Vitality Institute Commission Forum Business for Health: Fostering Healthy Workplaces The Vitality Institute's mission is to advance knowledge about the evolving science and art of prevention and health promotion in order to build healthier societies. William Rosenzweig, Commission Chair January 7, 2014 | Denver, Colorado

The US performs poorly in health Average body mass index in 17 peer countries Source: National Research Council and Institute of Medicine Report: U.S. Health in International Perspective: Shorter Lives, Poorer Health (2013)

And places low on health rankings Source: Human Capital Report 2013 published by Mercer and the World Economic Forum US Ranks 43 rd in Health

BUT the best health is possible and desirable State Obesity (% of Adult Population) Colorado20.5 Lowest Ranking Massachusetts22.9 Hawaii23.6 Arkansas34.5 Highest Ranking Mississippi34.6 Louisiana34.7 Source: America’s Health Ranking Report 2013 Death by Zip Code: Obesity States Taking vs. Not Taking Medicaid Expansion Source: Pomeranz, J., 2013.

Local organizations should promote health Source: Institute for Health Metrics and Evaluation, University of Washington (2011) Obesity by County

And employers should encourage efforts to improve health Sufficient Physical Activity by County Source: Institute for Health Metrics and Evaluation, University of Washington (2011)

The Vitality Institute Commission on Health Promotion and the Prevention of Chronic Disease in Working Age Americans Aim: Place the power of evidence-based prevention at the center of health care policies and actions in the US. Application of Findings Globally: Plans to apply findings and recommendations to other markets in Commission Forum Series: Hosting a series of Commission Forums across the US in 2013 & 2014 to convene leaders in key topic areas and to provide input into the Commission.

Commissioners, Experts and Observers Commissioners Commission Experts Commission Observers

Initial Commission Findings Global burden of disease data analysis demonstrates: – Minimizing high disease risks in working age adults can improve the effectiveness of workplace health programs. – Largest medical cost savings are associated with reducing cardiovascular disease risk factors. Disease prevention and health promotion are undervalued across the board: – NIH spends 2% on funding towards preventing chronic diseases. – Health-contingent programs’ reasonable design may undermine efficacy if not appropriately implemented. – Health promotion is often unaddressed in law and public policy education.

Emerging Commission Recommendations 1.Look to the Evidence: Promoting health creates wealth 2.Federal funding towards health promotion should be amplified to build the prevention evidence base 3.Technological health innovations combined with behavioral economic approaches will encourage new ways of thinking 4.Organizations should encourage healthy behaviors to increase business productivity and intellectual leadership 5.Health promotion and prevention policies should be amplified and aligned through effective legislation 6.Agriculture, education and urban design sectors can be activated to accelerate the positive impacts of health promotion and prevention

Business for Health: Fostering Healthy Workplaces Denver, Colorado | January 7, 2014 Session Format Panel Discussion 1: Why do we need healthy workplaces? How can we help businesses create healthy workforces? Panel Discussion 2: Do workplace health programs work? How can they more effectively engage communities? Commission Recommendations Today’s Objectives (1)Convene leaders and experts to further establish an organized voice for prevention (2)Provide input into findings and recommendations of the Commission