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Healthy Food in Health Care
California Healthy Food in Health Care

	

1
ā€Ø

HCWH has grown to over 500 organizations in 53 countries. 	

Healthy Food Systems,Waste Management,Toxic
Materials, Safer Chemicals, Green Building  Energy,
Climate  Health, Green Purchasing, Pharmaceuticals	

Together with our partners around the world, Health
Care Without Harm shares a vision of a health care
sector that does no harm, and instead promotes the
health of people and the environment. To that end,
we are working to implement ecologically sound and
healthy alternatives to health care practices that
pollute the environment and contribute to disease.
Healthy Food in Health Care Program
ĀØļ‚Øā€Æ Deļ¬nition of healthy food:
nļ®ā€Æ Nutritious, whole foods and beverages
nļ®ā€Æ Environmentally sound
nļ®ā€Æ Economically viable
nļ®ā€Æ Socially responsible
ā€Ø

Intensive
monocultures

Farm as Factory
Where in the Food System ā€Ø
do Health Concerns Exist? 

Production
Pesticides, chemical fertilizers, antibiotic and
hormone use in meat and dairy production,
infectious agents, arsenic, environmental
degradation

Processing

Increased reliance on imported, unregulated
processed foods; residual mercury; food-borne
illness

Packaging / 
Transportation

Bisphenol A (BPA), phthalates, air quality, food
miles, widespread use of plastics leading to large
volumes of waste both in landļ¬lls and incinerated,
environmental degradation

Consumption

Fast food, sugar-sweetened beverages, high
fructose corn syrup, marketing, obesogens,
nutritionally deplete foods
5
Interconnections Between 
Nutrition and Environment
Barilla Centre for Food and Nutrition
www.barillacfn.com
6
Why Health Care?
ā€¢ā€Æ National Health Crisis of diet related
diseases
ā€¢ā€Æ Increasing understanding of linkages
between industrialized food systems
and human and environmental health
ā€¢ā€Æ Health Care in prime position to
support a healthier food system and
food environments:
ā€“ā€Æ Major employer
ā€“ā€Æ Health authority
ā€“ā€Æ Community member/leader
ā€“ā€Æ Large purchaser on food
Why Health Care?
ā€¢ā€Æ Their purchasing decisions have the
potential to impact:
Ƙļƒ˜ā€Æ Economic Impact on growers and
producers and their communities
Ƙļƒ˜ā€ÆHealth Impact for customersā€“ directly
and indirectly for employees, patients,
visitors
Ƙļƒ˜ā€ÆEnvironmental Impact ā€“ thus also
impacting human health
HFHC Program Initiatives
Healthy	
 Ā Beverage	
 Ā 
Ini0a0ve	
 Ā Balanced	
 Ā Menus	
 Ā 
Ini0a0ve	
 Ā 
Healthy	
 Ā Food	
 Ā 
Pledge	
 Ā 
Clinical	
 Ā Educa0on	
 Ā 	
 Ā 
Advocacy	
 Ā Program	
 Ā 
HHI	
 Ā ā€“	
 Ā Call	
 Ā to	
 Ā ac0on	
 Ā 
for	
 Ā the	
 Ā health	
 Ā care	
 Ā 
sector	
 Ā ā€“	
 Ā Healthier	
 Ā 
Food	
 Ā Challenge	
 Ā 
Local	
 Ā 	
 Ā Sustainable	
 Ā 
Purchasing	
 Ā Ini0a0ve	
 Ā 
10
Ā§ļ‚§ā€Æ Local, organic, fair trade and sustainably grown foods
Ā§ļ‚§ā€Æ Antibiotic-free and hormone-free meat/poultry; rBGH-
free dairy
Ā§ļ‚§ā€Æ Grass-fed meat and reduced meat servings
Ā§ļ‚§ā€Æ Cage-free eggs
Ā§ļ‚§ā€Æ Increasing healthy beverage offerings / decreasing SSBs
Ā§ļ‚§ā€Æ Farmers markets and hospital gardens on site
Ā§ļ‚§ā€Æ Healthy vended items
Ā§ļ‚§ā€Æ Fast-food-free zones
Ā§ļ‚§ā€Æ Composting and food waste reduction
Ā§ļ‚§ā€Æ Adopting healthy food policies
Sustainable Food Service
A Menu of Options
11
Clinical Education and Advocacy

Ā§ļ‚§ā€Æ CME-accredited trainings, grand rounds,
webinars
Ā§ļ‚§ā€Æ Nationwide clinical network
Ā§ļ‚§ā€Æ Maternal and child health calendar
Ā§ļ‚§ā€Æ Videos for waiting rooms, clinics, 
exam rooms, meetings
www.healthyfoodinhealthcare.org
http://www.healthyfoodinhealthcare.org/foodmatters.overview.php
12
Awards and Benchmarking
Ā§ļ‚§ā€Æ Food-Climate-Health
Connection
Ā§ļ‚§ā€Æ Sustainable Food
Procurement

