CONSUMER ON HEALTH WELL - ORAU

Source: American Heart Association

© 2018 HealthCare 21 Business Coalition - Member of the National Alliance of Healthcare Purchaser Coalitions

CONSUMER

GUIDE2018-2019ON HEALTH

WELLBEING

GYM

DIET

SLEEPLOVE more READ

Quit SmokingFinancial

Literacy

WELLBEINGWELLHow a

Affects Your Life.You...

WHOLE

WELLBEINGWELLNESS THE SAME AS ISN'T?

YESNO &

While both have connections to health, wellness is more focused on one’s physical health and disease prevention.

WELLBEING is focused on ALL the aspects of one’s overall health:

PHYSICAL, EMOTIONAL, SOCIAL & FINANCIAL.

WELLBEING

PHYSICAL

SOCIALEMOTIONAL

FINANCIALAccording to the CDC, wellbeing integrates both physical and mental health for a more “whole life” approach to health.

"Health is NOT merely the absence of disease."

- World Health Organization

Physical wellbeing includes not only staying active, but also nutrition, sleep and healthy choices.

PHYSICAL WELLBEING

Being physically healthy has many benefits linked to heart health, diabetes, and other preventive diseases.

But did you know there is more to physical wellbeing than just physical activity?

BEING ACTIVE CAN• Lower your blood pressure

• Aid in managing stress and anxiety

• Allow more restful sleep

• Encourage more time outside and in your community

• Promote a positive outlook and self-image

It’s no surprise that eating a balanced diet can help you maintain a good weight and prevent chronic disease, but providing your body with the nutrients it needs can also benefit your brain!

FOOD FUELS YOUR BRAIN...

• Making sound decisions • Solving problems • Controlling your emotions• Depression/suicide/risk-taking behavior

It is when an individual doesn’t get enough sleep, sleeps at the wrong time of day or doesn’t sleep well.

WHAT IS SLEEPDEPRIVATION?

Did you know that not getting enough sleep can cause major issues in both your physical and mental health? If you are sleep deficient you may have trouble with:

• Higher insulin level• Obesity due to imbalance of

hormones that make you feel hungry (ghrelin) or full (leptin)

Source: National Heart, Lung, and Blood Institute (NHLBI)

Source:Harvard Health Blog

• Your brain functions at its best when it is getting the proper fuel.

• Cutting out processed foods has a profound effect on your overall wellbeing.

• Foods high in vitamins, minerals, and antioxidants nourish your brain, improve your mood, give you energy, and help reduce inflammation throughout your body.

EMOTIONAL WELLBEING

Our everyday lives can be busy, overwhelming, and over-connected. As a result, stress rises.

The share of American’s who report experiencing at least one stress symptom in the last month. 3

outof4

45Lying awake at night

REPORT %36

Feeling nervous or anxious

REPORT %35

Irritability or anger

REPORT %34

Fatigue due to stress

REPORT %

A FEW MYTHS ABOUT STRESSStress is the same for everyone.Each of us responds to stress in an entirely different way. MYTH 1: If there are no symptoms then there is no stress.Absence of symptoms does NOT mean absence of stress. MYTH 2: Only major symptoms call for attention.Minor symptoms are early warnings that things are getting out of hand and need to be better managed. MYTH 3:

Source: APA

HOW DO IMANAGESTRESS?

Identify Your SourcesWhat are your triggers? Are they related

to family, health, financial decisions, work, relationships or something else?

Learn Your SignalsDo you have a hard time concentrating, feel irritable or angry, get headaches or lack energy?

Find Healthy Ways to ManageConsider stress-reducing activities such as exercise or talking things out with family/friends/therapist.

Take Care of You!Be sure to eat right, get plenty of sleep, stay hydrated and engage in physical activity.

NOT ALL STRESS IS THE SAME

Short term stress resulting from demands and pressures of the recent past and those anticipated in the near future. It is the most common and most manageable. Symptoms include emotional distress, tension headaches, stomach/gut/bowel problems and rapid heartbeat.

Sufferers have acute stress often, and their lives are in constant disorder. They are always in a hurry, but always late, have a lot of “nervous energy”, and can’t seem to organize the self-inflicted demands and pressures of life.

Stress that takes its toll year after year. This is the stress of poverty, dysfunctional families or being trapped in an unhappy situation. It is the most difficult to treat and can result in a fatal breakdown.

ACUTE:

EPISODIC ACUTE:

CHRONIC:

Source: APA

The National Institutes of Health has found a link between upbeat mental

state and improved health. This doesn’t mean never feeling sadness or

anger, just that people who savor positive emotions have greater feelings

of well-being and reduced physical health factors.

POSITIVE THINKING HAS POSITIVE EFFECTS

Source: APA

Source: American Psychological Association (APA)

Source: NIH

WH

AT

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N I D

O T

O IM

PR

OV

E M

Y W

ELLBEIN

G IN

TH

E W

OR

KP

LACE?

As can b

e imag

ined, if you strug

gle in any of the areas of

wellb

eing, it can b

e difficult to b

e prod

uctive in your job.

Here are sim

ple thing

s you can do at w

ork to enhance your w

ellbeing

.PH

YS

I CA

L

WELLB

EING

A 2012 study show

ed that eating unhealthy was linked

with a 66 percent increased risk of loss of productivity. The

increased risk was 50 percent w

ith infrequent exercise!

