5/30/2017 FOOD INSECURITY, HEALTH & HEALTH CARE: WHAT IS AT STAKE? INCOME-RELATED DISPARITIES IN DEATH RATES PERSIST. Hilary Seligman MD MAS
|
|
- Millicent Reeves
- 6 years ago
- Views:
Transcription
1 FOOD INSECURITY, HEALTH & HEALTH CARE: WHAT IS AT STAKE? Hilary Seligman MD MAS May 25, 2017 INCOME-RELATED DISPARITIES IN DEATH RATES PERSIST Chetty, The association between income and life expectancy in the United States, JAMA. April
2 Triple Aim of Health Care Lower Costs Improve Patient Care Triple Aim Improve Health at A Population Level Better care for the whole population at the lowest cost Source: See Donald M. Berwick et al. The Triple Aim: Care, Health and Cost, 27 Health Affairs (2008); Institute for Health Care Improvement CDC Health Impact Pyramid Increasing Population Impact Counseling and Education Clinical Interventions Increasing Individual Effort Needed Long Lasting Protective Interventions Changing the Context to Make Individuals Default Decisions Healthy Socioeconomic Factors Frieden T. Amer Jl of Public Health, April
3 A Conceptual Framework: Cycle of Food Insecurity & Chronic Disease HOUSEHOLD INCOME SPENDING TRADEOFFS FOOD INSECURITY STRESS UPSTREAM COMMUNITY INTERVENTION COPING STRATEGIES: Dietary Quality Eating Behaviors Bandwidth HEALTH CARE EXPENDITURES EMPLOYABILITY HEALTH CARE INTERVENTION CHRONIC DISEASE 3
4 Food Insecurity What we know today Across the lifespan, food insecurity is associated with: Poorer dietary intake Poorer physical, psychological, and behavioral health Poorer disease management What we think we know Improving food security results in: Better dietary intake & lower weight Improved disease management Lower health care costs Better health Reducing Food Insecurity May Impact Health in Many Ways Food Insecurity Dietary Intake Stress Self-Efficacy Bandwidth Competing Demands Binge-Fast Cycles School Presenteeism Employability Health & Wellbeing Cost $ 4
5 Food Insecurity and Health Care Costs Food Insecurity Health Care Expenditures Source: Tarasuk, CMAJ, US Data on Healthcare Costs Associated with Food Insecurity (NHIS-MEPS data) Annualized Estimated Expenditures US Dollars EMBARGOED: NOT FOR DISSEMINATION 0 Food Secure Food Insecure Estimates adjusted for: age, age squared, gender, race/ethnicity, education, income, rural residence, and insurance. Berkowitz, Basu, and Seligman. Health Services Research: in press. 5
6 Hospital Admissions Attributable to Low Blood Sugar Rise by 27% At End of the Month in California Admissions Attributable To Low Blood Sugar Among Patients Ages 19 And Older To Accredited California Hospitals On Each Day Of The Month, By Income Level, How can 27% we increase further in low investigate blood sugar whether admissions this during relationship 4 th week of is: month (compared 1) Caused to 1 st week by food of month) insecurity? for low-income group only 2) Amenable to treatment? Source: Seligman H K et al. Health Aff 2014;33: Natural Experiment May 2009 October
7 Eliminating the monthly cycle of hypoglycemia among commercially insured nonelderly adults would be expected to avert $54.1 million per year in emergency room and inpatient hospitalization costs nationally. Basu S, Berkowitz S, Seligman H. Med Care, SNAP participation associated with reduced subsequent healthcare expenditures (best estimate: -$1,409; 95% Confidence Interval [CI] -$2,694 to -$125) NHIS/MEPS Impact of food insecurity and SNAP participation on healthcare utilization and expenditures. (2017). Berkowitz, S., & Seligman, H. K., & Basu, S. University of Kentucky Center for Poverty Research Discussion Paper Series, DP esearch/discussionpapers. 7
8 SUMMARY OF THE WAVE WE ARE CRESTING Food insecurity is entering the mainstream of healthcare as a critical social determinant of health Financial interconnections between food insecurity and poor health are increasingly appreciated Implications: Professional organizations for physicians are recognizing importance of food insecurity Dozens of food insecurity interventions are being implemented in clinical settings Numerous potential funding mechanisms and models For the 1 st time, advises providers to: Evaluate hyper and hypoglycemia in the context of food insecurity Propose solutions accordingly Offers suggestions for medication management Proposes linkage to community resources 8
9 American Academy of Pediatrics Recommends Universal Screening Available at: Available at: Key Points in AAP Policy Statement Importance of food insecurity for children s physical and mental health, behavior, and developmental/academic outcomes Recommendations for pediatricians Two-item screening tool at scheduled health maintenance visits Learn how food insecurity impacts health outcomes Familiarize yourself with community resources Be advocates for increasing access to and funding for nutrition programs Available at: 9
10 Hunger Vital Sign For each statement, please tell me whether the statement was often true, sometimes true, or never true for you or your household: Within the past 12 months we worried whether our food would run out before we got money to buy more. Often True Sometimes True Never True Within the past 12 months the food we bought just didn t last and we didn t have money to buy more. Often True Sometimes True Never True policy/hunger vital sign/ Early Data on Clinical Screening Programs Available: More Coming Soon! Kaiser Permanente of Colorado experience Passive referrals are much less efficient than active referrals the clinical experience to community resources to address hunger incolorado/ the clinical experience to community resources to address hunger in colorado/ 10
