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WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT Good Morning. Thank you for attending the Working for a Healthier Tennessee webinar. My name is XXXX and before we get started with today’s presentation, there are a few housekeeping items. If you have a question or comment you can type it into the chat box located on the bottom left hand side of the screen. Hopefully everyone can see the Working for a Healthier Tennessee screen. As we go along, if you have questions please type those there. We want this to be interactive so we will also have polling questions throughout the presentation and live web links to additional information. Hopefully you printed or downloaded your toolkits already. This morning we are going to talk about our three focus areas, the important aspects of each of those as well as tools and resources available to you. With me today is JJ Joralemon who is our Health Promotion Manager. You will be hearing from a lot from JJ. He will be your main point of contact throughout this initiative. In collaboration with the ParTNers for Health Wellness Program

How Do We Rank? www.tnsitechampions.com So, why are we here? We have all heard the news reports about Americans becoming more overweight and leading more sedentary lifestyles. It seems everyday that more and more people are being diagnosed with chronic conditions. In 2012 we were the 47th unhealthiest state and as of 2013 we are 44th. Sadly, we are still sixth from the bottom, followed by Arkansas, Ohio, Alabama, Mississippi, Kentucky and West Virginia. In 2012, Men’s Fitness gave Memphis a troubling title: Most Obese City in United States (It was based on the percentage of residents that are obese). So, what do we do about it? That is why we are here and need your help in this effort. As most of you know, in August of 2013 Governor Haslam rolled out the outward facing initiative Healthier Tennessee. If you live in the Nashville area you might see the Healthier Tennessee commercials on local channels, as well as hearing more about it on the radio. If you’d like to visit the website go to healthiertn.com/startnow. You can send this link to employees and ask them to join the movement. The call to action for this initiative is simple, “Start Now.” Feel free to begin using this slogan in your newsletters, emails and fliers. www.tnsitechampions.com

How Big is the Problem? www.tnsitechampions.com You’ll hear later today some of the statistics related to three basic activities that each of us can control—how much we eat, our daily physical activity and tobacco use. So we wanted to show you what we look like today—it’s important to understand what “here” looks like in order to help us understand the challenge and measure improvement. For three of the five disease categories we looked at here, our disease burden is higher than either the national average or the average for other Local Education and Local Government populations. We made some change to our drug copays to reduce the cost for drugs treating hypertension, diabetes and high cholesterol and our wellness benefit is starting to kick in with results! So we’re already making progress and that is a great sign. Decreasing the prevalence of these five conditions to the average for other Local Education and Local Government employers would cut our medical spending by about $11 million annually across all three plans that we operate. Lowering the prevalence of these conditions to the average for all employers nationwide would cut medical spending by about $33 million per year.  But what does all this mean? All of the bars on this chart represent medical costs for health plans, employers and individuals but more importantly those bars represent people – families – lives. www.tnsitechampions.com *Incurred Year 2012 4

Long-Term Aim Healthy/ Low Risk Health care spending Healthy/ Low Risk At-Risk High Risk Early Symptoms Active Disease 20% of people generate 80% of costs Our energy has traditionally been focused on the 20 percent of members who have acute or serious chronic health conditions. Now we are spending a significant amount of time identifying people who are healthy, but at risk. If we can help them recognize that they are at risk and then provide services and an environment that enable them to take control of that situation, we can prevent acute and chronic conditions from developing. The majority of employees tend to be healthy, although they may be at risk for future disease. We have an opportunity to educate and create awareness regarding risk factors for future disease and interventions designed to decrease those risk factors. “Keep the healthy, healthy,” – this includes nutrition, physical activity and weight management education. Don’t get worse, and over time, help people move to the left. 5 5

60,900 hours…. We spend almost as much time at work than we do with our families and friends Our work environment and work relationships can be a force for positive change So before I turn this over to JJ and we look deeper into the toolkit I wanted to mention this thought. If you take 260 days minus 13 state holidays minus 15 vacation/sick days that’s 232 days, multiplied by 7.5 hours multiplied by 35 years that comes to 60,900 hours. Now, take the same number of years and the waking time we spend with a spouse or family member and that comes to 73,920 hours over 35 years. We have a great opportunity to harness the environment and relationships where we spend most of our waking hours to support each other in maintaining our health. Let’s learn how. Does anyone have any questions or comments at this time? If you do, type it into the chatbox or push *6. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT In collaboration with the ParTNers for Health Wellness Program