Ā§ļ‚§ā€Æ Clinical Advocacy and
Engagement

Ā§ļ‚§ā€Æ Exemplary Food Service
Professional
13
www.healthierhospitals.org
LAUNCHED APRIL 2012!
14
15
HHI Healthier Food Challenge
Baseline: Sign Health Care Without Harmā€™s Healthy Food in
Health Care Pledge or adopt a sustainable food policy.
Choose 1 to 3 objectives over three years:

1) Take the Balanced Menus Challenge (Less Meat, Better
Meat)

2) Increase Purchases of Healthy Beverages

3) Increase Procurement of Local and/or Sustainable Foods
8 Providence Health Services
Hospitals in Oregon sign the
Pledge	

Portland Oregon hospitals
present check to
Department of Agriculture
representing their Local Food
Purchasing	

Trends: Policies and Purchasing
Sustainable Food
Purchasing at Union
Hospital of Cecil County
Healthy Food in
Vending
Machines	

Healthy Beverage
Programs
Trends: Healthy Food and Beverage Environments
Labeling
Healthy Menu
Items
Fresh, local and
sustainable fruits
and vegetables
Trends: Healthy Food Access
CSA at MedStar Montgomery
Farm Stand at Kaiser
Permanente
 Farmersā€™ Market at Oregon
Health  Science University
Itā€™s All Good
Store at
Oregon
Health 
Science
University
Community Garden: Johns Hopkins
Bayview Medical Center	

Good 
Samaritan 
Hospital
Futurecare Cherrywood 
Nursing  Rehabilitation
Hospital Farm: St. Joseph Mercy
Medical Center
Trends: Healthy Communities Beyond Hospital
Walls
20
Healthy Food in Health Careā€Ø
NATIONALLY
409 
Pledge
signatories ā€Ø
in 26 statesā€Ø

201 
HHI Food
Challenge
signatories ā€Ø
21
108 Signatories
Healthy Food in Health Care
Pledge

82 Signatories
Healthier Hospitals Initiative
Healthy Food Challenge

Leadership Teams
SF Bay Area
San Diego
Los Angeles. . .
Healthy Food in Health Careā€Ø
CALIFORNIA
21
22
Santa Rosa Memorial
Hospital
Kentfield Rehabilitation 
Specialty Hospital
UCSF Medical Center
SF VA Medical Center
Sequoia Hospital
John Muir 
Health System
Kaiser Permanente
SF Bay Area Leadership Team
Alta Bates Medical
Center
Sanford Hospital,
Lucile Packard
Childrenā€™s Hospital
Washington Hospital
SF General Hospital
St. Maryā€™s Med Ctr
Saint Francis
Hospital
23
San Diego
Nutrition in Healthcare Leadership Team
Ā§ļ‚§ā€Æ Palomar Pomerado Health
Ā§ļ‚§ā€Æ Kaiser Permanente San Diego Medical Center 
Ā§ļ‚§ā€Æ VA San Diego Healthcare System
Ā§ļ‚§ā€Æ UC San Diego Health Sciences
Ā§ļ‚§ā€Æ Scripps Memorial Hospital
Ā§ļ‚§ā€Æ Rady Children's Hospital
Ā§ļ‚§ā€Æ Sharp HealthCare
Ā§ļ‚§ā€Æ Alvarado Hospital
Organized by Community Health
Improvement Partners
24
Los Angeles
Healthy Food in Health Care Pledge Signers

UCLA Healthcare

Methodist Hospital of Southern CA

Hoag Memorial Presbyterian
Hoag Hospital Irvine
Hoag Hospital Newport Beach
Hoag Orthopedic Institute

Dignity Health
St. Mary Medical Center Long Beach 
California Hospital Medical Center,
LA 
Glendale Memorial Hospital and
Health Center 
St. Joseph Health 
St. Joseph Hospital, Orange 
St. Jude Medical Center, Fullerton 

Kaiser Permanente
Baldwin Park Medical Center 
Bellļ¬‚ower Medical Center 
Los Angeles Medical Center 
Orange County ā€“ Irvine Medical
Center 
South Bay Medical Center 
West Los Angeles Medical Center 
Woodland Hills Medical Center 
Panorama City Medical Center 
Anaheim Medical Center
25

www.HealthyFoodinHealthCare.org
Promotional
Materials:
Balanced
MenusTable
Tent	

HFHC Tools and Resources
Fact Sheets and Case Studies	

E-News
Letters

Listserve
HFHC Tools and Resources
Tracking Tools: Local  Sustainable
Procurement 
	

