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Running head: START HEALTHY

Start Healthy

Organizational Strategic Plan Project

Intended for Children and Caregivers

Valrey Llewlaka

Christian Merz

Carol Rajala

Steve Rich

Jane Schunn

Ferris State University

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Abstract

Childhood obesity is a growing issue within the United States. Caregivers can prevent children

from becoming overweight by adapting health eating habits, daily exercise, and developing skills

to making good choices. The Start Healthy Fitness and Nutrition Program is a strategic planned

project to assist families to become aware of their health and become active in a healthy lifestyle.

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Start Healthy

Start Healthy is a fitness and nutrition program that is designed to assist children who are

overweight to become healthy through becoming active and eating right. Children learn best by

example. Caregivers are important in supporting their children to be healthy and active. This

program also teaches caregivers how to become actively involved in making healthy food

choices and fitness activities.

Environmental Trends

Children who become overweight can face intermediate and long term life threatening

conditions. According to the Food Research and Action Center (FRAC), report “about a quarter

of 2-5 year olds and one-third of school age children (including adolescents) are overweight or

obese in the United States” ( FRAC, 2014). Kids Health reports that the percentage includes one

out of three kids are overweight or obese (2014, par 1.). Children are becoming less active as

they spend more time in front of the television watching movies and playing with electronics.

This seems like a harmless activity however it comes with serious side effects. The Centers for

Disease Control and Prevention (CDC) reports that children and youth obesity may lead to the

following health problems: heart disease caused by high cholesterol and/or high blood pressure,

type-two diabetes, asthma, sleep apnea, and social discrimination (CDC, 2014). The listed health

conditions can be prevented through healthy life styles that include being physically active,

healthy decision making, and eating balanced meals.

Similar Services

We are aware of the availability of other information such as nutritional and physical

activity information that provided by the Center for Disease Control (2014). Additionally, area

hospitals provide services such as Beaumont's Healthy Kids Program, and Henry Ford’s “Let’s

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get healthy!” (Gibson, 2012). At the national level, the “Let’s Move” program introduced in

2010 by First Lady Michelle Obama is “dedicated to solving the challenge of childhood obesity

within a generation, so that children born today will grow up healthier and be able to pursue their

dreams” (Let’s Move, n.d.). We wish to acknowledge the value of information provided by

these sources while encouraging the benefit of the one-on-one service provided by our

customized Start Healthy program, designed to support the development life-long healthy

choices.

Mission Statement

Start Healthy is committed to assessing, monitoring, and providing community resources

that encourage healthy lifestyles for children and the caregivers that support them. Licensed

staff, such as nutritionists, physicians, and registered nurses, will provide a holistic approach to

meet the needs of patients and caregivers in their journey to a healthier lifestyle.

Philosophy

The philosophy of the Start Healthy Program is to empower children to achieve healthy

lifestyles. This program takes a holistic approach that incorporates the cultural and spiritual

needs of the child and caregivers. The program aims to maintain a safe environment for children

to become excited about fitness and make healthy choices. We provide personalized assessments

to assist our clients in developing achievable individual goals. We strongly encourage caregivers

to become active in the child’s learning process. We provide activities that include fitness,

nutrition, cooking, and skill building. We are committed to providing tools and education

through the Start Healthy program that can be used throughout our client’s lifetime.

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Program Goals and Objectives

The goal of Start Healthy fitness and nutrition program is to provide children and

caregivers the education and community resources to live healthy lifestyles. As previously

discussed, childhood and adolescent obesity is a growing problem within the United States. This

program plans to address healthy lifestyle education, nutrition and physical activity with the goal

of providing a healthier future for individual families. Yoder-Wise (2014) defines “goal-setting

[as] the process of developing and formalizing … targets or objectives” (p. 315). The following

list includes the goals and objectives of the Start Healthy program regarding education, activity,

and nutrition:

Education and Resources

Strategic Goal 1: Provide participants with education to identify appropriate resources

and independently conduct research to find needed information.

Objectives:

Within one month of being enrolled in the Start Healthy program, the child and

caregiver will identify online resources for recommended healthy food choices

and activity levels.


caregiver will identify local resources that include nearby sources of healthy food,

including food banks, food distribution sites, and local groceries.

Within two months of being enrolled in the Start Healthy program, the child and

caregiver will identify local resources that include state and local parks,

recreational facilities, and playgrounds that can be utilized to increase activity.

