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WORKING FOR A HEALTHIER TENNESSEE WELLNESS TOOLKIT

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

2 A Pathway for the State Plan
Working with the State Wellness Team Building your Wellness Pathway How to Develop a Work Plan Three Legs of a Dependable Structure Getting Started, Setting Goals

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

4 How Big is the Problem? *Incurred Year 2012 4

5 Chronic Disease Affects Cost and Quality of Life
Medical Spend by Health Risk Population Segment Prevalence Total Healthcare Spend Non-users 6.3% 0.0% Well, but at risk 3.2% 0.9% Presence of an acute condition 66.7% 37.8% Living with a chronic disease 23.6% 49.0% Living with a catastrophic illness 0.2% 12.4% Source: Truven Health MarketScan data, 2012

6 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 Don’t get worse, and over time, help people move to the left. 6 6

7 Please refer to Department Statistics Handout

8 Building A Culture of Health Requires More than the Health Plan
Five Pillars to Support Culture of Health* Senior Leadership Operational Leadership Self Leadership Reward Positive Behaviors Measures *Dee Edington, Zero Trends

9 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

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

11 Introduction Training Team Our Partners Healthways Magellan
Ask the group to look over 1st few sections of toolkit, later we will take a closer look beginning with Physical Activity.

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

13 Boss: Tomorrow is the mandatory meeting on employee health and well-being.
Boss: The meeting starts at 6 AM, so it will interfere with your sleep and not your work. Dilbert: Doesn’t that send a message that work it more important than health? Boss: I hope so, that’s the theme of the meeting. Boss: 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: Suddenly I feel sick… Boss: Right on schedule! I’ve been in meeting like that – how about you? This is a great example of what poor leadership around engaging our team looks like. The truth is that employee health and well being 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 and support 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.

14 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% of us go to our medial 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.

15 Tennessee’s Excess Disease Burden*
For 4 of the 5 disease categories we looked at, our disease burden in the public sector plans was higher than either the national average or the average for other state and local government populations.  About 47 % of employees and spouses currently enrolled in our plans had a visit related to these five chronic conditions over the last two years. So what does all of this mean for us? I wanted to review some of the data that Laurie showed us earlier. Because depression is considered the “common cold” of behavioral health, I wanted to bring your attention back to this slide. It may be hard for you to see, but this slide indicates that our rate of diagnosed depression is actually lower than national plans, as well as other state and local government 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, 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! I need your help in spreading that important message. *Incurred Year 2012 15

16 Removing Barriers…Instilling Hope
5 no-cost, confidential EAP sessions Appointment assistance No-cost legal, financial, eldercare (help reduce stigma) Training – no-cost, onsite 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 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. On page 11 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 me know if there is anything I can do to support your efforts. Thank you for joining us in this important work or creating both a physically and emotionally healthy TN!

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

18 Three Focus Areas *We need to remove Ref. Intro: Three focus areas
Toolkit Monthly conference calls Ongoing webinar training

19 Physical Activity *We need to remove Ref.
Studies show that not only does exercise improve physical health, it also helps reduce depression and anxiety. A key way to encourage wellness is to offer employees ways to be active during the workday. Making physical activity possible during the workday can lead to better health, more productivity and an increased ability to handle stress. A person who has low levels of physical activity can be at risk for many long-lasting conditions, like Type II diabetes, obesity, depression, heart disease and even early death. In Tennessee, most adults don’t engage in any physical activity.

20 Healthy Eating *We need to remove Ref.
Poor nutrition puts people at risk of stroke, diabetes, some types of cancer and cardiovascular disease. In 2009, only 23% of Tennessee adults ate fruits and vegetables five or more times per day.1 In addition, most people eat more fat, salt and carbohydrates than is recommended for a healthy, balanced diet. For example, 90% of Americans eat more than the daily recommended amount of salt.2 Making informed decisions and improving nutritious eating can lead to a reduction in diabetes, hypertension, some cancers and obesity. Stress in the workplace can also have a negative impact on employees’ health and cause some to turn to unhealthy food choices or habits as a coping mechanism. The workplace is a convenient place to promote behaviors such as healthy eating and influence employees’ food choices because one or more daily meals are usually consumed in the workplace. Employees are much more likely to stick to a healthy diet if their workplace environment supports and promotes healthy eating.

