How this all began

1
How this all began

• ASPHN wrote a letter to Dr. Michael Lu, MCHB
  Chief
• In this letter they requested the MCHB to
  increase nutrition visibility and services for
  children and families
• Then ASPHN and the MCHB funded Nutrition Training
  Programs joined forces to begin the discussions
  on how this could be done.

2
Workgroup held in 2013 That developed a framework
for addressing nutrition services under the
ACA http//media.mchtraining.net/nutrition/highli
ghts-2014-05/documents/ACA-and-nutrition-summary-2
014-02.pdf
3
The Maternal and Child Health Bureau was very
interested in the nutrition community pursuing
the recommendations in red
4
Example Driver Diagram Improving Prevention
Treatment, Assessment and Treatment in
Child/Adolescent Obesity
AIM
INTERMEDIATE AIMS
PRIMARY DRIVERS
SECONDARY DRIVERS
100 of the states in the pilot phase of the
pediatric obesity CoIIN have improved policy in
at least one of the 10 spectrum of opportunities
The Pediatric Obesity and Nutrition CoIIN will
increase the proportion of children ages 2-5
within a healthy weight range from __ to ___ by
December 2015.
States will act to insure policies and practices
affecting early care and education facilities
result in improved nutrition, breastfeeding
support, and physical activity and reduced
screen time.
Policies and practices that support healthy
weight behaviors
Clinical and community settings will improve
quality messaging (including social marketing) to
patients and their families regarding healthy
living as a standard practice
Consistent messaging improves nutrition and
physical activity in children
Evidence-based communication strategies
Providers will refer and assure transitions of
appropriate patients to high-quality, weight
management providers to optimize patient care
Increased provider referral to trained nutrition
providers and increased reimbursement for
nutrition services
Optimal care coordination practices
5
Policy and System Change Package

•  Change concept 
• States will act to insure policies and practices
  affecting early care and education facilities
  result in improved nutrition, and physical
  activity and reduced screen time and adequate
  sleep.
• Key Changes 
• Teams will implement policy changes and practices
  in the early care and education (ECE) system in
  their state that support healthy eating and
  physical activity behaviors.
• Everything for this change is on the website
  www.eceobesityprevention.org. This
  evidence-based website is an outcome of
  cooperation between ASPHN and CDC.
• Specific changes 
• States could choose to work in any or all three
  of the areas listed on the next two slides.

6

• Area 1 Education
• Include obesity prevention strategies
  in  Pre-service Professional Development require
  ments.
• Strengthen Technical Assistance requirements
  related to obesity prevention strategies.
• Revise Early Learning Standards to emphasize
  nutrition, physical activity and screen time.
• Area 2 Environment
• Increase  Child Adult Care Food Program
  (CACFP) participation and exposure.
• Start a  Quality Rating and Improvement System
  (QRIS) with nutrition, physical activity and
  screen time standards.
• Use Facility-level Interventions to promote
  nutrition and physical activity and to limit
  screen time.
• Promote Access to Healthy Environments.

7

• Area 3 Policy
• Adopt Licensing and Administrative Regulations to
  promote healthy eating and decrease obesity.
• Enhance obesity prevention efforts with Funding
  and Finance
• Family Engagement to support successful
  implementation of improved policies and
  practices.
• Data
• Baseline data
• of policies/practices related to obesity
  prevention strategies.
• Evaluation data
• of policies/practices related to obesity
  prevention strategies either drafted or revised.
  (trying to catch not just new policies but
  strengthening of existing policies)

8
Commitment required to participate in the CoIIN

• Form a team with representatives from each sector
  of the project Meet at least monthly over
  webinars and/or teleconference calls for
  approximately 6 months (funding permitting).
• Educational opportunities
• Discussions of success and barriers
• A face-to-face meeting on June 17, 2015

9
Budget

• Will cover the cost of your team traveling to the
  face-to-face meeting.
• All other costs will come from the state. This
  includes personnel costs to attend meetings and
  costs associated with implementing any changes at
  the state level.
• ASPHN is working to find funds to cover minimal
  expenses for in-state team work.

10
Application Process

• An Intent to Apply must be received by 5 PM
  Eastern Time on January 30, 2015.
• Submit the Intent to Apply via email to Sandy
  Perkins at Sandy_at_ASPHN.org.
• Answer the question, Which one of the three
  strategies would your state team choose to
  address first?

11
Application Process

• A Technical Assistance webinar will be held on
  February 6, 2015 to address questions pertaining
  to the application process.
• Webinar details will be sent to States who submit
  an Intent to Apply.
• Please send any questions in advance to
  Sandy_at_ASPHN.org.

12
Application Process

• A completed Application must be received by 5
  PM Eastern Time on February 20, 2015
• Submit the Application via email to Sandy
  Perkins at Sandy_at_ASPHN.org.
• Acceptance notifications will be sent by March 6,
  2015.

13
Questions