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Diet

Strategic Goal 2: Provide participants with education and resources regarding healthy

food choices.

Objectives:

Within two months of being enrolled in the Start Healthy program, the child and

caregiver will demonstrate understanding of the FDA food pyramid by providing

examples of healthy proportions according to food type, as well as appropriate

serving sizes.

Within three months of being enrolled in the Start Healthy program, the child and

caregiver will give examples of healthy snacks and how they have incorporated

these foods into their lifestyle as indicated by food diaries.

Within six months of being enrolled in the Start Healthy program, the child and

caregiver will demonstrate cooking skills that include limiting sugars, reducing

unnecessary fats, and substituting healthy alternative food choices where

appropriate.

Activity

Strategic Goal 3: Provide participants with education and resources regarding the

importance of exercise, as well as providing tools and resources that can be used to set and reach

personal activity goals.

Objectives:


caregiver will be able to provide examples of the benefits of exercise and regular

physical activity.

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Within three months of being enrolled in the Start Healthy program, the child and

caregiver will demonstrate participation in regular physical activity as indicated

by daily logs.

Within five months of being enrolled in the Start Healthy program, the child and

caregiver will identify measurable progress by tracking their success through

weight, blood pressure, and body mass index, as compared to the same identifiers

when beginning the program.

Program Structure

Start Healthy Fitness and Nutrition Program will be overseen by a Board of Directors that

includes a Director, a Community Liaison, a Marketing Director, an Education Director, and a

Financial Director. These positions will be supplemented with additional clinical staff as needed

to maintain the program objectives of the organization. A “service-line [organizational]

structure” [will be used initially, with the expectation of incorporating a] matrix structure”

(Yoder-Wise, 2011) to accommodate future program growth. Job descriptions will be used to

identify leadership relationships, roles, and responsibilities within the Start Healthy Fitness and

Nutrition Program. These job descriptions will be used to identify the “chain of command [and]

span of control” (Yoder-Wise, 2011) for the individuals performing that role. The information in

this presentation does not specifically address, but has the expectation, for clinical and other staff

to be included with the future growth of the program.

Organizational Chart

An organizational graph or chart represents work units and reporting relationships, relates

to the division and specialization of labor functions attended by specialists” (Yoder-Wise, 2011,

p. 145). This chart is a useful tool as it provides a visual aid of chain in command within an

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organization. The chart listed below (Table 1) provides an outline of the leadership roles within

the organization that are required in order to function successfully.

Organizational Chart for Start Healthy Fitness and Nutrition Program

Board of Directors

Table 1This table indicates the interrelatedness of the organizational leadership positions for the Start Healthy Board of Directions, including name, title, and hierarchy.

Job Descriptions

Job descriptions are important tools for employers and the primary organization. Job

descriptions will be used to provide clear, concise and accurate role definitions to applicants in

order to prevent “role ambiguity [or] role conflict” (Yoder-Wise, 2011). They will also outline

expectations for education, experience and physical requirements. These job descriptions

include duties, responsibilities, and “competency-based requirements” (Yoder-Wise, 2011)

linked to the position. The following are job descriptions maintained within the Start Healthy

Fitness and Nutrition Program. All employees of the Start Healthy program are required to

successfully pass pre-employment drug testing, a background investigation, and to maintain a

valid driver’s license throughout their employment (LRBOI, 2014).

Valrey Llewlaka

RN/Director

Christian Merz Community

Liaison

Jane SchunnMarketing Director

Carol RajalaEducation Director

Steve RichFinancial Director

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Board of Director Job Descriptions

Director

Job description for the Director of Start Healthy: the Director of the Start Healthy Fitness

and Nutrition Program will provide leadership and direction for the childhood obesity prevention

program within the guidelines of the organizational objectives.

Job Responsibilities:

Provide leadership, oversight, and direction for the Start Healthy Fitness and

Nutrition Program.

Oversee planning, implementation and evaluation of Start Healthy services.

Develop relationships to promote the Start Healthy Fitness and Nutrition

Program.

Monitor day-to-day delivery of program and services to improve or maintain

quality.

Develop staff competencies, program standards and protocols to ensure quality

service delivery.

Coach and mentor staff as appropriate to improve performance and meet program

objectives.

Requirements for this position:

Registered Nurse licensure.

