Rhode Island Food Stratgey Implementation, RI Hunger .
Rhode Island Hunger EliminationTask ForceDRAFT Recommendations Ensuring equitable foodaccess and food securityfor all Rhode Islanders.
Hunger Elimination Task Force BackgroundGovernor Raimondo’s Relish RhodyFood Strategy commits to reducingfood insecurity levels to below 10%in 2020, from 12.8% in 2017*.Recommends convening cabinetdirectors and community leaders tolead this effort & offerrecommendations & action stepsLaunched in October 2017 withinitial goal to have near & long-termrecommendations to Governor &IFNPAC by Summer 2018*ERS/USDA Household Food Security in the US 2017 for 2014 – 2016
Hunger Elimination Task Force Members Include: Office of Governor Raimondo Inter-Agency Food & Nutrition Policy Advisory Council RI Dept of HealthRI Division of Planning RI Department of Environmental Management RI Dept of Human Services RI Department of Education Executive Office of Health & Human Services Meals on Wheels of Rhode Island Rhode Island Food Dealers Association SNAP-EdRhode Island Hospitality Association Johnnycake CenterRhode Island Academy of Nutrition & Dietetics WestBay Community Action; West WarwickHEZRhode Island Healthy Schools CoalitionUnited Way 2-1-1Rhode Island Coalition Against DomesticViolenceRhode Island General AssemblyWoonsocket HEZSouthside Community Land TrustOffice of the Postsecondary CommissionerRhode Island Public Health InstituteRI Food Policy CouncilState Innovation ModelRhode Island Community Food BankProvidence Healthy Communities Office;HEZURI Feinstein Center for a Hunger-FreeAmericaEconomic Progress InstituteLocal Initiative Support Corporation
Syllabus for Task Force &Presentation AgendaData & Metrics Definitions Gap IdentificationSocial Determinants Framework: Development of Policy Recommendations Intersections with Economic Development Cost of Food & Expanded Purchasing Power Federal Programs: Maximizing Participating & Improved Coordination Transit/Transportation Safety NetCommunication & Engagement (Summer/Autumn 2018) – Next Steps Inter-Organizational Network Communication & Coordination Public Policy & Policymakers Health Equity Zones & Community Engagement Inclusion of new stakeholders (e.g. finance & funding)
Framework & ProcessOctober 2017: TaskForce Kick-OffMay 2, 2018Poverty & EconomicDevelopmentFebruary 2018:Expanded PurchasingPowerMay 30, 2018:TransitJuly/August 2018:August & October:RecommendationsSubmitted to Governor& IFNPACHETF Digs into CrossAgency Coordination &CollaborationMarch 2018:Federal ProgramCoordination &MaximizationJune 14, 2018:IFNPAC DraftRecommendations
Shared Definitions & GoalsFood Security: “Access by all people at all times toenough food for an active, healthy life. Food security ata minimum includes the ready availability of nutritionallyadequate and safe foods, and an assured ability toacquire those foods without relying on the emergencyfood system.”**Adapted from the USDA definition & clarified to demonstrate that there is no stigma around use of emergency food system.
Definitions Continued Needing to utilize the emergency food system is bydefinition food insecure. Emergency Food System includes: Food Bank,pantries, & meal sites Access is a key piece of the definition. Access could mean many things including: time,price, location, and cultural relevance Food Security Definitions do not place judgements on thetypes of food choices individuals make.
Some Effects of Food Insecurity Difficulty Focusing in School Toxic Stress in Children & Adults Increased susceptibility to learning impairments &behavioral difficulties in school Potential effects to in-utero development Increased likelihood of physical altercations for kids Increased risk of chronic disease & difficulty managingchronic diseases (e.g. diabetes, hypertension) Potential for higher healthcare utilization Making Trade-Offs between necessary expenses: food,medicine, healthcare, energy, etc.
