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HomeMy WebLinkAboutMINUTES - 09281993 - 1.44 TO: BOARD OF SUPERVISORS ,E `- `� Contra FROM: Eileen K. Bitten, Assistant Director of. Personnel Costa A County DATE: September 28, 1993 C U. SUBJECT: Report on Smoking Cessation Programs SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: Refer to the Internal Operations Committee for subsequent report to the Board of Supervisors the report from the Assistant Director of Personnel on the results of the meetings with the employee organizations regarding smoking cessation programs. BACKGROUND: A joint Labor / Management Healthy Lifestyle Committee was established after negotiations with the Health Care Coalition concluded in January of 1993. The purpose for establishing this Committee was to formulate a County response to the smoker/non-smoker issue and counterbalance the intent to establish lower health plan contribution rates for non-smokers. In addition, this Committee was to recommend a proactive model program which includes incentives for County employees for developing and maintaining a healthy lifestyle. The final recommendations of the Healthy Lifestyle Committee are compiled in the attached report. CONTINUED ON ATTACHMENT: X YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON g 9 APPROVED AS RECOMMENDED _aK OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON T E DATE SHOWN. Contact: Eileen Bitten, Asst.hh.Director of Personnel p cc: . County Administrator's 6_ffice6 ATTESTED O -� Personnel Department PHIL BATC ELOR,CLERK OF THE BOARD OF Healthy Lifestyle Committee via Jacque Salvador SUPERVISORS AND COUNTY ADMINISTRATOR Public Employees Local i BY DEPUTY M382 (10/88) LABOR / MANAGEMENT HEALTHY LIFESTYLE COMMITTEE FINAL SUMMARY REPORT I. INTRODUCTION - ESTABLISHMENT OF THE COMMITTEE II. CHRONOLOGY OF COMMITTEE MEETINGS III. SUMMARY OF SMOKING CESSATION PROGRAM OPTIONS • IV. RESULTS OF THE SMOKING CESSATION ASSISTANCE SURVEY V. FINAL RECOMMEDNATIONS OF THE COMMITTEE • • I. INTRODUCTION - Establishment of the Joint Labor/Management Healthy Lifestyle Committee During the Health Care Coalition negotiations concluding in January of 1992, an agreement was reached to establish a joint Labor / Management Healthy Lifestyle Committee to formulate a County response to the smoker/non-smoker issue and counterbalance the intent to establish lower health plan contribution rates for non-smokers. The purpose of this committee was to . recommend a proactive model program which includes incentives for developing and maintaining a healthy lifestyle. The Healthy Lifestyle Committee Members are listed below: Labor .Representatives Richard Cabral Social Service Department AFSCME Local 512 Jim Hicks Business Agent AFSCME M. Celeste Jurien County Administrator AFSCME Local 2700 Mary Majalca Social Service Department AFSCME Local 512 • Susan Milligan Health Services Department AFSCME Local 2700 Mike Price Riverview Fire District Firefighters Local 1230 Meda Read Social Service Department AFSCME Local 512 Jacque Salvador Probation Department Public Employees Local 1 E. Patricia Steffensen Riverview Fire Department AFSCME Local 2700 Jan Watson Social Service Department SEIU Local 535 Lou Welke Animal Services Department Public Employees Local 1 Bonnie Wolfe Health Services Department Public Employees Local 1 Management Representatives Harry Cisterman Director of Personnel Lori Koch Personnel Analyst III Anne Pato Wellness Program Coordinator • 1 . II. CHRONOLOGY OF COMMITTEE MEETINGS O ♦ The first Healthy Lifestyle Committee meeting convened on June 4, 1992. Representatives from Labor and Management were introduced and briefly reviewed the purpose of establishing this Committee. A second meeting was held on June 18, 1992 at which time Management presented a Smoking Cessation Program Options Proposal. After discussing the various ideas, Labor. agreed to meet and prepare their own list of suggestions. These suggestions were presented to the Committee on July 8, 1992. ♦ Due to the impending County layoffs, both Labor and Management agreed to disband the efforts of the Committee until time permitted for both Labor and Management to reconvene. Harry Cisterman also informed the Committee that he would be discussing with the