11 Major new CMS program for social needs screening in clinical settings Food insecurity, housing instability, transportation needs, utility needs, intimate partner violence Grants ongoing; evaluation to begin specified tracks Screening for needs + info about resources Screening for needs + navigation into resources Screening for needs + alignment of healthcare systems and community organizations Food Insecurity Screening Being Implemented in Varied Clinical Settings all Over the Country Most interventions include screening using the Hunger Vital Sign Clinicians should only screen if: Condition is a significant public health problem Screening must be safe & cost-effective Screening identifies high % of people with the condition Screening must be widely available (looking for population health impact) Early detection prevents disease or improves health outcomes Interventions responding to a positive screen must be widely available 11
12 So what is a health partner to do? 1. Implementing on-site initiatives 2. Clinical initiatives Screening for food insecurity and referring to community based partners Integration into EMR 3. Engaging actively in community advocacy and policy development Participating in community coalitions, like your local food policy council 4. Financing community initiatives that your patients are using to address their dietary needs, either through community benefits or operating funds 5. Modelling the importance of food security and health for the community attractive, healthy foods in cafeteria are affordable 6. Intentionally hiring from neighborhoods at highest risk and supporting career growth and leadership opportunities On-Site Initiatives: A Spectrum Educating clinicians and health care staff about screening Onsite food distribution Food Pharmacy ( Farmacy ) permanently located at hospital or clinic, stocked and/or staffed by Food Bank Mobile food distributions at hospital or clinic Take-home meals provided at discharge Meal programs onsite Summer Food Service Program Congregate Meal Site On-site SNAP enrollment assistance during clinic visit or hospitalization 12
13 SCREEN & INTERVENE PROGRAMS PUT PRESSURE ON COMMUNITY-BASED ORGANIZATIONS PROVIDING FOOD Universal screening may yield more demand than you can handle Increased demand to provide highly nutritious foods Sustainability: encouraging health care partners to develop shared financial models Matching intervention with stage of readiness of partner HIPAA compliance Hilary Seligman, MD, MAS 13
Food Insecurity & Chronic Disease: Addressing a Complex Social Problem Through Programs, Policies, and Partnerships
Food Insecurity & Chronic Disease: Addressing a Complex Social Problem Through Programs, Policies, and Partnerships Hilary Seligman MD MAS Associate Professor of Medicine and of Epidemiology & Biostatistics,
More informationHilary Seligman, MD, MAS
SENIORS, FOOD INSECURITY, HEALTH, AND COMMUNITY PROGRAMMING Hilary Seligman, MD, MAS Senior Medical Advisor and Lead Scientist, Feeding America Associate Professor of Medicine and of Epidemiology & Biostatistics,
More informationIdeas + Action for a Better City learn more at SPUR.org. tweet about this #FoodisMedicine
Ideas + Action for a Better City learn more at SPUR.org tweet about this event: @SPUR_Urbanist #FoodisMedicine Food is Medicine SPUR February 12, 2019 Rita Nguyen, MD Assistant Health Officer Chronic Disease
More informationObjectives. Optimizing Care for Patients with Food Insecurity. Hunger 3/12/2016
Optimizing Care for Patients with Food Insecurity Hilary Seligman MD MAS Associate Professor of Medicine & of Epidemiology and Biostatistics, UCSF Senior Medical Advisor and Lead Scientist, Feeding America
More informationHUNGER S IMPACT ON HEALTH AND WELL-BEING
HUNGER S IMPACT ON HEALTH AND WELL-BEING Hungers Impact on Health & Well-being Sandra Hoyt Stenmark M.D. Sarah Van Scoy M.D. Agenda Hunger is prevalent Hunger impacts diet quality Hunger impacts health
More informationCommon Sense Solutions at the Intersection of Hunger, Nutrition, and Health
Common Sense Solutions at the Intersection of Hunger, Nutrition, and Health July 17, 2014 PARTNER LOGO Contact Lisa Davis Senior Vice President of Government Relations lisadavis@feedingamerica.org Eleni
More informationHunger and Health: The Impact of Food Insecurity on Chronic Disease and Health Care
Hunger and Health: The Impact of Food Insecurity on Chronic Disease and Health Care Jillian Barber, MPH Manager Community Benefit and Health Improvement Sharp HealthCare Sharp HealthCare Obesity Conference,
More informationThe Intersection of Food Insecurity, Health and Health Care Utilization
The Intersection of Food Insecurity, Health and Health Care Utilization Jillian Barber, MPH Manager Community Benefit and Health Improvement Sharp HealthCare Arizona Osteopathic Medical Association Annual
More informationEnhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer. December 2018
Enhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer December 2018 Goals GET INFORMED GET INSPIRED GET UNCOMFORTABLE GET ACTIVATED Carolinas HealthCare System Is Our
More information5/4/2017. Disclosures. Partnering to Improve Community Health Addressing Food Insecurity in Maine. 1. I have not received any commercial support.
