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Backup Documents 03/28/2017 Item #11F
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office JAK 3/28/17 4. BCC Office Board of County Commissioners \A\i/tA-Ark 5. Minutes and Records Clerk of Court's Office 3/°1( l (5D Pvi PRIMARY CONTACT INFORMATION l' Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Jeff Walker, 'sk Management Phone Number 252-8906 Contact/Department Agenda Date Item was 3/28/17 Agenda Item Number 11-F Approved by the BCC Type of Document Resolution—Blue Zones Number of Original One Attached Documents Attached PO number or account N/A c9.0 b number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature JAK 2. Does the document need to be sent to another agency for additional signatures? If yes, JAK provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be JAK signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's JAK Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the JAK document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAK signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip JAK should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 3/28/17 and all changes made during the JAK meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the chanes, if a i i licable. � 9. Initials of attorney verifying that the attached document is the version approved by t I- � BCC,all changes directed by the BCC have been made,and the document is reap for the Chairman's signature. V ,N I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 I F MEMORANDUM Date: March 30, 2017 To: Jeff Walker, Director Risk Management Department From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Resolution 2017-67: Blue Zones Attached for your records is one (1) copy of the resolution referenced above, (Item #11F) adopted by the Board of County Commissioners on Tuesday, March 28, 2017. The Minutes and Record's Department has held the original document for the Official Record of the Board. If you have any questions, please contact me 252-8411. Thank you. Attachment RESOLUTION NO. 2017 - 67 A RESOLUTION OF THE BOARD OF COMMISSIONERS OF COLLIER COUNTY, FLORIDA, IN SUPPORT OF ACHIEVING THE DESIGNATION OF BLUE ZONES EMPLOYER. WHEREAS, the Blue Zones Project is a community-wide well-being improvement initiative to help individuals and organizations make healthy choices for everyone in Southwest Florida; and WHEREAS, the Blue Zones Project promotes nine principles for promoting a long and healthy life which include Move Naturally, Purpose, Down Shift, 80% Rule, Plant Slant, Wine @ Five, Belong, Family First, and Right Tribe; and WHEREAS, the Board of County Commissioners began promoting wellness initiatives for its employees in 2002; and WHEREAS, in 2008 the Board approved an incentives based wellness program, known as the Invest in your Health Program to encourage employees and family members to identify their individual health risk factors and to engage in activities designed to reduce these health risk factors in order to promote a long and healthy life; and WHEREAS, the Invest in Your Health Program has consistently achieved a 94% or greater participation rate among its members; and WHEREAS, the Board desires to support the principles of the Blue Zones Project and to achieve the designation of Blue Zones Employer as a natural next step in promoting wellness among its employees. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COMMISSIONERS OF COLLIER COUNTY, FLORIDA that the Board supports the goal of achieving the designation of Blue Zones Employer. THIS RESOLUTION ADOPTED after motion, second and majority vote favoring same, this 28th day of March,2017. u• ll @ ATTEST:* - /# r BOARD •F e TY COMMISSIONERS DWIGHT E. BRO K, CLERK COLLIE' 'O 1'4 TY, FLORIDA B 1 ;, i ._ tfr0 .dL.dB : rata/ _ .L A'e"a e- anlp puty Clerk PENNY TA d,vO ' , CHA iiitAN sign yur Appre e, "4•i "'•rm and legality: -�-�-- '44 _ A Item# i I F__ 1, i i Jeffrey'`';'.. ' latzkow Date Agenda _11§1.11/9-�$ /� County:• 1 ey Date _ ' Rec'• �� i 16 Deputy clerk Ckt--- (Fj( BLUE ZONES PROJECT` I F� by HEALTH WAYS 1 t 1* . ,,, :.* %,,,,,. .\ i.,,,,_,,,,, ,r-,,,.,,,.,:,,...,:.„,4,,,,, F49F �/ F f 4 . 4114r ,� THE HEALTHY CHOICE CAN BE THE EASY CHOICE. Lift Your Workforce. Lead in Your Community. Imagine a place where people feel excited about what they do. Where they're engaged and active together and it's easy to refuel in healthy ways. It's possible in your workplace and your community. It's about having You may have heard about the original Blue Zones®—places where people live longer, with a better work a higher quality of life and lower rates of disease. Blue Zones Project®leverages findings about these places and other well-being research to create new Blue Zones Communities® environment.It's across the U.S. Our unique, systematic approach touches people, places, and policy to support a sense of caring the natural,widespread adoption of powerfully healthy behaviors. In these environments, for your employees. healthy and easy become one and the same. All those things I think aid in productivity. REWARDING TRANSFORMATIONS —Rusty Reid, Worksites are a vital part of Blue Zones Communities. So are schools, restaurants, grocery President and CEO, stores, faith-based organizations, civic groups, and city governments. By involving a critical Higginbotham mass of people and organizations, Blue Zones Project helps maximize their collective impact and accomplishes inspiring changes like these: • A 15% drop the percentage of in overweight and obese adults, a 16% drop in smoking, and a 9% drop in daily stress from 2010 to 2015 in Beach Cities, California. • A nearly 50% drop in smoking rates from 2012 to 2015, along with lower rates of depression and higher produce consumption in Cedar Falls, Iowa. • Success in attracting grants for infrastructure improvements, such as a $4.6 million bike path project in Redondo Beach, California and a $2.1 million pedestrian bridge in Iowa City, Iowa. CLEAR BUSINESS BENEFITS The movement is already in motion in communities across the U.S., including yours.As a work- site,you can join the movement, apply best practices from the Blue Zones Project Worksite Pledge, and unlock bottom-line benefits for your organization. Learn More and Join the Movement at BlueZonesProject.com IF BLUE ZONES PROJECT' by HEALTHWAYS —_..._... Healthier employees,with lower healthcare costs. • An Iowa business saw a 20% decrease in healthcare claims in one year. Nearly 50% of its employees eliminated at least one risk factor for cardiovascular disease and diabetes. • A California manufacturer experienced a drop in worker's compensation claims from $360,000 to $12,000 over a two-year period. Higher productivity,with lower turnover. • A Minnesota consulting company recorded a 19% increase in revenue, 38% increase in clients, and 9.5% decrease in attrition one year after adopting Blue Zones Project initiatives. WE MAKE IT EASY Free access. Privately funded by sponsor organizations, Blue Zones Project experts, tools, and resources are available to you at no cost. Proven practices. Our experts have identified evidence-based practices for shaping a workplace that supports healthier, happier, more productive employees. They build and strengthen six pillars of worksite well-being: leadership, purpose, engagement, physical environment, policies and benefits, and well-being solutions. Flexible approach. You decide which practices best suit your workplace based on what you're already doing and what you aspire to do. You'll find actionable ideas no matter what your business size or whether you're new to well-being initiatives or not. You can include your own best practices as part of your Blue Zones Project efforts. Hands-on support. Local Blue Zones Project team members—working in your community— guide your team in implementing best practices. You can connect, share successes, and support other active worksites and organizations through local Project committees. Clear metrics. Blue Zones Project is committed to measuring action and results. The Gallup- Healthways Well-Being Index°,the gold standard of population health, delivers a detailed annual picture of community-wide well-being. Participating worksites have free access to the Gallup-Healthways Well-Being 5®, a high-value tool that measures individual and workforce well-being and guides each employee toward toward their well-being goals. Collaborative strength.With more than 200 interventions across organizations, Blue Zones Project aims to reach all the places people live, work, learn, and play. Healthy behaviors spread within and outside your worksite, expanding the impact of every positive change and connecting you and your workforce to a thriving community. Positive recognition. Blue Zones Project has a strong record of generating positive media coverage and public awareness, with broad benefits for recruitment, retention, and economic health. Blue Zones Project ApprovedTM Worksites are recognized as community leaders in health and well-being and join a network of respected organizations promoted across the community. MAKE THE HEALTHY CHOICE THE EASY CHOICE.AT YOUR WORKSITE.IN YOUR COMMUNITY. Contact your Blue Zones Project team to learn more and join the movement. Learn More and Join the Movement at BlueZonesProject.com C-1 BLUE ZONES PROJECT' by HEALTHWAYS Becoming a Blue Zones Project ApprovedTM' Worksite Blue Zones Project: MakingHealthyChoices Easier IF Blue Zones Project is a community-led well-being improvement initiative designed to make healthy choices easierthrough permanent changes to environment,policy,and social networks. Based on principles developed by National Geographic Explorer and best-selling author Dan Buettner,the initiative works with worksites, restaurants,grocery stores,schools,faith-based organizations,individuals and community policy to help people live longer,happier lives. This community-wide effort offers an exciting opportunityfor lower healthcare costs, increased performance,and improved quality of life within our community. Thriving Employees are Vital to Your Bottom Line Improving Wen-Being by 1%means: Why should you care about well-being at your worksite? HEALTHCARE • 2.2%reduction in likelihood Employees who feel their best, perform their best.That's COSTS of hospital admissions good for your business and your bottom line. By becoming EMPLOYEE • 1.7%reduction in likelihood of emergency room visits a Blue Zones Project ApprovedTM Worksite you can create a ABSENTEEISM • 1%reduction in likelihood work environment that empowers and sustains well-being of incurring healthcare costs principles,thus providing: • Lower absenteeism and higher productivity Improving Workforce • Reduced health care cost trends Well-Being by 10%means. • 5% • More engaged and focused employees PRODUCTIVITY ab eencesunscheduled ENGAGEMENT • 24% lower presenteeism • Higher morale and retention of employees • 5%higher reported job performance • Recognition for improving your worksite environment • 6%more days of best work' in a 28-day period • Happier customers Sears,PhD,Lindsay E.,Yuyan Shi,PhD,Carter Coberley,PhD,a nd James E.Pope,MD"Overall Well-beingasaPredictorofHealth Care,Productivity,andRetentionOutcomes Ina Large Employer."Population Health Management00.00(2013):1-9.Print, Put Blue Zones Project to Work Are you ready to help your business and your community by creating a work environment that promotes and sustains well- being? Worksite Approval focuses on six areas: Leadership: Does your organization's leaders support the well-being of others? Purpose: Does your organization have a purpose that employees connect with? Habitat/Physical Environment: Does your worksite promote healthy practices? Engagement/CreationofSocial Networks:Does your organization use a mixof communications,incentives and social events to promote well-being improvement? Policies and Benefits: Are your organization's HR policies and benefits designed to encourage well-being? Well-Being Solutions: Does your organization provide engaging solutions to sustain well-bein:'? You probably already have many of these policies in place. Let Blue Zones Project help you 1.00ES p,,Q transform your worksite into a place where healthy choices are easy choices and where an engaged, productive workforce improves business performance. Follow the steps on back and join the movement to improve well-being in Southwest Florida! - Worksite I'I �r+r BLUE ZONES PROJECT' by HEALTHWAYS Follow these steps to become a BLUE ZONES PROJECT APPROVED' WORKSITE: O REGISTER ON OUR WEBSITE Go to southwestflorida.bluezonesproject.com Scroll to"Transforming Well-Being in Southwest Florida"and click on "Worksites" Click on "Get the worksite pledge"button Complete the information to download the Blue Zones Project Worksite Pledge Q ASSESS YOUR ORGANIZATION Using the list of best practices found in the Worksite Pledge, evaluate your organization • Determine the number of points you have for items you are currently doing • Determine which pledge actions you will do to achieve the necessary minimum 72 points for approval Schedule a meeting with a Blue Zones Project representative to assist with an Implementation Plan IMPLEMENT CHOSEN PLEDGE ACTIONS Create a timeline to implement chosen pledge actions Utilize available tools through your Blue Zones Project representative to communicate with and engage employees O , SUBMIT VALIDATION PACKET Once the necessary best practices are in place,complete your Blue Zones Worksite Validation Packet • Compile all necessary documentation • Submit the electronic file to your Blue Zones Project Representative • Our National Validation Team will review and notify you within 7 to 10 business days Q CELEBRATE APPROVAL STATUS! Plan approval celebration and recognition with your Blue Zones Project Representative Questions? Contact us at bluezonesprojectSouthwestFL@healthways.com „ I' , AIM r 17* 411k \ � d L 4-.41 1001166 .