November 2018
Did you know? Someone in the U.S. is diagnosed with diabetes every 21 seconds. Click the banner for the Diabetes Awareness Month campaign #EverydayReality tooklit.

The online application for the third cohort of Champion Provider Fellows and Local Health Departments will be open until Friday, December 14 th , 2018 ! Please take advantage of the outreach email template (for fellows) and flyer we created for easy distribution to potentially interested networks. For more information, visit ChampionProvider.ucsf.edu, contact Jessica Davidman for an informational folder, and/or reach out to our team with questions.
In Health,

Vanessa Thompson, MD
Associate Professor, UCSF School of Medicine
Principal Investigator, Champion Provider Fellowship
Upcoming Events
Work-In-Progress Call #7  (for Fellows)
Tuesday, November 27, 2018
12:15pm – 1:15pm

The Work-In-Progress call series is moderated by Dr. Alicia Fernandez, Professor, UCSF School of Medicine. Please contact Jessica Davidman if you would like to present about the PSE work you are doing on the call. 
Webinar: California Policy Updates
Tuesday, December 4, 2018
12:00pm – 1:00pm
Presenter: Hilary Seligman, MD

Join our upcoming webinar on Tuesday, December 4 th from 12 – 1PM. Dr. Hilary Seligman , UCSF Associate Professor and Director, Food Policy, Health, and Hunger Research Program at UCSF’s CVP will discuss legislative updates regarding CalFresh, the proposed "public charge" rule, and the Farm Bill.
Fellow Activities
Success Story - Dr. Vivi Stafford
Click the picture to read our newest Success Story about Dr. Stafford who is looking at public transportation to address food insecurity in Kings County.
*Champion Provider Listserv*
Collaborate & communicate with Champion Provider Fellows across the state about your community change efforts. Sign Up
Policy

Governor Brown signed SB 1192 which makes a healthy beverage—water or milk—the default beverage for children’s combo meals instead of sugary drinks in California, effective January 1, 2019.

Due to lowering unemployment rates, ABAWDs (defined as 18-49 year olds without children, not disabled, and not working) will only be eligible for CalFresh (SNAP/Food Stamps) for 3 months every 3 years. More information here: USDA FAQ Sheet
Public Comment Period: until December 10th, 8:59pm
*Commenting is not lobbying*
Public Charge Rule :
"any alien who [is applying for admission or adjustment of status], is likely at any time to become a public charge is inadmissible."
Current public charge definition:
"Likely to become primarily dependent on the Gov't (Federal, state, or local) for subsistence."

Benefits currently considered:
Cash assistance for income maintenance:
  • Supplemental security income (SSI)
  • Cash temporary assistance for needy families (TANF)
  • State General Assistance (GA)
OR
  • Institutionalization for long-term care at Government's expense
Proposed change to definition:
"Have received, are currently receiving, or are likely to receive, public benefits."

Additional proposed benefits to be considered :
  • SNAP = CalFresh = food stamps
  • Medicaid / Medicare Part D (limited exceptions)
  • Public Housing (Section 8)

[see presentation below for more information]
How Proposed Changes to the ‘Public Charge’ Rule Will Affect Health, Hunger & the Economy in CA
From the Field
Note: Materials included in this section are for reference and information purposes only and do not imply endorsement by the federal government, California Department of Public Health, or the University of California, San Francisco.
Charles Moore. RWJF Blog. August 9, 2018.
A team from our Clinical Scholars program believes that addressing oral health disparities can improve overall health and well-being, and help end cycles of poverty. They are bringing oral health to the community through school clinics, an app and an oral health protocol development for nurses, physicians, dentists and dental hygienists.
Alexandra Bush-Kaufman. Washington State University. September 18, 2018.
This Healthy Food Pantry Assessment Toolkit provides an observational survey or "environmental scan" that can be used to measure the healthfulness of the local food pantry environment. OPEN TOOLKIT

Seligman HK, Basu S. PLoS Med. October 15, 2018.
SNAP has been found to have positive effects on health, and more policies/reform that address root causes, like, a poor food system, are needed.

Evaluation of Health Care-Community Engagement, Efforts to Address Obesity: A Sample Logic Model
This sample logic model illustrates a framework for evaluating health care-community engagement efforts addressing obesity that includes policy, system, and environmental examples. From Evaluating Community-Clinical Engagement to Address Childhood Obesity: Implications and Recommendations for the Field (pg. 22).
Lauren Gase. Spark Policy Institute. March 1, 2018.
This study focused on systems-level initiatives and found that the collective impact approach contributed to population changes. Key implications also include:
  1. The importance of the core work to support long-term focus
  2. The iterative nature of the work and need for feedback loops
  3. The complexity of advancing equity
  4. The need for attention to multiple routes for contributing to impact
David Brooks. The New York Times .
Brooks shares criticisms and praises of collective impact models i ncluding When Collective Impact Has an Impact (above), and highlights the successes of Spartanburg Academic Movement (SAM) and other programs that use the StriveTogether model toward communitywide problem-solving.
Berkowitz SA, Seligman HK, Meigs JB, Basu S. Am J Manag Care. September 24, 2018.
This study concludes that food insecurity is associated with higher healthcare use and costs, and that food insecurity interventions should be tested as to whether or not they improve healthcare utilization and cost as well.
More Opportunities
CDC’s Nutrition and Obesity Policy Research and Evaluation Network (NOPREN) Webinar
Monday, December 10, 9-10am | GoToMeeting LINK
(312) 757-3119 | Access Code: 160-208-781
*open to all - no registration needed*
UConn Rudd Center for Food Policy & Obesity and the Healthy Food Policy Project team will highlight their comprehensive databases of legislation tracking state, federal, and local policies related to obesity and diet-related diseases in issue areas including access to healthy food, breastfeeding, farms and gardens, school nutrition and physical activity, food assistance programs, marketing/advertising to children, menu and package labeling, and food and beverage taxes.
Thursday, February 28 - Saturday, March 2, 2019
Holiday Inn Golden Gateway | San Francisco
World-class experts will discuss updates on diseases that disproportionately affect vulnerable patients, how clinicians can address social factors that complicate the management of medical illness, and how to integrate behavioral health care for patients with chronic pain, mental illness, and SA.