Bachelor of Science in nursing degree with three years clinical experience.

Two years of supervisory/managerial experience.

Excellent communication skills, including use of technology.

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Community Liaison

Job description for the Community Liaison of Start Healthy: the Community Liaison of

the Start Healthy Fitness and Nutrition Program will provide for professional relationships with

individuals, organizations, businesses, and schools within the Start Healthy Fitness and Nutrition

Program service area as specified in the guidelines of the organization (Career builder, 2014).


Develop relationships with participants, individuals, and families within the Start

Healthy service area.

Develop relationships with organizations, businesses, community leaders, and

school officials within the Start Healthy service area.

Provide information about the Start Healthy Fitness and Nutrition Program to

legislators, organizational and community leaders, and other interested parties.

Provide participants with transportation options and assist with program

procedures.

Proved case management expertise to qualified adolescents and family members.


Bachelor’s degree with emphasis on health care.

Two years in a teamwork/communication role.


Excellent organizational and time-management skills.

Demonstrate high energy, patience, dedication, and self-discipline.

Demonstrate leadership, teamwork, and ability to work independently.

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Marketing Director

Job description for the Marketing Director of Start Healthy: the Marketing Director of the

Start Healthy Fitness and Nutrition Program will maintain marketing, communications, and

public relations for the Start Healthy Fitness and Nutrition Program within the guidelines of the

organizational objectives (Joyaux & Ahern, n.d).


Develop, maintain, and measure the effectiveness of program marketing

objectives.

Coordinate organizational advertising, including print and electronic newsletters,

brochures, and memos.

Develop short and long term goals related to marketing, communication, and

public relationships.


Bachelor’s degree with emphasis on marketing.

Two years of marketing/professional communication experience.

Knowledge of available resources in the Start Healthy service area.


Experience with design and production of marketing materials.

Ability to project programs values, vision, and direction through various media.

Health Educator

Job Description for the Educator of Start Healthy: the Educator of the Start Healthy

Fitness and Nutrition Program will develop educational materials for participants and interested

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parties, to include active lifestyles, healthy nutrition, and community resources related to the

Start Healthy Fitness and Nutrition Program, using organizational objectives (My plan, 2014).


Assess individual, family, and community needs.

Promote healthy lifestyles, provide workshops, and promote increased awareness

to improve health.

Develop and implement health education programs.

Identify community resources and make necessary referrals for participants.

Conduct and present research to community members.

Oversight of staff clinical skills and documentation.


Bachelor’s degree in health education or health promotion.

Two years of education experience.

Knowledge of community health needs in the Start Healthy service area.


Financial Director

Job description for the Financial Director of Start Healthy: the Financial Director of Start

Healthy Fitness and Nutrition Program will manage program funds, with a focus on maximizing

financial returns within the guidelines of organizational objectives. The finance manager will

insure adequate control of financial gains while adhering to state and government regulations

(Accounting tools, 2014).


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Work with program director and staff members to prepare a comprehensive

budget.

Research funding sources, oversee the development of fund raising and grant

writing.

Provide accurate accounting and assure funds are used appropriately.

Maintain organization compliance with required taxes, insurance, and payments.

Maintain relationship with board members to manage financing.

Maintaining organizational budget requirements.

Developing long-term and short-term financial goals.

Work with staff and Board members to secure adequate funding for operation.


Bachelor degree in finance or accounting.

Two years of experience with grant writing and/or fund raising.

Knowledge of potential funding resources available to the Start Healthy Fitness

and Nutrition Program.

Excellent communication skills, including use and knowledge of electronic

spreadsheets.

Clinical RN (future position)

Job description for clinical Registered Nurse of Start Healthy: the clinical Registered

Nurse of Start Healthy Fitness and Nutrition Program will provide a full range of duties specific

to the Start Healthy program. The RN will assess, monitor, and implement appropriate measures

related to specific conditions and needs of the participant, and provide education to participants,

families, and interested parties.

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Job Responsibilities

Implement appropriate care plan related to assessment, and evaluation of

participants. Monitor, record and provide communication regarding condition of

participants as appropriate.

Oversee care of participants while attending program(s). Delegate tasks to

unlicensed personnel within their scope of practice.

Educate participants and family. Promote a wellness environment and ensure the

health, comfort and safety of participants.

Identify expected outcomes for individual participants using Nursing Outcomes

Classification (NOC) standards.