= y1 1 III ;,„ T HOW BLUE ZONES PROJECT MADE , A POPCORN COMPANY HEALTHIER CHALLENGE: The declining health of U.S. workers results in increased work absences, decreased productivity, and higher healthcare costs for individuals and employers. SOLUTION: The Blue Zones Project Worksite Pledge offers an evidence-based blueprint for employers to improve the work environment, increase productivity, and elevate the well-being of their people long term. RESULTS: itr1* After completing the Blue Zones Project Worksite Pledge: American Popcorn became a designated Blue Zones Worksite° Employees with ideal HDL and LDL cholesterol scores improved by 55% and 14.5% respectively u Nicotine-free employees increased by 9.4% Healthy vending machine options rose from 7.5% to 55.2% - The work environment is more health conscious, exercise friendly, and safer A 5-year well-being plan has been implemented for continued success PRESIDENT GARRETT SMITH: "I'm very proud to be named a Blue Zones Worksite. The process allowed us to promote a healthier lifestyle and well-being among our employees." American Popcorn's commitment to, and investment in, employee well-being is commendable and paying dividends across the board. Blue Zones Project°is a comprehensive well-being improvement mately 180 people full time. The company vision aligns with initiative designed to make healthy choices easier across entire key principles of Blue Zones Project, valuing family, respect, communities. Employers play a key role in supporting the health courtesy, community pride, and engagement. of the community. The Blue Zones Project Worksite Pledge offers a menu of evidence-based best practices proven to The Blue Zones Project Worksite Pledge was completed by optimize the work environment, strengthen company culture, American Popcorn Company in 2014. As part of this work,62 and remove obstacles to well-being. percent of employees completed the Blue Zones Personal Pledge. American Popcorn Company is a family-owned business firmly Leadership has a profound influence on the well-being of rooted in Sioux City, Iowa since 1914. They employ approxi- others. For American Popcorn Company, strong support for 1 HOW BLUE ZONES PROJECT MADE A POPCORN COMPANY HEALTHIER Blue Zones Project began with owners and officers completing with healthy options, removed two candy machines, and now the Leading for Well-Being modules designed to train leaders on offer 55.2 percent healthy options. how to create a culture that supports the health and well-being of their people. Then, they formed an employee-led wellness They made adjustments to the physical environment to committee to develop a plan to address challenges and health encourage activity and minimize physical stress and strain. issues that were identified as important to employees. Together, The company added workstations that allow employees the they developed an action plan that addressed policies and choice to work either standing or seated.They also incorporated benefits, the food environment, the physical environment, and ergonomic footrests, keyboard trays, and adjustable-height engagement of social networks. equipment to maximize employee comfort and improve d'k From 2014 to 2015, an increase of 55 percent was noted in employees with Y p an ideal HDL cholesterol score and an increase of 14.5% in those with an ideal LDL cholesterol score. Policies and benefits play a key role in supporting health musculoskeletal alignment. Sound-dampening material was and disease prevention. American Popcorn Company began added to cubicles and walls during a recent office remodel, providing free flu shots and annual biometric screenings and noise levels are monitored in production areas. for all employees. Biometric screenings provide employee metrics around blood pressure, smoking, diabetes, weight Movement is encouraged throughout the day. Each morn- management, and cholesterol. Results are aggregated and ing, employees come together for group stretching. Walking communicated to all employees annually. From 2014 to routes are posted in high-traffic areas that include distance, 2015, employees with ideal HDL and LDL cholesterol scores number of steps, and time it takes to walk the routes. improved by 55 percent and 14.5 percent respectively. Employees are actively encouraged to step away from their desks and walk with colleagues during breaks and over lunch The company also began to offer employees tobacco cessation —this provides employees with the opportunity to exercise, support in addition to their strong tobacco-free worksite while developing positive social networks. policy to encourage a healthier work environment. Employees are required go off site to use tobacco products. As a result THE BOTTOM LINE: of these changes, the company saw a 9.4 percent decrease Best practices from Blue Zones Project have helped boost in nicotine usage from 2014 to 2015. employee engagement and make American Popcorn Company a healthier, happier place to work.We can help your company Environment is another key driver for health decisions. do the same. Improvements in American Popcorn's food environment earned the worksite a Silver Award of Distinction by the Nutrition Environment Measures Survey. Prior to becoming a Blue Zones Worksite, there were four vending machines, offering only (.6BLUE ZONES PROJECT' 7.5 percent healthy options. They added two drink machines by HenLrHwnYs 1 E (6' BLUE ZONES PROJECT by HEALTHWAYS UNIVERSITY OF NORTHERN IOWA EMBRACES BLUE ZONES PROJECT Founded in 1876, the University of Northern Iowa students' eating habits changed right in front (UNI) is now home to more than 12,000 students. of their eyes. "We discovered that if you make Nationally recognized for its excellence in education, it easy to get a half-size entrée or veggie side, UNI offers 90+ majors and 300 student clubs students tend to choose them," explained Carol and organizations. Peterson, Director of Dining. Students, staff, and faculty are applying the UNI's sustainability director Eric O'Brien Power 9® principles across campus. In 2013, Cedar witnessed a similar effect after installing dozens Falls, Iowa, became a certified Blue Zones of new water-filling stations across campus. "It Community®and UNI is proving to be one of used to be easier to buy a soda than to re-fill your its biggest success stories. water bottle," O'Brien explained. "Now, drinking water is an easy choice you don't even have to Fresh Fruits and Vegetables, Right on Campus think about." UNI had no source for fresh, local produce until The result? More than 40,000 20 oz. water fills nine students had an idea:a student-run,sustainable and a significant reduction in soda consumption campus garden. Buoyed by excitement around after just one semester. Blue Zones Project®, the university accepted their proposal, and in 2012 the Panther Plot was born. 1 '4 The garden has since provided some 700 pounds fie°. of fresh produce for the UNI cafeteria, local food :° • banks, community events, and even weekly grab- y and-go food boxes. It has also inspired a new generation of gardeners. "Many volunteers - had never even planted a seed before. Now we • have students telling us they plan to garden j for the rest of their lives," said supervisor I I ti # Rachel Wobeter. Campus leaders celebrate the designation of University of The Healthy Choice is the Easy Choice Northern Iowa as a Blue Zones Worksite®in 2013. When UNI's dining team tweaked the food Students Learn Their Purpose service environment to align with Blue Zones® guidelines—replacing saltshakers with spice-filled Studies show that being able to articulate why flavor stations, offering half-sized portions and you wake up each morning adds seven years to healthier side dishes, eliminating serving trays, your life, but how do you get students to think and replacing 12-inch plates with 9-inch plates— I I F BLUE ZONES PROJECT' by HEALTHWAYS that far ahead? UNI's "Dine and Discover Your said Therese Callaghan, a human-resources Purpose" workshop had participants whittle coordinator. Callaghan has seen the university's down a deck of'purpose cards'to identify their three benefits-and-wellness fair expand from an or four biggest passions.The sold-out event got students informational seminar to a full-fledged community thinking big-picture and pointed them towards event featuring yoga and fitness providers as volunteer opportunities best suited to their interests. well as healthy-food demonstrations by the local For some students, Blue Zones Project itself has Hy Vee grocery store. become part of their personal mission. UNI food Early signs suggest that the efforts are paying service worker Marie Unternahrer was so inspired off. A comparison of employee health-screening by her involvement in the project she now plans to data before and after the commencement of build a career around it. "I have witnessed the Blue Zones Project shows small but meaningful difference Blue Zones Project makes in an individual's improvements in many metrics, including life . . . [and] I have been motivated to pursue a cholesterol and blood glucose levels. teaching career to reflect these concepts within my Meanwhile, Callaghan herself no longer thinks own classroom and school," Unternahrer stated. only about employee wellness. She's been considering other ways UNI can spread the Blue 'Right Tribes' Come Together Zones Project message. She asks, "Maybe our In 2013, UNI's Bender Hall became the nation's department of education could work with local first residence community to complete the Blue schools to get healthier?" Zones Organization Checklist. Every resident filled out a Personal Pledge, and a full two-thirds continue to follow them. More importantly, according to residence-life coordinator Brock Severson, Bender Hall residents are now actively looking ABOUT US for ways to better their lives and the community as a whole. "People have so many ideas for new Blue Zones Project is a community-by-community well- resources they'd like to see on campus. They've being improvement initiative designed to make healthy realized that Blue Zones isn't just a program. It's choices easier through permanent changes to a much bigger mission that connects the whole environment, policy, and social networks.These community, and they want to be a part of it," improvements are based on nine healthy lifestyle habits shared by the people living in the original Blue Zones® said Severson. areas found by author and explorer Dan Buettner. Health Is a Community Effort For more information, please visit bluezonesproject.com. UNI's biggest success story is that there is no one big success story. "Blue Zones Project has helped people think about health through a wider lens," Contains copyrighted material of Healthways,Inc.and Blue Zones,LLC. November 2016 .,.. BLUE ZONES PLIEl F by HEALTH WAYS Albert Lea , MN A Blue Zones Project Case Study Albert Lea, Minnesota, is a city Midwestern city, supported by Blue Zones Project, climbs out of located about 90 miles south of economic crisis with projected lifespans increased by nearly 3 years the Twin Cities with a population and economic value by the millions. of 18,016 as of the 2010 census. Suffering in the face of the 2008 economic downturn, Albert Lea, Minnesota, was determined to transform its situation. Its leaders eagerly teamed up with Blue Zones in 2009, making Albert Lea the first Blue Zones Pilot Project, applying principles from areas around the world where people lived longer, healthier lives. Pleased with the results of the nine-month pilot, Albert Lea has continued on as a Blue Zones Project community addressing built environment, "The Blue Zones Project initiative tobacco policy, citizen engagement, and bringing back the downtown. The commitment to allowed our community to look at well-being has resulted in numerous measurable impacts for Albert Lea, such as: ourselves in a different light and build a better future learning from $7.5 million— our past." savings in annual health care costs for employers as a result of a decline in smokers Vern Rasmussen,Jr. 45th place— Mayor of Albert Lea in the Minnesota County Health Rankings (up from 68 out of 87 counties) 2.9 years— added to lifespans (projected)within one year of participating in the Blue Zones Project Leading incremental changes and sparking chain reactions "Blue Zones Project helped our community set amazing,aggres When Blue Zones and Blue Zones Project began working with Albert Lea in 2009 to transform sive,and achievable strategies its policies, places, and people, the focus was on helping people move naturally, eat wisely, that moved the public health connect, and have the right outlook—all of which can lead to living longer, better. To make agenda further in 10 months transformation a reality, city leaders and the Blue Zones Project identified key opportunities for than I could have expected in impact and sought pledges from businesses and residents. 10 years." Community Design Improvements–In 2009, Blue Zones' expert Dan Burden led a walking Lois Ahern audit of Albert Lea, identifying ways to create more active and healthy living environments Retired Director of Freeborn centered around people. A Bike and Pedestrian Master Plan was created that identified areas County Health needing improvement to align with the Complete Streets Policy, which Albert Lea was an early adopter of in 2009. Learn More and Join the Movement at BlueZonesProject.com 1 1 1 .fie Healthy Foods: To make healthy food the easy choice for everyone in the community, Blue Zones Project provided guidance on how to offer and bring attention to foods that are more nutritious and tasty. .. As a result, one of the local grocery stores implemented changes to its environment, selection of healthy options, and education IV AN: '- Y and promotions to make healthier choices easier for customers. Grab-n-go breakfast and healthy snack cart programs were introduced in various public schools to help children create healthy habits, and they've been highly received by students, educators and parents. An indoor sports arena added healthier . options to its concession stand and saw a bump in sales. And the City of Albert Lea has expanded the community garden space 150%, giving residents an opportunity to grow healthy Armed with inspiration and grant money, Albert Lea created food and socialize in an agricultural environment. bump outs to ensure safe pedestrian crossings and wider sidewalks that provided space for outdoor dining. A five-mile Tobacco Cessation: Starting in 2009, Blue Zones Project began route that was added around a lake within the city was affec- working with the City of Albert Lea to drive policy and environ- tionately named the Blue Zones Walkway by Albert Lea, and it mental changes for a measured reduction in tobacco usage. now connects to neighborhoods, parks, downtown and past This included changes for public housing, public parks and events, the local hospital. Stop signs were replaced with traffic lights outdoor dining, as well as partnering with local businesses. to maintain a smooth traffic flow. Community message boards Out of 18,000 residents, 4,140 were smokers in 2010, and were added, and a complete park renovation with amphitheater success had the potential of reducing health care costs by seating provided additional community gathering space. $6,000 per year, per smoker. Given the challenge of trying to The improvements sparked a chain reaction of economic implement this change and provide a new outlook toward this development. New businesses relocated to downtown Albert important public health issue, the city chose to make incremental Lea, and the city initiated a mixed-use project to open room moves over time, which have made a big impact. for income-limited housing units and commercial space in the historic downtown area. 811 Healthier Workplaces: Blue Zones Project offered local businesses the opportunity to become a designated Blue Zones Worksite®by #IIt completing an assessment and improvements to increase the x . long-term well-being of employees, customers, or students. "` ,, The simple changes were designed to provide lasting benefits " ' ._ L ;., to people's physical health, emotional health and social -_, x relationships. More than 45 worksites have registered with : ' ALL, Blue Zones Project and made varying levels of change, the = t` City of Albert Lea being one. - Blue Zones Project also recommended worksite clinics for some - / of the larger employers in Albert Lea to increase well-being for employees and reduce healthcare costs. Five of the top 20 i partnered together to provide their employees with a dedicated -12 y1 ,I worksite clinic, serving approximately 1,650 employees. Two other ' area worksite also opened clinics. These efforts resulted in considerable savings. Copyright 2016 Blue Zones,LLQ and Healthways,Inc.All right rese,,e,_ 1 1F . : # OPEN SALES \ 4 Measurable impacts that have transformed the community The following progress indicators were reported by the City of Albert Lea in 2015, dating back to 2009 if the data was available. Impact of Community Design Improvements • Added more than seven miles of new sidewalks and three miles of bike lanes • More than a dozen businesses relocated to downtown Albert Lea • Outdoor dining facilities created by three restaurants • 68% increase in pedestrian traffic on Broadway from 2014 to 2015 • 38% average increase in biking and walking throughout the community since 2009 • Ranked above the national and state average for people feeling active and productive according to the July 2014 Gallup-Healthways Well Being Index° • More than $1.5 million invested in downtown building permits since 2013 • 25% increase in property value in the downtown area • Year-over-year increase in lodging taxes due to an increase in visitors • $400,000 in revenue and a return of a $1.2 million property to taxable status expected from the mixed-use downtown development Impact of Healthier Workplaces • 300% increase in funds given to the City of Albert Lea by its insurance carrier for its wellness program in 2014, and medical premium increases avoided for city workers in 2014 and 2015 • $128,000 in health care costs saved by a Blue Zones Project worksite within a year of opening a worksite clinic for its 500 employees • The School District experienced no increase in Health Care Premiums and an 11% decrease in prescription costs as a result of their on-site clinic from 2014-2015 Learn More and Join the Movement at BlueZonesProject.com 1 tr . ..... 'maw - _.-- i .7 r , , DIP j" Lt._ w; --- _ bit c—"" 'r i , , , s 1-4111it IV `1jw 4"& '., ,. '� . k-, ^ *- , i" ' ,. 'a 4%.,.k. `., v 5C ,:tom •i 4. ,, .I�• Impact of Healthy Foods Initiative • Increase sales of 130.35% from the Health Market, 12% from produce, 35.31% from frozen fruit and vegetables, 52.3% from water, and a decrease of 4.66% in soda sales at the Hy-Vee grocery store from 2009 through 2015 • 18% increase in concession sales from 2014 through 2015 at City Arena after healthy options were added • 60% increase in breakfast participation from 2014 to 2015 in schools where the Grab-n-Go breakfast program was implemented • 17% increased participation in the Healthy Snack Cart program in the 2014—2015 school year Results of Tobacco Cessation Initiatives • Tobacco use eliminated at 507 units of public housing, 11 of the top 20 worksites as well as select other businesses, public parks, county fairs, other outdoor events, and outdoor dining • Decline in smokers from 23% of adult residents in 2009 to 16% in 2015 • $7.5 million savings in annual health care costs for Albert Lea employers from the decline in smokers Additional impact • 2.9 projected years added to participants' lifespan within a year of participating in the Blue Zones Project • $120,000 worth of media impact created from being featured in local and nationwide media, publications, and websites • Jump to 45th place in the Minnesota County Health Rankings(previously 68 out of 87 counties) • Ranked third in "The top 10 most affordable small towns in the United States that you would actually want to live" by Realtor.com in the fall of 2015 (lakes, parks, walking paths and Blue Zones Project listed as "quality of life" indicators) Copyright 2016 Blue Zones,LLC and Healthways,Inc.All rights reserved. THE PROOF IS IN THE ZONES The Blue Zones Project Value Dashboard reports on three levels of measurement: Gallup-Healthways Well-Being Indexe, Bring the benefits to your community community-reported metrics,and media value. Decrease in risk factors to residents' Secured funds to create a more walkable,bikeable Featured in nearly 1,000 health from 2010 to 2015. and connected community. news stories. • 15%drop in overweight and • $4.6 million appropriated for the Redondo Vobese adults Beach Gateway Bike Path Project 950 million media reach between • 16%drop in smoking • $3.8 million awarded for additional 2010 and 2015. Li • 9%drop in daily stress infrastructure improvements w • City of Hermosa ranked second in the Nearly$1 million in f- Increase in residents'healthy lifestyle nation by National Complete Streets Coalition media value secured. V habits from 2010 to 2013. for complete-streets policy _ • 7%increase in exercise Featured stories include: 114 Q • 5%increase in produce consumption Created change that will impact generations to come. • Forbes co • 50%reduction in childhood obesity from • CNN 18%to 9% • LA Times • Students walked 45,000 miles the past school year • Parade Magazine through the Walking School Bus program , Decrease in risk factors to Secured funds to create more connected communities, Featured in more than 1,500 residents'health. leading to more pedestrian activity. news stories. • Nearly 50%drop in smoking in • $1.8 million appropriation in Mason City for Cedar Falls from 2012 to 2015 bike and walking connectivity 589 million media reach between • 15%drop in obesity in Iowa City • $2.1 million secured for pedestrian bridge 2012 and 2015. from 2014 to 2015 in Iowa City • 12%increase in exercise and • More than$12 million in infrastructure funding $2.7 million in media value secured. healthy eating in Muscatine from secured in Muscatine 2012 to 2015 • 10%increase in number of students walking or Featured stories include: Q • Improvement in all communities biking to school from 2011 to 2013 • CBS News 5 in 23 well-being metrics including • 18,000 square foot expansion of edible forests, • 0 Magazine O smoking rates,produce consumption, Iowa City • The Des Moines Register and depression rates Local employers report a healthier,less Iowans embrace Blue Zones Project. costly workforce. • Nearly 50%of citizens reported to • 20%decrease in city workers'healthcare claims be highly engaged in the project in Spencer from 2012 to 201311 across all communities • 9%drop in nicotine usage at American Popcorn • 70%average community awareness Company in Sioux City of project in 2014,with several communities nearing 90% Well-Being Index data is not currently Walkable community design led to downtown Featured in 135 news stories from available in the Albert Lea Pilot Project. revitalization and vibrancy. 2013 to 2015,including stories in • 66%increase in pedestrian counts from 39 national outlets. The first over sampling occurred in 2014 to 2015 2014,and the second sampling is • Nearby trail usage increases by 38% 73.5 million media reach between Z scheduled for 2016. • 15%average annual increase in lodging 2013 and 2015. 2 taxes from 2012 to 2014 • 10 new businesses open on expanded Main Street Featured stories include: Q • ABC Good Morning America Boost in residents'healthy habits. • USA Today I— • 17%decrease in smoking from 2010 to 2012 • Newsweek ce • Christian Science Monitor Lu • Hy-Vee,a top-25 grocer nationwide,reports GO 12% increase in Health Market sales; 12% It Q increase in produce;35.3% increase in frozen fruit and vegetables,52.3%increase in water sales in Albert Lea • Local energy employer Freeborn-Mower Cooperative Services reports 34%decrease in health insurance claims from 2012 to 2014 (FI( BLUE ZONES PROJECT' by HEALTHWAYS Copyright CO 2015 Blue Zones,LLC and Healthways,Inc All rights reserved. 11F CC.,) BLUE ZONES PROJECT° by HEALTHWAYS Let's make the healthy choice the easy choice. What are the benefits of Blue Zones Project? Blue Zones Project® is a well-being improvement initiative designed to help make healthier choices easier by encouraging changes to communities that lead to healthier options.When individuals and organizations participate—from worksites and schools to restaurants and grocery stores—the small changes contribute to huge benefits: lowered healthcare costs, improved productivity, and ultimately, a higher quality of life. A community-wide approach. Worksites:We help your workers feel better Grocery Stores: By helping you provide di \ and more connected to their colleagues,so easier access to healthful and tasty they're more productive, miss less work, foods, you can better educate families on and have lower healthcare costs. improving nutrition. Schools: By encouraging better eating Community Policy:Sidewalks,community habits, implementing tobacco-free gardens,farmers'markets,and other community 7E7 policies, and increasing physical activity, infrastructures affect your ability to move naturally, we create healthy habits for life. connect socially,and access healthy food. Restaurants: We work with you410 \ Individuals: From moving naturally more to add healthier foods, so you can • \ often to finding individual purpose in our lives, improve customer satisfaction and Y making small changes in daily routines can lead increase traffic. _ to living happier and healthier lives. / Faith-Based Communities: We help / ** inspire, encourage, and promote tom// well-being, increasing connectivity and longevity among members. 1.1111r Learn more at bluezonesproject.com. , m t What is Blue Zones Projects? What began as a New York Times bestseller by National Geographic Fellow Dan Buettner has evolved into a global movement that's inspiring people to live longer more active lives. Blue Zones Project offers a unique opportunity for individuals, organizations, and communities to make permanent changes to the environments where they live, work, and play to make healthy choices easier. Move Naturally: Find ways to move more! You'll burn calories POWER without thinking about it 9® Purpose: Wake up with purpose each day and add up to seven years to your life 0 0 Down Shift: Reverse disease by finding a stress-relieving strategy that works for you 41;) 80% Rule: Eat mindfully and stop when 80% full Live a longer, Plant Slant: Put more fruits and vegetables on your plate healthier life by applying these Wine @ Five: If you have a healthy relationship with alcohol, principles inspired enjoy a glass of wine with good friends each day by the people Family First: Invest time with family-and add up to six years who have lived to your life the longest. t*J Belong: Belong to a faith-based community and attend services ` regularly to add up to 14 years to your life `i'Ty Right Tribe: Surround yourself with people who support positive behaviors- and who support you To find out more about this exciting well-being initiative, email bluezonesprojectusa@healthways.corn or visitbluezonesproject.com. 0 ri facebook.com/bluezonesprojecta► 'i 0%. ill BLUE ZONES PROJECT'(61 IA.HEALTHWAYS Copyright©2015 Blue Zones,LLC and Heaithways,Inc.All rights reserved oj BLUE ZONES PROJECT' by HEALTHWAYS BLUE ZONES PERSONAL PLEDGE The world's longest-lived people live in surroundings that make healthly choices easier. This four-step pledge will help you learn the wisdom of the people who live the longest. Measure your own longevity and then take action to help you set up your surroundings for better health and well-being. This program is free.We only ask that you take it seriously. So what is in it for you?Take this pledge and together we will help you achieve the following: , Rx • You will live a longer, better life. Wt. S • You will begin to have more energy, feel stronger, and become healthier. iteIseP ,10 • You will meet new people and nurture supportive friendships. • You will discover your purpose and put it to work. • You will be the change that makes your community a better place to live. Learn Visit bluezonesproject.com or, better yet, read the best-selling book Blue Zones:Lessons for Living Longer from the People Who've Lived the Longest. We recommend reading The Blue Zones Solution as well. 2 Measure The three-minute online Vitality Compass®will estimate how long you'll live and give you customized tips • to live longer. Visit bluezonesproject.com, navigate to Transforming Well-Being, then click on the tab titled Individuals to access the Vitality Compass. 3 Participate • Completing the personal pledge means committing to all four steps (Learn, Measure, Participate, Complete the Checklist) and showing up to participate in at least one activity in the next six months. • • Join a Blue Zones Project Moai®. A moai (mow-eye) is a special social group that commits to meet for ten weeks to walk, potluck, or discover your purpose together. Moais can help you create new friendships with people who support healthy behaviors. • • Attend a Blue Zones Project Purpose Workshop. People who know their purpose live up to seven years longer. • Volunteer with Blue Zones Project or another organization in your community.Volunteers tend to be happier and healthier and lead a more purposeful life. • Join the Blue Zones Project Action Force.Transform well-being in our community by advocating for policies that promote a healthy and active lifestyle. • • 4 Complete the Checklist The personal checklist on page two offers choices to modify your personal surroundings so you're more likely • to be healthier and happier. • • Questions?Visit bluezonesproject.com/contact to send us a message. ©2015 Blue Zones,LLC and Healthways,Inc.All rights reserved. hF BLUE ZONES PROJECT' by HEALTH WAYS BLUE ZONES PERSONAL CHECKLIST Please select at least five actions that you pledge to complete within the next six months. Keep a comfortable pair of walking shoes or a bike in plain sight Why?They provide a nudge to move naturally daily. Adopt a dog Why? People who own dogs are more active and weigh less. • Attend a Blue Zones Project Purpose Workshop Why?A purpose workshop helps you define your purpose. People who know their purpose live up to 7 years longer. • Remove all computers and electronics from my bedroom Why? You are likely to get better sleep, feel better, and weigh less with fewer electronic distractions in your bedroom. Limit screen time before bed, and keep your bedroom cool while you sleep. ❑ Designate a space in my home for quiet time, meditation, or prayer Why?The longest living people have daily routines to shed stress, a major contributor to inflammation and disease. ❑ Stock my cupboard with 10-inch dinner plates Why?You will mindlessly eat 20% fewer calories than if you ate off of larger plates. ❑ Remove TVs and computers from the kitchen and dining areas Why?They lead to mindless eating and consuming needless calories. • Own a bathroom scale, put it in plain sight, and weigh myself regularly Why?Research shows that people who weigh themselves regularly are more successful maintaining a healthy weight. ❑ Attend a plant-based cooking class Why? Knowing how to cook plant-based dishes that you enjoy increases the nutritional quality of your meals. ❑ Grow a garden at my home or adopt a plot at a community garden Why? Gardeners experience less stress and regularly eat more fruits and vegetables. • Schedule a weekly happy hour with friends Why?Happy hour with small amounts of red wine can shed the day's stress if you have a healthy relationship with alcohol. ❑ Have a conversation about getting older Why? Being ready for end of life can bring families together, save money, and relieve stress in the future. Visit mydirectives.com for help with this discussion. ❑ Actively participate in a faith-based organization or try a new one Why? People who belong to and regularly attend a faith-based organization can live 4-14 years longer. Move Naturally Right Outlook Eat Wisely Connect f '- .'