Health 3.0 Leadership Conference: Healthier and Sustainable Food In a Large Academic Medical Center...
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Transcript of Health 3.0 Leadership Conference: Healthier and Sustainable Food In a Large Academic Medical Center...
HEALTHIER AND SUSTAINABLE FOOD IN A
LARGE ACADEMIC MEDICAL CENTER
May 31st 2013 Jack Henderson
Associate Director, Nutrition and Food Services,
UCSF Medical Center
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Introduction: UCSF Medical Center
• Part of University of California system’s 10 campuses and 5 medical centers
• One of the top 10 hospitals in the nation (U.S. News and World Report)
• 2 hospitals - 704 beds and 1.5M sq. ft. – 3rd hospital – Mission Bay opens February 2015
• Large, urban, academic facility with a health sciences university adjacent to the hospitals
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What counts as “Sustainable”? • Locally Grown
• Fair Trade or Domestic Fair Trade Certified
• Shade-Grown or Bird Friendly Coffee
• Rainforest Alliance Certified
• Food Alliance Certified
• USDA Organic
• AGA Grassfed/Grass Finished/100% Grassfed
• Marine Stewardship Council or Seafood Watch Guide Recommended
• Certified Humane Raised & Handled
• Cage-free
• Protected Harvest Certified
• Pasture Raised
• Cooperative Farm/Business
• Farm/Business Social Responsibility includes
– Union or prevailing wages – Transportation and/or housing
support – Health care benefits – Other practices or certified
processes as determined by campus
ONLY NEED 1 CRITERION TO BE CONSIDERED “SUSTAINABLE”
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Nutrition & Food Services Timeline of Accomplishments
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Nutrition & Food Services Timeline of Accomplishments
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Nutrition & Food Services Timeline of Accomplishments
Nutrition & Food Services Timeline of Accomplishments
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UCSF Sustainability Progress
Oct/Nov 2012 Feb 2013 Mar 2013
Did you know? • To help retail patrons make informed choices about
their food purchases, we began posting nutrition facts on digital boards at point-of-purchase in addition to cash register receipts post-purchase.
• The digital signage in our Moffitt Café and Moffitt Café Express also indicate whether a menu item is vegetarian, vegan, sustainable, or a Smart Choice.
• The Smart Choice program was developed to help patrons select better options at our retail outlets. To earn Smart Choice status, a meal (entrée and 2 sides) must meet the following criteria*: o < 700 calories o < 27 grams total fat o < 6 grams saturated fat o < 100 milligrams cholesterol o < 770 milligrams sodium o At least 10%or greater Daily Value of one or
more key nutrients AND/OR at least one serving of fruits, vegetables, or whole grains. *Based on 2000 calorie per day diet.
Switched to Earthbound
Farms organic romaine lettuce, spring mix, and
kale
Began featuring Rocky free range
hormone free anti-biotic chicken on patient menu
Switched to Three Twins
organic ice cream
Began selling Froovie
Organic juices
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Food Selection & Sourcing Accomplishments
• Tracking Local Produce
– Worked with produce vendor to establish local guidelines
– Invoices contain local designation or country of origin
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Looking at Local Produce
3 Levels of local • Level 1 = 100 miles • Level 2 = 250 miles • Level 3 = rest of
California
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Tracking Sustainable Purchases
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Food Selection & Sourcing Accomplishments
• Wilcox Cage Free Liquid Eggs – Cage free chickens, 100% vegetarian feed, free of hormones
and antibiotics
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Food Selection & Sourcing Accomplishments
• Wallaby Organic Local Yogurt – High quality organic milk sourced from small, local family
farms in Sonoma and Marin Counties
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Food Selection & Sourcing Accomplishments
• Wallaby Organic Local Yogurt
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Food Selection & Sourcing Accomplishments
• Alvarado Street Local Organic Sprouted Wheat Bread
– Organic sprouted wheat bread products from worker owned and managed cooperative in Sonoma County
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Food Selection & Sourcing Accomplishments
• Alvarado Street Local Organic Sprouted Wheat Bread
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Food Selection & Sourcing Accomplishments
• Organic Whole Fruit Under $1 – Provide seasonal organic and/or local whole fruits (apples,
citrus, bananas, pears, stone fruit etc.) under $1 to promote both sustainability and health
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Food Selection & Sourcing Accomplishments
• Organic Whole Fruit Under $1
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Wellness & Education Accomplishments
• Smart Choice
• Smart Choice criteria (entree & 2 sides):
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Smart Choice Descrip<on
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Wellness & Education Accomplishments
• Digital boards to inform customers of
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Wellness & Education Accomplishments
• Smart Receipt
The Anatomy of the Receipt
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Personalized Nutrition Information
Nutrition Education & Marketing
Nutritional Information Display
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Print nutrient information at the item or modifier level
Highlight healthy options
Automatic Meal Totals
Automatic % Daily Values
Print up to 4 nutrients
Promotion Examples
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Wellness & Education Accomplishments
• Meatless Monday
• Decrease meat & increase fresh produce on both patient and retail menus
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Wellness & Education Accomplishments
• Living Green Fair
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Summary of Challenges in Meeting Sustainability Goals
• Cost • Sourcing • Operational effect • Consumer satisfaction & demand • Meeting needs of everyone • Ability to effectively market • Closing gap between manufacturers,
distributors, and consumers • Developing reliable sustainability metrics
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Lessons Learned Being Sustainable =
• Requires more monitoring, time, and effort • Is a learning process • Persistence • Becoming an essential aspect of foodservice
operations • Supports the environment for future generations • Creates employee engagement and sense of value • Can link health, wellness, and sustainability
together • Marketing is key otherwise no one knows what
you are doing • Start small….it all adds up!!
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What’s Next? • Local partnerships
• Proteins
• Better tracking of purchases
• Improved marketing and branding
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Questions? Jack Henderson Associate Director Nutrition and Food Services UCSF Medical Center [email protected] (415) 353-1680