Tobacco-Free Living: Point of Sale
Implementation Guide
STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP)
OFFICE OF STATEWIDE HEALTH IMPROVEMENT INITIATIVES
TOBACCO-FREE LIVING: POINT OF SALE
Tobacco-Free Living: Point of Sale
Implementation Guide
Minnesota Department of Health
Office of Statewide Health Improvement Initiatives
Tobacco Prevention and Control
PO Box 64882, St. Paul, MN 55164-0882
651-201-3535
http://www.health.mn.gov/tobacco
November 2016
Upon request, this material will be made available in an alternative format such as large print, Braille or audio
recording. NOTE: Content in this guide is subject to change. Watch Basecamp for news on any updates.
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TOBACCO-FREE LIVING: POINT OF SALE
Contents
Overview .................................................................................................................................. 4
Best Practices....................................................................................................................... 4
Description of Strategy ........................................................................................................ 5
Scope and Requirements ......................................................................................................... 7
Implementation Steps ............................................................................................................. 8
Foundational Practices ........................................................................................................ 8
Building Effective Policy Strategies ..................................................................................... 8
Sample Work Plan Milestones and Activities .......................................................................... 9
Roles....................................................................................................................................... 10
Recommended Partners ........................................................................................................ 10
Key Resources and Tools ....................................................................................................... 11
Required Tools ................................................................................................................... 11
Supporting Resources ........................................................................................................ 12
MDH Content Support ........................................................................................................... 12
MDH Technical Assistance and Training ................................................................................ 13
Policy, Systems, and Environment (PSE) TA ...................................................................... 13
Legal Technical Assistance and Training ........................................................................... 14
Assessing Retail Environment Technical Assistance and Training .................................... 15
Attachments .......................................................................................................................... 15
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TOBACCO-FREE LIVING: POINT OF SALE
Overview
In 2014, U.S. tobacco companies spent over $8.2 billion marketing and promoting cigarettes
and smokeless tobacco products in the retail environment, or at the point-of-sale (or POS). This
equates to nearly $1 million per hour, and made up the vast majority (91 percent) of the
tobacco companies’ total advertising and promotional budgets ($9.1 billion).
Tobacco POS marketing targets both consumers and retailers. Core marketing activities include
price discounts, exterior and interior advertisements, product displays, and providing retailers
financial incentives to increase retail marketing and ensure optimal placement within the store.
Exposure to tobacco POS marketing is harmful to health. Heavy POS spending buys the tobacco
industry many things: brand recognition and preference, tobacco product cravings and
unplanned purchases, a reduction in successful quit attempts, an inflated perception of
smoking prevalence and acceptance, and increased initiation and continuation of tobacco use,
by youth in particular.
Segments of the population are disproportionally exposed to tobacco marketing in the retail
setting, particularly communities of color and low-income communities. Industry tactics include
targeted advertising of mentholated products to African-Americans, price promotions and
discounts, and a greater density of retailers in poorer communities.
An in-depth review of tobacco-related health disparities is provided in the new Center for
Disease Control and Prevention (CDC) Best Practices User Guides: Health Equity in Tobacco
Prevention and Control.
Best Practices
Point-of-sale (POS) strategies are a complement to foundational, evidence-based tobacco
prevention and control approaches. Traditionally, the CDC has promoted four foundational
strategies:
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Raising tobacco excise taxes and prices
Passing clean indoor air laws
Offering cessation services
Hard-hitting media campaigns
In recent years, POS strategies have become seen as another promising, evidence-based
approach and are recommended as the fifth strategy to pursue once the first four have been
established.
POS strategies are an emerging focus for several reasons. First, the 2009 Family Smoking
Prevention and Tobacco Control Act lifted preemption and extended new authority to states,
tribes, and local government to pass policies to regulate tobacco in the retail environment.
Second, sufficient empirical evidence now exists that demonstrates the strong relationship
between tobacco sales and marketing in retail stores and tobacco use behaviors. Finally, when
states or localities have instituted high tobacco prices, passed strong clean indoor air laws, and
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TOBACCO-FREE LIVING: POINT OF SALE
secured program funding as part of their core tobacco control strategies (as is the case in
Minnesota), work on POS is the next step in comprehensive tobacco control and prevention.
