurasia Foundation
Exloco*
Federal Home Loan Banks (affordable housing)*
Florida Department of Health
– Chronic Disease and Health Promotion
– Tobacco Prevention and Control
Garfield County United Way
General Service Foundation*
Grantseeker.com
Hampshire College; Civil Liberties and Public Policy Program
HEAR Project
Hillel of Colorado
Jefferson County Department of Health and Environment
Jefferson Economic Council
KUNC Radio
Lafayette Healthy Communities
Latina Chamber
Latina Initiative
LiveWell Colorado / Kaiser – 21 communities
LiveWell Wheat Ridge
Maine Center for Disease Control and Prevention
Metro Denver Homeless Initiative
Metro State College of Denver
– Student Services Division
– Tools of the Mind Program
Michigan Department of Public Health
– Asthma Initiative
– Michigan Partners on the PATH
National Association of Chronic Disease Directors*
National Campaign to Prevent Teen Pregnancy and Unplanned Pregnancy
National Outdoor Leadership School
NARAL Pro Choice Colorado*
North Carolina Public Health*
– Injury and Violence Prevention
– Physical Activity and Nutrition
Parent Pathways
Park Hill Bike Depot
Peak-to-Peak Healthy Communities Project
Peer Assistance Services/SBIRT
Pennsylvania Department of Health; Bureau of Health Promotion and Risk Reduction
PlaceMatters
Public Health in the Rockies Conference
Pueblo City-County Health Department*
Regis University; Masters of Nonprofit Management Program
Rocky Mountain Center for Health Promotion and Education*
Rose Community Foundation; Women’s Organization
RSVP of Boulder County
Running Strong for American Indian Youth
San Luis Valley Connections
Shape Our Summit
Special Forces Association
Stapelton Foundation – Healthy Neighborhoods Council
Stride*
Tri-County Health Department
University of Colorado at Denver; Colorado Center for Community Development
University of Denver; Arts, Humanities, and Social Sciences
Vermont Forum on Sprawl
Village for Families and Children*
Weld County Department of Public Health and Environment
West Virginia Bureau of Public Health; Division of Health Promotion and Chronic Disease
Work Options for Women
Young Americans Center for Financial Education

*indicates multiple projects

Community and Public Health

Amigos Bravos
Centers for Disease Control and Prevention
– Arthritis Program
– Heart and Stroke Prevention Program
Center for Public Health Practice
Clinica Campesina
Colorado AIDS Project
Colorado Area Health Education Centers System
Colorado Community Coalition for Health Equity
Colorado Department of Public Health and Environment
– Colorado Obesity, Physical Activity and Nutrition Program
– Prevention Services Division
– State Tobacco Education and Prevention Partnership
– Steps to a Healthier Colorado
Colorado Health Foundation
Colorado Healthy Communities Council
Colorado HIV / AIDS Community Partnership
Colorado Public Health Association
Colorado Society for Public Health Educators
Colorado Trust; Health Professions’ Initiative
Denver Health
Directors of Health Promotion and Education
Florida Department of Health
– Chronic Disease and Health Promotion
– Tobacco Prevention and Control
Jefferson County Department of Health and Environment
Lafayette Healthy Communities
LiveWell Colorado / Kaiser Permanente — 21 communities
LiveWell Colorado Wheat Ridge
Maine Center for Disease Control and Prevention
Michigan Department of Public Health
– Asthma Initiative
– Michigan Partners on the PATH
National Association of Chronic Disease Directors
National Campaign to Prevent Teen Pregnancy and Unplanned Pregnancy
North Carolina Public Health
– Injury and Violence Prevention
– Physical Activity and Nutrition
Peak-to-Peak Healthy Communities Project
Pennsylvania Department of Health; Bureau of Health Promotion and Risk Reduction
PlaceMatters
Public Health in the Rockies Conference
Pueblo City-County Health Department
Rocky Mountain Center for Health Promotion and Education
Rocky Mountain Recreation Initiatives
Running Strong for American Indian Youth
San Luis Valley Connections
Shape Our Summit
Stapelton Foundation – Healthy Neighborhoods Council
Tri-County Health Department, CO
Weld County Department of Public Health and Environment
West Virginia Bureau of Public Health; Division of Health Promotion and Chronic Disease

