Healthy America: Wellness Where We Live, Learn and Work Joyal Mulheron, Senior Analyst National...

Healthy America:Wellness Where We Live, Learn and Work

Joyal Mulheron, Senior Analyst

National Governors Association

June 8, 2006

Overview

NGA Overview

Healthy America

Messaging & Communication


* The Economist, March 2006

Center for Best Practices Lobbying


Homeland Security Education Health Environment

Social and Economic Workforce Development

Governor Mike Huckabee

In 2002, diagnosed with Type II diabetes

280 lbs with a BMI of 39 to 170 lbs with a BMI of 24

Hypertension Dyslipidemia (for example, high total cholesterol or high levels of triglycerides) Type 2 diabetes Coronary heart disease Stroke Gallbladder disease Osteoarthritis Sleep apnea and respiratory problems Some cancers (endometrial, breast, and colon)

Overweight and obesity have been linked to:

19961991

Obesity Trends* Among U.S. AdultsBRFSS, 1991, 1996, 2004

(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

2004

Huckabee, Arkansas

Napolitano, Arizona

Schwarzenegger, California

Vilsack, Iowa

Sanford, South Carolina

Bredesen, Tennessee

Creating Healthy States: Actions for Governors

Publications

Call to Action: An Agenda for America’s Governors

Wellness Where We Live

4. Improve access to healthy options in disadvantaged communities.

5. Publicly share efforts by the governor’s family to get and stay healthy.

1. Educate the public about existing venues community resources to raise public awareness of services and opportunities.

2. Partner with community organizations to communicate health information and encourage healthy lifestyles.

3. Promote civic and personal responsibility for better health.

Pennsylvania Leveraged $2.3 billion in grants and loans to

launch the Fresh Foods Financing Initiative To date, nearly $6 million has been used to

finance 5 supermarket projects 740 jobs


South Carolina Health-e-AME, AME Church, MUSC, and DoH AME in SC reaches 276,000 SC and 23% of all

African Americans in the state Fitness, nutrition, preventive health screenings

Use the office of the governor as a bully pulpit to promote healthy living.

Modeling A Healthy Lifestyle: Lighten Up Iowa Launching A Wellness Campaign: Massachusetts

Partnership for a Healthy Weight Sponsoring Recognition Programs: Arizona Governor’s

Council on Health, Physical Fitness, and Sports


Educate state residents through community programs and messaging campaigns.

Promote environments that support physical activity and healthy eating.

Collaborating in Education Campaigns: Arkansas Better State of Health Guide Book

Using Messaging Campaigns: Ad Council’s Coalition for Healthy Children: Combating Childhood Obesity

Using Other Campaigns: Small Step, 5-A-Day, Healthy Habits for Life, Let’s Just Play

Changing Structural Environments: Colorado’s Great Outdoors Enhancing Social Support: North Carolina’s Color Me Healthy


Department of Aging

Department of Agriculture

Department of Education

Department of Environmental Quality

Department of Health

Department of Housing

Department of Parks & Recreation

Department of Personnel

Department of Public Safety

Department of Social Services

Department of Transportation

5. Form coalitions and advisory groups across the public and private sectors.

Wellness Where We Work

1. Implement a yearly health risk assessment for all employees.

2. Improve the “health” of state employees.

3. Provide access to health coaching and other preventative services for state employees and retirees.

4. Raise employer awareness of and employee participation in worksite wellness programs.

Governors are CEOs of their state:

Largest single employer

Health coverage purchaser

State employee wellness programs are often launched as pilots for broader health initiatives:

Health assessments

Health insurance incentives

Healthy work environment initiatives

Fitness challenges and events


State health care related expenditures/ 4.2 million full-time employees:

2000 $21.4 billion

2001 $24 billion

Estimated Per Capita Health Expenditure By Age and Sex, 1995

Source: From Baby Boom to Elder Boom: Providing Health Care for an Aging Population. Copyright 1996. Watson Wyatt Worldwide. www.cdc.gov/nccdphp/overview.htm

Retirement


Delaware Launched Health Rewards, an intensive health

assessment First pilot enrolled 100 participants Immediate savings of $62,000 Second pilot enrolled 1500 participants Savings estimates are unknown, but very high

North Carolina Launched HealthSmart, a DM and wellness

program with intensive health coaching and clinical management

In one year, nine pilots saved $22.5 million City of Asheville: Diabetes DM program to control

blood glc levels and realized a ROI of $18,000 productivity increase per employee with diabetes


