Learn the Benefits of a Tobacco-Free Workplace


Published on

Learn how tobacco-free policies can improve employee health and productivity, the cost savings for employers that go along with these policies, and the steps involved in implementing a workplace tobacco policy.

Published in: Business, Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Learn the Benefits of a Tobacco-Free Workplace

  1. 1. HEALTHY WORK Tobacco-Free Workplace Policies St. Johns County
  2. 2. St. Johns IntroductionsTobacco Free St. Johns -A community partnership dedicated to tobacco prevention andcessation in St. Johns County and Northeast FloridaBrian Cody -Is co-owner of Civic Communications, an organization that workswith counties and partnerships to build their public healthoutreach programs. Brian has over 10 years experience withtobacco policy programmingThe Bailey Group -An insurance firm that works with individuals, organizations andbusinesses to develop their health care strategies.
  3. 3. What are tobacco-freeworkplace policies?
  4. 4. St. Johns Tobacco-free workplace policies • Tobacco-free campuses: indoor, outdoor, vehicles • If youth are present, also ban possession of tobacco
  5. 5. St. Johns Tobacco-free workplace policies • Information available about cessation resources • Cessation counselors: individual meetings or in groups • Nicotine replacement therapy (NRT) product
  6. 6. Why focus on workplacecessation?
  7. 7. St. Johns Tobacco kills• Tobacco kills 6 million people each year worldwide• Causes cancer, lung disease, and heart disease• Tobacco-related illness is the most preventable form of death
  8. 8. St. Johns Tobacco use is a widespread problem • United States – 20.6% of adults smoke, and 3.5% use other types of tobacco • Florida – 17.1% of adults smoke, and 3.1% use smokeless products • About 70% of the 46.6 million smokers in the United States want to quit, and more than 40% try to quit each year
  9. 9. St. Johns County Tobacco-Use Snapshot % of adult # of adults Adult % of adults # of adults smokers who who tried toCounty Population who smoke who smoke tried to quit in quit smoking in the last year the last year Flagler 77,131 21.6 16,660 66.2 11,029St. Johns 146,900 11.9 17,481 56.5 9,877 Duval 662,890 18.6 123,297 61.4 75,705 Total 886,921 17.8 157,438 61.4 96,611
  10. 10. St. Johns It is difficult to quit tobacco alone • 6 out of 10 smokers required multiple attempts before quitting • 71% of adolescent smokers tried to quit in the last year, and 92% of them relapsed into tobacco use within 1 year of trying • Signs of someone ripe for quitting tobacco use: CAGE • Cut down on tobacco use • Annoyed when told to quit • Guilty about using tobacco • Eye-opener experience
  11. 11. St. Johns Costs related to tobacco use • $1,623 per smoking employee: medical expenses • $1,760 per smoking employee: lost productivity • That is a total cost of $3,391 per smoking employee per year! • The United States loses at least $96 billion per year in direct medical costs and an estimated $96.8 billion per year in lost productivity due to sickness and premature death
  12. 12. St. Johns Tobacco kills • On average, smokers die 13 to 14 years earlier than nonsmokers, which also adds billions to the figure for lost productivity and health care costs
  13. 13. St. Johns A problem we can actually fix • Cessation support works • 70% of smokers say they want to quit, but attempting cessation alone results in only a 7.9% success rate • Speaking with a physician can increase the success rate to 10.2 percent • Combining nicotine replacement with other therapies can increase the successful quit rate to 35%
  14. 14. St. Johns Few employers with tobacco policies 4% 30% 70% 96% • In 2006, only 4% of employers offered programs to help employees quit smoking. • 82% of employers said they should take steps to help their workers quit smoking, but have not • Remember, 70% of smokers want to quit, so there is a big demand to be filled
  15. 15. St. Johns Slow Growth • The number of employers that offer cessation assistance, either through insurance offerings or on their own, has grown to around 15% – 20% in the past 7 years, according to American Cancer Society surveys. • However, if the Affordable Care Act becomes law as it currently stands, it will require health insurance plans to cover tobacco cessation.
  16. 16. What would be covered ina good workplace policy?
