Table 3. Prioritized Actions and Outcomes to Reduce Prevalence of Childhood Obesity, Developed Through the Group Model Building Process, Action Building Committee of the Early Ages Healthy Stages Coalition, Cuyahoga County, Ohio, 2019–2020.

Prioritized actions	Implementation activities	Implementation outcomes
Understand early childhood care system in Cuyahoga County	Conducted a scan of existing efforts and initiatives in Cuyahoga County	• Scan survey developed and fielded in spring 2019 • Results of scan presented to Early Ages Healthy Stages coalition subgroup to assist with development of strategic plan in December 2019
Assess the effectiveness and impact of OHP in Cuyahoga County	Designed and conducted an evaluation of OHP	• Evaluation conducted and results presented to Cuyahoga County Board of Health in February 2020 • Manuscript submitted for publication July 2020 • White paper developed to advocate for funding for OHP, and for the integration of OHP into the Ohio early childhood care quality rating system and/or licensing requirements in June 2020
Advocate for OHP and improved early childhood care quality in Cuyahoga County	Developed communication materials and hosted a training to advocate for enhanced integration of early childhood health and education at a state level	• 12 Coalition members attended the training held in March 2019 • 4 Coalition members attended a statewide advocacy day held in May 2019
Maintain accountability of OHP designees in Cuyahoga County	Worked with OHP coordinator and program manager to develop monitoring tool for OHP-designated sites	• Monitoring tool designed summer and fall 2019, with planned implementation of tool in early 2020; implementation delayed due to COVID-19

Abbreviation: OHP, Ohio Healthy Programs.