The Minnesota Comprehensive Tobacco Control Framework 2016-2021 lays out an ambitious
path to address tobacco use. Several point-of-sale policies are included in the 17 Bold Steps
outlined in the document.
Working together, public health professionals, community advocates, and local governments
have the power to initiate and implement policy and environmental interventions that change
the way tobacco is sold and marketed in the retail environment. Stronger retail tobacco control
policies can prevent youth from ever starting and can make it easier for current tobacco users
to quit.
Description of Strategy
The intent of this strategy is to improve the tobacco retail environment by reducing the
community’s exposure to tobacco products and marketing. This can be accomplished through
local ordinance changes. Grantees will pursue and implement evidence-based approaches that
will lead to decreased youth access and exposure to tobacco marketing practices.
The goals of this strategy are to:
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Decrease tobacco exposure and use
Reduce tobacco-related disparities
Increase community awareness of tobacco industry practices
Improve enforcement and compliance with youth access and retail regulatory laws
Applicants will select one of the two approaches in the Tobacco Point-of-Sale strategy –
Foundational or Advanced – and create a work plan to reflect milestones and activities to
support the policy, systems, and environmental changes.
In this strategy, grantees will be educating and mobilizing community stakeholders to inform
and educate the public and decision makers about the public health concerns related to the
tobacco retail environment. All grantees must start with the “Foundational Approach” detailed
below and must be able to demonstrate existing laws and enforcement practices before
proposing to work on any “Advanced Approaches.”
Foundational Approach: Update and Strengthen Existing Local Laws
While a local (city or county) retail license is required to sell tobacco products and related
devices (including electronic cigarettes) in Minnesota, some local licensing regulations have
fallen out of compliance with state and federal laws and need updating. Tobacco retail licensing
ordinances (as well as retail licensing fees) drive mandatory compliance monitoring programs,
establish strong penalty structures, and will often include additional, more comprehensive
tobacco control regulations beyond the minimums specifically required in state law (Chapter
461 of the Minnesota Statutes).
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TOBACCO-FREE LIVING: POINT OF SALE
At a minimum, grantees will work on updating and strengthening local licensing, compliance,
and enforcement laws and practices to ensure that they meet state requirements, provide
clear and comprehensive definitions, and include robust and self-sustaining compliance
programs. Examples include:
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Ensuring that all retailers (including e-cigarette-only vendors) obtain a license and renew
it annually.
Imposing a license fee that is sufficient to cover all the costs associated with
administration, implementation, and enforcement of the licensing regulations.
Providing that violation of any federal, state, or local tobacco control law is also a
violation of the terms of the license.
Establishing a penalty structure that helps ensure compliance with the licensing
requirements, reduces repeat offenses, and funds additional inspections and related
enforcement activities.
Authorizing the license to be suspended or revoked for violations.
More details can be found on pages 7-8 in the document Point of Sale Strategies: A Tobacco
Control Guide.
Advanced Approaches: Reduce the Availability and Appeal of Tobacco through
Point of Sale Restrictions
Grantees will also have the option, subject to MDH approval, to work on Advanced
Approaches to improve the tobacco retail environment through local ordinances changes.
Strategies could include:
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Reducing (or restricting) the number, location, density, and types of tobacco retail
outlets, such as limitations of tobacco sales by schools or in pharmacies.
Increasing the cost of tobacco products through non-tax approaches such as minimum
product pricing, minimum pack sizes, and prohibiting coupon redemption and other
price discounting.
Establish content-neutral sign regulations that limit external facing signage.
Restricting the sale of menthol and other flavored products to adult-only, tobacco
product shops.
Raising the minimum legal age to purchase tobacco to 21.
Requiring a minimum age to sell (minimum clerk age) to 18.
Prohibiting the distribution and use of samples in retail environment.
More details can be found on pages 15-29 in the document Point of Sale Strategies: A Tobacco
Control Guide.
Opportunities for Layering with Community Strategies: Healthy Eating and Active
Living
In addition to these Foundational and Advanced Approaches, grantees with the capacity and
opportunity may propose incorporating healthy eating or active living community strategies
into their tobacco point-of-sale work. Layering examples could include, but are not limited to:
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TOBACCO-FREE LIVING: POINT OF SALE
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Using standard tools to assess the retail environment and accessibility.
