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The June 16th meeting of the Worksite Wellness Council of Massachusetts was held at Tufts Health Plan in Watertown, MA. During this meeting, we discussed the role that business can play in making …

The June 16th meeting of the Worksite Wellness Council of Massachusetts was held at Tufts Health Plan in Watertown, MA. During this meeting, we discussed the role that business can play in making Massachusetts the national leader in health and wellness with our guest speaker, Valerie Fleishman, executive director of the New England Healthcare Institute (NEHI). Many thanks to Valerie for her presentation and insight on the Healthy People/Health Economy Initiative.

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  • 1. Valerie Fleishman Executive Director, NEHI Co-Chair, Healthy People/Healthy EconomyThe national network for health innovation June 16, 2011 ~ Tufts Health Plan
  • 2. Health Care 2
  • 3. Healthy People in a Healthy Economy Initiative 3
  • 4. Economic Dependence on Older Workers Changes in Working Age Population in Massachusetts 2005 - 2015 200,000 150,000 100,000 50,000 0 -50,000 16-19 20-24 25-29 30-34 35-44 45-54 55-64 65+ -100,000 -150,000 -200,000 Number of peopleSource: MassINC and Northeastern University Center for LaborMarket Studies, Mass Economy: The Labor Supply and OurEconomic Future, December 2006 4
  • 5. Economic Costs of Chronic Disease Source: Milken Institute, An Unhealthy America, 2007 5
  • 6. Power of Prevention The Centers for Disease Control and Prevention (CDC) estimates… • 80% of heart disease and stroke • 80% of type 2 diabetes • 40% of cancer …could be prevented if only Americans were to do three things: 1. Stop smoking 2. Start eating healthy 3. Get in shape 6
  • 7. Pop Quiz How many Americans lead healthy lifestyles? 1. Non smokers: 76% 2. Healthy weight (BMI of 18.5-25.0): 40% 3. Consume 5+ fruits/vegetable per day: 23% 4. Exercise regularly (30 min – 5 days/week): 23% All of the above: 3%Source: Reeves & Rafferty, Healthy lifestyle characteristics among adults in the U.S., 2000, Archives of InternalMedicine, 2005;165:854-857. BRFSS 2000 data, N=153,000. 7
  • 8. Adult Obesity Adult Obesity Rates Stark Disparities 1 Mississippi 33.8% 2 Alabama 31.6% 2 Tennessee 31.6% 4 West Virginia 31.3% Back Bay/Beacon Hill 9% 5 Louisiana 31.2% 10 North Carolina 29.4% Brookline 10% 15 South Dakota 28.5% Newton 14% 20 Delaware 27.9% 24 Wisconsin 26.9% 35 New Hampshire 25.4% Peabody 26% 41 California 24.4% 43 Montana 23.5% Revere 29% 44 Utah 23.2% Roxbury and Mattapan 35% 45 Rhode Island 22.9% 46 Vermont 22.8% 47 Hawaii 22.6% 48 Massachusetts 21.7% 49 District of Columbia 21.5% 50 Connecticut 21.4% 51 Colorado 19.1% 8 Source: Trust for America’s Health, MA Department of Public Health
  • 9. Adult and Childhood Obesity Adult Obesity Rates Childhood Obesity Rates 1 Mississippi 33.8% 1 Mississippi 21.9% 2 Alabama 31.6% 2 Georgia 21.3% 2 Tennessee 31.6% 3 Kentucky 21.0% 4 West Virginia 31.3% 4 Louisiana 20.7% 5 Louisiana 31.2% 15 Arizona 17.8% 10 North Carolina 29.4% 20 Nebraska 15.8% 15 South Dakota 28.5% 25 Pennsylvania 15.0% 20 Delaware 27.9% 24 Wisconsin 26.9% 33 Delaware 13.3% 35 New Hampshire 25.4% 33 Massachusetts 13.3% 41 California 24.4% 35 South Dakota 13.2% 43 Montana 23.5% 40 Connecticut 12.5% 44 Utah 23.2% 42 Idaho 11.8% 45 Rhode Island 22.9% 44 Utah 11.4% 46 Vermont 22.8% 48 Washington 11.1% 47 Hawaii 22.6% 48 Minnesota 11.1% 48 Massachusetts 21.7% 50 Wyoming 10.2% 49 District of Columbia 21.5% 51 Oregon 9.6% 50 Connecticut 21.4% 51 Colorado 19.1% 9 Source: Trust for America’s Health
  • 10. Physical Activity Percentage of High School Students Without 60 Minutes of Physical Activity on Any Day in a Week 10.5% - 13.6% 13.7% - 16.0% 16.1% - 18.2% 18.3% - 23.3% No Data Note: Did not participate in at least 60 minutes of any kind of physical activity that increased their heart rate and made them breathe hard some of the time on at least 1 day during the 7 days before the survey. Source: State Youth Risk Behavior Surveys, 2009 10