Site Champion Mission Vision Values Goals Time Commitment Traits The Group Insurance Toolkit on the Site Champion website is the most up to date. If you received a toolkit in the mail, the page numbers I reference may be a little off. The first section of the toolkit (page 4 overall, if you’re looking at the PDF) is the introduction. You have heard from XXX about why this effort is important, and we will talk a little bit more about the three focus areas in just a moment. The next section is specific to you, the Site Champion. If you would, turn to that section in the toolkit, it’s page 9 overall on the PDF. www.tnsitechampions.com

Three Focus Areas www.tnsitechampions.com As you know, we have three focus areas for this initiative: physical activity, healthy eating and tobacco cessation. As you will see from the graphics I am about to show you, we are not doing so well in Tennessee in these three areas. Seventy percent of all health care costs are a result of unhealthy behavior and the cost of these unhealthy behaviors is very high. The good news is that unhealthy behaviors can be reversed, and when they are reversed, health care costs go down. We can have an impact in the workplace. Let’s start with Physical Activity. How many of you exercised yesterday or this morning? {Add as a Polling Question} www.tnsitechampions.com

Physical Activity www.tnsitechampions.com The Physical Activity section of the toolkit begins on page 15 overall on the online PDF. Only 39 percent of Tennesseans said they get 2 ½ or more hours of physical activity per week. Overweight and physically inactive employees can have medical costs as much as 19 percent higher than their active co-workers. So how can we change it? By doing our part and being the leader, it is estimated that a five percent reduction in body mass index would reduce Tennessee’s medical costs $4.9 billion by the year 2020. www.tnsitechampions.com

Physical Activity Ideas for your workplace Online resources We are going to walk through this area of the toolkit and look at some ideas for incorporating activities into the workplace. For reference, each of these sections is laid out in a similar way: Why It’s Important, Ideas for the Workplace and Resources you can use. www.tnsitechampions.com

Physical Activity Ideas for the workplace Online resources Make time in the work day Share Healthy Living Tips ParTNers for Health Quarterly Challenges National Health Observances Online resources Those with low levels of physical activity in Tennessee are at greater risk of developing type II diabetes, heart disease and obesity. There are several ways to incorporate physical activity into the work day: Set up activity breaks during meetings, lead group walks or hold walking meetings. MapMyRoute is great when it comes to holding group walks. You can type in your agency’s address and map out a walking route for employees to utilize during breaks or walking meetings. Sharing information is also important. Post bulletin boards, create and share walking routes or hang posters in stairwells or break rooms with permission. This toolkit has some excellent poster examples in the communications section which will be presented a little later in the program. You can also see some samples on our TN Site Champions website under “Communication tools.” The National Health Observances on page four (18 overall) can be a great way to gather your agency “together” for the day. Gather everyone together for a short walk at lunch in observance of Employee Health & Fitness Day in May, for example. Employees participating in the Partnership PPO have access to online Wellness Challenges within Well-Being Connect, the State’s wellness website. Previous physical activity challenges have been “Step It Up” and “Go for 10!” Our next Well-Being Connect activity will be a walking challenge called “WonderWalk” in late April. Stay tuned for more information on that. We’ve also tried to provide ideas for online resources. On page nine (23 overall if you’re looking at the PDF), you will see resources like MapMyRun and MapMyWalk. Both are great sites for mapping walking routes. We have a tutorial on how to use MapMyWalk on the Site Champion website. ABE (Active Bursts Everywhere) Videos are another great resource. ABE is a free video library that demonstrates how to exercise virtually anywhere. We have provided the link for you in the toolkit. Poor nutrition puts us at risk for developing many chronic conditions. How many of you ate at least a serving of Fruits and Vegetables yesterday? {Add as a Polling Question} (After polling Q) Any questions on the Physical Activity section? You can type your question or comment into the chatbox or push *6. www.tnsitechampions.com