Pursuing local ordinances that establish content-neutral sign regulations that limit
external facing signage.
Regulating not only the location, density, and proximity of tobacco retailers but also
address active living and healthy eating concepts into community comprehensive plans.
Recruiting retailers to voluntarily reduce tobacco products and marketing, which could
qualify them for a financial incentive to promote healthy foods in their stores.
Please consult with MDH staff for details about layering possibilities and available tools.
Scope and Requirements
There are a few requirements that grantees should be aware of before selecting this strategy:
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At the minimum, grantees are required to work on updating and strengthening of local
tobacco ordinances to comply with state and federal laws and best align with licensing,
compliance, and enforcement best practices. This is the Foundational Approach.
Grantees must demonstrate that the local licensing authority has proposed or updated
their tobacco ordinance to reflect state and federal laws and strengthened their basic
licensing regulations and practices (the Foundational Approach) before they may pursue
Advanced Approaches. Grantees should add this step to their work plans.
A grantee who selects the Foundation Approach, but later wants to pursue Advanced
Approaches, may do so with prior MDH approval.
Advanced Approaches must include community education and engagement activities to
build public support and awareness.
Grant funds may not directly fund local compliance checks. It is intended to be used for
creating and promoting the adoption of adequate licensing fees to sustain the licensing
program.
Grantees working on this strategy may not lobby in order to influencing policy making.
As the local public health authority, the grantee will be providing expertise and
education assistance such as data, fact sheets, reports, and related resources in order to
impact policy makers, other decision makers, specific stakeholders, and the general
community.
Grantees will be expected to include the following activities into their work plans:
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Identifying and analyzing youth and adult tobacco use rates.
Assessing the retail environment by performing retailer audits and mapping activities
using Counter Tools.
With the assistance of Public Health Law Center, identifying gaps and opportunities to
update and improve local tobacco laws.
Participating in TA and Training opportunities, led by the American Lung Association and
Association for Nonsmokers – MN, in order to strengthen community engagement and
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TOBACCO-FREE LIVING: POINT OF SALE
education skills such as gauging public support and opinion, key informant interviews,
securing partnerships, and working with stakeholders.
Implementation Steps
Foundational Practices
Start with these foundational practices steps before beginning to implement this strategy.
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Assess and identify health inequities and disparities to determine the priority
populations and communities to work with.
Engage affected communities.
Communicate and build capacity of decision-makers and community members.
Prioritize needs and identify how to implement PSE changes by selecting activities.
Sustain partnerships and efforts.
The general steps to implement these foundational practices include:
1. Assemble a team to conduct a community assessment.
2. Review existing data and collect additional data, as needed, related to population
demographics and disease and risk factor data disparities and inequities.
3. Determine the existence and location of community stakeholders, organizations and
resources.
4. Assess the opportunities and gaps in the community and with partners.
5. Assess the adequacy of current local tobacco policies with the guidance of Public Health
Law Center.
6. Summarize and analyze the assessment data to select priority populations and
communities to work with on this strategy.
7. Utilize these findings to establish a POS community outreach and engagement plan
using vetted key messages and tools.
The starting point for these foundational practices will vary, depending upon how much work
has previously been done in your communities through SHIP and/or other grants, programs,
and public health work. Some grantees may have already identified priority populations and
communities with health inequities and others may be just beginning the process. Build on
existing work wherever possible.
Building Effective Policy Strategies
Effective local tobacco control policies are fundamental to the success of reducing tobacco use
and exposure. As you begin planning and preparing, the following tobacco policy guide will help
you develop your strategy.
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The Policy Strategies: A Tobacco Control Guide, assists tobacco control staff in laying the
ground work and building effective policy strategies. Specific examples include:
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Planning and drafting policy
Crafting talking points and messaging
Generating media coverage
Creating policy briefs to educate decision makers
Working with community groups
Providing evidence-based testimony
Holding face-to-face educational meetings
Countering opposition
There are a number of resources available to increase your knowledge, skills, and abilities in
point-of-sale policy work. Some resources are listed in the Key Resources and Tools section.
Sample Work Plan Milestones and
Activities
Community Assessment and Planning Phase: Approx. 6 - 12 months
Document public health problem; assess community needs and readiness, policy and legal gaps
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Assess the adequacy of current local tobacco policies with the guidance of Public
Health Law Center.
