ASPHN Partnership Review - Existing Partners - 2019

This survey is a duplicate of the hard-copy ASPHN Partnership Review.  Each liaison will only need to fill out one review per partnership/collaboration per year.  Every Partnership will need to be reviewed in 2019. 
 
Once we receive all reviews for 2019, we will revise the subsequent partnership review forms to match the identified Level Of Collaboration (LOC).  This means that if the partner is at a 1 or Networking LOC, the review will be different than if the partner is at a 5 or Collaboration LOC.
 
If you are doing this review with a Partner representative, (someone from the organization you are reviewing)  please share this link with them. (If you fill out 2 different reviews using the name of the same partner/organization, we will combine the responses.)


ASPHN Partnership Review - Existing/Current Partners -  2019

The Association of State Public Health Nutritionists develops leaders in public health nutrition who strengthen policy, programs and environments making it possible for everyone to make healthy food choices and achieve healthy, active lifestyles.
Our vision Healthy eating and active living for everyone.
The Goals outlined in ASPHN’s 2017-2022 Strategic Plan are:
1.     Membership Engagement: Maximize membership engagement by promoting the value of ASPHN for members
2.     Professional Development: Strengthen competencies of public health nutritionists through quality resources and professional development
3.     Collaboration: Expand and deepen collaborations that maximize opportunities to address ASPHN priorities.
4.     Policy: Create, influence and advocate for evidence-informed and best practice public health nutrition policies and practice
5.     Internal Operations: Maintain sufficient organizational and financial resources to sustain continued association operations

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* 1.    Name of Partner, Organization, Committee or Work Group:

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* 2. Name of Liaison:

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* 3. Date submitted mm/dd/yr:

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* 4. If the liaison completed this review with the assistance of a representative from the partner organization, please list the partner's:
  • Name:
  • Title:
  • Position:
  • Email address:
  • Duration of time (working, participating in) the organization/committee:

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* 5. Liaison Term (beginning date and end date of 2-year term):
Note: The Liaison term is a minimum 2-year commitment, but the term can be extended.

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* 6. Is this liaison currently active with this partner organization or committee?

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* 7. Is the liaison interested in continuing in this capacity for another two-year term?

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* 8. Did the liaison submit ASPHN Board reports? Note: This is required unless otherwise indicated.

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* 9. Did the liaison submit reports to any other Committee or Council (for example, ASPHN’s Policy Committee)?

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* 10. In what ways did the liaison represent ASPHN to this collaboration/partnership? Please be as specific as possible. (Please identify any reports, updates, meeting minutes or any other documentation that captures or reflects ASPHN promotion. Please attach below or send these documents to shana@asphn.org). For information on ASPHN promotion, See Key Messages PPT (link).

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* 11. If Uploading Documents, please do so here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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No file chosen

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* 12. What was accomplished through this partnership (between ASPHN & the organization)?  Please provide a brief description of the highlights and/or send the reports that were submitted (mentioned above) during the current year.  Attach file below, or send to shana@asphn.org 

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* 13. If Uploading Documents, please do so here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

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* 14. Is ASPHN involved in a project with this partner?  If yes, and it is different than the response to question #12, please briefly describe.  Indicate whether the project is time-limited or ongoing.

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* 15. ASPHNs 2017-2022 Strategic Plan promotes the inclusion of the Levels of Collaboration (LOC) Scale to rate Partnerships. With this new procedure, all collaborations and partnerships must be reviewed in 2018 to obtain data. Moving forward, the LOC will determine what information will be included in the subsequent Partnership Reviews and Board Reports. Please refer to the Collaboration Primer for more detailed information, and ASPHN Collaboration Resources section for more in-depth resources.

What level of collaboration is this partnership currently at in relation to its partnership/interaction with ASPHN?

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* 16. Is this partnership helping to advance the priorities outlined in ASPHN’s strategic plan?  The following is a list of ASPHN Priorities. Responding "Directly" means that the priority is most directly related to the project or association.  (To view the full list of ASPHN Priorities, click here.)


  Directly Indirectly No N/A
Support the association operations and have the capacity to achieve the mission and pursue the vision.
Provide a strong, proactive voice to advance national policies, initiatives, resources and programs that help states and localities effectively address issues related to nutrition and physical activity.
Promote the role and value of the public health nutritionists.
To make sure the healthy choice is the easy choice, elevate systems, policy and environmental change (e.g. behavioral economic strategies) as statewide and local strategies that promote nutrition and physical activity and prevent disease.
Achieve optimal well-being through healthy eating and active living among the maternal, infant, child and adolescent population, including those served by Title V/MCH Block Grant.
Work to achieve health equity by making health equity a priority in programs.
Develop resources that facilitate state-to-state sharing and that enable State Health Agencies to provide effective, visible leadership for healthy eating and physical activity, especially in communities with high rates of chronic disease.
Develop a multi-disciplinary, culturally competent, diverse workforce to address public health nutrition issues, and support robust educational preparation of public health nutritionists.
Provide guidance to members to develop and implement nutrition programs and services as part of the Affordable Care Act.
Assure access to public health nutrition data to help assess nutritional health status of populations, track impact of interventions, identify early-emerging, nutrition-related health concerns, and identify populations who are disproportionally .... 
Increase fruit and vegetable consumption, especially in communities with high rates of chronic disease.
Promote health by preventing obesity, especially in communities with high rates of chronic disease. 
Reduce access to sugar-sweetened beverages and increase access to water, especially in communities with high rates of chronic disease
Increase the incidence, exclusivity, and duration of breastfeeding.
Assure access to healthy food in all communities including the elimination of food insecurity and hunger and reduce food waste.
Increase physical activity and decrease physical inactivity, especially in communities with high rates of chronic disease.

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* 17. What is the level of involvement or time commitment required as the ASPHN liaison to this organization?

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* 18. Is there travel involved for in-person meetings? If so, what are the travel requirements? Is there funding available from the partner organization to reimburse for travel or activities?

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* 19. Do you recommend that ASPHN continue this partnership in 2018 - 2019?  Provide additional reasoning if needed.

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* 20. Additional Feedback from the Liaison: 

Does the liaison have any questions or need more support from ASPHN?


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* 21. Has the liaison attended a liaison training/update call?  If no, please explain what has made it difficult to participate?

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* 22. Is there more that ASPHN could be doing to enhance this partnership?Does the liaison have suggestions for future call topics?

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* 23. Any additional comments:

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