Employer Playbook

Transcription

1 Employer Playbook

2 Stop Work The majority of adults spend most of their waking hours at their place of employment, yet not enough preventive health education and diabetes awareness is taking place in this most convenient of venues right where people work. The connection between work environments, employee health, and employee productivity is clear. Prevention makes good business sense. For companies large and small, a key to controlling spiraling health costs is to help employees prevent and manage diabetes. Strategies for preventing and controlling diabetes can also reduce the risk for heart disease, stroke, high blood pressure and high cholesterol. For that reason, the American Diabetes Association offers Stop Work (SD@W), an evidence-based program that, in cooperation with employers, addresses diabetes awareness, detection, prevention, and successful management. This program can be used as a stand-alone healthy worksite initiative or it can be used in conjunction with a larger worksite wellness program. This healthy worksite initiative offers Basic and Premium models: Basic Elements of SD@W Online Employer Portal Employers will have access to an online portal with turnkey resources including: Handouts that can be cobranded Newsletter articles and recipes to communicate healthy lifestyle messages on a monthly basis Online and paper tools to track progress Facts to help make the business case for worksite wellness Resources to create a healthy worksite community Online Employee Resources Employees will have access to the American Diabetes Association s award-winning interactive tools. Employers can share links on the company s existing wellness portal or the Association can create a cobranded webpage that provides seasonal materials about healthy lifestyles. Premium Elements of SD@W American Diabetes Association Weight Talk This weight loss program, offered nationwide through SD@W, help employees lose weight to prevent prediabetes, type 2 diabetes and diabetes complications with personal coaching delivered via telephone and online support. The evidence-based program is designed to help participants achieve measurable, sustainable weight loss through highly personalized support. Please notify your local American Diabetes Association if you are interested in more information. Local American Diabetes Association Resources You can work with your local American Diabetes Association to develop a healthy worksite program based on your needs. Depending on location and market availability, your local American Diabetes Association can also offer a lunch and learn series based on the tenants of the Diabetes Prevention Program, health fair participation with Association experts, and print materials written at a 5th grade level in English and Spanish. You can participate in American Diabetes Association team-building activities that take place in your community. By participating in one of the Association s signature events, Step Out: Walk to Stop Diabetes or Tour de Cure, you can reinforce the physical activity components in this program and be recognized in your community as a company who is dedicated to wellness.

3 How to Implement Stop Work 1 Access Online Resources Talk to your local American Diabetes Association representative about accessing online tools for you and your employees. Work with Your Wellness Team Share online resources with your wellness team and create a 2 promotional plan using the communication tools and monthly calendar. If you don t have a wellness team, create one using the SD@W wellness team job descriptions. 3 Announce SD@W Once everything is ready, you can send your employees an to announce the program. The can be found in the SD@W online employer portal. 4 Distribute the Diabetes Risk Test More than 94 million American adults are at risk for type 2 diabetes or are unaware they have diabetes. Create awareness by making the Diabetes Risk Test available: online, PDF or poster. Hang Posters Print and hang Take the Stairs which can be customized to include your SD@W 5 vanity employee portal URL or your company s wellness website. Spread awareness to the 7 million Americans with undiagnosed diabetes and the 79 million Americans with prediabetes. Hang Diabetes Risk Test posters in waiting areas or break rooms. Remind employees to make wellness a priority by hanging Tips for Healthier Work signs or distributing card-size reminders to employees.. Share Education Resources Each month, include SD@W articles and recipes in your company 6 newsletter or intranet. If your company does not have these resources, distribute Healthy Living Worksheets (that can be co-branded with your company logo) on various lifestyle topics. Monthly themes will be mirrored on the online employee portal where employees can find more in-depth information on the topic. All education resources can be downloaded from the employer portal. 7 Build a Team and Engage Employees Work with your local American Diabetes Association to learn about teambuilding opportunities and to include local Association events in your annual wellness planning. By forming a team of employees for the Association s Step Out: Walk to Stop Diabetes or Tour de Cure, you can reinforce SD@W s physical activity messages. You could create your own wellness event with the Association s Community Walk to Stop Diabetes. Start moving with the Walking Group Toolkit and training plans. Optional: Support Weight Loss Offer the American Diabetes Association Weight Talk or American Diabetes Association Weight Talk D program to your employees. (Available for companies with more than 1,000 employees.)