Board their intentions for this Committee in regards to funding programs. ♦ The Committee reconvened on October 28, 1992 in which Harry Cisterman informed the Committee members that there will be no special funding available fQr these program ideas and whatever is agreed upon by the Committee will be funded by the Employee Wellness Program. At the meeting, distributing a Smoking Cessation Survey to all County employees . through payroll was discussed. , Management i agreed to prepare a Smoking Cessation Survey and distribute to the Committee members prior to the next meeting. i The Committee reconvened on December 17, 1992 to finalize the Smoking Cessation Survey and to schedule the distribution of the survey to County employees for the January 10, 1993 payroll. ♦ The Committee reconvened on March 26, 1993 to discuss the results of the Smoking Cessation Survey. ♦ The final Healthy Lifestyle Committee meeting was held on April 14, 1993. At that meeting, Anne Pato, Wellness Coordinator, agreed to compile all of the recommendations of the Committee and prepare a Final Summary Report to the Board. • 2. • III. SUMMARY OF SMOKING CESSATION PROGRAM OPTIONS Both Labor and Management prepared separate lists of Smoking Cessation Program Options. RECOMMENDATIONS BY MANAGEMENT INCLUDED THE FOLLOWING: A. Types of Programs 1. On-site smoking cessation classes conducted at various County worksite locations. Examples include group sessions conducted by the American Cancer Society or the American Lung Association. 2. Enrollment in private classes at hospitals (John Muir, Mt. Diablo Hospital, Kaiser) or private groups such as SmokeEnders or Smoke Stoppers. 3. Self-help materials - videos, booklets, pamphlets, etc. 4. Medical intervention - patches, nicorette gum, medical counseling, acupuncture and hypnotherapy. B. Options Which May be Included in County Smoking Cessation Programs • 1 . New County employees to pay higher premiums for health insurance if they smoke. _ 2. County job announcements to include the statement that Contra Costa County wishes to establish a smoke-free working environment. 3. Establish a "Hotline" for smokers (64-I-KUIT) to call for information on what's going on in the County and in the community regarding smoking cessation programs and/or to obtain informational materials. 4. Conduct voluntary fitness assessments on employees involved in smoking cessation programs. Assessments would be conducted by Wellness Program staff and could include: ♦ Blood Pressure Testing ♦ Resting Heart Rate Calculation ♦ Cardiovascular Step Tests ♦ Muscular Endurance Tests ♦ Flexibility Tests ♦ Body Composition Analysis ♦ Lung Capacity Analysis utilizing a spirometer (Cost: $2,000 - $3,000) 5. Establish on-site smoking cessation classes at County locations or coordinate with the Training Institute to have smoking cessation classes as part of their normal class schedule. 3. 6. Conduct a media blitz by sending out flyers, posters and O pamphlets throughout the County. Recruit employee organizations to utilize their distribution systems in order to assist in the campaign. 7. Present Brown Bag lunch seminars and bring in experts to discuss alternative smoking cessation methods, i.e. hypnotherapy, acupuncture, patches, etc. These seminars will provide participants with the information on how these methods work and where to obtain services. 8. Tap into the Health Department's Prevention Program's "Smoking Awareness Community Outreach Program". 9. Set up a "buddy system" and pair up smokers with non-smokers who will provide support. This would be similar to the Adopt-A-Smoker program the Employee Wellness Program has conducted during the Great American Smokeout every year. C. Possible Rewards to Smokers Who Quit 1 . Luncheon at the end of the year hosted by the Board of Supervisors. 2. Reimbursement of part or whole cost of employees to participate in the Smoking Cessation Program if they remain smoke-free for six months. 3. Special prizes for completion of the Smoking Cessation Program. Incentives to include: ♦ One or two week membership to the Contra Costa Club; ♦ Health assessments; or, ♦ Small incentives including: T-Shirts (I Quit Smoking through Contra Costa County's Smoking Cessation Program) , exercise bags, health and fitness equipment, etc. RECOMMENDATIONS BY LABOR INCLUDED THE FOLLOWING: 1 . Offering release time for smokers to attend classes during working hours. 