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The June 16th meeting of the Worksite Wellness Council of Massachusetts was held at Tufts Health Plan in Watertown, MA. During this meeting, we discussed the role that business can play in making Massachusetts the national leader in health and wellness with our guest speaker, Valerie Fleishman, executive director of the New England Healthcare Institute (NEHI). Many thanks to Valerie for her presentation and insight on the Healthy People/Health Economy Initiative.
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The national network for health innovation
Valerie Fleishman
June 16, 2011 ~ Tufts Health Plan
Executive Director, NEHICo-Chair, Healthy People/Healthy Economy
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Health Care
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Healthy People in a Healthy Economy Initiative
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Economic Dependence on Older Workers
Source: MassINC and Northeastern University Center for Labor Market Studies, Mass Economy: The Labor Supply and Our Economic Future, December 2006
-200,000
-150,000
-100,000
-50,000
0
50,000
100,000
150,000
200,000
16-19 20-24 25-29 30-34 35-44 45-54 55-64 65+
Number of people
Changes in Working Age Population in Massachusetts2005 - 2015
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Economic Costs of Chronic Disease
Source: Milken Institute, An Unhealthy America, 2007
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The Centers for Disease Control and Prevention (CDC) estimates…• 80% of heart disease and stroke
• 80% of type 2 diabetes
• 40% of cancer
…could be prevented if only Americans were to do three things:1. Stop smoking
2. Start eating healthy
3. Get in shape
Power of Prevention
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Pop Quiz
1. Non smokers:
2. Healthy weight (BMI of 18.5-25.0):
3. Consume 5+ fruits/vegetable per day:
4. Exercise regularly (30 min – 5 days/week):
How many Americans lead healthy lifestyles?
Source: Reeves & Rafferty, Healthy lifestyle characteristics among adults in the U.S., 2000, Archives of Internal Medicine, 2005;165:854-857. BRFSS 2000 data, N=153,000.
76%
40%
23%
23%
3% All of the above:
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Adult Obesity
Source: Trust for America’s Health, MA Department of Public Health
1 Mississippi 33.8%
2 Alabama 31.6%
2 Tennessee 31.6%
4 West Virginia 31.3%
5 Louisiana 31.2%
10 North Carolina 29.4%
15 South Dakota 28.5%
20 Delaware 27.9%
24 Wisconsin 26.9%
35 New Hampshire 25.4%
41 California 24.4%
43 Montana 23.5%
44 Utah 23.2%
45 Rhode Island 22.9%
46 Vermont 22.8%
47 Hawaii 22.6%
48 Massachusetts 21.7%49 District of Columbia 21.5%
50 Connecticut 21.4%
51 Colorado 19.1%
Back Bay/Beacon Hill 9%Brookline 10%Newton 14%
Peabody 26%Revere 29%Roxbury and Mattapan 35%
Adult Obesity Rates Stark Disparities
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Adult and Childhood Obesity
1 Mississippi 21.9%
2 Georgia 21.3%
3 Kentucky 21.0%
4 Louisiana 20.7%
15 Arizona 17.8%
20 Nebraska 15.8%
25 Pennsylvania 15.0%
33 Delaware 13.3%
33 Massachusetts 13.3%35 South Dakota 13.2%
40 Connecticut 12.5%
42 Idaho 11.8%
44 Utah 11.4%
48 Washington 11.1%
48 Minnesota 11.1%
50 Wyoming 10.2%
51 Oregon 9.6%
Childhood Obesity Rates1 Mississippi 33.8%
2 Alabama 31.6%
2 Tennessee 31.6%
4 West Virginia 31.3%
5 Louisiana 31.2%
10 North Carolina 29.4%
15 South Dakota 28.5%
20 Delaware 27.9%
24 Wisconsin 26.9%
35 New Hampshire 25.4%
41 California 24.4%
43 Montana 23.5%
44 Utah 23.2%
45 Rhode Island 22.9%
46 Vermont 22.8%
47 Hawaii 22.6%
48 Massachusetts 21.7%49 District of Columbia 21.5%
50 Connecticut 21.4%
51 Colorado 19.1%
Adult Obesity Rates
Source: Trust for America’s Health
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Percentage of High School Students Without 60 Minutes of Physical Activity on Any Day in a Week
Note: Did not participate in at least 60 minutes of any kind of physical activity that increased their heart rate and made them breathe hard some of the time on at least 1 day during the 7 days before the survey.
