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THE SOUTH CAROLINA HOSPITAL QUALITY GUIDE 20 15 SLIM DOWN SOUTH

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Page 1: SLIM Down Southscbch.org/wp-content/uploads/2016/03/SCBCH-2015-Final... · 2016-03-07 · field to act collaboratively in creating sustainable initiatives to improve healthcare

The SouTh Carolina

hoSpiTal QualiTy Guide

20 15

SLIMDownSouth

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Next to t rad i t ion , bus iness i s the hear t and sou l o f South Caro l ina . Commerce he lps dr ive our s ta te , and by embrac ing changes in hea l th care and adopt ing new techno log ies , we can make South Caro l ina ’s work force one o f the most a t t rac t ive and product ive in the nat ion . The purpose o f the South Caro l ina Bus iness Coa l i t ion on Hea l th i s to serve as a par tnersh ip for bus inesses , o rgan iza t ions and ind iv idua ls in S .C. and ins ide the hea l thcare f ie ld to ac t co l laborat ive ly in c reat ing sus ta inab le in i t ia t i ves to improve hea l thcare qua l i ty and e f f i c iency, p romot ing greater consumer respons ib i l i t y in hea l thcare dec is ions , improv ing the overa l l hea l th o f South Caro l in ians and thereby improv ing our economic compet i t i veness and qua l i ty o f l i fe .

Upstate RegionGHS. LiveWell Greenville GHS. Swamp Rabbit TrailGHS Children’s Hospital. Girls on the Run!Self Regional Healthcare. Wellness Works

Upstate MidlandsProvidence Hospitals. Speaking of Your HealthProvidence Hospitals. Providence Cooks!Providence Hospitals. Corporate Wellness. Tuomey Healthcare System. Tuomey Walking Trails

4

5

6

7

8

TABLE OF

ContEntSPee DeeClarendon Memorial Hospital. The Zone Wellness CenterClarendon Memorial Hospital. Nutrition ClassesHealthFinders

Low CountryH2U

2015 Hospital Scores - All RegionsWhy Should I Care About Obesity?

9

10

11

1322

SLIMDownSouth

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liveWell Greenville is a network of organizations partnering to ensure access to healthy eating and active living for every Greenville County resident. hosted by the yMCa of Greenville, liveWell has become the primary vehicle through which partner organizations can successfully promote positive change through resources that promote healthy eating and active living.

http://livewellgreenville.org/who-we-are/

S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h

Greenville health System Swamp rabbit Trail is a multi-use greenway system that runs along the reedy river connecting Greenville County with schools, parks, and local businesses. The GhS Swamp rabbit will continue to grow offering fun, non-motorized recreation and transportation opportunities wherever it goes.

http://greenvillerec.com/swamprabbit

program 1: GhS. liveWell Greenville

10 weeks. 20 lessons. 700,000 girls and counting. The 20-lesson Girls on the run curriculum combines training for a 5K (3.1 miles) running event with lessons that inspire girls to become independent thinkers, enhance their problem solving skills and make healthy decisions. all of this is accomplished through an active collaboration with girls and their parents, schools, volunteers, staff, and the community.

www.ghschildrens.org/what-we-do.php

program 3: GhS Children’s hospital. Girls on the run!

a healthy lifestyle is a choice and Wellness Works (The health and fitness center of Self regional healthcare) makes that choice easy with its innovative community facility. Certified instructors and personal Trainers help identify a person’s fitness needs and assist in devising a plan to achieve one’s individual goals. over 40+ group fitness classes are offered per week including strength training, water exercise, nutrition, weight control, relaxation techniques, and more. The goal of Wellness Works is to provide the community with the best fitness experience possible.

www.wellnessworksofsrh.com

program 4: Self regional healthcare. Wellness Works

program 2: GhS. Swamp rabbit Trail

4 5

REGION

uPStAtE

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This award winning cooking class is more than just another demonstration. This is the key to making heart healthy food a flavorful staple in your diet. From tailgating to a multi-course holiday meal, this is by far providence’s most popular community class offering. Join our chefs and special guests for the next providence Cooks! Classes offered on Tuesday nights throughout the year.

www.providencehospitals.com/health-care-services/

program 2: providence hospitals. providence Cooks!

