Board of Trustees Update June 27, 2012 Update Last Updated: 5/30/12 Hospitals listed on this honor roll have committed to accomplishing the first three Stars of the program by January 1, 2013 and Star 4 by January 1, 2020. Star 1 Default non-select pediatric patient menus for children 2-18 to meet the American Heart Association guidelines. Star 2 Launch a healthy beverage initiative. Star 3 Healthy offerings through cafeteria menu labeling. Star 4 Healthy eating starts with a healthy food system. Organization Name Star 1 Star 2 Star 3 Star 4 Allegan General Hospital N/A N/A * * Allegiance Health * * * * Alpena Regional Medical Center * * * * Aspirus Grand View N/A ** ** * Aspirus Keweenaw Hospital N/A * ** Aspirus Ontonagon Hospital Baraga County Memorial Hospital * * * * Bronson Battle Creek ** ** ** * McLaren - Bay Region * * * * Beaumont Hospital-Grosse Pointe ** ** ** ** Beaumont Hospital-Royal Oak ** ** ** ** Beaumont Hospital-Troy ** ** ** ** Bell Hospital * * * * Bixby Medical Center Borgess Medical Center * * ** * Borgess-Lee Memorial Hospital N/A ** * * Borgess-Pipp Hospital * * * * Botsford Hospital ** ** ** * *This hospital has committed to the star. **This hospital has completed the star. Healthy Food Hospitals Honor Roll Page 2 of 4 Organization Name Star 1 Star 2 Star 3 Star 4 Bronson LakeView Hospital N/A ** ** * Bronson Methodist Hospital ** ** ** ** C.S. Mott Children's Hospital and Von Voigtlander Women's Hospital ** * ** * Caro Community Hospital Carson City Hospital * * * * McLaren - Central Michigan * * * * Charlevoix Area Hospital * * * * Cheboygan Memorial Hospital ** ** * * Chelsea Community Hospital N/A ** * * Children's Hospital of Michigan * * * * Community Health Center of Branch County * * * * Covenant HealthCare * * * * Crittenton Hospital Medical Center ** ** * * Detroit Receiving Hospital & University Health Center * * * * Dickinson County Healthcare System * * * DMC Huron Valley-Sinai Hospital * * * * DMC Surgery Hospital * * * * Doctors' Hospital of Michigan Eaton Rapids Medical Center N/A N/A ** * Garden City Hospital * * * * Genesys Regional Medical Center * * Harbor Beach Community Hospital Inc. Harper/Hutzel Hospital * * * * Hayes Green Beach Memorial Hospital * * * * Helen DeVos Children's Hospital ** ** ** ** Helen Newberry Joy Hospital N/A N/A * ** Henry Ford Hospital ** ** ** * Henry Ford Macomb Hospitals ** ** ** * Henry Ford Macomb Hospital-Warren Campus ** ** N/A * Henry Ford West Bloomfield Hospital ** ** ** * Henry Ford Wyandotte Hospital ** ** ** * Herrick Medical Center Hills & Dales General Hospital Hillsdale Community Health Center N/A * * * Holland Hospital * * * * Hurley Medical Center * * * * Huron Medical Center McLaren - Greater Lansing * * * * McLaren - Orthopedic Hospital * * * * *This hospital has committed to the star. **This hospital has completed the star. Healthy Food Hospitals Honor Roll Page 3 of 4 Organization Name Star 1 Star 2 Star 3 Star 4 Kalkaska Memorial Health Center N/A * * * Lakeland Community Hospital, Watervliet * * * * Lakeland Community Hospital-Niles * * * * Lakeland Regional Medical Center-St. Joseph * * * * McLaren - Lapeer Region Mackinac Straits Health System, Inc. * * * * Marlette Regional Hospital Marquette General Health System ** ** ** * McKenzie Health System * * * * McLaren - Flint N/A N/A ** Mecosta County Medical Center N/A ** ** * Memorial Healthcare * * * * Memorial Medical Center of West Michigan Mercy Health Partners, Hackley Campus * * * * Mercy Health Partners, Mercy Campus N/A N/A * * Mercy Health Partners, Muskegon General Campus * * * * Mercy Hospital Cadillac * * * * Mercy Hospital Grayling * * * ** Mercy Memorial Hospital System * * * * Metro Health Hospital ** ** ** ** MidMichigan Medical Center-Clare * * * * MidMichigan Medical Center-Gladwin * * * * MidMichigan Medical Center-Gratiot * * * * MidMichigan Medical Center-Midland * * * * McLaren - Macomb * * * * Munising Memorial Hospital Munson Medical Center * * * * North Ottawa Community Hospital * * * * Northern Michigan Regional Health System ** ** ** * NORTHSTAR Health System O.S.F. St. Francis Hospital and Medical Group * * * * Oaklawn Hospital * ** ** * Oakwood Annapolis Hospital * * * * Oakwood Heritage Hospital * * * * Oakwood Hospital & Medical Center-Dearborn * * * * Oakwood Southshore Medical Center * * * * Otsego Memorial Hospital N/A ** * * Paul Oliver Memorial Hospital * * * * Pennock Health Services ** ** * * McLaren - Oakland *This hospital has committed to the star. **This hospital has completed the star. Healthy Food Hospitals Honor Roll Page 4 of 4 Organization Name Star 1 Star 2 Star 3 Star 4 Port Huron Hospital * * * * Portage Health * ** * * Providence Hospital Medical Center ** ** ** * Providence Park Hospital ** ** ** * Saint Mary's