Military Community & Family Policy
Healthy Base Initiative
Mr. Chuck Milam
Principal Director
Deputy Assistant Secretary of Defense
(Military Community and Family Policy)
28 October 2014
1
Healthy Base Initiative Inception
National Prevention Strategy
2
Healthy Base Initiative
14 Pilot Sites
USCG AIRSTA
Cape Cod
Mountain
Home AFB
Ft Meade
Camp Dodge
Yokota AB
Defense Logistics
Agency
NAVSUB
Base
New London
March ARB
MCB Quantico
Defense Health
Headquarters
Ft Sill
KEY
Ft Bragg
Army
Marine Corps
MCAGCC
29 Palms
Navy
Air Force
Coast Guard
Agency
JB Pearl HarborHickam
National Guard
Reserve
3
Healthy Base Initiative
Burning Platform
Obesity in the US has risen dramatically
and is a threat to our national security
36%
of American adults
are obese
27%
of potential military candidates
cannot qualify for the military
due to their weight
4
Healthy Base Initiative
Burning Platform
Tobacco is the leading cause of
death in the United States
Smoking in the US
In the US military
37%
of personnel
younger than 25 smoke
40%
of enlisted personnel
smoke
40%
of enlisted smokers
initiated tobacco use
while on active duty
http://www.cdc.gov/VitalSigns/AdultSmoking
5
Healthy Base Initiative
HBI Initiatives at a Glance
Focus on Addressing Obesity and Tobacco use
Children, Schools &
Families
Physical Activity
• Share Our Strength
• Alliance’s Healthy Schools
Program & Healthy Out of
School Time
• Fitness on Request
• 24-hour Fitness
Physical
Activity
Children,
Schools &
Families
Healthy Food Options
Tobacco
• Increase Designated
Tobacco Free Areas
• Counter Marketing
• HollyGraham
• Fight the Enemy
Tobacco
Use
THE
HEALTHY
BASE
Health and
Wellness
Healthy
Food
Options
Physical
Environment
•
•
•
•
•
•
•
Smarter Food Movement
Go For Green
Better-for-You
Menu Renovation
Farmers Markets
mNEAT
Fit-Pick (vending)
Health and Wellness
• UltimateMe
• Group Lifestyle Balance
• Community Health
Promotion Council
• Operation KidFit
Physical Environments
• mPAC
6
Healthy Base Initiative
m-NEAT Scores: 2013 – 2014 Comparison
2013
2014
Percentage
Score
Score
Point Change
DFAC*
82%
81%
-1%
MWR Food
31%
44%
13%
Exchange Food
39%
44%
5%
MWR Contract Food
40%
41%
1%
Convenience Store
36%
39%
3%
Commissary
88%
88%
0%
Vending
17%
16%
-1.3%
Facility Type
2013 – 2014
Percentage Point Change Legend
>+1.0
Green
+1.0 to -1.0 Yellow
>-1.0
Red
* 2014 DFAC assessments for MCB Quantico and Fort Meade pending
• m-NEAT = military Nutrition Environment Assessment Tool
• Designed to provide a snapshot of availability of healthier food on a
military installation
7
Healthy Base Initiative
Outcome Measures - Obesity
Rate of Obesity - All Beneficiaries
Ft. Bragg
NAVSUB Base New London
Quantico
30%
Ft. Meade
Joint Base Pearl-Hickam
Twentynine Palms
Ft. Sill
Mountain Home
Yokota AB
25%
20%
15%
10%
5%
0%
2013 Q1
2013 Q2
2013 Q3
2013 Q4
2014 Q1
2014 Q2
2014 Q3
*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities
8
Healthy Base Initiative
Outcome Measures - Tobacco
Rate of Tobacco Use - All Beneficiaries
Ft. Bragg
Joint Base Pearl-Hickam
Quantico
Ft. Meade
Mountain Home
Twentynine Palms
Ft. Sill
NAVSUB Base New London
Yokota
26%
24%
22%
20%
18%
16%
14%
12%
10%
2013Q1
2013Q2
2013Q3
2013Q4
2014Q1
2014Q2
*Source: Information pulled from clinical record available from outpatient visits at Military Treatment Facilities
9
Healthy Base Initiative
Initial Observations
• Dining Facilities provide some healthy options, however, most
have limited hours of operation and are only open to authorized
patrons
• Many have closed due to budgetary constraints and low
utilization rates; overall customer satisfaction remains low
• Food portfolio requires significant changes in order to make
healthy options easily available; based on results of m-NEAT
• Requires engagement with all food services providers including
Dining Facilities, Exchanges and MWR
• Vending/fast food outlets scored very low and require attention
• Initiated comprehensive food study to determine future options
• Defense Advisory Committee on Tobacco established to provide
SECDEF range of options going forward
10
Healthy Base Initiative
DeCA/Exchange Initiatives
• DeCA
• Piloting Cornell University’s Smarter Food Movement
• Utilizes “choice architecture” (how/where food is displayed)
to influence customers buying habits
• Testing “better for you” product labeling
• Sponsoring Share our Strength healthy shopping tours
• Exchanges
• Marine Corp Exchange tobacco counter-marketing campaign
• Increased availability of fresh foods in convenience stores
• Posting nutritional information at food concession outlets
11
Healthy Base Initiative
DoD Food Study
• Burning Platform:
• Launched in response to concerns raised during Quality of Life
Working Group as well as lessons learned from HBI
• Services provide subsistence feeding and essential dining
services through a variety of delivery systems
• 404 appropriated fund dining facilities, galleys and open
messes
• 653 nonappropriated fund restaurants and snack bars
• DoD spends approximately $2B annually to provide essential
dining services
• Goal:
• Develop potential courses of action to improve service,
availability, and efficiency
12
Healthy Base Initiative
Way Ahead
• HBI Demonstration: January 2014 - Aug 2015
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Collect baseline measurements
Launch selected HBI initiatives
Monitor/report initiative results
Evaluate/refine initiatives
Determine impact of initiatives
Report findings and recommendations
• HBI 1.0 After Action Items:
• Codify lessons learned through
• Policy changes
• Creation of toolkit/resources
• Comprehensive communications strategy
13