Download - Healthy Base Initiative Mr. Chuck Milam Principal Director Deputy Assistant Secretary of Defense
Healthy Base Initiative
Mr. Chuck Milam
Principal Director
Deputy Assistant Secretary of Defense
(Military Community and Family Policy)
28 October 2014
Military Community & Family Policy
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Healthy Base Initiative InceptionNational Prevention Strategy
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Healthy Base Initiative14 Pilot Sites
Mountain Home AFB
Yokota AB
MCAGCC 29 Palms
JB Pearl Harbor- Hickam
Ft Sill
Ft Bragg
MCB Quantico
NAVSUB Base
New London
Defense Logistics Agency
Army
Navy
Marine Corps
Coast Guard
Agency
Air Force
KEY
USCG AIRSTACape Cod
National Guard
Reserve
March ARB
Camp Dodge
Defense HealthHeadquarters
Ft Meade
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Obesity in the US has risen dramatically and is a threat to our national security
of American adultsare obese36%
Healthy Base InitiativeBurning Platform
of potential military candidates cannot qualify for the militarydue to their weight27%
In the US military
Tobacco is the leading cause of death in the United States
Smoking in the US
http://www.cdc.gov/VitalSigns/AdultSmoking
37% of personnel younger than 25 smoke
of enlisted personnel smoke 40%of enlisted smokers initiated tobacco use while on active duty
40%
Healthy Base InitiativeBurning Platform
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Children, Schools & Families
• Share Our Strength• Alliance’s Healthy Schools
Program & Healthy Out of School Time
Healthy Food Options
• Smarter Food Movement• Go For Green• Better-for-You• Menu Renovation• Farmers Markets• mNEAT• Fit-Pick (vending)
Physical Environments
• mPAC
Health and Wellness
• UltimateMe• Group Lifestyle Balance• Community Health
Promotion Council• Operation KidFit
Tobacco
• Increase Designated Tobacco Free Areas
• Counter Marketing• HollyGraham• Fight the Enemy
Physical Activity
• Fitness on Request• 24-hour Fitness
Healthy Base InitiativeHBI Initiatives at a Glance
Focus on Addressing Obesity and Tobacco use
Children, Schools & Families
Healthy Food
Options
Physical Environment
Health and Wellness
Tobacco Use
Physical Activity
THE HEALTHY
BASE
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Healthy Base Initiativem-NEAT Scores: 2013 – 2014 Comparison
• m-NEAT = military Nutrition Environment Assessment Tool• Designed to provide a snapshot of availability of healthier food on a
military installation 7
2013 2014 Percentage
Facility Type Score Score Point Change
DFAC* 82% 81% -1%
MWR Food 31% 44% 13%
Exchange Food 39% 44% 5%
MWR Contract Food 40% 41% 1%
Convenience Store 36% 39% 3%
Commissary 88% 88% 0%
Vending 17% 16% -1.3%
* 2014 DFAC assessments for MCB Quantico and Fort Meade pending
2013 – 2014Percentage Point Change Legend
>+1.0 Green +1.0 to -1.0 Yellow>-1.0 Red
Healthy Base InitiativeOutcome Measures - Obesity
*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities8
2013 Q1 2013 Q2 2013 Q3 2013 Q4 2014 Q1 2014 Q2 2014 Q30%
5%
10%
15%
20%
25%
30%
Rate of Obesity - All BeneficiariesFt. Bragg Ft. Meade Ft. Sill NAVSUB Base New London Joint Base Pearl-Hickam
Mountain Home Quantico Twentynine Palms Yokota AB
Healthy Base InitiativeOutcome Measures - Tobacco
*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities9
2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q210%
12%
14%
16%
18%
20%
22%
24%
26%
Rate of Tobacco Use - All BeneficiariesFt. Bragg Ft. Meade Ft. Sill Joint Base Pearl-Hickam Mountain Home NAVSUB Base New London Quantico Twentynine Palms Yokota
Healthy Base Initiative Initial Observations
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• Dining Facilities provide some healthy options, however, most have limited hours of operation and are only open to authorized patrons
• Many have closed due to budgetary constraints and low utilization rates; overall customer satisfaction remains low
• Food portfolio requires significant changes in order to make healthy options easily available; based on results of m-NEAT
• Requires engagement with all food services providers including Dining Facilities, Exchanges and MWR
• Vending/fast food outlets scored very low and require attention
• Initiated comprehensive food study to determine future options
• Defense Advisory Committee on Tobacco established to provide SECDEF range of options going forward
Healthy Base Initiative DeCA/Exchange Initiatives
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• DeCA
• Piloting Cornell University’s Smarter Food Movement
• Utilizes “choice architecture” (how/where food is displayed) to influence customers buying habits
• Testing “better for you” product labeling
• Sponsoring Share our Strength healthy shopping tours
• Exchanges
• Marine Corp Exchange tobacco counter-marketing campaign
• Increased availability of fresh foods in convenience stores
• Posting nutritional information at food concession outlets
Healthy Base Initiative DoD Food Study
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• Burning Platform:
• Launched in response to concerns raised during Quality of Life Working Group as well as lessons learned from HBI
• Services provide subsistence feeding and essential dining services through a variety of delivery systems
• 404 appropriated fund dining facilities, galleys and open messes
• 653 nonappropriated fund restaurants and snack bars
• DoD spends approximately $2B annually to provide essential dining services
• Goal:
• Develop potential courses of action to improve service, availability, and efficiency
• HBI Demonstration: January 2014 - Aug 2015• Collect baseline measurements• Launch selected HBI initiatives• Monitor/report initiative results• Evaluate/refine initiatives• Determine impact of initiatives• Report findings and recommendations
• HBI 1.0 After Action Items:• Codify lessons learned through
• Policy changes• Creation of toolkit/resources• Comprehensive communications strategy
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Healthy Base InitiativeWay Ahead