quittin’ time: helping employees become tobacco-free june 2005
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Facts
• Smoking reduces life span by an average of 12-14 years.
• Tobacco use is the leading cause of preventable death in the United States and is responsible for one in every five American deaths.
• Tobacco kills more Americans each year than alcohol, cocaine, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined.
• More than 50 diseases have been linked to smoking including cancers, heart disease and lung disease.
• Each year, primarily because of exposure to secondhand smoke, an estimated 3,000 nonsmoking Americans die of lung cancer, and more than 35,000 die of heart disease.
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Business Impact
• The total excess costs to employers per smoker per year are an average of $5,606, broken down as follows:– smoking breaks: $1,882– mortality-related lost productivity: $1,760– excess medical expenditures: $1,623– missed work days due to sickness: $341
• Although there is evidence that smoking cessation programs can reduce costs and improve health, only 24% of employers cover tobacco-use treatment.
Companies that provide smoking cessation programs
have a competitive advantage in the marketplace.
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Nicotine Addiction
• Nicotine is the drug in tobacco that causes addiction.
• Nicotine is as addictive as heroin or cocaine.
• Each year only about three to five percent of smokers quit for a year, for longer or for good.
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Benefits of Quitting
• People who stop smoking before age 35 avoid 90% of the health risks attributable to tobacco. Even those who quit at age 65 can add years to their life.
• People who quit smoking before age 50 have half the risk of dying in the next 15 years compared with continuing smokers.
• Quitting smoking decreases the risk of lung cancer, other cancers, heart attack, stroke and chronic lung disease.
• Women who stop smoking before pregnancy or during the first three to four months of pregnancy reduce their risk of serious complications.
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Opportunity for Employers
“There are few preventive health interventions that are
more cost-effective than tobacco cessation.”
-- Warner, K., et. al. cited in Business & Health, Vol. 15, #8, Supplement A, Medical Economics
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Elements of Successful Cessation Programs
• Supportive counseling – emphasizing problem solving, behavior change and social support
• Nicotine replacement and medication – affordable, easy to obtain
• Communication – inform employees of available resources
• Incentives – may be provided in terms of reduced premium differentials, cash to a flexible spending account, even small
rewards or recognition for quitting tobacco use
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Elements of Successful Programs (cont.)
• Integrated approach – integrate disease management and wellness programs, company policies, health plans and other workplace programs with available supportive counseling
• No stigmatization of smokers – support employees in their efforts to become tobacco-free
• Ability to access interventions repeatedly – repeated interventions are often necessary; policies and programs should support this process
• A variety of resources – provide resources for individuals who are in various stages of readiness to quit
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Prevention Goals
• Influence tobacco users who have no desire to quit so that they consider the benefits of quitting
• Provide support and assistance to those tobacco users who want to quit
• Support former tobacco users in their efforts to remain tobacco-free
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Strategy• Enlist support of senior leadership to ensure visibility and attention
• Establish multi-functional workgroup
• Design program
• Craft and implement policy
• Assemble support for tobacco cessation
• Review employee benefits
• Communicate and promote prevention through a series of materials, in print and/or online
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Why Partner With the EAP?
• prevention focus
• assessment and referral capabilities
• education focus
• training capabilities
The ValueOptions EAP is uniquely positioned to partner in the implementation of tobacco cessation programs because of its:
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Service Options Offered by ValueOptions
• Standard EAP: Evaluation and screening, short-term brief counseling and motivational coaching, information and education, telephonic support, referral to public/community resources, follow-up
• Enhanced services: Telephone-based sessions with tobacco treatment specialists; Quit Kit of materials; access to nicotine-replacement products or medications
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Possible Measurements of Program Success
• Number of people recruited or actively participating in the tobacco cessation initiative
• Six-month and one-year quit rates
• Absenteeism rates
• Productivity
• Health costs
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Expected Results
• Decreased health care costs associated with tobacco use
• Increased referral rate to the EAP
• Enhanced productivity
• Reduced absenteeism due to tobacco-related illness
• Improved employee perception of employer commitment
• Benefits of program exceed costs within two years of implementation
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Next Steps
• Obtain approval to proceed with evaluating options
• Form multifunctional workgroup to study benefits, policies, supportive programming
• Establish timetable for reporting recommendations to senior management
• Obtain final approval to implement recommended plan
• Implement plan
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