4 Tools Online Resources Share some of the Association s online tools with your employees: Diabetes 24/7 - This personal health record allows people to better manage their diabetes by tracking data and sharing data with health care providers. Living with Type 2 Diabetes - This 12-month program for people newly diagnosed with diabetes provides online or mailed packets with information to manage and live with diabetes. MyFoodAdvisor - This award-winning nutrition tool allows users to explore foods, track their daily meals, find healthy substitutions, analyze recipes and find new recipes. My Health Advisor - This powerful risk assessment tool demonstrates how making lifestyle changes can lower users risk for developing type 2 diabetes and its complications over an 8 year period. Recipes for Healthy Living - Each month, new recipes, meal plans and cooking tips are posted. Users can find quick-and-easy meal ideas, gluten-free options or foodie-type recipes. Diabetes Risk Tests More than 94 million Americans are at highest risk for developing diabetes - or - are unaware they have the disease. Hang Diabetes Risk Test posters or distribute the Risk Test handouts to your staff. Healthier Work Tips Set the tone for a healthier workplace by distributing these reminders to your employees. Stair Posters Research shows highlighting stair routes in office buildings increases stair use and the number of steps someone takes in one day. Research also shows that sitting for periods of time, even if you are active during other parts of your day, is detrimental to your health. Wellness Calendar Each month, new topics will be highlighted on the employee portal. Supporting materials, including articles and recipes, will be available on the employer portal. This will help reinforce healthy lifestyle messages all year round. The calendar can be found on the employer portal so you can plan your wellness strategy in advance. American Diabetes Association Healthy Living Worksheets These worksheets, available in English and Spanish, can be customized with your company logo. Topics include preventing and managing diabetes, healthy eating, exercising, and changing and monitoring habits. You can download these handouts from the SD@W employer portal. Healthy Meetings Guide In the next section of this playbook, learn how to integrate healthy behaviors into your overall corporate culture and become a more healthconscious and productive place to work.

5 Tools (continued) Lunch and Learn Series Talk to your local American Diabetes Association office about hosting a series of lunch and learns on the following topics: Diabetes 101 Healthy Eating Physical Activity Weight Loss Surviving the Holidays Heart Health Diabetes Head to Toe Walking Group Create a walking group for your employees in five easy steps. Promotional resources also are available. Community Walk to Stop Diabetes Kit This kit provides everything you need to host a walk at your company and raise funds to support the Association s mission. Tour de Cure Training Plan This training program, found on the employer portal, was designed for someone who can already cycle 10 miles at a 10 mph pace without difficulty. Step Out: Walk to Stop Diabetes Training Plan This walking plan has been developed for those who have not been doing any structured fitness walking program. Download it from the employer portal and set a 10-week goal to walking a 5K. Association s Print Materials Talk to your American Diabetes Association contact about the variety of diabetes prevention and management education resources available for order. Choose to Live Create Your Plate Healthier Eating One Step at a Time Top 5 Ways to Stop Diabetes and Get Healthy Right Now! What Can I Eat What You Need to Know Series

6 FACT SHEET Improving Health and Productivity The twin epidemics of type 2 diabetes and obesity have increased significantly in the last 30 years. esearch has shown that lifestyle modifications can reverse this trend R and improve blood pressure, cholesterol and blood glucose levels. Lifestyle changes also can lower the risk of developing type 2 diabetes, heart disease, stroke, certain types of cancer, and sleep apnea. Investing in worksite wellness programs that encourage, educate and motivate employees to make lifestyle modifications is cost-effective and can lead to greater productivity. For example, employees with diabetes who improve their glucose control have significantly higher productivity and lower absenteeism. 1 Health plan expenses are 26% lower for employees whose diabetes is in good control than for those employees whose diabetes is in poor control. 2 Diabetes by the Numbers The diabetes epidemic continues to grow and your current and future employees are being affected at an alarming rate. Recent estimates show 1 in 3 American adults 4 will develop type 2 diabetes by 2050 if current trends continue. Currently : There are 29.1 million children and adults in the U.S. with diabetes. That s 1 in 9 adults. An additional 86 million American adults have prediabetes, and are at high risk for developing type 2 diabetes. That s 1 in 3 adults. Nearly 1 in 4 teenage children now have type 2 diabetes or prediabetes in the U.S. Critical need to focus on diabetes in the workplace Between 25-30% of companies yearly medical costs spend on employees with cardiometabolic risk factors 3 : Diabetes Heart disease Obesity High blood pressure Abnormal cholesterol Physical inactivity Cigarette smoking 1 Testa, MA et al. Health economic benefits and quality of life during improved glycemic control in patients with type 2 diabetes. JAMA 1998; 280(17): Gilmer, TP et al. The cost to health plans of poor glycemic control. Diabetes Care 1997; 20(12): Anderson DR, et al. The relationship between modifiable health risks and group-level health care expenditures.. Am J Health Promot. 2000;15: Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, Atlanta, GA: U.S. Department of Health and Human Services; 2014.