Healthy Eating www.tnsitechampions.com As you can see from this chart, Tennessee ranks near the bottom compared to other states for eating the recommended servings of fruits and vegetables. We also rank near the top for rates of nutrition related conditions which lead to higher health care costs. The costs on this slide are from our health insurance program. It costs $6,000 more for someone diagnosed with diabetes. $3650 more for someone who is diagnosed with hypertension. $1765 more for someone who is obese. What is most compelling about this chart is our comparison to Vermont. They have a higher rate of fruit and vegetable consumption but lower costs for these same conditions. www.tnsitechampions.com

Healthy Eating Ideas for your workplace Online resources The workplace is a convenient place to promote healthy eating. We spend a lot of our time away from home at work. One or more daily meals are usually consumed in the workplace. Employees are much more likely to eat well if their workplace environment supports and promotes healthy eating. Let’s take a look at the healthy eating section beginning on page 25 overall on the PDF. www.tnsitechampions.com

Healthy Eating Online resources Ideas for the workplace Promote healthy eating Access to water Tennessee Healthy Meeting Guides Quarterly Challenges National Health Observances Online resources Beginning on page two of this section (page 27 overall on the PDF), we begin with some simple ideas that can be implemented in your workplace: organize a healthy recipe trade, create a list of local restaurants that offer healthy options or plan a swap your soda for water challenge. Water consumption is also very important. The top of page four (29 overall on the PDF) shows some examples of providing access to water. Meetings and other events can be a great place to introduce healthier options. On page four (29 overall on the PDF) of the toolkit there is a link to the Tennessee Healthy Meeting Guidelines developed by the Department of Health. There are also quarterly challenges within Well-Being Connect, the state’s wellness website. If you’re a member of the State Group Insurance Plan you have access to these challenges. Last February we had healthy eating challenge “True Colors.” Another quarterly healthy eating challenge was offered again in October called “Make the Cut”. You can enroll in these challenges through your Well-Being Account when they become available. On page 15 (40 overall on the PDF) are ideas for National Health Observances. Online resources are on page 17 (42 overall on the PDF). Sites like Choose My Plate and Healthy Dining Finder are great resources to share. Any questions or comments on the healthy eating section? You can type it into the chatbox or push *6. www.tnsitechampions.com

Tobacco Cessation www.tnsitechampions.com Twenty-three percent of Tennesseans smoke. Tobacco use contributes to a variety of costly health conditions and our annual costs directly related to smoking are $2.16 billion. www.tnsitechampions.com

Tobacco Cessation Ideas for your workplace Online resources We want to be supportive of those who want to quit using tobacco. The benefits of quitting tobacco are considerable and immediate: Within 20 minutes, blood pressure and pulse are lowered In two days, nerve endings are restored In two weeks, circulation improves In one to nine months, fatigue and shortness of breath decreases In one year, the risk of a heart attack is cut in half. The toolkit is designed to help you with ideas in the workplace to support those who want to quit using tobacco. www.tnsitechampions.com

Tobacco Cessation Ideas for the workplace Online resources Share tobacco cessation resources National Health Observances Online resources Make sure employees are aware of the State’s health insurance prescription drug coverage. Provide information for quit resources like the TN Tobacco Quitline on page two (48 overall) or Quitnet on page four (50 overall). Make sure their information is available by posting the hours of operation and contact information. The ParTNers for Health Employee Assistance Program also provides emotional support to employees that are trying to quit. A Buddy System works well for people trying to quit. Create an area where they share information and share with others that might be thinking about quitting. It can be anonymous and might give another employee helpful information/strategies that will help them to quit. Participate as a group in national events that support tobacco cessation like the Great American Smokeout on November 20 (or the third Thursday of November). On page six (52 overall on the PDF), the toolkit also has several online resources like “Become an Ex” and the American Lung Association. Does anyone have any questions or comments about our three focus areas? If you do type it into the chatbox or push *6. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT In collaboration with the ParTNers for Health Wellness Program

