1. Healthier Foods Initiatives Dallas County Dallas County Public Health Community Transformation Grant February 2013

2. Focus Areas & Tools Vending – NEMS-V Worksites Community Locations Restaurants – NEMS-R Upscale Casual Concession – Healthy Kids Act

3. Vending 4 Sites Beverage vs Snack Machines Pre-scores ranged form 2% to 20% Tastings & Incentives Policy – yes or no Recognition

4. Pop Quiz These variations belong to what product? 1. Original 2. Berry 3. Tropical 4. Sour 5. Riddles 6. Blenders

5. Pop Quiz Continued How many grams of fat are in a Little Debbie Honey Bun?

6. Seems Straightforward but... Machines owned by site: Costco; Sam’s Profits to the site/benevolent entity Ltd availability of green & yellow items Lack of small quantity vendors Baked chip machine jams “Healthier” items that don’t meet criteria Kraft Milk Bites (5 g protein, 30% calcium, but over sat fat limit)

7. Good News Site 1 – ZERO to 30% Site 2 - 2.5% to 20% Site 3 – 20% to 31% Site 4 – 7.5% to ? Food for Thought: Wellness Coalition of Iowa excellence in worksite health awards – should vending be included in criteria?

8. Restaurants Reviewed 13; Working with 3 currently Regular Menu vs Kids Menu Pre-scores ranged from 1 to 18 Meetings with Dietitian Incentives & Recognition

9. Seem Straightforward but... More is better mentality “Monster Burger” Addition of Bacon to EVERYTHING Sauces and Cheeses Pre-dressed salad vs side & cost Designating healthy items on menu seen as double edged sword These are businesses; customers have to repeatedly order it!

10. Good News Site 1 – 15 to 25 points Site 2 – 18 to 28 points Site 3 – 11 to ? Small changes can make a difference: offer wheat bread/buns; 1% or skim milk; dressing choices; fruit as substitute

11. Concession Aquatic Center NEMS-V vs. Healthy Kids Act Check with School nutrition staff – what do kids like Examples – juice, flavored milk, string cheese, go-gurt, granola/cereal bars Larger Food Item Considerations Yet to be Determined

12. Common Lessons Soft Approach – Not here to take away all the “unhealthy” options; about choice NEMS background and rationale Offer incentives/recognition whenever possible Utilize the expert (dietitian)

13. Further Information Dallas County Public Health peggy.stecklein@co.dallas.ia.us