� '� - � , - - -t'--, _ �3 - -� = �.. _ - a� _ <-rev - �F', a ,- Aj�� -- y .� �� ` �"' ' -�Y ; 7=4;4.3",,-,1-7` s..- R - .:rte # � r v Blue Zones Project® Worksite Pledge Create a healthier, happier, more productive workplace -BLUE ZONES PROJECT by HEALTHWAYS 1 IF TABLE OF CONTENTS Blue Zones Project Overview 3 Steps to Achieve Blue Zones Project Approved Status 4 Blue Zones Project Worksite Pledge 5 Detailed Descriptions of Blue Zones Project Worksite Pledge Actions 11 Blue Zones Food Guidelines (Individuals) 28 Blue Zones Food List 29 References 31 Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 2 i BLUE ZONES PROJECT' by HEALTH WAYS WHAT IS BLUE ZONES PROJECT? Across the globe lie Blue Zones° areas,where people reach age 100 at an astonishing rate. Citizens of places like Sardinia, Italy; Okinawa,Japan; and Loma Linda, California, have maintained their healthy lifestyles for generations. Blue Zones Project° aims to adopt the lifestyle principles of these areas to transform cities and towns into Blue Zones Communities®,where people can live longer, better lives. Our town is trying to become a Blue Zones Community.Achieving that goal requires worksites, schools, restaurants,grocery stores, and city government to make healthy choices easier through permanent changes to environment, policy, and social networks. If each of these sectors does its part, then we will all share the benefits of living in a community where well-being is a way of life. Employers play a key role in Blue Zones Project by shaping the workplace environment to support health and, in turn, improve productivity, decrease turnover, and reduce healthcare costs. Business leaders are in a powerful position to dramatically improve employees' well-being. Our Blue Zones Project team is here to help with our knowledge of evidence-based best practices from around the country. In supporting your employees'well- being,you also help the larger community as healthy employees become advocates for powerful change in other community organizations like schools, restaurants,grocery stores, and civic groups. BENEFITS FOR WORKSITES • Employees with higher well-being cost less and perform better • Reduction in healthcare costs through health-risk reduction • Increase in employee productivity and reduction in absenteeism, giving your company a competitive advantage • Reduction in turnover and increased ability to attract talented individuals by becoming an employer of choice • Pride from being part of an important community-wide project to improve well-being Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 3 (1.--- 0BLUE ZONES PROJECT' by HEALTHWAYS STEPS TO ACHIEVE BLUE ZONES PROJECT APPROVED STATUS 1. Review the Blue Zones Project®Worksite Pledge, and identify what best practices your workplace already has in place and which new ones you would like to pursue. 2. Pursue the best practices you selected using the section entitled "Detailed Descriptions of Blue Zones Project Worksite Pledge Actions." 3. Our team is here to help with resources, expertise, and collateral to help you complete the pledge actions. Work with your Blue Zones Project team to get access to the online marketing resource center. 4. As you complete pledge actions, document their completion to meet the validation requirements for each pledge action. 5. We encourage you to collect metrics before and after adopting the best practices so you can measure the impact they have had (e.g. healthcare costs/claims, biometric screening results, absenteeism, productivity, turnover, other key performance indicators or health-related information). 6. When you have implemented all of the best practices you selected, contact a Blue Zones Project team member to validate your achievement.Then, celebrate your status as Blue Zones Project ApprovedTM! Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 4 1 / 1 F (FJI' BLUE ZONES PROJECT' bV-HEALTHWAYS BLUE ZONES PROJECT WORKSITE PLEDGE The Blue Zones Project Worksite Pledge enables business leaders to shape the workplace environment to support health and, in turn, improve productivity, decrease turnover, and reduce healthcare costs. Based on reviewed literature, Blue Zones Project has identified best practices proven to achieve these outcomes. We recognize that every business is different, so we allow you to decide which best practices are a good fit for your company.To maximize the effectiveness of these best practices, we encourage you to gather a team of health- minded employees to choose those that work best for your company and get started! ACHIEVING BLUE ZONES PROJECT APPROVED STATUS ❑ At least 25 percent of employees sign the Blue Zones Personal Pledge. ❑ Earn at least 72 out of 114 possible points by implementing pledge actions. ❑ Implement at least one pledge action from each of the six foundational pillars of worksite well-being (Leadership, Purpose, Habitat/Physical Environment, Engagement/Creation of Social Networks, Policies & Benefits, and Well-Being Solutions). FOUNDATIONAL PILLARS TO WORKSITE WELL-BEING 1. Leadership—Are the organization's leaders at all levels role-modeling well-being behaviors and creating an environment that supports the health of others? 2. Purpose—Does the organization have a purpose that employees connect with? Does the organization support employees in identifying and pursuing their own purpose inside the context of their work? 3. Habitat/Physical Environment—Does the worksite promote healthy practices and empower employees to make healthy choices through the physical layout and worksite setting? 4. Engagement/Creation of Social Networks—Is there a clearly defined engagement strategy that uses an effective mix of communications, incentives, and social events to help promote well-being improvement? 5. Policies& Benefits—Are the HR policies and benefits designed to encourage well-being? 6. Well-Being Solutions—Are there engaging solutions to support employee efforts to improve and sustain their health? Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 5 I 4yR s (6( BLUE ZONES PROJECT' .. *- by HEALTHWAYS BEST PRACTICES Currently Doing Points Will Do LEADERSHIP 1. Communicate aggregate company well-being metrics to all fl 3 O employees annually. 2. Support an employee-led well-being advisory committee (meets n 3 O regularly at least four times a year). 3. Offer to all employees a personality assessment such as Myers- 3 O Briggs,True Colors, or StrengthsFinder to support communication between management and employees. 4. Train leaders to encourage the use of walking and/or standing 2 meetings (one-on-one meetings and larger group meetings when possible). PURPOSE 5. Prominently display the organization's vision, mission and values n 3 O in a public place, include it in the employee handbook, and communicate it to employees at least once a year. 6. Organize or promote a purpose workshop that supports employees to articulate and connect with their own personal 3 O purpose. 7. Adopt a formal policy that supports employee volunteer activities 2 O within the community in which they live(both during work and outside of work hours). HABITAT/PHYSICAL ENVIRONMENT 8. Improve the cafeteria food environment by completing 50 I I 5 percent of the points possible in the Blue Zones Project° Restaurant Pledge. 9. Ensure that at least 50 percent of food & beverage options in 3 O vending machines meet the Blue Zones Food Guidelines (Individuals). 10. Complete the Ergonomic Checklist to ensure that office and non- n 3 O office-based employees have safe and comfortable ergonomic equipment. 11. Ensure that meeting rooms, workstations, and private office 2 O furniture provides flexibility to choose to stand or sit and work. 12. Support micro-breaks to stretch every hour, either prompted by I I 2 O software or other workplace cues. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 6 i F ElBLUE ZONES PROJECT' by HEALTH WAYS 13. Designate a quiet space in the office where employees can 2 O downshift/meditate. 14. Adopt a policy that provides space and time for breastfeeding n 2 0 during work hours. 15. Offer and publish walking routes that include number of 2 O steps/distance markers throughout internal work environment and external campus/parking areas. 16. Provide secure bicycle storage(lockers or racks)for 5 percent or 2 O more of all employees. 17. Provide showers and changing facilities with lockers to 2 0 employees. 18. Offer employer-sanctioned fitness activities (e.g.,yoga, kickball, ping pong,fitness classes, walking clubs) and allow participation I I 2 O during work hours. 19. Create an employee garden. I I 2 O 20. Encourage use of existing stairwells by using signage to prompt their use, keeping them well-lit, and decorating them with art or 2 O music to increase aesthetic appeal. 21. Offer wireless headsets to employees who spend most of the day I I 1 O on the phone. 22. Allow employees to have control over their individual workspace 1 to add family photos, plants, or other personally meaningful items. ENGAGEMENT/CREATION OF SOCIAL NETWORKS 23. Develop an engagement plan with a communication strategy; specific, defined objectives; metrics for measuring progress; a I I 9 O calendar of social events to encourage employee well-being; and incentives designed to promote participation. 24. Organize MOAIS® (purpose, potluck,walking)for employees and 4 O contractors. 25. Host plant-based cooking classes. I I 3 O 26. Host"Lunch with a Co-worker" program and/or lunchtime 3 O walking groups. 27. Create a pervasive brand for your health and well-being program. 3 O 28. Share updates on program participation levels and positive 2 O experiences and outcomes, including testimonials, with all employees. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 7 1 F Ex BLUE ZONES PROJECT` by H EA LTH WAYS 29. Effectively use "place-based media"to communicate well-being ❑ messages (e.g., using stairwells, elevators, restrooms, etc., for 2 O location-appropriate messages). 30. Contact at least 50%of independently or locally owned restaurants within walking distance of the worksite and n 2 O encourage them to take the Blue Zones Project Restaurant Pledge. POLICIES& BENEFITS 31. Make health benefits available for full-time employees and family 3 O members. 32. Benefits designed to promote prevention (e.g., flu shots, immunizations, and preventive screenings that are 100 percent 3 O covered). 33. Establish a campus-wide tobacco-free worksite (inside property 3 O and on company grounds). 34. Establish a policy to only offer foods that meet the Blue Zones 3 O Food Guidelines (Individuals) at meetings and special events. 35. Regularly encourage employees to commute to work via walking, 1 O biking, or public transit. 36. Create Blue Zones Project parking spaces furthest away from the I I 1 O workplace entrance(s). 37. Allow flexible work schedules for all employees. 1 0 38. Incorporate paid-time-off bank(instead of separate I I 1 O sick/vacation/personal time). Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 8 Ce:"X BLUE ZONES PROJECTS by HEALTH WAYS WELL-BEING SOLUTIONS Currently Points Will Do Doing Preventive Services 39. Provide on-site/available biometric screening for employees 3 O Additional Services 40. Offer Employee Assistance Programs (EAP) 1 1 1 O • Includes financial education/planning assistance n 1 O • Includes stress/depression management ❑ 1 O 41. Offer 24/7 nurse-line and/or decision support tools 1 O Awareness/Education 42. Offer a health-risk assessment such as the Gallup-Healthways ❑ Well-Being 5TM annually 2 O Coaching(telephonic,onsite, or web-based) 43. Offer weight-management and/or nutrition coaching 1 O • Includes weight-management programs or subsidies (e.g., ❑ Weight Watchers) 1 O 44. Offer tobacco-cessation coaching and Nicotine Replacement ❑ 3 O Therapy(NRT) 45. Offer physical-activity coaching 1 • Includes on-site fitness center or subsidies to local fitness center 1 O 46. Offer chronic-condition management with coaching ❑ 2 O PROPOSE NEW PLEDGE ACTIONS: This section allows you to propose up to three new pledge actions that align with the intent of Blue Zones Project. Please review your validation form for detailed instructions on developing and submitting new pledge actions. Up to three pledge actions can be proposed for a maximum of six total bonus points. Pledge actions will be approved and point value assigned by the Blue Zones Project team. 1. 2. 3. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 9 1 . BLUE ZONES y T°PROJEC C./.1` bHEALTH WAYS TOTAL YOUR POINTS Points Currently Doing Will Do Total Points Must be 72 or greater to achieve Blue Zones Project Approved status. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 10 1 1 F BLUE ZONES PROJECT' by HEALTH WAYS DETAILED DESCRIPTIONS OF BLUE ZONES PROJECT WORKSITE PLEDGE ACTIONS LEADERSHIP There is a strong connection between leadership and well-being. Personal well-being (physical, emotional, and social) impacts our ability to lead effectively on a daily basis, and it is becoming increasingly clear that leaders at all levels have a profound influence on the well-being of others. By "leaders" we mean those at all levels of the organization—not just executives. 1. Communicate aggregate company well-being metrics to all employees annually. How to do it: Determine relevant metrics important to your company. For example,take the aggregate well-being score (from the Gallup-Healthways Well-Being 5'M survey),average cost of medical per employee,turn-over,etc.,and create a plan to measure and communicate this annually.A dashboard is a good way to communicate current and year-over-year trends. Why do it?In order to effectively prioritize and plan well-being initiatives,relevant metrics need to be identified and measured. Regularly sharing company well-being metrics with employees lets them know where they are aligned with achieving organizational goals and where they can improve. Validation Requirement:Copy of communication to employees. 