  17. 17. St. Johns Tobacco-free spaces • Exit ways and walkways • Outdoor spaces • Vehicles
  18. 18. St. Johns Cessation support • Employers can share information about available cessation services in the local community • Employers can pay for cessation services either through direct payment vouchers or reimbursements. • Organize cessation services on-site
  19. 19. St. Johns Cessation support • Health coverage for prescription nicotine replacement products as well as over-the-counter varieties • Incentive programs for employees
  20. 20. Who has passed workplacetobacco policies?
  21. 21. St. Johns Maine SLIDE HEADLINE• The Tobacco Treatment Initiative, launched 2001• Included a statewide quitline, nicotine replacement, and Tobacco Treatment Training to educate health professionals about tobacco dependence• 21.5% of smokers were not smoking 6 months after receiving any counseling by a HelpLine Specialist• Overall, the program reached 6% of the 200,000+ smokers in Maine and maintained an average 15% successful quit rate
  22. 22. St. Johns The Boeing Company - Chicago, IL • “Free and Clear Quit For Life Program” - 12 month coach • Offered free to employees, their spouses, domestic partners, and dependants in a Boeing health plan
  23. 23. St. Johns Vanderbilt Medical Center • Vanderbilt University in Nashville, TN • Increased employee cessation support in 2008 • Their program features 8-week cessation classes and nicotine replacement therapy
  24. 24. St. Johns University of Georgia, Athens, GA • Beginning in 2011, UGA employees who smoke are required to pay an additional $50 per month for health insurance • Free cessation programs to employees, led by UGA pharmacy students • Students have access to cessation support at the University Health Center
  25. 25. St. Johns 3M - Maplewood, MN • Free tobacco cessation programs through health care plans • In 2007, 3M began covering the cost of nicotine replacement therapy for those employees enrolled in a cessation coaching program
  26. 26. St. Johns Alaska Airlines In general, employment openings will be filled by non-users of nicotine products except where prohibited by law. Applicants must be nicotine free for a six-month period prior to seeking employment and will be screened during the pre-employment testing. Any applicant who states orally or in writing that they do not use nicotine, and is subsequently determined to have been untruthful, will not be considered further for employment. Where prohibited by law, use of nicotine products will not be considered during the screening process. Employees are expected to remain nicotine free. Where smoking is permitted, it is restricted to limited areas on company property, to be designated by local managers (Employee Services Guide, Section 2.469)
  27. 27. What can we doabout it?
  28. 28. St. Johns Finding Employers • Websites like manta.com allow you to search every registered (by tax record) business in a city by number of employees, size, type of business, etc. • Also check your local chamber of commerce website
  29. 29. St. Johns Finding Employers • The Better Business Bureau (bbb.org) is another great directory to help find employers in your area. • Screenshot from http://nefla.bbb.org/
  30. 30. St. Johns Build relationships with employers • Who are our biggest employers, especially in different forms of government employment? • Which companies are doing well financially? • Do any companies have existing health committees? • What employers do I have a direct connection with?
  31. 31. St. Johns Build relationships with employers • Frame pitch as offering services and wanting to learn • Start with your employer and your spouse/ partner’s employer • Your partner agencies (school board, law enforcement, non-profits, etc.) • Your organization’s vendors and personal retail stores (groceries, gas, etc.), etc.