Gather local health data (e.g., tobacco use rates) & policy compliance data.
Assess the community environment with the Counter Tools Minnesota Store Mapper.
Assess the consumer environment with the Counter Tools Store Audit Center.
Determine community needs, particularly the needs of disparate populations.
Gather all the data collected and with the guidance of MDH and tobacco TA
providers, begin policy planning for the next phases of the strategy.
Community Education and Engagement Phase: Approx. 6 months - 12 months
Build community capacity and implement the policy campaign &
Recruit community members to build a local coalition to mobilize support for policy goal
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Conduct one-on-one meetings to recruit key community members.
Conduct presentations to enlist support of key organizations.
Attend community events to educate and recruit the public.
Convene a local coalition to initiate campaign activities.
Meet with key stakeholders and decision makers.
Engage the media to educate the public and decision makers.
Educate and inform decision makers on tobacco control and prevention best
practices.
Policy Adoption and Implementation Phase: Approx. 12 months
Ensure that provisions of adopted policy are implemented and enforced as intended
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TOBACCO-FREE LIVING: POINT OF SALE
Community Assessment and Planning Phase: Approx. 6 - 12 months
Document public health problem; assess community needs and readiness, policy and legal gaps
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Build and maintain relationships with city and county licensing staff through regular
contact to foster collaboration in policy implementation efforts.
Engage the media to educate the public about provisions of adopted policy.
Monitor policy implementation and enforcement.
Conduct another round of store audits to document change over time.
Roles
For those grantees working to update and strengthen their local licensing laws and practices
only (Foundational Approach), this work can be accomplished across governmental units with
relatively little coalition support depending on the environment.
For those pursuing Advanced Approaches, a grantee (or subcontractor) will lead the
mobilization and education efforts. Grantees may choose to subcontract the direct work.
However, local public health will be expected to support the subcontractor by providing public
health expertise and assist with making internal connections. Grantees should expect this
approach to be more time intensive, the actual time depending on the type of POS change
undertaken. Grantees supporting a subcontractor should budget a couple of hours a week
knowing that this will vary depending on the phase of the policy. Grantees completing the work
themselves should expect to spend on average of about 20 hours a week on POS work.
MDH will lead technical assistance and training efforts and coordinate grantee efforts across
the state. MDH’s TA providers will provide proactive and reactive assistance for the grantees
such as assessment and planning tools, grantee skill development, community engagement
tactics, and implementation troubleshooting. MDH and TA providers will support grantees
through monthly POS grantee connect calls, periodic webinars, and by incorporating POS
discussion into regional Making It Better trainings.
Recommended Partners
Developing meaningful partnerships and engaging community members is critical to advancing
health equity and reducing tobacco-related health disparities. There is not a one size fits all
community engagement plan. However, these may be some helpful tools and questions to help
guide the work.
CDC’s Health Equity Guide on developing partnerships and coalitions and meaningful
community engagement.
In addition, identify other groups funded to work on tobacco prevention and control work that
would be interested in collaborating. Examples could include, but are not limited to:
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MDH Tobacco-Free Communities (TFC) grant program
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TOBACCO-FREE LIVING: POINT OF SALE
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MDH American Indian grant program (includes SHIP and TFC)
MDH Eliminating Health Disparities Initiatives (EHDI) grant program
Grants from other funders Blue Cross and Blue Shield and ClearWay Minnesota
Other existing tobacco, alcohol, or other drug prevention task forces
Are other like organizations or groups with compatible missions possible partners? Examples
could include, but are not limited to:
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Community Leadership Team (CLT)
Twin Cities Medical Society
Health and wellness organizations or groups
Crime or violence prevention groups
Youth organizations and clubs: DARE, Future Farmers of America (FFA), Boys and Girls
Club, 4-H, scouts, YMCA/YWCA, National Honor Society, student council, sports teams,
Fellowship of Christian Athletes (FCA), and others
Volunteer organizations: American Lung Association, American Cancer Society,
American Heart Association, Women of Today, March of Dimes, Mothers Against Drunk
Driving (MADD), or other similar organizations
Neighborhood associations
Social service organizations
Other foundations, religious organizations, health systems, non-profits, and businesses
Are there any individuals with unique perspectives and with a vested interested in the health
and well-being of their community such as physicians, educators, elders, and parents?
