Leadership Council Meeting Minutes 10.11.10
Attendees: Cheri Fidler, Cheryl Moder, Christine Edwards, Chris Searles, Christine Lafontant, Christine
Wood, Deirdre Kleske, Jill Monroe, JuliAnna Arnett, Katie Shultz, Kristin Garrett, Leslie Linton, Melanie
Cohn, Naomi Butler, Nick Yphantides, Paige Metz, Phil Nader, Wilma Wooten
Welcome/Introductions
I.
Discussion: SDSU Graduate School of Public Health Class
Cheryl Moder
In recent months, COI staff and evaluation committee have been discussing different ways to
leverage existing resources for evaluation purposes. The Leadership Council & Executive
Committee, Domain Council, and Core Evaluation Committee have all weighed in on different
ideas for both overall COI evaluation strategies as well as enhanced domain-specific evaluation.
 At the Core Evaluation Committee meeting in particular, some group members suggested the
idea of a practicum course for graduate students. Dr. Katherine Keir and her colleague Dr.
Gregory Talavera of San Ysidro Health Clinic have expressed an interest in developing this
course. This class would include components in the curriculum that address childhood obesity
in terms of environmental/policy change, evaluation, and more.
 Cheryl asked the group how much work this would mean for COI as an organization. There
would definitely have to be some level of oversight and project coordination. Chris Edwards
reported on the proposal for this effort. Students involved would have a final project, which
would likely be a “shovel ready” project of the COI, i.e. a work plan in progress, nearing
completion, or requiring evaluation.
 COI staff and partners would be responsible for providing guest speakers, presentations, and an
environmental/policy change perspective to obesity prevention.
 Some things to bear in mind:
i. Students will have varying degrees of expertise depending on the focus of their
studies; many may or may not have evaluation experience;
ii. Students will need supervision from people working within the scope of relevant
domains. If the project were to focus on the development of an evaluation plan, the
plan itself would be the end product, but students would not be limited to this
outcome;
iii. Anywhere from 8 to 15 students in the course, and group work would be included.
 Dr. Wooten mentioned a County of SD Public Health Services website that posts public projects
for students to review and select. She said that an evaluation could be planned; there is a
preceptor that plans which projects are posted for review; the Deputy Public Health Officer
administers the portal. Dr. Wooten said that COI could use this site as a portal to post our
projects as well.
 Kristin Garrett wondered how COI would be recognized throughout this process. For instance,
are domain champions willing to devote their time to be guest speakers/presenters? Have
other public health or childhood obesity courses been established with a local organization’s
backing or would this potentially be a model?

 Cheryl mentioned that COI was presented at a UCSD Extension class for healthcare professionals.
The presentation included an overview of the COI domains, how they’re structured, what they
are doing, etc. Several domain champions present at the Council meeting stated they’d be
interested in making presentations on the COI at SDSU under this scope.
 The course would last for 15 weeks, each class being 2.5 hours long. Cheryl estimated that maybe
2 or 3 classes would discuss COI as an organization, perhaps with specific coverage to domains,
as well as classes on evaluation. The SDSU Graduate School of Public Health classes are in the
evenings.
 Deirdre Kleske proposed that a subcommittee be formed to work with Dr. Talavera on further
development of this course. A planning conversation will need to occur soon; Drs. Talavera and
Keir are interested in knowing what sort of support COI can provide in order to begin the course
in January 2011.
 Kristin Garrett proposed a motion to partner with SDSU to conduct this course in January. Cheri
Fidler seconds the motion. The motion passed unanimously.
II. Update: Communities Putting Prevention to Work
Tracy Delaney/Naomi Butler
 Naomi and Tracy reported that there will be some media activity surrounding San Diego Unified
School District’s “Harvest of the Month” program. Each month, SDUSD is selecting a different
kind of product to source to schools from a local farm or vendor. For the month of October, all
schools in the district are sourcing their oranges from Stahley’s Farms.
 The County CPPW Leadership Team is also in the process of developing internal county
community action plans, which are documents that will plan out how the county workforce can
contribute efforts to the CPPW interventions and how this work can be used to improve internal
functioning.