Snack on fruits and veg

gies rather than cand

y

Bring a 16 oz. bottle of w

ater to try and refill 3x/day

Walk d

uring your lunch b

reak

Take the stairs instead of the elevator

Disinfect your keyb

oard, m

ouse and p

hone regularly

Increase your font size to reduce eye strain

Eat a balanced

lunch

So

urce: B

righ

am Yo

un

g U

niversity an

d W

ebM

D

EM

OT

ION

AL

WELLB

EING

Accord

ing to the C

DC

, job stressors can affect an

emp

loyee's safety and health. B

ut there are ways to

lessen the imp

act of these stressors.

Declutter your d

esk Post p

ositive messag

es around your w

orkspace

Step aw

ay from your d

esk and g

o for a walk to

clear your m

ind

Watch a funny vid

eo for a good

laugh

If your comp

any offers an EAP service, use it!

Develop

a workp

lace plan w

ith your manag

er to

help id

entify what you need

to be successful

So

urce: W

orkp

lace Strateg

ies for M

ental H

ealth

SO

CI A

L

WELLB

EING

Six hours of social time is recom

mended per day. This can

be challenging at work, but it is im

portant to find ways to

squeeze in social breaks.

Eat lunch with friends and co-w

orkers in the office, or

away if tim

e allows

Visit social m

edia sites during breaks

Send personal emails occasionally throughout the day

Take short breaks to walk to a co-w

orker’s desk and

“chat”

Organize volunteer opportunities w

ith your company

So

urce: B

righ

am Yo

un

g U

niversity an

d W

ebM

D

FIN

AN

CIA

LW

ELLBEIN

GIt is hard to concentrate at w

ork if you are stressing about

your finances. Use tools available through your com

pany to

improve your cash flow

.C

ontribute the maxim

um to your 401K

plan U

se automatic deposit to put 20%

of your take-home

pay into a saving

s or high interest account

Stash away any raises or bonuses throughout the year

Utilize any financial services m

ade available through your em

ployer

So

urce: S

mart A

bo

ut M

on

ey

HealthCare 21 Business Coalition (HC21) is an employer led coalition of healthcare leaders and other stakeholders with the mission to create ONE VOICE to build a value-based healthcare market.

W W W. H C 2 1 . O R GBuilding a Value-Based Market

TWO Regions / ONE VOICE Contracting Networks Payment Benefit Design

SOCIALWELLBEING

Being connected to others is a basic human need. But did you know it’s as important as getting exercise AND eating your veggies?

A study showed that lack of social connection is a greater detriment to health than obesity, smoking and high blood pressure!

BENEFITSOF SOCIAL CONNECTION

• 50% increased chance of longevity

• Stronger gene expression for immunity (research by Steve Cole,UCLA)

• Lower rates of anxiety and depression

• Higher self-esteem and empathy

• Better emotion regulation skills

RISKS OF A LOW SOCIAL CONNECTION

• Slower recovery from diseases

• Higher Inflammation at the cellular level

• Volunteering and compassion create a sense of purpose and connection.

• Keeping stress well managed allows for more opportunity to be outward-focused, which is linked to a higher sense of connection.

• Asking for help and reaching out to others keeps you connected when they may not recognize your needs.

THE GOODNEWS!

Source: Stanford University’s Center for Compassion and Altruism Research and Education

Source: NCBI


While many use technology to stay connected, it is beneficial to UNPLUG.

Reduce feelings of envy, FOMO (fear of missing out), and loneliness.

Allow time for solitude and self-reflection.

Focus on what is happening around you…go experience life!

Source: Fitness Together

FINANCIALWELLBEING

Having control over your finances plays a big role in your overall wellbeing. It allows you to feel freedom over your day-to-day and month-to-month finances.

Not having control can cost as much as 100 points on your credit score. That’s for just ONE late payment!

Source: National Foundation for Credit Counseling

Source: University of Michigan

Do I hide purchases from others?

Do I pay my bills late or ignore them all together?

Are my checking accounts overdrawn regularly?

Do I routinely purchase, and then return items?

Am I afraid to check my credit report and score?

Do I use shopping as a way to cope with emotional stress?

ASK YOURSELF:R E A L I T Y C H E C K

If you answer “Yes” to some or all of these, you are advised to seek financial counseling immediately.


• Increased antisocial behavior and violence

• Higher chances of anxiety, depression and suicide.

SIX SIMPLE FINANCIAL HABITS

• Spend less than you earn

• Save for the future

• Boost your earning capacity

• Protect what you have

• Grow your moneySource: Smart About Money

• Get rid of cable or cancel the premium channels

• Switch banks to avoid inflated fees

• Eat out less often

• Visit thrift stores before buying something new

• Pay cash rather than using credit cards

Try adopting these long-term strategies over the next five years:

• Conservatively borrow only what you can afford Source: Smart About Money



CONSUMER


WELLBEING

GYM

DIET

SLEEPLOVE moreREAD


Literacy

WELLBEING WELLHow aAffects YourLife.

You...WHOLE

WELLBEING WELLNESSTHE SAME ASISN'T ?YES

NO&While both have connections to health, wellness is more focused on one’s physical health and disease prevention.



WELLBEING

PHYSICAL

SOCIAL EMOTIONAL





PHYSICAL WELLBEING





















EMOTIONAL WELLBEING


The share of American’s who report experiencing at least one stress symptom in the last month. 3out

of4

45 Lying awake at night

R E P O R T% 36 Feeling nervous or anxious

R E P O R T% 35 Irritability or anger

R E P O R T% 34 Fatigue due to stress

R E P O R T%

A FEW MYTHS ABOUT STRESSStress is the same for everyone.Each of us responds to stress in an entirely different way.MYTH 1: If there are no symptoms then there is no stress.Absence of symptoms does NOT mean absence of stress.

MYTH 2: Only major symptoms call for attention.Minor symptoms are early warnings that things are getting out of hand and need to be better managed.