Who are the decision makers and other stakeholders? Examples could include, but are not
limited to: law enforcement, tobacco retailer licenser, code enforcement, and city/county
planners and administrators.
Key Resources and Tools
Required Tools
Counter Tools Store Audit Center and Minnesota Mapper software tools provide communities
online interactive store mapping and store-auditing tools to assist with their POS work. To gain
access to these tools, contact your grant manager. Counter Tools is associated is Counter
Tobacco.org, a CDC-funded website with information and resources for organizations working
to counteract tobacco product sales and marketing at the point-of-sale.
The Minnesota Tobacco Point-of-Sale Policy Toolkit A series of resources created by the Public
Health Law Center that provides Minnesota-specific information on local retail tobacco
licensing and point-of-sale options.
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TOBACCO-FREE LIVING: POINT OF SALE
Point-of-Sale Strategies: A Tobacco Control Guide Created by the Tobacco Control Legal
Consortium and Washington University Center for Public Health Systems Science, this Guide
provides detailed information on advanced approaches to POS.
Regulating Tobacco in the Retail Environment: An Overview of Local Point-of-Sale Strategies
This webinar provides an overview of foundational and advanced POS approaches, identify the
mechanisms for implementing these strategies at the local level, and help grantees incorporate
POS into their work.
Why Point of Sale Matters: The Evidence webinar by Counter Tools and Minnesota Department
of Health
Supporting Resources
A Practitioner’s Guide for Advancing Health Equity: Community Strategies for Preventing
Chronic Disease, POS Strategies to Address Access and Exposure to Tobacco Products by CDC
Division of Community Health describes how to design tobacco-free living strategies that
address the needs of populations that have disproportionately higher rates of tobacco-use.
Healthy Retail Playbook by ChangeLab Solutions
License to Kill?: Tobacco Retailer Licensing as an Effective Enforcement Tool by the Tobacco
Control Legal Consortium is a comprehensive overview of tobacco retailer licensing.
Point of Sale Playbook by ChangeLab Solutions is also a reference guide that outlines policy
options for regulating how and where tobacco products are marketed and sold.
Stop Sales to Minors is an online tobacco vendor training by the Association for NonsmokersMN.
Tobacco Retailer Licensing Playbook by ChangeLab Solutions is intended as a reference guide
to provide an overview of all the steps and considerations involved in building support for
tobacco retailer licensing and creating and implementing a solid policy.
Lethal Lure is toolkit and website created by the American Lung Association
MDH Content Support
Your Community Specialist is available for consultation while you draft your work plans.
Additionally, MDH content staff are available on an ongoing basis to answer questions about
the strategies to assist grantees in making selections.
Cassandra Stepan, Local Tobacco Policy Planner
Tobacco Prevention and Control
Office of Statewide Health Improvement Initiatives
[email protected]
651-201-3665
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TOBACCO-FREE LIVING: POINT OF SALE
MDH Technical Assistance and Training
Group Learning and Training Opportunities
Grantees must budget for at least one staff member to attend three regional in-person
trainings and one two-day statewide meeting per year. Tobacco-free living topics will be
incorporated into these trainings and meeting. Announcements on trainings and meetings will
provided in the Making it Better Log.
Additionally, grantees should participate in the monthly connect calls. These calls will be a peerto-peer learning environment facilitated by the American Lung Association. More formal
webinars may replace these calls in order to present timely research, resources, and news. The
call schedule can be found on Basecamp.
Individualized Technical Assistance
Local communities are strongly encouraged to work with a technical assistance provider for
further guidance and policy planning.
There are four organizations providing technical assistance and training on the tobacco retail
environment, local licensing, land use and zoning, as well as advertising, marketing, and
product and sales regulations for Minnesota communities through MDH.
Tobacco technical assistance and training has three components – PSE Consultation, Legal
Technical Assistance, and Tobacco Retail Environment Assessment. To ensure efficiencies and
to address distinct regional needs, PSE consultation services will be divided between two
organizations. All grantees will work with the Public Health Law Center in coordination with
either ANSR or ALA on policy development as well as Counter Tools regarding retail assessment
tools.