S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h6 7

This community health class is offered approximately twice a month and answers tough questions about the most prevalent health conditions seen in the Midlands. offered on Tuesday and Thursday nights, this one-hour program engages the community through physicians and clinical experts and includes time for you to ask the questions on your mind. Topics range from preventative care, to heart attack basics to orthopedic specialty information.

www.providencehospitals.com/health-care-services/health-wellness/

REGION

MIDLAnDS

program 1: providence hospitals. Speaking of your health

The health & Wellness department is equipped to help companies begin to benchmark the overall health of their employees and to offer consultations and guidance in modifying the underlying health risk behaviors that can lead to chronic illness. This service has been popular statewide and personalizes annual wellness checks and ongoing process changes so that every employer and employee has a personal understanding beyond weight and blood pressure. This program helps community members in understanding the path they need to take to reach or maintain a high quality of life through the right diet, exercise, and preventative care.

www.providencehospitals.com/health-care-services/

program 3: providence hospitals. Corporate Wellness.

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S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h

Clarendon health System is committed to helping our community live well. at the core of their commitment you’ll find The Zone, a total health and wellness center. here, certified personal trainers and trained gym assistants guide you through your workouts and lend a helping hand. The Zone welcomes anyone interested in health and wellness to join and take advantage of all their fitness resources!

www.clarendonhealth.com/the-zone

program 1: Clarendon Memorial hospital. The Zone Wellness Center

offered several times throughout the year, the Clarendon Memorial hospital in house dietician hosts free classes to educate the community about different aspects of health and wellness. Check the calendar of events to find out which topics will be discussed, no registration is necessary.

http://www.clarendonhealth.com/calendar

program 2: Clarendon Memorial hospital. nutrition Classes

8 9

REGION

MIDLAnDS REGION

PEE DEE

The Tuomey Trails are made of four one-mile routes begin at Tuomey’s main hospital entrance where anyone can walk or run their way to fitness. Follow the arrows for a run or walk, and double up to reach two miles!

www.tuomey.com/outreach/tuomey_trails.aspx

program 4: Tuomey healthcare System. Tuomey Walking Trails

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Grand Strand Medical Center’s healthFinders offers a wide range of seminars, hospital and health information, screenings, wellness classes, and special events. hospital personnel and physicians on staff at Grand Strand Medical Center are frequent speakers at the Center’s monthly seminars. ongoing programs include: daily screenings, childbirth classes, ask the pharmacist, yoga Classes, First aid ed, and diabetes education. events are free unless indicated.

pre-registration is requested; please call (843) 692-4444.

http://grandstrandmed.com/our-services/healthfinders.dot

living a healthier lifestyle is easier when you have the support of like-minded people. at h2u, that’s exactly what you’ll find – active, engaged members who never take good health for granted. you can sign up today by calling 1-800-771-0428 or visit h2u.com for an individual membership — only $20 a year. Two-year individual membership and household memberships for couples joining together also are available from the hospital using a paper application. either option is just $35.

http://tridenthealthsystem.com/patients/h2u.dot

REGION

PEEDEE REGION

LowCountRY

program 1: healthFinders

program 1: h2u

S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h10 11

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S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h12

lifeFit Body Makeover is a comprehensive wellness program designed to help you create life-long healthy habits. Throughout this program lifeFit Wellness Coaches will incorporate effective, scientifically proven exercises designed to help you burn fat with high intensity interval training and boredom-busting cardio, which builds lean, long and strong muscles. The lifeFit registered dietitian will help you create a manageable and sustainable nutrition plan designed just for you. and, the small group format will provide accountability, structure, personal attention and the social support you’ll need to help you meet your goals, with the program taking just 12 weeks!

www.bmhsc.org/health-resources/events/eventdetail.aspx?Id=10202&vt=0&sd=8/20/2015

program 2: Beaufort Memorial hospital. lifeFit Body Makeover

The Medical university of South Carolina offers an extensive list of health and wellness program geared specifically towards adults including but not limited to:

• after the Bridge run Speed Workout Series 2015 ∙ This program is for runners of all ability levels.