  32. 32. St. Johns County Employment Snapshot Around 97,000 total employees in St. Johns County across ~5,000 firms• St. Johns County Schools ~3,440 • Tree of Life ~635• Flagler Hospital ~1,600 • PGA Tour ~620• St. Johns County Gov’t ~1,100 • Ponte Verde Inn ~550• Northrop Grumman ~1,000 • Flagler ~530• Community Hospice ~700 • Ring Power ~500• FL School for the Deaf and Blind • City of St. Augustine ~350 ~670
  33. 33. St. Johns County Employment Snapshot Around 550,000 total employees in Duval County across ~ 69,000 firms• Naval Air Station ~25,240 • Citi ~5,000• Duval County Schools ~14,480 • Mayo Clinic ~4,970• Naval Station Mayport ~12,670 • UPS ~4,100• City of Jacksonville ~8,820 • St.Vincent’s Medical ~4,000• Baptist Health ~8,270 • USPS ~4,100• Bank of America ~6,400 • Shands Jacksonville ~3,500• Blue Cross ~6,000 • CSX ~3,300
  34. 34. St. Johns County Employment Snapshot Around 34,000 total employees in Flagler County across ~1,800 firms• Flagler County Schools ~1700 • Sea Ray Boats ~410• FL Hospital - Flagler ~930 • City of Palm Coast ~355• Palm Coast Data ~850 • County of Flagler ~315• Publix ~580 • Flagler County Sheriff ~255• Hammock Beach Resort ~490 • Grand Oaks Health ~175• Wal-Mart ~425 • SuperTarget ~160
  35. 35. St. Johns Don’t undersell the cost benefits • $3,747 per smoking employee per year in costs can be a very impressive figure • Remember, these amounts come from direct medical expenses, and most (but not all) employers will have to pay more money when their employees are sick. • Lost productivity is a major issue, but less directly felt
  36. 36. St. Johns Provide information to employers • Start with The Bailey Group’s Toolkit • Provide sample policies • Provide info on insurance coverage • Build on the CDC’s best practices • Provide public health surveys
  37. 37. St. Johns Provide information to employers • Start with The Bailey General Administration: CDC-116 Date of Issue: 11/01/2005 Proponent: Office of the Director, CDC Group’s Toolkit Material Superseded: Protecting Federal Employees and the Public from Exposure to Tobacco Smoke in the Federal Workplace, dated 01/11/02 CDC TOBACCO-FREE CAMPUS POLICY Sections: I. PURPOSE AND COVERAGE • Provide sample II. ACRONYMS AND DEFINITIONS III. BACKGROUND AND AUTHORITY IV. POLICY V. RESPONSIBILITIES policies VI. REFERENCES On November 10, 2004, HHS Secretary Tommy Thompson announced the Tobacco- Free HHS initiative. This policy requires all properties owned or leased by HHS agencies to be tobacco free, beginning with limited implementation on January 1, 2005, and • Provide info on achieving full implementation by February 1, 2005, as labor and lease agreements permit. The goal of Tobacco-Free HHS is to improve the health of its employees by promoting insurance coverage tobacco use cessation. Each year, approximately 440,000 people die prematurely of diseases caused by smoking—that is about one in five of all deaths in the United States. An estimated 44.5 million adults in the United States smoke cigarettes, and more than 8.6 million Americans currently suffer from at least one serious illness caused by smoking. Use of smokeless tobacco, cigars, pipes, bidis, and other tobacco products • Build on the CDC’s also lead to disease and death. Therefore, this policy is designed to include all tobacco products. Because there is no safe tobacco product, the only logical action is to promote a campus that is tobacco free. best practices This policy will also serve as a model program for other HHS Operating Divisions when they initiate their own programs to promote healthy behaviors and to discourage participation in unhealthy behaviors. Reducing tobacco use also increases productivity in the workplace, decreases absenteeism, and possibly lowers excess medical expenditures and other costs associated with tobacco use in the workplace. • Provide public health 1 References to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR). surveys U.S Department of Health and Human Services Centers for Disease Control and Prevention
