Healthy Workplaces, Healthy Communities



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Improving Health in America: Employers Reaching Beyond the Workplace Click to edit Master text styles Healthy Workplaces, Second level Third level Healthy Communities Fourth level» Fifth level Hosted by: HERO, The Health Enhancement Research Organization and HealthPartners Made possible through a grant from the Robert Wood Johnson Foundation

Your Hosts Jerry Noyce, President & CEO, HERO Mary Brainerd, MBA, President & CEO, HealthPartners Marjorie Paloma, MPH, Team Director & Senior Program Officer, Robert Wood Johnson Foundation Cathy Baase, MD, Global Director of Health Services, The Dow Chemical Company Nico Pronk, PhD, Vice President & Chief Science Officer, HealthPartners

Opening Panel Nico Pronk, PhD, Vice President & Chief Science Officer, HealthPartners Michael O Donnell, PhD, MBA, MPH, Director of the Health Management Research Center in the School of Kinesiology, University of Michigan Tony Buettner, Senior Vice President of Business & Product Development, Blue Zones

Opening Panel Elizabeth Sobel-Blum, MBA, MA, Senior Community Development Advisor, Federal Reserve Bank of Dallas Scott Peterson, MA, Executive Vice President & Chief Human Resources Officer, Schwan Food Company Cathy Baase, MD, Global Director of Health Services, The Dow Chemical Company

Panelists Nico Pronk, PhD Vice President & Chief Science Officer HealthPartners

Nico Pronk, Ph.D. VP and Chief Science Officer HealthPartners Perspectives on the importance of employer-community connections for health drawn from Annual Reports to Congress of the Community Preventive Services Task Force The Task Force is an independent, non-federal, uncompensated panel of health experts appointed by the Director of CDC. It critically examines available research and conducts systematic reviews and economic analyses in order to generate recommendations on what works to: Protect and improve people s health Reduce future demand for health care Increase productivity and competitiveness of the US workforce

Reduce healthcare spending Lower need and demand for health care Reduce illness burden Fewer cases, better management, better function Reduce the likelihood of becoming ill Prevention of disease diagnoses Make healthy choices easy choices Environmental and policy changes Maintain or improve economic vitality Healthy communities complement vibrant business and industry Reduce waste Less productivity loss due to prevention Increase healthy longevity Today s youth may live shorter and less healthy lives than their parents Enhance national security Obesity as the leading reason for failure to recruit into the military Prepare the future workforce CPSTF Annual Reports to Congress A healthy workforce through education, environments skill building, resources

Panelists Michael O Donnell, PhD, MBA, MPH Director, Health Management Research Center University of Michigan

35 30 25 20 Primary Spending and Revenues, by Category, Under CBO s Long-Term Budget Scenarios Through 2085 Percentage of GDP Total Primary Spending Revenues Actual Alternative Fiscal Scenario Projected Other Noninterest Spending 2013 update 35 30 25 20 15 10 Medicare, Medicaid, CHIP, and Exchange Subsidies 15 10 5 Social Security 0 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060 2070 2080 5 0

Underlying health related causes Lifestyle Medicaid Costs Chronic Disease Aging Society Medicare Medicare Costs Costs Social Social Security Security Costs Costs Low tax Tax Revenue Poverty & Inequality Yikes! Michael P. O'Donnell, PhD, MBA, MPH,2012

Funding from Organizations that Benefit to Organizations that Can Engage People in Effective Programs Employers US Treasury Insurers CMS State Medicaid $34.4 billion $2.36 billion $4.9 billion $16.1 billion $4.5 billion Work place s $10.8 billion K-12 Schools $24.1 billion Parks? Colleges Clubs $3.95 billion $20.7 billion Faith Groups $4.3 billion Hospitals & Clinics Child care Fitness Centers People Michael P. O'Donnell, PhD, MBA, MPH,2012 Health promotion providers Restaurants & grocers

Panelists Tony Buettner Senior Vice President of Business & Product Development Blue Zones

Panelists Elizabeth Sobel-Blum, MBA, MA Senior Community Development Advisor Federal Reserve Bank of Dallas

There is a symbiotic relationship between the health and resilience of a country s economy, and the health and resilience of a country s people Richard W. Fisher President and CEO, Federal Reserve Bank of Dallas

