INShape Indiana vs. GetFitTN. A Comparison

Transcription

1 INShape Indiana vs. GetFitTN A Comparison

2 Prevention is better than cure. Desiderius Erasmus

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5 Morgan County Tennessee Cholesterol levels > 400 Peripheral vascular disease Tobacco use Hypertension Stroke Cancer

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7 Tools for Population Level Behavior Change Education Marketing/Motivating Risk Communication Leadership Policy Law

8 Economy Health and wealth go together. Health is a driver of economic development. Governor s support allows a more active advocacy role in getting other agencies and partners to take health seriously.

9 State Policy Opportunities Agency policies State employee policies Public policies Media Schools Universities Businesses Faith community

10 launched July 2005

11 It s a troublesome truth that ours is one of the least healthy states in America. We weigh, drink, and smoke too much, and exercise too little. So it s no accident that we have some of the highest health care costs anywhere, a barrier in the way of the new jobs we seek. Governor Mitch Daniels 2 nd State of the State Address

12 The Problem 27% of adult Hoosiers are obese and 36.6% report being overweight.* 24.1% of adult Hoosiers smoke; 6th highest smoking prevalence.** 77.2% of Hoosiers report eating less than five servings of fruits and vegetables daily*** Indiana spend over $2 billion annually in smoking related medical costs.** Source: * Indiana 2008 Behavioral Risk Factor Surveillance System **ITPC Indiana s Tobacco Burden *** Indiana 2007 Behavioral Risk Factor Surveillance System

13 The Long Term Costs Diabetes High Cholesterol Hypertension/High Blood Pressure Heart Disease Cancer High Healthcare Costs Lost Productivity

14 The Solution INShape Indiana Governor Daniels statewide health initiative. Created in 2005 as a way to educate Hoosiers on the importance of good health and nutrition. Focuses on encouraging individuals to Eat Better, Move More, and Avoid Tobacco.

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18 About INShape Indiana INShape Indiana is an online service that acts as a clearinghouse for: Better Nutrition Increased Physical Activity Tobacco Prevention and Cessation Success Stories Partners/Incentives

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22 Tobacco Free School Map

23 100% Tobacco Free Colleges and Universities Baseline tobacco free college campus Anderson College completely tobacco free college and university campuses As of January 1, 2008, all Indiana University campuses system wide have enacted individually tailored smokefree policies.

24 100% Smoke Free Hospital Grounds 2001 No 100% smoke free hospital grounds hospitals 100% 32 of 36 critical access hospitals

25 Proactive Messaging INShape has built a membership database of 85,000 Hoosiers. Weekly e-newsletters provide participants with tips related to nutrition, physical activity, and tobacco prevention. E-newsletters actively encourage individuals to cultivate healthy lifestyles through the use of programming like the INShape Indiana 10 in 10 Challenge.

26 January through March. Encourages participants to lose 1 pound per week for 10 weeks through diet and exercise. 250 additional calories burned each day 250 fewer calories consumed each day 10 in 10 can be done throughout the year by downloading our newsletters from our website.

27 INShape Partnerships INShape works to create partnerships with local businesses and organizations. Examples include: Anthem Workplace Wellness Group 500 Festival Mini Marathon Partnership Red Gold Passport to Health Promotion

28 Barriers Worksite Wellness Policy Culture eats strategy for lunch it won t work for our people Grumbling.. I m only here because I have to be Fear of litigation HR laws, discrimination issues voluntary worksite wellness programs

29 Carrot or Stick? For several years, we ve had a reward program, where if you cease smoking and do a self assessment, you receive a reduction in your [health care] premiums, Clarian president and CEO Daniel Evans told TODAY co host Matt Lauer on Friday. "[But] our health care costs were going up and our employees were not taking full advantage of the programs we had in place.

30 Stick Approach To combat the problem, beginning in 2009 Clarian employees will be charged up to $30 every two weeks for failing to meet standards set by the company in a number of areas.

31 Requirements Quit smoking and maintain smoking abstinence; $5 Keep blood pressure lower than 140 systolic and 90 diastolic; $5 Keep LDL cholesterol less than 130; $5 Keep blood glucose under 120; and $5 Keep body mass index less than 30. $10

32 Challenge These programs are highly invasive, he said. They regulate private behavior. They amass huge amounts of health information. What s happening to this information? What type of employees private behavior is being regulated? We re supposed to be living in a free country." he added. How do we go about that when employers have policies which dictate how we go about our lives? Jeremy Gruber, legal director National Workrights Institute

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37 Passport to Health Promotion at the 2009 Indiana State Fair Partnership with Red Gold Tomatoes aimed at: Driving traffic to booths and pavilions promoting good health and nutrition. Provide fairgoers with incentives to visit areas promoting good health. Participants enter to win numerous prizes including a year supply of Red Gold products.