Partnering to Improve Community Health Addressing Food Insecurity in Maine Doug Michael MPH, Chief Community Health Officer, EMHS May 6, 2017 Disclosures 1. I have not received any commercial support.
More informationSan Francisco Food Security Taskforce
A Healthy Food Voucher Program San Francisco Food Security Taskforce January 6, 2015 Our vision is that all low-income San Francisco residents, in all neighborhoods, will have access to fruits and vegetables
More informationKAISER PERMANENTE COLORADO S HUNGER SCREENING EFFORTS
KAISER PERMANENTE COLORADO S HUNGER SCREENING EFFORTS A Case Study on Clinic- Community Integration to Address the Non- Medical Social Needs of Members A. Introduction: Total Health and Clinic- Community
More informationFood Insecurity in the US and at SFGH
Food Insecurity in the US and at SFGH Hilary Seligman MD MAS Assistant Professor of Medicine Center for Vulnerable Populations Division of General Internal Medicine July 23, 2013 The Wall Street Journal
More informationKofi Essel, MD, MPH, FAAP Children s National Health System The George Washington University School of Medicine & Health Sciences Washington, DC
Kofi Essel, MD, MPH, FAAP Children s National Health System The George Washington University School of Medicine & Health Sciences Washington, DC Food insecurity describes the limited or uncertain availability
More informationInfluence of Special Needs: Presentation for IOM Committee on Examination of the Adequacy of Food Resources and SNAP Benefits
Influence of Special Needs: Presentation for IOM Committee on Examination of the Adequacy of Food Resources and SNAP Benefits Hilary Seligman, MD, MAS, FACP March 28, 2012 Objective Using diabetes as a
More informationScreening for Food Insecurity in Pediatric Primary Care: A Clinic s Positive Implementation Experiences
Screening for Food Insecurity in Pediatric Primary Care: A Clinic s Positive Implementation Experiences Elizabeth Adams, Dana Hargunani, Laurel Hoffmann, Gregory Blaschke, Joanna Helm, Anneliese Koehler
More informationImproving Food Access for Healthier Outcomes. Beth Neary, MD, MS and Jill Jacklitz, MSSW, HungerCare Coalition
Improving Food Access for Healthier Outcomes Beth Neary, MD, MS and Jill Jacklitz, MSSW, HungerCare Coalition Proper Nutrition is Key in CKD Prevent infection Build or maintain muscle mass Slow progression
More information2/28/2012. Roles for State Title V Programs in Building Systems of Care for CYSHCN- ASD & Other DD: Lessons Learned in NJ
Roles for State Title V Programs in Building Systems of Care for CYSHCN- ASD & Other DD: Lessons Learned in NJ Presented by Diana MTK Autin, Executive Co-Director, Statewide Parent Advocacy Network 35
More informationPriority Alignment. Birth Outcomes. Goal 1-Reduce preterm births. Goal 2 - Reduce substance misuse in pregnant women
Alignment Birth Outcomes Goal 1-Reduce preterm births Birth Outcomes Infant Mortality - Empower People - Reproductive and Sexual Health - Reduce preterm births - Reduce the fetal and infant deaths - Reduce
More informationFeeding America Diabetes Initiative January 2014!