The Key Ingredient Communications www.tnsitechampions.com You just heard about the three focus areas and some of the many tools available in the toolkit and on the Site Champion website. We know that awareness and engagement are important in order for this initiative to be effective. So, how will you engage your employees? We want to help you get started. On the following slides, we’ll discuss the communications tools available to you. These will help you engage members and drive participation. Engagement Engagement is crucial in driving participation in wellness activities. And the best way to engage your members is through communications. The state has provided you with communication tools that you can use in your departments. These tools are outlined in the toolkit and we’ll talk about each of them briefly on the following slides. Just know that the toolkit and website will always be a work in progress. We will continue to share new ideas and tools with you throughout the year.   Tools Available Online Let me start by pointing out that many of these tools are available on the Site Champion website under the different tabs and quick links. The website allows you to download templates, access information and share success stories with each other. Facebook and Twitter pages. Follow us on Facebook at Working for a Healthier Tennessee and on Twitter @TNSiteChampions. We encourage you to use these sites to ask questions and share ideas. www.tnsitechampions.com

Communications Wellness Messages Logo Weekly Health E-Tips Weekly Thumbnail Wellness Messages Now, let’s turn to the toolkit and start with the wellness messages on page three (57 overall on the PDF). Although we will provide you with messages and emails to share throughout the year, the list of key message will remain the same. You should use these messages when you are talking or writing about Working for a Healthier Tennessee. Think of these as your talking points.   Our Logo The Working for a Healthier Tennessee logo is available for download on the Site Champion website. You can download the logo in color or in black and white. You will want to use the logo to brand any communications or promotional items you share with employees. The logo will help employees quickly and easily recognize that your messages are part of the Working for a Healthier Tennessee initiative. Weekly Health E-Tips You will notice on page five (59 overall on the PDF) of the toolkit that we have included the Schedule of 2014 weekly E-Tip topics. While you will not be responsible for sharing these tips with your employees, you may want to consider this schedule as you plan wellness events and challenges for your agency. www.tnsitechampions.com

Communications Quarterly Wellness Challenges Sample Emails Quarterly challenges are hosted within Well-Being Connect, the state’s wellness website. We’ll talk more about Well-Being Connect in a few minutes. When members sign up to participate in a quarterly challenge, they will receive an email each week during the challenge with tips to succeed and encouragement to stay on track. Over the course of the challenge, participants will record their progress using the appropriate tracker in Well-Being Connect. We will ask Site Champions to help us share information about upcoming challenges and encourage your employees to participate. If your employees are not members of the State Group Health Plan you can come up with your own physical activity, tobacco cessation or healthy eating challenges. We have some challenges and tracking sheets available to you on the Site Champion website under the “Tracking Sheets” quick link. You can see a brief description of the 2013 and 2014 challenges as well as sample communications materials starting on page nine (63 overall on the PDF). More information will be provided as the enrollment period approaches. Sample Emails To help you spread the word about the Working for a Healthier Tennessee initiative, we’ve put together a few helpful email communications. Starting on page 17 (71 overall on the PDF), the sample text provided in the toolkit may be used in emails to your employees. Feel free to customize these emails so they reflect your agency activities and your personality. You are not limited to this text. You are welcome to develop your own – these should help you get started. These emails are also available on the Site Champion website under the “Communication Tools” tab. www.tnsitechampions.com

Communications Promotional Posters Deskercises Tobacco Quit Aids Sample Walking Route Promotional Posters For additional visibility, we have created artwork for easy-to-print posters that you can hang in your workplace. Post these in the break room or anywhere employees gather. There are several different types of posters from which to choose: Stairwell signs: Post these reminders near the elevator to encourage use of stairs instead of elevators. Motivational: Encouraging quotes to help employees get started or stay on track. Health tips: Ideas for physical activity around the office and healthy eating suggestions. Posters are available on the Site Champion website under the “Communication Tools” tab. Choose the ones you like and download the PDF. You can print them in 8 ½ x 11 or 11 x 17 sizes on your office printer or send them to the print shop of your choice. Deskercise – demo A deskercise is just what it sounds like – an exercise you can do at your desk. You can print deskercise cards from our Site Champion website under the “Communications Tools” tab, cut them and share them with employees. Tobacco Quit Aids The state’s prescription drug coverage provides free tobacco quit aids to members of the State Group Insurance Program who want to stop using tobacco products. You can help get the word out to plan members who are trying to quit by sharing the state’s tobacco quit aid flier. A direct link to the flier is provided on page 25 (79 overall), or you can follow the link on the Site Champion website under the “Online Resources” tab. You can print copies or share the link in emails or on your website. Sample Walking Route On page 24 (78 overall on the PDF), we show a sample walking route. This example shows a two routes in downtown Nashville, but you can make your own wherever your offices are located. This sample should give you an idea of how you can map a variety of routes for employees who want to take a shorter walk on a break or a longer walk during lunch. MapMyWalk – www.mapmywalk.com MapMyRoute – www.mapmyroute.com www.tnsitechampions.com