Policy, Systems, and Environment (PSE) TA
PSE TA providers serve as tobacco prevention and control policy experts and provide
individualized consultation to MDH grantees on PSE change phases including strategy
development, policy adoption, implementation, and enforcement. PSE TA providers
demonstrate deep expertise in tobacco control PSE processes, best practices, and
implementation and enforcement strategies and be able to accommodate specific community
needs and strengths when assisting grantees.
PSE TA providers provide technical support for all tobacco control PSE strategies chosen by
MDH grantees. They have the capacity to provide:
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Provide one-on-one consultation around PSE change to grantees.
Provide strategy-specific resources such as toolkits, templates, factsheets, talking
points, sample policies, and enforcement guides that can be adapted for communities.
Work with grantees to co-create and develop needed materials and resources.
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TOBACCO-FREE LIVING: POINT OF SALE
The Association for Nonsmokers – Minnesota (ANSR)
Esha Seth, MDH TA Lead
[email protected]
(651) 646-3005
The following SHIP grantees should contact ANSR for 1:1 PSE TA services:
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Anoka County
Benton County
Bloomington-Edina-Richfield
Carver County
Chisago County
Dakota County
Hennepin County
Isanti-Mille Lacs-Kanabec- Pine
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Minneapolis
Scott County
Sherburne County
St. Paul- Ramsey
Stearns County
Washington County
Wright County
American Lung Association of the Upper Midwest
Erin Simmons, MDH TA Lead
[email protected]
507-382-7421
The following SHIP grantees should contact ALA for 1:1 PSE TA services:
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Blue Earth
Brown-Nicollet- Le Sueur-Waseca
Cass
Countryside
Crow Wing
Des Moines Valley with Nobles County
Dodge-Steele
Faribault-Martin- Watonwan
Fillmore-Houston
Freeborn
Goodhue
Healthy Northland
Health 4 Life
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Horizon
Kandiyohi-Renville
Meeker-McLeod-Sibley
Morrison-Todd-Wadena
Mower
North Country
Olmsted
Polk-Norman-Mahnomen
Quin
Rice
Southwest Health and Human Services
Wabasha
Winona
Legal Technical Assistance and Training
The Public Health Law Center provides statewide legal technical assistance and training for
MDH grantees. PHLC and the Tobacco Control Legal Consortium has an extensive set of helpful
guides, fact sheets, tips and tools, toolkits, reports, sample policies, and webinars.
Scott Kelly, MDH TA Lead
[email protected]
651-695-7611
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TOBACCO-FREE LIVING: POINT OF SALE
Assessing Retail Environment Technical Assistance and Training
Counter Tools provides all MDH grantees with online interactive store mapping and storeauditing tools to assist with their POS work. To gain access to these tools, contact your grant
manager. Associated is Counter Tobacco.org, which is a CDC-funded website with information
and resources for organizations working to counteract tobacco product sales and marketing at
the point-of-sale.
Jennifer Grant, MDH TA Lead
[email protected]
919-694-3066 x212
Attachments
SHIP Tobacco TA Provider Assignments Map
SHIP POS Phased Model of Change
Why POS Matters Infographic
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Kittson
Roseau
Lake of
the Woods
Marshall
Koochiching
Beltrami
Pennington
Cook
Red Lake
Polk
Norman
Lake
Clearwater
St. Louis
Itasca
Mahnomen
Hubbard
Cass
Becker
Wilkin
Otter Tail
Todd
Grant
Douglas
Stevens
Pope
Aitkin
Crow
Wing
Wadena
Kanabec
Benton
Stearns
Big
Stone
Isanti
Sherburne
Chisago
Swift
Anoka
Chippewa
Yellow Medicine
Kandiyohi
Wright
Meeker
Hennepin
McLeod
Renville
Lyon
Redwood
Ram
sey
Carver
Dakota
Scott
Sibley
Lincoln
Tobacco PSE TA Providers:
American Lung Association
Association for Nonsmokers
Pine
Mille
Lacs
Morrison
Traverse
Lac Qui
Parle
Carlton
Nicollet
Washington
Clay
Le Sueur
Rice
Goodhue
Wabasha
Brown
Pipestone
Murray
Cottonwood
Rock
Nobles
Jackson
Watonwan
Martin
Blue Earth
Faribault
Waseca
Steele
Freeborn
Dodge
Mower
Olmsted
Winona
Fillmore
Houston
Phased Model of Change
Tobacco-Free Living: Point of Sale
1
Community
Assessment
2
Year 1
End of Year 1
Strategy Direction and
Planning
Key Activities
Technical Assistance, Training, and Tools
3
Community Education
and Engagement
4
Year 2
End of Year 2
• Engage
• Communicate and
Build Capacity
Policy Adoption and
Implementation
• Engage
• Communicate and
Build Capacity
5
Policy Enforcement
and Evaluation
Years 3-5
• Assess and Identify
• Prioritize Needs
• Document the public
health problem.
