Leadership Council Meeting Minutes 7

Leadership Council Meeting Minutes 6.14.10

Attendees: Cheri Fidler, Cheryl Moder, Christine Edwards, Chris Searles, Christine Lafontant, Cory Linder, Tanya Rovira-Osterwalder, Deirdre Kleske, Howard Taras, Jill Monroe, Kate Bartkiewicz, Katie Shultz, Kristin Garrett, Leslie Linton, Naomi Butler, Nick Yphantides, Phil Nader, Randall Marks, Stephanie Gioia, Tracy Delaney, Wilma Wooten, JuliAnna Arnett, Erica Salcuni

Welcome/Introductions

I. Presentation: HHSA Health Strategy Agenda Update Dr. Nick Yphantides  Dr. Nick Yphantides presented an update on the County of San Diego Health and Human Service Agency’s Health Strategy Agenda, asking for the Leadership Council’s support. This is a plan developed by HHSA that will aim to integrate County public health services in order to align efforts in different sectors serving community health needs. The major themes of this plan include: i. Building a better system—optimizing resources and training people to self-manage their health ii. Supporting healthy choices—creating opportunities so that residents can choose healthy eating, active living, tobacco- and drug-free lives iii. Pursuing policy changes for a healthy environment—removing barriers to healthy living by pursuing policies and environmental changes, much like COI iv. Changes the culture from within—employee wellness programs to foster a healthy work environment within County departments  One major impetus for this plan is the health crisis described as 3/4/50, which states that three unhealthy behaviors (poor nutrition, physical inactivity, and tobacco use) contribute to 4 diseases (heart disease/stroke, cancer, diabetes, and respiratory disease) that result in more than 50% of the deaths in San Diego County.  Phil Nader asked if the plan has an evaluation component written into it. Dr. Wooten reported that a part of the overall agenda is to look at indicators across the lifespan. There will also be community indicators under evaluation.  Kristin Garrett reminded the group that although this Council may recognize that this plan aligns with COI’s efforts, there will be some opposition within the community to this plan in terms of the redirection of resources. The Health Strategy Agenda prescribes that resources will go upstream instead of downstream, which counters some practices already in place in the community.  The plan will be presented to the County Board of Supervisors for review and approval on Tuesday, July 13.

II. Discussion: Discount for Cambios Con Fe Partners JuliAnna Arnett  JuliAnna provided a brief explanation of Cambios Con Fe and their role in the COI Faith Advisory Councils. Cambios Con Fe, or Change with Faith, is a program of the SDSU Research Foundation which employs promotoras in local faith communities to educate their parishes on healthy eating, active living, and community advocacy for neighborhood improvement. Their role within the COI Faith Advisory Councils allows for the impact of the program to extend the work of Cambios Con Fe to other faith communities in the region by convening and sharing best practices.  Because all promotoras within this program are based in Chula Vista, a local gym called Family Gym—which has special exercise equipment designed for youth—has approached COI with an offer to provide discounts for members of Cambios con Fe and COI. JuliAnna explained that COI staff does not regard this as a direct donation, but rather a way of supporting this business by accepting a reduced fee for our partners. Because there is no specific language about this sort of circumstance in the COI Donor Policy, she opened it up to the Leadership Council to decide.  Deirdre Kleske suggested that a partner go visit the gym to review the safety/quality of the gym equipment and environment to be sure the facility is appropriate; she questioned if the gym places a cap on the number of people eligible for this discount.  Katie Shultz asked the group to bear in mind that this would be good publicity for the gym and that is the likely motivation behind the offer to reduce fees for partners. Cheri Fidler added that we need to make it clear that we are simply accepting the discount and not offering to endorse this business above others.  Chris Searles expressed that this could be an opportunity for cross-threading into pre-existing partnerships.  JuliAnna proposed a motion to approve the acceptance of discounted memberships for partners. Kristin Garrett added that the acceptance should be on the condition that a representative from the gym participate in the COI Business Domain. Naomi added that another necessary condition is a site visit. Chris Wood seconds the motion. The motion is approved. The next steps are to report out on the site visit to the gym to assess the facilities.

III. Funding Update  CPPW—Tracy Delaney (1) Tracy reported that the preparation phase for the grant work is almost complete. The Leadership Team had its first meeting, where they received a CDC training at the Action Institute held locally. The Action Institute is a workshop held by the CDC to prime grantees for operation under this federal funded project. (2) Tracy reported that the Leadership Team learned at the Action Institute that a national media campaign is going to launch shortly; one of the groups working on this element of the work is the same company that worked on the Kaiser ‘Thrive’ campaign, which has been very successful. (3) Katie wanted to know if UCSD would be contracted to work on the national media campaign. Tracy reported that UCSD will only be involved in local media interventions, but national messages can be used locally to achieve consistency. (4) Dr. Wooten reminded the group that San Diego County received the highest dollar amount in the nation specifically for obesity prevention; Naomi reported that our region will be collaborating with Public Health Services in Los Angeles, which also received a large award for community-based obesity prevention work. (5) Tracy also reported that there is an additional $1 to $2 million available for biometric measurement. Phil Nader added that Altarum Institute may be able to help San Diego with the application for the extra funding. Wilma reported that this subject came up at the last meeting with Altarum and SDIR representatives and confirmed the County’s intention to apply for these funds.

