1. Health Care Without Harm Nov 12, 2015

2. 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

4. 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

5.  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 2015.  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.

6. 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.

7.  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

9.  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

10. 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

11. Harvest Shares Farm Education Nutrition Education Cooking Classes FOOD ACCESS INITIATIVES

12. 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

13. 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