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7:30 AM - 8:30 AM

Registration and continental breakfast
8:30 AM - 8:45 AM Welcome and Logistics
   
8:45 AM - 9:30 AM Plenary
Morning Keynote: Fred Kirschenman
   
9:30 AM - 9:45 AM Break
   
9:45 AM - 11:00 AM Concurrent Session 1
Breakout 1 - Agribusiness: Meat and Poultry Production
What is a CAFO?: Most consumers are unfamiliar with how and where their meat is raised. This session will explain the history and current state of meat and poultry production at Concentrated Animal Feedlot Operations (CAFOs).

CAFO's and Health: Learn about ecological health impacts from CAFO meat production. Antibiotic resistance, water and air impacts will be some of the issues explored. Are there better ways of producing meat and poultry?

Antibiotic Resistance and Meat Production: Approximately 70% of all antibiotics are used on animals which are not sick. Learn why the medical community is concerned and what solutions exist.



Breakout 2 - Ecological Health: Making Connections
Cultivating Common Ground: Sustainable agriculture and healthcare have a shared public health agenda. Develop an understanding of the unique cultures and language towards a common public health goal.

Clinical Medicine, Public Health, Ecological Health: Challenges to research and evaluating evidence. Tools used to establish guidelines for optimal medical care and reducing uncertainties in evidence based medical practice are often not available to public and environmental health practioners. Recognizing the limits of knowledge and science, what ethical imperatives should guide decision making despite scientific uncertainty?

Chemicals and the Food Chain: Many of our foods are contaminated with industrial chemicals. How do hospital operations and maintenance impact our food system, and how is healthcare addressing this challenge?


Breakout 3 - Industrialized Agriculture: Grain, Fruit and Vegetables
Agribusiness: Over the last 40 years food production, distribution and processing has changed dramatically. Learn about current industrialized farming practices and resulting impacts on health and society.

Ecological Health: Pesticides runoff and exposure, a dead zone in the Gulf of Mexico, genetically modified organisms (GMOs), decline of small communities, social justice issues. Learn about the hidden costs of industrialized agriculture. What have we learned and what can we do?

11:00 AM - 11:15 AM Break
   
11:15 AM - 12:30 AM Concurrent Session 2
Breakout 1 - Sustainable Food- Multiple Benefits
Nutritional Benefits of Sustainable Food: While improved nutritional benefits are not the only reason to support sustainable agriculture, the latest science provides compelling arguments.

Dietetics and Sustainable Agriculture: Just as physicians receive little training in nutrition, dieticians receive little formal training in sustainable agricultural sciences. Recognition of this important linkage is growing rapidly. Learn about the shared interests, the growing movement to strengthen this bridge, and how to get involved.

Multiple Benefits: Sustainable food systems provide multiple public benefits. Data from the Multiple benefits of Agriculture Initiative will be shared, and include improvements in water quality, wildlife, greenhouse gas reductions, farmer profitability, and community economics.



Breakout 2 - Food Industry and Public Health
Food Industry Consolidation: The current food industry is highly consolidated. What does this mean for choices in what is grown and what we purchase?

Obesity and Food System: Those foods at the top of the food pyramid receive the least government support. Learn about the upside down food pyramid and its relationship to obesity.

Intro to the Farm Bill: The public health community has a vested interest in food policy. Learn the ABC's of the upcoming Farm Bill and what role healthcare can play.



Breakout 3 - Introduction to Local Sourcing
Farmers Markets - A Healthcare Perspective: Kaisers onsite farmers markets have gained significant attention. What are they, what are the benefits to healthcare and communities, and how can you adopt a similar model?

Farmers Markets - The Vendors Perspective: How do farmers markets benefit farmers and farm communities? What is a farmers market and who participates?

Food Miles and Health: Our food is increasing shipped thousands of miles. What is the impact on ecological health? What does it mean to by local?

12:30 PM - 2:00 PM Lunch
Lunchtime Keynote Address: Marion Nestle

See Marion Nestle's bio
   
2:00 PM - 3:15 PM Concurrent Session 3
Breakout 1 - Healthy Healthcare Food: Getting Started Setting up a Food Team: So you want to introduce sustainable food into your facility but don't know where to start? How about a Food Team? Gain the experience of a local hospital food team.

Menu of Options - Getting Started on Healthy Food: Overwhelmed by where to start? There are a many options for hospitals interested in food work. Pick from the "menu".

Food Policy Adoption: - Several systems and some hospitals have adopted food policies. What are the elements, how and why did they do it?


Breakout 2 - Food Issues
Food Additives - rBGH and Hormones: The use of rBGH for milk production and other growth hormones are unnecessary, and an indication of a food system out of balance. Learn how to purchase rBGH free dairy products, one step in the restoration of a healthy dairy system.

Seasonal Foods: By eating with the seasons, we minimize food miles, storage, and support local and fresh food. An area hospital chef shares his successes and challenges in purchasing seasonal food.

Onsite Gardens: Some facilities have added onsite gardens as therapy , a means to supplement cafeteria food, and as a supply of cut flowers. Dominican Hospital will share their example.


Breakout 3 - Certified Foods
Into to Certified Foods: Make sure you are getting what you want in this overview of certified foods. What are they, and what are they not?

Organic Certification: Myths exist about the safety of organics. Learn about what this system means.

Certified Food Procurement Case Study: Food Alliance certifies farms and ranches for socially and environmentally responsible agricultural practices, and works with food service companies on sustainable sourcing and supply chain management issues. Food Alliance will discuss sustainable food procurement opportunities and challenges.
   
3:15 PM - 3:30 PM Break
   
3:30 PM - 4:45 PM Concurrent Session 4

Breakout 1 - Working with Local Farms
Rule and Regulations: JCAHO, liability and other regulatory issues are important to both food purchasers and farmers. Learn from the perspective of both healthcare and farming what guidance must be followed.

Working with a local farm - Case Study 1: ALBA a local sustainable farm organization supplies food to several area healthcare facilities. Their challenges and opportunities will be shared.


Breakout 2 Food Waste
Food Compost and Food Diversion: What is the difference between diversion and waste? Why get involved?

Establishing a Successful Food Waste Program: Learn the insights of a successful food waste program. What are the costs and benefits? What should you know?

Compostables: Recent innovations allow for the use of compostable flatware, dishware, packaging and other items used in hospital kitchens. This discussion will focus on product availability, benefits, and environmental health issues to keep in mind.


Breakout 3 - Food Service Contracting
Food Distribution: Food distributors play an important role in the food supply, picking up from farms and bringing them to your facility. In this session distributors will explain how they can help supply sustainable food to healthcare systems. A moderated question and answer format will be followed.

GPOs and Contracting - Most hospitals achieve economies of scale through contracts with Group Purchasing Organizations (GPOs). Learn what restrictions hospitals may have on purchasing sustainable food through their GPO, what opportunities exist for going off-contract, and strategies to leverage greater supply from your GPO.




 
 
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