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HomeMy WebLinkAbout2017-10-09 CHC PacketAgenda Community Health Commission City Of Edina, Minnesota City Hall, Community Room Monday, October 9, 2017 6:30 PM I.Call To Order II.Roll Call III.Approval Of Meeting Agenda IV.Approval Of Meeting Minutes A.Minutes: Community Health Commission, August 14, 2017 V.Community Comment During "Community Comment," the Board/Commission will invite residents to share relevant issues or concerns. Individuals must limit their comments to three minutes. The Chair may limit the number of speakers on the same issue in the interest of time and topic. Generally speaking, items that are elsewhere on tonight's agenda may not be addressed during Community Comment. Individuals should not expect the Chair or Board/Commission Members to respond to their comments tonight. Instead, the Board/Commission might refer the matter to sta% for consideration at a future meeting. VI.Reports/Recommendations A.Work Plan Review - 2017 B.Comprehensive Plan Review VII.Correspondence And Petitions VIII.Chair And Member Comments IX.Sta0 Comments X.Adjournment The City of Edina wants all residents to be comfortable being part of the public process. If you need assistance in the way of hearing ampli3cation, an interpreter, large-print documents or something else, please call 952-927-8861 72 hours in advance of the meeting. MINUTES Community Health Commission August 14, 2017 at 6:30 PM City Hall, Community Room I.Call To Order II.Roll Call In attendance: Christy Zilka, Andrew Johnson-Cowley, Greg Wright, Connie Weston, Britta Orr, Caleb Schultz, Amanda Herr, Nina Sokol Absent: Alison Pence, Steve Sarles, McKenna Knapp III.Approval Of Meeting Agenda Motion by Connie Weston to approve meeting agenda. Seconded by Greg Wright . Motion Carried. IV.Approval Of Meeting Minutes Motion by Andrew Johnson-Cowley to approve June meeting minutes. Seconded by Britta Orr. Motion . A.June 12, 2017 Draft Community Health Commission Minutes V.Community Comment VI.Reports/Recommendations VII.Correspondence And Petitions A.Secondand Smoke Concern Discussed resident concern regarding secondhand smoke in a mulit-unit housing complex situation. Resident would like City to add secondhand smoke exposure to nuisance definition in City ordinance. VIII.Chair And Member Comments Members discussed sending a letter to the City of Saint Louis Park to give congratulations regarding the passage of a Tobacco 21 Ordinance. IX.Staff Comments A.Commission Photograph Photograph postponed until September. X.Adjournment Date: August 14, 2017 Agenda Item #: VII.A. To:Community Health Commission Item Type: Correspondence From:Jeff Brown Item Activity: Subject:Secondand Smoke Concern Information CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: Correspondence from resident to City Council, forwarded to Community Health Commission for consideration. ATTACHMENTS: Description Correspondence Hello City Council Members, Here is a request that I will make during the Community Comment section of the August 2, 2017 meeting. I am sending it to you today so that you might have a chance to consider it beforehand. I have also included it as an attachment, if you can open it on your computers. ________________________________ Hello City Council Members, My name is Louise Weaver and I live in Edina. First of all, thank you for the recent action limiting the sale of tobacco products to adults. This is a very wise and welcome step forward to protect our children. Now, I would like the City Council to consider my request for designating secondhand smoke a health nuisance. I live in a smoke-free apartment community, but some smokers continue to smoke in their units when management is not onsite. (The secondhand smoke enters my unit at all hours and is effecting my health.) Management is not able to do anything to stop this when they cannot witness the behavior. I read in the book How to Be the Smartest Renter on Your Block, written by our own HOME line - a tenants rights group, that secondhand smoke is the same as a noise disturbance and as a last resort the police can be called. However, I checked this out with the Edina Police and was told that they would not respond to this kind of call. I was referred to the City Health Department, who said this would have to be researched and written into city code through a request by the City Council. I think this is very possible since secondhand smoke is already classified as a Class 1 carcinogen. The wording is already present in the city code with only specific language for secondhand smoke yet to be included. If it is addressed the same as a noise disturbance, then the police officers will be able to provide the kind of motivation that is needed to stop smokers from being able to freely pollute the air in a community living setting, and particularly in a smoke-free community. I hope you agree. Sincerely, Louise Weaver 5010 Summit Ave. #204 Edina, Mn 55436 612-432-9582 weavenow2005@yahoo.com Board/Commission: Community Health Commission 2018 Annual Work Plan Proposal *Complete each section with a white background *Liaisons need to fill out budget and staff support required *Return to MJ Lamon by September 20, 2017 Definitions: New Initiative – not on previous work plan Continued Initiative – carried over from a previous work plan