Total Health

Total Health and Workplace Safety

Everyone has the right to a safe and healthy place to work. Kaiser Permanente workers and managers have the benefit of voluntary, confidential programs that include tips, tools, and health coaches to take charge of their own health and wellness. It’s a collective effort, because not only is partnership a team sport but health is, too. Workers and managers are key to improving safety where they work. Everyone has a role to take action and improve safety by speaking up about and effectively addressing safety issues.

From the Desk of Henrietta: Sugar—the New Tobacco?

Submitted by Shawn Masten on Mon, 09/19/2016 - 16:21
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As KP workers focus on their new total health message—internally and externally—UCSF researchers say the FDA should remove sugar from the list of foods 'generally regarded as safe.'

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As With Tobacco, We Can Fight Back!

Surprising many, a poll taken in November 2011 showed nearly three out of five California voters would support a special fee on soft drinks to fight childhood obesity.

The researchers at UCSF, in fact, recommended that the Food and Drug Administration remove sugar from the list of foods “generally regarded as safe,” meaning they can be used in unlimited quantities. 

Robert Lustig, MD, UCSF pediatric endocrinologist, doesn’t sugarcoat his message. “Government has to get off its ass,” he told the San Francisco Chronicle.

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Sugar--the new tobacco?
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It's sweet, but could prove sour for your health
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Our bodies metabolize the excessive sugar in processed foods just as it processes alcohol and other toxins, causing damage to our liver and other organs.

Sugar makes us more likely to develop a variety of risk factors that lead to serious illness, while making us crave sweet even more.

In fact, sugar causes a cycle of addiction in the brain in much the same way as drugs and alcohol—and cigarettes. When it comes to addictiveness, nicotine takes the, um, cake.

Physicians at the University of California at San Francisco (UCSF), led by outspoken pediatric endocrinologist Robert Lustig, MD, published a paper in February in the journal Nature showing that like alcohol and tobacco, sugar is a toxic, addictive substance. They argue that it should, therefore, be closely regulated, with taxes, laws on where and to whom it can be advertised and age-restricted sales. The researchers said that increased global consumption of sugar is primarily responsible for a whole range of chronic diseases that are reaching epidemic levels around the world.

Is sugar—so pervasive in processed foods, soda and junk food in general—the new tobacco? Let’s see.                                    

It can kill you.

If Lustig and his colleagues—and many other independent researchers—are even half right, sugar and junk food have been responsible for millions of preventable deaths. According to journalist Eric Schlosser, author of “Fast Food Nation” and the children’s book “Chew on This,” poor diet and lack of exercise may soon surpass smoking as the No. 1 cause of preventable death.

People make huge amounts of money by selling it.

Remember how long the tobacco industry denied the link between tobacco, advertising, and lung cancer and heart disease? We are hearing the same protestations from the processed food industry today. Don’t buy it!

Schlosser, a keynote speaker at the 2012 Union Delegates Conference, recounts how McDonald’s was built. Founder Ray Kroc discovered that profits were higher when kids ate out with their parents. So he lured children in with lollipops. Later, he added a clown. Today, fast food chains hire child psychologists, hold focus groups for toddlers and put 5-year-olds in MRI machines to see which part of their brain is responsible for brand loyalty.

“Think about the profit margin in a soda,” Schlosser says. The raw materials are water, food coloring, sugar and a paper cup. Nutritional value: less than zero. Cost to produce: pennies. Now there’s a profit margin!

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From the Desk of Henrietta: The Value of a Cloverleaf

Submitted by tyra.l.ferlatte on Mon, 09/19/2016 - 16:09
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Henrietta, the resident columnist for the LMP's quarterly magazine Hank, compares the new Total Health Incentive cloverleaf to the Value Compass. 

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Total Health Incentive Plan

This story and these tools from the Fall 2013 Hank explains everything you need to know about the plan.

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An imaginary friend of mine smokes, is decidedly chunky, and has high blood pressure and high cholesterol. His kids nag him about the cigarettes and weight; his wife worries more about the hidden conditions.

This fellow could be any one of many of us, and if he wanted to track his efforts to improve his health, he could use the “cloverleaf” graphic introduced in this issue of Hank—a visual summary of the four measures of health at the heart of the new Total Health Incentive Plan.