• Back to School Boot Camp ∙ This 6-week program includes 18 workouts at varied locations.

• healthy Charleston Challenge ∙ healthy Charleston Challenge is a 12-week weight loss and activity competition located at the Wellness Center.

• h.i.T.S. ∙ h.i.T.S. is a strength and conditioning program that improves overall athleticism in any athlete or individual.

• S.T.a.e. Fit ∙ an ongoing senior fitness class for those 50+ that features strength training and aerobic exercises.

• Women on Weights ∙ This program is designed to educate and familiarize women on how to properly use weight training exercises to effectively improve strength, coordination, balance, and core control.

• Wu Style Tai Chi ∙ Tai Chi is an ancient Chinese discipline consisting of slow, meditative movements that are learned in a sequence.

http://academicdepartments.musc.edu/hsc/programs/

program 4: Medical university of South Carolina. adult Wellness programs

MuSC Wellness Center’s nutrition Services are here to help you successfully achieve your goals by offering information and guidance you need to make informed, practical changes. Their registered dietitian uses the latest evidence-based guidelines to assist you in forming sustainable healthy eating habits. no physician referral necessary. Services include individual and group counseling sessions, interactive presentations and seminars, and corporate wellness nutrition programming where you’ll receive a comprehensive nutrition assessment through structured conversation that evaluates eating habits, current lifestyle practices, and overall health status.

program 3: Medical university of South Carolina. nutrition Services

http://academicdepartments.musc.edu/hsc/nutrition/nutritionservices.html

Making sure that the hopsitals near you fully meet the standards of leapfrog’s recommended quality and

safety practices.

S ORES2015 hoSpiTal

S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h 13

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GENERAL INFORMATION MATERNITY CAREPreventingMedication

Errors

AppropriateICU Staffing

Steps toAvoid Harm

Managing Serious Errors

Rate ofCesareanSection

Rate of EarlyElective

Deliveries

High-RiskDeliveries

MaternityCare Standard

Precautions

Rate ofEpisiotomy

HIGH-RISK SURGERIES HOPSITAL-ACQUIRED CONDITIONS RESOURCE USE SCOREAortic Valve

ReplacementAbdominal

Aortic Aneurysm Repair

PancreaticResection

EsophagealResection

ReduceCentral-Line

Infections in ICUs

Reduce UrinaryCatheter

Infections in ICUs

Reduce HospitalAcquired

Pressure Ulcers

Readmissionsfor Common

Acute Conditions

Length of Stayfor Common

Acute Conditions

Reduce HospitalAcquired Injuries

OverallHospital

Score

WHAT THE SCORES MEAN

Hospital does notperform procedure.

Fully meets the standards of Leapfrog’srecommended quality and safety practices.

Substantial progress in implementing Leapfrog’srecommended quality and safety practices.

Some progress in implementing Leapfrog’srecommended quality and safety practices.

Willing to report publicly; did not yet meet Leapfrog’s criteria for good early stage e�ort.

Hospital declinedto respond.

Unable to calculate scoredue to small sample size.

REGION

UPSTATEAbbeville Area Medical Center Abbeville

AnMed Health Medical CenterAnderson

Cannon Memorial HospitalPickens

Chester Regional Medical CenterChester

AnMed Health Women’s & Children’s HospitalAnderson

Baptist Easley HospitalEasley

GHS Laurens County Memorial HospitalClinton

Greenville Memorial HospitalGreenville

Mary Black Memorial HospitalSpartanburg

Novant Health Ga�ney Medical CenterGa�ney

Greer Memorial HospitalGreer

Hillcrest HospitalSimpsonville

Oconee Medical CenterSeneca

Patewood Memorial HospitalGreenville

Self Regional HealthcareGreenwood

Spartanburg Regional Medical CenterSpartanburg

Piedmont Medical CenterRock Hill

Springs Memorial HospitalLancaster

St. Francis EastsideGreenville

St. Francis Hospital DowntownGreenville

Wallace Thomson HospitalUnion

Pelham Medical CenterGreer

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GENERAL INFORMATION MATERNITY CAREPreventingMedication