Participate in community/school related councils, associations, task force and/or

health service focus groups related to childhood obesity and appropriate

nutritional needs.

Perform other duties as assigned

Requirements for this position

Current Registered Nurse (RN) licensure.

Bachelor of Science in Nursing (BSN) preferred.

Current Basic Life Support for Healthcare Providers (BLS-HCP) from the

American Heart Association.

2 years of Community-based nursing preferred but not required

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Advertising

One aspect of marketing includes advertising that should be designed to attract the

attention of staff and volunteers who enhance the mission and values of the organization (Yoder-

Wise, 2011). Yoder-Wise (2011) makes it clear that marketing should be “strategic[ally]

plan[ned … and designed] to meet the needs of the population being served [and to assure]

customer satisfaction (p. 319; p. 318). The following information has been collected to assist the

board of directors of the Start Healthy Fitness and Nutrition Program in determining an

advertising budget.

Help wanted advertisements for open positions will be posted to MLive. This website

provides digital marketing linked to news, weather, and employment opportunities (MLive,

2014). The price for online advertising is listed as $195 for 30 days or one fourteen (14) day

online job posting for $120 (MLive, 2014). See appendix A for an example of a Start Health

advertisement.

The American Nursing Association (ANA) advances the nursing profession by fostering

high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a

positive and realistic view of nursing…(ANA, 2014). This organization provides nurses peer-

reviewed articles and research on broad topics for nurses to review. The price of $2905 includes

a 30-day, 1/5 of a page advertisement (ANA, 2014).

The Ludington Daily newspaper is a local newspaper for the Mason County, Michigan

area. This paper is distributed Monday through Saturday to paid subscribers. The price for

advertising a position is $195.00 for thirty days (Extra, 2014).

Budget Proposal

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Budgets are critical to the success of organizations and businesses. Yoder-Wise (2011)

indicates that there are several types of budgets to consider, that include an “operating budget

[for] day to day [operations, as well as] capital expenditure [and] cash budget[s]” (p. 243-244).

Bradford (n.d.) “Operating budgets are focused on facilitating income. The first and perhaps

most crucial component of the operating budget is the sales and collections budget. This is

followed by the projected cost of goods sold budget, the inventory and purchasing budget, and

the budget for operating expenses” (para 2). The Start Healthy Fitness and Nutrition Program

projects the following estimates as an initial budget, with the expectation of changing with the

needs of the growth of the organization. The total yearly budget of Start health program is

estimated to be $307,500.00. See Appendix B for the program’s itemized expense.

Human Resources

The Start Healthy program will follow an operating budget to manage daily functions

intended to meet program objectives. Operating budgets are financial plans for the day to day

activities of an organization (Yoder-Wise, 2013) or a combination of known expenses, expected

future costs, and forecasted income over the course of a year (Bradford, n.d.).The program will

include six key positions: community liaison, program director, marketing director, education

director, financial director, and clinical Registered nurse. Supportive staff will be hired based on

grants obtained for funding the program. Employee’s salaries will be budgeted and based on

competitive pay scales. Future positions in the program will depend on the growth of the

program and any positions needed will be budgeted accordingly and advertised to meet the needs

of the program.

Hours of Operation

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The Start Healthy and Nutrition Program will be open five days a week, Monday through

Friday, hours of operation will be from eight o’clock in the morning until five o’clock in the

evening. The clinic will be closed for recognized state and Federal holidays.

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References

Accounting tools. (2014). Finance manager job description. Retrieved from

http://www.accountingtools.com/finance-mana

American Nursing Association. (2014). 2014 TAN advertising rates/Product rate card. Retrieved

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/

TAN/tanrate5784.html

Bradford, C. (n.d.). What is an operating budget? Chron. Retrieved from

http://smallbusiness.chron.com/operating-budget-61475.html

Centers for Disease Control and Prevention. (2014). Overweight and obesity. Retrieved from

http://www.cdc.gov/obesity/index.html

Centers for Disease Control and Prevention. (2014, October). Tips for parents - Ideas to help

children maintain a healthy weight. Retrieved from

http://www.cdc.gov/healthyweight/children/

Career builder. (2014). Community/clinical liaison job description. Retrieved from

http://www.careerbuilder.com/jobseeker/jobs/jobdetails.aspx?

sc_cmp1=js_jrp_jobclick&APath=2.21.0.0.0&job_did=J3G6K471403J4J2MS5S&show

NewJDP=yes&IPath=JRKV0B

Clinic Budget Revenue. (2003). Operating Budget. Retrieved from

http://learn.gwnursing.org/Education/LearningObjects/ManagingTheBottomLine/

SFP_budget.pdf

Extra Daily Press. (2014). Daily Press Media Guide. Retrieved from

http://extras.dailypress.net/downloads/ratecard.pdf

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Fayette County Public Schools. (2013). Job description: School/home/community liaison.

