NYSHealth Initiative for Obesity Prevention A Funder’s Perspective DASH-NY Coalition Conference Community Partnerships to End Obesity Disparities March 22, 2013

Overview About NYSHealth About NYSHealth Diabetes Campaign Past and current grants toward obesity prevention Future direction in diabetes prevention Guiding principles in grantmaking

Who We Are Private, not-for-profit grantmaking foundation focused on health Work in all regions of New York State, in three primary areas – expanding health care coverage, improving diabetes prevention, and advancing primary care Also support projects outside of those three areas to ensure that we can be responsive to community needs and ideas

NYSHealth Diabetes Campaign NYSHealth’s strategy : oImprove the way PCPs manage the care of people with diabetes  Goal: 3000 PCPs achieve NCQA DRP Recognition oDevelop sustainable community-based prevention and management initiatives oPromote payment approaches and public policies that create incentives and support initiatives to improve both clinical care and prevention programs

Past Obesity Prevention Grants Faith-Based Diabetes Initiative Trained and deployed six Faith Community parish nurses into six target communities to work with diabetics and at-risk individuals to make modest lifestyle changes to prevent or delay the onset of Type 2 diabetes Engaged 25 PCPs to achieve ADA guidelines and NCQA certification Seton Health’s Defy Diabetes Initiative, 2007 Institute for Leadership’s Faith Fights Diabetes Initiative Developed and led a strategy to spread Defy Diabetes in congregations across New York State Trained over 250 CHWs to offer a 6-week diabetes self- management and prevention program in places of worship Implemented 216 of these programs in high-risk and low-income neighborhoods

Past Obesity Prevention Grants Community-Based Interventions (In Our Early Days) The Bronx Nutrition and Fitness Initiative for Teens (B’N Fit), 2006 Expanded a youth obesity program from a hospital setting to Moshulu Community Center, Bronx, reaching youth with undiagnosed health problems beyond a hospital-based model Cooking for Healthy Communities, 2010 Provided training to UNH member agencies to prepare fresher, healthier meals for neighborhoods at greatest risk of diet-related diseases KIDS WIN! Child Health Project for Obesity Prevention, 2008 Kick-started a multi-year after-school and summer program dedicated to help shape children’s understanding, choices and behavior related to nutrition and fitness in 5 Syracuse community centers

Past Obesity Prevention Grants Diabetes Prevention Program Invested in a statewide strategy to replicate the YMCA Y-DPP program, an adaptation of the national Diabetes Prevention Program – an evidence- based intervention that helps people with prediabetes lose 5-7% of their body weight, reducing their risk of diabetes by nearly 60% Supported 14 YMCA sites across 10 regions of the State to develop capacity to offer the Y-DPP YMCA Y-DPP Initiative, 2010

Future Direction in Diabetes Prevention Scale proven community-based diabetes prevention programs that will reach people where they live, work and worship oAlign additional funders and stakeholders to expand the DPP across NYS with the potential capacity to serve 400,000 people within the next five years Inform public policy to advance prevention efforts throughout the State Leverage private and public resources to build the evidence for effective prevention efforts

Current Obesity Prevention Grants Informing Public Policy CU Mailman School of Public Health, 2008 Evaluation of changes in food consumption patterns, physical activity and BMI in children participating in the WIC program Fund for Public Health in New York, 2009 Assessment of NYC population sodium intake for evaluation of an ongoing, national intervention to reduce amount of sodium in processed and restaurant foods NYU School of Medicine, 2012 Impact evaluation of NYC sugar sweetened beverage policy on calorie purchasing and consumptions at fast food restaurant

Guiding Principles in Grantmaking Pursue measurable, time-limited objectives Be statewide in focus with special emphasis on vulnerable communities Identify and invest in programs with sustainable and replicable prospects Leverage private and public resources to maximize impact of our grant support