Feeding America Diabetes Initiative January 2014! The Need to Address Diabetes & Food Insecurity! The Epidemic of Diabetes: 26 million Americans currently diagnosed with diabetes 79 million considered
More informationSupplemental Nutrition Assistance Program (SNAP): A Lifeline for Hungry Mainers
EXECUTIVE SUMMARY Supplemental Nutrition Assistance Program (SNAP): A Lifeline for Hungry Mainers by Sandra S. Butler, Ph.D. Professor, School of Social Work, University of Maine While the nation makes
More informationFresh Food Pharmacy: Changing how we take care of patients that are food insecure
Fresh Food Pharmacy: Changing how we take care of patients that are food insecure Allison Hess Associate Vice President, Health and Wellness Geisinger Program premise: What if we could eliminate hunger
More informationFood Security Among Older Adults
Food Security Among Older Adults Craig Gundersen University of Illinois James P. Ziliak University of Kentucky Definitions of Categories of Food Insecurity A household is placed into food security categories
More informationThe Impact of Medically Tailored Meals
The Impact of Medically Tailored Meals An innovative model for reducing healthcare costs and improving health Seth Berkowitz, MD MPH, University of North Carolina School of Medicine David B. Waters, CEO,
More informationThe Hunger Vital Sign TM :
The Hunger Vital Sign TM : Best Practices for Food Insecurity Screening in Clinical Settings By Rebecca Rottapel, MS, MPH Fall 2016 The Problem: Food Insecurity A food secure household has access, at all
More informationFood Insecurity & Health
Food Insecurity & Health Hilary Seligman, MD, MAS, FACP April 20, 2012 Objectives 1. Briefly describe associations between food insecurity and health among children and adults 2. Using diabetes as a case
More informationUC FOOD PANTRIES PROGRAM EVALUATION. By Rachel Rouse UCSB
UC FOOD PANTRIES PROGRAM EVALUATION By Rachel Rouse UCSB Project Goals and Basis Survey current UC undergraduate and graduate students that utilized the AS Food Bank services at UCSB Goals: Evaluate the
More informationTransforming Public Health: Health Reform and the National Prevention Strategy
Transforming Public Health: Health Reform and the National Prevention Strategy Jeffrey Levi, PhD Executive Director, Trust for America s Health Professor of Health Policy, GW School of Public Health Tennessee
More informationSNAP Access: Improving Seniors' Health Outcomes
SNAP Access: Improving Seniors' Health Outcomes Reduce Nursing Home & Hospital Admissions by Meeting Basic Needs The 2017 Maryland Food Access and Nutrition Network (MFANN) Conference October 24, 2017
More informationImplications for Primary Care
October 5, 2017 CHAMP Conference: Screening for Food Insecurity Implications for Primary Care Jill S. Rinehart, MD FAAP Hagan, Rinehart & Connolly Pediatricians President, American Academy of Pediatrics
More informationAdventist HealthCare Washington Adventist Hospital Community Health Needs Assessment Implementation Strategy. Adopted May 15, 2017
Adventist HealthCare Washington Adventist Hospital 2017-2019 Community Health Needs Assessment Implementation Strategy Adopted May 15, 2017 Implementation Strategy Development & Adoption Adventist HealthCare
More informationmedicaid and the The Role of Medicaid for People with Diabetes
on medicaid and the uninsured The Role of for People with Diabetes November 2012 Introduction Diabetes is one of the most prevalent chronic conditions and a leading cause of death in the United States.
More informationRacial and Socioeconomic Disparities in Appendicitis
Racial and Socioeconomic Disparities in Appendicitis Steven L. Lee, MD Chief of Pediatric Surgery, Harbor-UCLA Associate Clinical Professor of Surgery and Pediatrics David Geffen School of Medicine at
More informationIntegration How Can Behavioral Health And Health Care Be Better Coordinated?
Integration How Can Behavioral Health And Health Care Be Better Coordinated? Mental Health America Annual Conference June 8, 2013 Harvey Rosenthal, NYAPRS New York Association of Psychiatric Rehabilitation
More informationPresentation Objectives
Assessment of Nutritional Status & Food insecurity Presented by Megan Christensen, MS, RD Health and Aging Policy Fellow Assistant Chief/Clinical Nutrition Manager VA Salt Lake City Health Care System
More informationCommunity Action Partnership of Sonoma County Healthy Tomorrows Final Report
MATERNAL AND CHILD HEALTH BUREAU (MCHB) SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE (SPRANS) FINAL REPORT AND ABSTRACT Project Number: H17MC06712 Grantee Organization: Community Action Partnership
More informationA Six-Week Cooking Program of Plant-Based Recipes Improves Food Security, Body Weight, and Food Purchases for Food Pantry Clients
A Six-Week Cooking Program of Plant-Based Recipes Improves Food Security, Body Weight, and Food Purchases for Food Pantry Clients Amanda Schroeder Hege Sodexo Mid-Atlantic Dietetic Internship December
More informationIllinois Diabetes Action Plan: What s In It for You?
