1. Bringing Business to the Public Health Table June 13, 2012 Chris Tholkes, MPA Office of Statewide Health Improvement Initiatives

2. Health care in Minnesota Source: Mokdad et al, JAMA 2004 March 10; 291 (10):1238-45 U.S. 2000

3. Costs of Tobacco and Obesity in Minnesota Health care in Minnesota $2.9 billionin annual medical costs (2007) Tobacco $1.3 billionestimated annual financial burden (2003) Obesity

4. Statewide Health Improvement Program (SHIP) • All 87 MN counties and 9 of 11 tribal communities • Hundreds of businesses, schools, non-profits, health care organizations and others involved • 90%+ of funding goes directly to local communities via tribal and local public health agencies

5. SHIP overview Long term effects • Reduce chronic disease and health care costs Short term goals • Improve nutrition • Increase physical activity • Reduce tobacco use Intermediate goals • Reduce obesity and tobacco use and exposure Resources • Assessment • Capacity building • State and local initiatives Strategies • Change in systems in • Schools • Community • Worksites •Health care

6. Workplace Strategies Employer-based, locally chosen strategies • Tribal and local public health agencies chose from a menu of science-based strategies to match their local needs, focusing on sustainable solutions and long-term improvements.

7. Workplace Strategies • Healthy food environments: cafeterias, vending and catering. • Comprehensive tobacco-free worksite policies: Health plan coverage of tobacco cessation treatment and tobacco-free policies. • Physical Activity Environment: Policies and practices that create active worksites by increasing opportunities for walking and biking

8. TA Support to Grantees • The Alliance for a Healthier MN • Birth of the Alliance • Who are the founders? • Who are the members?

11. Growing demand … Plenty of options … WHO TO BELIEVE?

12. Coalition Building • Identify everyone who has a stake or interest in wellness • Determine their common interests & common motivations • Develop a plan that makes the program work on the terms that matter to each member: • Optimize results without violating turf.

13. The 5 Phases Of Coalition Building

14. The SHAPE of Minnesota The Documentary

15. How Have We Worked Together? • Outreach and Coalition Building • Focus groups: SHIP and chambers of commerce • Allies outreach • Ideation session: Fishbowl focus groups • Education • Poll • Documentary • Competition • Congressional Caucus support

16. How Have We Worked Together? • Phase 2 • Small Business Alliance: disseminate high-impact interventionsincluding tools, best practices, and policies • Facilitate workplace competitionsto increase public awareness and create collective action • Compile & disseminate success stories

17. Results • Making an Impact in the Work Place • Worksite wellness initiatives: 870 employers reaching over 138,000 employees • Tobacco-free grounds: 21 worksites • Increasing physical activity: 47 employers • Improved food options available to staff: 90 employers

18. Legislative Deficit • Despite making strides and showing results • SHIP eliminated from the budget proposal • Coalition of SHIP allies • Low profile

19. SHIP Today • 70% cut • $15 million for 2012-13 • No longer statewide • 18 grantees funded--55 counties and cities and one tribal community

20. Being Strategic • Coalition of SHIP Allies • Town Hall Summer Meetings • Be Loud and Be Proud • Be upfront about what outcomes and data we have

21. The State of Workplace Wellness in America 2012 Nationwide survey of small- and medium-sized businesses Combining public opinion polling with coalition building, the State of Wellness probes the attitudes of business decision-makers about workplace wellness. Results to be released in Fall 2012

22. The State of Workplace Wellness Poll • National Partners – Society of Human Resource Managers (SHRM), Association of State and Territorial Health Officials (ASTHO), Trust for American’s Health (TFAH), Health Enhancement Research Organization (HERO) • CPPW Communities – Pima County (AZ), Miami-Dade, St. Louis County, Hawaii, Olmsted County (MN), and Wisconsin. • September release event in DC through the Congressional Wellness Caucus , which includes Rep. Ron Kind.

23. QUESTIONS?

24. Resources • SHIPwww.health.state.mn.us/divs/oshii/ship/workplace • Alliance for a Healthier MN www.healthiermn.com Chris Tholkes, MPA Office of Statewide Health Improvement Initiatives chris.tholkes@state.mn.us 651-201-5394