Retrieved from http://www.fcps.net/media/680098/home%20school%20liaison.pdf

Food Research and Action Center. (2014). Overweight and obesity in the U.S. Retrieved from

http://frac.org/initiatives/hunger-and-obesity/obesity-in-the-us/

Gibson, K. (2012). Best kids weight loss programs in southeast Michigan. Metro Parent.

Retrieved from http://www.metroparent.com/Metro-Parent/January-2012/Best-Kids-Weight-

Loss-Programs-in-Southeast-Michigan/

Joyaux, S. P., & Ahern, T. (n.d). Sample job description: Director of

marketing/communications/p.r. Retrieved from

http://www.simonejoyaux.com/downloads/JobDescriptionMCD.pdf

Kids Health. (2014). Overweight and obesity. Your kid’s body. Retrieved from

http://kidshealth.org/parent/general/body/overweight_obesity.html

Let’s Move (n.d.). Learn the facts. Retrieved from

http://www.letsmove.gov/learn-facts/epidemic-childhood-obesity

LRBOI. (2014). Position vacancy announcement. Medical director/physician. Retrieved from

http://nhbpi.com/wp-content/uploads/2014/05/Medical-Director.Physician.pdf

Mlive. (2014). Post jobs and searching resumes in Michigan. Retrieved from

http://www.mlive.com/jobs/products/index.ssf

My plan. (2014). Health educators. Job description. Retrieved from

http://www.myplan.com/careers/health-educators/description-21-1091.00.html

The Bridgespan Group. (2014, October). Board job descriptions. Retrieved from

http://www.bridgespan.org/Publications-and-Tools/Hiring-Nonprofit-Leaders/Nonprofit-

Job-Descriptions.aspx

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Yoder-Wise, P. S. (2011). Leading & managing in nursing (5th ed). St. Louis, MO: Saunders.

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Appendix A

Start Healthy Fitness and Nutrition Program

Volunteers NeededStart Healthy is a fitness and nutrition program designed to assist children and their families to develop healthy lifelong diet and activity habits. We are looking for volunteers who want to make a difference for our children. You do not need to be a fitness trainer or nutritionist to be an important part of our program. Volunteers should be high school graduates with the ability to work well with children. Time requirements are flexible with a

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Appendix BOperating Budget for Start Healthy

Revenue Revenue Visits per Year Reimbursement RevenueMedicaid % 1560 $.50.00 $78,000.00Other Insurances% 1000 $60.00 $60,000.00No Pay % 390 $0.00 $0.00Total Visits Per Year: 2950 $138,000

Clinic Lab Revenue Labs/Year Reimbursement RevenueNumber of labs per year 1500 $25.00 $37,500.00Total Lab fee $37,500.00

Procedure Revenue Procedure Per year Reimbursement RevenueNumber of procedures/ year 500 $20.00 $10,000.00Total procedure fees $10,000.00

Health Coaching/Teaching Per Session Reimbursement Revenue Class/counseling 2200 $20.00 $44,000.00Total Class/counseling fees $44,000.00

Total Revenue $229,500.00Total Government funded grants $78,000.00Total Revenue $307, 500.00

ExpensesDescriptions Detail Yearly Budgeted Amount Payroll 5 full time staff $275,000.00

Volunteer stipends

$15,000.00

SuppliesMisc. Supplies (Class & Education material) $5,000.00Medical Supplies $6,500.00Office Supplies $2, 400.00Postage & Printing $1,500.00

Facility Telephone & internet $800.00Utilities (water, electric, garbage) $500.00Maintenance (snow removal, grass clipping) $400.00Loan Payments $1,500.00Total Expenses $291,200.00

Net Income (Loss) {Revenue-Expense} $1,300.00

(Clinic Budget Revenue, 2003)

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