1. Healthy Lifestyles Update
Robert Palussek & Pastor William Glover
Co-Champions

2. Healthy Lifestyles
Encourage Lee County residents to pursue a culture of healthy lifestyles including access to nutritional information, physical activity and exercise, stress management, routine medical exams/check-ups, and information on prevention of risk factors for disease. Develop accessible community programs for health literacy, population management, system and policy changes to support a healthy and safe environment while improving the economics of health care in our community.

3. Healthy Lifestyles Scorecard

4. Accomplishments Healthy Lee Coalition
Focused on creating and sustaining a community culture of healthier lifestyles within Lee County.
Distribution list currently has 220 contacts representing 99 organizations as well as 16 citizens.
Meets Quarterly – 4th Tuesday of the first month of the quarter / Next meeting: July 28th 7:30 AM – 9 AM, Cape Coral Hospital
Five goal areas:
Expand Commitment to Healthy Lee
Improve Nutritional Habits of the People in Lee County
Increase Physical Activity of the People in Lee County
Encourage Healthy Lifestyles and Wellness Initiative in the Workplace, Neighborhoods, and Churches
Influence Policy and Environmental changes in support of healthier lifestyles

5. Accomplishments
Community Gardens

6. Accomplishments
Community Gardens

7. Accomplishments PACE-EH – Pine Manor Community Garden
Protocol for Assessing Community Excellence in Environmental Health community
Community garden official ribbon-cutting and health fair held in October 2014
After-school gardening program (partnership with ECHO)
Trafalgar Middle School Garden
9500 lbs. of organic fruits and vegetables harvested
Soup kitchens received 90% of the yield
National Kiwanis Garden Competition
1st in State / 3rd in Nation
Met with Secretary of Agriculture in Washington DC

8. Accomplishments Lee County Schools WIC
Over 200 posters distributed to health science teachers, school nurses, and food service managers for use in public elementary and middle schools.
Additional posters distributed to school nurses in 10 private schools.
Healthy School District – Gold Level Achievement for
WIC
To date, over 22,000 WIC enrollees have been exposed to the message through:
5210 displays found in WIC offices within Lee, Hendry, and Glades counties
“Rx for Healthy Active Living “ and educational flipcharts used during visits
Quarterly newsletters
Pediatric and Family Health Clinics
Family Health Centers of SWFL – pediatricians gave out 9,788 “Prescriptions for Healthy Active Living”
Part of EMR; available in English and Spanish
NEW - Lee Physician Group – Pediatrics and Family Practice offices

9. Accomplishments Harry Chapin Food Bank Lee County School District
Distributed 19.6 million pounds of food last year
Half of all food distributed is healthy and fresh/perishable
Includes 7 million pounds of fresh produce
“Fresh Produce Rescue Program”
Distributed over 800,000 lbs. of meat
AmeriCorps volunteers: teaching importance of good nutrition in preschools
“Food as Medicine”
Lee County School District
“Farm to School” program

10. Accomplishments Lee Memorial Health System Optimal Nutrition Approach
More nutrient dense whole foods
Reduced processed food, sugar, fats
For patients and retail cafeterias - Flavor Harvest Choices
1:3 senior patients suffer malnutrition when admitted
Pilot home delivery 30 days post discharge
Yields reduction in both LOS and Readmissions
Now being implemented system- wide
LMHS now USDA SNAP retail vendor for home delivery
New American Heart Association partnership pilot for Heart Check Certification program (national model)
LMHS continues to find ways to address the nutrition deficiencies noted in the 2014 PRC survey where we saw a decline in the percentage of Lee County residents who eat recommended amounts of fresh produce daily.
The Optimal Nutrition Approach was developed for our cafeterias and for our patients (both in the hospitals and for malnourished seniors in the home after discharge) to aid in the recovery and support health. (We learned that Meals on Wheels frequently has a 30 day wait list and only provides one meal per day). Pilot resulted in shorter length of stays and reduced readmissions saving up to $1.5 million in hospital costs when fully implemented.
So LMHS is now fully implementing home delivery for patients who qualify as malnourished. USDA approved LMHS as a retail vendor for Supplemental Nutrition Assistance Program (SNAP), providing some partial reimbursement for home delivery for low income eligible seniors’ meals.
LMHS cafeteria program includes removing fryers, reducing salt, adding lean proteins and reducing high fat meats, vegetarian choices, 48 new items for salad bar.
Resulted in produce purchases up 47% over previous year. Healthy Proteins up 42% (seafood) and 21% poultry). Soda purchases down. Total purchases are up 3% net of the declines.
AHA chose LMHS for their pilot to develop nutritional standards for a new cafeteria/restaurant set of guidelines for Heart Check Certification to be displayed on menus.