Illinois Diabetes Action Plan: What s In It for You? AADE IL Coordinating Body 4th Annual Symposium Making Noise About Diabetes Bloomington, IL November 3, 2017 Agenda The Burden of Diabetes IL Diabetes
More information5 Public Health Challenges
5 Public Health Challenges The most recent Mecklenburg County Community Health Assessment (CHA) prioritized the prevention of premature death and disability from chronic disease as the number one public
More informationBe Healthy. Nutrition and Food Security
Be Healthy Nutrition and Food Security Texas Health and Human Services HHS oversees the operation of the health and human services system. HHS has responsibility for strategic leadership, administrative
More informationNational Center for Injury Prevention and Control Preventing Early Adversity through Policies, Norms, and Programs
National Center for Injury Prevention and Control Preventing Early Adversity through Policies, Norms, and Programs Melissa T. Merrick, PhD MARC Brown Bag Webinar Series - September 7, 2017 the issue 1
More informationPosition Profile Chief Executive Officer Feeding America San Diego San Diego, CA
Position Profile Chief Executive Officer Feeding America San Diego San Diego, CA Feeding America San Diego is seeking an experienced and inspirational Chief Executive Officer to lead this impactful and
More informationTranslating Health Services Research in Sickle Cell Disease to Policy
Translating Health Services Research in Sickle Cell Disease to Policy Jean L. Raphael, MD, MPH Associate Professor of Pediatrics Baylor College of Medicine Director, Center for Child Health Policy and
More informationAgenda. Illinois Diabetes Action Plan: What s In It for You? 10/27/2017
Illinois Diabetes Action Plan: What s In It for You? AADE IL Coordinating Body 4th Annual Symposium Making Noise About Diabetes Bloomington, IL November 3, 2017 Agenda The Burden of Diabetes IL Diabetes
More informationA PHILANTHROPIC PARTNERSHIP FOR BLACK COMMUNITIES. Health and Wellness BLACK FACTS
A PHILANTHROPIC PARTNERSHIP FOR BLACK COMMUNITIES Health and Wellness BLACK FACTS THE COST OF MAINTAINING A HEALTHY DIET FOR A FAMILY IS OUT OF REACH FOR MANY AFRICAN AMERICAN FAMILIES. 2 A Philanthropic
More informationVirginia s Health 2017
Virginia s Health 2017 Marissa J. Levine, MD, MPH, FAAFP Virginia State Health Commissioner The Virginia Department of Health HAC Health & Human Resources Subcommittee Overview Virginian s Health Status
More informationFinancial Hardship in Cancer Survivors
Financial Hardship in Cancer Survivors Robin Yabroff Robin.yabroff@hhs.gov The views expressed are those of the speaker and do not necessarily represent the official position of Department of Health and
More informationSPOTLIGHT ON SENIOR HEALTH
SPOTLIGHT ON SENIOR HEALTH ADVERSE HEALTH OUTCOMES OF FOOD INSECURE OLDER AMERICANS EXECUTIVE SUMMARY 1 Both and the strive to raise awareness about the pressing issue of senior hunger in the United States.
More informationAPPG on Hunger Inquiry into the Extent of Hunger Amongst Children During the School Holidays, As Well As the Impact It Has on Their Life Chances
APPG on Hunger Inquiry into the Extent of Hunger Amongst Children During the School Holidays, As Well As the Impact It Has on Their Life Chances The Trussell Trust Submission 17.03.2017 Contents Introduction
More informationUniversity of Michigan Health System 2013 Implementation Plan Logic Models
University of Michigan Health System 2013 Implementation Plan Logic Models These logic models supplement the UMHS 2013 Implementation Plan which can be found at http://umhealth.me/chna13. Please direct
More informationPARTNERS FOR A HUNGER-FREE OREGON STRATEGIC PLAN Learn. Connect. Advocate. Partners for a Hunger-Free Oregon. Ending hunger before it begins.