21 Tobacco Cessation *We need to remove Ref.
A tobacco-free workplace stops employees’ contact with dangerous secondhand smoke and encourages smokers to quit. Quitting is difficult. Most people who try to quit usually need to try a number of times before they succeed in quitting for good. It is important to offer consistent, reliable support for those who want to quit.

22 Physical Activity Ideas for your workplace Online resources
Research shows exercising can improve physical health, reduce depression and anxiety. Low physical activity levels lead to many long-lasting conditions, such as Type 2 Diabetes, obesity, depression, heart disease and even early death. The Toolkit is designed to help you with ideas in the workplace as well as provide you with Online Resources. Let’s take a look…

23 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 There are several ways to make time during the work day, for instance; take activity breaks during meetings, lead group walks, hold walking meetings and include stretch breaks when possible. Sharing information is very important. It helps foster ownership and creates a network of health sharing. Use Health and Fitness Magazines, Bulletin Boards, weekly/monthly s/webinars, experts in your area and posters in stairwells. The toolkit has some excellent poster examples in the communications section will be presented a little later in the program. Each quarter, the state will send information about a ParTNers for Health Wellness Challenge. These are online campaigns within Well-Being Connect, the state’s wellness portal, available to State Group Insurance Program members and state employees. Using the National Observances on page 3 can be a great way to gather your department “together” for the day. Gather everyone together for a short walk at lunch in observance of Family Health & Fitness Day in September for example. Those of you with several departments across the region, ask each region to gather together and take pictures of the event. We can then load your pictures on our Site Champion Website for all to view. We have provided several online tool examples and indicated which one would be best for Groups and Individuals. GetFitTN (page 5) is good for groups and Individuals. MyFitnessPal (page 6) is good for individuals. Beginning on page 7, there other online resources such as map my walk, ABE and health finder.

24 Healthy Eating Ideas for your workplace Online resources
Poor nutrition puts people at risk of stroke, diabetes, some types of cancer and cardiovascular disease. The workplace is a convenient place to promote behaviors such as healthy eating and influence employees’ food choices because one or more daily meals are usually consumed in the workplace. Employees are much more likely to stick to a healthy diet if their workplace environment supports and promotes healthy eating. The Toolkit is designed to help you with ideas in the workplace as well as provide you with Online Resources. Let’s take a look…

25 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 We spend a lot of our time away from home at work. As a group we can share ideas that will help create healthier meals while at work. Beginning on page 1 of this section, we begin with some simple ideas that can be implemented; organize a healthy recipe trade, “swap your soda for water”, create a local restaurant options list. Post healthy eating options. Water consumption is very important. Research has indicated that we stay in a mild state of dehydration due to the lack of drinking water. Mild dehydration has been linked to short term memory loss. Page 3 shows some examples of providing access to water. Meetings and other events can be a great place to introduce healthier options. The toolkit provides menus and “order this, not this” sections beginning on page 4. Let’s take a look together. There are guides for ordering in the toolkit. Showcase some of the menus for a work event or meeting. ParTNers for Health Quarterly Wellness Challenges are online campaigns within Well-Being Connect, the state’s wellness portal. In a Challenge, participants will track their progress online toward a particular goal. Participants can talk about their progress in the Challenge Chatter section of the Challenge page. Feel Good Food is a good example for those that participated in that challenge. National Health Observances begin on page 13 such as National Nutrition Month in March. The toolkit also has an online tool area in this section. These are excellent resources for challenges as well as information you can share with your population. Let’s take a look beginning on page 13.

26 Tobacco Cessation Ideas for your workplace Online resources
Let’s be supportive for those that want to quit! 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 as well as provide you with Online Resources. Let’s take a look…

27 Tobacco Cessation Ideas for the workplace Online resources
Share tobacco cessation resources National Health Observances Online resources Offer tools and classes that are available in your area. Make sure employees are aware of the State’s prescription drug coverage. Discuss Quitnet and make sure their information is available including posting their hours of operation and contact information. The Partners Employee Assistance Program which has been discussed provides emotional support to employees that are trying to quit. A Buddy System works well for two folks 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 such as the Great American Smokeout in November The toolkit also has several online resources cited beginning on page 5 including the American Lung Association.