MYTH 3: Source: APA











ACUTE:

EPISODIC ACUTE:

CHRONIC:

Source: APA






Source: APA


Source: NIH

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pla

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rig

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un

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FIN

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once

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ork

if yo

u ar

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abou

t

your

fina

nces

. Use

tool

s av

aila

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thro

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your

com

pany

to

impr

ove

your

cas

h flo

w.

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trib

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the

max

imum

to

your

401

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lan

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aut

omat

ic d

epos

it to

put

20%

of y

our

take

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e

pay

into

a s

avin

gs

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igh

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rest

acc

ount

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ash

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any

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ser

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So

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mar

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bo

ut

Mo

ney


WWW.HC21.ORGBuilding a Value-Based Market

TWO Regions / ONE VOICEContractingNetworksPaymentBenefit Design

SOCIALWELLBEING















THE GOODNEWS!Source: Stanford University’s Center for Compassion and Altruism Research and Education

Source: NCBI







FINANCIALWELLBEING











ASK YOURSELF: REALITY CHECK

















• Conservatively borrow only what you can affordSource: Smart About Money



CONSUMER


WELLBEING

GYM

DIET

SLEEPLOVE moreREAD


Literacy

WELLBEING WELLHow aAffects YourLife.

You...WHOLE

WELLBEING WELLNESSTHE SAME ASISN'T ?YES

NO&While both have connections to health, wellness is more focused on one’s physical health and disease prevention.



WELLBEING

PHYSICAL

SOCIAL EMOTIONAL





PHYSICAL WELLBEING





















EMOTIONAL WELLBEING


The share of American’s who report experiencing at least one stress symptom in the last month. 3out

of4

45 Lying awake at night

R E P O R T% 36 Feeling nervous or anxious

R E P O R T% 35 Irritability or anger

R E P O R T% 34 Fatigue due to stress

R E P O R T%

A FEW MYTHS ABOUT STRESSStress is the same for everyone.Each of us responds to stress in an entirely different way.MYTH 1: If there are no symptoms then there is no stress.Absence of symptoms does NOT mean absence of stress.

MYTH 2: Only major symptoms call for attention.Minor symptoms are early warnings that things are getting out of hand and need to be better managed.

MYTH 3: Source: APA











ACUTE:

EPISODIC ACUTE:

CHRONIC:

Source: APA






Source: APA


Source: NIH

WH

AT

CA

N I

DO

TO

IM

PR

OV

E M

Y W

ELLB

EIN

G I

N T

HE

WO

RK

PLA

CE?

As

can

be

imag

ined

, if y

ou s

trug

gle

in a

ny o

f the

are

as o

f w

ellb

eing

, it

can

be

diffi

cult

to b

e p

rod

uctiv

e in

you

r jo

b.

Her

e ar

e si

mp

le t

hing

s yo

u ca

n d

o at

wor

k to

enh

ance

yo

ur w

ellb

eing

. PH

YS

ICA

L

WEL

LBEI

NG

A 2

012

stud

y sh

owed

tha

t ea

ting

unhe

alth

y w

as l

inke

d

with

a 6

6 pe

rcen

t in

crea

sed

risk

of lo

ss o

f pro

duct

ivity

. The

incr

ease

d ris

k w

as 5

0 pe

rcen

t with

infre

quen

t exe

rcis

e!

Snac

k on

fru

its

and

veg

gie

s ra

ther

tha

n ca

ndy

Brin

g a

16 o

z. b

ottle

of w

ater

to

try

and

refil

l 3x/

day

Wal

k d

urin

g y

our

lunc

h b

reak

Take

the

sta

irs

inst

ead

of

the

elev

ator

Dis

infe

ct y

our

keyb

oard

, mou

se a

nd p

hone

reg

ular

ly

Incr

ease

you

r fo

nt s

ize

to r

educ

e ey

e st

rain

Eat

a b

alan

ced

lunc

h

So

urc

e: B

rig

ham

Yo

un

g U

niv

ersi

ty a

nd

Web

MD

EM

OT

ION

AL

WEL

LBEI

NG

Acc

ord

ing

to

the

CD

C, j

ob s

tres

sors

can

affe

ct a

n em

plo

yee'

s sa

fety

and

hea

lth. B

ut t

here

are

way

s to

le

ssen

the

imp

act

of t

hese

str

esso

rs.

Dec

lutt

er y

our

des

k Po

st p

osit

ive

mes

sag

es a

roun

d y

our

wor

ksp

ace

Step

aw

ay f

rom

you

r d

esk

and

go

for

a w

alk

to

clea

r yo

ur m

ind

W

atch

a f

unny

vid

eo f

or a

goo

d la

ugh

If yo

ur c

omp

any

offe

rs a

n EA

P se

rvic

e, u

se it

! D

evel

op a

wor

kpla

ce p

lan

wit

h yo

ur m

anag

er t

o

help

iden

tify

wha

t yo

u ne

ed t

o b

e su

cces

sful

So

urc

e: W

ork

pla

ce S

trat

egie

s fo

r M

enta

l Hea

lth

SO

CIA

L

WEL

LBEI

NG

Six

hour

s of

soc

ial t

ime

is re

com

men

ded

per d

ay. T

his

can

be c

halle

ngin

g at

wor

k, b

ut it

is im

port

ant t

o fin

d w

ays

to

sque

eze

in s

ocia

l bre

aks.