with a revised target completion date Ongoing Responsibility – annually on the work plan and may or may not have a target completion date Initiative Council Charge ☒ 1 ☐ 2 ☐ 3 ☐ 4 Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) ☐ New Initiative ☐ Continued Initiative ☒ Ongoing Responsibility All of 2018 None beyond City contribution to District initiative. None Provide City representative on steering committee for Wellness Initiative at Edina Public Schools. Invite Edina Public School representative to Community Health Commission meeting for update and discussion. Liaison Comments: Commission Vice-chair Alison Pence will continue to represent the City on the steering committee in 2018 and will serve as liaison between Community Health Commission and District. City Manager Comments: Click here to enter text. Progress Report: Click here to enter text. Initiative Council Charge ☐ 1 ☐ 2 ☒ 3 ☐ 4 Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) ☐ New Initiative ☒ Continued Initiative ☐ Ongoing Responsibility All of 2018 None None beyond Local Public Health Act responsibilities Participate in comprehensive plan update process including a focus on health-in-all-policies concepts. Liaison Comments: Liaison will coordinate with Comprehensive Plan Task Force, other City departments, and boards and commissions to include Community Health Commission areas of focus, including health equity considerations. City Manager Comments: Click here to enter text. Progress Report: Click here to enter text. Initiative Council Charge ☐ 1 ☐ 2 ☒ 3 ☐ 4 Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) ☐ New Initiative ☐ Continued Initiative ☒ Ongoing Responsibility All of 2018 None None Receive regular updates from Bloomington Public Health (BPH) regarding Public Health and Public Health Emergency Preparedness activities in the City provided through contract with BPH. Provide recommendations to City Council regarding annual renewal of contracts. Liaison Comments: Commission will receive frequent updates from BPH on a variety of subjects, including family home visiting, disease prevention and control, emergency preparedness, and other public health programs. Commission annually provides recommendation regarding renewal of two contracts with BPH. City Manager Comments: Click here to enter text. Progress Report: Click here to enter text. Initiative Council Charge ☐ 1 ☒ 2 ☐ 3 ☐ 4 Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) ☒ New Initiative ☐ Continued Initiative ☐ Ongoing Responsibility All of 2018 None None Research and evaluate current regulations regarding secondhand smoke, specifically in multi-unit housing living situations and other public areas such as restaurant patios. Liaison Comments: City currently enforces Minnesota Clean Indoor Air Act and the Freedom to Breathe Amendment, but these regulations may not do enough to limit secondhand smoke exposure. City Manager Comments: Click here to enter text. Progress Report: Click here to enter text. Parking Lot: (These items have been considered by the BC, but not proposed as part of this year’s work plan. If the BC decides they would like to work on them in the current year, it would need to be approved by Council.) Proposed Month for Joint Work Session (one time per year, up to 60 minutes): June Council Comments: Date: October 9, 2017 Agenda Item #: VI.B. To:Community Health Commission Item Type: From:Jeff Brown, Community Health Administrator Item Activity: Subject:Comprehensive Plan Review CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: We will review the comprehensive plan process and discuss how the Commission will provide input in that process. Items attached include a Health Toolkit put together by the Comp Plan Consultants, and a health in comprehensive planning checklist created by Hennepin County. ATTACHMENTS: Description Health Toolkit Health in Comp Planning Checklist HealthHealthHealthHealth ToolToolToolTool----KitKitKitKit Edina Comprehensive Plan Task Force September 2017 Health: Main Ideas • Considering health as a core value provides a holistic approach to addressing and enhancing community well-being. • Edina generally is a healthy community, with opportunities for moderate improvement across various areas. • Future population trends will likely change health needs in Edina. • There are opportunities to incorporate health policy through the comprehensive plan, as it intersects with other topics. Health: Trends and Challenges General Trends and Challenges Accommodating active lifestyles. Regular physical activity is an important element of good health. However, challenges related to the physical environment and lifestyle/behavioral factors means that this is not always easy and convenient for people to accomplish. Aging population. The aging of the population is anticipated to lead to the need for more health care services, and demand for innovations in how this is provided. This includes interest in alternatives to conventional assisted living models for providing long term care. Social connectedness. Wellness incorporates mental as well as physical health, and social connectedness is an important part of mental well-being. Changes in social, including increases in diversity, mobility, and technology, have altered how people relate to one another. Economic stability. Income is one of the strongest