 Active Living Research—Leslie Linton/Chris Edwards (1) Leslie and Chris reported that there is no new news on the ALR grant, which was submitted in April to the Robert Wood Johnson Foundation ALR program. This funding would support the implementation and evaluation of community engagement projects, and would contribute to the work already done with the Youth Engagement & Action for Health (YEAH!) manual and trainings conducted earlier this year. The announcement of winners will be made in September 2010.  Whole Foods 5% Day—JuliAnna Arnett (1) JuliAnna reported that Whole Foods Markets (Hillcrest and La Jolla) donated $9,546 to COI. This value is 5% of the two stores’ sales for one day. She reported that the extra funding will build momentum to the CPPW school gardens and farm-to-school work plans, which calls for the installation of at least 6 school gardens. The monies will allow for two additional school gardens to be installed.

IV. Update: Action Plan Revisions Cheryl Moder  Cheryl reported that the Childhood Obesity Action Plan (COAP) has been revised almost to completion. The domains have written new strategies, and best practice boxes have been installed throughout the document to reflect work being done by Initiative partners in each domain.  A champion from each domain explained the domain-specific strategy revisions to give the Council an idea of the COI’s future goals and directions within the domains. . Tracy Delaney went over the revisions to the Government Domain. Cory Linder commented on strategy T., which calls for government to establish procurement practices and policies that prioritize healthful foods and local agriculture. He said that the government cannot force these practices and policies into existence. Dr. Wooten added that in regards to promotion of school gardens, there must be formal guidelines drawn before a government entity can promote the ideas to the public. . Cheri Fidler provided the overview for revised Healthcare Domain strategies. The strategies page incorporates more language on cultural competence, and supporting providers to be effective in their delivery of obesity reduction/prevention services for children from birth to 18 years of age. Kristin Garrett commented that in terms of advocating for breastfeeding mandates, COI needs to mindful of how they might approach hospitals with this information. Chris Searles added that it is important to keep physicians “community competent,” that is, making them aware that the community can be used as a resource for referrals and this should be a focus of overall health system improvement. . Deirdre Kleske went over the School and After-School Domain revisions. In regards to the objective that calls for the adoption and implementation of school wellness policies, the group discussed district superintendents’ accountability in abiding by and supporting wellness policies. Deirdre explained that wellness policies are mandated by the USDA, which requires a random compliance review, given to school districts every 5 years. If a school does not comply, the USDA can remove school lunch funding. Revisions also emphasize an objective to re-energize after- school programs and align them with the schools more. . Cheryl went over the revisions for the Early Childhood domain. She mentioned that there are a couple of large projects going on under this domain, including a needs assessment for the region’s home- and center-based childcare providers; and the farm-to-preschool program which is currently being piloted by a preschool in Oceanside through North County Community Services. She reported that funding is needed to advance the objectives of this domain. . Tanya Rovira-Osterwalder went over the revised Community Domain strategies. She explained that the objectives are split to serve two groups: one set of strategies is for community residents and the other set is for community-based organizations. Several of the group members were wondering why community residents are now being engaged through the COAP. Doing this will allow the COI to build the capacity of volunteers working on interventions tied to CPPW funds (i.e., the Resident Leadership Academy, which is being coordinated through CHIP). Deirdre suggested that this page emphasize somewhere that these two separate groups will be engaged to work together, since each group’s work depends on the other. . Kate Bartkiewicz reviewed the revised strategies for the Media Domain. Some revisions to strategies include empowering the media to understand childhood obesity prevention from a policy and environmental standpoint; employing social media; and service as an authoritative voice on childhood obesity. Dr. Wooten suggested that the document emphasizes that the domain would act as the local authoritative voice, since COI deals with local media.

VI. Update: Legislation JuliAnna Arnett/Naomi Butler  SB1210—This legislation would call for a tax on every gram of sweetener in a sweetened beverage. This bill is no longer on the table.

VI. Update: Evaluation Leslie Linton  Leslie reported that COI evaluation stakeholders will continue to work to find opportunities for synergy with the evaluation component to the CPPW funding.

Next Meeting: Monday, July 12, 2010 11:00am-1:00pm in the Executive Conference Room at the Askew Building (Room 309, 1700 Pacific Highway, San Diego 92101)

THIS IS THE LOCATION FOR ALL LEADERSHIP COUNCIL MEETINGS IN 2010