Education

Academia Ana Marie Sandoval
Center for Public Health Practice
Colorado Area Health Education Centers System
Colorado Society for Public Health Educators
Colorado Trust; Health Professions’ Initiative
B’nai Brith Youth Organization
Center for Women’s Employment and Education
College of the Atlantic
Colorado Community College System
Hampshire College; Civil Liberties and Public Policy Program
Hillel of Colorado
Metropolitan State College of Denver
– Student Services Division
– Tools of the Mind Program
National Outdoor Leadership School
Regis University; Masters of Nonprofit Management Program
Rocky Mountain Center for Health Promotion and Education
University of Colorado at Denver; Colorado Center for Community Development
University of Denver; Arts, Humanities, and Social Sciences
Young Americans Center for Financial Education

Human Services

Alliance for Children and Families
America Scores
American Association of Homes and Services for the Aging
Center for Women’s Employment and Education
Child Welfare League of America
Colorado AIDS Project
Colorado HIV / AIDS Community Partnership
Colorado SIDS Program
Diana Price-Fish Cancer Foundation
Denver Scores
Federal Home Loan Banks
Garfield County United Way
HEAR Project
Metro Denver Homeless Initiative
Parent Pathways
Park Hill Bike Depot
Peer Assistance Services/SBIRT
RSVP of Boulder County
Stride
Village for Families and Children
Work Options for Women

Associations, Alliances, and Funders

Alliance for Children and Families
American Association of Homes & Services for the Aging
Anschutz Family Foundation; Rural Philanthropy Days
Better Business Bureau
Bonfils-Stanton Foundation
Bullitt Foundation
Colorado Health Foundation
Colorado Nonprofit Association
Colorado Public Health Association
Colorado Society for Public Health Educators
Colorado Trust; Health Professions’ Initiative
General Service Foundation; New Leadership Networking Initiative
Grantseeker.com
Jefferson Economic Council
Latina Chamber
National AIDS Foundation
National Association of Chronic Disease Directors*
Rose Community Foundation; Women’s Organization
Special Forces Association

Other

Boulder County Democratic Party
Colorado Chautauqua Association
Colorado Music Festival
Denver, City and County; Mayors Office
Eurasia Foundation
KUNC Radio
Latina Initiative
NARAL Pro Choice Colorado

Sample Projects

Sustainability

• Colorado AIDS Project: Addressed sustainability of five community agencies given decreased federal funds.
• Steps for a Healthier Community: Completed sustainability analyses and plans for four communities at the end of a five-year grant period; identified key program sustainability criteria as well as critical services for integration through health department for sustainability.

Integration / Organizational Development

• Colorado Chautauqua Association: Completed comprehensive planning, development, and organizational change strategy for this 100 year old organization.
• Colorado Department of Public Health and Environment: Created strategic outcomes and organizational design to achieve integration of healthy living and chronic disease prevention in one of only four Centers for Disease Control Integration Demonstration Projects in the nation.
• Human Services Inc. (Family Pathways): Reinvented and repositioned the organization to achieve focused outcomes in family self-sufficiency; this project is a model of an organization attaining its next level of success and sustainability.
• Maine Division of Chronic Disease: Completed strategic plan and organizational design to integrate chronic disease services.
• Metro Denver Homeless Initiative: Completed organizational analysis and development plan to ensure more strategic and sustainable operation.

Business Planning

• Area Health Education Centers / Colorado Health Foundation: Created business plan for a statewide rural health care workforce development project.
• Center for Public Health Practice: Created business plan model for training and community assistance programs.

Strategic Planning and Positioning

• Colorado State Tobacco Education and Prevention Partnership: Worked with task force to create plan to distribute grants to over 100 partners.
• Metropolitan State College, Student Services: Completed strategic plan to integrate student services and admissions.
• North Carolina Injury and Violence Prevention Branch: Created statewide strategic plan to guide the work of partners towards specific goals.
• Village for Families and Children: Completed strategic planning and organizational development process for comprehensive children’s services agency.

Organizational Development

• Dianna Price-Fish Cancer Foundation: Completed an organizational analysis to determine long-term sustainability and feasibility.
• Healthy Carolinians: Worked with leadership and staff to coordinate services in 89 counties through the state’s physical activity and nutrition program.
• Special Forces Association: Created organizational development plan to redesign the 85 chapters and attract new funding.

Creating Strategic Partnerships

• LiveWell Colorado / Kaiser: Worked in 21 communities to create multi-agency comprehensive community plans and support coalition development.

At Nonprofit Impact, we are committed to helping our clients achieve their desired outcomes. We invite you to read these brief case studies to learn more about how our customized approach has helped these clients meet their goals. Each case study outlines the client’s situation preceding the start of their project, the process they went through with Nonprofit Impact, and the progress they have achieved since project completion.