  • 11. Access to Healthy Foods Uneven Distribution of Supermarkets Massachusetts has 3rd lowest supermarkets per capita in the nation 11 Source: The Food Trust, 2011
  • 12. Spending Mismatch $2.5 trillionSource: UCSF, NEHI 12
  • 13. Spending Mismatch: Massachusetts 80 72 70 60 $ Billions 50 Healthcare 40 Public Health 30 20 10 0.50 0Source: NEHI calculations based on data from Mass Taxpayers Foundation,DHCFP, and MA Budget and Policy Center 13
  • 14. Fiscal Crowd OutSource: NEHI calculations based on data from Mass Taxpayers Foundation,DHCFP, and MA Budget and Policy Center 14
  • 15. Healthy People/Healthy Economy 15
  • 16. Leadership Group Co-Chairs of the Healthy People/Healthy Economy Initiative Paul Grogan, Valerie Fleishman, Ranch Kimball The Boston Foundation NEHI John Auerbach, Commissioner, Lynn Nicholas, President, Massachusetts Department of Public Health Massachusetts Hospital Association Valerie Bassett, Executive Director, Fawn Phelps, Policy Director, Health Care For All Massachusetts Public Health Association Rebecca Onie, CEO, Project Health Harold Cox, Associate Dean, Steve Ridini, Vice President, BU School of Public Health Health Resources in Action Anne Doyle, Executive VP, Chief Compliance Officer, Frank Robinson, Executive Director, Fallon Community Health Plan Partners for a Healthier Community Christina Economos, Associate Prof., James Roosevelt, CEO, Tufts Health Plan Tufts/Friedman School of Nutrition, Science & Policy Phil Edmundson, CEO, William Gallagher Associates James Seagle, President, Rogerson Communities Barbara Ferrer, Executive Director, Amy Whitcomb Slemmer, Executive Director, Health Care for All Boston Public Health Commission Mary Giannetti, Director, Nutrition & Wellness Services, Alice Tolbert Coombs, President-elect, Massachusetts Medical Society Montachusett Opportunity Council Deborah Goldberg, Goldberg Civic Initiative Karen Voci, Executive Director, Harvard Pilgrim Healthcare Foundation Irene Hernandez, City of Fitchburg, Office of the Mayor Bert Yaffe, President, New England Coalition for Prevention Eileen McAnneny, Senior Vice President, Barry Zuckerman, Chairman, Associated Industries of Massachusetts Department of Pediatrics, Boston Medical Center Kevin McCall, President, Paradigm Properties 16
  • 17. Healthy People/Healthy Economy 17
  • 18. Healthy People/Healthy Economy Expand investments in Expand physical health and wellness activity Encourage citizen Increase access to education and healthy foods engagement 18
  • 19. Expand Physical Activity 19
  • 20. Increase Access to Healthy Foods 20
  • 21. Encourage Citizen Engagement and Education 21
  • 22. Expand Investments in Health and Wellness 22
  • 23. Bills FiledAn Act to Promote Healthy People and a Healthy Economy Sponsored by Representative Jeffrey Sanchez – Including Body Mass Indexing in student’s physical examinations – Physical activity for all students – Tax credits for healthy food businesses – Health impact reports for public capital building projectsAn Act to Reduce Childhood Obesity Sponsored by Representative Kay Khan – Remove the sales tax exemption for soda and candy 23
  • 24. Public Opinion Majority think soda and candy are taxed already Source: The Boston Foundation Poll by MassInc, March – April 2011 24
  • 25. Public Opinion Support rises if funds are targeted General Support For Childhood Obesity For Aid to Local Schools Source: The Boston Foundation Poll by MassInc, March – April 2011 25
  • 26. Health and Wellness IS Health Reform We need to make comprehensive action on health and wellness part of our reform strategy Health Insurance and Access Reform Payment Reform Health Health Reform and Wellness 2006 2009 2011 26
  • 27. Role of the Business Community Expand programs • Within your companies • To other companies Measure and share results • Share best practices • Public reporting of results • Raise visibility of worksite wellness Speak out • Be visible (e.g. media, hearings, publishing results) • Engage in and support policies that advance health and reduce health care costs 27
  • 28. Valerie Fleishman, Executive Director, NEHIwww.healthypeoplehealthyeconomy.org 28