Resources Nurse Advice Line Fitness Center Discounts Weight Watchers at Work Now, let’s flip to the Resources section a discuss a few of the resources offered by the ParTNers for Health Wellness program. Nurse Advice Line On page nine (89 overall on the PDF). When members have questions about their health, they can call the Nurse Advice Line anytime, 24/7 and speak to a nurse. Fitness Center Discount Program The Wellness Program offers discounts to fitness centers across the state to provide members an affordable way to improve their health. Centers that choose to participate in the program set their own discount levels, including a reduced monthly membership fee and/or a reduced initiation fee. A list of participating fitness centers is posted on the ParTNers for Health website under the wellness tab. Weight Watchers at Work State Group Insurance Program also have access to the Weight Watchers at Work program at a discounted rate. Meetings are prepaid and are typically held during the lunch period. More information about this program is available on the ParTNers for Health website under Wellness. www.tnsitechampions.com

Resources EAP Online Resources Contact Information Employee Assistance Program On page 11 (91 overall on the PDF), you’ll find information about the ParTNers Employee Assistance Program (EAP), which we will talk about a little later in the webinar. We have even listed some of the training sessions you can host in your workplace. Online Resources On page 13 (93 overall on the PDF) you’ll find a list of behavioral health observances. Starting on page 15 (95 overall on the PDF), you find a list of online resources. Under “General” we’ve included a list of websites that we think are full of great health and wellness information. On the following page, we’ve compiled all of the online resources noted in each of the three main focus areas sections for easy reference. Contact Information And finally, on page 19 (99 overall on the PDF) we’ve listed contacts for each of our vendor partners. If your agency is hosting a health fair, you may use the contact information listed in this chart to request a representative. Any questions on communications or resources before I continue? You can type into the chatbox or push *6. www.tnsitechampions.com

Resources Healthways Well-Being Assessment Well-Being Report If you are enrolled in the Partnership PPO, you already know that your online, Well-Being Assessment must be completed by March 15, 2015. You might already know what the Well-Being Assessment is, so this will be a refresher for you. First and foremost - What is the Well-Being Assessment? The WBA is a confidential questionnaire that assesses various aspects of your health and well-being including life evaluation, emotional health, physical health, healthy behavior, work environment & basic access to health/life resources. Based on your answers to the WBA a personal Well-Being Report is generated that shows you which areas are hurting or helping your health and well-being. This is a great tool for the employees in your agency to use… Members enrolled in a State Health Plan already have access to the Well-Being Assessment. Employees can access the WBA by visiting partnersforhealthtn.gov and clicking on the “My Wellness Login” button in the top left hand corner. This link will take them to Well-Being Connect which is the wellness site. Since this is a personal assessment and experience for employees, everyone must create a Well-Being Account with a unique username and password. Instructions for this process are on the partnersforhealthtn.gov site under the Quick Links box. www.tnsitechampions.com

Resources Healthways Well-Being Connect (wellness website) Healthways WBA Well-Being Plan Trackers Social Networking (wellness website) Inspiration Board Recipe Center Well-Being Connect Mobile App Once employees have completed the Well-Being Assessment, they set-up a personal Well-Being Plan with three behaviors or focus areas which provide personalized action items and recommendations. Other resources and tools in Well-Being Connect include: Trackers: Employees can use various online trackers to record daily behaviors… Exercise, Steps, Food log, Servings tracker, tobacco cessation tracker to name a few. Personal accountability. Resource Center: Employees can search and find hundreds of trustworthy articles, videos and other resources. Social Networking: Groups, Challenges, Share functionality Facebook sharing Inspiration Board: Employees can post personal pictures/quotes to keep them motivated. i.e. children, spouses, an old picture of yourself at your goal weight. Recipe Center: Search thousands of healthy meal ideas, including cuisine-specific recipes and menus (Gluten free, heart healthy, etc) that map out calories and nutrients to help lose weight, manage a condition and more. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT In collaboration with the ParTNers for Health Wellness Program

