Healthy Workplaces, Healthy Communities

1. Healthy Workplaces, Healthy Communities ORC Meeting

2. Agenda • Brief history of the HWHC initiative and where we are • What was learned at the HERO executive/thought leader convening for development of the business case for corporate involvement in population health • Linkages to the culture of health metrics project (RWJ) • Stakeholder updates • Open dialogue

3. Brief History of the HWHC Initiative • Business case for employer investment in community health • Environmental scan • Executive convening • Business case development • Dissemination and linking to other efforts • Next steps

4. Community Preventive Services Task Force: Why Community Health Improvement Is Important • Reduce healthcare spending • Lower need and demand for health care • Reduce illness burden • Fewer cases, improved function • Make healthy choices easy choices • Environmental and policy changes • Maintain or improve economic vitality • Healthy communities complement vibrant business and industry • Increase healthy longevity • Today’s youth may live shorter and less healthy lives than their parents • Prepare the future workforce • A healthy workforce through education and skill building

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

6. Community Health and Business Leadership “Sustainable firms generate higher profits and stock returns, suggesting that developing a corporate culture of sustainability may be a source of competitive advantage for a company in the long run.” -Eccles, et al. 2011 Sustainability includes health and a connection to the community…

7. Learning about the Business Case • Healthy Workplaces, Healthy Communities • A HERO initiative • An executive convening to learn about the business case and major barriers to engaging with community health initiatives • Informed by an environmental scan commissioned by the IOM Population Health Roundtable

8. 3 Phase Project • Phase 1: Environmental scan of current tools, existing collaborations and measures. Scan involved interviews of employers and community members, peer reviewed literature review and grey literature. Report was submitted to RWJF. • Phase 2: Identify core set of metrics and convening meeting of subject matter experts to discuss metrics and develop set of recommended metrics. Final deliverable will be a report. Timing for this fall, to be completed by end of 2014. • Phase 3: Test metrics at sites across the country with report back to RWJF. Need to consider who is best suited as facilitators – health plans, hospitals, universities, etc. To be completed by August 2015.

9. Environmental Scan The Why Environmental Scan The Why • Improve health of family members to further reduce health care costs • Influence other levers and drivers of health care costs beyond the workplace setting • Enhance corporate reputation • Healthy vibrant communities that draw new talent and retain current staff

10. The HERO World Café • 54 executives and thought leaders participated in a 1-day meeting • World Café style meeting organized around small group conversation focused on questions that matter • Attendees included/represented: • Business leaders (56%) • NGOs (20%) • Federal institutions (9%) • Foundations (6%) • Hospitals (5%) • Academic institutions (4%)

11. HERO World Café Results

12. HERO World Café Results

13. HERO World Café Overall Impressions • There is great variability in understanding • The cost of health care concerns • A shared commitment for action is needed • A powerful articulation of the business case is needed • We need a “Roadmap for Action”

14. Moving Forward Adapted from: Visser W. J Bus Systems, 2010; A New CSR Frontier. BSR, 2013; HERO: Role of Corporate America in Community Health, 2014 e.g. meeting minimal regulatory standards for worker safety e.g. corporate giving campaigns that enhance company brand, image e.g. core business and management systems deployed to generate health and business value e.g. systemic solutions designed to intentionally generate population health, business value, and address social determinants of health

15. Business Case Development Why? Why not? Regulatory/Legal, Financial, and Moral/Ethical Considerations Decision to invest in community Trusted and Respected Convener creation of shared values, vision, and long-term commitment Evidence of effectiveness What-to-do? Metrics and performance incentives Stakeholders and partners How-to-do-it Collective action

16. Dissemination • Presentations • IOM • Website development • Publications • Managed Care Outlook • Various newspaper articles • Peer-reviewed papers • Other…

17. Thank You “Be Community Boldly” -Marjorie Carter