  38. 38. St. Johns Provide information to employers !"#$%&(#$%)*&&+,-&.&/-!0.1&* 2 :!+;124-<2=-/2>-(#,*");02"!).2.</?*422@-</2/*.#-;.*.2&),,20)?*24-</2&-/1.)"*A.2&*,,;*..2>-(()""**2);.)0!"2);"-2 • Start with The Bailey "!*2"4#*.2-=2+>")?)")*.2"!+"2+/*2-=2);"*/*."2"-24-<2B+/")>)#+")-;2);2"!).2.</?*42).2?-,<;"+/462+;C24-<2C-2;-"2;**C2"-2 /*.#-;C2"-2+;42-=2"!*2D<*.")-;.2"!+"24-<2C-2;-"2&).!2"-2+;.&*/2:!*2.</?*42&),,2"+1*2+E-<"2=)?*2();<"*.2:!*2 );=-/(+")-;24-<2#/-?)C*2-;2"!).2.</?*42&),,2-;,42E*2.!+/*C2&)"!2"!*2&*,,;*..2>-(()""**62<;,*..24-<20)?*2&/)""*;2 #*/()..)-;2-/2)"2).2>-(E);*C2&)"!2"!*2/*.#-;.*.2-=2-"!*/.2.-2"!+"2);C)?)C<+,2,*?*,2);=-/(+")-;2).2)(#-..)E,*2"-2 +.>*/"+);2 Group’s Toolkit 2 52 F(#,-4**2G+(*$2HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH2 72 I*;C*/$22 22J*(+,*22222 223+,*2 K2 L0*$22 2M;C*/27522222 275NK922222 2KON982222 295NO8222222 2P?*/2O822222 22B/*=*/2;-"2"-2+;.&*/2 • Provide sample Q2 L/*24-<2);"*/*."*C2);2E*);02#+/"2-=2"!*2&*,,;*..2>-(()""**2-/2#,+;;);02&*,,;*..2#/-0/+(.2+;C%-/2 +>")?)")*.R2 22@*.22222 2G-2 2 policies 92 S!)>!2-=2"!*2=-,,-&);02+>")?)")*.2&-<,C2E*2-=2);"*/*."2"-24-<2)=2"!*42&*/*2-==*/*C2+"2"!*2&-/1.)"*R22T!*>12 +,,2"!+"2&-<,C2E*2-=2);"*/*."2<.);02"!*2E-U2"-2"!*2,*="2-=2"!*2+>")?)"4VW2"!*;2);C)>+"*2<#2"-2"!/**2"-#2#)>1.2);2 "!*2>-,<(;2"-2"!*2/)0!"2-=2"!*2+>")?)"42,)."222 2 23&45"%%"4-616-6&/)76,-&.&/--)*)0 +,864"-&0$-)-3.&&9-)$$645/: • Provide info on X+>12>+/*2*C<>+")-;2 2 X<C0*");0%=);+;>)+,2#,+;;);02 2 TBY%=)/."2+)C2"/+););02 2 insurance coverage T+;>*/2*C<>+")-;%.>/**;);02 T+/C)-?+.><,+/2!*+,"!2#/-0/+(2 T!-,*."*/-,2Z2E,--C2#/*..</*2*C<>+")-;%2.>/**;);02 2 2 2 T-((<;)>+")-;2.1),,.2"/+););02 2 • Build on the CDC’s T-(#+;42.#-/".2"*+(.2 2 [)+E*"*.2*C<>+")-;%.>/**;);02 F(-")-;+,2&*,,;*..2#/-0/+(2 2 best practices *+,"!%=)";*..2*?+,<+")-;2 G<"/)")-;2*C<>+")-;2 B!4.)>+,2+>")?)"42>,+..*.2 2 2 2 ](-1);02>*..+")-;2 2 • Provide public health ]"/*..2(+;+0*(*;"2 2 ]<E."+;>*2+E<.*2+&+/*;*..2 2 :)(*2(+;+0*(*;"2"/+););02 2 surveys S*)0!"2(+;+0*(*;"2#/-0/+(2 P"!*/HHHHHHHHHHHHHHHHH2 G-"2);"*/*."*C2);2+;42-=2"!*2+E-?*2 2 2 2 2
  39. 39. St. Johns Promote the Quitline • The Quitline is a public service, so it is very cost effective for businesses • Study from Washington state found that only 6% of businesses were promoting the free Quitline • Easy first step, and the relationship can grow from there
  40. 40. St. Johns Work with employers • Needs assessment with employers or employee health committee • Facilitate action-planning with decision makers • Work with local employers who already have workplace tobacco policies to speak to their peers
  41. 41. St. Johns Contact Information • Tobacco Free St. Johns Mary Ann Steinberg msteinberg@cchigroup.com http://www.tobaccofreestjohns.com/ • The Bailey Group Madison Goode, Director of Health Promotion, mgoode@mbaileygroup.com Jaime Sanders, Health Promotion Consultant, jsanders@mbaileygroup.com http://www.mbaileygroup.com/
  42. 42. HEALTHY WORK Tobacco-Free Workplace Policies St. Johns County