Connections IN Health Membership Inquiry

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Connections IN Health Membership Inquiry

The Indiana Clinical and Translational Sciences Institute (CTSI), the Indiana Department of Health (IDOH), and the IU Simon Comprehensive Cancer Center (IUSCCC) have come together to strengthen their partnership to improve health in Indiana by forming Connections IN Health. This alliance unites the state’s health coalition development work, and the IUSCC’s community and engagement initiatives with that of Indiana CTSI. Connections IN Health is led by the Indiana CTSI’s Community Health Partnerships program, which works to improve health in Indiana through community-university partnerships and community-based health research.

Connections IN Health supports stakeholders, organizations, advocates, and residents as they come together to improve health and address chronic diseases. Connections IN Health facilitates collaboration within communities by connecting stakeholders with evidence-based practices, identifying funding sources, and addressing health equity for all.

Connections IN Health includes four statewide chronic disease initiatives:

The Indiana Joint Asthma Coalition (InJAC)
The Health Equity and Cancer Control Initiative
The Hoosier Health and Wellness Alliance (HHWA)
The Cardiovascular and Diabetes Coalition of Indiana (CADI)

Over the last decade, all four of the initiatives have made significant progress promoting local community health efforts. The Connections IN Health team’s primary goal is to further these health promotion efforts across the state.

Connections IN Health partners with statewide organizations, including Purdue Extension, which is involved in more than 60 health coalitions across the state and has educators in all 92 Indiana counties.

Please describe yourself.

* must provide value

I am interested in joining one of the Connections IN Health initiatives/coalitions

I am CURRENTLY a member of at least one of the Connections IN Health initiatives/coalitions

I am only interested in receiving more information about the Connections IN Health initiatives/coalitions

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First Name

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Last Name

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Organization

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Position

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County Served

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Please list all counties served

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Email Address

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Mailing Address

City

State

Zip Code

Phone Number

Can we contact you via text?

Yes

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Which initiative(s) are you interested in joining?

* must provide value

Cancer Control Initiatives

Cardiovascular and Diabetes Coalition of Indiana (CADI)

Hoosier Health and Wellness Alliance (HHWA)

Indiana Joint Asthma Coalition (InJAC)

Which initative(s) are you a member of?

* must provide value

Cancer Control Initatives

Cardiovascular and Diabetes Coalition of Indiana (CADI)

Hoosier Health and Wellness Alliance (HHWA)

Indiana Joint Asthma Coalition (InJAC)

Which Connections IN Health initiative(s) would you like more information for?

* must provide value

Cancer Control Initiatives

Cardiovascular and Diabetes Coalition of Indiana (CADI)

Hoosier Health and Wellness Alliance (HHWA)

Indiana Joint Asthma Coalition (InJAC)

Connections IN Health in general

The Cancer Control Outreach initiative collaborates with the IU Simon Comprehensive Cancer Center’s Community Outreach and Engagement Office, as they strive to increase awareness of cancer as a cause of suffering and death, disseminate evidence and community-based cancer control strategies that focus on eliminating cancer disparities and promoting health policy to decrease the cancer burden in Indiana.

Select the membership level that you best identify with.

* must provide value

General Membership - General Members receive general and periodic information from the initiative via email or social media.

Active Membership - Active Members are interested in meeting on a quarterly basis to receive updates on tobacco control, colorectal, and other cancer initiatives.

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The Cardiovascular and Diabetes Coalition of Indiana (CADI) is working to help Hoosiers address the burden of cardiovascular diseases, diabetes, and stroke through education, collaboration, awareness, advocacy, and access to care. CADI uses its long-standing history of engaging various partners throughout the state in service of this work. The coalition has successfully been able to develop and launch the Better Together Plan, Indiana’s first statewide strategic plan to address cardiovascular disease, diabetes and stroke together. Learn more here.

Select the membership level that you best identify with.

* must provide value

General Membership (Entry Level) - General Members receive general information and periodic information from the coalition via email or social media.

Partner Membership (Mid-Level) - Partner Members actively attend coalition meetings, participate in discussion around coalition activity and direction in addition to the previous level.

Active Membership (High Level) - Active Members participate in the coalition workgroups, which seek to engage in coalition activities that propel the current strategic direction that has been approved by the coalition in addition to the previous levels.