Measuring Food InsecurityMethods: Household Food Security Survey: USDA Annual Survey Poverty Levels: Food Insecurity tracks with poverty levels, but is not coincident Limits to Data include: Statewide v. granular neighborhood-level data Some populations are difficult to survey using traditional tools:homeless people, non-English-speaking individuals,immigrants/refugees Small sample sizes - higher margins of error Focus on trends, not necessarily exact numbers from surveys
Measuring Food InsecurityRates in US v. RIUS HouseholdsFood InsecureRhode IslandFood Insecure%Total12.3% 15.6 mil households 40 million individuals12.8 % 56,236 households 135,600 individuals(ERS/USDA Household Food Security in the US 2017 for time period2014 - 2016)
Measuring Food InsecurityRates in US v. RIUSDA Food Insecurity Levels in RI Since 008 - 20102011 - 20132014 - 2016Goal: 2020Goal: Reduce Food Insecurity Levels to below 10% by 2020 in Rhode Island
Goal: Reduce Food Insecurity Levels to below 10% by 2020 in Rhode IslandA reduction from 12.8% to below 10% across the statemeans reducing food insecurity by:12,302 households30,000 individuals
But How Do We Get There?
Recommendation DevelopmentData & Metrics Definitions Gap IdentificationSocial Determinants Framework: Development of Policy Recommendations Intersections with Economic Development Cost of Food & Expanded Purchasing Power Federal Programs: Maximizing Participating & Improved Coordination Transportation & Transit Safety NetCommunication & Engagement (Summer/Autumn 2018) Inter-Organizational Network Communication & Coordination Public Policy & Policymakers Health Equity Zones & Community Engagement Inclusion of new stakeholders (e.g. finance & funding)
Grounding in Data: Importance of targeting solutions & understanding thepopulations affected Who has access & where to existing programs RIDOH’s Youth Risk Behavior Surveillance System &Behavioral Risk Factor Surveillance System data showincreases in certain populations: High school students Black (non-Hispanic) Hispanic (Latino) Limits to data: RI-specific data v. national data Community-specific data Populations left out of survey methods Need for better coordination across agencies on datasharing/targeting
Food Insecurity MappingRelishRhody.com
2017 Summer Meals Heat ml?appid c229c622d096421d9692291f6abfb9ad
Recommendation DevelopmentData & Metrics Definitions Gap IdentificationSocial Determinants Framework: Development of Policy Recommendations Intersections with Economic Development Cost of Food & Expanded Purchasing Power Federal Programs: Maximizing Participating & Improved Coordination Transportation & Transit Safety NetCommunication & Engagement (Summer/Autumn 2018) Inter-Organizational Network Communication & Coordination Public Policy & Policymakers Health Equity Zones & Community Engagement Inclusion of new stakeholders (e.g. finance & funding)
The Rationale for AddressingDeterminants of HealthThe case for investing at the community level to improve healthRhode IslandDepartmentof Health(RIDOH)Approach:Determinants of Health Model based on frameworks developed by:Tarlov AR. Ann N Y Acad Sci 1999; 896: 281-93; and Kindig D, Asada Y, Booske B. JAMA 2008; 299(17): 2081-2083.Create shiftsin investmentsfrom the 10%clinical care tothe 80% thatdetermineshealthoutcomes20
Food Insecurity Doesn’t Exist inIsolation
Place Matters(ex. Childhood poverty)
RecommendationsTargeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Strategy Goal:Refine Data & Data-Sharing to have a more complete picture of RI’ers in need & improve targeting of programsLong-Term ObjectivesCross-agency collaboration fordissemination and collection of data forprograms affecting low-income Rie’rs(including energy, housing, etc.)Development of StatewideCommunications Strategy & WorkingGroupAddress gaps in current data forindividuals who are ineligible for someprogramsTacticsDevelop Statewide Communications SubCommittee/Working Group of the Hunger Elimination Task Force tasked withdeveloping & implementing a plan for increased data collection & sharing & inter-agency collaboration