2.Support an employee-led well-being advisory committee(meets regularly at least four times a year). How to do it: Identify key influencers and volunteers who are passionate about well-being, and ask them to join a committee to create a plan to build a culture of well-being at your organization.Set expectations around the time commitment,and ensure that the ambassadors have their manager's approval to spend time on this activity. For additional resources, review the Healthways Well-Being Ambassador Toolkit. Why do it?Involving employees and leaders in developing and implementing well-being initiatives is a good way to ensure high levels of participation and engagement across the organization. Validation Requirement:Copy of agenda and minutes from one or more meetings. 3.Offer to all employees a personality assessment such as Myers-Briggs,True Colors,or StrengthsFinder to support communication between management and employees. How to do it: Encourage all employees to complete a personality assessment such as Myers-Briggs,True Colors,or StrengthsFinder.Share results aggregated companywide or by work team. Why do it?A personality assessment can provide an employee insight into his or her work preferences and issues that may be interfering with his or her productivity and enjoyment of work.'When employees understand their work preferences and communication style,they can approach their work in a manner that best suits them,improving their time-management,problem-solving, decision-making,and stress-management skills. Knowledge of personality type can also help employees align with the workplace culture, collaborative more effectively in teams,and better cope with change in the workplace.Sharing aggregate results companywide and within teams can improve communication between management and employees. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 11 ,' BLUE ZONES PROJECT' ('FI by HEA LTH WAYS Validation Requirement:Copy of the communication to employees offering the personality assessment and copy of the personality assessment offered. Describe how the assessment is being utilized and indicate the total number of employees in the organization who completed it. 4.Train leaders to encourage the use of walking and/or standing meetings(one-on-one meetings and larger group meetings when possible). How to do it:Train leaders to encourage walking and/or standing meetings.Walking meetings are ideal for one-on-one meetings or small-group discussions of up to three people.Train leaders to let employees know in advance of plans to have a walking meeting so they can bring or wear shoes comfortable for walking and be cognizant of differing abilities if they intend to walk outside (accommodating for the terrain of the intended walking path and the weather).Afternoons, when energy tends to dwindle,are an ideal time for walking meetings to reinvigorate everyone. It may even help employees avoid a less-healthy choice for afternoon energy like a caffeinated drink.When walking meetings are difficult,standing meetings are an easy alternative. Why do it?Many studies have proven the dangers of sitting too much.Sitting for too long negatively impacts our body's metabolic system and increases the risk of developing chronic diseases—like diabetes or cardiovascular disease—related to sedentary behavior. Evidence shows that walking enhances reasoning and problem-solving ability.Walking meetings are a great way to spark creative discussion and brainstorming.They offer an easy way to integrate simply physical activity into the workday,can help with relationship building,and in some cases improve communication by mitigating hierarchical and status distinctions as people will likely feel more at ease walking than sitting around a formal meeting table.Standing meetings also provide a benefit over sitting meetings.Standing burns calories,tones muscles,improves posture, increases blood flow,and speeds up metabolism. Validation Requirement:Description of the training leaders receive to encourage the use of walking and/or standing meetings,or, provide the formal policy encouraging walking and/or standing meetings. Additional Resources: Center for Health Improvement: http://www.chipolicy.org/pdf/5678.Walking%20Final%20After%20Public%20HW.pdf Guide to Walking Meetings: http://feetfirst.org/walks/walking-meetings "9 Reasons Walking Meetings are Way Better than Sitting in the Boardroom": http://tic.howstuffworks.com/home/walking-meetings-betterthan-boardroom.htm PURPOSE An organization's purpose gives employees an opportunity to connect their work to a greater good and thereby unleashes intrinsic motivation in the workplace.Similarly, if an employee can clearly articulate his or her own talents,passions, strengths, and gifts,and see those qualities manifested in their work,productivity should rise. By encouraging and sponsoring activities and workshops around purpose, leaders demonstrate the value and importance they place on it. 5. Prominently display the organization's vision,mission,and values in a public place,include it in the employee handbook,and communicate it to employees at least once a year. How to do it: Use multiple mediums including print,web,team meetings,and company handbooks to communicate the company's vision,mission,and values,and how they impact all employees at the company. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 12 1; 1 CI BLUE ZONES PROJECT' I)v HEALTH WAYS Why do it?Employee who are aligned with your company's mission are healthier(cost less),happier(more productive and engaged),and live longer. Validation Requirement:Picture or description. 6.Organize or promote a purpose workshop that supports employees to articulate and connect with their own personal purpose. How to do it:Work with your local Blue Zones Project team to learn how to organize a purpose workshop for your employees.You can contact us through the"Contact Us"page on bluezonesproject.com.There may be a fee for facilitation of the purpose workshop. Instead of organizing a purpose workshop onsite,you may promote a purpose workshop in your community and encourage your employees to attend(minimum of 15 employees should attend). Ideally,organize or promote workshops on a regular basis to all employees and contractors at your company. Why do it?Research suggests that people with a strong sense of purpose live longer and have less disability and reduced risk of cognitive impairment later in life than people with a weak sense of purpose." Validation Requirement:Description of purpose workshop(s)with dates and number of employees attending. 7.Adopt a formal policy that supports employee volunteer activities within the community in which they live(both during work and outside of work hours). How to do it: Determine what type of policy works best for your organization to promote volunteerism. Identify opportunities where your organization can support a local charity and promote these in a manner that makes sense for your worksite. Why do it?Creating a sense that your organization and community are working together for a common goal is good for your employees'well-being and,therefore,your business. People who volunteer have lower mortality rates,are less likely to be depressed,have increased life satisfaction and psychological well-being,and report a higher sense of purpose.They also report being happier, perhaps because they focus their energy on helping others in need. Validation Requirement:Copy of policy. HABITAT/PHYSICAL ENVIRONMENT Some factors that impact a worksite's physical environment,such as building design and layout,are often out of the control of employers. However, there are often many elements that have an impact on the physical environment that are within an employer's ability to change. 8. Improve the cafeteria food environment by completing 50 percent of the points possible in the Blue Zones Project Restaurant Pledge. How to do it:Work with your local Blue Zones Project team to learn how you can improve your cafeteria food environment by implementing best practices from the Blue Zones Project Restaurant Pledge. Implement best practices to earn at least 50 percent of the points possible in the Blue Zones Project Restaurant Pledge. Why do it?We make over 200 food decisions a day. Most of these decisions are not based on hunger but rather on the food environment and what foods are readily available to us. By improving your cafeteria food environment,you can Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 13 r me x m EA BLUE ZONES PROJECT' by HEALTHWAYS have a significant impact on the health of your employees, many of whom eat five or more meals a week at the office. Having healthy choices in the cafeteria can also attract high-quality employees and reduce turnover. Validation Requirement:Confirmation by the local Blue Zones Project team that the cafeteria completed 50 percent of points from the Blue Zones Project Restaurant Pledge. 9. Ensure that at least 50 percent of food and beverage options in vending machines meet the Blue Zones Food Guidelines(Individuals). How to do it:Work with your vendors to offer healthier items in vending machines at the worksite. Healthy items should meet the Blue Zones Food Guidelines(Individuals)and be clearly labeled so that they are easy to identify. Why do it? Providing access to healthy foods at the worksite is an important step toward creating a culture that supports well-being. Many people consume at least one meal,as well as beverages,while at work. Encouraging smart food choices at work creates a bias toward healthy eating and helps build barriers against unhealthy eating practices. Validation Requirement:Description and picture of vending machines. 10. Complete the Ergonomic Checklist to ensure that office and non-office-based employees have safe and comfortable ergonomic equipment. How to do it:Complete the Ergonomic Checklist for each employee,as ergonomic adjustments are specific to the individual. Why do it?Awareness and education of proper ergonomic practices for you and your employees may improve comfort, productivity,and positively impact employee health and well-being. Validation Requirement:Copy of completed Ergonomic Checklist for all employees. Additional Resources:Examples of ergonomic checklists: DOL OSHA Worksite Checklist: http://www.osha.gov/SLTC/etools/computerworkstations/checklist.html Cornell University Ergonomics Website: http://ergo.human.cornell.edu 11. Ensure that meeting rooms,workstations,and private office furniture provide flexibility to choose to sit or stand and work. How to do it: Height-adjustable desks give employees control over their immediate work area and the flexibility to choose when to sit or stand. Other options include work tools like height-adjustable monitor arms and sit-to-stand keyboard trays.You can also create designated stand-and-work areas throughout the office if individual workstations can't be modified.Tall meeting room tables not only encourage standing, but may shorten the duration of meetings. Add stools so employees have the option to sit or stand for longer meetings. Even better,add treadmill desks to work areas or conference rooms so employees can walk and work. Why do it?Research is mounting that shows that sitting in and of itself is associated with increased mortality. In one study, people who reported sitting more than six hours a day during their leisure time had death rates 20-40 percent higher than people who reported sitting less than three hours a day.When sitting,your calorie-burning rate immediately plunges to about one calorie/minute,a third of what it would be if you got up and walked. In addition to health benefits,standing meetings remind people to keep the meeting short and to the point. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 14 11F ColBLUE ZONES PROJECT` by HEALTH WAYS Validation Requirement:Description or picture. 12.Support micro-breaks to stretch every hour,either prompted by software or other workplace cues. How to do it:A micro-break can be any type of movement that changes a repetitive activity like using a computer. Encourage employees to take a quick walk to make copies or deliver a message in person instead of sending an e-mail. For example,even a small change to a task,such as returning a phone call while standing,will help. Use software cues or workplace cues like posted signs to encourage micro-breaks. Have leaders model this behavior. Why do it?Taking a micro-break(less than two minutes)isn't a break from work but a break from using the particular set of muscles that are doing most of the work. Micro-breaks can actually decrease the time it takes to complete a particular task while helping to combat fatigue and discomfort.This should have a positive effect on productivity, problem solving,and creativity. Validation Requirement:Description or software name. Additional Resources:Examples of worksite stretches can be found at Stanford University EHS: http://www.stanford.edu/dept/EHS/prod/general/ergo/microbreaks.html Examples of software available can be found at DeskActive: http://www.deskactive.com/ 13. Designate a quiet space in the office where employees can downshift/meditate. How to do it: Identify a quiet space in your office that is removed from the main travel pathways and noisy areas. Designate this space for quiet time,meditation,or prayer.The space should be as relaxing as possible to help employees de-stress. Place plants in the room and use aromatherapy or soft music to enhance downshifting. If possible, choose a space with views to the outside,as nature has a calming effect. Make employees aware of this space and encourage them to use it. Why do it?Stress leads to chronic inflammation,which is associated with every major age-related disease.The world's longest-lived people have routines to shed stress.Okinawans take a few moments each day to remember their ancestors,Adventists pray, Ikarians take a nap,and Sardinians do happy hour. Providing a quiet space in your office makes it easier for employees to take a short break from the hectic work day to downshift and de-stress through reflection, meditation,or prayer. Meditation has been shown to produce a wide range of mental benefits when practiced on a daily basis.Studies have shown that it can actually change how the brain processes information and manages the effects of stress,depression,and anxiety.Those who practice meditation, research has demonstrated,are happier and calmer than those who don't. Prayer has also been shown to have many beneficial effects. Providing a quiet space in your office signals your company's support for mental well-being which can increase employee satisfaction with the work environment, attract high-quality employees,and reduce turnover. Validation Requirement:Description and picture. Additional Resources: The Advantages of a Meditative Space in the Workplace: http://work.chron.com/advantages-meditative-space- workplace-1085.html Meditation Rooms Offer Employees a Refuge from Stresses of the Workplace: http://articles.latimes.com/1998/nov/22/business/fi-46426 14.Adopt a policy that provides space and time for breastfeeding during work hours. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 15 El BLUE ZONES PROJECT* by HEALTH WAYS How to do it:Adopt a policy committing your workplace to providing private space and time for breastfeeding.The policy must provide a clean, private room with a lockable door that isn't a restroom,access to a refrigerator and sink for storing breast milk,and clear guidelines around employee scheduling of time to breastfeed. Why do it?Women who are able to continue to breastfeed after returning to work miss less work time due to baby- related illnesses and have shorter absences when they do miss work.'Workers appreciate the ability to balance work responsibilities and family life,so a breastfeeding private room can lead to an increase in employee loyalty and retention. Validation Requirement:Copy of policy. Additional Resources:For additional information on how to set up breastfeeding space in the worksite and legal requirements: National Business Group on Health Breastfeeding Brief: https://www.businessgrouphealth.org/toolkits/et breastfeeding.cfm FSLA Break Time for Nursing Mothers Provision: http://www.dol.gov/whd/nursingmothers/#Overview 15. Offer and publish walking routes that include number of steps/distance markers throughout internal work environment and external campus/parking areas. How to do it: Identify both indoor and outdoor spaces that can be designated as walking paths,and use a pedometer to calculate the average number of steps it takes to complete each route. For indoors, be creative and include stairwells and other"off-the-beaten-path"areas within a building. Encourage managers to lead by example,taking brief walking breaks and conducting meetings while walking. Provide pedometers to your employees along with contests and incentives to encourage walking. Why do it?Walking can give you more energy,clear your thoughts,and help alleviate stress.Activities such as walking in several ten-minute intervals throughout the day can positively impact calories burned and improve overall health. Validation Requirement:Walking route documents being distributed and/or picture of signage. Additional Resources:For tips on how to run a walking meeting: Living Streets Putting People First"How to Run a Walking Meeting": https://www.ndworksitewellness.org/docs/step6- walkingmeeting.pdf 16. Provide secure bicycle storage(lockers or racks)for at least 5 percent of all employees. How to do it: Install safe,secure,and accessible bike lockers or racks on company property for 5 percent or more of all employees. Bicycle parking and storage areas should:Iv • Be locked, located inside or within 100 feet of a building entry,and easily accessible to employees, residents,and/or visitors. • Be safe,served with night lighting,and protected from damage by nearby vehicles. • Not block the pedestrian path of travel or inhibit universal accessibility. • Have the following physical construction qualities: o Securely anchored to the ground,floor,or wall o Have a two-point support system for the bicycle o Allow for the bicycle frame and one wheel to be locked with a U-lock o Be accessible without moving another bicycle. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 16 lIE ( 5i BLUE ZONES PROJECT' by HEALTH WAYS Why do it?Bike storage gives employees who commute to work via bicycle the feeling of security that their bike will be protected while they work.Simply installing secure on-site bike racks may motivate employees to start biking to work. It also sends the message to employees and customers that cycling is welcomed in the organization. Validation Requirement:Picture of bicycle storage and number of bicycle storage facilities as percentage of employee population. 17. Provide showers and changing facilities with lockers to employees. How to do it:Provide at least one on-site shower with changing facility for the first 100 full-time equivalent(FTE) occupants and one additional shower for every 200 FTE occupants thereafter.'Retrofitting restrooms or other areas with plumbing are usually the most cost-effective ways to add showers to the workplace. Providing basic amenities like soap,shampoo,and hair dryers will make it easier for employees to shower at work without having to bring many items from home.At a minimum, provide private,secure changing areas with amenities such as disposable wipes for a quick clean-up. Partner with a nearby fitness facility for your employees to use their shower facilities and cover some or all of the cost. In a multi-tenant building,consider partnering with other tenants to approach the landlord to add showers and changing facilities not only to benefit your employees but to make the building more marketable in the future. Why do it?Easy access to showers and changing facilities encourage physical activity during the work day.With ever- increasing demands on time,exercise is often the first thing to be scheduled out of the day. Making it convenient for employees to exercise during the work day can lead to overall health improvements that benefit your organization. If your organization is planning for sustainability certification such as LEED (Leadership in Energy& Environmental Design), showers/changing rooms will be an important part of supporting work toward the Physical Activity Innovation Credit.' Validation Requirement:Picture of showers and changing facilities and number of showers and FTE employees. 18.Offer employer-sanctioned fitness activities(e.g.,yoga,kickball,ping pong,fitness classes,walking clubs)and allow participation during work hours. How to do it: If you don't have the space or budget for a fitness center,utilize meeting spaces before and after work or during lunch.Slide the chairs to the side in the break room for a fitness class,or, in nice weather, utilize outdoor space. If you don't have the budget for an instructor, an employee with a passion for exercise can lead a class. Or, provide a selection of DVDs for employees to use.Organize a lunch-time kickball league,volleyball league,or even badminton. Put painter's tape on the floor to map out a "Four Square"game and lead the way in having employees take a few minutes to shrug off stress and play a game. Ping pong tables can be fairly inexpensive and are smile-inducing. Nearly everyone can play, and even a quick ten-minute game can get your heart pumping. Recruit"well-being ambassadors"to create enthusiasm and support and be leaders for these activities.They can also help organize informal walking groups for employees to take walking breaks, or a longer break during lunch, before,or after work. Why do it?Encouraging employees to participate in fitness activities at the workplace can offer increased flexibility to sneak exercise into an otherwise busy schedule. By making the healthy choice the easy choice,on-site activities can encourage camaraderie,mitigate excuses for not working out,and perhaps engage an employee who otherwise may not go to a gym or exercise.Any fitness activity can help relieve stress,increase energy,and ultimately pay off with healthier employees. It's an easy perk that doesn't have to be expensive. Validation Requirement:Description. 19.Create an employee garden. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 17 s h na EABLUE ZONES PROJECT' by HEA LTH WAYS How to do it:On-site gardens are a great way to encourage teams to get outside, build relationships,and grow some fresh fruit,vegetables,and/or herbs. If you are in a small space, consider a container garden or a number of potted trees and plants. Why do it?Live plants in the workplace can help support improved indoor air quality and humidity levels in addition to contributing to a peaceful and calm aesthetic.Worksite gardens create a sense of community and camaraderie within work teams and encourage activity.Additionally,the gardens can supply fresh herbs and vegetables for healthy cooking demonstrations,support an on-site cafeteria or an on-site farmer's market, or even provide fresh produce for food bank donations. Validation Requirement:Picture of garden. Additional Resources:For a sample toolkit on how to set up worksite gardens: Centers for Disease Control and Prevention: http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/gardenmarket/index.htm 20. Encourage use of existing stairwells by using signage to prompt their use,keeping them well-lit,and decorating them with art or music to increase aesthetic appeal. How to do it:Designate one or all the stairs in the building for everyday use. Use motivational signage to discourage elevator use and to direct employees to the stairs."Access to natural light is ideal for illuminating stairwells, but if this is a barrier,stairwells should be illuminated to a level that is at that least 75 percent that of adjacent corridors. Being mindful of local fire codes, incorporate music and/or artwork into stairwells and create a connection between floors by extending finishes and colors into the stairwells. Why do it?Stair use burns calories and studies have linked stair use to health benefits such as improved cardiovascular health."'In addition to health benefits,frequent stair use may improve occupant safety in emergency situations because employees will be more familiar with the paths of egress from a building.Studies have shown that stair prompts are effective at increasing stair use.A study of fourteen New York City office buildings found that people in buildings with stair prompts were over three times more likely to take the stairs than those in buildings without prompts.The researchers also found that naturally lit stairwells significantly increased stairwell use.'" Validation Requirement:Picture of stairwells. 21.Offer wireless headsets to employees who spend most of the day on the phone. How to do it: Identify employees who spend most of the day on the phone and provide wireless headsets to those employees. Remind employees to periodically get up and move by posting reminders in work areas. Hands-free headsets that still have a wire do not qualify for this pledge action. Why do it?Workers who are on the phone for a long portion of the day are often confined to their desk. Wireless headsets allow these employees to move around the office and stretch while working. Phones with cords reduce maneuverability and build stress. Cutting the cord allows workers to sit or stand in a natural position while communicating over the phone. Validation Requirement:Description with brand name or picture of headsets. 22.Allow employees to have control over their individual workspace to add family photos,plants,or other personally meaningful items. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 18 liE EA BLUE ZONES PROJECT' by HEALTHWAYS How to do it:Personal workspaces should provide employees places/ways to express their individualism by displaying family photos,kids'artwork,or other items that are important to them.This can be done by providing tackable or magnetic surfaces and a shelf. Why do it?Personalized workspaces are a form of nonverbal communication to give employees a way to show others who they are and what is important to them. It gives individuals a sense of control over their environment,allows them to communicate their value as a person, not just an employee,and can help support better morale and an improved social climate in the workplace.' Validation Requirement:Copy of policy allowing employees control over their workspace and/or pictures of several individual workspaces that have been personalized. ENGAGEMENT/CREATION OF SOCIAL NETWORKS Effective engagement incorporates a healthy and integrated mix of communications,incentives, and events that can help promote and reinforce well-being participation and behavior change. 23. Develop an engagement plan with a communication strategy;specific,defined objectives;metrics for measuring progress;a calendar of social events to encourage employee well-being;and incentives designed to promote participation. How to do it:Work with various stakeholders at your company(internal communications,benefits,and wellness)to establish a thorough engagement plan that moves your company toward your engagement goals(participation or outcomes).Your engagement plan should include the following: 1.Communication strategy for how you will promote well-being ideas and information in multiple venues(company meetings,team meetings,etc.). Utilize print,web,company meetings,and leadership messages to promote the value of well-being concepts and provide program information. 2.Defined objectives and metrics for measuring progress toward these objectives. 3.Calendar of social events to promote well-being.These events should be held at least quarterly(e.g.,health fairs, guest speakers,lunch-and-learns). Determine the level of interest for specific topics,and host lunch-and-learns (which could include stress management,healthy eating,financial management,or a health fair). Utilize existing resources such as your health plan or Employee Assistance Plan to host these events or see if they have materials (newsletters,webinars,or videos)that you can deploy at low or no cost. 4.Incentives to promote participation in well-being events. Determine your budget for incentives,and identify behaviors that are most important for change.Start with participation and move toward specific outcomes based on your company's biggest need (e.g.,is tobacco or weight a specific issue that you need to address?). Ensure that you have the support of senior leaders and managers to promote sustainable engagement of your programs. Why do it?Engagement represents the degree to which individuals actively participate in relevant learning,attitude shift,and behavior change,which ultimately results in improved health and well-being. It is generally represented by a process in which individuals become aware of the need to do something different or better and then become interested in making a commitment before taking action that results in a new and positive habit or activity. Creating an engagement plan is essential to supporting employees as they become engaged and committed to making well-being improvements.As with any area of business,it is essential to tie strategy to objectives. By being clear and consistent in setting specific and measurable engagement objectives,the strategy can then be properly formulated and metrics can be defined to measure progress toward those objectives. Having a calendar of social events on-site will encourage participation in well-being activities and help continually reinforce the well-being message. Incentives are commonly used to help increase the participation levels of individuals in health screenings and related health-improvement Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 19 1 1F C.):1: BLUE ZONES PROJECT* .•",.., by HEALTH WAYS programs. Overtime, rewarding specific outcomes can be very helpful in encouraging individuals to take steps toward learning more about their health and well-being. Validation Requirement:Copy of engagement plan that includes all required components. 