Find State ESMs

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of students who attend schools in Florida Healthy School Districts.

Numerator: The number of school districts that apply for the evidence-based Florida Healthy School District recognition.

Denominator: N/A

Significance: The Florida Healthy School District Self-Assessment Tool was developed by experts from state agencies, school districts, and community partners to assist districts in achieving the highest standards in infrastructure and the eight component areas of the Centers for Disease Control and Prevention’s (CDC) Coordinated School Health (CSH) model. It was piloted, field tested and fully vetted prior to its release in 2009. Districts that earn recognition as a Florida Healthy School District have made a high level commitment to meeting the health needs of students and staff by removing barriers to learning and maximizing district resources through the implementation of the CSH/Whole School, Whole Community, Whole Child (WSCC) approach including physical education and physical activity.

Data Sources and Data Issues: Florida Partnership for Healthy Schools

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percentage of children, ages 6 through 11, who are provided health education on healthy eating and physical activity

Numerator: Number of children, ages 6 through 11, who are provided health education on healthy eating and physical activity

Denominator: Number of children ages 6 through 11

Significance: Reduce childhood obesity by promoting healthy eating and physical education

Data Sources and Data Issues: School Health Screening Data Base

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Partner with the FQHC's to increase the physical activity counseling that occurs during the well child visit visit.

Numerator: Number of chlildren that received physical activity counseling during their well child visit within the past year.

Denominator: Number of children seen by FQHC's for a well child visit during the past year.

Significance: Regular physical activity can improve the health and quality of life of Americans of all ages, regardless of the presence of a chronic disease or disability. Physical activity in children and adolescents reduces the risk of early life risk factors for cardiovascular disease, hypertension, Type II diabetes, and osteoporosis. In addition to aerobic and muscle-strengthening activities, bone-strengthening activities are especially important for children and young adolescents because the majority of peak bone mass is obtained by the end of adolescence.

Data Sources and Data Issues: Title V Program

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of childcare centers that receive training and/or technical assistance in physical activity and nutrition practices from 7 to 232 by 2023

Numerator: # of childcare centers who received technical assistance or training to improve physical activity and nutrition practices from RIDOH or it's partners

Denominator: N/A

Significance: Childcare centers play an integral role of obesity modulation throughout childhood. By having childcare staff that are competent in the areas of physical activity and nutrition, staff can partake in role-modeling behaviors educational activities to support both nutrition and physical activity for children. Through ongoing training and technical assistance opportunities, staff can increase knowledge, and practice concepts learned in childcare settings to improve health of children.

Data Sources and Data Issues: RIDOH Physical Activity and Nutrition Program

Year: 2017/2019

Unit Type: Count, Unit Number: 250

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: 100% of children ages 6-11 years receiving CFSS will get at least one hour of physical activity per day

Numerator: number of children 6-11 enrolled in CFSS who parent reports at least one hour/day of physical activity at time of discharge from program

Denominator: number of children ages 6-11 enrolled in CFSS at time of discharge

Significance: AAP and CDC recommend that all children should receive at least one hour per day of physical activity. This is part of the "5:2:1:0 Let's Go", a nationally recognized childhood obesity prevention program.

Data Sources and Data Issues: Data compiled by DCYF from CFSS-funded agencies at time of child's discharge from the program

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Partner with the Office of the State Superintendent for Education (OSSE) and provide support and increase capacity in District public and charter schools to enhance physical activity efforts for children and youth.

Numerator: Number of schools facilitating physical activity curricula and/or programs

Denominator: Number of schools in the District of Columbia

Significance: Childhood obesity continues to be a health concern for children in the District. According to the 2012 National Survey of Children’s Health, the percentage of children considered overweight or obese in the District was 35% compared to 31.3 % nationally.9 While the DC Healthy Schools Act mandates physical activity for students K-8 in accordance with national guidelines, many schools are failing to meet those requirements. The 2013 YRBSS reported the percentage of children ages 6-17 who participate in four or more days of vigorous physical activity per week is 54.7 % compared to the national rate of 64.3 %.