III. Discussion: Revision of COI Positioning on Key Issues
Kristin Garrett
 The Leadership Council decided to review the COI Positioning on Key Issues document to be
sure that it is up to date and still in congruence with COI’s operation. The group paid particular
attention to the language used for voting on legislative issues, as this was a subject at the
September 2010 Council meeting and COI is often asked to take a position on obesity-related
legislation.
 The group discussed the meaning of the word “majority” as many of the issues brought to the
Leadership Council’s attention require a majority vote to determine the position the Council will
take, if any. The group felt that it should be specified that a “simple majority” Council vote is
required, whether it is at the forum or via e-mail.
 Dr. Wooten said that it needs to be clear which Leadership Council members are voting
members; some individuals that attend the Leadership Council meetings on a monthly basis are
not voting members.
 At the beginning of every year at the January Leadership Council meeting, a charter should be
presented so that the Leadership Council can decide which members should vote based on their
monthly attendance record.
 Kristin Garrett explained that the Council does not have to abide by by-laws because it is not a
legal entity. Therefore, it is necessary to establish a quorum, i.e. 50% plus 1.
 It is also possible to have a “vote by proxy” rule, meaning that an official voting Council member
is at liberty to elect someone to vote in their place if they are unable to attend meetings for an
extended period.

Kristin and Cheryl will come up with a list of voting members with “voting alternatives.” This list
will be reviewed at the January meeting.
IV. Funding Update
Cheryl Moder
 Kaiser Permanente—Cheryl reported that two representatives from Kaiser Permanente’s
regional office attended the October 5th Healthcare Domain meeting as part of their interest in
seeing COI in action doing its work. She and some of the other key stakeholders involved in COI
met with the representatives after the meeting; Cheri Fidler said she got the sense that the
representatives are impressed with COI’s collaboration. The Kaiser representatives will present
COI to their committee at the end of October. We should know about whether or not we’ll be
awarded funding by December.
 Robert Wood Johnson Foundation Healthy Eating Research—RWJF has money invested in both
Healthy Eating Research and Active Living Research work. Cheryl reported that SDSU Research
Foundation is applying for Healthy Eating Research funds to support the needs assessment
survey being developed through the Early Childhood domain. The lead on this project is Jamie
Moody of SDSU MOVE/Me Muevo. COI would serve a role by providing technical assistance.
This is a rapid response grant and news should arrive shortly.
 The California Endowment—Cheryl has been in conversation with Judi Larsen and Steve Eldred
of The California Endowment about future core funding for COI. They suggested to her that she
submit a request for $200,000 over a 2-year period. This is the same amount requested in the
Kaiser proposal. The current TCE grant sunsets in January 2011. Cheryl will be talking more with
the TCE representatives at the end of October; she proposes a vote on whether or not to
proceed with an ask for future funding. Kristin Garrett proposed the motion to proceed and
Chris Searles seconds the motion. The motion carried.
V. Domain Updates
Group
 Discussion: Protocol for report outs
o As discussed at the September Leadership Council meeting, the domain report out that
is done regularly at Leadership Council meetings are to be tied more closely to the work
plans that correspond to domain activities. Also, each domain will report out every
other month. Schools, Healthcare and Early Childhood domains will report out this
month.
o Cheryl asked the group how they would like to review these updates at each meeting.
After discussion, the group agreed that projecting the work plans on the screen is
adequate.
 Healthcare Domain Updates
Cheri Fidler
o Healthy Food in Healthcare
 This work plan is intended to create a group of hospitals, clinics, and other
stakeholders in the health system that will promote healthy, sustainable food
practices in hospitals.
 Currently the project leads (JuliAnna, Zach Schlagel of UCSD, Cheri Fidler of Rady
Children’s hospital) are working to get food service directors on board with the
work.
 JuliAnna added that she has been communicating with Hospital Association
about the work and so far the hospitals that have been contacted are getting
the word out internally. This is currently underway at UCSD and Rady Children’s

Hospital. The food service director at Rady’s is willing to be a champion of this
work.
 Chris Edwards added that she and Leslie have committed a number of hours to
develop a survey to get a sense of the baseline data; this is a challenge they are
working through since the hospitals in San Francisco that have done similar
work will not share their data.
 JuliAnna announced that she was able to secure some CPPW funding to be able
to contract with Lena Brook, the representative from Physicians for Social
Responsibility (the Bay Area organization that facilitates Healthcare without
Harm) so that she can provide technical assistance to the San Diego
collaborative.