Workplace A supportive workplace environment creates ownership Ideas for the workplace Physical Activity Healthy Eating Tobacco Cessation Promote lactation support in the workplace Help employees manage stress at work Online resources A supportive environment can help employees by providing resources to foster ownership of their health as they become informed decision makers. Remember, this toolkit focuses on behaviors that can change, including low physical activity, poor diet and tobacco use. All of these behaviors can put employees at risk for chronic conditions. See the Physical Activity section for ideas you can use in your workplace. Create group exercise events that all can enjoy. Promote healthy eating habits. Encourage employees to eat fruits and vegetables more often. Make clean drinking water available throughout the day. Explore the healthy eating section to learn how. Use the ideas in the Tobacco Cessation section with helping those that want to quit. Please note on page four (106 overall on the PDF) the State’s law specific to breastfeeding and employers. Provide a private area for nursing or expressing milk. Support for breastfeeding employees can have a positive effect on an organization. For every $1 invested in basic lactation programs, employers may see a $2 return on investment. Mothers are the fastest-growing segment of the workforce. Approximately 70 percent of employed mothers with children younger than three work full-time. Other things to keep in mind begin on page five (107 overall on the PDF). In a few moments XXX will discuss our ParTNers Employee Assistance Program. As a Site Champion you will be hearing about your departmental needs. As a group we need to be able to recognize stress in our locations and help them with appropriate resources. Offer assistance and information to help employees manage stress. More information about stress in the workplace is available beginning at the bottom of page six (page 108 overall on the PDF). There are several online resources noted in this section as well beginning on page nine (111 overall on the PDF). It’s time to practice what we preach and take a quick stretch break or get some water. The time is now XXX, please be back by XXX. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT We also wanted to talk briefly about our Employee Assistance Program. In collaboration with the ParTNers for Health Wellness Program

Good Afternoon - Humor is one of my favorite stress reduction tools, so I wanted to start off with a comic. Read along with me if you can….   So the Boss says: Tomorrow is the mandatory meeting on employee health and well-being. The meeting starts at 6 AM, so it will interfere with your sleep and not your work. Dilbert responds: Doesn’t that send a message that work is more important than health? Boss: I hope so, that’s the theme of the meeting. Healthy employees are unproductive. They’re always exercising or eating fruit when they should be working. We prefer employees who work hard and die before their pensions start paying out. Dilbert says: Suddenly I feel sick… The Boss ends by saying: Right on schedule! We don’t want to hear about anything like this happening with any of your agencies! The truth is that employee health and wellbeing is actually linked to highly productive, engaged employees. We also know that to sustain overall health, our emotional health is foundational to that process. Today I want to ask you for your help to decrease the stigma associated with behavioral health and to raise awareness about the key role that behavioral health plays in our overall well-being.

Behavioral Health and Physical Health are Inextricably Linked Behavioral Health is a key to overall well being and sustained wellness 50% of visits to primary care practitioners result from symptoms unexplained by a physical illness Today we are focusing on three critical areas of health; Healthy eating Physical activity and stopping tobacco use So why are we taking time to focus on behavioral health? Sustained success in each of these three focus areas involves behavioral health. If we really want this initiative to succeed, we are keenly aware of the need to include the whole person, our total health picture. Mental health and physical health are inextricably linked. Evidence has shown that mental illnesses—particularly depression—are strongly associated with the risk, occurrence, management, progression, and outcome of serious chronic diseases and health conditions, including diabetes, hypertension and heart disease. As many as 50 percent of us go to our medical doctor for issues they are not able to fully address and treat. Our problems such as fatigue, sleep issues, chronic pain, dizziness, and abdominal discomfort are often not a purely medical issue, but often associated with depression, anxiety or other behavioral health issues. www.tnsitechampions.com