Purchasing Guides for
Hospitals and GPOs
28
Thank you to our hospital leaders!
www.HealthyFoodinHealthCare.org
www.CAHealthyFoodinHealthCare.org
Lucia Sayre
SF Bay Area PSR
Healthy Food in Health Care
510 559 8777
luciasayre@sbcglobal.net

28

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Healthy Food Hospitals

  • 1. 1 Healthy Food in Health Care California Healthy Food in Health Care 1
  • 2. ā€Ø HCWH has grown to over 500 organizations in 53 countries. Healthy Food Systems,Waste Management,Toxic Materials, Safer Chemicals, Green Building Energy, Climate Health, Green Purchasing, Pharmaceuticals Together with our partners around the world, Health Care Without Harm shares a vision of a health care sector that does no harm, and instead promotes the health of people and the environment. To that end, we are working to implement ecologically sound and healthy alternatives to health care practices that pollute the environment and contribute to disease.
  • 3. Healthy Food in Health Care Program ĀØļ‚Øā€Æ Deļ¬nition of healthy food: nļ®ā€Æ Nutritious, whole foods and beverages nļ®ā€Æ Environmentally sound nļ®ā€Æ Economically viable nļ®ā€Æ Socially responsible
  • 5. Where in the Food System ā€Ø do Health Concerns Exist? Production Pesticides, chemical fertilizers, antibiotic and hormone use in meat and dairy production, infectious agents, arsenic, environmental degradation Processing Increased reliance on imported, unregulated processed foods; residual mercury; food-borne illness Packaging / Transportation Bisphenol A (BPA), phthalates, air quality, food miles, widespread use of plastics leading to large volumes of waste both in landļ¬lls and incinerated, environmental degradation Consumption Fast food, sugar-sweetened beverages, high fructose corn syrup, marketing, obesogens, nutritionally deplete foods 5
  • 6. Interconnections Between Nutrition and Environment Barilla Centre for Food and Nutrition www.barillacfn.com 6
  • 7. Why Health Care? ā€¢ā€Æ National Health Crisis of diet related diseases ā€¢ā€Æ Increasing understanding of linkages between industrialized food systems and human and environmental health ā€¢ā€Æ Health Care in prime position to support a healthier food system and food environments: ā€“ā€Æ Major employer ā€“ā€Æ Health authority ā€“ā€Æ Community member/leader ā€“ā€Æ Large purchaser on food
  • 8. Why Health Care? ā€¢ā€Æ Their purchasing decisions have the potential to impact: Ƙļƒ˜ā€Æ Economic Impact on growers and producers and their communities Ƙļƒ˜ā€ÆHealth Impact for customersā€“ directly and indirectly for employees, patients, visitors Ƙļƒ˜ā€ÆEnvironmental Impact ā€“ thus also impacting human health
  • 9. HFHC Program Initiatives Healthy Ā Beverage Ā  Ini0a0ve Ā Balanced Ā Menus Ā  Ini0a0ve Ā  Healthy Ā Food Ā  Pledge Ā  Clinical Ā Educa0on Ā  Ā  Advocacy Ā Program Ā  HHI Ā ā€“ Ā Call Ā to Ā ac0on Ā  for Ā the Ā health Ā care Ā  sector Ā ā€“ Ā Healthier Ā  Food Ā Challenge Ā  Local Ā  Ā Sustainable Ā  Purchasing Ā Ini0a0ve Ā 
  • 10. 10 Ā§ļ‚§ā€Æ Local, organic, fair trade and sustainably grown foods Ā§ļ‚§ā€Æ Antibiotic-free and hormone-free meat/poultry; rBGH- free dairy Ā§ļ‚§ā€Æ Grass-fed meat and reduced meat servings Ā§ļ‚§ā€Æ Cage-free eggs Ā§ļ‚§ā€Æ Increasing healthy beverage offerings / decreasing SSBs Ā§ļ‚§ā€Æ Farmers markets and hospital gardens on site Ā§ļ‚§ā€Æ Healthy vended items Ā§ļ‚§ā€Æ Fast-food-free zones Ā§ļ‚§ā€Æ Composting and food waste reduction Ā§ļ‚§ā€Æ Adopting healthy food policies Sustainable Food Service A Menu of Options
  • 11. 11 Clinical Education and Advocacy Ā§ļ‚§ā€Æ CME-accredited trainings, grand rounds, webinars Ā§ļ‚§ā€Æ Nationwide clinical network Ā§ļ‚§ā€Æ Maternal and child health calendar Ā§ļ‚§ā€Æ Videos for waiting rooms, clinics, exam rooms, meetings www.healthyfoodinhealthcare.org http://www.healthyfoodinhealthcare.org/foodmatters.overview.php
