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