Eat

lunc

h w

ith fr

iend

s an

d co

-wor

kers

in t

he o

ffice

, or

away

if t

ime

allo

ws

Vis

it so

cial

med

ia s

ites

durin

g br

eaks

Send

per

sona

l em

ails

occ

asio

nally

thr

ough

out

the

day

Take

sho

rt b

reak

s to

wal

k to

a c

o-w

orke

r’s d

esk

and

“cha

t”

Org

aniz

e vo

lunt

eer

oppo

rtun

ities

with

you

r co

mpa

ny

So

urc

e: B

rig

ham

Yo

un

g U

niv

ersi

ty a

nd

Web

MD

FIN

AN

CIA

LW

ELLB

EIN

GIt

is h

ard

to c

once

ntra

te a

t w

ork

if yo

u ar

e st

ress

ing

abou

t

your

fina

nces

. Use

tool

s av

aila

ble

thro

ugh

your

com

pany

to

impr

ove

your

cas

h flo

w.

Con

trib

ute

the

max

imum

to

your

401

K p

lan

Use

aut

omat

ic d

epos

it to

put

20%

of y

our

take

-hom

e

pay

into

a s

avin

gs

or h

igh

inte

rest

acc

ount

St

ash

away

any

rai

ses

or b

onus

es t

hrou

ghou

t th

e ye

ar

Util

ize

any

finan

cial

ser

vice

s m

ade

avai

labl

e th

roug

h yo

ur e

mp

loye

r

So

urc

e: S

mar

t A

bo

ut

Mo

ney


WWW.HC21.ORGBuilding a Value-Based Market

TWO Regions / ONE VOICEContractingNetworksPaymentBenefit Design

SOCIALWELLBEING















THE GOODNEWS!Source: Stanford University’s Center for Compassion and Altruism Research and Education

Source: NCBI







FINANCIALWELLBEING











ASK YOURSELF: REALITY CHECK

















• Conservatively borrow only what you can affordSource: Smart About Money



CONSUMER


WELLBEING

GYM

DIET

SLEEPLOVE more READ


Literacy

WELLBEINGWELLHow a

Affects Your Life.You...

WHOLE

WELLBEINGWELLNESS THE SAME AS ISN'T?

YESNO &

While both have connections to health, wellness is more focused on one’s physical health and disease prevention.



WELLBEING

PHYSICAL

SOCIALEMOTIONAL





PHYSICAL WELLBEING





















EMOTIONAL WELLBEING


The share of American’s who report experiencing at least one stress symptom in the last month. 3

outof4

45Lying awake at night

REPORT %36


REPORT %35


REPORT %34


REPORT %

A FEW MYTHS ABOUT STRESSStress is the same for everyone.Each of us responds to stress in an entirely different way. MYTH 1: If there are no symptoms then there is no stress.Absence of symptoms does NOT mean absence of stress. MYTH 2: Only major symptoms call for attention.Minor symptoms are early warnings that things are getting out of hand and need to be better managed. MYTH 3:

Source: APA











ACUTE:

EPISODIC ACUTE:

CHRONIC:

Source: APA






Source: APA


Source: NIH

WH

AT

CA

N I D

O T

O IM

PR

OV

E M

Y W

ELLBEIN

G IN

TH

E W

OR

KP

LACE?

As can b

e imag

ined, if you strug

gle in any of the areas of

wellb

eing, it can b

e difficult to b

e prod

uctive in your job.

Here are sim

ple thing

s you can do at w

ork to enhance your w

ellbeing

.PH

YS

I CA

L

WELLB

EING

A 2012 study show

ed that eating unhealthy was linked


increased risk was 50 percent w

ith infrequent exercise!

Snack on fruits and veg

gies rather than cand

y

Bring a 16 oz. bottle of w

ater to try and refill 3x/day

Walk d

uring your lunch b

reak


Disinfect your keyb

oard, m

ouse and p

hone regularly


Eat a balanced

lunch

So

urce: B

righ

am Yo

un

g U

niversity an

d W

ebM

D

EM

OT

ION

AL

WELLB

EING

Accord

ing to the C

DC

, job stressors can affect an

emp

loyee's safety and health. B

ut there are ways to

lessen the imp

act of these stressors.

Declutter your d

esk Post p

ositive messag

es around your w

orkspace

Step aw

ay from your d

esk and g

o for a walk to

clear your m

ind

Watch a funny vid

eo for a good

laugh

If your comp

any offers an EAP service, use it!

Develop

a workp

lace plan w

ith your manag

er to

help id

entify what you need

to be successful

So

urce: W

orkp

lace Strateg

ies for M

ental H

ealth

SO

CI A

L

WELLB

EING

Six hours of social time is recom

mended per day. This can

be challenging at work, but it is im

portant to find ways to


Eat lunch with friends and co-w

orkers in the office, or

away if tim

e allows

Visit social m

edia sites during breaks


Take short breaks to walk to a co-w

orker’s desk and

“chat”

Organize volunteer opportunities w

ith your company

So

urce: B

righ

am Yo

un

g U

niversity an

d W

ebM

D

FIN

AN

CIA

LW

ELLBEIN

GIt is hard to concentrate at w

ork if you are stressing about

your finances. Use tools available through your com

pany to

improve your cash flow

.C

ontribute the maxim

um to your 401K

plan U

se automatic deposit to put 20%

of your take-home

pay into a saving

s or high interest account

Stash away any raises or bonuses throughout the year

Utilize any financial services m

ade available through your em

ployer

So

urce: S

mart A

bo

ut M

on

ey


W W W. H C 2 1 . O R GBuilding a Value-Based Market

TWO Regions / ONE VOICE Contracting Networks Payment Benefit Design

SOCIALWELLBEING















THE GOODNEWS!