predictors of health, as evidenced by Edina’s higher- than average rankings in both. However, affordability of housing and access to jobs can be challenges – and increasing economic disparities can put pressure on more vulnerable households and individuals. Air quality. One of the biggest sources of emissions in developed areas like Edina comes from vehicles on major roadways. Addition traffic volumes and congestion increase these emissions, which often impact uses near these major corridors. From Cities of the Future (2015): Wellness People are actively involved in their neighborhood, which gives a sense of gratitude and connectiveness. Health care supports physical and mental health, and shifts to preventative care. Wellness spaces with fitness facilities, health care specialists and spas are available throughout the city. • Online social networks provide a caring community that brings friends and family closer. • Community learning and informal education keeps minds active • People staying healthy by doing fun things together • People connect in different roles (e.g. accountant who loves teaching tap dancing) • Social connections are created through cultural activities, community gardening, etc. • Learning about healthy lifestyles is integrated into education • Apps and technology provide real time self-monitoring People are becoming more involved in their neighborhood by providing social services to the community. Volunteering not only helps others, it also builds a sense of gratitude, which has a positive health effect. Online social networks are evolving to do the same, building long distance relationships with friends and family. There is increasing awareness of the positive effects of hobbies and creative activities on career and life balance. As people develop new interests, it will become common for people to share and teach topics that are completely different than their profession. These activities will help to build new networks and bridge communities that wouldn’t otherwise exist. Activities such as gardening, cooking and dancing are fun and engaging, and attract a community, which makes it easier to create a healthy lifestyle. Recreation Open air sport facilities are available in most neighborhoods. There are trails, biking lanes, running tracks, playgrounds and skate(board) parks. People regularly walk or cycle to their favorite park, café, library or theater. • Public space is a playground • Many amenities are within walking distance • Social networks connect people to various activities • Technology assists all ages and abilities • Interactive landmarks and displays in the public space • Good or bad weather, people are active and outdoors The importance of physical activity in overall health and wellness is leading to the development of a wide variety of recreation options beyond traditional sporting activities. These vary from walking to nearby amenities such as shops and cafes, to extreme sports. Recreational communities will continue to develop informal and formal areas to practice their sports on water, land and in the air. Online communities allow knowledge of new activities to easily spread. Technological advancements in assistive devices such as prosthetics and robotic exoskeletons will help people to stay active, even with physical limitations. Aging Population Independent living into well past eighty years old is very common, and elderly people are integrated into neighborhoods with all age groups. Neighborhoods provide access to amenities and social connections within walking distance, with transportation options for those with mobility challenges. • Getting older, but feeling still young is the ´baby boomer style´ • Remaining independent, as well as socially and physically active • Health status is monitored in real time through apps and sensors • Doctors, nurses and family members can monitor from a distance, with periodic visits for physical checkups and care taking • Advanced medical aids take over the need for many nursing and home services It is expected that with improved health and wellness, and advancements in health care, the baby boomer generation in their 80s will have a lifestyle that is similar to what people in their 60s experience now. Aging generations want to prolong independence and quality of life. The development of smaller, adaptable apartments with easy access to services, in vibrant community neighborhoods will allow this lifestyle. Additionally, good health will be facilitated through the support of online services and health monitoring. Doctors, nurses and family members can check in by monitoring health statistics provided by smart watches and other wearable devices, reducing visits to health care facilities and keeping family members informed. Health Goals and Policies (from existing comprehensive plan) Note: In addition to the specific policies below, the plan had numerous references throughout to health within the context of other topics, including: • Transportation – promoting active living through bicycle and pedestrian planning • Parks – promoting active living through parks and recreational opportunities • Sustainability – promoting environmental health, benefitting public health • Land use – access to health services via land use guidance for medical center • Housing – access to health services for residents