Learn. Connect. Advocate. PARTNERS FOR A HUNGER-FREE OREGON STRATEGIC PLAN 2016-18 Partners for a Hunger-Free Oregon Ending hunger before it begins. Dear Partners, This has been a year of celebration,
More informationBuilding Systems to Evaluate Food Insecurity Screening and Diabetes Within an FQHC
Building Systems to Evaluate Food Insecurity Screening and Diabetes Within an FQHC Danielle Lazar, Director of Research, Access Community Health Network Kathleen Gregory, Principal, Kathleen Gregory Consulting,
More informationFruit and Vegetable Prescription Program Evaluation Results. Grady Memorial Hospital
Fruit and Vegetable Prescription Program 2016 Evaluation Results Grady Memorial Hospital Introduction This report summarizes results from the evaluation of the Fruit and Vegetable Prescription Program
More informationKeys to Sustaining SBIRT
Keys to Sustaining SBIRT. Reducing Adolescent Substance Abuse Initiative March 29 th, 2016, 1:00 2:30pm ET Dane Libart, OK Dept. of Mental Health & Substance Abuse Services Stephen Betts, Bill Wilson Center
More informationWE CAN TURN ONE DOLLAR INTO FOUR MEALS
WE CAN TURN ONE DOLLAR INTO FOUR MEALS We know hunger is more than a grumbling stomach today. Insufficient nutrition can have devastating effects on child development, focus, immunity and overall health.
More informationC O M M U N I T Y. Community Health Improvement Plan. A Healthier Clark County
C O M M U N I T Y Community Health Improvement Plan A Healthier Clark County 2016-2020 Healthy Clark County Coalition (HCCC): The Healthy Clark County Coalition (HCCC) is represented by a variety of Clark
More informationAnnual General Meeting
NHS Harrogate and Rural District CCG Annual General Meeting. 2 August 2018 1 Welcome and introductions Dr Alistair Ingram Clinical Chair NHS Harrogate and Rural District Clinical Commissioning Group 2
More informationSome college. Native American/ Other. 4-year degree 13% Grad work
Access to Affordable Health Care Access to affordable care improves quality of life and health outcomes. Without affordable access to a doctor, residents are more likely to end up in expensive emergency
More informationHealth Impact Assessment
EMBARGOED UNTIL TUESDAY, JUNE 26 AT 12:01 AM EST. Health Impact Assessment National Nutrition Standards for Snack and a la Carte Foods and Beverages Sold in Schools Executive Summary Introduction The foods
More informationMCPAP Clinical Conversations: Screening for Developmental and Behavioral Problems in Young Children
MCPAP Clinical Conversations: Screening for Developmental and Behavioral Problems in Young Children Michael Tang, MD Ellen C. Perrin, MD R. Christopher Sheldrick, PhD April 25, 2017 What is screening?
More informationCHRA s 2016 National Congress on Housing and Homelessness: Child and Family Homelessness in Canada
CHRA s 2016 National Congress on Housing and Homelessness: Child and Family Homelessness in Canada Agenda About Raising the Roof Child and Family Homelessness Initiative Report and Recommendations Dissemination
More informationPartnering to End Hunger in the Grand Valley
Partnering to End Hunger in the Grand Valley Takeaways Food security is a real issue for Mesa County There is a statewide effort to address food security called the Colorado Blueprint to End Hunger Mesa
More informationSOUTH MIDDLESEX OPPORTUNITY COUNCIL, INC.
SOUTH MIDDLESEX OPPORTUNITY COUNCIL, INC. Founded in 1965 as part of the Federal War on Poverty, South Middlesex Opportunity Council (SMOC) is an umbrella organization that works in the community to provide
More informationMICHIGAN OFFICE OF SERVICES TO THE AGING. Operating Standards For Service Programs
Community SERVICE NAME Congregate Meals SERVICE NUMBER C-3 SERVICE CATEGORY SERVICE DEFINITION UNIT OF SERVICE Community The provision of nutritious meals to older individuals in congregate settings. Each
More informationLow-threshold Harm Reduction Housing is HIV Prevention and Health Care
Low-threshold Harm Reduction Housing is HIV Prevention and Health Care Social Protection: Advancing the Response to HIV Charles King Housing Works, Inc. King@housingworks.org Geneva 25 May 2016 Fighting
More informationHealth in All Policies & the Law
Health in All Policies & the Law APHA Webinar October 21, 2015 Max Gakh, JD, MPH School of Community Health Sciences University of Nevada, Las Vegas 1 Determinants of health Factors that contribute to
More informationHIV Initiative HIV Initiative Companion
HIV Initiative 2017-18 HIV Initiative Companion 1 Contents OVERVIEW...3 GOAL 3 DATES 3 SLOGAN 3 DISCLOSURES 3 OUTREACH BUDGET 3 TIPS FOR PERFORMING OUTREACH...4 KNOW THE BASICS OF HIV 4 REVIEW THE OLDER
More informationWashtenaw Coordinated Funding. Investment Summary
Washtenaw Coordinated Funding Investment Summary May 2016 A Coordinated Funding Approach 5 years of Impact 2011 to 2016 Washtenaw County (OCED) $5 million Washtenaw Urban County (OCED) $1.5 million Ann
More informationBoulder County SNAP Outreach. February 5, 2018
Boulder County SNAP Outreach February 5, 2018 Agenda Share our journey Outcomes of outreach efforts Lessons learned 2018 Focus Our Journey: Outreach Plan Three Major Components: 1. Understand barriers
More informationBaptist Health Jacksonville Community Health Needs Assessment Implementation Plans. Health Disparities. Preventive Health Care.