2. Comp time at straight time hours for evening classes attended. 3. Nicotine patches/gum to be included in all health plans. 4. Travel time for East and West County employees to utilize • facilities in Central County. 4. • 5. Utilize Juvenile Hall Gym during noon hour for workouts. 6. Weight loss groups with similar reward incentives. 7. Successful smoke-free incentives of comp time in the following segments: ♦ 6 Months Smoke Free 8 hours Comp Time ♦ 1 year Smoke Free 24 hours Comp Time e 2 Years Smoke Free 32 Hours Comp Time ♦ 3 Years Smoke Free 40 Hours Comp Time 8. Send a Smoking Survey to all County employees with the 10th payroll. After reviewing all suggestions from both Labor and Management, the Committee members eliminated all suggestions that would be too expensive in light of the current County budget constraints. Prior to finalizing one concise list of recommendations to present to the Board of Supervisors, the Committee members wanted input from the County employees through a Survey for Smoking Cessation Assistance. The results of this survey would assist the Committee members determine what type of smoking cessation programs would be most beneficial to the County employees. • • 5. IV. RESULTS OF THE SMOKING CESSATION ASSISTANCE SURVEY The Employee Wellness Program prepared the survey for Smoking Cessation Assistance and distributed the Survey with the January 10, 1993 payroll. (See Attachment A) In addition, the Employee Wellness Program compiled the following results of the Survey and presented them to the Healthy Lifestyle Committee Members. SMOKING CESSATION ASSISTANCE SURVEY RESULTS * Total number of surveys sent out through January 10, 1993 payroll: 7,500 * Total number of responses returned: 1,229 (16.4 %) 189 (15%) Current Smokers 1 ,040 (85%) Non or Ex-Smokers * Respondents answer to the question, "Have you ever smoked?": Yes - 706 (57%) No - 523 (43%) * Of those who had ever smoked: 189 (27%) are still smoking 517 (73%) are no longer smoking. * Of those. still smoking: 1. Started smoking before 14 33 (1.8%) 14 - 16 63 (330) 17 - 19 53 (28%) 20 - 29 23 (1.2%) 25 + 14 ( 7%) no response 3 ( 2%) 2. Forms of nicotine utilized: cigarettes 181 (96%) pipe 3 ( 1.5%) chewing tobacco 1 ( .5%) cigars 4 ( 2%) • 6. 3. Daily amount of cigarettes smoked: • Less than 1 pack per day 105 (58%) More than 1 pack per day 76 (42%) 4. Total number of years smoked: Less than 1 year 1 ( .5%) 1 - 5 years 15 ( 8%) 6 - 10 years 9 ( 5%) More than 10 years 146 (77%) No response 18 ( 9.5%) 5. Smokers who have tried to quit: Yes 149 (79%) No 36 (19%) No response 4 ( 2%) 6. Smokers who have quit smoking at one point, but have resumed smoking: Yes 148 (78%) No 36 (19%) No response 5 ( 3%) 7. Smokers who would like to quit: Yes 149 (79%) No 30 (16%) No response 10 ( 5%) 8. Smokers interested in programs or information offered by the County: Yes 148 (78%) No 32 (17%) No response 9 ( 5%) * Of those interested, types of programs preferred: (327 total responses) On-site smoking cessation programs: 113 (35%) Information on outside smoking cessation programs: 38 (11%) Self-help materials: 66 (20%) Information on medical intervention: 110 (34%) 7. The results of the Smoking Cessation Assistance Survey indicate that of the O 16.4% of County employees who chose to respond, 189 (15%) are current smokers and 1,040 (85%) are non-smokers or ex-smokers. Of those still smoking, the majority started smoking in their teens and have smoked for over 10 years. Many have attempted to quit at one point but have resumed smoking and the majority would like to quit for good. These smokers are generally classified as hard-core smokers. As for the types of smoking cessation programs preferred, the respondents to the survey chose on-site smoking cessation programs and information on medical intervention as their top choices. 8. V. FINAL RECOMMENDATIONS OF THE COMMITTEE After careful review of all the suggestions made by both Labor and Management, an analysis of the results of the Survey for Smoking Assistance, and taking into consideration the current County budget restraints, the Healthy Lifestyle Committee has compiled the following final recommendations. Upon Board approval, these activities will begin to be implemented in November, 1993 in conjunction with the Great American Smokeout. 