with special needs, including seniors 1. Ensure an Effective Local Government Public Health System. Government is responsible for certain core functions of public health. These core functions are assessment, policy development, and assurance. The following essential services define local government contributions: • Monitor health status to identify and solve community health problems • Diagnose and investigate health problems and health hazards in the community • Inform, educate and empower people about health issues • Mobilize community partnerships and action to identify and solve health problems • Develop policies and plans that support individual and community health efforts • Enforce laws and regulations that protect health and ensure safety • Link people to needed personal health services and ensure the provision of health care when otherwise unavailable • Ensure a competent public health and personal health care workforce • Evaluate effectiveness, accessibility and quality of personal and population-based health services • Research for new insights into health issues and for innovative solutions to health problems. 2. Reduce Behavioral Risks that are Primary Contributors to Morbidity/Mortality. Behavioral risks that contribute to morbidity and mortality include tobacco use, alcohol and other drug use, physical activity/inactivity, nutrition, and weight management. A strategy for reducing these behavioral risk factors is: • Health education and promotion of health lifestyles and healthy living. 3. Promote Health for All Children, Adolescents, and their Families Behavioral and social factors influence health. Strategies for health promotion activities for children and adolescents focus on: • Healthy growth and development; • The importance of parents and care givers in the healthy development of children and adolescents; • Early identification of health risks; • Early intervention to address health risks before serious health problems occur. • Work with the Park and Recreation Department to implement the requirements of the “Fit City” program. 4. Promote Well-Being of the Elderly, Those with Disability, Disease or Chronic Illness. Strategies to accomplish successful promotion of healthful aging and to support the well-being of the elderly in Minnesota include: • Fostering healthful behaviors such as good nutrition, physical exercise, medications management, obtaining flu shots, efforts to reduce isolation and promote mental health; • Designing a continuum of long-term care options which are conducive to preserving independence and dignity; • Preventing falls which are major contributors to injury and death among the elderly; • Supporting active participation in one’s community through meaningful activity; and • Providing a full continuum of care to an aging population by increasing community capacity to support people as they age and promoting meaningful integration of the aging population into all aspects of community life. 5. Reduce Exposure to Environmental Health Hazards. Environmental health hazards include biological, physical, chemical, and radiological agents and substances, both human-made and naturally occurring. Exposures to these hazards may occur in the workplace, home or natural environment or in a public facility. Environmental health services protect Minnesotans from environmental hazards by ensuring that they have clean drinking water, safe food, sanitary housing and lodging, and protection from hazardous materials and disastrous situations in their environment. These services are delivered through a variety of regulatory, consultative, informational and educational programs. Key strategies to ensure service provision include: • Enforcing federal, state, and local standards by inspections and investigations; • Evaluating potential health-threatening environmental conditions; • Minimizing and controlling risks from exposure to environmental health hazards; • Providing and promoting environmental health education. 6. Develop a Public Health Emergency Preparedness Plan All levels of government, the private sector, and non-governmental organizations must work together to prepare for, prevent, respond to, and recover from major events including terrorist attacks, natural disasters, pandemic influenza, and other emergencies that exceed the capabilities of any single entity. Strategies for public health emergency preparedness include: • Developing, maintaining, and exercising a public health emergency preparedness plan, including a continuity of operations plan; • Stockpiling personal protective equipment; • Training employees on National Incident Management System (NIMS); • Promoting family and business emergency preparedness Plan for distribution of Strategic National Stockpile (SNS). 