1. Seattle Children’s Mission: Nutrition A Healthy Hospital for All December 2012 Paula Sword Manager: Obesity Program

2. Seattle Children’s Hospital Over 30% of SCH patients are overweight/obese.

3. Health Starts Here… …prevent, treat, and eliminate pediatric disease.

4. Start at Home Healthy Hospital – Addressing nutritional content for patients & staff – Modified healthy vending food options from 10 to >40% – Posted stairwell prompts near elevators/stairs – Primary care clinic built raised garden beds with a church – American Heart Association Gold Standard rating Staff Wellness – Risk assessments – Interventions (phone consultation, programs) – Financial incentives for health

5. Mission: Nutrition - FIRST STEPS September 2012 Mission:Nutrition Development: Formation of M:N Group Communication: with other hospitals/programs that had made these changes, lessons learned, policy changes Food: Healthier preparation methods, i.e., baked french fries and onion rings vs. fried Deep fat fryer removed Beverages: phase out sugar-sweetened beverages

6. Patient Family Advisory Committee Supportive of the general concept. Definitely felt hospitals should provide healthy, tasty food. Wanted “comfort foods” and choice to deal with stress of being in hospital Survey: Seattle Children’s Opinion Sandbox panelists 306 out of 1,177 responded 54% prospective patient families; 46% current families Extensive Pre-Launch Staff and Faculty Communication Presentations to key individuals and groups Frequently Asked Questions Document Staff and Faculty announcement on internal website days before launch reader comment field record number of views Communicate, Communicate, Communicate! Mission: Nutrition Feedback

7. These beverages to be available: 100% Fruit juice with no added sweeteners Unflavored milk (whole, 2%, 1% and skim) Flavored fat-free and 1% milk Soy milk Zero or low calorie beverages (less than 10 calories per 8 ounce serving) Non-caloric, artificially sweetened beverages (diet) Flavored water Carbonated water Unsweetened tea and coffee Beverages phased out: Sugar sweetened (exceeding 10 calories per 8 oz): Soda Teas Coffee Drinks Lemonade Fruit Drinks Sports Drinks Energy Drinks Whole and 2% flavored milk **Patients receive whatever beverage they need Mission: Nutrition Cafeteria and Vending Beverage Changes

8. Mission: Nutrition Next Steps Post-Launch Staff and Faculty Input Internal website newsletter and responses over short term Suggestions via email address over longer term Collating feedback and suggestions – What is possible? Increase healthy offerings Nutrition education: Nutritional content online and posted Highlighting healthier choices Healthier choices at eye-level Pricing: make healthier choice similar or less cost