November 2017
Program Update from Dr. Thompson
Before everyone starts taking time off for Thanksgiving next week, I wanted to give a couple updates:

  1. If you were unable to attend the October 24th webinar hosted by ChangeLab Solutions on the PSE Playbook you can now access a recording of the presentation here. The PowerPoint presentation is available here.
  2. If you have yet to receive a copy of the PSE Playbook and would like a hard copy please email Alana Pfeffinger at . In your email, please include your mailing address. There are a limited number of hard copies still available. This resource will be available online in the near future.
  3. Champion Provider Fellows: Don't forget the Work-In-Progress call with Dr. Alicia Fernandez will be tomorrow, Friday, November 17th, 2PM - 3PM. More information about the call is below. This call is intended for Champion Provider Fellows only.

Also, it was great to see Drs. Stafford, Yoon, Clarke and Walker in attendance at the NEPO Building Healthy Communities Summit October 19 - October 20 in Anaheim, CA. While there, the fellows had an opportunity to meet Dr. Dexter Louie, one of the original workgroup members who helped put together the Champion Provider Fellowship program.
Champion Provider Fellows and Project Coordinator meeting with Dr. Dexter Louie (second from right.)
Pictured (l-r): Dr. Vivi Stafford, Dr. Stephanie Yoon, Dr. Valencia Walker, and Dr. Camille Clarke.
When asked about their takeaways from the Summit, Dr. Clarke said, " I resonate with the charge at the end of the session by Dr. Donaldo Hernandez who reminded us that 'Smart people who care a lot can change the world.' "

With that, I hope everyone has a wonderful Thanksgiving!

In Health,

Vanessa Thompson, MD
Associate Professor, UCSF School of Medicine
Principal Investigator, Champion Provider Fellowship
Upcoming Events
Work-In-Progress (WIP) call with Dr. Alicia Fernandez
Friday, November 17, 2PM - 3PM
The Work In Progress call series will provide an informal platform where Fellows can talk about the work they are doing and solicit feedback from their cohort and UCSF faculty members. Topics and format will be driven by Champion Provider Fellow feedback. Dr. Alicia Fernandez , Professor, UCSF School of Medicine, will be moderating the first WIP. For more information on how to register contact Alana Pfeffinger at
Dr. Alicia Fernandez
CMA logo
Policy 101 Webinar hosted by California Medical Association (CMA)- Rescheduled

This webinar will be rescheduled for the end of February. CME credits will be provided. More information will be available soon.
Champion Provider Fellowship Mini College, Friday, April 20 (San Diego, CA)
Our next in-person training will be Friday, April 20th in San Diego, CA. This training is for fellows and local health department representatives. More information about the agenda and how to register will be available in the coming months.
Recent Champion Provider Fellow Activities
The second Champion Provider Fellowship Quarterly Activity Update was sent out to Fellows from cohort 2 on Monday, November 13th. As mentioned in the email, we would like to have updates completed by December 1st . In the meantime, learn more about the great work Dr. Patricia Cantrell (Pediatrician, San Diego County) is doing around food insecurity screening by clicking on her photo below.
Dr. Cantrell will be presenting her work at the upcoming 2018 SNAP-Ed Local Implementing Agency Forum on January 9 - 10 in Sacramento, CA. (Pre-meeting will be on January 8th.)
From the Field: Recent Articles & Publications
From the Field highlights recent articles and publications compiled by Champion Provider Fellowship project team members. We invite Champion Provider Fellows and partners to submit articles and publications for consideration in future e-newsletters. Note: Articles and publications included on this list 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.
Compañeros: High School Students Mentor Middle School Students to Address Obesity Among Hispanic Adolescents
Arlinghaus K, et al. Preventing Chronic Disease. October 2017.
Combining the approaches of promotoras and peer health mentors, this study looked at the efficacy of using trained high school students, compa ñ eros, to work with Hispanic middle school students in a 6-month, school-based obesity intervention to promote and maintain reductions in standardized body max index (zBMI). Results showed that those in the compañeros intervention had greater reductions in zBMI as compared to those without compañeros. Additionally, students in the compañeros intervention had greater sustained results in zBMI reductions. You can access the article here .
Special Report: HFFI Impacts: The nationwide success of Healthy Food Financing Initiatives, a proven, economically sustainable solution
The Food Trust,2017
Healthy Food Financing Initiatives aim to increase access to fresh, healthy food in low-income, underserved communities by providing grants and loans for the development or renovation of healthy food retail and other projects. In July 2011, the California Healthy Food Financing Initiative was passed and the California FreshWorks Fund (CAFWF) launched. To date, CAFWF has supported 69 projects, created (or retained) 1,600 jobs and increased access to healthy food for 800,000 Californians. This report provides case studies, data, and resources to help advocates support future healthy food financing policy efforts and projects in their communities. You can access the report here .

New! Food Insecurity Screening Algorithms for Clinicians
NOPREN, 2017.
The CDC-funded Nutrition and Obesity Policy Research and Evaluation Network (NOPREN) recently developed three screening algorithms for the following patient populations: 1) adults , 2) adults with diabetes and 3) pediatric patients . More information about the screening tools can be found here .

Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults
Berkowitz S, Seligman H, Rigdon J, et al. JAMA Internal Medicine. November 2017.
The Supplemental Nutrition Assistance Program (SNAP) is a program aimed at addressing food insecurity by supplementing household budgets for food purchases. Food insecurity is associated with higher health care expenditures, however the effect of anti-food insecurity programs (like SNAP) in potentially reducing subsequent health care costs is relatively unknown. Using data from the 2011 National Health Interview Survey and the 2012 - 2013 Medical Expenditure Panel Survey, the investigators found that SNAP participation was associated with significantly lower estimated health care cost expenditures. The authors conclude that making SNAP enrollment easier may be a way to help control health care costs for vulnerable Americans. Access the article here .
Questions or Comments? 
Please contact Alana Pfeffinger, MPH, CHES
Project Coordinator, Champion Provider Fellowship
Phone: (415) 206 - 5141