healthiest maryland businesses donald shell, md, ma director, cancer and chronic disease bureau...

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Healthiest Maryland Healthiest Maryland Businesses Businesses Donald Shell, MD, MA Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Interim Director, Center for Chronic Disease Prevention & Control Prevention & Control Maryland Department of Health & Mental Hygiene Prevention and Health Promotion Administration August 21, 2013

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Page 1: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Healthiest Maryland BusinessesHealthiest Maryland Businesses

Donald Shell, MD, MADonald Shell, MD, MADirector, Cancer and Chronic Disease BureauDirector, Cancer and Chronic Disease Bureau

Interim Director, Center for Chronic Disease Prevention Interim Director, Center for Chronic Disease Prevention & Control& Control

Maryland Department of Health & Mental HygienePrevention and Health Promotion Administration

August 21, 2013

Page 2: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

2

MISSION AND VISIONMISSION 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.

Page 3: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Heart Attack Prevalence in Adults Heart Attack Prevalence in Adults With and Without Certain Risk Factors With and Without Certain Risk Factors

Source: Maryland Behavioral Risk Factor Surveillance System, 2011

Page 4: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Stroke Prevalence in Adults With and Stroke Prevalence in Adults With and Without Certain Risk FactorsWithout Certain Risk Factors

Source: Maryland Behavioral Risk Factor Surveillance System, 2011

Page 5: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

5

Prevention Means BusinessPrevention Means Business

Page 6: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

6

Top 6 Reasons Why Health Promotion Top 6 Reasons Why Health Promotion Makes Good Business SenseMakes Good Business Sense

Page 7: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

7

Top Challenges Employers Top Challenges Employers Face in 2012Face 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

Page 8: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

8

Tailored Approached to Risk Tailored Approached to Risk Mitigation are NecessaryMitigation are Necessary

60% of the State CareFirst Membership total net pay occursfor 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 MembersMembers (n=163,000)

9,000

18,900

26,000

48,500

60,500

Page 9: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

9

Healthiest MarylandHealthiest Maryland

Statewide movement to create a culture of wellness-an environment that makes the healthiest choice the easiest choice

BusinessesCommunitiesSchoolsHealthcare

Page 10: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Engage employers in worksite wellnessEngage 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)

Page 11: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

11

Healthiest Maryland BusinessesHealthiest Maryland Businesses

Recruitment Referrals Recognition

Healthy Workforce

Improved bottom lineIncreased 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

Page 12: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

12

Healthiest Maryland Businesses:Healthiest Maryland Businesses:Regional ApproachRegional 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

Page 13: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

13

It’s FREE. It’s EASYIt’s FREE. It’s EASY

Page 14: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

14

FREE Benefits FREE Benefits

Page 15: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

15

Referral to ResourcesReferral to Resources

Leading by Example

                    

  

The Community

Guide

http://www.dhmh.state.md.us/healthiest/resources.html

Wellness Council of America

Page 16: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Promote Medication Therapy Promote Medication Therapy ManagementManagement

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)

Page 17: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

17

Value-based Benefit Value-based Benefit Design Design

•Benefit design optimizes value for:• waived co-pays for diabetes, blood pressure,

and cholesterol medications; • comprehensive medication therapy

management; • tobacco cessation, etc.

Page 18: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

18

Self-Management EducationSelf-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))

Page 19: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

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 Promote healthy food and beverage optionsoptions

Page 20: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Raise awareness of youth cigar useRaise 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)

Page 21: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 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 QuitlineMaryland Tobacco Quitline1-800-QUIT-NOW 1-800-QUIT-NOW

Page 22: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

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Maryland Tobacco QuitlineMaryland Tobacco Quitline1-800-QUIT-NOW 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

Page 23: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion Administration[Date]

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Recognition EventsRecognition Events

• Workplace Health and Wellness Symposium

• Healthiest Maryland Businesses Event

Page 24: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

24

Measuring SuccessMeasuring Success

Page 25: Healthiest Maryland Businesses Donald Shell, MD, MA Director, Cancer and Chronic Disease Bureau Interim Director, Center for Chronic Disease Prevention

Prevention and Health Promotion AdministrationJune 19, 2013

25

Learn MoreLearn MoreVisit Healthiest Maryland website:

www.dhmh.maryland.gov/healthiest/

Encourage your organization and partners to join by:

1. Signing a commitment letter2. Completing an organization

assessment

Contact HMB: [email protected]