- The American Logistics Association

Military Community & Family Policy

Healthy Base Initiative Mr. Chuck Milam Principal Director Deputy Assistant Secretary of Defense (Military Community and Family Policy)

28 October 2014 1

Healthy Base Initiative Inception National Prevention Strategy

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Healthy Base Initiative 14 Pilot Sites USCG AIRSTA Cape Cod

Mountain Home AFB Ft Meade Camp Dodge Yokota AB Defense Logistics Agency

NAVSUB Base New London

March ARB MCB Quantico

Defense Health Headquarters

Ft Sill

KEY Ft Bragg

Army Marine Corps

MCAGCC 29 Palms

Navy Air Force Coast Guard Agency

JB Pearl HarborHickam

National Guard Reserve

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Healthy Base Initiative Burning Platform

Obesity in the US has risen dramatically and is a threat to our national security

36%

of American adults are obese

27%

of potential military candidates cannot qualify for the military due to their weight 4

Healthy Base Initiative Burning Platform

Tobacco is the leading cause of death in the United States Smoking in the US

In the US military

37%

of personnel younger than 25 smoke

40%

of enlisted personnel smoke

40%

of enlisted smokers initiated tobacco use while on active duty

http://www.cdc.gov/VitalSigns/AdultSmoking

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Healthy Base Initiative HBI Initiatives at a Glance Focus on Addressing Obesity and Tobacco use Children, Schools & Families

Physical Activity

• Share Our Strength • Alliance’s Healthy Schools Program & Healthy Out of School Time

• Fitness on Request • 24-hour Fitness

Physical Activity

Children, Schools & Families

Healthy Food Options Tobacco • Increase Designated Tobacco Free Areas • Counter Marketing • HollyGraham • Fight the Enemy

Tobacco Use

THE HEALTHY BASE

Health and Wellness

Healthy Food Options

Physical Environment

• • • • • • •

Smarter Food Movement Go For Green Better-for-You Menu Renovation Farmers Markets mNEAT Fit-Pick (vending)

Health and Wellness • UltimateMe • Group Lifestyle Balance • Community Health Promotion Council • Operation KidFit

Physical Environments • mPAC

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Healthy Base Initiative m-NEAT Scores: 2013 – 2014 Comparison 2013

2014

Percentage

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%

Facility Type

2013 – 2014 Percentage Point Change Legend >+1.0 Green +1.0 to -1.0 Yellow >-1.0 Red

* 2014 DFAC assessments for MCB Quantico and Fort Meade pending

• m-NEAT = military Nutrition Environment Assessment Tool • Designed to provide a snapshot of availability of healthier food on a military installation 7

Healthy Base Initiative Outcome Measures - Obesity Rate of Obesity - All Beneficiaries Ft. Bragg NAVSUB Base New London Quantico

30%

Ft. Meade Joint Base Pearl-Hickam Twentynine Palms

Ft. Sill Mountain Home Yokota AB

25%

20%

15%

10%

5%

0% 2013 Q1

2013 Q2

2013 Q3

2013 Q4

2014 Q1

2014 Q2

2014 Q3

*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities

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Healthy Base Initiative Outcome Measures - Tobacco Rate of Tobacco Use - All Beneficiaries Ft. Bragg Joint Base Pearl-Hickam Quantico

Ft. Meade Mountain Home Twentynine Palms

Ft. Sill NAVSUB Base New London Yokota

26% 24% 22% 20% 18% 16% 14% 12% 10% 2013Q1

2013Q2

2013Q3

2013Q4

2014Q1

2014Q2

*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities

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Healthy Base Initiative Initial Observations • 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 10

Healthy Base Initiative DeCA/Exchange Initiatives • 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 11

Healthy Base Initiative DoD Food Study • 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

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Healthy Base Initiative Way Ahead • 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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