Health Care Without Harm Nov 12, 2015

HEALTH CARE WITHOUT HARM  Environmental health organization that utilizes the health care sector to create change in public and environmental health  Program areas include:  Waste management  Climate and health  Food  Safer chemicals  Leadership engagement  Greener purchasing 1.Shift health care food purchase to support sustainably produced products 2.Engage clinicians in advocacy 3.Support health care in improving community food access to healthy, affordable food

Less Meat & Better Meat Part A: Reduce by 10% per year OR achieve ultimate goal of an average 1.5 oz per meal served Part B: Increase by 5% per year OR achieve the ultimate goal of 20% of meat and poultry purchases raised without the routine use of antibiotics

 Mass Hospital Association issued an Antibiotics Stewardship Challenge asked CEOs to transition one meat or poultry product that raised without the routine use of antibiotics by Dec  Numerous facilities purchasing direct from local producers with transparent production practices, including Pen Bay and Maine General  270 facilities are participating in Food Day by serving meat and poultry raised without the routine use of antibiotics – 60 from New England.

Local and Sustainable Foods  Part A: Increase the percentage of local food purchases by 5% annually OR achieve the ultimate goal of 20% of total purchases.  Part B: Increase the percentage of sustainable food purchases by 5% annually OR achieve the ultimate goal of 20% of total purchases.

 Pre-season contracting with local farmers  Purchase direct from farms  Purchase from food hubs and regional distributors  Increase local and sustainable procurement of proteins  Communicate with GPO and FSMC representatives regarding their desire for increased access to local and sustainable products on contract

 Conducted research on use of community benefits and food access in Mass.  Thanks to support from RWJF will expand research nationally to investigated utilization of community benefits to improve community food access  Research will begin Jan 2016 and resources will be available mid- to late-2017  Will also develop regional learning networks for community benefit staff and others interested in exploring this work

Lahey Health System  Conduct food insecurity screenings in emergency room  Developed an on-site food pantry to address immediate food needs  Connect patients to community based resources  Link screening results to electronic records

Harvest Shares Farm Education Nutrition Education Cooking Classes FOOD ACCESS INITIATIVES

Obese and diabetic patients referred to program by physicians Receive a dollar a day per family member Coupons can only be spent on fruits and vegetables Receive coupons on a monthly basis and must participate in check-in to continue participation FOOD ACCESS INITIATIVES

Distribute food to 600 families each month Operates 12 months a year Food provided in collaboration with the Greater Boston Food Bank Provides auxiliary services at each market FOOD ACCESS INITIATIVES