Errors

AppropriateICU Staffing

Steps toAvoid Harm

Managing Serious Errors

Rate ofCesareanSection

Rate of EarlyElective

Deliveries

High-RiskDeliveries

MaternityCare Standard

Precautions

Rate ofEpisiotomy

HIGH-RISK SURGERIES HOPSITAL-ACQUIRED CONDITIONS RESOURCE USE SCOREAortic Valve

ReplacementAbdominal

Aortic Aneurysm Repair

PancreaticResection

EsophagealResection

ReduceCentral-Line

Infections in ICUs

Reduce UrinaryCatheter

Infections in ICUs

Reduce HospitalAcquired

Pressure Ulcers

Readmissionsfor Common

Acute Conditions

Length of Stayfor Common

Acute Conditions

Reduce HospitalAcquired Injuries

OverallHospital

Score

WHAT THE SCORES MEAN

Hospital does notperform procedure.

Fully meets the standards of Leapfrog’srecommended quality and safety practices.

Substantial progress in implementing Leapfrog’srecommended quality and safety practices.

Some progress in implementing Leapfrog’srecommended quality and safety practices.

Willing to report publicly; did not yet meet Leapfrog’s criteria for good early stage e�ort.

Hospital declinedto respond.

Unable to calculate scoredue to small sample size.

Edgefield County HospitalEdgefield

Barnwell County HospitalBarnwell

Aiken Regional Medical CentersAiken

Newberry County Memorial HospitalNewberry

Palmetto Baptist Medical Center ColumbiaColumbia

KershaweHealth Medical CenterCamden

Lexington Medical CenterWest Columbia

Palmetto Richland Memorial HospitalColumbia

Providence HospitalColumbia

Regional Medical Center of Orangeburg &Calhoun Counties Orangeburg

Tuomey Healthcare SystemSumter

Providence Orthopedic HospitalColumbia

REGION

MIDLANDS

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GENERAL INFORMATION MATERNITY CAREPreventingMedication

Errors

AppropriateICU Staffing

Steps toAvoid Harm

Managing Serious Errors

Rate ofCesareanSection

Rate of EarlyElective

Deliveries

High-RiskDeliveries

MaternityCare Standard

Precautions

Rate ofEpisiotomy

HIGH-RISK SURGERIES HOPSITAL-ACQUIRED CONDITIONS RESOURCE USE SCOREAortic Valve

ReplacementAbdominal

Aortic Aneurysm Repair

PancreaticResection

EsophagealResection

ReduceCentral-Line

Infections in ICUs

Reduce UrinaryCatheter

Infections in ICUs

Reduce HospitalAcquired

Pressure Ulcers

Readmissionsfor Common

Acute Conditions

Length of Stayfor Common

Acute Conditions

Reduce HospitalAcquired Injuries

OverallHospital

Score

WHAT THE SCORES MEAN

Hospital does notperform procedure.

Fully meets the standards of Leapfrog’srecommended quality and safety practices.

Substantial progress in implementing Leapfrog’srecommended quality and safety practices.

Some progress in implementing Leapfrog’srecommended quality and safety practices.

Willing to report publicly; did not yet meet Leapfrog’s criteria for good early stage e�ort.

Hospital declinedto respond.

Unable to calculate scoredue to small sample size.

Carolina Pines Regional Medical CenterHartsville

Carolinas Hospital SystemFlorence

Conway Medical CenterConway

Fairfield Memorial HospitalWinnsboro

Chesterfield General HospitalCheraw

Clarendon Memorial HospitalManning

Grand Strand Medical CenterMyrtle Beach

Lake City Community HospitalLake City

McLeod LorisLoris

McLeod Medical Center DarlingtonDarlington

Marion County Medical CenterMullins

Marlboro Park HospitalBennetsville

McLeod Medical Center DillonDillon

McLeod Regional Medical Center of the Pee DeeFlorence

Tidelands Georgetown Memorial HospitalGeorgetown

Williamsburg Regional HospitalKingstree

McLeod SeacoastLittle River

Tidelands Waccamaw Community HospitalMurrells Inlet

REGION

PEE DEE

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GENERAL INFORMATION MATERNITY CAREPreventingMedication