  • 12. 12 Awards and Benchmarking Ā§ļ‚§ā€Æ Food-Climate-Health Connection Ā§ļ‚§ā€Æ Sustainable Food Procurement Ā§ļ‚§ā€Æ Clinical Advocacy and Engagement Ā§ļ‚§ā€Æ Exemplary Food Service Professional
  • 14. 14
  • 15. 15 HHI Healthier Food Challenge Baseline: Sign Health Care Without Harmā€™s Healthy Food in Health Care Pledge or adopt a sustainable food policy. Choose 1 to 3 objectives over three years: 1) Take the Balanced Menus Challenge (Less Meat, Better Meat) 2) Increase Purchases of Healthy Beverages 3) Increase Procurement of Local and/or Sustainable Foods
  • 16. 8 Providence Health Services Hospitals in Oregon sign the Pledge Portland Oregon hospitals present check to Department of Agriculture representing their Local Food Purchasing Trends: Policies and Purchasing Sustainable Food Purchasing at Union Hospital of Cecil County
  • 17. Healthy Food in Vending Machines Healthy Beverage Programs Trends: Healthy Food and Beverage Environments Labeling Healthy Menu Items Fresh, local and sustainable fruits and vegetables
  • 18. Trends: Healthy Food Access CSA at MedStar Montgomery Farm Stand at Kaiser Permanente Farmersā€™ Market at Oregon Health Science University Itā€™s All Good Store at Oregon Health Science University
  • 19. Community Garden: Johns Hopkins Bayview Medical Center Good Samaritan Hospital Futurecare Cherrywood Nursing Rehabilitation Hospital Farm: St. Joseph Mercy Medical Center Trends: Healthy Communities Beyond Hospital Walls
  • 20. 20 Healthy Food in Health Careā€Ø NATIONALLY 409 Pledge signatories ā€Ø in 26 statesā€Ø 201 HHI Food Challenge signatories ā€Ø
  • 21. 21 108 Signatories Healthy Food in Health Care Pledge 82 Signatories Healthier Hospitals Initiative Healthy Food Challenge Leadership Teams SF Bay Area San Diego Los Angeles. . . Healthy Food in Health Careā€Ø CALIFORNIA 21
  • 22. 22 Santa Rosa Memorial Hospital Kentfield Rehabilitation Specialty Hospital UCSF Medical Center SF VA Medical Center Sequoia Hospital John Muir Health System Kaiser Permanente SF Bay Area Leadership Team Alta Bates Medical Center Sanford Hospital, Lucile Packard Childrenā€™s Hospital Washington Hospital SF General Hospital St. Maryā€™s Med Ctr Saint Francis Hospital
  • 23. 23 San Diego Nutrition in Healthcare Leadership Team Ā§ļ‚§ā€Æ Palomar Pomerado Health Ā§ļ‚§ā€Æ Kaiser Permanente San Diego Medical Center Ā§ļ‚§ā€Æ VA San Diego Healthcare System Ā§ļ‚§ā€Æ UC San Diego Health Sciences Ā§ļ‚§ā€Æ Scripps Memorial Hospital Ā§ļ‚§ā€Æ Rady Children's Hospital Ā§ļ‚§ā€Æ Sharp HealthCare Ā§ļ‚§ā€Æ Alvarado Hospital Organized by Community Health Improvement Partners
  • 24. 24 Los Angeles Healthy Food in Health Care Pledge Signers UCLA Healthcare Methodist Hospital of Southern CA Hoag Memorial Presbyterian Hoag Hospital Irvine Hoag Hospital Newport Beach Hoag Orthopedic Institute Dignity Health St. Mary Medical Center Long Beach California Hospital Medical Center, LA Glendale Memorial Hospital and Health Center St. Joseph Health St. Joseph Hospital, Orange St. Jude Medical Center, Fullerton Kaiser Permanente Baldwin Park Medical Center Bellļ¬‚ower Medical Center Los Angeles Medical Center Orange County ā€“ Irvine Medical Center South Bay Medical Center West Los Angeles Medical Center Woodland Hills Medical Center Panorama City Medical Center Anaheim Medical Center
  • 26. Promotional Materials: Balanced MenusTable Tent HFHC Tools and Resources Fact Sheets and Case Studies E-News Letters Listserve
  • 27. HFHC Tools and Resources Tracking Tools: Local Sustainable Procurement Purchasing Guides for Hospitals and GPOs
  • 28. 28 Thank you to our hospital leaders! www.HealthyFoodinHealthCare.org www.CAHealthyFoodinHealthCare.org Lucia Sayre SF Bay Area PSR Healthy Food in Health Care 510 559 8777 luciasayre@sbcglobal.net 28