Baptist Health Jacksonville Community Health Needs Assessment Implementation Plans Health Disparities Infant Mortality Prostate Cancer Heart Disease and Stroke Hypertension Diabetes Behavioral Health Preventive
More informationFood: Obesity, Access and Ongoing Issues
MODULE 11: FOOD: OBESITY, ACCESS AND ONGOING ISSUES Food: Obesity, Access and Ongoing Issues The Food Trust: Case Study Allison Karpyn, PhD Director, Research and Evaluation The Food Trust Module 11: Food:
More informationBuilding Clinical Capacity about ASD and other Neurodevelopmental Disabilities among Rural Providers
2 0 1 6 N A V I G AT I N G C H A N G E : B u i l d i n g O u r F u t u r e To g e t h e r Building Clinical Capacity about ASD and other Neurodevelopmental Disabilities among Rural Providers Kruti Acharya,
More informationGet More Out of Life. NCSL Foundation Hunger Partnership Business Meeting August 14, 2013
Helping People An Update on Senior Hunger Get More Out of Life NCSL Foundation Hunger Partnership Business Meeting August 14, 2013 The Problem Nearly 9 million older adults face the risk of hunger annually.
More informationJOINT TESTIMONY. Homeless Services United Catherine Trapani Executive Director, HSU
New York City Council Committees on General Welfare and Health Oversight - Part 1: Medical Health Services in the DHS Shelter System Int. No. 929 - in relation to requiring information on health services
More informationPetaluma Sober Circle
Petaluma Sober Circle NATIONAL HEALTH CARE FOR THE HOMELESS WASHINGTON D.C. JUNE 2017 Annie Nicol, FNP, and Randy Clay Outreach Lead Petaluma Sober Circle Petaluma, California The Petaluma Sober Circle
More informationHow to Integrate Peer Support & Navigation into Care Delivery
How to Integrate Peer Support & Navigation into Care Delivery Andrew Bertagnolli, PhD Care Management Institute Why Integrate Peer Support into the Care Delivery Pathway? Improved health Increased feelings
More informationA systems approach to treating tobacco use and dependence
A systems approach to treating tobacco use and dependence Ann Wendland, MSL Policy Analyst & Cessation Programs Manager NYSDOH Bureau of Tobacco Control ann.wendland@health.ny.gov A systems approach to
More informationFOOD IS MEDICINE. November 17, 2016
FOOD IS MEDICINE Jean Terranova, Director of Food & Health Policy, Community Servings Katie Garfield, Staff Attorney, Center for Health Law and Policy Innovation, Harvard Law School November 17, 2016 WELCOME
More informationHealth Disparities Matter!
/KirwanInstitute www.kirwaninstitute.osu.edu Health Disparities Matter! Kierra Barnett, Research Assistant Alex Mainor, Research Assistant Jason Reece, Director of Research Health disparities are defined
More informationFood banks get just what the doctor ordered: fruits and vegetables
Food banks get just what the doctor ordered: fruits and vegetables By Associated Press, adapted by Newsela staff on 10.05.16 Word Count 719 People line up to receive fresh produce at Oak Forest Health
More informationStatement Of. The National Association of Chain Drug Stores. For. U.S. Senate Finance Committee. Hearing on:
Statement Of The National Association of Chain Drug Stores For U.S. Senate Finance Committee Hearing on: 10:30 a.m. 215 Dirksen Senate Office Building National Association of Chain Drug Stores (NACDS)
More information2017 COMMUNITY IMPACT REPORT MEMBER OF
SECOND FEEDING HARVEST COMMUNITY FOOD BANK 2017 COMMUNITY IMPACT REPORT MEMBER OF OUR VISION Healthy and Hunger-free Communities OUR MISSION Provide essential food assistance through a network of partners,
More informationKENT BISHOP M.D. ProMedica Chief Experience Officer President Women s Service Line
KENT BISHOP M.D. ProMedica Chief Experience Officer President Women s Service Line 1 WHEN A VISION TAKES SHAPE. 2 3 4 Modern Facilities Clinical Service Lines Quality/ Safety Mental Health Clinical Research
More informationHealthy Eating for Healthy Aging: Combating Hunger and Improving Nutrition for Older Adults
Healthy Eating for Healthy Aging: Combating Hunger and Improving Nutrition for Older Adults Lesha Spencer-Brown, NRPA Katie Jantzi, Meals on Wheels America Sara Shepherd, Tualatin Parks and Recreation
More informationSummary. Grant ID , California Chapter 1 American Academy of Pediatrics, Clinical Effort Against Secondhand Smoke Exposure
Summary California Chapter 1, American Academy of Pediatrics (CC1AAP) is seeking funds to develop the Clinical Effort Against (CEASE) California. CEASE is a nationally recognized evidence based smoking