Source: NCBI







FINANCIALWELLBEING











ASK YOURSELF:R E A L I T Y C H E C K

















• Conservatively borrow only what you can afford Source: Smart About Money

So

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merican

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WH

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WELLN

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ME

AS

ISN'T

?YES

NO

&W

hile both have connections to health, wellness is m

ore focused on one’s physical health and disease prevention.

WELLB

EING

is focused on A

LL the aspects of one’s overall health:

PHYSIC

AL,

EM

OTIO

NA

L, SO

CIA

L &

FINA

NC

IAL.

WELLBEING

PHYSICAL

SOCIALEMOTIONAL

FINANCIALA

ccording to the CD

C, w

ellbeing integrates both physical and m

ental health for a more “w

hole life” approach to health.

"Health is

NO

T merely

the absence

of disease."

- Wo

rld H

ealth O

rgan

ization

Physical wellb

eing includ

es not only staying

active, but

also nutrition, sleep and

healthy choices.

PH

YS

ICA

L WELLB

EING

Being physically healthy has

many benefits linked to heart

health, diabetes, and other preventive diseases.

But d

id you know

there is m

ore to physical

wellb

eing than just

physical activity?

BEING ACTIVE CAN• Lo

wer yo

ur blo

od

pressure

• Aid

in manag

ing stress and

anxiety

• Allo

w m

ore restful sleep

• Enco

urage m

ore tim

e outsid

e and

in your co

mm

unity

• Pro

mo

te a po

sitive outlo

ok

and self-im

age

It’s no

surprise that

eating a

balanced diet can help you maintain

a good weight and prevent chronic

disease, but providing your body w

ith the nutrients it needs can also benefit your brain! FOOD FUELS YOUR BRAIN...

• Making sound decisions

• Solving problems

• C

ontrolling your emotions

• Depression/suicide/risk-taking behavior

It is when an ind

ividual d

oesn’t get

enough sleep

, sleeps at the w

rong

time of d

ay or doesn’t sleep

well.

WH

AT IS SLEEP

DEP

RIV

ATIO

N?

Did

you know that not g

etting enoug

h sleep can cause m

ajor issues in both your

physical and

mental health? If you are sleep

deficient you m

ay have trouble w

ith:

• Higher insulin level

• Obesity due to im

balance of horm

ones that make you feel hungry

(ghrelin) or full (leptin)

So

urce: N

ation

al Heart, L

un

g, an

d B

loo

d In

stitute (N

HL

BI)

So

urce:H

arvard H

ealth B

log

• Your brain functions at its best when it

is getting the proper fuel.

• Cutting out processed foods has a profound

effect on your overall w

ellbeing.

• Foods high in vitamins, m

inerals, and antioxidants nourish your brain, im

prove your mood, give you

energy, and help reduce inflamm

ation throughout your body.

EM

OT

ION

AL W

ELLBEIN

G

Our everyd

ay lives can be b

usy, overwhelm

ing, and

over-connected. A

s a result, stress rises.

The share of Am

erican’s who report experiencing

at least one stress sym

ptom in the last m

onth. 3

outof4

45Lying aw

ake at night

RE

PO

RT

%36


RE

PO

RT

%35


RE

PO

RT

%34


RE

PO

RT

%

A FEW MYTHS ABOUT STRESSStress is the sam

e for everyo

ne.Each of us responds to stress in an entirely different w

ay.MYTH 1:

If there are no sym

pto

ms then there is no

stress.A

bsence of symptom

s does NO

T mean absence of stress.

MYTH 2:

Only m

ajor sym

pto

ms call fo

r attention.

Minor sym

ptoms are early w

arnings that things are getting

out of hand and need to be better managed.

MYTH 3: S

ou

rce: AP

A

HO

W D

O I

MA

NA

GE

STRESS?

Identify Yo

ur Sources

What are your triggers? A

re they related

to family, health, financial decisions,

work, relationships or som

ething else?

Learn Your Sig

nalsD

o you have a hard time concentrating,

feel irritable or angry, get headaches or lack energy?

Find H

ealthy Ways to

Manag

eC

onsider stress-reducing activities such as exercise or talking things out w

ith fam

ily/friends/therapist.

Take Care o

f You!

Be sure to eat right, get plenty of

sleep, stay hydrated and engage in physical activity.

NO

T A

LL STRESS

IS TH

E SA

ME

Short term stress resulting from

demands and

pressures of the recent past and those anticipated

in the near future. It is the m

ost comm

on and

most m

anageable. Symptom

s include emotional

distress, tension headaches, stomach/gut/bow

el problem

s and rapid heartbeat.

Sufferers have acute stress often, and their lives are in constant disorder. They are alw

ays in a hurry, but alw

ays late, have a lot of “nervous energy”, and can’t seem

to organize the self-inflicted dem

ands and pressures of life.

Stress that takes its toll year after year. This is the stress of poverty, dysfunctional fam

ilies or being trapped in an unhappy situation. It is the m

ost difficult to treat and can result in a fatal breakdow

n.

AC

UTE

:

EPISO

DIC

AC

UTE

:

CH

RO

NIC

:So

urce: A

PA

The National Institutes of H

ealth has found a link b

etween up

beat m

ental

state and im

proved

health. This doesn’t m

ean never feeling sad

ness or

anger, just that p

eople w

ho savor positive em

otions have greater feeling

s

of well-b

eing and

reduced

physical health factors.


So

urce: A

PA

So

urce: A

merican

Psych

olo

gical A

ssociatio

n (A

PA

)

So

urce: N

IH

WHAT CAN I DO TO IMPROVE MY WELLBEING IN THE WORKPLACE?

As can be imagined, if you struggle in any of the areas of wellbeing, it can be difficult to be productive in your job. Here are simple things you can do at work to enhance your wellbeing.

