Kaiser PermanenteHealth Care and Community Prevention Strategies

Hunger Issues Forum

Santa Clara, CA

September 10, 2010

Kathryn Boyle

Kaiser Permanente

Community Benefit, Northern California

Hunger Issues Forum

Santa Clara, CA

September 10, 2010

Kathryn Boyle

Kaiser Permanente

Community Benefit, Northern California

Kaiser Permanente:Mission

Kaiser Permanente exists:

To provide high quality, affordable

health care services, and to

improve the health of our

members and the communities

we serve.

Kaiser Permanente:Our Approach

Organizational Practice

Community Health

Initiatives

Health Care Delivery

Kaiser Permanente:Health Care Delivery

Clinical Strategies : Evidence-Based Prevention for Kaiser Permanente Members

• BMI as a vital sign

• Individual Counseling/Brief Negotiation

• Office support tools

• Nutritionist support

• Breastfeeding support/baby friendly hospitals

Self Management Support

• Diabetes self management classes – starting with pre-diabetes

• Weight management classes for adults, teens, kids

• Exercise classes

• Subsidized Weight Watchers memberships

• Classes with Community-Based Organizations

• On-line information and interactive tools

• Local area trail maps

Kaiser Permanente:Organizational Practice

In our facilities:

• KP farmers markets

• Healthy Picks – Vending machine standards

• Menu labeling in cafeterias

• Buy fresh and local sourcing for our hospitals

• Elimination of transfats

• Sugar sweetened beverages eliminated from SCal Regional Offices

• Smoke free campuses

• Green buildings, walking paths, meditation gardens

Employee Wellness:

• Thrive Across America

• 10,000 Steps program

• Weight Watchers® at Work

Community volunteerism bridging from the clinic to the

community:

• KP Cares

• Gulf Coast

• Super Surgery Day

Kaiser Permanente:Northern California HEAL

HEAL Portfolio

• Over $20 million invested from 2004 to the present

• 5-year, $1.5 million investments in three communities: Richmond, Santa Rosa, Modesto

• Smaller investments in each of the other 10 Northern California service areas

• Regional and Statewide Advocacy and Systems Change grants

• Healthy Eating in Hard Times

• California Convergence

• Short term programmatic grants

HEAL-CHI

• Geographic, place-based focus in communities of greatest need

• Interventions at the community infrastructure and education level

• Evaluation and evidence-informed public health strategies

• Maximize reach, impact, and sustainability

• Leveraging the assets and strengths of communities and Kaiser Permanente

• Technical Assistance

• Evaluation

Kaiser Permanente:Vision & Goals

Decrease calorie consumption (e.g. soda/sugar sweetened beverages, portion sizes, snacking)

People eat better

and move

more as part of

daily life.

Increase fresh fruits and vegetables consumption

Increase physical activity in community settings (e.g. safe routes for walking and biking, parks, joint use agreements)

Increase physical activity in institutional settings (e.g. schools, after school, workplace).

Community Infrastructure•Policy Development•Organizational Practices•Systems Change•Built Environment

Levers: Affordability, Accessibility, Availability, Safety

Education•Individual Skills and Knowledge•Community Norms Change

Levers: Knowledge, Skills, Attitudes

Kaiser Permanente:HEAL Strategies

Examples:

• Implement strong school wellness policies with nutrition standards and enforcement mechanisms

• Point of decision prompts: menu labels, encourage stair use

• Provide incentives to attract supermarkets and grocery stores

• Safe routes and traffic calming for biking and walking

• Build, maintain, and improve parks and playgrounds

• Promote public transit use through improved routing and fare reductions

• Enforce California physical education regulations in schools

• EBT + incentives at Farmers’ Markets

• Fresh produce distribution in food banks and pantries

• Decrease administrative barriers to Food Stamps/SNAP

• Increase physical activity and nutrition standards in after school programs, child care settings, etc

• Worksite multi-level interventions

• Increase availability and quality of youth sports and increase access to fields (Joint Use)

• Teddy Bear Clinic in Santa Clara - 20 events, 12,000 children have been seen

• BANPAC – Soda Free Summer

Kaiser Permanente:Successes & Lessons

Kaiser Permanente:Successes & Lessons

For more information:www.kp.org/communitybenefit/ncal

Kathryn BoyleKathryn.f.boyle@kp.org

(510) 625-6378