1. 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

2. Prevention and Health Promotion Administration June 19, 2013 2 MISSION AND VISION MISSION The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders 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.

3. Heart Attack Prevalence in Adults With and Without Certain Risk Factors Source: Maryland Behavioral Risk Factor Surveillance System, 2011

4. Stroke Prevalence in Adults With and Without Certain Risk Factors Source: Maryland Behavioral Risk Factor Surveillance System, 2011

5. Prevention and Health Promotion Administration June 19, 2013 5 Prevention Means Business

6. Prevention and Health Promotion Administration June 19, 2013 6 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.

7. Prevention and Health Promotion Administration June 19, 2013 7 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

8. Prevention and Health Promotion Administration June 19, 2013 8 Tailored Approached to Risk Mitigation are Necessary Critical Illness Multiple Chronic Illnesses At Risk Stable Healthy 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 MD State Employees: CareFirst Members Members (n=163,000) 9,000 18,900 26,000 48,500 60,500

9. Prevention and Health Promotion Administration June 19, 2013 9 Healthiest Maryland Statewide movement to create a culture of wellness-an environment that makes the healthiest choice the easiest choice  Businesses  Communities  Schools  Healthcare

10. 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)

11. Prevention and Health Promotion Administration June 19, 2013 11 Healthiest Maryland Businesses RecruitmentReferrals Recognition Healthy Workforce Improved bottom line 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

12. Prevention and Health Promotion Administration June 19, 2013 12 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

13. Prevention and Health Promotion Administration June 19, 2013 13 It’s FREE. It’s EASY Sign Commitment Letter Take Brief Organizational Assessment

14. Prevention and Health Promotion Administration June 19, 2013 14 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.

15. Prevention and Health Promotion Administration June 19, 2013 15 Referral to Resources Leading by Example The Community Guide http://www.dhmh.state.md.us/healthiest/resources.html Wellness Council of America

16. 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)

17. Prevention and Health Promotion Administration June 19, 2013 17 Value-based Benefit Design 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.

18. Prevention and Health Promotion Administration June 19, 2013 18 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))

19. 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) Promote healthy food and beverage options

20. Raise awareness of youth cigar use 14.4% of high school youth in Maryland have smoked cigars. The cost of treating tobacco- related medical conditions in Maryland exceeds $2.2B every year. (Comprehensive Evaluation of the State of Maryland’s Cigarette Restitution Fund Program, 2007)

21. Prevention and Health Promotion Administration June 19, 2013 21 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 Maryland Tobacco Quitline 1-800-QUIT-NOW

22. Prevention and Health Promotion Administration June 19, 2013 22 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) www.quitnow.net/maryland Text2Quit Support Program® Fax-To-Assist

23. Prevention and Health Promotion Administration [Date] 23 Recognition Events Workplace Health and Wellness Symposium Healthiest Maryland Businesses Event

24. Prevention and Health Promotion Administration June 19, 2013 24 Measuring Success

25. Prevention and Health Promotion Administration June 19, 2013 25 Learn More Visit Healthiest Maryland website: www.dhmh.maryland.gov/healthiest/ 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 Dhmh.healthiestmaryland@maryland.gov