38 New Media Efforts INShape new media experiments include: 1,000 Twitter followers receiving daily tweets relating to health news and updates. A 1,200 member social networking site complete with member profiles. Unique YouTube videos hosting INShape related content.

39 Other INShape Programs & Events Annual INShape Indiana Health Summit Helps direct statewide health initiatives. Governor s Fitness Award Physical education based youth outreach program. INShape 150 We ask Hoosiers to move at least 150 minutes per week. State Fair Booth space at the State Fair geared toward outreach and education.

40 INShape works to educate the individual on the importance of maintaining a healthy weight, enjoying a healthy diet, and avoiding tobacco. Tennessee also struggles with alarming health statistics and has created a program similar to INShape Indiana.

41 Worksite Wellness One Care Street is open to all state and spouses who are covered by the state s health insurance program. The program focuses on helping state employees get and stay healthy. There is an incentive of $260 for an employee with single coverage; for an employee and covered spouse, the incentive is $390. Incentives are paid twice a year in April and October.

42 Worksite Wellness We re saving $55 a pay period that s money we can save for our child s college. Employee s Spouse Community Hospital Indianapolis

43 Born to be Breastfed A Call to Action to Promote Breastfeeding Senate Bill 219 breastfeeding policy passed (work place accommodation and storage)

44 DNR and INDOT

45 House Enrolled Act (HEA) 1678 Effective July 2007 Increased cigarette tax All of the revenue went to health

46 Created a tax credit for companies that had not been offering a health care benefit if the company started offering a qualifying benefit and maintained it for at least two years. The tax credit is the lesser of $2,500 or $50 per employee.

47 Established a tax credit for Small Employer Wellness Programs Available for employers with 2 to 100 employees Tax credit up to 50 percent of cost of providing program Programs must include Appropriate weight loss Smoking cessation Pursuit of preventive health services Must be certified as qualified by the ISDH.

48 Established the Healthy Indiana Plan for families with incomes up to 200 percent of poverty. Includes individual health care account Includes $500 for prevention services Covers medical care package similar to Medicaid Limits individual deductible/co insurance to no more 2 percent for incomes below poverty level 3 percent for incomes percent 4 percent for incomes from percent for incomes up to 200 percent

49 Indiana Hospital Association Tobacco Obesity Diabetes Immunizations Mental health Prenatal care

50 One of the greatest health challenges facing our state is the growing number of Tennesseans of all ages who are substantially overweight. Tennessee is 46 th in the rate of overall health status among our citizens. The good news is we have the power to do something GetFitTN is designed to give us all a chance to focus on becoming more active and on making lifestyle changes that will enhance the quality of life for our kids and their kids. - Governor Phil Bredesen

51 The Problem 30.7% of Tennesseans are obese, and 36.7% report being overweight.* 24.3% of adult Tennesseans smoke, 5 th highest smoking prevalence.** 73.6% of Tennesseans report eating less than five servings of fruits and vegetables daily.*** Source: * Indiana 2008 Behavioral Risk Factor Surveillance System **ITPC Indiana s Tobacco Burden *** Indiana 2007 Behavioral Risk Factor Surveillance System

52 Tennessee s Solution GetFitTN Governor Breseden s statewide health initiative. Created in 2006 as a way of educating Tennesseans on the importance of good health and nutrition. Focuses on delaying or preventing Type 2 diabetes through physical activity and diet.

53 About the GetFitTN website GetFitTN is an online program serving as a clearinghouse for: Physical Fitness Better Nutrition Worksite Wellness Tobacco Prevention

54 What are the similarities? Both INShape and GetFitTN have a strong focus on: The three basics of physical activity, nutrition and tobacco prevention Community Participation and Outreach Health Fairs Speaking engagements Buy in from state leadership and local sports celebrities i.e., Peyton Manning and Eddie George.

55 How are we different? GetFitTN offers the following unique applications: A Fitness Tracker that allows members to record their activity levels and keep a food journal. An Events Calendar highlights local events and lets member know if a GetFitTN representative will be attending. An extensive photo galley featuring pics from various GetFitTN related events.

56 How are we different? INShape Indiana offers the following unique features: Active communication with our participants through various platforms; website, , and social networking. Partnership development that helps to strengthen the brand and extend out reach.

57 What can we learn? Both initiatives have taken a similar approach to tackling a major issue. INShape could work to develop a more interactive website with tracking applications. GetFitTN could become more proactive and use different tools to help spread its message to a larger audience.

58 "You can't not communicate. Everything you say or do or don't say and don't do sends a message to others." John Woods

59 Execution Trumps Strategy