7. Health Data Profile Asthma Edina has the lowest asthma hospitalization rate compared to neighboring cities. About 4% of asthma hospitalizations are for persons with incomes below poverty levels, which is the lowest rate among neighboring cities. Bloomington has the most hospitalizations (341 per 10,000 persons) while Richfield has the highest percentage of asthma patients below poverty with 14%. Source: Minnesota Department of Health, tabulation of zip code data COPD Edina also has one of the lowest counts for Chronic Obstructive Pulmonary Disease (COPD) hospitalizations in the past 5 years, averaging 38 hospitalizations per year. This disease affects elderly more than other segments of the population, meaning the City may see an increase in the number of cases and hospitalizations as the City’s population ages. Source: Minnesota Department of Health, tabulation of zip code data Youth Health From 2010 Minnesota Student Survey data for Edina, Bloomington, and Richfield Nutrition, Obesity, and Physical Activity Consumption of fruits and vegetables is still relatively low with less than one quarter of 9th graders consuming the recommended amount. This percentage has been relatively stable in the last 10 years, not dramatically increasing or decreasing. A higher percentage of boys report 30 minutes of physical activity 5 or more days per week compared to girls for each city. The trend has been increasing since 2001 for each city in terms of percentage of 9th graders meeting the recommended amount of physical activity. Students that receive “free or reduced lunches”(per self- report on the survey) were less likely to report consuming 5 servings of fruits and vegetables, more likely to consume 3-plus servings of pop, and more likely to be classified as overweight/obese. Social and Emotional Well-Being • 42% of youth (6, 9th and 12th) in reported volunteering at least 1 hour per week. • Nearly 1/3 (31.9%) of youth (6, 9th and 12th) in survey reported spending 11+ hours per week watching TV, playing video games or playing on the computer (screen time). • 9% of 9th graders and 11% of 12th graders reported that they have had a mental health or emotional health problem that has lasted for one year or more. • 17% of 9th grade girls reported suicidal thoughts in the past year compared to 11% of boys. • For 12th graders these percentages are more similar with 13% of boys and 12% of girls reporting suicidal thoughts in the past year. • Students that reported they were connected to their community, to a caring adult or to school were less likely to report using tobacco, alcohol or marijuana in the past 30 days (13% were using) compared to students who did not report they were connected to their community, to a caring adult or to school (25% were using). • In 2010, 29% of Richfield 9th graders, 35% of Bloomington 9th graders and 41% of Edina 9th graders reported being bullied in the past 30 days. • In 2010, 41% of Richfield 9th graders, 45% of Bloomington 9th graders and 42% of Edina 9th graders reported bullying others in the past 30 days. Adult Health From Adult Survey of the Health of All Populations and the Environment (SHAPE) Survey (2010) Food Access From Community Food Assessment for the Cities of Bloomington, Edina, and Richfield (2013) Grocery Stores and Community Food Assets Edina offers an array of healthy food resources, but has fewer community food service programs than both Bloomington and Richfield. • Grocery Stores – In Edina, there are 15 grocery stores, including six supermarkets, six convenience/limited grocery stores, and three small grocery stores. An analysis of the healthy food offerings at all Edina grocery stores is outside of the scope of this assessment. Three of these stores accept WIC and 12 accept SNAP/EBT. There are no ethnic markets in the city. Edina‘s low-income area is in or near a concentration of supermarkets and convenience stores/limited grocery stores, but it is not near ethnic markets/small grocery stores. The weekday bus service makes it convenient to access these stores. • Community Gardens – The City of Edina piloted a community garden in summer 2013, which offers garden plots to city residents at a nominal fee, and an Edible Playground Garden that is open to families of registered playground program participants. • Farmers Market and Farm Stands – Edina has two farmers markets. The City-run market has 32 vendors including those selling locally grown produce and an extensive variety of other locally produced foods product such as breads and specialty bakery goods, candies, jams and other items. The Edina Farmers Market began accepting SNAP/EBT at the beginning of its 2013 market season but does not accept WIC. In 2013, Fairview Southdale Hospital opened the Farm to Fairview Farmers Market with four vendors who sell a variety of locally grown produce. The Farm to Fairview market does not accept EBT or WIC. Edina has one privately owned farm stand open seven days a week during the summer growing season. • CSA Drop Sites – There are four CSA farm drop sites in Edina, only one of which is located near low-income dense residential areas and a bus line. • Community Food Service Programs – Given the substantially smaller number of low-income residents in Edina, there are fewer community food service programs within city limits. There is one community dining site located in a housing complex that serves senior residents. There are four meal and four grocery delivery services. There are two mobile food shelf drop sites located at apartment buildings within city limits, but these services are limited to residents only. There are no Fare For All drop sites in Edina. Healthy, low-cost or free food options in Edina are limited, which presents challenges for low-income and senior residents with mobility issues and fixed incomes. Air Quality A map of nitrogen oxide (NOX) emissions shows that the most intense areas follow the