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

29 The Key Ingredient Communications Website and Social Media Engagement
Engagement is crucial in driving participation in wellness activities. And the best way to engage your members is through communications. The state will provide 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 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 will be available on the Site Champion website, which we will roll out later this month. The website will allow you to download templates, access information and share success stories with each other. We will share the web address with you as soon as it’s available.

30 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 3. Although we will provide you with messages and s 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 We will make the Working for a Healthier Tennessee logo available for download on the site champion website. 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 Each week, the ParTNers for Health Wellness Program shares a healthy living tip with members. Soon after we kick off this initiative, we will share these tips with all state employees. You will notice on page 5 of the toolkit that we have included the Schedule of 2013 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 department.

31 Communications Quarterly Wellness Challenges Sample Emails
Each quarter, the state will send information about an online ParTNers for Health Wellness Challenge, which is available to all state employees. 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 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 the wellness councils to help us share information about upcoming challenges and encourage your employees to participate. You can see a brief description of each challenge as well as sample communications materials starting on page 9. Sample s To help you spread the word about the Working for a Healthier Tennessee initiative, we’ve put together a few helpful communications. Starting on page 13, the sample text provided in the toolkit may be used in s to your employees. Feel free to customize these s so they reflect your department’s activities and your personality. You are not limited to this text. You are welcome to develop your own – these should help you get started.

32 Communications Promotional Posters Stairwell signs Motivational
Health tips 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. 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.

33 Communications Deskercises Tobacco Quit Aids Sample Walking Route
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, 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 21, or you can follow the link on the site champion website. You can print copies or share the link in s or on your website. Sample Walking Route On page 20, 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 – MapMyRoute –

34 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 9 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.

35 Resources EAP Online Resources
Contact Information Employee Assistance Program On page 11, you’ll find information about the ParTNers Employee Assistance Program (EAP), which you heard about earlier in the presentation. We have even listed some of the training sessions you can host in your workplace. Online Resources Starting on page 13, you find a list of online resources. Under “General” we’ve included a list of website 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 18 we’ve listed contacts for each of our vendor partners. If your department is hosting a health fair, you may use the contact information listed in this chart to request a representative.

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

37 Resources Healthways Well-Being Assessment Well-Being Report
If you are enrolled in the Partnership PPO, you took the Well-Being Assessment by March 15 of this year – So this will likely 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 and it will be available to ALL State Employees starting July 1. 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.

38 Resources Healthways Well-Being Connect (wellness website)
Healthways WBA Well-Being Plan Trackers Resource Center Social Networking (wellness website) Inspiration Board Message Center Recipe Center wellbeingGO 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. Message Center: Receive reminders and updates on your Plan here. 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.

39 Resources Healthways wellbeingGO mobile app Well-Being Plan Trackers
Message Center Social Networking How many of you have an iPhone or an Andriod? Don’t always have time to login to your desktop or laptop to track your meal or workout… this allows you to update on the go! Works like a banking app Trackers, Message Center & Social Networking

40 Stretch Break

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

42 Workplace Workplace environment Ideas for the workplace
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. Please turn to the Workplace section in the toolkit. One page 2 in this section are the top 10 things you can do to create a healthier workplace. Use these as a benchmark. For example, number 10, make healthy food options available at meetings, remember, you can use the Department of Health’s Healthy Meeting Guidelines. The snacks provided today came from the ideas on page 11 of the Healthy Eating section. Use the communications tools in the Communications section of this guide. Develop a workplace culture that discourages inactive behavior like watching TV on breaks and sitting for along time. See the Physical Activity section for ideas you can use in your workplace. Have walking meetings when appropriate for example. 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 3 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% of employed mothers, with children younger than three work full-time. Other things to keep in mind begin on page 5 and please make note of NashVitality on page 6. There is a link for the Department of Health’s toolkit on the ParTNers for Health website. You heard from our Partners Employee Assistance Program earlier. As a council 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 6. There are several online resources noted in this section as well beginning on page 9. Wellness Councils of America and the CDC have helpful information.