Health Care N/A * * * Scheurer Hospital Schoolcraft Memorial Hospital * * * * Sheridan Community Hospital N/A N/A * * Sinai-Grace Hospital * * * * South Haven Health System * * * * Sparrow Clinton Hospital * * * * Sparrow Hospital-Main Campus ** ** ** ** Sparrow Hospital-St. Lawrence Campus ** ** ** ** Sparrow Ionia Hospital N/A * * * Spectrum Health Blodgett Hospital ** ** ** ** Spectrum Health Butterworth Hospital ** ** ** ** Spectrum Health Gerber Memorial * * * * Spectrum Health Kelsey Hospital * * * * Spectrum Health Reed City Hospital N/A N/A ** ** Spectrum Health United Hospital * * * * Spectrum Health Zeeland Community Hospital * * * ** St. John Hospital & Medical Center ** ** ** * St. John Macomb-Oakland Hospital ** ** ** * St. John River District Hospital ** ** ** * St. Joseph Health System St. Joseph Mercy Hospital ** ** ** ** St. Joseph Mercy Livingston Hospital ** ** ** ** St. Joseph Mercy Oakland ** ** ** ** St. Joseph Mercy Port Huron * * * * St. Mary Mercy Hospital N/A N/A ** ** St. Mary's of Michigan St. Mary's of Michigan Standish Hospital N/A N/A * * Sturgis Hospital * * ** * Three Rivers Health * * * * University of Michigan Hospitals & Health Centers ** * ** * War Memorial Hospital * * * * West Branch Regional Medical Center * * * * West Shore Medical Center N/A ** ** * *This hospital has committed to the star. **This hospital has completed the star. Introduction Becoming the Model Michigan hospitals and health systems have made more than $3 billion, and it has implications that consistent and significant strides to offering led the MHA to ask Michigan hospitals to make exemplary food service choices and nutritional serving the healthiest food choices a priority. This selections. In fact, the voluntary, collaborative initiative also aligns well with Governor Rick and successful efforts of Michigan hospitals and Snyder’s health proposal to “work with Michigan's health systems are being exported to other states, farmers to alleviate the state's obesity problem.” allowing hospitals across the nation to bring healthier foods to all patients. The MHA continually provides a strategic assessment of emerging health care trends to help Michigan hospitals have the opportunity to help its members develop a framework to meet current prevent food-related health concerns by and future needs of their communities. The influencing how food is produced and by association's strategic plan is divided into five modeling good nutrition within their institutions. "platforms," including Patient Access, Quality of This initiative encompasses four stars. The first Care, Community Health Improvement, Mission- two stars are focused on children while the last driven Funding and Best Information. two are geared toward adults. It is under the Community Health Improvement platform that the MHA has asked Michigan’s community hospitals to voluntarily adopt smoke- free campus policies and eliminate foods “The commitment to the Healthy Food containing trans fats from their cafeteria, vending Hospital initiative was one of the machines and patient nutrition. Combating obesity is an absolute must, as obesity has reasons that we redesigned all of our become among the nation’s most costly and patient menus.” complex public health threats, giving rise to massive increases in health care. At present, the __ costs associated with obesity in Michigan total Alison Waske, Sustainable Business Officer, Metro Health Hospital, Wyoming Diagram represents Michigan Health & Hospital Association’s Community Health Improvement’s (orange, bottom) strategic platform in response to the direction for Population Health Management (lower left). 3 At its core, Healthy Food Hospitals is a product of collaboration. The Ecology Center, a Michigan-based environmental non-profit organization and the MHA worked together to create the four-star approach. The Ecology Center facilitated conversations with dietitians, food service managers and directors, clinical nutrition managers and MHA senior directors of Hospitality Services from MHA-member hospitals to serve as the Healthy Food Work Group — functioning as a sub-group of the MHA Green Health Committee (MGHC Committee) — to guide, Healthy polish and perfect the campaign. This Work Group shares the same mission as the MGHC Committee by recognizing the interconnection Food Work between health and the environment and strives to encourage sustainability initiatives that improve human health as well as environmental health. The Healthy Food Work Group takes it one step Group further stating by “working with health care for a sustainable foods system.” MHA Healthy Food Work Group An advisory group representing hospitals, dietitians and community organizations provide leadership and strategic guidance. The members