P H Y S I C A L

WELLBEING

A 2012 study showed that eating unhealthy was linked


increased risk was 50 percent with infrequent exercise!

Snack on fruits and veggies rather than candy

Bring a 16 oz. bottle of water to try and refill 3x/day

Walk during your lunch break


Disinfect your keyboard, mouse and phone regularly


Eat a balanced lunch

Source: Brigham Young University and WebMD

EMOTIONALWELLBEINGAccording to the CDC, job stressors can affect an employee's safety and health. But there are ways to lessen the impact of these stressors.

Declutter your desk Post positive messages around your workspace Step away from your desk and go for a walk to clear your mind

Watch a funny video for a good laugh If your company offers an EAP service, use it! Develop a workplace plan with your manager to help identify what you need to be successfulSource: Workplace Strategies for Mental Health

S O C I A L

WELLBEINGSix hours of social time is recommended per day. This can

be challenging at work, but it is important to find ways to


Eat lunch with friends and co-workers in the office, or

away if time allows

Visit social media sites during breaks


Take short breaks to walk to a co-worker’s desk and

“chat”

Organize volunteer opportunities with your company

Source: Brigham Young University and WebMD

FINANCIALWELLBEINGIt is hard to concentrate at work if you are stressing about

your finances. Use tools available through your company to

improve your cash flow.Contribute the maximum to your 401K plan Use automatic deposit to put 20% of your take-home

pay into a savings or high interest account Stash away any raises or bonuses throughout the year Utilize any financial services made available through your employer

Source: Smart About Money

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G

Hav

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you

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atio

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?

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ase,

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turn

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ck m

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edit

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rt a

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?

Do

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sho

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a w

ay to

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oti

ona

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ess?

ASK Y

OURSE

LF:R

EA

LIT

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CK

If yo

u an

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“Ye

s” to

som

e or

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of th

ese,

you

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UNDERSTANDING THE TERMS

Fully Meets Standards

Substantial Progress

Some Progress

Willing to Report

The hospital chose not to disclose this information.

Procedure is not performed at the hospital.

NA

WHAT DO THE RESULTS MEAN?

H O S P I T A L S A F E T Y G R A D E

The hospital reported fewer than 30 admissions over a 24-month period for this condition.

KNOXVILLEOVERALL PATIENT SAFETY RATINGS HOSPITAL ACQUIRED INFECTIONS HOSPITAL

SAFETY GRADE

HOSPITAL Never Events Steps to Avoid Harm

Prevent Med. Errors

Appropriate ICU Staff

Appropriate Use of

Antibiotics in Hospitals

Central Line Infections (CLABSI)

Catheter Associated Infections (CAUTI)

Other Healthcare Associated Infections (HAI) Spring 2018 Grade

Spring 2017 GradeMRSA

InfectionsMRSA Rate

C.Diff Infections

C.Diff RateRate Rate

Blount Memorial Hospital 1.395 1.260 3.898 1.012 C C

University of Tennessee Medical Center 0.174 0.556 0.587 0.984 A A

Fort Sanders Regional Medical Center 1.281 0.826 0.586 0.259 A A

Methodist Medical Center of Oak Ridge 0.338 0.185 0.000 0.591 A B

North Knoxville Medical Center 1.770 2.334 2.297 0.447 C B

Parkwest Medical Center 1.684 1.245 0.921 0.332 A B

Physicians Regional Medical Center 1.137 1.076 3.449 0.632 C C

Turkey Creek Medical Center 1.300 0.673 1.539 0.428 C C

Claiborne Medical CenterNot

Eligible C

Cumberland Medical Center B A

East Tennessee Children's HospitalNot

EligibleNot

Eligible

Fort Loudon Medical Center B A

Jellico Community HospitalNot

EligibleNot

Eligible

LeConte Medical Center C B

Morristown-Hamblen Healthcare System A B

Roane Medical Center A B

Tennova Healthcare-Jefferson Memorial HospitalNot

EligibleNot

Eligible

Tennova Healthcare-LaFollette Medical CenterNot

EligibleNot

Eligible

TRI-CITIESOVERALL PATIENT SAFETY RATINGS HOSPITAL ACQUIRED INFECTIONS HOSPITAL

SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections


Franklin Woods Community Hospital A A

Holtson Valley Medical Center C C

Indian Path Medical Center C D

Johnson City Medical Center C B

Laughlin Memorial Hospital A A

Sycamore Shoals HospitalNot

Eligible C

Takoma Regional HospitalNot

Eligible A

Unicoi County Memorial HospitalNot

EligibleNot

Eligible

Wellmont Bristol Regional Medical Center B A

Wellmont Hancock County HospitalNot

EligibleNot

Eligible

Wellmont Hawkins County Memorial HospitalNot

EligibleNot

Eligible

OVERALL PATIENT SAFETY RATINGS HOSPITAL ACQUIRED INFECTIONS HOSPITAL SAFETY GRADE


Prevent Med. Errors


Appropriate Use of




Other Healthcare Associated Infections (HAI)Spring 2018 Grade


InfectionsMRSA Rate

C.Diff Infections


Maury Regional Hospital 0.638 0.882 0.454 0.715 A A

Monroe Carell Jr. Children's Hospital at Vanderbilt 0.820 0.658 1.268 0.358 Not Eligible