Data Sources and Data Issues: 1. OSSE- Division of Wellness and Nutrition

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Reduce the percent of children ages 2 through 4 years considered overweight or obese.

Numerator: Number of licensed child care facilities in Colorado that receive a physical activity point

Denominator: Number of licensed child care facilities in Colorado assessed for a Level 4-5 rating

Significance: Physical activity experiences early in childhood influence children’s preferences and activities throughout life. These experiences along with healthy eating and other healthy weight behaviors and practices protect against early childhood obesity. Young children raised with opportunities to be physically active (according to evidence-based recommendations for time and intensity) increases the likelihood that they will continue to be physically active at ages 6 through 11.

Data Sources and Data Issues: Colorado Department of Human Services Quality Rating Improvement System

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of children, in grades 1-12 enrolled in public school physical education class, who are in the Health Fitness Zone (HFZ) for Body Mass Index (BMI)

Numerator: Number of children enrolled in public school physical activity class, in grades 1-12, who are in the HFZ for BMI

Denominator: Total number of children enrolled in public school physical education class, in grades 1-12

Significance: Regular physical activity can improve the health and quality of life of Americans of all ages, regardless of the presence of a chronic disease or disability. Physical activity in children and adolescents reduces the risk of early life risk factors for cardiovascular disease, hypertension, Type II diabetes, and osteoporosis. In addition to aerobic and muscle-strengthening activities, bone-strengthening activities are especially important for children and young adolescents because the majority of peak bone mass is obtained by the end of adolescence.

Data Sources and Data Issues: Data Source: Georgia SHAPE, DOE Fitnessgram

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of MCH materials that include healthy eating and physical activity messages

Numerator: Number of MCH materials that include incorporation healthy lifestyle messages for children

Denominator: N/A

Significance: The use of social media, websites, blogs as well as brochures can help bring public awareness of the benefits of healthy lifestyles. Social media and other emerging communication technologies have the potential to reach large and diverse populations and help reach individuals when, where and how they want to receive health messages.

Data Sources and Data Issues: MCH program data

Year: 2017/2019

Unit Type: Count, Unit Number: 20

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase the numbers of schools the MCH grantees are working with to reduce overweight and obesity in North Dakota children.

Numerator: Number of schools MCH grantees is working to reduce overweight and obesity in North Dakota children in the current year.

Denominator: Number of schools MCH grantees is working to reduce overweight and obesity in North Dakota children in the current year.

Significance: A balanced diet and regular physical activity benefit the health of children and adults. Poor diet and physical inactivity contribute to many serious and costly health conditions including obesity, heart disease, diabetes, some types of cancer, unhealthy cholesterol and high blood pressure. According to the 2015 Youth Risk Behavior Survey (YRBS), 28.7 percent of North Dakota (ND) students in grades 9 through 12 had a body mass index (BMI) of 85 percent or greater (overweight and obese). This number has increased over time from 23.4 percent in 2007, to 24.4 percent in 2009, and 25.5 percent in 2011; however, was relatively unchanged from 2013 (28.6). The YRBS also indicated in 2015 that only 25.4 percent of ND students in grades 9 through 12 were physically active for a total of at least 60 minutes per day of the past seven days. Although low, this does represent a slight increase from the 2007 level of 21.8 percent. This number does increase when looking at the number of students in grades 9 through 12 that were physically active for at least 60 minutes per day for 5 or more days to 51.3 percent. The amount of time students are required to spend in a physical education (PE) course varies. In ND, elementary grades 1 through 6 must offer a minimum of 90 minutes of PE each week. Students in grades 9 through 12 must have at least one credit of PE, of which half can be health education. A strategy to reduce overweight and obesity in children is to provide targeted funding for the implementation of evidence-based strategies to reduce overweight and obesity in children by working within schools, child care facilities and communities.

Data Sources and Data Issues: North Dakota Department of Health – The data is collected by the School Health Specialist and maintained in a database. Note: The data is collected based on the school year (August through July).

Year: 2017/2019

Unit Type: Count, Unit Number: 200

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of unique visitors to Chronic Disease Prevention and Health Promotion Section social media and marketing materials including physical activity and healthy lifestyle messages for parents and caregivers of children ages 6-11.

