1. Ohio Food Policy Summit May 2014
Ohio’s Chronic Disease Plan and Healthy Food Access
Ohio Food Policy Summit
May 2014

2. Food Access and Chronic Disease
20-50% of patients in hospitals are identified as malnourished at admission
Malnourished patients have hospital stays of 1.5 to 1.7 times longer than well-nourished patients, and have a higher rate of hospital readmission.
Costs of hospitalization for malnourished patients are higher than for well-nourished patients.
Having access to food is about more than solving hunger.
This information was presented in a recent webinar hosted by Dialogue For Health.
Dialogue4Health, Public Health Institute, May 2014

3. Food Access and Diabetes
Adults living with most severe levels of food insecurity have more than twice the risk of being diagnosed with diabetes as adults who have ready access to healthy food.
Food insecurity is associated with poorer glycemic control among those who already have diabetes.
Cyclic food restriction among the food insecure is associated with preferences for energy-dense foods, increased body fat, and decreased lean muscle mass.
Adults with diabetes who cannot afford adequate food have 5 more physician encounters per year than their counterparts who can afford adequate food.
Specifically, for diabetes, people without appropriate access to healthy food are often more likely to have worse, and more expensive outcomes.
9/17/2018

4. Ohio’s Plan to Prevent and Reduce Chronic Disease: Overarching Goal To prevent and reduce the burden of chronic disease for all Ohioans
The plan was released on March 26, 2014.
Five-year, priority driven plan
Developed by a Chronic Disease Workgroup
9/17/2018

5. Long-Term Outcomes
It has 2020 long-term outcomes focused on chronic disease, screening/recommended care and risk factors.
9/17/2018

6. Framework
This framework was developed by the CDC and all states are using it.
9/17/2018

7. The SEM describes how health and health behaviors are influenced by factors within the rungs of this circle.
Addressing common factors within the population yields greater benefits to more people, not just individuals.
Addressing all the influences that surround an individual makes it easier for them to make good choices.

8. 9/17/2018

9. Sectors
There are key 5 sectors addressed in the plan. The Government sector includes local public health.
The sectors associated with each objective serve as a guide for stakeholders to align activities and leverage resources.
Funders are not listed as a separate sector but the plan can be a resource for these organizations.
9/17/2018

10. Plan Objectives Healthy food access Access to physical activity
Tobacco use and exposure
Control of blood pressure
Screening for preventable cancers
Management of childhood obesity
Coordinated resources to improve prevention and management of diabetes and other chronic diseases
The objectives are arranged by the 4 core focus areas:
Partners
Performance measures: baseline and 5-year outcome measures
Data source
Strategies
9/17/2018

11. Healthy Food Access
Expanding worksite wellness and childcare healthy eating policies
Increasing access to farmer’s markets
Increasing access to healthy food retail options
Expanding Farm to School programs
Establishing a statewide food council network

12. American Heart Association
Ohio Department of Health/Creating Healthy Communities
CWRU Prevention Research Center for Healthy Neighborhoods
John Glenn School of Public Affairs, Ohio State University
Columbus Public Health
American Diabetes Association
Ohio State University Extension
9/17/2018

13. Implementing the Plan: The Ohio Chronic Disease Collaborative
Stakeholder Group
Objective Partners
Objective(s) Leads
Leadership Team
This is the group that will implement the plan.
Articles of Operation – defines roles for each level of participation.
9/17/2018

14. How to Get Involved Get with the plan! www.healthy.ohio.gov/CDPlan
Join the Ohio CD Collaborative:
9/17/2018