Not Eligible

Nashville General Hospital 1.368 0.000 3.616 0.302 D D

Northcrest Medical Center 0.777 0.606Unable to Calculate 0.159 A A

TriStar Ashland City Medical CenterUnable to Calculate

Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible

TriStar Centennial Medical Center 0.842 0.820 0.936 1.186 A A

TriStar Hendersonville Medical Center 1.507 1.000 0.000 0.697 B A

TriStar Horizon Medical CenterUnable to Calculate 0.598

Unable to Calculate 0.547 A A

TriStar Skyline Medical Center 0.471 1.507 0.895 0.643 A C

TriStar Southern Hills Medical Center 0.000 0.739Unable to Calculate 0.608 A B

TriStar StoneCrest Medical Center 0.576 0.468 1.681 1.108 B A

TriStar Summit Medical Center 0.734 0.491 1.194 0.579 B B

Vanderbilt University Hospital 0.898 0.450 0.992 0.707 A B

Williamson Medical Center 0.389 0.470 0.672 0.678 A A

Saint Thomas Mid-Town 0.916 0.682 0.534 0.484 A C

Saint Thomas Rutherford Hospital 0.628 0.652 0.712 0.772 B C

Saint Thomas West Hospital 0.483 0.766 1.121 0.693 B B

Sumner Regional Medical Center 0.000 1.911 0.928 0.740 A C

Decatur County General HospitalNot

EligibleNot

Eligible

Lincoln Medical CenterNot

Eligible C

Tennova Healthcare-Harton D D

Tennova Healthcare-LebanonNot

EligibleNot

Eligible

MEMPHIS

Results are as of August 31, 2018. For the most current information please visit www.leapfroggroup.org/cp

Unable toCalculate

Not Eligible Not eligible

based on criteria.

The information provided in this report allows you to compare and locate the right care for you and your family, much like you would use a consumer report to compare cars, computers or televisions.

Hospitals in this Guide are tiered according to their Leapfrog Never Events score.

Never Events - Four bars indicates the hospital has agreed to Leapfrog’s Never Events policy. Never Events are outcomes that should not occur while you are in the hospital. Examples are surgery on the wrong body part or discharging an infant to the wrong family.

Steps to Avoid Harm - Patients should choose a hospital with a high score in this category. High scores indicate the hospital has put into place procedures to reduce 17 common, preventable medical mistakes.

Prevent Medication Errors - Patients should choose a hospital that uses computer prescriber order entry (CPOE) to order medications, tests and procedures to avoid errors.

Appropriate ICU Staffing - Patients should choose a hospital with an intensive care unit (ICU) staffed by doctors and other caregivers that have received specialized training in critical care.

Appropriate Use of Antibiotics in Hospitals: Using Antibiotics responsibly helps prevent the spread of antibiotic-resistant bacteria. High scores indicate the hospital is committed to the principles set down by the CDC.

Central Line Infections - Some patients receive a tube inserted to deliver medications and other treatments. This puts them at higher risk for blood infections, known as Central Line-Associated Bloodstream Infection (CLABSI). A number lower than 1 means fewer infections than expected.

Urinary Catheter Infections - When not inserted and removed correctly, catheters can cause serious infections. A rate lower than 1 means fewer infections than expected.

MRSA Infections - Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that cannot by killed by many antibiotics. MRSA can be found in bed linens or medical equipment and can be spread if providers do not properly wash their hands between patients. MRSA can cause life-threatening bloodstream infections, pneumonia and surgical site infections. A number lower than 1 means fewer infections than expected.

C.Diff Infections - Clostridium difficile (C. diff) is a bacterium that can cause diarrhea, abdominal pain, loss of appetite, and fever. Most C. diff cases occur in patients taking antibiotics, and fully killing the bacteria in an infected patient can be very difficult. C. diff can spread on contaminated equipment or by providers who fail to properly wash their hands between patients. A number lower than 1 means fewer infections than expected.

The grades used in the Leapfrog Hospital Safety ScoreSM program are derived from expert analysis of publicly available data using national evidence-based measures of patient safety.

The Leapfrog Hospital Safety Score program grades hospitals on their overall performance in keeping patients safe from preventable harm and medical errors. For more information visitwww.hospitalsafetygrade.org.



