6/11/2013. Our health begins with: Arthritis, bone & Joint Health Conference May 29, The Problem: A Public Health Crisis

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1 Arthritis, bone & Joint Health Conference May 29, 2013 Dawn E. Rodman, MS, CWHC, CPT, Michigan Health and Wellness 4 x 4 Plan Coordinator RodmanD@michigan.gov Our health begins with: The Michigan Health and Wellness 4 x 4 Plan 2 The Problem: A Public Health Crisis Impact on Michigan s people and its economy 2.5 Million Obese adults Lead to chronic illnesses: Type 2 diabetes, heart disease, arthritis stroke, cancers, dementia. Unnecessary suffering and unnecessary health care expenditures in billions.4 Million Obese Children (>18 years of age) By 2018 $12.5 B Obese: BMI >30 Overweight: BMI >25 <29.9 Not Obese or Overweight: BMI <24.9 Source: BRFSS Survey, Results in lack of productivity and precludes investment in more productive areas. Note: Per CDC 75% of $2.2 Trillion U.S. health care spending goes to treat chronic conditions. 4 1

2 Impact on Michigan s people and its economy 5 6 Governor Rick Snyder, Health and Wellness Message September 14, 2011 My vision is for Michiganders to be healthy, productive individuals, living in communities that support health and wellness, with ready access to an affordable, person centered, and community based system of care. Michigan Health Dashboard:

3 Process to Develop State Plan Vision to Address Obesity Summit Sept MSU, UM, Wayne State Steering Committee Identify Root Causes Compare to Current Strategies Identify Gaps Assess why not moving needle Assessment Identify Key Issues Identify Vision Identify potential solutions Determine short term impact Determine long term impact Present findings to Summit participants Receive input for statewide implementation Develop State of the State Message for Governor Snyder Develop Statewide Plan For every Michigander to adopt health as a personal core value and use the 4 x 4 tool as a guide to attain or maintain health The Michigan 4 X 4 Tool 4 Key Healthy Behaviors Maintain a healthy diet Engage in regular exercise Get an annual physical examination Avoid all tobacco use Michigan Health Dashboard: 4 Key Health Measures Body mass index (BMI) Blood pressure Cholesterol level Blood sugar/glucose level 4 x 4 Plan & Other Resources: 11 The Approach Implement critical mass of coordinated actions to positively change Michigan s norms and values about obesity as was largely done with smoking cessation. Engage local coalitions throughout the state. Multimedia statewide campaign Engage professional and trade organizations and departments from state to help coalitions implement plan. Create state structure to support multimedia campaign, energize and connect the local and professional coalitions. 12 3

4 Aligns with IOM recommendations Make physical activity an integral and routine part of life. Create food and beverage environments that ensure that healthy food and beverage options are the routine, easy choice. Transform messages about physical activity and nutrition. Expand the role of healthcare providers, insurers, and employers in obesity prevention. Make schools a focal point for obesity prevention. Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. Institute of Medicine, May First Year Implementation Multimedia public awareness campaign to promote a social movement encouraging every Michigander to adopt health as a personal core value through promotion of the 4 x 4 Plan MI Healthier Tomorrow Community coalitions throughout Michigan to support implementation of the 4 x 4 Plan Partners throughout Michigan to help coalitions implement the 4 x 4 Plan 1. Employers 2. Trade and other professional organizations 3. Education System 4. Healthcare 5. Community 6. Departments of state government Within the Michigan Department of Community Health, maintain infrastructure to support the 4 x 4 Plan implementation energizing the local coalitions, and partners Local Coalitions 4 x 4 Steering Committee 6 of 46 Coalitions Activated: Berrien County Health Department Be Healthy Berrien, Benton Harbor Capital Area Health Alliance Choosing Health, Okemos District Health Department #10 Northwest Michigan Cancer Prevention and Awareness Coalition, Ludington Greater Flint Health Coalition Commit to Fit!, Flint Inter Tribal Council of Michigan (12 Federally Recognized Tribes and the American Indian Health & Family Agency Detroit Area), Sault Ste. Marie Oakland County Health Division/Healthy Pontiac, We Can! Pontiac 45 local health departments covering all 83 counties + Inter Tribal

5 Engage Health Care Work with Employers/Businesses Hospital, medical associations, health clinics, health insurers: Encourage local hospitals and all health care professionals to provide every patient with his/her 4 health measures plus offer discussion about the 4 healthy behaviors if desired by patient. Encourage healthcare professionals to provide education, counseling and referrals to community resources to help individuals with their four healthy behaviors. Offer products to health care purchasers that include incentives to practice the 4 healthy behaviors. Promote the recording of BMI in the Michigan Care Improvement Registry (MCIR) for children. Provide guidance for the development of worksite environments that encourage and support healthy eating, physical activity and adoption of the 4 x 4 Plan. Develop worksite policies to create opportunities for employees to be more physically active. Develop nutrition standards for worksites, creating a default choice for healthy foods. Encourage employers to assess their worksites by using Michigan s Designing Health Environments at Work (DHEW) assessment and action planning tool. Develop recognition and award system for employers that implement the 4 x 4 Plan Education System Community Partners Implement the Michigan Nutrition Standards in all schools across the state. Improve physical education, nutrition and health education in schools. Encourage updated nutrition standards for all early learning and care programs. Encourage all school systems to adopt healthy food offerings, healthy behaviors, physical activity programs, and discuss with students the meaning of health as a personal core goal. State Departments of Education and Community Health will continue to work with schools on various initiatives. Create a statewide award for schools that attain excellence in health and wellness practices. Promote and implement the public awareness campaign. Promote the 4 x 4 Tool and Plan in newsletters, promotional materials, and educational sessions. Collaborate and support healthy eating recommendations by increasing the number of community gardens, farmers markets with EBT, selection of fruits and vegetables at food outlets, healthy eating and breastfeeding policies. Collaborate and support physical activity recommendations by facilitating environmental changes to support walking and biking, the number of safe and equipped parks, and availability of free or low cost physical activity programs