7 Economic burden of diabetes in the U.S. Total annual cost of diagnosed diabetes in 2012 was $245 billion. 5 The American Diabetes Association estimates that $1 in $5 health care dollars is spent caring for someone with diagnosed diabetes. Direct costs total $176 billion Hospital inpatient care (43%) Diabetes medication and supplies (12%) Retail prescriptions to treat complications of diabetes (18%) Physician office visits (9%) Nursing/residential facility stays (8%) Other (10%) Indirect costs total $69 billion $5 billion national cost for 25 million workdays absent $20.8 billion national cost for reduced performance at work (presenteeism), estimated at 113 million lost workdays $2.7 billion national cost for 20 million days of productivity loss for those not in the labor force $21.6 billion national cost for more than 130 million lost work days a year $18.5 billion - national cost of lost productive capacity due to early mortality According to Kaiser Family Foundation data, the American Diabetes Association s workplace cost calculator estimates that for a company with 1,000 employees: 100 employees have diabetes 27 of them are undiagnosed 250 have prediabetes $2.7 million is the average annual insurance cost for employees with diabetes and prediabetes $912,438 is the annual increased cost if 50 percent of employees with prediabetes develop diabetes These figures do not include additional costs for gestational diabetes, prediabetes and undiagnosed diabetes. Good news: Diabetes and its complications can be prevented Research shows type 2 diabetes can be prevented or delayed by 58% through lifestyle intervention. Losing 7% of body weight (15 pounds if you weigh 200 pounds) and moderate exercise (brisk walking) 30 minutes a day, 5 days a week, can make a significant difference in lowering one s risk for developing type 2 diabetes. A healthy lifestyle can help prevent or delay costly diabetes complications such as heart attack, stroke, kidney disease, blindness and amputation. People with diabetes should maintain a healthy weight, stay active and control their A1C, blood pressure and cholesterol levels. Investing in awareness, education and team building can lead to improvements in employee health and productivity. The American Diabetes Association s Stop Work resources can help. 5 American Diabetes Association. Economic Costs of Diabetes in the U.S. in 2012, Diabetes Care. Diabetes Care. 2013;36:1-14.

8 Healthy Meeting Guide

9 Healthy Meeting Guide Providing employees with healthy food choices in the workplace can go a long way to support a culture of wellness. The challenge is determining what constitutes healthy, especially in an age in which supposedly good-for-you foods are promoted everywhere you turn. As an employer, you can set an example. Your influence can encourage employees to make lifestyle changes and help food service companies recognize the value of offering healthier menu items. In addition, you can practice what you preach and demonstrate you believe that a healthy diet is the cornerstone for a healthy life. Overweight/obesity is a leading risk factor for developing type 2 diabetes and cardiovascular disease (which itself is the most serious complication of diabetes). Research shows that if you lose 7% of your body weight (15 pounds if you weigh 200 pounds) by reducing the number of calories you eat and becoming more physically active, you can reduce your risk for type 2 diabetes by nearly 60%. This guide will help you integrate healthy behaviors into your overall corporate culture. Try integrating changes slowly, perhaps in conjunction with a Stop Work lunch and learn or Integrate healthy behaviors into your overall corporate culture to prevent type 2 diabetes, heart disease and other major cost-drivers. during a specific awareness month. Over time, your company can become a more health-conscious and more productive place to work. Physical Activity: One Half of the Healthy Meeting Equation There are benefits to adding physical activity to your meeting. You can increase energy and participation from your attendees. There are a few different ways you can incorporate physical activity into your meeting depending on your timeframe: Stand up and stretch for 1-2 minutes. Take a 5-minute walk break. Break for minutes and go on a group walk. For meetings with outside groups, point out the stairs at the beginning of the meeting. Give permission to attendees at the beginning of the meeting to stand as needed during the meeting to stretch, stand or pace the room.