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections


Children's Hospital at Erlanger 0.604 0.697 1.540 0.838 Not Eligible

Not Eligible

Erlanger Baroness Hospital 0.604 0.697 1.540 0.838 C C

Erlanger East HospitalUnable to Calculate

Unable to Calculate

Unable to Calculate 0.436 C C

Erlanger North HospitalUnable to Calculate

Unable to Calculate

Unable to Calculate 1.400 Not

EligibleNot

Eligible

Floyd Medical Center 0.220 1.479 1.491 0.874 C B

Hamilton Medical Center 1.634 1.548 0.899 0.356 Not Eligible B

Parkridge East Hospital 1.725 2.331Unable to Calculate 0.280 C C

Parkridge Medical Center 1.405 2.505 1.920 0.860 C B

Redmond Regional Medical Center 1.456 0.158 1.272 0.287 B A

Gordon HospitalUnable to Calculate 0.000


Memorial Hixson Hospital 0.261 1.111Unable to Calculate 0.313 B A

Memorial Hospital Chattanooga 0.572 0.952 1.035 0.780 B C

Starr Regional Medical CenterUnable to Calculate 0.000

Unable to Calculate 0.000 B B

Tennova Healthcare-Cleveland Main D Not Eligible

Tennova Healthcare-Cleveland West D Not Eligible

CHATTANOOGA / CLEVELAND / NORTH GEORGIA NASHVILLE



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections


Baptist Memorial Hospital Collierville 1.748 0.000Unable to Calculate 1.300 D B

Baptist Memorial Hospital of Memphis 0.371 0.400 0.572 1.232 D C

Baptist Memorial Hospital - Union CityUnable to Calculate

Unable to Calculate

Unable to Calculate 0.183 B A

Baptist Memorial Hospital for Women 1.223Unable to Calculate


EligibleNot

Eligible

Le Bonheur Children's Medical Center 1.077 1.080 2.759 0.258 Not Eligible

Not Eligible

Methodist Le Bonheur Germantown Hospital 0.705 0.258 0.632 0.652 B B

Methodist North Hospital 0.509 0.000 1.241 0.664 C C

Methodist South Hospital 0.231 0.000 0.639 1.224 C C

Methodist University Hospital 0.802 0.404 1.061 1.126 C C

Regional One Health 1.371 1.038 3.493 1.101 D C

Saint Francis Hospital - Bartlett 0.529 0.973 1.543 1.156 A A

Saint Francis Hospital-Memphis 0.763 0.659 1.924 1.095 C B

St. Jude Children's Medical Center 1.627Unable to Calculate


EligibleNot

Eligible

Hardin Medical CenterUnable to Calculate

Unable to Calculate

Unable to Calculate 1.882

Not Eligible B

Baptist Memorial Hospital of HuntingdonNot

EligibleNot

Eligible

Baptist Memorial Hospital TiptonNot

EligibleNot

Eligible

Bolivar General HospitalNot

EligibleNot

Eligible

Camden General HospitalNot

EligibleNot

Eligible

Delta Medical CenterNot

EligibleNot

Eligible

Henry County Medical Center A A

Jackson-Madison County General Hospital C B

Milan General HospitalNot

Eligible B

HO

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Some Progress

Willing to Report



NA





SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections











Eligible C



EligibleNot

Eligible



EligibleNot

Eligible





EligibleNot

Eligible


EligibleNot

Eligible


SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections








Eligible C


Eligible A


EligibleNot

Eligible



EligibleNot

Eligible


EligibleNot

Eligible



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections




Not Eligible




Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible
















EligibleNot

Eligible


Eligible C



EligibleNot

Eligible

MEMPHIS


Unable toCalculate


based on criteria.
















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections



Not Eligible



Unable to Calculate



Unable to Calculate


EligibleNot

Eligible

















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections





Unable to Calculate




EligibleNot

Eligible


Not Eligible










EligibleNot

Eligible


Unable to Calculate


Not Eligible B


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible




Eligible B

HO

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Some Progress

Willing to Report



NA





SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections











Eligible C



EligibleNot

Eligible



EligibleNot

Eligible





EligibleNot

Eligible


EligibleNot

Eligible


SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections








Eligible C


Eligible A


EligibleNot

Eligible



EligibleNot

Eligible


EligibleNot

Eligible



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections




Not Eligible




Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible
















EligibleNot

Eligible


Eligible C



EligibleNot

Eligible

MEMPHIS


Unable toCalculate


based on criteria.
















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections



Not Eligible



Unable to Calculate



Unable to Calculate


EligibleNot

Eligible

















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections





Unable to Calculate




EligibleNot

Eligible


Not Eligible










EligibleNot

Eligible


Unable to Calculate


Not Eligible B


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible




Eligible B

HO

SP

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Some Progress

Willing to Report



NA





SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections











Eligible C



EligibleNot

Eligible



EligibleNot

Eligible





EligibleNot

Eligible


EligibleNot

Eligible


SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections








Eligible C


Eligible A


EligibleNot

Eligible



EligibleNot

Eligible


EligibleNot

Eligible



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections




Not Eligible




Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible
















EligibleNot

Eligible


Eligible C



EligibleNot

Eligible

MEMPHIS


Unable toCalculate


based on criteria.
















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections



Not Eligible



Unable to Calculate



Unable to Calculate


EligibleNot

Eligible

















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections





Unable to Calculate




EligibleNot

Eligible


Not Eligible










EligibleNot

Eligible


Unable to Calculate


Not Eligible B


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible




Eligible B

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Some Progress

Willing to Report



NA





SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections











Eligible C



EligibleNot

Eligible



EligibleNot

Eligible





EligibleNot

Eligible


EligibleNot

Eligible


SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections








Eligible C


Eligible A


EligibleNot

Eligible



EligibleNot

Eligible


EligibleNot

Eligible



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections




Not Eligible




Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible
















EligibleNot

Eligible


Eligible C



EligibleNot

Eligible

MEMPHIS


Unable toCalculate


based on criteria.
















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections



Not Eligible



Unable to Calculate



Unable to Calculate


EligibleNot

Eligible

















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections





Unable to Calculate




EligibleNot

Eligible


Not Eligible










EligibleNot

Eligible


Unable to Calculate


Not Eligible B


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible




Eligible B

HO

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Some Progress

Willing to Report



NA





SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections











Eligible C



EligibleNot

Eligible



EligibleNot

Eligible





EligibleNot

Eligible


EligibleNot

Eligible


SAFETY GRADE


Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections








Eligible C


Eligible A


EligibleNot

Eligible



EligibleNot

Eligible


EligibleNot

Eligible



Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections




Not Eligible




Unable to Calculate

Unable to Calculate

Unable to Calculate

Not Eligible

Not Eligible
















EligibleNot

Eligible


Eligible C



EligibleNot

Eligible

MEMPHIS


Unable toCalculate


based on criteria.
















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections



Not Eligible



Unable to Calculate



Unable to Calculate


EligibleNot

Eligible

















Prevent Med. Errors


Appropriate Use of






InfectionsMRSA Rate

C.Diff Infections





Unable to Calculate




EligibleNot

Eligible


Not Eligible










EligibleNot

Eligible


Unable to Calculate


Not Eligible B


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible


EligibleNot

Eligible




Eligible B

HO

SP

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Documents

CONSUMER ON HEALTH WELL - ORAU