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Strategy Goal:Increase Food Security as Lens in Economic DevelopmentLong-Term ObjectiveTarget job creation in areas of high unemployment or in areas easily accessible bytransitShort Term ObjectiveTarget programs & services to specific communities in need & improvecoordination across social service and economic development agenciesTacticsConnect ABAWDs affected by SNAP Waiver toeconomic and workforce developmentprograms & tailor additional programsUse Opportunity Zones and Other TargetedInvestment Areas to draw investment tounder-served communitiesContinue to ensure that jobs created byeconomic development programs provideworkers with liveable wages
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Strategy Goal:Expanded Purchasing Power for Low-income RI’ersLong-Term ObjectivesUrban Agriculture & Community Gardens are a toolutilized to empower communities to feed themselvesDevelopment of statewide SNAP incentive program toincrease available for fruits & vegetables by X% by 2020.Shorter-Term ObjectivesInclusion of funding for urban agriculture innext (post-2018funding opportunity foragricultural preservationContinued support for & expansion of F&Vincentive programs in existing channels(farmers markets & mobile markets)Identification of additional federal & privatefunding streams to support SNAP Incentiveprograms in retail settingsTacticsCreation of a baseline scan of all state & municipal-ownedproperties for potential garden/farm sitesWorkplan with RIDOH, RIPHI, RIFPC, Farm Fresh, RI Food Dealers &others for roadmap, feasibility studies, funding, etc developedwithin 1 year for SNAP incentive Program in retail settings
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Federal Programs: MaximizingParticipating & Improved Coordination Federal programs &funding exists to supportanti-poverty & antihunger efforts. Nottaking full advantageleaves money on thetable that could benefitRIers in need.Existing Programs Include: SNAP WIC School Breakfast School Lunch School Snacks/Dinner Summer Meals CACFP Commodity Programs Elderly FeedingPrograms Meals on Wheels
Strategy Goal:Maximize Participation in Federal Programs aimed at alleviating food insecurity & poverty with particular focuson maximizing reach to low-income communitiesLong-Term ObjectivesConsistent increases in Bfast, lunch, after-school, and summer mealprogram participation through 2020Stronger Coordination Across Programs managed by the State (WIC,SNAP, Elderly Feeding, Summer & School Meals)Shorter-Term ObjectivesMore than 500,000 Summer Mealsserved in 2018; 5% increases in next2 yearsSY 2018 – 2019 Increase in breakfastparticipation by 5%Maintain or improve levels ofparticipation in federal entitlementprograms (e.g. SNAP, WIC)Successful completion of RI bridgesprogram for SNAPTacticsRequire alternative breakfastdelivery models in all k-12 schoolsRequire CEP in all eligible schools by2020 & fix funding formula that iscurrently challenging.Coordinated RI Advocacy at FederalLevel to maintain federal funding forkey programs such as SNAP, WIC,and Meals on WheelsIncrease WIC retention &participation through best practicesharing across
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Strategy Goal:Transit Planning in Coordination with Food Insecurity Relief effortsLong-Term ObjectivesEnsure that transit connects low-incomeneighborhoods with centers of employmentIncrease RIPTA ridership in all income levelsIdentify additional sources of funding for lowincome RIPTA servicesShorter-Term ObjectivesEnsure that Food Insecurity Concerns are incorporated into the TransitMaster Planning ProcessEnsure that RIPTA connects RI’ers in need to necessary food-relatedservices (meal sites, summer meals, WIC offices).TacticsHEZ & HETF participation in the TransitCoordinating Council to reflect needs of foodinsecure RI’ers.Hold targeted community input meetings re: RITransit Master Plan located within each HealthEquity ZoneInclude the business community (EOC,Chambers of Commerce) in Transit MasterPlanning Process