11. Accomplishments Tobacco Free Lee 3 new community SWAT clubs
Local news: Special report on electronic cigarette use in Lee County schools – SWAT youth interviewed
Partnership with American Lung Association
Focus on employer cessation and smoke-free housing policies
2015 Tobacco grant awarded to DOH-Lee
Anti Candy-flavored tobacco resolution adopted in the City of Fort Myers (January 2015)
School Board adopted the remaining four (of twelve) components of the Comprehensive K-12 Model School Tobacco Policy (April 2015)
FGCU will be smoke/tobacco-free by Summer 2016

12. Accomplishments Horizon Council Healthcare Task Force
Next Workplace Wellness Summit August 26, 2015
New annual Workplace Wellness recognition program
Chairman Gary Griffin joined Healthy Lee Steering
Sustainability Plan
Discussion at 2014 Steering Committee
Executive Committee met with Commissioner Mann and County Manager Roger Desjarlais
Transition to SWFL Community Foundation
Sarah Owen has joined Health Lee Steering Committee
Robert will call on Gary Griffin to talk about the Summit and the new recognition program for Workplace Wellness
Robert will call on Sarah Owen to talk about the new Sustainability role for the SWFL Community Foundation

13. Accomplishments
TIGER award $10,475,000; $600,000 currently unallocated for projects
Federal requirements include more than $10 million be spent and 20% match
Implementation
It is a design and build project. Design near completion.
Potential Issues: Right of way, environmental, space
TIGER was written to have FGCU connectivity with the community
Exploring possible solutions to FGCU component issues
Continuing efforts
Design/Permitting
Public Outreach
Finalizing the line of credit with SunTrust
Revising schedules and reporting
There is $600,000 unallocated in the TIGER grant
─ Needs to be within the scope of TIGER and consistent with the application.
─ Suggestion to build a bus pull out on S. 41
─ “Tour de Park” usage to give some people a place to ride besides Sanibel.

14. Opportunities for Improvement
Lee County School District
The district has been adjusting menus to meet USDA requirements
The challenge is that the children are not fully embracing the new meals and are not finishing everything on their plates
Harry Chapin Food Bank
Moving towards a goal of percent of all distributed food items be a part of the USDA “MyPlate”
2015 County Health Rankings
Health Outcomes: 20th overall (from 11th in 2014)
Health Factors: 24th overall (from 23rd in 2014)
The good: Increase in exercise opportunities, decrease in injury deaths and tobacco users. Improvement in provider to patient ratios
The bad: Increase in premature death and low birth weight
The ugly: the bar continues to be raised – other Counties continue to improve too
Remember the data used for the County Health Rankings tends to be several years old. Our 2014 PRC survey is newer than this data due to the variability in national and state survey years.
2012 data for PCPs data for Dentists data for psychiatric professionals. (Our new Florida physician shortage data and the 2015 published HHS shortage data are both more current than the County Health Rankings data.)

15. Next Steps 5-2-1-0 Program Trafalgar Middle School Garden
Create a one-day Health Sciences curriculum focusing on a lifestyle to be taught within Health Sciences classrooms
Expand reach within additional pediatric practices
Trafalgar Middle School Garden
Plans to incorporate future yield into the school’s cafeteria
Lee County School District
Plans to take the “Farm to School Program” to the next level
Over 90% (77 of 85) of schools will qualify for “community eligibility provision” in the coming school year
SHOULD WE PLACE STREETS ALIVE HERE AS AN OFFICIAL BULLET POINT??

17. Discussion
Any questions for the co-champions? Any additions from other Steering Committee members? Suggestions for improvements?