10.5% - 13.6%
13.7% - 16.0%
16.1% - 18.2%
18.3% - 23.3%
No Data
Source: State Youth Risk Behavior Surveys, 2009
Physical Activity
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Massachusetts has 3rd lowest supermarkets per capita in the nation
Source: The Food Trust, 2011
Uneven Distribution of Supermarkets
Access to Healthy Foods
12Source: UCSF, NEHI
Spending Mismatch
$2.5 trillion
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72
0.500
1020304050607080$
Bill
ions
Source: NEHI calculations based on data from Mass Taxpayers Foundation,DHCFP, and MA Budget and Policy Center
Public Health
Healthcare
Spending Mismatch: Massachusetts
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Fiscal Crowd Out
Source: NEHI calculations based on data from Mass Taxpayers Foundation,DHCFP, and MA Budget and Policy Center
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Healthy People/Healthy Economy
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Leadership Group
John Auerbach, Commissioner, Massachusetts Department of Public Health
Valerie Bassett, Executive Director, Massachusetts Public Health Association
Harold Cox, Associate Dean, BU School of Public Health
Anne Doyle, Executive VP, Chief Compliance Officer, Fallon Community Health Plan
Christina Economos, Associate Prof., Tufts/Friedman School of Nutrition, Science & Policy
Phil Edmundson, CEO, William Gallagher Associates
Barbara Ferrer, Executive Director, Boston Public Health Commission
Mary Giannetti, Director, Nutrition & Wellness Services, Montachusett Opportunity Council
Deborah Goldberg, Goldberg Civic Initiative
Irene Hernandez, City of Fitchburg, Office of the Mayor
Eileen McAnneny, Senior Vice President, Associated Industries of Massachusetts
Kevin McCall, President, Paradigm Properties
Lynn Nicholas, President, Massachusetts Hospital Association
Fawn Phelps, Policy Director, Health Care For All
Rebecca Onie, CEO, Project Health
Steve Ridini, Vice President, Health Resources in Action
Frank Robinson, Executive Director, Partners for a Healthier Community
James Roosevelt, CEO, Tufts Health Plan
James Seagle, President, Rogerson Communities
Amy Whitcomb Slemmer, Executive Director, Health Care for All
Alice Tolbert Coombs, President-elect, Massachusetts Medical Society
Karen Voci, Executive Director, Harvard Pilgrim Healthcare Foundation
Bert Yaffe, President, New England Coalition for Prevention
Barry Zuckerman, Chairman, Department of Pediatrics, Boston Medical Center
Paul Grogan,The Boston Foundation
Valerie Fleishman,NEHI
Ranch KimballCo-Chairs of the Healthy People/Healthy Economy Initiative
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Healthy People/Healthy Economy
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Expand investments in health and wellness
Expand physical activity
Encourage citizen education and engagement
Increase access to healthy foods
Healthy People/Healthy Economy
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Expand Physical Activity
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Increase Access to Healthy Foods
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Encourage Citizen Engagement and Education
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Expand Investments in Health and Wellness
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An Act to Promote Healthy People and a Healthy Economy Sponsored by Representative Jeffrey Sanchez– Including Body Mass Indexing in student’s physical examinations– Physical activity for all students– Tax credits for healthy food businesses– Health impact reports for public capital building projects
An Act to Reduce Childhood Obesity Sponsored by Representative Kay Khan– Remove the sales tax exemption for
soda and candy
Bills Filed
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Public Opinion
Source: The Boston Foundation Poll by MassInc, March – April 2011
Majority think soda and candy are taxed already
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Public Opinion
Source: The Boston Foundation Poll by MassInc, March – April 2011
General Support
For Childhood Obesity
For Aid to Local Schools
Support rises if funds are targeted
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Health and Wellness IS Health Reform
20092006
Health and Wellness
2011
Health Insurance and Access Reform
Payment Reform
Health Reform
We need to make comprehensive action on health and wellness part of our reform strategy
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Expand programs• Within your companies• To other companies
Measure and share results• Share best practices• Public reporting of results• Raise visibility of worksite wellness
Speak out • Be visible (e.g. media, hearings, publishing results)• Engage in and support policies that advance health and reduce health
care costs
Role of the Business Community
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Valerie Fleishman, Executive Director, NEHI
www.healthypeoplehealthyeconomy.org