Targeted EconDevoExpandedPurchasingPowerDataReducing FoodInsecurityFederalProgramsSafety NetTransit &Transportation
Strategy Goal:Fully Support the Needs of our Emergency Food System Safety NetLong-Term ObjectivesIncrease the resources available to the RI Community Food BankIncrease emergency food resources on college campuses across RIShorter-Term ObjectivesIncrease funds available to RI Community FoodBank in line with funding levels in neighboringstate.Reduce the amount of healthful, edible foodending up the landfillEnsure all eligible RI students are signed up forrelevant programs (SNAP, WIC) & can use them oncampus.TacticsSupport efforts by Hope’s Harvest – RI’s neweststatewide farmer gleaning programExpand the outreach of RIDOH’s Rhode to EndHunger Initiative, connecting potentially wastedfood with RI’ers in need.Require all higher education schools to provideeasy access to a food pantry for students
Next Steps & Contact Info:Comments on Proposed Recommendations due by:Friday, July 13th at 5pm.Comments can be sent to:Sue.AnderBois@governor.ri.gov235 Promenade Street, Suite 425Providence, RI 02908
Meals on Wheels of Rhode Island Rhode Island Food Dealers Association SNAP-Ed Rhode Island Hospitality Association Johnnycake Center Rhode Island Academy of Nutrition & Dietetics . America Economic P
RHODE ISLAND 3. Key Findings. Rhode Island. About Your Graduating Class. In Rhode Island, there were 1,790 students in the 2014 graduating class who took the ACT. This translates into an estimated 16% of the 2014 Rhode Island graduating class being tested with the ACT. Rhode Island saw an increase in ACT-tested graduates of 27% since 2010 .
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS BEFORE THE RHODE ISLAND STATE LABOR RELATIONS BOARD . -AND-TOWN OF NORTH KINGSTOWN DECISION ANDORDER TRAVEL OFCASE The above entitled matter comes before the Rhode Island State Labor Relations . allowing aterm in the collective bargaining agreement that permits the enactment ofrules 2. and .
G. Include in the bid paperwork a completed W-9 Form which is attached. 3.4 Rhode Island Sales Tax: A. The authority is exempt (certificate # 984) from the payment of the Rhode Island Sales Tax under the 1956 General Laws of the State of Rhode Island, 44-18-30, Paragraph I, as amended. 3.5 Federal Excise Taxes: A.
percent of them living and working in Rhode Island. The college is the No. 1 provider of nurses and other health care workers in the state. Annually, more than 1,000 CCRI students transfer to Rhode Island College and the University of Rhode Island to continue their education. CCRI’s tuition
An Independent Evaluation of Rhode Island's Global Waiver Page 1 of 40 Executive Summary The Lewin Group, in collaboration with the New England States Consortium Systems Organization (NESCSO) and the Rhode Island Office of Health and Human Services has conducted an evaluation of the impact of the Rhode Island Global Consumer Choice Compact
equitable access to, and participation in, its program for students, teachers, . 2010 NECAP Rhode Island State Report Card . Level Student Demographic Mathematics English Language Arts Elementary . Target Score: 74.5% Target Score: 84.1% . Rhode Island Target Met? Rhode Island Target Met? Students with Disabilities 63.9% . NO . 70.8% . NO .
- A lower proportion of adults living in Central Falls have been tested for high cholesterol than adults living in Providence County or Rhode Island. - Central Falls has a higher proportion of adults who have been diagnosed with diabetes than Rhode Island. ADULTS DIAGNOSED WITH DIABETES 7% Rhode Island Central Falls 14.6% 24.9% Rhode Island
tulang dan untuk menilai efektivitas hasil pengobatan. Hasil pemeriksaan osteocalcin cukup akurat dan stabil dalam menilai proses pembentukan tulang. Metode pemeriksaan osteocalcin adalah enzyme-linked immunosorbent assay (ELISA). Nilai normalnya adalah: 10,1 9,4 ng/ml.8 Setelah disintesis, OC dilepaskan ke sirkulasi dan memiliki waktu paruh pendek hanya 5 menit setelah itu dibersihkan oleh .
