Ohio Food Policy Summit May 2014 Ohio’s Chronic Disease Plan and Healthy Food Access Ohio Food Policy Summit May 2014

Food Access and Chronic Disease 20-50% of patients in hospitals are identified as malnourished at admission Malnourished patients have hospital stays of 1.5 to 1.7 times longer than well-nourished patients, and have a higher rate of hospital readmission. Costs of hospitalization for malnourished patients are higher than for well-nourished patients. Having access to food is about more than solving hunger. This information was presented in a recent webinar hosted by Dialogue For Health. Dialogue4Health, Public Health Institute, May 2014

Food Access and Diabetes Adults living with most severe levels of food insecurity have more than twice the risk of being diagnosed with diabetes as adults who have ready access to healthy food. Food insecurity is associated with poorer glycemic control among those who already have diabetes. Cyclic food restriction among the food insecure is associated with preferences for energy-dense foods, increased body fat, and decreased lean muscle mass. Adults with diabetes who cannot afford adequate food have 5 more physician encounters per year than their counterparts who can afford adequate food. Specifically, for diabetes, people without appropriate access to healthy food are often more likely to have worse, and more expensive outcomes. 9/17/2018

Ohio’s Plan to Prevent and Reduce Chronic Disease: 2014-2018 Overarching Goal To prevent and reduce the burden of chronic disease for all Ohioans The plan was released on March 26, 2014. Five-year, priority driven plan Developed by a Chronic Disease Workgroup 9/17/2018

Long-Term Outcomes It has 2020 long-term outcomes focused on chronic disease, screening/recommended care and risk factors. 9/17/2018

Framework This framework was developed by the CDC and all states are using it. 9/17/2018

The SEM describes how health and health behaviors are influenced by factors within the rungs of this circle. Addressing common factors within the population yields greater benefits to more people, not just individuals. Addressing all the influences that surround an individual makes it easier for them to make good choices.

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Sectors There are key 5 sectors addressed in the plan. The Government sector includes local public health. The sectors associated with each objective serve as a guide for stakeholders to align activities and leverage resources. Funders are not listed as a separate sector but the plan can be a resource for these organizations. 9/17/2018

Plan Objectives Healthy food access Access to physical activity Tobacco use and exposure Control of blood pressure Screening for preventable cancers Management of childhood obesity Coordinated resources to improve prevention and management of diabetes and other chronic diseases The objectives are arranged by the 4 core focus areas: Partners Performance measures: baseline and 5-year outcome measures Data source Strategies 9/17/2018

Healthy Food Access Expanding worksite wellness and childcare healthy eating policies Increasing access to farmer’s markets Increasing access to healthy food retail options Expanding Farm to School programs Establishing a statewide food council network

American Heart Association Ohio Department of Health/Creating Healthy Communities CWRU Prevention Research Center for Healthy Neighborhoods John Glenn School of Public Affairs, Ohio State University Columbus Public Health American Diabetes Association Ohio State University Extension 9/17/2018

Implementing the Plan: The Ohio Chronic Disease Collaborative Stakeholder Group Objective Partners Objective(s) Leads Leadership Team This is the group that will implement the plan. Articles of Operation – defines roles for each level of participation. 9/17/2018

How to Get Involved Get with the plan! www.healthy.ohio.gov/CDPlan Join the Ohio CD Collaborative: https://www.surveymonkey.com/s/OCDC 9/17/2018