• Identify issues
through community
participation.
• Determine community
needs, particularly for
disparate populations.
• Identify priorities bases
strengths, weaknesses,
opportunities, and
threats.
• Identify policy goals
and establish plan.
• Inform and educate
• Community members
community members
assume greater power
and key decision
and desire to create
makers on findings.
change.
• Build community
• Provide technical
capacity to create their
assistance to
own solutions based on
communities to
best practices.
adopt and implement
• Community members
changes.
actively participate in
identifying and solving
their problems and
become better able
to address future
problems collectively.
• Community members
collectively improve
leadership, social
networks, and quality
of life.
• Collect all tobacco
ordinances, licensing
fees, compliance
protocol, and penalty
structure information
from city and county
licensing authorities.
• Submit these items
to Public Health Law
Center to assess
adequacy of current
tobacco ordinances
and procedures.
• When possible, collect
tobacco compliance
results from licensing
authorities.
• Collect lists of licensed
tobacco retailers from
licensing authorities.
• Use Counter Tools
Minnesota Store
Mapper to assess
community’s tobacco
retail environment.
• Conduct store audits to
assess the consumer’s
environment with Store
Audit Center software.
• Gather community
health data (e.g.,
tobacco use rates,
chronic disease,
demographics).
• Conduct community
input and gain
perspectives through
public opinion
polls, focus groups,
community input
sessions and/or key
informant interviews.
• Identify community
stakeholders to recruit
to local coalition.
• Plan strategic
activities to educate
decision makers and
stakeholders.
• Assess decision
makers’ level of policy
support.
• Conduct one-on-one
meetings to recruit key
community members.
• Conduct presentations
to enlist support from
key organizations.
• Attend community
events to educate
and recruit the public
support.
• Engage Community
Leadership Teams
(CLTs) in education
activities
• Conduct one-on-one
• Build and maintain
meetings with decision
relationships with city
makers.
staff by establishing
• Engage the media to
regular contact to
educate the public and
foster collaboration in
decision makers.
policy implementation
• Educate and inform
efforts.
decision makers
• Engage the media (opon tobacco control
eds, earned media,
and prevention best
etc.) to educate the
practices.
public about provisions
• Provide support
of adopted policy.
to communities to
• Monitor policy
adopt and implement
implementation and
changes.
enforcement.
Training
• MDH sponsored SHIP
POS kick-off March
2016
Technical Assistance
• Public Health Law
Center for licensing
review
• Counter Tools Store
Mapper and Store
Audit Center
Technical Assistance
• Schedule a 1.5 hour
TA session with MDH
and TA providers
concluding data
collection.
Tools
• Midwest Academy
Strategy Chart
• Public opinion poll
survey (alternatives
could include focus
groups, community
input sessions, key
informant interviews)
Tools
• One-on-one meeting
how-to guide
• Coalition building TA
• Media advocacy and
spokesperson training
• Packaged youth
and community
engagement activities
• PowerPoint
Presentation
templates and
educational handouts
Technical Assistance
• Public Health Law
Center provides
ordinance language
and legal support
• Evidence-based
guide to effective
implementation
and enforcement
mechanisms
Tools
• Template fact sheets,
press releases, social
media blurbs
Objectives
Foundational
Practices
Phases
STATEWIDE HEALTH IMPROVEMENT PROGRAM 2015-2020
• Sustain
• Ensure that changes
are implanted and
enforced as intended.
Tools
• Model enforcement
plan and
troubleshooting
• Outreach
communication
materials and strategy
• Monitoring and
evaluation plan