1. A cross-sector collaboration aimed at increasing the amount of time kids and their families spend playing outdoors. Philadelphia Nature Rx

2. Nature Rx: Models in Sister Cities  Boston: Outdoor Rx  Mass General Hospital for Children and the Appalachian Mountain Club  Washington DC: DC Park Rx  National Park Service, NEEF and Unity Health Systems  Portland: Rx play  Portland P&R, Oregon P&R, 4 health partners

3. Philadelphia Nature Rx: Goals  Nature Rx will…  increase public awareness about the health benefits of nature  connect Philadelphia families with their local parks, trails and green spaces  provide meaningful opportunities for children and their families to engage in at parks, trails and green spaces

4. 4 Year Pilot Database/map of green spaces across city Database or some connection of city-wide outdoor events and opportunities Self-guided outdoor activities via mobile device applications Educational materials (posters, brochures, videos) on health impacts of nature/outdoor play Nature Rx Webpage as public home for all resources Resource Development

5. 4 Year Pilot  Strategic Planning Task Forces  Education & Advocacy  Access& Opportunity  Clinical Process & Patient Activation  Evaluation & Outcomes  Steering Committee  Action plan implementation  Technology integration  Media campaign Planning PhaseImplementation Phase

6. Delaware & Lehigh National Heritage Corridor St. Luke's University Health Network A fun and effective family wellness initiative

7. Program Goals Provide fun & effective way for community to get healthy while enjoying environment Expand awareness of regional trail network Encourage community connections to nature Education through trail programming Delaware & Lehigh National Heritage Corridor St. Luke's University Health Network

8. Participation to Date First Year Challenge – 2,400 Participants logged ~ 250, 000 miles Winter Mini Challenge ~ 50,000 miles logged Second Year Challenge – 1,732 Participants logged 511,776 miles 6 Schools took School Challenge 4,279 Participants since program inception 810,827 Miles logged total Delaware & Lehigh National Heritage Corridor St. Luke's University Health Network

9. Lessons Learned Participants like incentives and ability to post pictures/stories on social media Unconventional partnerships are effective Program makes monetary sense to health networks Health survey is important to start from beginning Having a doctor involved in planning helps gain support of all doctors for the long-term preventative effects Delaware & Lehigh National Heritage Corridor St. Luke's University Health Network

10. Thank you! Visit: www.tailonthetrail.orgwww.tailonthetrail.org Contact: Elissa Garofalo elissa@delawareandlehigh.org elissa@delawareandlehigh.org