Helping employees quit smoking Employer Webinar Programs and strategies focusing on tobacco cessation

Workplace impact of tobacco use • Yearly smoking-related productivity losses were around $97 billion 2000-2004.1 • Yearly smoking-related health care costs were around $96 billion 2000-2004.1 ▪ Business pay an average of $2,189 in workers’ compensation costs for smokers, compared with $176 for nonsmokers.2 ▪ On average, smokers miss 6.16 days of work per year due to sickness compared to nonsmokers, who miss 3.86 days of work per year.3

An American Productivity Audit found that tobacco use was a leading cause of worker lost production time — more than alcohol abuse or family emergencies.5

▪ Employees who take four 10-minute smoking breaks a day actually work one month less per year than workers who don't take smoking breaks.4

1 Centers

for Disease Control and Prevention website: Smoking & Tobacco Use 2008 cdc.gov 2The association of health risks with workers' compensation costs.. 3 Impact of smoking status on workplace absenteeism and productivity. 4Americans for NonSmokers' Rights. 5Journal of Occupational and Environmental Medicine 2003

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“The hardest thing I’ve ever done” Quitting smoking is hard. ▪ Most smokers are dependent on nicotine. Within 10 seconds of entering the body, the nicotine reaches the brain.1 ▪ Nicotine dependence is the most common form of chemical dependence in the US.2 Approximately 69% of smokers want to quit completely.3 Percentage of adult smokers who stopped smoking for more than 1 day in 2010 because they were trying to quit3: 52.4% of all adult smokers (23.7 million people) 62.4% of smokers aged 18–24 years 56.9% of smokers aged 25–44 years 45.5% of smokers aged 45–64 years 43.5% of smokers aged 65 years or older

1: Betobaccofree.gov 2: American Society of Addiction Medicine. 3: Centers for Disease Control and Prevention. Quitting Smoking Among 4 Adults—United States, 2001–2010.

Strategies Tobacco Cessation in the workplace •

Step 1: Determine tobacco-use policies/smoke-free environment

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Step 2: Provide health education – Newsletters, articles, posters, etc

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Step 3: Utilize local resources

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Step 4: Promote programs available to members via their health plan ▪

Online Program

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Programs for extra support

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Step 1: Tobacco-free workplace policy ▪ Create a tobacco-free workplace – make it company policy that no tobacco is allowed on the property or in company vehicles • If you do designate a smoking area, make sure it’s far away from entrances or heavy traffic areas. • The Centers for Disease Control, American Cancer Society and National Business Groups on Health all have sample tobacco policies • The American Cancer Society has sample tobacco policies.

▪ Offer wellness credits on health insurance for employees who complete stop smoking programs or certify that they are tobacco-free 66

Centers for Disease Control: Creating a tobaccofree workplace •This toolkit describes how others in federal or nonfederal workplaces can plan and implement a TFC policy and evaluate its success. The toolkit describes and guidance for the following project phases: ▪ Assessing Need and Interest ▪ Planning ▪ Promotion

▪ Implementation ▪ Evaluating Success

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Step 2: Offer education and resources

Time Well Spent: Wellness education at your fingertips

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Time Well Spent: Posters, fliers and more…

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Step 3: Utilize local resources •Check with local resources for smoking cessation ▪ Local hospitals or health care practices often offer smoking cessation clinics ▪ Local chapters of the American Lung Association or American Cancer Society offer support groups and education. ▪ Promote state-based QuitLine • NAQUITLINE.ORG

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Step 4: Promote programs available through your health plan • Digital Health assistant • SpecialOffers • Future Moms and ConditionCare • Healthy Lifestyles: Tobacco Free • EAP: Live Tobacco Free

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Online Tool: Health Assistant The Health Assistant can help members stop smoking by helping them set goals, create weekly plans and track their progress. Members create personalized activity plans with personally selected activities that will help them succeed in reaching their goals to stop smoking. • Available to members that register on our member portal. • Online support emulates coaching • Trackers to monitor goal progress. • Access to message boards to connect with others who are trying to quit.

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Health Assistant Member experience • Members select their goals, choose activities and create & edit their plan. ▪ Plan will be made of activities that can be edited for intensity levels: Easy, moderate or challenging and frequency to complete in a week. ▪ Users can choose new activities and continue to rate activities they like or dislike to be included in the plan over time.

• To help members meet their goals: ▪ ▪ ▪ ▪

Track their progress Learn More: Connect with a community Personalized messaging: Provides encouragement and support ongoing engagement.

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Online Resource: •SpecialOffers features members-only discounts available for a variety of health and wellness products and services ▪ 40% off selfhelpworks: Discount on Living Free video training program. • 12 sessions delivered by a certified instructor

▪ 5% off Drugstore.com: Discounts on stop smoking aids •

Gums, lozenges, smokeless inhalers

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Nicotine patch, therapy magnets

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Future Moms and ConditionCare ▪ If a ConditionCare or Future Moms participants is identified as a tobacco-user, goals may be established around a quit date. ▪ During the Assessment, nurses will assess the member’s readiness to change and can offer support through coaches specializing in tobacco cessation. ▪ Nurses will also refer members to available resources including other programs available and local resources.

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Healthy Lifestyles Tobacco Free • Healthy Lifestyles Tobacco Free is a smoking cessation program designed to help your employees quit smoking and stay quit for good. The program provides your employees with expert counseling by phone, through the web or both to help employees set a quit date, select the right medication, get encouragement from fellow quitters and track their progress.

▪ Personal Coaching — team-based phone coaching from qualified professionals using the newest behavior change principles. ▪ Quitting Tools — fully integrated platform designed specifically to support tobacco cessation and other aspects of health and well-being. ▪ QuitNet Community — support from online Quit Buddies. ▪ QuitGuide — comprehensive guide to quitting smoking. ▪ Milestone Celebrations — individual success celebrations like the number of days quit. ▪ Nicotine Replacement Therapy (NRT) — employers have the option of including a full cycle of NRT to the program components. 16 16

Healthy Lifestyles Tobacco Free: QuitNet Tools Tobacco Free offers the most comprehensive, personalized smoking cessation program in the market. • Access to QuitNet, the world’s largest “stop smoking” community – 10,000 new members every month! • More than 15 years providing evidencebased web support • Highly personalized content based on user’s Stage of Change • Intensive social support from a global community of quitters • Online counseling by trained tobacco cessation specialists • Quit medication selection and compliance support via Counselor • Long-term relapse prevention with lifetime web support

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Live Tobacco Free through EAP This program takes a unique, personal approach to kicking the tobacco habit for good. Employees can call or instant message a specially trained coach, who can help them:

▪ Understand triggers that cause them to smoke ▪ Manage their weight and personal fitness goal as they relate to tobacco cessation. ▪ Live better and gain control of their health, using positive motivation. Plus, the program includes: ▪ 10 interactive sessions to help break the emotional and physical ties to tobacco. ▪ Tobacco cessation tip sheets for avoiding and dealing with the stress that may come with quitting. ▪ Web resources 18 18

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QUESTIONS

Please use the Question box on the right hand side of the webinar

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• Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation (Compcare), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. • Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. • Blue Cross and Blue Shield of Georgia, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. • Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

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