Strategy Execution Summit 2015 Presentation: Rick Roberts, from the Office of the Secretary of Defense presents the DoD Healthy Base Initiative

1. Lt Col Rick Roberts
Chief, Strategic Planning, Transformation
and Innovation
Office of the Secretary of Defense
Military Community and Family Policy
19 May 2015
Healthy Base Initiative

2. The DoD Community is a
Microcosm of the Nation
With a Unique Mission
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Warriors Parents, Schools Fitness

3. 3
Commissaries &
Exchanges
Dining Facilities Wellness Centers &
Hospitals
The DoD Community is a
Microcosm of the Nation
With a Unique Mission

4. Burning Platform
Obesity in the US has risen dramatically and is a threat to our
national security
of American
adults
are obese
34% of potential military
candidates cannot
qualify for the military
due to their weight
27%
of potential Army
recruits will not
qualify for the
military in 2030
due to their weight
64%

5. In the US military
Tobacco is the leading cause of
death in the United States
Smoking in the US
http://www.cdc.gov/VitalSigns/AdultSmoking
19%
of American adults
who use tobacco
of MHS adult
beneficiaries who use
tobacco
11%
of Active Duty age 18-24
who use tobacco28%
Burning Platform
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6. Healthy Base Initiative Inception
National Prevention Strategy
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7. Strategy for creating a
prevention-oriented
society where all sectors
realize the value of
health for individuals,
families, and
communities and work
together to achieve
better health for
Americans
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DoD’s 20 year long-term
strategy that aligns with
the NPS. Currently
being drafted and
informed by pilot
demonstration.
Focused on multiple
domains of health –
holistic approach
A demonstration project
to inform OLW.
Implementing and
testing interventions
focusing on key aspects
of NPS:
1. Tobacco-Free Living
2. Active Living
3. Healthy Eating
4. Healthy Community
Environments
2 3
HBI is Aligned with National
Prevention Strategy
National
Prevention
Strategy (NPS)
Operation Live Well
(OLW)
Healthy Base Initiative
(HBI)

8. Pilot Sites
An Innovative Approach
The DoD implemented a multi-faceted approach to test initiatives,
measure progress, and share knowledge across 14 pilot sites
Components
Selected from across the services, CONUS & OCONUS
• Army: Fort Meade (MD), Fort Sill (OK), Fort Bragg (NC)
• Air Force: Yokota (Japan), Mountain Home (ID)
• Marine Corps: 29 Palms (CA), Quantico (VA)
• Navy: New London (CT), Pearl Harbor (HI)
• Guard/Reserve: Camp Dodge (IA), March (CA), Cape Cod (MA)
• Headquarter locations: Defense Health Headquarters (VA), Defense
Logistics Agency (VA)
Implement
Initiatives
Assess Promising
Practices
Share
Knowledge
• Selected by MC&FP
and HA in partnership
with the Services
• Implemented subset of
initiatives at each site
• Partnered with sister
agencies, nonprofits,
and academic
institutions
• Identified and evaluated
locally developed
innovations that address
health needs at the
installation level
• Cross-pollinating best
practices throughout
DoD
• Created an online
Community of Interest
to access HBI materials
and provide a forum for
discussion
• Recognizing and
highlighting base
accomplishments
• Sharing lessons learned
• Used private sector
approach, Balanced
Scorecard to align goals,
objectives, tactics, and
success metrics
• Measured program fidelity,
and changes in built
environment using tools
(m-NEAT, m-PAC)
Establish Evaluation
Framework

9. Evaluation Framework:
Strategic Roadmap
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Performance Measures
% Change in Obesity
and Overweight Rates
% Change of Wellness
Quality Score
% Change in Tobacco
Usage
% Fresh Produce Total
Sale
% Better-For-You
Items Available
% Vendor Breakeven
Count Total Patronage % Change in
Designated Tobacco
Areas
$ Total Food Costs Per
Transaction
HBI COI Utilization
Metrics
% Change of M-Neat
Score
% Schools that make a
positive change
% Change of M-PAC
Score
PT Pass Rate
% Change in Real Age
(Ultimate Me)
Participation Rates