Errors

AppropriateICU Staffing

Steps toAvoid Harm

Managing Serious Errors

Rate ofCesareanSection

Rate of EarlyElective

Deliveries

High-RiskDeliveries

MaternityCare Standard

Precautions

Rate ofEpisiotomy

HIGH-RISK SURGERIES HOPSITAL-ACQUIRED CONDITIONS RESOURCE USE SCOREAortic Valve

ReplacementAbdominal

Aortic Aneurysm Repair

PancreaticResection

EsophagealResection

ReduceCentral-Line

Infections in ICUs

Reduce UrinaryCatheter

Infections in ICUs

Reduce HospitalAcquired

Pressure Ulcers

Readmissionsfor Common

Acute Conditions

Length of Stayfor Common

Acute Conditions

Reduce HospitalAcquired Injuries

OverallHospital

Score

WHAT THE SCORES MEAN

Hospital does notperform procedure.

Fully meets the standards of Leapfrog’srecommended quality and safety practices.

Substantial progress in implementing Leapfrog’srecommended quality and safety practices.

Some progress in implementing Leapfrog’srecommended quality and safety practices.

Willing to report publicly; did not yet meet Leapfrog’s criteria for good early stage e�ort.

Hospital declinedto respond.

Beaufort Memorial HospitalBeaufort

Allendale County HospitalFairfax

Colleton Medical CenterWalterboro

East Cooper Medical CenterMount Pleasant

Bon Secours St. Francis HospitalCharleston

Coastal Carolina HospitalHardeeville

Hampton Regional Medical CenterVarnville

Hilton Head HospitalHilton Head Island

Roper HospitalCharleston

Summerville Medical CenterSummerville

Medical University of South CarolinaUniversity Medical Center Charleston

Mount Pleasant HospitalMt Pleasant

Trident Medical CenterCharleston

Unable to calculate scoredue to small sample size.

REGION

LOW COUNTRY

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S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h S o u T h C a r o l i n a B u S i n e S S C o a l i T i o n o n h e a l T h | S l i M d o W n S o u T h22 23

Today, two out of three South Carolina adults and one out of three children are

overweight or obese. obesity has become a major contributor to the diseases that

kill the most people in our state, make the most people sick and cost our state the

most money to treat.

The South Carolina obesity action plan, released in the fall of 2014, details evidence-based strategies and activities to guide partners in reducing the burden of obesity in our state over a five-year period. The plan outlines 74 objectives that promote policy, systems and environmental changes to advance healthy eating and active living in communities across South Carolina.

The SCale down initiative was launched at the beginning of 2015 to engage stakeholders statewide in achieving the objectives of the obesity action plan. in addition, this initiative strives to connect and mobilize stakeholders who are working to reduce and prevent obesity, to eliminate duplication of efforts and to better promote achieved successes. The South Carolina institute of Medicine and public health facilitates the SCale down initiative in partnership with the South Carolina department of health and environmental Control (SCdheC).

Many partners support SCale down through their involvement on the initiative’s leadership and evaluation teams and across each of the five workgroups (child care, community, health care, schools and worksites). These workgroups provide ongoing opportunities to engage stakeholders in activities that address the objectives

in each setting of the obesity action plan. each setting has a uniquely defined focus:

• Community - improve the community environment to increase access to affordable fruits and vegetables, education about healthy eating and physical activity and to provide more opportunities for safe physical activity.

• Worksites - improve employees’ health by implementing evidence-based worksite wellness strategies to reduce obesity risk factors and prevalence.

• health Care - improve patient care by enhancing the health care system’s ability to effectively diagnose, counsel and refer patients to needed obesity treatment, nutritional counseling and support services.

• Schools and Child Care - improve children’s health through the use of evidence-based strategies that promote healthy eating and physical activity.

The 2014-2019 South Carolina obesity action plan is meant to be a living document – growing, changing and evolving as our state hits key benchmarks or new needs arise.

