2. Nashville Area Chamber of Commerce’s Workforce Health Executive Roundtable
Mary Yarbrough, MD MPH
Executive Director Health and Wellness
November 30, 2017
Confidential – do not distribute

3. Engaging in Health Risk Reductions and Disease Reduction
Health in 5 Steps
Engaging in Health Risk Reductions and Disease Reduction
Confidential – do not distribute

4. Annual Cost of Lost Productivity due to Absenteeism (in billions)
Absent Employee = Absent Dollars
Occupation
Annual Cost of Lost Productivity due to Absenteeism (in billions)
Professionals
$24.2
Manager, executives
$15.7
Service worker
$8.5
Clerical/Office
$8.1
Nurses
$3.6
Source: Gallup-Healthways Well-Being Index, 2012., survey of 303,625 employees
Towers Watson Employer Survey: Top Priorities of Employers’ Health Care Activities in Next 3 Years
Elevate Health and Pharmacy Plan Design
Increase the focus on employee well-being
Health
Financial
Workplace experience
Develop/enhance a workplace culture where employees are responsible for their health
Make changes to the excise ceiling tax
Add or expand the use of financial incentive to encourage healthy behaviors
Evaluate care management programs for chronic and acutely ill members
Review health benefits in a total reward context
Develop/enhance technology strategy including employee engagement and delivery of care
Assess the viability of exchange models (private/public)
Towers Watson: 2015 Best Practices in Health Care Employer Survey

5. Confidential – do not distribute
Step 1
Identify the Problem
Confidential – do not distribute

6. Global Economic Burden of Non-communicable Disease
Prevalence of Disease
Non-Communicable Disease
Cardiovascular Disease
Cancer
Chronic Respiratory Diseases
Other Chronic Diseases
Communicable
Influenza
Driver of Lost Output
Mental Health
Cardiovascular
Respiratory
Diabetes
Bloom, D.E., Ca ero, E.T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S., Feigl, A.B., Gaziano, T., Mowa , M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A., & Weinstein, C. (2011). The Global Economic Burden of Non-communicable Diseases. Geneva: World Economic Forum.

7. Nashville Chamber of Commerce
Respiratory
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Mental Health (Depression)
Diabetes
Cardiovascular (Hypertension)

8. Confidential – do not distribute
Step 2
Pick a Strategy
Confidential – do not distribute

9. Physical Health Targets for Intervention
Modifiable Health Risks
Poor Diet
Physical inactivity
Tobacco
Alcohol
Stress
Conditions
Overweight/obesity
Elevated blood glucose
High blood pressure
High cholesterol
Alcohol abuse
Burnout
Disease
Mental Health
Cardiovascular
Cancer
Respiratory
Diabetes

10. Develop and Implement Your Plan
Step 3
Develop and Implement Your Plan
Confidential – do not distribute

11. Physical Work Environment Enterprise Community Involvement
Avenues of Influence for a Healthy Workplace
Physical Work Environment
Personal Health Resources
Enterprise Community Involvement
Psychosocial Work Environment
Reproduced from Healthy Workplaces: A model for action from the WHO

12. CDC Workplace Health Assessment: What is needed
Planning/Implementation: What will be done
Evaluation: Impact

13. Workplace Strategies by Condition
Alcohol and Substance Abuse
Blood Pressure
Breast Cancer
Cervical Cancer
Colorectal Cancer
Cholesterol
Depression
Diabetes
Flu and Pneumonia
Nutrition
Obesity
Physician Activity
Tobacco Abuse
Work-related musculoskeletal disorders and ergonomics

14. Healthier Tennessee

15. Health & Wellness
Supporting the well-being and productivity of Vanderbilt Faculty and Staff

16. Comprehensive Programming*
Health Awareness
Motivation
Skill Building
Opportunities
* Michael O’Donnell’s AMSO Framework to Guide the Development of Effective Health Promotion Programs

17. Awareness

18. Motivation and Skill Building

19. Opportunities

20. Evaluate Your Progress
Step 4
Evaluate Your Progress
Confidential – do not distribute

21. Wise Use of Resources Control health care costs Maximize productivity
Health Plan
Workers compensation
Maximize productivity
Minimize
Absenteeism
“Presenteeism”
Maximize
Retention
Customer satisfaction
Safety compliance

22. Prioritizing Daily Modifiable Lifestyle Risks
Aerobic exercise
Nonsmoking
Low-fat diet and avoiding unhealthy snacks
Adequate sleep
(Other mental health and occupational risks)

23. Participation in Modifiable Health Risk Reduction Programs

24. Smoking Trend
Percent Smoking

25. Percent Exercising ≥ 1 Day/wk
Physical Activity Trend
Percent Exercising ≥ 1 Day/wk

26. Normal Weight Trend

27.   Impact on Targeted Lifestyle Risks Stress Nutrition &
Not improved
Stayed the Same
Improved
Stress 
Nutrition &
food choices
Smoking
Obesity
Activity/
Exercise 

28. Low Risk Individuals Have Lower Health Care Costs
Medium risk 85% higher than low risk
High risk 185% higher cost than low risk

29. Low Risk Proportion

30. Percent with >5 Sick days in Past Year Decreasing

31. Communicate, Communicate, Communicate
Step 5
Communicate, Communicate, Communicate
Confidential – do not distribute

32. Communicate Your Strategy: Culture of Wellness
CREDO
Goals
Policies/Programs
Workplace practices
Health Care Benefits

33. Create Community Around Wellness
Employee forums
Managers meeting
Newsletter
Flyers
Events
Social Media
Video
Podcasts
Community/National

34. Confidential – do not distribute
Thank you
Confidential – do not distribute