Health & Wellness in the Big Green Gym

Health & Wellness in the Big Green Gym 1

Our health begins with: The Michigan Health and Wellness 4 x 4 Plan 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. 7

Michigan Health Dashboard: www.michigan.gov/mihealthandwellnessdashboard 8

The Problem: A Public Health Crisis (>18 years of age) Obese: BMI >30 Overweight: BMI >25 <29.9 Not Obese or Overweight: BMI <24.9 Source: BRFSS Survey, 2011 9

Impact on Michigan s people and its economy Lead to chronic illnesses: Type 2 diabetes, heart disease, arthritis stroke, cancers, dementia. 2.5 Million Obese adults Unnecessary suffering and unnecessary health care expenditures in billions.4 Million Obese Children By 2018 $12.5 B 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. 10

Process to Develop State Plan Summit Sept. 2011 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 11

Vision to Address Obesity 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. 12

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 4 Key Health Measures Body mass index (BMI) Blood pressure Cholesterol level Blood sugar/glucose level Michigan Health Dashboard: http://www.michigan.gov/mihealthandwellnessdashboard 4 x 4 Plan & Other Resources: http://www.michigan.gov/healthymichigan 13

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. 14

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 2012. 15

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. 16

Local Coalitions 5 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 45 local health departments covering all 83 counties + Inter-Tribal 17

Engage Health Care 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. 18

Work with Employers/Businesses Provide guidance for the development of worksite environments that encourage and support healthy eating, physical activity and adoption of the 4x4 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. 19

Education System 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. 20

Community Partners Promote and implement the public awareness campaign. Promote the 4 x 4 Tool and Plan. Collaborate and support healthy eating recommendations. Collaborate and support physical activity recommendations. 21

Engage Other Trade and Professional Organizations 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. 22

Corporate/Trade Partners 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 and fats in foods. 23

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 4x4 tool. 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 24

Public Awareness Campaign 25

Public Awareness Campaign http://www.youtube.com/watch?v=1lrevd7fxlq 27

Public Awareness Campaign http://www.michigan.gov/mdch/0,4612,7-132- 2940_2955_2959_63723-292990--,00.html 28

Partner Tools Partner Tools 30

Thank You 32