region’s major highway corridors. (Source: MPCA) Updated 5/30/2017 1 CHECKLIST: COMPREHENSIVE PLANNING FOR A HEALTHY COMMUNITY Planners overwhelmingly agree that a critical aspect of planning is health. In fact, a community’s plan for housing, transportation, land use, parks, and economic development impacts – these environments are the largest contributors to our health. “Social determinants of health” are structural factors and conditions in which people are born, grow, live, work, and age. Most premature deaths are connected to these determinants, like air and water quality or access to physical activity, and healthy food. Since the practice of community planning plays a significant role in shaping the built environment, local planning can have real and significant impacts on community health. Local planning, and comprehensive planning in particular, is increasingly recognized as tool to strategically increase health and reduce health disparities for all. “Health in All Policies” is a collaborative approach to improve health by incorporating health considerations into decision-making across all policy areas. Social Determinants of Health How to Use the Checklist This checklist can help define where – and to what degree – health-supporting policies are present in your local government’s comprehensive plan. It can provide examples of policies to consider during plan development and help start important conversations. It can also be used to measure change over previous comprehensive plans. The tool covers a broad range of polices, so it is important to note that not every item may apply to your local plan. Also, you may have health-related items in your plan that this checklist doesn’t cover. We’ve added a row at the end of each section for you to capture these other items. This tool is open source, so feel free to change it to fit your needs. We’ve published both .pdf and .doc formats to allow easy customization. Content developed from several sources like: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health Updated 5/30/2017 2 INTRODUCTION/COMMUNITY VISION/BACKGROUND Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Do the introduction and vision… a) Acknowledge the many individuals, community groups, organizations, officials, and staff who contributed to the plan? b) Highlight the community engagement process? c) Address the connection between planning and social, physical, and mental health and quality of life for all? d) Address community health disparities and racial equity? e) Identify health metrics that will demonstrate success? f) Use explicit language connecting all chapters to health, particularly healthy food access, active living, and environmental effects? g) Link the success of the community with the health of its people? h) Include language for interdivisional/departmental work of health policy integration throughout the comprehensive plan sections? Other health-related items in this section: Resources: Comprehensive Plans and Health Toolkits From APA’s Plan4Health initiative, the Comprehensive Plans and Health toolkit includes resources to successfully integrate health into the goals, objectives, and policies that encompass comprehensive plans. DATA AND ISSUES ANALYSIS Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Use public health and other data to inform the plan elements, including for all of the social determinants of health? b) Identify the residents that experience health disparities in your community? c) Visually depict in maps or charts geographic disparities in health? d) Use public health data to identify health issues that are of higher prevalence in your community compared with your county, the region or the state? e) Identify future trends that may affect health based on data? Other health-related items in this section: Resource: Quality national, state, and local sources for public health data, along with data templates you can use! Updated 5/30/2017 3 LAND USE Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Incorporate neighborhood, commercial, and/or mixed-used development to encourage active transportation, such as biking and walking? b) Make it possible to cluster activities for easier to access a variety of services at one stop via public transit, bicycling, walking, or car? c) Encourage and support co-location of civic buildings, especially schools, in walkable districts? d) Assess exposure to environmental hazards such as lead and contaminated soils and consider equity impacts of land use for contaminated areas? e) Support health by restricting access to alcohol, tobacco, and fast food with zoning proximity regulations, signage regulations, and drive-through window regulations, particularly near parks, schools, youth centers, and hospitals? f) Support parking or other regulatory support for mobile food markets and mobile pantries/food shelves that can bring food into higher density residential areas that need them? g) Include land use regulations to improve local households' proximity to healthy food and healthy food-related businesses and activities? h) Recommend a community food security assessment to identify barriers and gaps in healthy food access and community assets like farmland, community gardens, and farmer's markets? i) Identify existing and future opportunities for local food production (e.g. home and