Integrative Approach to PopulationBased Health Programming DPH Worksite

Integrative Approach to Population-Based Health Programming DPH Worksite Wellness Lt. Governor’s Task Force – Healthcare Access and Cost/ Carmen N. Daniel, MPH / Oct. 9, 2019 GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Impacting Population Health Through Worksite Wellness Labor Force Statistics (August 2019) American Time Use (2018) Data extracted on: October 1, 2019 Bureau of Labor Statistics GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Worksite Wellness Workplace Health Programs: Workplace health programs refer to a coordinated and comprehensive set of strategies which include programs, policies, benefits, environmental supports, and links to the surrounding community designed to meet the health and safety needs of all employees. Workplace health program components and strategies: • Health education classes • Access to local wellness/fitness facilities • Company policies that promote healthy behaviors such as a tobacco-free campus policy • Employee health insurance coverage for appropriate preventive screenings and immunizations • A healthy work environment created through actions such as making healthy foods available and accessible through vending machines or cafeterias • A work environment free of recognized health and safety threats with a means to identify and address new problems as they arise Source: Adapted from Center for Disease Control and Prevention GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Policy, System, Environment Change: Behavior Change through Worksite Wellness Physical Activity • Onsite Fitness Center • Stairwell Beautification & Signage • Bike Racks Workplace Breastfeeding • Lactation Rooms CPR/AED • AED installation Healthy Eating/Meeting • Breakroom Beautification • Healthy Choices Vending • Produce Delivery • • • Policies and Environments • Middle Manager’s Training Systems Environments Physical Activity Workplace Breastfeeding Tobacco Free CPR/AED Healthy Meeting/Eating Babies at Work (Pilot) Employee Assistance Provider Insurance/Benefits Policies GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Models & Toolkits National – Workplace Health Model State – Work Healthy Georgia Toolkit GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Statewide Health Burden Georgia Statistics (BRFSS, 2017) • 32% of adults are obese • 34% of adults are overweight These estimates have nearly doubled over the past 25 years and continue to rise. The burden affects all individuals, regardless of age, race, gender, income, or education level. Physical activity levels among adults in Georgia is also low, with less than half (46%) of adults meeting recommendations. Only 28% of Georgia adults meet recommendations for fruit and vegetable consumption. GEORGIA DEPARTME NT OF PUBLIC HE ALTH

National Annual Health and Economic Costs of Chronic Disease Impact Economic Costs (Healthcare System and/or Employer) Heart Disease and Stroke 859, 000 deaths; 1/3 of all deaths $199 billion Cancer 1. 6 million diagnosed; 600, 000 deaths $174 billion Diabetes 30 million (84 million prediabetic) $237 billion Obesity 1 in 3 adults $147 billion Arthritis* 1 in 4 adults (54. 5 million) $304 billion ($140 billion for medical costs, $164 billon for indirect costs associated with lost earnings) Cigarette Smoking 16 million have at least one disease caused by smoking $170 billion in direct medial costs Lack of Physical Activity Leads to heart disease, type 2 diabetes, some cancers, obesity $117 billion Excessive Alcohol Use 88, 000 deaths, 1 in 10 of working-age adults $239 billion on US economy RISK FACTORS Source: Adapted from Center for Disease Control and Prevention GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Health-Related Productivity Loss Mitchell, R. J. , & Bates, P. (2011). Measuring health-related productivity loss. Population health management, 14(2), 93 -98. GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Return on Value/Investment (ROI/ROV) Direct Costs Personal Health Costs Medical Care Pharmacy The Cost of Poor Employee Health Indirect Costs Productivity Costs Absenteeism Presenteeism Short/Long Term Disability Workman’s Compensation Claims Overtime Turnover Temporary Staffing Administrative Costs Replacement Training Customer Dissatisfaction Variable Product Quality GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Worksite Wellness Increases Access to Care and Resources Community Engagement • • Provision of health-related information, programs, or resources from various organizations Community Coalitions Topics • • • Programs, Policies and Environmental Supports (EAP, Benefits Providers) Tobacco Use High Blood Pressure High Cholesterol Physical Activity Weight Management Nutrition Heart Attack/Stroke Prediabetes/Diabetes Depression • • Stress Management Alcohol and Other Substance Use Sleep and Fatigue Musculoskeletal Disorders Occupational heath and Safety Vaccine/Preventable Diseases Maternal health and Lactation Support Cancer GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Work Healthy Georgia Toolkit Resources • Making the Business Case • Preparation for Improving Worksite Health • Assessing the Workplace • Building an Improvement Plan • Developing Policy and Program o Sample Policy Language • Employee Engagement and Recognition • Health Risk Identification Tools GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Resources CDC Workplace Health Model: https: //www. cdc. gov/workplacehealthpromotion/model/index. html CDC Scorecard: https: //www. cdc. gov/dhdsp/pubs/docs/HSC_Manual. pdf CDC Workplace Health: https: //www. cdc. gov/workplacehealthpromotion/tools-resources/workplacehealth/index. html Georgia Work. Healthy Toolkit: https: //dph. georgia. gov/sites/dph. georgia. gov/files/DPH_Work. Healthy. GA_T oolkit_4 Web_062917. pdf WELCOA Checklist: https: //checklist. welcoa. org/ GEORGIA DEPARTME NT OF PUBLIC HE ALTH

Questions? DPH Worksite Wellness DPH-Worksite. Wellness@dph. ga. gov Carmen N. Daniel, MPH Director, Child Health and Wellness Carmen. Daniel@dph. ga. gov Chandler Winner, MS Interim Program Manager, Worksite Wellness Chandler. Winner@dph. ga. gov GEORGIA DEPARTME NT OF PUBLIC HE ALTH