More informationIllinois CHIPRA Medical Home Project Baseline Results
Illinois CHIPRA Medical Home Project Baseline Results On the National Committee for Quality Assurance Patient Centered Medical Home Self-Assessment June 25, 2012 Prepared by MetroPoint Research & Evaluation,
More informationChild Hunger and Education. Lori Paisley Executive Director Healthy Schools
Child Hunger and Education Lori Paisley Executive Director Healthy Schools 11.15.18 Child Hunger 3 out of 4 educators see students who regularly come to school hungry 57% of teachers regularly buy food
More informationand additional works at:
University of Massachusetts Medical School escholarship@umms Community Engagement and Research Symposia 2018 Community Engagement and Research Symposium Mar 9th, 1:30 PM Greater Lawrence Family Health
More informationSeminar on Human Security and Health. Remarks by Ms. Purnima Mane Deputy Executive Director (Programme) UNFPA
Check against Delivery Seminar on Human Security and Health Remarks by Ms. Purnima Mane Deputy Executive Director (Programme) UNFPA Panel Discussion: Added Value of Human Security Approaches to Health
More informationCommunity Health Improvement plan
Monroe County, New York 2016-2018 Community Health Improvement plan Monroe County Joint Community Service Plan 2016-2018 For Health Systems Serving Monroe County, including: Rochester General Hospital
More informationThis page has been intentionally left blank.
Every five years, Saint Paul Ramsey County Public Health conducts a countywide Community Health Assessment. Part of the assessment consists of reports on various indicators of health and wellness in the
More informationGrants West. Note that we only work for nonprofits based inside the United States. We lack the expertise to help organizations in other countries.
Grants West The Centerville Community Center received grant awards from multiple sources as a result of this proposal. The proposal was prepared by Grants West, which has raised $165 million for nonprofit
More informationAn Evaluation of Arkansas Cooking Matters Program. Tracey M. Barnett, PhD, LMSW Alex Handfinger, MPS, MPH
An Evaluation of Arkansas Cooking Matters Program Tracey M. Barnett, PhD, LMSW Alex Handfinger, MPS, MPH Outline of the Presentation Literature Review Methods Results Discussion Limitations Implications
More informationEmbracing Precision Medicine: How to Improve Health and Be Able to Afford It
Embracing Precision Medicine: How to Improve Health and Be Able to Afford It 创新的医保支付手段也不可忽视 A. Mark Fendrick, MD University of Michigan Center for Value-Based Insurance Design www.vbidcenter.org @um_vbid
More informationThe Relationship between Food Insecurity and Obesity among Children
The Relationship between Food Insecurity and Obesity among Children In 1994 a case study was done on a 7 year-old overweight African American girl who lived in a house where the availability of food fluctuated
More informationWorkshop on Understanding the Relationship Between Food Insecurity (FIS) and Obesity Panel on Research Gaps (Nutrition)
Workshop on Understanding the Relationship Between Food Insecurity (FIS) and Obesity Panel on Research Gaps (Nutrition) David H. Holben, PhD, RD, LD College of Health Sciences and Professions School of
More information2017 Campaign Presentation Guide
2017 Campaign Presentation Guide Your step-by-step companion for presenting an effective campaign Who are you? Introduce yourself If you re a Loaned Executive briefly describe what that is and the company
More informationHunger in Oregon. Oregon Nutrition Day May
Hunger in Oregon Oregon Nutrition Day May 19 2917 Who Are We? Susannah Morgan San Francisco Food Bank Interseminarian Project Place (Boston) Food Bank of Alaska Oregon Food Bank Annie Kirschner Partners
More informationWill Equity Be Achieved Through Health Care Reform?
Will Equity Be Achieved Through Health Care Reform? John Z. Ayanian, MD, MPP Director & Alice Hamilton Professor of Medicine Mass Medical Society Public Health Leadership Forum April 4, 214 OBJECTIVES
More information2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services
2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services April 5, 2013 140 Intracoastal Pointe Drive, Suite 212 Jupiter, FL 33477-5064 561.744.5662 Fax: 561.575.7396 www.sra-researchgroup.com
More information