10. 10
Assessing Food Environment
Implementing Initiatives
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Baseline Average m-NEAT Scores by Category
• M-NEAT is a nutrition environment
assessment tool developed and
piloted by DoD
• DoD Community members encounter
food purchasing opportunities in
multiple venues
• Baseline results demonstrated
potential to improve food environment
across food establishments
Coaching from Culinary
Institute of America
Menu Labeling with “Go For Green” and “Better For
You”
Farmers’
Markets
Commissary Cooking
Matters Tours
Smarter Food
Movement
Healthy Eating Spotlight:
Measurement through M-Neat and Initiatives

11. 11
Assessing Environment for Physical Activity
Implementing Initiatives
• Promoting Active
Communities
(PAC) tool
developed by
DoD and piloted
through HBI
• Variation existed
across bases and
categories
demonstrating
opportunity for
improvement
Fitness on Request Bikeshare
StairWELL Warrior Well Leadership Driven
Runs
24-Hour Fitness
Active Living Spotlight:
Measurement through M-PAC and Initiatives
Baseline m-PAC Score by Category

12. Implemented Initiatives and
Promising Practices
HBI implemented top-down initiatives and evaluated bottom-up Promising
Practices in four key topic areas of the National Prevention Strategy
Active Living Healthy Eating
Tobacco-Free
Living
Healthy
Communities
Implemented Initiatives:
• Menu labeling: Go For Green
and Better For You Foods
• SOS Cooking Matters Tours
• Smarter Food Movement
• Commissary Fresh Produce
• Farmers’ Markets
Promising Practices:
• After school Club 5210
• Integration of nutrition classes with
Service weight remediation class
Implemented Initiatives:
• Fitness on Request
• 24 Hour Fitness
• StairWELL
• Warrior Well
Promising Practices:
• Recess Before Lunch
• High Intensity Tactical Training
• Youth Sports
• Adult Sports Program
• Leadership Led Fitness
Implemented Initiatives:
• Increased Tobacco-Free Areas
• Holly Graham
• Fight the Enemy
• Kicking Butts for Points
Promising Practices:
• Comparison of Tobacco
Cessation Programs across
Services
• Tobacco-Free MTF Policy
• Marine Corps Counter Marketing
Implemented Initiatives:
• Ambassadors for Health
• Group Lifestyle Balance
• Ultimate Me
• Alliance for Healthier Generation
Promising Practices:
• Community Resource Guide
• Health Promotion Council
• Impact of a Dietitian
• Wellness Center
• Mobile Health Van

13. Healthy Base Initiative
Initial Observations
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The key lesson learned is the need to create a system change that
influences a change in personal behavior
- Empower Services and Installations
- Develop appropriate policy focused on National Prevention Strategy
- Provide training and tools
- Encourage champions of leading programs to serve as advocates
- Communicate Strategically
- Design marketing campaigns that reach end user where they are
- Use unit leaders to communicate key messages
- Share knowledge broadly across the organization and with external partners
- Partner Internally and Externally
- Develop governance that ensures accountability
- Leverage established resources developed by other agencies and non-profits
- Engage with civilian sector to complement health efforts on- and off-installation
- Use Technology to Further Health
- Develop health information policies that address privacy and security challenges
- Utilize personalized health technologies
- Encourage installations to share data to understand trends DoD-wide more quickly

14. • HBI Demonstration: January 2014 - Aug 2015
• Collect baseline measurements
• Launch selected HBI initiatives
• Monitor/report initiative results
• Evaluate/refine initiatives
• Determine impact of initiatives
• Report findings and recommendations
• HBI 1.0 After Action Items:
• Codify lessons learned through
• Policy changes
• Creation of toolkit/resources
• Comprehensive communications strategy
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Healthy Base Initiative
Way Ahead

15. BACKUP

16. Additional Application of
the Balanced Scorecard
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