Establishing A Health-Related Employee Recognition Program

Building Coalitions to Encourage Employee Wellness Oklahoma’s Employee Benefits Council

Offering A Comprehensive Employee Wellness Program

Arizona Governor’s Council on Health, Physical Fitness, and Sports

Offering a Comprehensive Employee Health Benefits Program

Instituting Supportive Environments That Promote Healthy Lifestyles

Promoting Personal Accountability

Wellness Where We Learn

1. Educate the public about existing community resources to raise awareness of services and opportunities.

2. Partner with community to communicate health information and encourage healthy lifestyles.

3. Promote civic and personal responsibility for better health.

4. Improve access to health options in disadvantaged communities.

5. Publicly share efforts by the governor’s family to get and stay healthy.


New York New York City: Food for Thought Redesigned the school food program 1,450 locations 180,000 free breakfasts/860,000 free lunches daily

Iowa PaySchools Program Parents electronically pay school fees, including

lunchroom purchases Monitor remotely Limit Foods


Engage Parents in Developing a Healthier School Environment The Cooper Institute’s FITNESSGRAM

Advocate for Improved Health in the School Environment Nevada Washoe County Teacher’s Union

Promote the Use of Strategic Policy Tools Washington’s Nutrition and Physical Activity: A

Policy Resource Guide

National Press Club Launch

South Carolina Site Visit

Iowa Site Visit

Arizona Senior Leaders Meeting

Healthy America Forum, Washington, DC**

Tennessee Channel One Town Hall

Healthy America Week

Annual Meeting, Charleston, South Carolina**

Healthy America Events

Healthy States RFP

15 states $100,000 awards One application per state submitted by the governor Private sector donations/unrestricted grants/full

transparency Focus on worksite wellness or community wellness Offers flexibility and fosters creativity Formal evaluation Healthy Kids (under negotiation)

www.nga.org

Effective Messages

ROI Value of health Integration among campaigns Sustainability and infrastructure of programs and

initiatives Promotion of personal choices and environmental

changes Opportunities for direct impact on constituent health

Messaging StrategiesParents

To get kids healthy, you’ve got to convince them it will pay off today. That’s because kids have a hard time conceiving of the future. Teach them that making healthy choices will help them perform better now whether it’s at school, sports, play, or whatever matters to them today.

Teach your kids all about balance. Show them that eating better and playing hard make it all possible. Because eating healthy empower your kids to run faster, jump farther, and think better. The better they eat, the more energy they’ll have. And the more active they are, the happier they’ll be.

What’s good about a family bike ride? The fresh air, the quality time with your kids, and—just as important—the exercise you all are getting. Being physically active is easy to incorporate into the time you spend as a family. The best part is, the more fun you and your kids have together, the healthier you all will be.

Children Sitting around is for wimps.

Computer games may be fun, but the real test of strength is if you’re tough enough to ride your bike, jump rope, swim or play team sports with your friends. The more you get up and play, the healthier you’ll be.

If you want to win, you have to have a strong body and a healthy heart. But you also need to be eating the right foods. Choose foods that give you the energy you need to win.

Eating right and playing hard go together like best friends.

Messaging Strategies

Stakeholder Groups

Boys and Girls Clubs of America and the YMCAs of America Childcare and after-school programs, including community-service efforts. Community-based groups Urban planning boards and community development agencies Chambers of commerce and other business groups Local foundations and nonprofits Community food producers and retailers Health plans serving local communities Healthcare delivery systems Health and medical providers Media and entertainment industries Recreation and sports enterprises Public health professionals and their societies Researchers including universities and local colleges

Examples of Stakeholders

U.S. Department of Health & Human Services Centers for Disease Control & Prevention U.S. Department of Agriculture YMCA Ad Council Scholastic Sesame Street Alliance for a Healthier Generation Nickelodeon National PTA The Boys & Girls Clubs of America The National Association for Sport and Physical Education American Public Health Association American Cancer Society, American Diabetes Association, and the American Heart

Association America on the Move Kaiser Permanente BlueCross BlueShield

Contact Information

Joyal MulheronSenior Policy Analyst

202-624-5364

[email protected]

www.nga.org

Healthy America: Wellness Where We Live, Learn and Work Joyal Mulheron, Senior Analyst National...

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