Numerator: Number of unique visitors to Chronic Disease Prevention and Health Promotion Section social media and marketing materials including physical activity and healthy lifestyle messages for parents and caregivers of children ages 6-11.

Denominator: NA

Significance: With parents and care-givers increasingly on social media, the reach of this campaign is expected to grow.

Data Sources and Data Issues: Nevada Title V/MCH Program Chronic Disease Prevention and Health Promotion Section Google Analytics Facebook analytics are for parents and caregivers of children ages 6 through 8 .

Year: 2017/2019

Unit Type: Count, Unit Number: 60,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase physical activity and improved nutrition in communities through school-based and community-based activities.

Numerator: Number of schools implementing WVDE Policy 2510 and the number attending

Denominator: n/a

Significance: By increasing shared use agreements and other opportunities for physical activity and improved nutrition, the WV OMCFH is supporting a systematic improvement to obesity.

Data Sources and Data Issues: Data will be provided by the Regional School Wellness Specialists and the Adolescent Health Grantees

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of schools participating in an activity (training, professional development, policy development, technical assistance) to improve physical activity among children (6-17).

Numerator: The number of schools participating in an activity (training, professional development, policy development, technical assistance) to improve physical activity among children (6-17) during the calendar year.

Denominator: The number of schools during the calendar year.

Significance: Regular physical activity can improve the health and quality of life of Americans of all ages, regardless of the presence of a chronic disease or disability. Physical activity in children and adolescents reduces the risk of early life risk factors for cardiovascular disease, hypertension, Type II diabetes, and osteoporosis. In addition to aerobic and muscle-strengthening activities, bone-strengthening activities are especially important for children and young adolescents because the majority of peak bone mass is obtained by the end of adolescence.

Data Sources and Data Issues: Child and Adolescent Health Program

Year: 2017/2019

Unit Type: Rate, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: The state hopes to train a variety of professionals and community members to implement physical activity best practices across a wide-range of settings.

Numerator: N/A

Denominator: N/A

Significance: The measurement of the number of number of trainings or programs is significant because Indiana has a wide range of groups that work with youth. If these professionals are given the knowledge and the tools to increase physical activity in their respective settings, they are more likely to buy-in to implementing them and, in turn, the more children and adolescents we will have engaging in physical activity.

Data Sources and Data Issues: Data will be determined by documenting each training and program initiated with the Title V funding.

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of Gold Sneaker-recognized childcare facilities in Tennessee

Numerator: Number of Tennessee licensed childcare facilities recognized by TDH as meeting the requirements set by the Gold Sneaker Initiative

Denominator: N/A

Significance: Through the Gold Sneaker recognition process, facilities are required to adopt nine policies related to physical activity (4), nutrition (4), and adoption of a smoke-free facility campus (1). The first Gold Sneaker policy directly relates to the National Performance Measure – requiring children to participate in at least 60 minutes of physical activity per day. Additional Gold Sneaker policies are in concert with recommendations made by the American Academy of Pediatrics, Tennessee Child Care Resource & Referral Network, and Tennessee Department of Health and Human Services.

Data Sources and Data Issues: The Gold Sneaker facility tracking database is housed within the Division of Family Health and Wellness, and will be used to provide facility counts. The Gold Sneaker tracking database is updated as facilities receive application approval. However, at this time, there is no process for ensuring previously recognized facilities are still “active” (licensed, open, etc.). An evaluation and recertification process is currently being developed.

Year: 2017/2019

Unit Type: Count, Unit Number: 705

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: To increase health activities that occur in early care and education settings throughout the state

Numerator: Number of online trainings completed by early care and education professionals

Denominator: None

Significance: Early care and education professionals have limited knowledge and training on the incorporation of healthy strategies into early care settings such as day cares. With increased awareness of nutrition and physical activity strategies, more young children will have an opportunity to develop healthy habits and have them role modeled.

Data Sources and Data Issues: Early care and education TRIS system

Year: 2017/2019

Unit Type: Count, Unit Number: 4,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Reduce the risk of chronic disease across the lifespan.