community gardens, small livestock, preservation and tenure of agriculture land)? j) Include support for land use policies for pollinators through city ordinance and/or city operations/maintenance? k) Recommend use of natural, non-motorized open space corridors (often following roadways, ridge tops and waterways)? Other health-related items in this section: Resources: Public Health in Land Use Planning and Community Design Fact Sheet: An overview of the connection between land use planning and public health, including the role of local health officials. Food Access Planning Guide: http://mnfoodcharter.com/wp- content/uploads/2014/10/FAPG_PlanGuide_D9_LINKS_LR.pdf Updated 5/30/2017 4 TRANSPORTATION Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Address transportation system gaps in healthy food access? b) Prioritize transportation investments that encourage connectivity between residential and commercial areas to encourage walking, bicycling, and transit use? c) Include facilities supporting active transportation (e.g. bike parking, benches, etc.)? d) Identify Complete Streets, living streets, shared streets, and traffic-calming measures in its future transportation system? e) Identify opportunities for working with a transit provider where transit can be supported with higher density land use? f) Include human-scaled street design including wayfinding for people walking and biking? g) Provide adequate street lighting along all major streets, or non-motorized transportation facilities (eg. paved trails)? h) Prioritize transportation needs of underserved populations (seniors, children, persons with disabilities, low-income residents, etc.)? i) Support the safety and comfort of walking and bicycling year- around? j) Emphasize increasing transportation system safety to reduce transportation injuries and deaths? k) Locate housing an appropriate distance from highways and other high-emissions transportation areas (airports, trucking, and railyards)? Other health-related items in this section: Resources: Public Health in Land Use Planning and Community Design Fact SheetThe CDC/DOT Transportation and Health Tool gives transportation decision-makers, health officials, and the public easy access to data to understand the health impact of an existing transportation system or proposed transportation project. Design for Health Physical Activity and Planning Guide (2007) was a collaborative project that served to bridge the gap between the emerging research base on community design and healthy living and the everyday realities of local government planning. Updated 5/30/2017 5 WATER RESOURCES Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Highlight the importance of monitoring water quality equally for all parts of your community? b) Plan for vegetated buffers along all water bodies (preferably 65 ft. to 165 ft.) to prevent non-point pollution from impervious surfaces? c) Identify and protect groundwater recharge areas and vulnerable aquifers? d) Assess the vulnerability of groundwater resources to depletion and estimate dates of resource exhaustion? e) Address collection and storage of rainwater for agricultural use? f) Increase access to free, safe drinking water in public places, possibly adopting building codes to require access to, and maintenance of, fresh drinking water fountains (e.g. public restroom codes) g) Encourage restorative systems and practices (such as ground- water recharge) for natural resources and sustainable use? Other health-related items in this section: Resource: From the Centers for Disease Control and Prevention, a library of water resources planning tools PARKS AND TRAILS Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan... a) Ensure all people have access to park land and trails within a walkable distance (up to half mile)? b) Offer free or low cost community garden space for resident use? c) Include recreational opportunities for all community members, regardless of age, culture and mobility level, throughout the city? d) Support a variety of greenscapes that contribute to physical and mental well-being? e) Require public community facilities to have views of or access to nature? f) Require adequate lighting in parks so that pedestrians on paths see other pedestrians at least 700 ft. away? g) Encourage edible and pollinator-friendly landscapes on park property? h) Include a policy for tobacco-free parks? Other health-related items in this section: Resources: Parks and Trails and Health Workbook, From the Center for Disease Control and the National Parks Service Association for Non-Smokers MN (ANSR): http://www.ansrmn.org/ Updated 5/30/2017 6 HOUSING Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Incorporate a variety of stable and healthy housing types, densities, and affordability for all who live in the community, that can accommodate different needs, including “aging in place”? b) Address multi-generational housing and/or permit accessory dwellings or other small-sized dwelling options? c) Include housing in places where residents can meet their daily needs without access to a private automobile? d) Consider proximity of housing to grocery stores and farmers markets for all residents? e) Encourage edible and pollinator-friendly landscapes on residential properties? f) Allow for setback space to be used for home gardening, recreation, shared