Cloverleaf graphic - a visual summary of the four measures of health at the heart of the new Total Health Incentive Plan

The cloverleaf has a lot in common with the Value Compass, which illustrates the interconnectedness of service, quality, affordability and the workplace environment. The Value Compass reminds us that improving in one area at the expense of another isn’t progress—and that improving in one area frequently leads to improvements in other areas.

So it is with health. If I take up smoking and have a cigarette each time I’m tempted to eat something sweet, I may improve my Body Mass Index, or BMI—but I won’t have improved my health. If my imaginary friend starts to make better food choices and ups his exercise, however, he’s likely to see improvement across the spectrum of health issues he’s facing. By measuring improvement in several areas, the new incentive plan puts the emphasis on bringing the whole person into better balance.

And by putting the focus on collective improvement, the plan recognizes that all of us are making decisions as individuals in a social system—a system that can make it harder, or easier, to make better choices. Losing the dougnuts at a breakfast meeting may seem like a small gesture, but many such gestures add up to powerful change.

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Around the Regions (Fall 2013) Jennifer Gladwell Mon, 09/19/2016 - 16:08
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A quick round-up of things that the regions are doing on the healthy workforce front. From the Fall 2013 Hank.

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Colorado

Employees in Colorado are well on their way to wellness. The region has had a wellness program since 2004, and for the last four years has had a cash incentive to encourage employees to participate in wellness activities. The results have been positive. From 2009 to 2012, employee obesity rates have dropped from 34 percent to 32 percent. In addition, the prevention index—a composite metric that reflects the percentage of employees who are tobacco free, up to date on preventive screenings for heart disease and cancer, and not obese—has risen, with women improving from a 46 percent rating to 52 percent, and men improving from 44 percent to 50 percent.

Georgia

The Georgia region used its social media channels, including Facebook, Twitter, Instagram and Pinterest, to showcase employees, physicians and executives who mobilized for the Atlanta 2-Day Walk for Breast Cancer in October. Photos of giant, costumed characters “Doc Broc” and “Nurse Blueberry” filled the region’s news feeds, along with pictures of KP’s walkers and supporters. By using hyperlinks and hashtags, KP’s teams could connect with others involved in the event to generate online buzz for the walk. “Doc Broc” also appears at the KP-sponsored farmers’ market at Piedmont Park and other events. When not tracking the cruciferous crusader, the social media pages keep a steady diet of healthy recipes, tips and links to blog posts by top executives to show KP and its partner unions’ joint commitment to total health.

Hawaii

Safety conversations are sweeping the islands, with every employee in the region striving for at least two conversations per month, thanks to an idea pioneered by the Ambulatory Surgery Recovery unit. Brightly colored “topic stimulator” cards encourage staff members to share tips in a safe, fun manner. “Sharp attack” cards keep safe needle-handling on point. “Whoa” cards steer employees toward safer patient transport and lifting. “I spy” cards safeguard confidentiality by prompting frank discussions about hallway conversations, snooping, unattended computers and the paper shredder. Christy Borton, RN, the regional workplace safety champion—and injury rates, which were already low, are staying that way “We never talked about safety. Now we do, all the time, in the most meaningful ways.”

Mid-Atlantic States

The region’s fourth annual Learning Conference will provide opportunities to enhance skills in education and learning. Two days of workshops will provide ways to help clinical health educators improve communication skills and leverage the latest patient education technology. Informed and educated patients can participate in treatment, improve outcomes, help identify errors before they occur and reduce length of stay. This free conference also is for anyone in the region who facilitates or supports learning, including those who will be involved in engaging staff in workforce wellness activities—technical and LMP trainers, consultants, managers and supervisors, and shop stewards. Sessions begin Friday, Nov. 1, in College Park, Md. To view the conference web page and register, go to learn.kp.org and search for KPMAS Annual Learning Conference.

Northern California

Marcus Barnes and Donna Norton have been named the region’s Total Health union champions. The Total Health positions help support implementation of the 2012 National Agreement. Barnes, an OPEIU Local 29 member, works in the regional Claims department. Norton, a member of SEIU UHW, is a licensed vocational nurse at the Vacaville Injection Clinic, serves as an executive board member of SEIU UHW for Vacaville and Fairfield, and is her facility’s union co-lead. The pair will work closely with local union leaders and managers to recruit and train local workforce wellness champions, help frontline employees understand the National Agreement’s Total Health Incentive Plan, and work to integrate workforce wellness and workplace safety at the front line.