Thanks to the collaborative work of numerous partners—including the South Carolina Business Coalition on health, SCale down is gaining momentum and is making strides in addressing obesity in South Carolina. This positive energy is reflective of the many innovative approaches being used to achieve the objectives of the obesity action plan.

SC FiTneSSGraMpotentially reaching over 740,000 South Carolina public school students, SC FitnessGram will allow students to set their own health-related fitness goals, help school administrators make curricular and policy choices for physical education and offer a way for teachers to manage and communicate student fitness information to students and parents. during the 2014-2015 school year, a pilot was successfully implemented in six public school districts across the state. With the success of the pilot project, more than 75% of schools across the state have now signed on to participate in the second phase of the SC FitnessGram program this coming school year.

a healThier STaTeThrough grant funding from The duke endowment, SCdheC and the South Carolina hospital association have partnered to conduct baseline worksite assessments and offer wellness consultation services to the Governor’s

office, all 16 cabinet agencies, the South Carolina department of Mental health and SCdheC. This initiative, which has been branded “a healthier State: Make every Workday Great,” impacts nearly 35,000 state employees. The purpose of a healthier State is to assess, implement and help maintain effective worksite wellness environments and policies within these 19 organizations to help reduce health care costs, increase employee productivity and reduce absenteeism.

healThy ConneCTionS nuTriTional CounSelinG poliCyThe South Carolina department of health and human Services (SCdhhS) implemented the nutritional Counseling policy on august 1, 2015. adult healthy Connections Medicaid members with a BMi of 30 or greater who are committed to losing weight through diet and exercise are eligible for an initial screening and five additional face-to-face behavioral counseling visits/encounters with their health care provider. in addition, SCdhhS now recognizes licensed dietitians (lds) providing nutritional counseling services for obesity as a provider type under its managed care and fee-for-service programs. eligible participants must receive a referral from a physician to receive an initial dietitian visit for nutritional counseling and five follow-up visits. nutritional counseling-related

treatment for children will continue to be covered as a part of the healthy Connections Medicaid early periodic Screening diagnosis and Testing (epSdT) program.

The MoTher Friendly ToolKiT The Mother Friendly Toolkit assists faith-based organizations with promoting and supporting a family’s decision to breastfeed by creating a mother friendly environment within the faith community. developed in partnership by SCdheC, eat Smart Move More South Carolina, palmetto health richland and the South Carolina Breastfeeding Coalition, the toolkit includes information on the benefits of breastfeeding, helpful tips and steps a faith-based organization can take to create a mother friendly environment, examples of outreach activities and a section of resource and support tools. The Mother Friendly Toolkit is free and will soon be available online on the SCdheC and SCale down websites.

The FaiTh and healTh GuideFaith communities play an important role in providing social support, community leadership and positive reinforcement to individuals interested in making lifestyle changes to achieve and maintain health. The Faith and health Guide is designed to provide resources and programs that can be used to promote healthy behaviors in congregations and

community organizations. developed collaboratively by SCdheC staff, the guide provides program descriptions and easy links to websites and other health-related resource tools. The Faith and health Guide is free and will soon be available online on the SCdheC and SCale down websites.

The GroW healThy FlorenCe piloT proJeCTGrow healthy Florence is a pilot project being implemented in five child care centers in Florence. The goal of Grow healthy Florence is to support aBC Quality child care providers in their efforts to provide healthy eating and active living environments by: 1) becoming a preventing obesity by design (pod) demonstration site, 2) engaging children and their families in nutrition and physical activity initiatives occurring at the child care center and 3) increasing access to fruits and vegetables by linking centers to local food growers. each participating pilot site will receive training, design assistance and technical support to create an outdoor environment that encourages physical activity, healthy eating and lifelong learning.To learn more about SCale down, visit www.scaledown.org. For questions on how you can become involved with SCale down, please contact [email protected].

Moving The needle on obesity innovative approaches to obesity preventionWhy Should i Care aBouT

in SouTh Carolina? BESITY

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phone 864.467.3255Fax 864.467.3258SCBCh.orG

Temp-ReTuRn SeRvice RequeSTedSouTh caRolina BuSineSS coaliTion on healTh800 e WaShingTon STReeT, SuiTe KgReenville, Sc 29601

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