community resources, etc.? g) Require designated open space for subdivisions? h) Address smoke-free housing policies for existing and new multi-unit housing developments? Other health-related items in this section: Resources: Minnesota Healthy Homes Strategic Plan Live Smoke Free: Association for Non-Smokers MN (ANSR) Global Age Friendly Cities: A guide http://www.who.int/ageing/publications/age_friendly_cities_guide/en/ Updated 5/30/2017 7 ECONOMIC COMPETITIVENESS Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan… a) Link measures of health and well-being to economic prosperity? b) Encourage walkability along downtown storefronts and in other commercial areas? c) Require non-motorized infrastructure (e.g. sidewalks or trails) in conjunction with future economic development projects? d) Recommend partnering with the business community to promote health and well-being within worksites? e) Include "buy local" campaigns supported by marketing efforts and local food distribution? f) Include business and/or kitchen incubators for entrepreneurs? g) Allow for farmers markets to operate within multiple districts? h) Restrict tobacco marketing near schools, daycares, hospitals, playgrounds? i) Prioritize broadband access to all? j) Address eliminating disparities as an economic issue? Other health-related items in this section: Resource: The Food Access Planning Guide addresses several strategies for economic development and healthy food access. Updated 5/30/2017 8 RESILIENCE Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the plan... a) address prospective health concerns related to climate change and the impact of extreme weather conditions on infrastructure/ built environment? b) include the provision for Climate Change Action Planning or assessment of impacts, indicators, and adaptation/mitigation strategies? c) include policies encouraging renewable energy technologies and diversification of energy resources? d) define and measure environmental sustainability, health, well- being, and livability when planning for public infrastructure and the built environment? e) identify the city’s role in creating places that foster social connections, including those across ages, races and economic conditions? f) include policies to reduce the urban heat island effect? Other health-related items in this section: Resource: Consider how your community could prepare for the health vulnerabilities to climate change identified in the Minnesota Climate Change Vulnerability Assessment prepared by the Minnesota Department of Health. IMPLEMENTATION Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments Does the implementation section... a) Identify an implementation strategy to each policy? b) Identify a strategy to continuously engage the community throughout implementation? c) Identify a strategy to continuously inform the community about plan updates? d) Identify necessary changes in local controls and a process for making required changes? e) Include a process to regularly review progress made on goals and outcomes? f) Include evaluation procedures/methods? g) Establish practices for actively using the comprehensive plan in the jurisdiction’s decision-making? h) Identify funding for health-supportive programs and projects identified in the plan in the jurisdiction’s capital improvement programming? Resource: The Minnesota Healthy Planning How-To Guide expands upon planning strategies. Each planning strategy includes a definition and multiple ways to implement the strategy in a comp plan. The Guide addresses how health can be included in every step of the planning process of creating a comp plan. Updated 5/30/2017 9 APPENDIX: COMMUNITY ENGAGEMENT CHECKLIST Not Present Present Narrow Present Robust Page/Goal/ Objective/ Comments a) Are multiple engagement strategies included in the community engagement plan? b) Are partners, including public health, involved in the community engagement process? c) Are multiple, convenient, and accessible ways provided to encourage meaningful participation? d) Were populations at greatest risk (1) for health disparities involved in the planning process? e) Were community members prepared to participate in the comp planning process? f) Is there a clear plan to report back to the community how their input will be used? g) Were there ongoing communication and opportunities for community involvement? h) Were partners including public health involved throughout the comp planning process? i) Is communication about community input opportunities clear and easy to find, such as on the city website? Resources: Metropolitan Council Community Engagement Plan Government Training Services, Land Use Training and Education Program, “Effective Community Engagement for Land Use” Checklist Workgroup: Mary Montagne, Dakota County Public Health Ellen Pillsbury, Minnesota Department of Health Denise Engen, Hennepin County Public Works Kassy Nystrom, Hennepin County Public Health Eric Weiss, City of Shakopee Nadja Berneche, Terra Soma Prepared by the Metro Healthy Comprehensive Plan Work Group in the Twin Cities area of Minnesota. Based partially on work done by the Arrowhead Regional Development Commission , Design for Health (2007), and South Carolina Health and Planning Toolkit (2015), with funding from the Blue Cross and Blue Shield of Minnesota Center for Prevention.