Northwest

Staff in the Northwest are getting healthy and having fun at the same time. At the Beaverton Medical Office, staff members teamed up to lose weight and sweetened the deal with an informal competition. Those who met their personal goal then took part in a drawing for a prize. Overall, staff members at the medical office have lost 89 pounds. If you come by, don’t be surprised if you see staff doing Instant Recess®, push-ups in the back office or working in the community garden.

Southern California

Panorama City Medical Center has 52 busy “Thrive ambassadors,” who talk to their colleagues about Kaiser Permanente’s wellness programs. They also recently started one community walk per month, raising awareness and funds for Alzheimer’s disease, victims of violent crime and other causes. Holly Craft Moreno, who is quoted in the cover story of this issue of Hank, says the group is always recruiting new ambassadors—adding that it’s not necessary to be a “rock star who does a triathlon every day.” The willing are welcome, she says: “Some of us can’t walk as fast as others. There is always someone on our team who will slow down, too.”

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Hank Spring 2016

Format: PDF

Size: 16 pages; print on 8.5" x 11" paper (for full-size, print on 11" x 14" and trim to 9.5" x 11.5")

Intended audience: Frontline workers, managers and physicians

Best used: Download the PDF or visit the Hank page to read all the stories online.

 

How Managers Manage Stress Laureen Lazarovici Fri, 05/13/2016 - 00:07
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Tips and tools for and by managers and leaders to relieve job pressure—on themselves and others.

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Part of a manager’s job is to look at the big picture—and job stress and burnout are usually part of the picture in health care. Operational leaders from two regions share their thoughts on keeping workplace energy and morale high.

Wendy Watson (Northwest)
Regional vice president, Professional, Clinical and Continuing Care Services 

There’s very little downtime in our work. We want to deliver great service, quality, affordability. The pace is fast, as our industry is changing rapidly. That can be a formula for stress. No one can do this work alone—we all need to support one another.

Build strong teams

High-performing unit-based teams are part of the solution. Solving even one problem at a time can help a team increase job satisfaction and get results, and that reduces stress. If you are leading teams you have to be very purposeful—making time with your team, creating space to talk and making our meeting time productive and solution-focused.

Some of our facilities have Living Room huddles, where people from all departments gather before the start of business, and one department presents a topic. It’s an opportunity to learn and build relationships across the facility. The more connected we are, the more we can support each other.

Make time for yourself

Running is my No. 1 antidote to stress. I try to run regularly—early in the morning before the workday, and longer on weekends. It’s my way to expend physical energy and feel mentally reenergized.

You have to make time for yourself, and that includes exercise. It’s not easy to do. But when you make exercise a priority, you create energy to be able to deal more effectively with stress.

Corwin Harper (Northern California)
Senior vice president, Area Manager, Napa-Solano

It’s hard to generalize about stress because everybody has a different stress meter. We all handle things differently. It’s an issue of work-life balance, and we’re in an industry where we all invest our personal energy, because health care is about caring for others.

People have to be aware of that and think about what they can do to manage their energy and stress levels. We should proactively manage things at work that sap energy and invest in things that raise our energy.

How do you help others?

As a leader, I have to be aware of what I can do to minimize energy-wasters and reduce job stress.

We talk about stress in our workplace safety conversations. I address it as part of leadership rounding. And rounding is not just checking the box. It’s focused on engaging with people about how they’re doing, letting them know you care, encouraging them to spend time with their families and calling out work-related issues that are barriers to performance.

We focus on creating a culture where we understand and respect one another.

Know yourself

I hate sitting all day long. I do core exercises at work in my spare moments. You have to know when to step away and recharge. I try to eat right, exercise, listen to music and pray. I’m still working on getting enough sleep.

Rounding for results

Rounding is a powerful tool for creating a culture where employees are free to speak. Having a short list of open-ended questions to ask each person on a regular basis makes it easier for staff members to raise concerns—and that, in turn, helps reduce stress levels.

 

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Managers use rounding as a powerful tool for creating a culture where employees are free to raise concerns—and that helps reduce stress levels.
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