43 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 council is encouraged to develop its 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. We have provided you with some examples of challenges in the toolkit beginning at the bottom of page 3. Let’s look at the 5 a Day Challenge on page 5. 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 will be available on the Site Champion website as soon as it goes live. Let’s look at one more, the 48 a day water challenge on page 8. 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 will be provided on the Site Champion website soon. 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 summer month like next month or August.

44 Tracking & Recognition
Tracking Progress Recognition & Rewards Also, the State Wellness Team will provide ways to monitor participation and improvement in every department on a statewide basis. Each year, Healthways will track the number of employees who complete the WBA for each department compared to the total number of employees in the department. Those numbers will be reported to most agencies. Each quarter, Healthways will offer a wellness challenge focused on healthy behaviors. Many of these challenges will emphasize healthy eating and physical activity. Healthways will track and report the participation in these challenges as well as report cumulative results to the state. Depending on the challenge, cumulative totals could include total number of participants, total number of pounds lost or total number of steps walked. Annually, Healthways will provide the state with a report broken down by department that will help identify areas that show positive results and areas that need improvement. This breakdown will allow your department to pinpoint areas of improvement and areas where positive trends could be reviewed for best practices. Individual departments, agencies, and wellness councils will know best what works and will be most appealing to their employees. Here are some ideas for individuals and teams that might work or inspire you following along on page 10; Make a point to say, “Good job, keep up the good work.” Deliver a note, letter or from “the boss,” from the boss’s boss, etc. Award a certificate of achievement for reaching a health-related goal. Create a “Wall of Health” in a hallway or break room. Feature an employee photo and story each month. Add a “My Wellness Story” column to a monthly newsletter or intranet site and feature employee photos and testimonials, challenge winners and photographs. Name a Healthy Employee of the Month. Let employees have a healthy lunch with the boss, Agency Director or Commissioner. Recognize individual or team accomplishments at staff meetings – ask the next-level Director to make the presentation. Recognize individuals or teams at Service Awards Ceremonies. Feature an employee’s story on a testimonial poster – see examples of Department of Health posters around the room and view a sample permission form at by clicking on the Working for a Healthier Tennessee logo. Page 12 indicates “Recognition by the Governor.” Governor Haslam is very involved in this effort and will participate in activities recognizing individual and team milestone events throughout the year. Another important point is on page 13, Recognition and Rewards Policy. It is imperative that you check with your legal counsel to make sure that any recognition and rewards system you put in place does not violate non-discrimination requirements, HR policies, or ethical and gift restrictions. 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.”

45 Random Act of Wellness Looking back on Page 12. 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 and click on the Working for a Healthier Tennessee logo to nominate someone for a Random Act of Wellness. After you click “Submit,” print a Random Act of Wellness certificate and give it to that person to acknowledge his or her healthy behavior. Each quarter, the State Wellness Team will draw a name from those submitted to spotlight on our Site Champion webpage.

46 SAMPLE Wellness Points Point system Quarterly reporting In progress
A reporting point system is in development that we will be announced the first of next month. Essentially Wellness Councils will be able to choose from a variety of 5, 10, and 15 point activities in wellness programming, each of the 3 Focus areas and mental health. For example, 5 points will be awarded to the establishment of a wellness council. See, you already have 5 points collected! 10 points will be awarded to the council that plans an activity that supports the next ParTNers for Health quarterly challenge called One Show centered around physical activity. Registration begins July 15th for One Show. 15 points will be awarded to the Council that promotes activities around the national health observances at least 6 of the 12 possible times. Each Wellness Council will submit the points tracking sheet on a quarterly basis to JJ(Me). Point totals for each Council will be calculated and posted on the Site Champion Website for all to see and to create a little competition among the councils. A year from now, special recognition will be given to the councils with the most points. Be on the lookout for more information about the monthly conference calls that will begin in July. Please remember, you are not alone is this endeavor that I will be here to help support you the entire way. As you map out your plan of action, try to visualize how to tie in all the information mentioned today. In a few minutes Senator Rosalind Kurita, Health Policy Advisor from the Dept of Health is going to show an example of what their dept has done with wellness programming to improve their environment.

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

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