Numerator: Number of classrooms or schools that sign on to 3-4-50, including a commitment to daily recess

Denominator: No denominator.

Significance: Recognizing the tendency to address chronic disease prevention and health promotion from discrete silos based on behavior or disease, HPDP has planned and implemented a two-pronged approach to communicate a coordinated message about chronic disease and engage new partners from multiple sectors to address it. 3-4-50 is a statewide initiative to create an epiphany about chronic disease and spur action to reduce the incidence of disease. Based on San Diego County’s efforts using the three numbers, Vermont’s chronic disease unit has created a series of data briefs, communication tools and partner engagement materials that focus attention on the three behaviors of tobacco use, physical inactivity and poor diet that lead to the four chronic diseases of cancer, cardiovascular disease, diabetes and lung disease that together result in more than 50 percent of deaths in Vermont. This initiative seeks to make chronic disease prevention simple and to help leaders across multiple sectors in the community recognize that they are partners in prevention. Engaging worksites, schools and childcares, cities and towns, retailers, and faith communities, the message and strategies of 3-4-50 bring data and evidence-based interventions together to create a simple to understand initiative that spurs urgent action. Specifically in schools and childcare programs, 3-4-50 calls out ways to help children learn healthy behaviors from the start. Tips for each include ways to help children eat healthier foods, be more physically active and, for older children, information and skills that will help them say no to tobacco use. The 3-4-50 tips and sign on sheets build from simple, effective interventions to more complex but longer lasting policy changes that will solidify strong nutrition and physical activity programs and prevent tobacco use initiation.

Data Sources and Data Issues: Data source: Program data

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of child care professionals trained on healthy behaviors for young children, including nutrition and physical activity.

Numerator: Number of child care professionals trained on healthy behaviors for young children and creating healthy environments with focus on nutrition and physical activity.

Denominator: NA

Significance: The "Healthy Kids, Healthy Future" program (formerly "Let’s Move" for child care providers focuses on five areas related to childhood obesity prevention: physical activity, screen time, food, beverages, and infant feeding (Let’s Move Boise, 2016). This program emphasizes the importance of training local child care providers to incorporate best practice for childhood obesity prevention (Alliance for a Healthier Generation, 2016). The Centers for Disease Control and Prevention (CDC) physical activity guidelines for children ages 8 to 11 recommend 60-minutes or more of physical activity per day (CDC, 2015). The Idaho Physical Activity and Nutrition (IPAN) program will continue to work with the seven local public health districts to provide "Healthy Kids, Healthy Future" and similar trainings to childcare providers. The Idaho STARS program (state's quality child care development system) will continue to support the "Healthy Kids, Healthy Future" program by providing professional development credits for the trainings. MCH provides funding to IPAN to support training for child care professionals and other activities to encourage healthy behaviors for young children and to create healthy environments with focus on nutrition and physical activity.

Data Sources and Data Issues: Idaho Physical Activity and Nutrition Program

Year: 2017/2019

Unit Type: Count, Unit Number: 300

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To routinely collect BMI data for school age children enrolled in public schools in Nebraska.

Numerator: NA

Denominator: NA

Significance: Many-researchers and public health professionals believe that efforts to measure BMI in schools have potential benefits and should be studied more closely because •Obesity is highly prevalent and has a significant impact on health. •BMI is an acceptable measure of weight status. •Many school districts already require health screenings for other conditions. •The majority of school-aged youth in the US are enrolled in schools.

Data Sources and Data Issues: Nebraska School Health Program

Year: 2017/2019

Unit Type: Count, Unit Number: 1

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase physical activity rates through facilitation of the CATCH program at various summer camps and programs.

Numerator: Number of children ages 6 through 12 who are physically active for a minimum of 60 minutes per day through participation in supervised and organized activities at summer camps.

Denominator: Number of children who attend the selected camps.

Significance: Increased activity in an organized setting is shown to reduce the effect and results of obesity. This program will show evidence of hours spent to reach the goals of the program to increase physical activity time and reduce the rates of obesity.

Data Sources and Data Issues: Staff that will facilitate the CATCH program recording numbers of participants and hours of organized supervised activity.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100