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Healthiest Maryland Businesses
Donald Shell, MD, MA
Director, Cancer and Chronic Disease Bureau
Interim Director, Center for Chronic Disease Prevention
& Control
Maryland Department of Health & Mental Hygiene
Prevention and Health Promotion Administration
August 21, 2013
MISSION AND VISION
MISSION
• The mission of the Prevention and Health Promotion Administration
to protect, promote and improve the health and well-being of all
Marylanders
is
• Public health leadership
• Community-based public health efforts
• Partnership with local health departments, providers, community based organizations,
public and private sector agencies
• Special attention to at-risk and vulnerable populations.
VISION
• All Marylanders and their families enjoy optimal health and well-being.
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Heart Attack Prevalence in Adults
With and Without Certain Risk Factors
Source: Maryland Behavioral Risk Factor Surveillance System, 2011
Stroke Prevalence in Adults With and Without
Certain Risk Factors
Source: Maryland Behavioral Risk Factor Surveillance System, 2011
Prevention Means Business
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Top 6 Reasons Why Health Promotion Makes
Good Business Sense
Although we spend more dollars on health care than any other industrialized
nation, our citizens are not the world's healthiest.
Much of the illness in the US is directly preventable.
Healthcare costs are an issue of significant concern.
The worksite is an ideal setting to address health and well-being.
Health promotion programs can improve health, save money and even
produce a return on investment.
More and more companies are building world-class wellness programs.
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Top Challenges Employers
Face in 2012
Performance in an Era of Uncertainty. National Business Group on Health, 2012.
http://www.towerswatson.com/assets/pdf/6556/Towers-Watson-NBGH-2012.pdf
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Tailored Approached to Risk
Mitigation are Necessary
MD State Employees: CareFirst Members
Members (n=163,000)
60% of the State CareFirst
Membership total net pay occurs
for employees in the
top 2 bands
83% of all State CareFirst
hospital admissions come
from the top 3 bands,
representing only 33%
(n=54,086) of the
State CareFirst
members
Critical
Illness
Multiple Chronic
Illnesses
At Risk
Stable
Healthy
9,000
18,900
26,000
48,500
60,500
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Healthiest Maryland
Statewide movement to create a culture of
wellness-an environment that makes the
healthiest choice the easiest choice
Businesses
Communities
Schools
Healthcare
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Engage employers in worksite wellness
On average, worksite wellness
programs save $3.27 on health care
costs and $2.73 on absenteeism per
year.
(Baicker et al., Health Affairs, 2010)
Worksite health promotion programs
decrease:
• Sick leave absenteeism by 27%
• Health costs by 26%
• Worker’s compensation and
disability management claim costs
by 32%
(Chapman, 2005)
Healthiest Maryland Businesses
Recruitment
Referrals
Recognition
Healthy
Workforce
Increased awareness
of current wellness
policies and
opportunities for
improvement
Providing resources
and support to
businesses- targeting
sectors experiencing
health disparities
Honoring
participating healthy
businesses
statewide
Improved
bottom line
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Healthiest Maryland Businesses:
Regional Approach
The HMB Regional Coordinator
provides enhanced services,
including:
• Recruiting employers
• Providing targeted TA for
implementation of PSE
changes
• Holding recognition
ceremony
• Developing success stories
• Enhancing worksite wellness
expertise at LHDS and
Chambers of Commerce
• Piloting CDC Worksite
Health Scorecard
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It’s FREE. It’s EASY
Sign Commitment
Letter
Take Brief
Organizational
Assessment
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FREE Benefits
Consultation with certified worksite wellness
personnel
Educational training events and forums
Technical assistance on how to implement policies
and programs
Direct connection to evidence-based workplace
wellness resources
Peer-to-peer support from networking events
Promotion as a member in this leading, statewide
initiative.
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Referral to Resources
Leading by Example
Wellness Council of
America
The
Community
Guide
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http://www.dhmh.state.md.us/healthiest/resources.html
Promote Medication Therapy
Management
Pharmacist-delivered collaborative drug therapy
management has demonstrated an ROI as high as 12:1,
with an average between 3:1 and 5:1.
(CDC, 2012)
Value-based Benefit Design
• Benefit design optimizes value for:
• waived co-pays for diabetes, blood pressure,
and cholesterol medications;
• comprehensive medication therapy
management;
• tobacco cessation, etc.
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Self-Management Education
• Promote and maximize the use of proven self-
management education programs by individuals with
chronic conditions i.e;
• ADA recognized or
• AADE accredited DSME/T programs,
• Chronic Disease Self-Management Program(Stanford))
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Promote healthy food and beverage
options
A randomized trial study conducted in secondary schools and worksites showed
that low-fat snack price reductions of 25% and 50% resulted in 39% and 93%
increases in sales, respectively.
(French et al., 2001)
Raise awareness of youth cigar use
14.4% of high school youth
in Maryland have smoked
cigars.
The cost of treating tobaccorelated medical conditions in
Maryland exceeds $2.2B
every year.
(Comprehensive Evaluation of the State of
Maryland’s Cigarette Restitution Fund Program,
2007)
Maryland Tobacco Quitline
1-800-QUIT-NOW
• FREE evidenced based counseling program to assist
Marylanders ages 13 years and older in quitting tobacco
use
• Operational seven days a week, 24 hours/day
• Services available in English, Spanish, and other
languages via translation
• Clinical intervention
• Confidential
• Effective
• 7x higher quit rate than quitting on your own
• 97% satisfaction rate
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Maryland Tobacco Quitline
1-800-QUIT-NOW
• Tobacco users 18 y.o. and older FREE access to:
• 4-wk supply nicotine replacement therapy (patch/gum)
• Youth 13 yo to 17 yo receive behavioral counseling only
• Interactive on-line support, Web Coach®
www.quitnow.net/maryland (also accessible through
www.SmokingStopsHere.com)
• Text2Quit Support Program®
• Fax-To-Assist
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Recognition Events
• Workplace Health and
• Healthiest Maryland
Wellness Symposium
Businesses Event
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Measuring Success
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Learn More
Visit Healthiest Maryland website:
www.dhmh.maryland.gov/healthiest/
Encourage your organization and partners
to join by:
1. Signing a commitment letter
2. Completing an organization
assessment
Contact HMB:
410-767-5780
[email protected]
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