10 Catering Healthy Meetings There are many ways you can start implementing healthy eating guidelines for your meetings, catered functions and events. If possible, display the nutrition content for the food you are serving. This will help your employees make healthy food choices. Work with your caterer while negotiating the contract to provide healthy food and provide nutrition information for the food choices available. You can use the American Diabetes Association s MyFoodAdvisor ( to find the nutrition content of thousands of different types of food. Preparation Entrees and side dishes should be prepared using minimal oils that are rich in healthy fats such as olive oil, canola oil and corn oil. Deep-fried foods (e.g. fried chicken, French fries) should be avoided as they are very high in calories and unhealthy fats. Low-fat cooking methods, such as grilling, broiling, sautéing, poaching, roasting, baking, stewing, microwaving, or braising, are recommended. Entrees Portion sizes matter! Request 3-4 ounces or smaller portions of fish, chicken, turkey or other lean meats. Offer a vegetarian alternative at all meals. Choose reduced-fat cheese when available. Sauces/Dressings Serve foods with dressings and sauces on the side or pass them separately. Offer oil and vinegar in separate containers as an alternative salad dressing. Offer light or fat-free dressing options made with healthy fats (olive oil, canola oil, corn oil) if available. Whipped butter, trans-free margarine and reduced or low-fat sour cream can be served on the side for items like rolls or baked potatoes. Avoid sauces made with cream or sour cream as they are very high in calories and unhealthy fats. Vegetables and Fruit Offer vegetables and/or fruit at every eating occasion. All are acceptable. Provide more than one choice when possible. Soups Broth-based soups are best. Avoid cream-based soups. Salads Include plenty of vegetables in salads and stay away from high-fat meats like bacon and other cured meats. Offer a salad at all lunch and dinner meals when possible. Avoid high-fat salads such as potato salad and macaroni salad. Dairy Dairy can be high in fat and calories. When serving coffee and tea, you can provide half and half but be sure to provide at least one type of lowerfat milk, such as 2% or skim. Serve reduced-fat yogurt, cheese and sour cream. Breads/Cereals Provide whole grain breads, crackers and side dishes such as brown or wild rice blends or whole wheat pasta when possible. Avoid prepared cereals with significant added sugar. Dessert If dessert is served, keep portion sizes small. Try mini or bite-sized desserts. Try fruit-based or lowfat dairy desserts such as a fruit tart. Cobbler, fresh berries with chocolate sauce, or low-fat ice cream. Provide fresh fruit at every meal as a dessert option. Beverages Offer water, unsweetened tea, coffee, diet soda, or other sugar-free drinks. Avoid all beverages with added sugar including regular soda, lemonade, sweet tea, fruit punch and sports drinks. Serve reduced-fat or low-fat/non-fat milk instead of whole milk.

11 Healthy Menu Ideas Breakfast Choose healthy options: Fresh fruit Reduced-fat yogurt and fruit parfaits reduced-fat cheese if available Eggs any style Whole grain cereal with minimal added sugar, small whole grain waffles/pancakes, mini whole wheat bagels, whole wheat English muffins, mini bran muffins Oatmeal with mix-ins such as chopped nuts, dried fruit, and cinnamon Jellies, peanut butter*, whipped butter, transfree margarine, reduced-fat cream cheese Canadian bacon, turkey bacon or turkey sausage Water, coffee, tea, and low-calorie beverages including a selection of 100% fruit juices Instead of: Pastries, biscuits, full-size muffins, croissants, and donuts Sauces for eggs Regular bacon and sausage Sugary cereal, granola, and breakfast bars Lunch & Dinner Consider these ideas for your next lunch or dinner meeting: Make half the plate (if plated) or half the dishes salads or vegetables. Request that all grains including side dishes and breads be 100% whole grain (i.e. brown or wild rice, whole wheat pasta, 100% whole wheat bread or rolls). Offer make your own salad, sandwich or potato bar. Include plenty of vegetables, lower-fat cheese and lean meats or lower-fat cold cuts. When serving pizza, choose thin crust that is made from whole grain flour. Ask for less cheese and more vegetables. Skip the meat. Make sure you have salad and fruit available too. Serve broth-based-soups. When offering pastas, serve with non-cream sauces on the side. Provide plenty of vegetables and sliced or whole fruit. Offer fish, shellfish, poultry such as chicken without the skin, and lean meats trimmed of all visible fat. Stay away from: High fat processed meats including hot dogs. High calorie sides such as potato salad, potato chips, macaroni and cheese and cream-based soups. Breaks/Snacks/Desserts Consider serving these items to keep energy levels high for the duration of your meetings: Nuts* Fresh fruit Vegetables with hummus Unbuttered popcorn Non-fat yogurt Whole grain chips with salsa, bean dip or guacamole Instead of: Cookies, brownies, muffins, cakes, or pastries Snack or granola bars *Be mindful of nut allergies.

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