Houston, We Have a Problem… Stress is called the “health epidemic of the 21st century” by the World Health Organization 30-40% of our population will experience a behavioral health issue at some point 10% of employees are heavy alcohol users 8% of employees use illegal drugs Prescription drug abuse is a HUGE issue in TN The number of drugs prescribed during 2010 to Tennesseans represents: 51 pills of hydrocodone for EVERY Tennessean above the age of 12 22 pills of alprazolam for EVERY Tennessean above the age of 12 21 pills of oxycodone for EVERY Tennessean above the age of 12 So – what does our data tell us about our plan? www.tnsitechampions.com

Tennessee’s Excess Disease Burden* I wanted to review some of the data we shared with you earlier. Because depression is considered the “common cold” of behavioral health, I wanted to bring your attention back to this slide. This slide indicates that our rate of diagnosed depression is actually lower than national plans. What appears to be good news actually represents a huge opportunity and one of the primary reasons we are promoting behavioral health services. With our chronic disease burden, we can be fairly confident that many of our members are struggling with clinical depression that is not being treated. When we are able to treat the depression, or whatever behavioral health issue our members may be dealing with, we have a much better chance of achieving our goal of creating a healthy Tennessee. Bottom Line - People with untreated mental illness cost more but treatment is available and it works! Untreated depression is costly. When you are struggling with clinical depression, everything feels distorted and your energy level is low. Those struggling with depression use both inpatient and outpatient medical services three times more than those who are treated. But the good news is that treatment is effective! Over 80% of those who seek treatment for depression are successful in treating the illness – they feel better! We need your help in spreading that important message. So What?! What is our plan doing to address this important issue? *Incurred Year 2012 www.tnsitechampions.com 34

And the Good News! Treatment for these issues is highly effective The majority (80%+) of individuals improve Significant progress can be made Local Education and Local Government employees who participate in any of the State’s medical insurance plans and their eligible family members may also use EAP services The majority of individuals improve with appropriate mental health diagnosis, treatment and ongoing monitoring. (This success rate exceeds that for many medical treatments for non-psychiatric illnesses) While some studies show that up to 70 percent of patients treated for substance dependence eventually recover, the pattern of relapse in addiction is common and has led treatment professionals to regard substance abuse as a chronic medical condition. www.tnsitechampions.com

Removing Barriers…Instilling Hope By request training Appointment Assistance Telephonic Services Dropped pre-certification for most outpatient behavioral health No-cost legal, financial, eldercare , plus+ We have been working hard over the last several years to take away as many barriers as possible; 5 no cost counseling sessions – call or log on 24/7, we now offer online registration Appointment assistance available Here4TN.com requires no log in Dropped precertification for most outpatient behavioral health services No cost, by request training delivered in your workplace Throughout the toolkit, you will see information regarding all of the behavioral health resources. Under the resources tab you will find many of the details related to our Employee Assistance Program. We recognize emotional health as a key component to overall well being. Please let us know if there is anything we can do to support your efforts. Thank you for joining us in this important work of creating both a physically and emotionally healthy Tennessee! www.tnsitechampions.com

HERE4TN.com John Allen, Director of Behavioral Health Services, 615.253.5190, john.allen@tn.gov Deborah Roberts (trainings and promotional materials) daroberts@magellanhealth.com,1.800.450.7281, ext. 74641 Employee Assistance/Behavioral Health/Substance Abuse, 1.855.437.3486 – 24/7, 365 days a year www.HERE4TN.com Does anyone have any questions or comments about the Employee Assistance Program? If you do type it into the chatbox or push *6 to speak on the phone. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT In collaboration with the ParTNers for Health Wellness Program