 JuliAnna will be working with MaryBeth from Rady Children’s Hospital to set up
a dinner for the leadership team on this work plan and the hospital
representatives that will be involved.
 Wilma Wooten asked if Cheri if this group will be developing target numbers,
i.e. to get 75% of the county’s hospitals on board with the plan. Cheri indicated
that no targets have yet been established.
 The group agreed that there is potential for collaboration between this group
and the Schools Domain stakeholders working on Farm to School procurement.
Adding stakeholders from the Government Domain could add benefit to this
relationship as well.
 Chris Wood mentioned the Produce Rx program, which has been piloted in
other states. The premise is that a doctor can prescribe whole produce to
patients to improve health. There is a meeting that she and others discussed
having to explore this topic further, they are waiting to hear from Stephanie
Gioia to see if the Board of Supervisors can offer any support for the
collaboration. JuliAnna will update the group about the status.
 Because this work plan calls for significant COI staff support, Dr. Wooten
proposed a motion to approve the work plan. Deirdre Kleske seconded the
motion. Motion to approve this work plan carried.
Schools and After-school Domain Updates
Deirdre Kleske/Paige Metz/JuliAnna Arnett
o RTAC/SDCOE Database
 This project will link community-based programs to after-school providers in
order to increase physical activity in after-school programs. It will also create an
after-school physical activity toolkit with a searchable resource directory.
 The project is intended to build on the website, which was originally created by
Mary Blackman. It is expected to be completed by January 31, 2011.
o Wellness Policy Training
 This project will convene district wellness leads and district representatives
from across the region to wellness policy workshops, which are designed to
support districts to implement, monitor and assess local school wellness
policies.
 The workshops are planned for October 14 and January 2011. There are about
50 people expected to attend the series. The preliminary session will do an
overview of wellness policies and the January session will focus more on the
accountability piece.
 For evaluation, project leads will use Survey Monkey. Deirdre and Paige
explained that it is protocol for a district to get a compliance review every 5
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VI.

years. The California Department of Education conducts these reviews. A
portion of the evaluation piece will be to ask the district reps if the workshop
helps to have a successful compliance review.
o Farm to School
 Initially, the work plan for this project stated that COI would assist in creating a
Farm-to-School program in at least one district. CPPW funding is allowing
stakeholders to work with 4 to 6 districts.
 San Diego Unified is the 8th largest school district in the nation, and one that is
actively sourcing local foods. JuliAnna said that through their Harvest of the
Month program there is a different product sourced locally every month. For
the month of October the district is sourcing oranges from Stehly Farms to all
SDUSD schools.
 This is another work plan where COI staff support is listed as significant. Naomi
proposed a motion to approve the work plan and Chris Searles seconds the
motion. The motion carries. Kristin pointed out that this is predominantly
JuliAnna’s time because she is fully funded through CPPW.
Early Childhood Domain Updates
JuliAnna Arnett
o Farm to Preschool
 This project began when COI partnered with Occidental College Center for Food
& Justice to institute a Farm to Preschool model in San Diego County. The work
plan includes establishing local procurement and corresponding curriculum at a
preschool site during the first year (Thunder Drive preschool site for North
County Community Services). In the second year, which is now underway, the
project will expand to other NCCS sites. COI and YMCA Childcare Resource
Service will provide technical assistance throughout the project’s expansion.
 NCCS currently only has one site in operation; the other seven will open when
the state budget is passed—it has passed within the past few days so the sites
will reopen in late October/early November.
 JuliAnna said that the media domain is involved in this project as well. Their
work will include implementation of a media outreach campaign to educate
parents and other preschool sites on the various aspects of the program.
 Cheryl added that Jamie Moody of SDSU will join this domain as a champion.
 Naomi added that through CPPW, several technical assistance advisors have
been hired, including Sesame Street. They have a toolkit with early childhood
resources, she needs to know how many to order for distribution throughout
the region. JuliAnna said that she should contact Kim McDougall of YMCA
Childcare Resource Service to talk about the number of copies needed.