24.Organize MOAIS(purpose,potluck,walking)for employees and contractors. How to do it:Work with your local Blue Zones Project team to learn how to organize Purpose, Potluck,or Walking Moais for employees and contractors.You can contact us through the"Contact Us" page on bluezonesproject.com. Why do it?Moais are small social groups that meet regularly around a particular topic. Forming Moai groups to help employees discover their purpose, learn plant-based cooking,and walk regularly will allow employees to surround themselves with other health-conscious people,leading to more lasting adoption of healthy behaviors. Purpose Moais are groups that meet regularly to talk about their purpose. When employees clarify their strengths and talents, it deepens their sense of purpose and helps them contribute more effectively at work.A strong sense of purpose also strengthens employees'personal relationships and service to their community.Studies show that people who have a strong sense of purpose may live up to seven years longer than people who do not.They have lower rates of heart disease, lower healthcare costs,weigh less,and even report higher levels of happiness.' Potluck Moais bring employees together to share healthy meals, including plant-based meals. Once employees learn how to make healthy meals,they are more likely to prepare them for themselves and their family. Learning how to make plant-based meals will also encourage employees to eat more plant-based foods, reducing their risk for developing heart disease and cancer."il Walking Moais are groups that meet regularly to walk together.Significant health benefits can be obtained by including a moderate amount of physical activity,for example thirty minutes of brisk walking,on a daily basis.Studies have found that when employees join a walking group,they are more likely to stick to a regular walking routine than if they were alone."' Validation Requirement:Description of Moais organized, including type and number of Moais formed and/or total number of employees/contractors who participated. 25. Host plant-based cooking classes. How to do it:Work with your local Blue Zones Project team to learn how to host plant-based cooking classes for employees and contractors. Why do it?Once employees learn how to make plant-based meals,they are more likely to prepare them for themselves and their family. By habitually consuming less meat,particularly red meat,employees and their families are less likely to develop heart disease and cancer,reducing healthcare costs associated with these chronic conditions.' Validation Requirement:Description of plant-based cooking classes,including number of classes and/or total number of employees/contractors participating in classes. 26. Host"Lunch with a Co-worker"program and/or lunchtime walking groups. How to do it: Encourage employees to eat away from their usual workstations so they are motivated to socialize with co-workers in the break room or cafeteria. Designate a time and place where employees can meet every afternoon to go for a walk during their lunch break.Volunteers or members of your wellness committee can take turns leading walks each week. Remind employees of the scheduled walks through various media—including e-mail,announcements,and flyers. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 20 CA BLUE ZONES PROJECT' by HEALTH WAYS Why do it?According to Gallup happiness polls,the happiest people socialize with friends and family about seven hours a day. Lunch-break walking groups are an excellent way for employees to incorporate physical activity into their day while socializing with co-workers. Validation Requirement:Description. 27.Create a pervasive brand for your company's health and well-being program. How to do it:Create an internal logo or tag-line that is used continually with all the programs for improving well-being within your company.The goal is for all of your employees to begin to connect this brand with improving well-being. Why do it?Consumers like to buy brands in their everyday life,and the branding of a program often leads to greater recognition of its inherent value and specific benefits. By creating and promoting an internal health-and-well-being brand,there is an opportunity with your employees(the consumer of your well-being programs)to build brand loyalty. Validation Requirement:Sample of branded material or description of brand. 28.Share updates on program participation levels and positive experiences and outcomes,including testimonials,with all employees. How to do it:Share your company scorecard (for those important metrics you want to track)or employees'success stories in company newsletters or during company meetings. Why do it?Everyone wants to know about success stories or how we are doing as a whole regarding well-being activities.Sharing these stories may motivate employees to take action or continue healthy behaviors. Validation Requirement:Description or copy of updates distributed. 29. Effectively use"place-based media"to communicate well-being messages(e.g.,using stairwells,elevators, restrooms,etc.,for location-appropriate messages). How to do it:Simple messaging about taking the stairs or drinking water are great reminders throughout the worksite to encourage employees to stay healthy. Why do it?Research at the CDC found that signs encouraging employees to take the stairs increased stair usage by almost 9 percent. Messaging in unusual places will "nudge"your employees to take small actions for healthy behaviors. Validation Requirement:Description and copy of signage. Additional Resources: CDC StairWELL to Better Health: http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/stairwell/motivational signs.htm Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 21 CI BLUE ZONES PROJECT' by HEALTH WAYS 30.Contact at least 50%of independently or locally owned restaurants within walking distance of the worksite and encourage them to take the Blue Zones Project Restaurant Pledge. How to do it: Identify all independently or locally owned restaurants within a half mile to one mile radius of the worksite where employees like to go to for lunch or dinner. Contact the owners of those restaurants and encourage them to achieve status as a Blue Zones Project Approved' restaurant. Why do it?The typical adult eats restaurant food an average 5.8 times per week. Restaurants play a role in the community's overall access to healthy options.To earn Blue Zones Project Approved status, restaurants are asked to implement a threshold of items identified on the Blue Zones Project Restaurant Pledge which are designed to encourage customers to eat fewer and healthier calories.The Blue Zones Project Restaurant Pledge was designed in collaboration with Dr. Brian Wansink, Director of the Cornell Food and Brand Lab. Validation Requirement:Copy of communication to restaurant owners. POLICIES& BENEFITS Policies and benefits that advocate an employee's well-being are key in creating a culture that supports health and prevention. The foundation they provide serves as a basis for future decisions and planning. 31. Make health benefits available for full-time employees and family members. How to do it:Offer benefits for medical and dental for all full-time employees and family members. Why do it?Benefits will ensure that your employees are receiving the medical/dental care (preventive and acute)they need as well as ensuring that they are not subject to financial concerns when dealing with the healthcare system. Validation Requirement:Copy of policy offering benefits. 32. Benefits designed to promote prevention(e.g.,flu shots,immunizations,and preventive screenings that are 100 percent covered). How to do it: Providers can often offer flu shots and immunizations on-site at a low cost. If not available on-site, encourage employees to take advantage of local clinics for their annual flu shot.You also want to ensure that your medical plan covers preventive care at no or very low cost to encourage employees to proactively take care of their health and their families' health. Preventive care should include annual flu shots, immunizations,and screenings(based on age and gender). Why do it?Prevention efforts are important for employees in maintaining proper health and productivity and will help ensure that employees ward off illness by taking small, preventive actions to maintain their good health. Validation Requirement:Description of preventive benefits. Additional Resources:Additional information on worksite immunization best practices: The Partnership for Prevention: http://www.prevent.org/flu/Best-Practices.aspx Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 22 hF CX BLUE ZONES PROJECT' by HEALTH WAYS 33. Establish a campus-wide tobacco-free worksite(inside property and on company grounds). How to do it:Adopt a company policy establishing a campus-wide tobacco-free worksite. Let all employees and visitors know that tobacco use is not permitted anywhere on company property. The ban should include electronic nicotine delivery devices,also known as e-cigarettes. Enforcement of the ban will likely be the biggest challenge at first, but a clear,consistent message,delivered over a couple of weeks in advance of the start of enforcement allows time for adoption of new behavior. Encourage all employees(and family members)to use available tobacco cessation tools and resources such as QuitNet®(which is available on the Blue Zones Project website). Why do it?Community smoking bans(including workplaces)are associated with a 17 percent reduction in heart attacks, with the greatest effect seen on younger individuals and nonsmokers.xv A review of smoking bans at the worksite demonstrated that totally smoke-free workplaces reduced smoking prevalence by 3.8 percent and resulted in 3.1 fewer cigarettes smoked per day per continuing smoker.%' Validation Requirement:Copy of policy. Additional Resources:Sample toolkit on how to create a tobacco free campus: http://www.cdc.govhccdphp/dnpao/hwi/toolkits/tobacco/index.htm 34. Establish a policy to only offer foods that meet the Blue Zones Food Guidelines(Individuals)at meetings and special events. How to do it: Establish a policy committing your workplace to serving only foods and beverages that meet the Blue Zones Food Guidelines(Individuals)at all meetings and special events.Work with your food vendor or catering company to ensure compliance with the guidelines. Encourage employees to only distribute healthy foods in gathering places like the receptionist area, kitchen,and break room. Why do it?Policies promoting access to healthy foods at work are important basic steps to creating a culture that supports well-being. Many people consume food and beverages during catered meetings or special events at work.Only offering healthy options reinforces healthy eating behaviors and eliminates the temptation to consume calorically dense foods and beverages with little nutritional value,such as cookies,pastries,and soda. Validation Requirement:Copy of policy. 35. Regularly encourage employees to commute to work via walking,biking,or public transit. How to do it: Promote walking, biking,or the use of public transit to commute to work through employee newsletters, emails,etc.Consider offering financial incentives,such as discounted parking to encourage employee use of active commuting. Why do it?Incenting employees to use public transportation or actively commute to work encourages physical activity. In one research study,users of public transportation took 30 percent more steps per day and spent 8.3 more minutes walking per day than did people who relied on cars.X"ii Validation Requirement:Description of efforts to promote walking, biking,and public transit use to commute to work. Additional Resources:For more information on how to set up programs that support biking to work: Employer Guide to Bicycle Commuting: Establishing a Bike-Friendly Workplace: http://www.baltometro.org/downloadables/bike/BikeCommuterGuide_Employers.pdf Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 23 1 r (C. } BLUE ZONES PROJECT' by HEALTH WAYS i 36. Create Blue Zones Project parking spaces furthest away from the workplace entrance(s). How to do it: Identify a handful of parking spaces that are furthest away from the workplace entrance(s),and label each as a "Blue Zones Project® Parking Space."The Blue Zones Project team can direct you to sample signage. Why do it?Even moderate daily physical activity, including walking,can reduce your risks of developing coronary heart disease,hypertension,and diabetes. Every little bit of activity adds up. Creating Blue Zones Project parking spaces furthest away from the workplace entrance reminds customers that parking further away is one way to easily add more physical activity to their day. Validation Requirement:Picture of signage or description of where signage is placed. 37.Allow flexible work schedules for all employees. How to do it: Review policies to determine the feasibility of this in your specific work environment and, if possible, encourage flexible time to allow employees to take part in healthy activities(e.g.,time with their children for school activities,time to exercise,etc.). Why do it?Opportunities to allow participation in well-being activities during work hours—as appropriate for your worksite—demonstrates leadership's commitment and support for the importance of these activities. Validation Requirement:Copy of policy. Additional Resources:Best practice information on flexible work schedules: The Harvard Business Review: http://blogs.hbr.org/hmu/2010/12/winning-support-for-flexible-w.html 38. Incorporate paid-time-off bank(instead of separate sick/vacation/personal time). How to do it: Review your company's policy for vacation and sick days. Consolidate separate sick/vacation/personal time allocations into a paid-time-off bank. Why do it?Making paid time off available to employees, regardless of being sick or in need of personal time,helps create a positive work environment where employees are better positioned to de-stress and get away. Validation Requirement:Copy of policy. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 24 I 01' BLUE ZONES PROJECTS -'� by HEALTHWAYS WELL-BEING SOLUTIONS Employees need diverse programs to support and address the complex issues they may face in ensuring their well-being. Efforts should be taken to include programs that support all aspects of well-being, including emotional,social,financial, and physical health. 39. Provide on-site/available biometric screening for employees annually How to do it:Check with your health-plan provider to see if they offer this service at low or no cost annually. If it is not available,you may want to partner with other local businesses as part of a health fair. Why do it?Offering biometric screenings(blood pressure,body mass index,glucose,cholesterol) in a convenient manner for employees tends to increase participation.This is a good way to educate your employees about their health risk and, if needed,how to improve their health. Validation Requirement:Description of events/dates and name of vendor. 