Healthy Communities Components integral to healthy, vibrant, resilient communities: Access to Healthy Food Access to Medical Care Aesthetics: Landscaping, Art, Culture Air, Soil and Water Quality Building Financial Capacity Built Environment Early Childhood Development Education Employment Entrepreneurship Personal/Public Safety Physical Activity Public Transportation Senior Needs: Accommodation, Care, Services Social Networks/Social Environment Social Services

Panelists Scott Peterson, MA Executive Vice President & Chief Human Resources Officer Schwan Food Company

Marshall, MN: Current Community Partnership Overview Main Street in downtown Marshall, MN

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TAKE ACTION Act on What s Important Evaluate Actions Healthcare Government Work Together Public Health Community Members Philanthropy & Investors Business Educators Assess Needs & Resources Focus on What s Important 19 Choose Effective Policies & Programs

Panelists Cathy Baase, MD Global Director of Health Services The Dow Chemical Company 20

World Economic Forum Global Risks Landscape 2010: Likelihood with Severity by Economic Loss Non-communicable diseases are strongly connected to other global risks: fiscal crises; underinvestment in infrastructure; food, water and energy security. Catherine Baase, M.D. Non-communicable Diseases The mobilization of social forces and people outside of health systems is critical as it is clear that chronic diseases are affecting social and economic capital globally. Source: World Economic Forum 2010

Macro Economic Concept Model Catherine Baase, M.D. Markets Employee Wages Goods / Services $ Business (Generates $) $ Common Resource Pool Gross Domestic Product HEALTHCARE EDUCATION INFRASTRUCTURE Critical to Business Success SOCIETAL PRIORITIES Essential to the Creation of Health Positive Health Outcomes Performance and Productivity Safety Attract and Retain Talent Engagement and Satisfaction 40% 10% Health Factors 20% 30% Health Behaviors Clinical Care Social & Economic Factors Physical Environment 22

Macro Economic Concept Model Catherine Baase, M.D. Markets Employee Wages Goods / Services $ Business (Generates $) $ Common Resource Pool Gross Domestic Product HEALTHCARE EDUCATION INFRASTRUCTURE Critical to Business Success SOCIETAL PRIORITIES Essential to the Creation of Health Positive Health Outcomes Performance and Productivity Safety Attract and Retain Talent Engagement and Satisfaction 40% 10% Health Factors 20% 30% Health Behaviors Clinical Care Social & Economic Factors Physical Environment 23

The World Café The World Café is a social learning environment organized around a compelling question or issue. It is the intention to uncover what all of us think about the issue and let it emerge through conversation. discover shared meaning access our collective intelligence bring forth the future

The World Café Creating spaces of possibility Hospitable space Questions that matter A spirit of discovery Shared listening Noticing connections

The World Café The Process 4-5 people per table Your table host will welcome you and keep notes You are encouraged to jot down your ideas, in pictures or words, on the paper at your table At the end of 15 minutes of conversation and dialogue about the Question posed, you rotate to join another table only the host remains at the table Please join another table with people that were not part of earlier tables you have been at At the end of the last rotation, help the host prioritize the five most insightful observations noted Report-out and discussion

Your Table Hosts 1. Karen Adams, PhD, MT, VP, National Priorities, National Quality Forum 2. Nick Baird, MD, CEO, US Healthiest 3. Alex Chan, Clinton Foundation Fellow, Clinton Foundation 4. Patricia Dennis, SVP, Health & Care Engagement, HealthPartners 5. Jennifer Flynn, MS, Health Management Strategy Consultant, Mayo Clinic 6. Abigail Katz, PhD, Senior Data Analyst, HealthPartners 7. Tom Mason, President, The Alliance for a Healthier Minnesota 8. Meg Molloy, DrPH, MPH, RD, President & CEO, Prevention Partners 9. Monique Nadeau, MPA, Co-Founder, Hope Street Group 10. Bonnie Sakallaris, PhD, RN, VP, Optimal Healing Environments, Samueli Institute 11. Erin Seaverson, MPH, Director, Research, StayWell Health Management 12. Elizabeth Sobel-Blum, MBA, MA, Senior Community Development Advisor, Federal Reserve Bank of Dallas

The World Café Question That Matters #1 What are the strongest elements of a business case that will generate higher levels of employer leadership in improving community health?

The World Café Question That Matters #2 What are the most important barriers and limitations that will keep employers from playing their critical role in improving community health?