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The Hoosier Health and Wellness Alliance (HHWA) seeks to increase positive health outcomes within Indiana by providing the support and effective strategies needed to optimize local impact. HHWA values collaboration, education and food equity. Learn more here.

Select the membership level that you best identify with.

* must provide value

General Membership (Entry Level) - General Members receive general information and periodic information from the coalition via email or social media.

Partner Membership (Mid-Level) - Partner Members actively attend coalition meetings, participate in discussion around coalition activity and direction in addition to the previous level.

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Please indicate your interest in working on issues related to the following areas. Select all that apply.

* must provide value

Physical Activity

Nutrition

Food Insecurity

Food Access

Food Environments

Substance Misuse/Mental Health and how it relates to Nutrition/Physical Activity

Collaboration

Policy, Systems, and Environmental Change

K-12 School Health

Please indicate the types of skills that you have and are interested in contributing to HHWA. Select all that apply.

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Data Collection

Evaluation

Strategic Planning

Fundraising

Trainings

Media Outreach

Social Networking

Grassroots Organizing

Event Planning

Grant Writing

Presentations

Public Speaking

Meeting Facilitation

Writing and Editing

Other

Please describe other skills.

* must provide value

Expand

The Indiana Joint Asthma Coalition (InJAC) is developing Indiana’s statewide strategic plan, collaborating with other agencies, health departments, and stakeholders in rural and urban communities to address and create long term sustainability of asthma programming. The coalition aims to increase asthma awareness and education, create asthma action plans, and decrease the prevalence of asthma in adults and children throughout the state. Learn more here.

Select the membership level that you best identify with.

* must provide value

General Membership (Entry Level) - General Members receive general information and periodic information from the coalition via email or social media.

Partner Membership (Mid-Level) - Partner Members actively attend coalition meetings, participate in discussion around coalition activity and direction in addition to the previous level.

Strategic Membership (High Level) - Strategic Members participate in the coalition workgroups, which seek to engage in coalition activities that propel the current strategic direction that has been approved by the coalition in addition to the previous levels.

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Which sector(s) do you represent?

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Health Care Systems

Community-Based Organizations

Local Government

Military

Educational Systems

Statewide or National Organizations/Associations

Businesses

Community Member

Other

Please describe the 'Other' sector.

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Which healthcare system(s) do you represent?

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Community Health Centers

Hospitals

Community Health Workers

First Responders

Mental Health Providers

Pharmaceuticals

Health Insurance

Quality Assurance

IU Simon Comprehensive Cancer Center

Other

Please describe 'Other'.

* must provide value

Which community-based organization(s) do you represent?

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Food Pantries

Social Services

Transportation Services

Faith-Based Organizations

Neighborhood Associations

Minority-Focused Organizations

YMCA

Community Foundation

Local Coalition

Other

Please describe 'Other'.

* must provide value

Which local government entity(s) do you represent?

* must provide value

Local Health Department

Housing Authority

Government Officials

Parks and Recreation

Other

Please describe 'Other'.

* must provide value

Which military entity(s) do you represent?

* must provide value

Veterans Services

National Guard

Building Healthy Military Communities

Other

Please describe 'Other'.

* must provide value

Which educational system(s) do you represent?

* must provide value

Local School Corporations

Universities

Purdue Extension

Student

Other

Please describe 'Other'.

* must provide value

Which statewide or national organization(s) do you represent?

* must provide value

Indiana Department of Health

Indiana Family and Social Services Administration

Indiana Rural Health Association

Indiana Public Health Association

Indiana Minority Health Coalition

Indiana Cancer Consortium

Jump IN

Other

Please describe 'Other'.

* must provide value

Which business entity(s) do you represent?

* must provide value

Chamber of Commerce

Banking

Agriculture

Medical Supplies

Manufacturing

Local Small Business

Other

Please describe 'Other'.

* must provide value

What is your health area(s) of work?

* must provide value

Asthma

Cancer

Cardiovascular Disease

COVID-19

Diabetes

Health Care Access

Health Equity

HIV

Immunization

Infant and Maternal Health

Infant Mortality

LGBTQI Health

Mental Health

Minority Health

Nutrition

Obesity

Stroke

Substance Misuse

Tobacco/Vaping Cessation

Viral Hepatitis

Other

Please describe 'Other'.

* must provide value

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