40.Offer Employee Assistance Programs(EAP) How to do it:Check with your health plan provider to see if they have an EAP available as part of their services. If not, EAP services can often be purchased for a nominal monthly fee based on your company's size. Promote these resources internally through newsletters,e-mails,or lunch-and-learns. For an additional point,offer an EAP on financial education/planning assistance. For an additional point,offer an EAP on stress/depression management. Check with your local health-and-wellness partners to determine what programs are available either on-site,online,or by phone to assist employees and family members in managing their stress. Why do it?EAP programs are effective resources for an employee and their family's emotional health and well-being, while also offering resources for child-care,elder-care,and other services. Financial planning resources can help address a primary area of stress and concern for many employees—managing a budget,planning for their child's education, buying a house or making other large purchases,and/or saving for retirement.Stress can be a significant barrier to optimal well-being,and access to stress-management resources can be vital for employees. Validation Requirement:Description and name of vendor. Additional Resources: For additional resources on worksite financial education: The Personal Finance Employee Education Foundation: http://www.pfeef.org For additional resources on stress/depression management: The National Business Group on Health Guide to Emotional Wellness: http://www.businessgrouphealth.org/pdfs/eg workplace emotional wellness.pdf 41.Offer 24/7 nurse-line and/or decision support tools How to do it:Check with your health-plan provider to determine what employee tools are available on their website. Promote these resources to your employees. Why do it?Medical decision tools are important resources that support medical consumerism and aid in empowering employees to make sound healthcare decisions. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 25 1C .- BLUE ZONES yPROJECT' ;> by HEALTHNAYS Validation Requirement:Description and name of vendor. 42.Offer a health-risk assessment such as the Gallup-Healthways Well-Being 5TM annually How to do it: Encourage all your employees to take a health-risk assessment such as the Well-Being 5 annually in order to have a baseline measurement of their physical,social,and emotional health.Then create a plan to improve their well- being. Why do it?A typical health-risk assessment(HRA)provides insight to your employee's physical health and provides a baseline measurement from which strategy and program planning can be based.This allows the impact of the program to be measured year-over-year.The Well-Being 5 goes one step further and expands the insight provided by a traditional HRA to also include the five interrelated elements of well-being: purpose,social,financial,community,and physical. Validation Requirement:Copy of health-risk assessment,or if using the Well-Being 5, note this. 43.Offer weight-management and/or nutrition coaching How to do it:Check with your local health-and-wellness partners to determine what programs are available either on- site,online,or by phone to assist employees and family members in managing their weight and/or offer programs that encourage employees to eat healthy regarding portion sizes,calories,and sodium intake. For an additional point,offer weight-management programs or subsidies. Research and post local options for weight-management programs(through the YMCA, local health and fitness centers,or other commercial resources such as Weight Watchers). Why do it?Proper weight management is a concern for the majority of individuals. Program resources to address this area should be key in any well-being initiative. Nutrition is a key factor in weight management,as well as cholesterol, blood pressure,and some chronic conditions.Given the need for weight-management resources and the difficulty many employees often have with reaching and maintaining proper weight, providing multiple resource options for this area are important to aid in engagement and sustainable success. Validation Requirement:Description and name of vendor for weight-management and/or nutrition coaching. Description for weight-management programs and/or subsidies. 44.Offer tobacco cessation with coaching and Nicotine Replacement Therapy(NRT) How to do it:Refer your employees and their families to use QuitNet®—a free and confidential tool offered as part of Blue Zones Project.You can also cover effective tobacco treatments as part of the basic medical/Rx plan.This includes coverage of nicotine replacement therapy(gum, inhaler, lozenge, nasal spray,and patch); bupropion SR(brand name Zyban°);varenicline(brand name Chantix°);and counseling.Another option is to remove barriers to tobacco-cessation treatment(e.g.,co-pays, utilization restrictions). Why do it?Evidence suggests that insurance coverage for tobacco-cessation treatments leads to reduced tobacco use. Thus,the Public Health Service recommends all insurers cover comprehensive coverage for effective tobacco- dependence treatments, including medication and counseling. Validation Requirement:Description and name of vendor. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 26 7 1 1 F cxBLUE ZONES PROJECT' by HEALTH WAYS 45. Offer physical-activity coaching How to do it:Offer programs that encourage your employees to move both inside and outside(e.g.,yoga,kickball, softball,Zumba,etc.). For an additional point, provide an on-site fitness center or offer discounts at a local gym or fitness center to encourage your employees to get and stay active. Why do it?Programs that support physical activity are an important resource,especially in today's sedentary environment.Access to fitness facilities encourages participation in physical activities and provides additional resources to help motivate and engage employees to move around and stay healthy. Validation Requirement:Description and name of vendor for physical-activity coaching. Description for on-site fitness center or subsidies to local fitness center. 46. Offer chronic-condition management with coaching How to do it:Chronic conditions(long-term health conditions)need to be managed appropriately. Ensure that your employees who may have chronic conditions have the resources and tools available to self-manage their conditions in order to maximize their health and productivity. Why do it?These conditions can have a significant impact on well-being. Resources that aid in their management are important for employees. Validation Requirement:Description and name of vendor. Copyright©2015 Healthways,Inc.All rights reserved. Release Date 6/30/15 27 • 1 I F --;„„ (FJ BLUE ZONES PROJECT® by HEALTHWAYS 10 BLUE ZONES® FOOD GUIDELINE) We distilled more than 150 dietary surveys of the world's longest-lived people to distill the average longevity diet.These 10 simple guidelines reflect how the world's longest-lived people ate for most of their lives. By adopting some of the healthy eating principles into you daily life,you too can live longer, better. 95/5 RULE Eat Plants. 95 percent of your food should be fruits, vegetables, grains, greens, and beans. Use olive oil to sauté and spices flavor vegetables. Feel free to eat a cup (cooked) of whole grains daily. LIMIT MEAT Think of meat as a celebratory food. Portions should be no larger than a deck of cards, once or twice a week. Avoid processed meats such as hot dogs, bacon and sausages. FISH IS FINE Enjoy fish up to three times weekly.Wild-caught salmon or smaller fish like sardines,trout, snapper, cod, and anchovies are okay choices. Limit portion sizes to 3 ounces(about the size of the palm of your hand.) DIMINISH DAIRY Avoid dairy when possible. If cheese is a must, try ice-cube size portions of sheep (pecorino) or goat(feta)cheese to flavor foods. If you eat eggs, limit intake to 3/week. DAILY DOSE OF BEANS Eat a cup of beans daily spread out across breakfast, lunch or dinner.All beans count, including tofu.They contain high quality protein and fiber. If you buy canned beans, avoid added salt, sugar and chemicals. SLASH SUGAR Consume only 28 grams(7 teaspoons)of added sugar daily. Reserve cookies, cakes, and candies for special occasions. Read labels and avoid foods with more than 8 grams of sugar. Make honey your go-to sweetener. ;;.;. SNACK ON NUTS .= "-" Eat a handful of nuts daily: almonds, pistachios,walnuts, hazelnuts, sunflower seeds, pumpkin seeds, (e Brazil nuts, and peanuts.Try different nuts so you don't tire of them. Avoid sugar-coated nuts. 9 SOUR ON BREAD Eat only 100% whole grain breads or authentic sourdough bread made from live cultures. Limit bread to two slices daily. Chose whole grain corn tortillas over flour tortillas. Avoid white breads and wraps. (ti GO WHOLLY WHOLE Try to eat only whole foods or processed foods with fewer than 5 ingredients: If it's manufactured in a plant, avoid it. If it comes from a plant, eat it. kDRINK MOSTLY WATER Drink six glasses of water daily. Feel free to drink unsweetened teas and coffee. Enjoy Wine at 5 with friends or with Blue Zones inspired meals. Avoid all sugar-sweetened and diet sodas. 28 Copyright©2015 Dan Buettner.AM rights reserved. hF i ,.---,-tf,,,,-_, , BLUE ZONE PROJECTHEALTHWAYS® (("5":1 BLUE ZONES® vi--)r\rti 1 i c--r- Select from the Top 50 Blue Zones Foods to create healthy, delicious meals inspired by Blue Zones centenarians. ISLAND OF IKARIA, GREECE * Greens (all varieties) * Chickpeas Lemons * Black-Eyed Peas * Eggplant * Olive Oil Potato * Honey v * Mediterranean Herbs * Coffee ISLAND OF SARDINIA, ITALY Tomatoes * Durum Semolina , Artichokes Barley Fennel * Pecorino Cheese ,' * Onions * Goat's Milk • Almonds 9 Wine j Blue Zones Project®is a trademark of Blue Zones,LLC.All rights reserved. Copyright©2013 Blue Zones,LLC.All rights reserved. 29 . 1 BLUE ZONES PROJECT' by HEALTH WAYS NICOYA PENINSULA, COSTA RICA r4 Papaya • Cabbage Bananas • Yams o . Mango • Corno . Winter Squash • Black Beans Summer Squash • Limes ISLAND OF OKINAWA, JAPAN Shitake Mushrooms Seaweed Sweet Potatoes Tofu 4 Green Onions + Brown Rice o Garlic Turmeric . Bitter Melon o Green and Black Tea LOMA LINDA, CALIFORNIA I Beans • Nuts o Bell Peppers • Oats o Broccoli • Whole Grains o Berries • Seitan N o Avocado • Tempeh Blue Zones Project is a trademark of Blue Zones,LLC.All rights reserved. Copyright 0 2013 Blue Zones,LLC.All rights reserved. 30 hFz CxBLUE ZONES PROJECT' by HEALTH WAYS Goodstein,L.and Lanyon,R.(1999).Applications of Personality Assessment to the Workplace:A Review.Journal of Business and Psychology,3,291-322.http://link.springer.com/article/10.1023/A:1022941331649 it Sone T,Nakaya N,Ohmori K,et al.Sense of Life Worth Living(Ikigai)and Mortality in Japan:Ohsaki Study.Psychosomatic Medicine 2008;70:709-715.Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/1859624 Boyle P,Buchman A,Bennett D.Purpose in Life Is Associated With a Reduced Risk of Incident Disability Among Community-Dwelling Older Persons.Am J Geriatr Psychiatry 2010;18:12.Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992099/ Boyle P,Buchman A,Barnes L,Bennett D.Effect of a Purpose in Life on Risk of Incident Alzheimer Disease and Mild Cognitive Impairment in Community-Dwelling Older Persons.Arch Gen Psychiatry.2010;67(3):304-310.Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389510/ 1°Cohen R,Mrtek MB.Comparison of maternal absenteeism and infant illness rates among breast-feeding and formula-feeding women in two corporations.American Journal of Health Promotion 1995;10(2):148-53. Retrieved from http://www.mchservicesinc.com/artl.pdf U.S.Green Building Council LEED Pilot Credit 13:Bicycle Network,Storage,and Shower Rooms. http://www.usgbc.org/Docs/Archive/General/Docs8188.pdf v U.S.Green Building Council LEED Pilot Credit 13:Bicycle Network,Storage,and Shower Rooms. http://www.usgbc.org/Docs/Archive/General/Docs8188.pdf vi Active Design Guidelines:Promoting Physical Activity&Health in Design http://www.nyc.gov/html/ddc/html/design/active_design.shtml vll"Place Advantage:Applied Psychology for Interior Architecture".Sally Augustin,PhD http://www.placeadvantage.com "StairWELL to Health"Centers for Disease Control and Prevention.htt //www.cdc. ov nccd h do ao/hwi/toolkits stairwell p� g / p P/ P / / Ix Ruff,R.,Rosenblum,R.,Fischer,S.,Meghani,H.,Adamic,J.,Lee,K.Associations between building design,point-of-decision stair prompts,and stair use in urban worksite.Journal of Preventive Medicine,2013.Retrieved from http://www.scienced irect.com/science/article/pii/5009174351300460X x"Place Advantage:Applied Psychology for Interior Architecture".Sally Augustin,PhD http://www.placeadvantage.com xI Hummer,Robert,Richard G Rogers,Charles B.Nam and Christopher G.Ellison(1999),"Religious Involvement and U.S.Adult Mortality," Demography(May),36:2,273-285 Retrieved from http://webcache.googleusercontent.com/search?q=cache:yED54EGOF_IJ:courses.washington.edu/setclass/Soc496_07Fall_Honors/Hum mer%2520et%2520a 1.pdf.gz+&cd=1&h 1=en&ct=cl n k&gl=us xlf Cross AJ,Leitzmann MF,Gail MH,Hollenbeck AR,Schatzkin A,Sinha R."A prospective study of red and processed meat intake in relation to cancer risk."PLoS Med 2007;4(12):e325.Retrieved from http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0040325 Sinha R,Cross AJ,Graubard BI,Lietzmann MF,Schatzkin A."Meat intake and mortality:a prospective study of over half a million people." Arch Intern Med 2009;169(6):562-571.Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19307518 xiii Wing,Rena R and Robert W.Jeffery(1999),"Benefits of Recruiting Participants with Friends and IncreasingSocial Support for Weight Loss and Maintenance,"Journal of Consulting and Clinical Psychology,67:1,132-138.Retrieved from http://psycnet.a pa.org/index.cfm?fa=buy.optionToBuy&id=1999-00242-015 xiv Cross AJ,Leitzmann MF,Gail MH,Hollenbeck AR,Schatzkin A,Sinha R."A prospective study of red and processed meat intake in relation to cancer risk."PLoS Med 2007;4(12):e325.Retrieved from http://www.plosmed icine.org/a rticle/info%3Adoi%2F10.1371%2Fjourna I.pmed.0040325 Sinha R,Cross AJ,Graubard BI,Lietzmann MF,Schatzkin A."Meat intake and mortality:a prospective study of over half a million people." Arch Intern Med 2009; 169(6):562-571.Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19307518 xv Myers DG,Neuberger JS,He J.Cardiovascular Effect of Bans on Smoking in Public Places:A Systematic Review and Meta-Analysis. Journal of the American College of Cardiology 2009;54(14): 1249-55.Retrieved from http://content.onlinejacc.org/article.aspx?articleid=1140093 xvl Fichtenberg CM,Glantz SA.Effect of smoke-free workplaces on smoking behaviour:systematic review.BMJ 2002;325: 188.Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12142305 xv"Edwards R.Public Transit,Obesity,and Medical Costs:Assessing the Magnitudes.Preventive Medicine 2008;46(1):14-21.Retrieved from http://health-equity.pitt.edu/910/1/06pm.pdf Copyright©2015 Healthways,Inc.All rights reserved. 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