6 Engage Other Trade and Professional Organizations Corporate/Trade Partners Wholesale and retail food companies (Associated Food and Petroleum Dealers, Michigan Grocer s Association). Restaurant Associations (Michigan Restaurant Association, Michigan Association of Food Producers). Business Associations (Small Business Association of Michigan, Chambers of Commerce). Parent Teacher Associations, Principals Association. Weight Management Programs (Weight Watchers, Medical Weight Loss Clinic, hospital/physician based clinics, On Target Living, MyNutratek, other national weight loss Michigan based franchises). Physical Activity Programs (YMCA). Michigan universities, colleges, professional sports teams. 21 Wholesale & Retail: Promote 4 x 4 Plan adoption with consistent messaging, prominently displayed. Promote foods with less salt, sugar, unhealthy fats. Restaurant Associations: Encourage MI restaurants to post menus online along with nutritional content and information. Encourage restaurants to include calorie information on their menus as well as social media coding whenever possible to assist customers with smart tools to obtain other nutrition information. Encourage restaurants to offer bite size desserts. Include references to the 4 x 4 Plan on menus. Work with university researchers to offer appropriate content of sugar, sodium 22 and fats in foods. Public Awareness Campaign Public Awareness Campaign State Wide Multimedia Public Awareness Campaign: Reinforce the 4 x 4 Plan strategies and goals to reduce obesity and maintain a healthy lifestyle. Encourage every Michigander to adopt the 4 x 4 tool. Focus group results Campaign Components: Radio and TV PSA s Mobile and traditional website, Facebook, Twitter, Pledge counter Free Getting Started Kit Know Your Numbers, My Healthier To Do List, MI Daily Plan, Food Journal Pages Partner Tools

7 Media Launch 1/23/2013 Outdoor Television Radio Cable Outdoor Mobile Advertising Interactive Advertising Print Facebook 26 Billboards Placed to Date Created culturally sensitive outdoor and print ads for the Native American coalition The Pledge More than 4,510 TV and 5,169 radio ads aired to date Losing just 10% of your weight can decrease your risk factors for chronic disease related to obesity. Pledge on the website, Facebook page and mobile site Welcome packet and ongoing communication sent twice a month via mobile or 23,330 Pledges as of 5/6/

8 Mobile Site Website Public Awareness Campaign Public Awareness Campaign

9 Public Awareness Campaign Facebook Page 33 Over 3,200 Facebook likes with heavy engagement on lots of posts Facebook Page Public Awareness Campaign Pdfs to download MI Healthier Tomorrow 36 9

10 Get Started Kit Get Started Kit Get Started Kit Get Started Kit 10

11 Text or Updates Pledge Site Resources Participants can opt-in to receive either one or both of these by providing their mobile phone number or address at sign up. These communications will include: Newsletters Coupons/discounts Recipes Recommended healthy living/weight loss apps to download Recommended healthy living websites Menu plans Pledge Site Resources Pledge Site Resources 11

12 Pledge Site Resources Partner Tools Visit Our Partner Resource page for materials to help prepare your websites as well as your employees and members for this campaign. We encourage you to download the pledge, website buttons, social media samples, and sample messages. You are welcome to promote this campaign both within and outside of your organization. Partner Tools Partner Tools Partner Tools

13 49 50 Campaign Partners as of March 13,

14 Other Tools Other Tools Rec 101: Michigan is rolling out the "green" carpet to welcome everyone to the woods and waters! Recreation 101, or "Rec 101," is a series of introto format classes taught by DNR staff or expert volunteers from organizations, guide services, outfitters, and more. These volunteers offer their time and knowledge at no charge to the DNR or participants. The program began with state parks in 2011 with 87 events, grew to more than 500 events in 2012, and we hope to continue to grow again in We offer almost every recreational pursuit from archery to windsurfing and hope you'll try them all. For a complete list of events, visit Fresh Air Fit: We re putting the out back into workout! The DNR is partnering with fitness instructors throughout the state to provide fitness focused classes in the great outdoors; pilates on the beach, yoga in the woods, and bootcamp fitness in an actual camp are just a few of the many ways you can use state parks for fun AND fitness this year. Launches in April 2013, visit Other Tools Other Tools Free Passes to MI Big Green Gym: The DNR is partnering with MRPA and Blue Cross to promote state and local parks as affordable fitness destinations. To support this effort, we are partnering with more than 400 libraries statewide to let library card holders check out free passes into Michigan State Parks. Passes can also be used at 20 participating community recreation agencies for family friendly activities as well. Details are still coming in on the 20 communities, but the program will kick off May 23 and runs through Oct. 1. Passes are valid for seven days from check out and are good for a free day in state parks. Look for press release in May. First Time Campers For anyone who hasn t camped in a state park before but wants to give it a try, we have partnered with Gander Mountain to offer the First Time Campers program all the gear, guides and good times included! Use of gear, two nights of camping, and instruction on how to pitch a tent, start a campfire and more is all available for just $20. Here is more information on the program ,00.html

15 Your SMART Goal As a result of today s presentation Specific Measurable Achievable Realistic Time bound Example: I will talk to my colleague about our own health and wellness program at work, review the DCH resources at and identify one thing we can do to get involved or improve our program, by June 15, Example: I will personally take the pledge by June 1 so I can speak from experience to our employees/patients, and will ask our IT department to imbed the pledge on our intranet wellness page. 58 Thank You 59 15