Tracking & Recognition Top priority – PARTICIPATE Creating challenges for YOUR workplace In order for a wellness program to work, employees need to participate. Employees who motivate, encourage and support one another increase the likelihood of long-term behavior change. Team competitions provide social support & accountability among co-workers. Every Site Champion is encouraged to develop their own challenges. As mentioned before, using the toolkit and other resources provided by the State Wellness Team will help you in your developing strategies. Wellness challenges are a great way to get employees to participate and inspire behavior change. They can create a little friendly competition among co-workers while also boosting morale and teamwork. In addition to the quarterly challenges sponsored by the ParTNers for Health Wellness Program, there are many Wellness Challenges you can develop on your own. Please turn to the Tracking and Recognition section in the toolkit (page 113 overall on the PDF). We have provided you with some examples of challenges in the toolkit. Let’s look at the 5-a-Day Challenge on page four (page 117 overall on the PDF). The 5-A-Day Challenge focuses on increasing fruits and vegetables as part of a healthy diet. The challenge starts by finding the baseline number of servings of fruits and vegetables that an employee currently eats each day. Employees can evaluate their eating habits and note where they can make changes. For example, employees could up their fruit and veggie counts by choosing salad for lunch or having an apple for a midday snack. Make it easier for employees to make the right choices by putting fruit out or posting recipes where people will see them. Employees can set a goal to determine how many servings of fruits and vegetables they will eat each day during the month of the challenge. They can track the number of servings they eat each day on their personal tracking sheet. Tracking sheets are available on the Site Champion website under the “Tracking Sheets” quick link on the right side of the page. Let’s look at one more, the 48 a day water challenge on page seven (120 overall on the PDF). Drinking water is important for your health. This challenge encourages employees to drink at least 48 ounces of water each day. Six to eight 8-ounce glasses are generally recommended daily. But employees should always consult their health care providers. Challenge participants write the date each time they drink six 8-ounce cups (48 ounces). Again, tracking sheets are available on the Site Champion website under the “Tracking Sheets” quick link. Only water counts. Participants complete the challenge when they have consumed six 8-ounce cups of water on at least 20 days during the month. The employee who logs the most days could get special recognition. Hold this challenge during a winter month when it’s cold and you’re not thinking about staying hydrated. Has anyone ever thanked a co-worker or brought special attention to someone for doing a great job or healthy behavior? {Add as a Polling Question} www.tnsitechampions.com

Tracking & Recognition “Good job, keep up the good work!” A note from the boss Certificate of achievement “Wall of Health” “My Wellness Story” column Healthy Employee of the Month Healthy lunch with the boss Preferred parking spot for a day/week Recognition at staff meetings Here are some ideas for individuals and teams that might work or inspire you following along on page nine; Just remember your Recognition and Rewards Policy given on page 12 (125 overall on the PDF).   www.tnsitechampions.com

Random Act of Wellness www.tnsitechampions.com Looking back on Page 11 (124 overall on the PDF). Random Acts of Wellness. Random Acts of Wellness is a low-cost but very visible and motivating way to recognize and show your support for employees who are working hard to adopt healthy behaviors. Here is how it works: • Catch someone in the act of a healthy behavior (e.g., taking the stairs instead of the elevator, eating a healthy lunch, exercising during the workday, drinking water instead of soda/sugared beverages or quitting tobacco products). • Go to www.tnsitechampions.com and click on the “Tracking Sheets” quick link to nominate someone for a Random Act of Wellness. You can print and fill out a Random Act of Wellness certificate and give it to that person to acknowledge his or her healthy behavior. Dr. David Hunnicutt tremendous leader in the wellness field stated; “Incentives are about getting people to do things they would not generally otherwise do. Like it or not, people frequently don’t do what will help them stay healthy and live longer. Changing this situation is what wellness is fundamentally about.” …and why we are all here. www.tnsitechampions.com

Questions? www.tnsitechampions.com Does anyone have any questions or comments about the training? If you do type it into the chatbox. Reminder: Our next conference call will be March 4 or 5 from 1:00 p.m. – 2:00 p.m. CT. We know a lot of you take time off during December to enjoy the holidays and travel so there will be no conference call. After the webinar is over we’ll be emailing you a link to fill out a survey. Let us know how we did! We’re constantly trying to make this fun and engaging. We hope you’ve enjoyed this training and we’ll stay on the line incase you have additional question and comments. www.tnsitechampions.com

WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT In collaboration with the ParTNers for Health Wellness Program