Legislative Update
Melanie Cohn
The end of September marked the end of the legislative session. The state budget was signed
on Friday, October 8. Below is the full list of details related to the current status of relevant
legislation.
i. AB 2084 (Brownley)- This bill would require licensed child day care facilities to follow
specified requirements related to beverages served–e.g., only 1% or skim milk, no more than
1 serving of 100% juice a day, no beverages with added sweeteners, and the continuous
availability of clean and safe water. This bill would allow for medical exceptions and was
signed by the Governor on September 30 th. It will take effect on January 1st, 2012.
ii. SB 1413 (Leno)- This bill would require a school district to provide access to free, fresh
drinking water during meal times in school food service areas by July 1 st, 2011. This bill
would allow for exceptions due to fiscal constraints or health and safety concerns. It was
also signed by the Governor on September 30th.
iii. AB 537 (Arambula)- This bill would allow an interested collective group or association of
produce sellers that is Food and Nutrition Service (FNS) authorized and in a flea market,
farmers' market, or certified farmers' to initiate and operate an EBT acceptance system. The
Governor signed this bill on September 29th.
iv. AB 2147 (Perez)- Would require, when rating Safe Routes to School (SRTS) proposals, the
consideration of the proposal’s benefit to a low-income school and the use of a public
participation process. The Governor vetoed AB 2147. The veto message stated that the bill
may be unnecessary because a recent review of the SRTS Program determined that lowincome schools have received 35 percent and 44 percent of all SRTS grants awarded over the
past five years through the state and federal programs, respectively. He also said there could
be negative impacts from prioritizing these schools over other, possibly more worthy
projects.
v. AB 2720 (Perez / Bass)- This bill would create the California Health Foods Financing Initiative
Fund, should California receive any of the $400 million nationwide seed money, to expand
healthy food options in current urban and rural food deserts by increasing the number of
grocery stores in low-income areas. This bill was vetoed by the Governor. His veto message
reiterated his commitment to healthy and affordable food access for low-income
communities, but said that the bill was premature and unnecessary because the Healthy
Food Financing Initiative has not yet been acted on by Congress.
vi. AB 2468 (De Leon)- This bill would authorize an employer to use the designation "BreastFeeding Mother-Friendly Workplace" in its promotional materials if the employer submits its
workplace breast-feeding policy to the Labor Commissioner and the Labor Commissioner
determines that the employer's policy provides for specified criteria. AB 2468 was vetoed by
the Governor. His veto message argued that this bill would do nothing to improve existing
laws protecting a lactating mother’s right to express milk in the workplace and it would only
create additional responsibility for the Labor Commissioner.
vii. Child Nutrition Act- Provides $4.5 billion over 10 years to create new standards for all foods
in schools, including vending machine items, and expand the number of low-income children
eligible for free or reduced cost meals. A version of this bill was passed in Congress in
August, but Senators are resisting the bill because it is funded in part with $2.2 billion in cuts
to SNAP, the federal food stamp program. The Senate did not approve the bill by the
deadline to reauthorize the Child Nutrition Act on September 30th. The current nutrition
programs are expected to receive a short-term extension of funding from another
Congressional bill. There is one more window for passage of this bill: when Congress returns
after the election for a so-called “lame duck” session.
VII. Announcements
Group
 Cheryl Moder, Mayor Jerry Sanders and Herb Schultz from the US HHSA did a presentation
together at a grand opening event for a new Fresh & Easy store in San Diego a few weeks ago.
Herb Schultz has agreed to present at COI’s bi-annual elected officials breakfast, which will be
held on Friday, November 12 at El Comal Restaurant in North Park. The topic of the event is
healthy food and beverage policy, and Mr. Schultz will talk about the Let’s Move Cities and
Towns Campaign. Cheryl has invited him to meet with COI stakeholders to talk about what COI is
doing; she reported that he is interested in the SDIR-BMI project.
 Chris Wood announced that the American Academy of Pediatrics will be holding their annual
conference in San Diego in 2014.
 JuliAnna announced that she has hired two Food Policy Consultants, Mindy Swanson and Joni
Gabriel. They will be assisting her with her CPPW interventions in her position as Food Policy
Manager.
Next Meeting: Monday, November 8, 11:00am-1:00pm in the Executive Conference Room at the
Askew Building (Room 309, 1700 Pacific Highway, San Diego 92101)
THIS IS THE LOCATION FOR ALL LEADERSHIP COUNCIL MEETINGS IN 2011