1. The Employee Wellness Program will be responsible for preparing a list of available community resources of smoking cessation programs and distribute this list to all County Wellness Coordinators to disperse to their co-workers. (See Attachment B) . 2. The Employee Wellness Program will prepare a variety of payroll flyers, newsletter articles for Union and other County newsletter, etc. outlining smoking cessation programs and self-help materials and pamphlets available through the Employee Wellness Program and in the community. 3. The Employee Wellness Program will coordinate on-site smoking cessation programs utilizing non-profit organizations. County employees would be responsible for paying the minimal donation fee, however, the Employee Wellness Program would provide incentive prizes for all County employees who choose to participate and present special recognition awards, certificates, articles in newsletters, etc. for those employees who have successfully quit smoking. 4. Request that the County provide half of the time needed to attend smoking cessation classes and the employees would be responsible for the other half. 5. Prepare a memo to Department Heads requesting non-smoking volunteers from their department to assist smokers quit smoking through a "buddy system" coordinated by the Employee Wellness Program. 6. Require all County job announcements to include the statement that Contra Costa County is a smoke-free workplace. • 9. Attachment A • SURVEY FOR SMOKING CESSATION ASSISTANCE By agreement reached at the Health Care Coalition, a joint Labor/Management Healthy Lifestyle Committee was established. The purpose of this Committee is to help develop programs to increase the practice of healthy habits which in turn will be preventative measures for certain illnesses. Our first effort is directed toward developing a comprehensive smoking cessation program as directed by the Board of Supervisors. This subject is an important aspect of health care cost containment. We would appreciate if you would take the time to fill out the attached survey and return through interoffice mail to the Employee Wellness Program, 627 Ferry Street, Martinez, by January 22, 1993. Answers to the following questions are strictly confidential and this group information will help us in developing a voluntary smoking cessation program that will benefit all County employees. Thank you. HEALTHY LIFESTYLE COMMITTEE MEMBERS Labor Representatives Richard Cabral Social Service Department AFSCME Local 512 Jim Hicks Business Agent AFSCME • M. Celeste Jurien County Administrator AFSCME Local 2700 Mary Majalca Social Service Department AFSCME Local 512 Susan Milligan Health Services Department AFSCME Local 2700 Mike Price Riverview Fire District Firefighters Local 1230 Meda Read Social Service Department AFSCME Local 512 Jacque Salvador Probation Department Public Employees Local 1 E. Patricia Steffensen Riverview Fire Department AFSCME Local 2700 Jan Watson Social Service Department SEIU Local 535 Lou Welke Animal Services Department Public Employees Local 1 Bonnie Wolfe Health Services Department Public Employees Local 1 Management Representatives Harry Cisterman Director of Personnel Lori Koch Personnel Analyst III Anne Pato Wellness Program Coordinator SURVEY FOR SMOKING CESSATION ASSISTANCE Please answer each question by putting a circle around your answer or check the appropriate box(es) . 1. Have you ever smoked? YES NO If your answer is "NO", proceed to question 13. 2. At what age did you start smoking? Before 14 years of age 20 - 25 years of age 14 - 16 years of age 25 + years of age 17 - 19 years of age 3. Do you smoke now? YES NO 4. What form of nicotine do you utilize? (Check all that apply.) Cigarettes Chewing Tobacco Pipe Cigars 5. If you have ever smoked, mark daily amount and total number of years you have smoked. Daily Amount Number of Years less than a pack a day Less than 1 year more than a pack a day 1 - 5 years number of cigars per day 6 - 10 years number of pipes per day More than 10 years amount of chewing tobacco per day 6. If you formerly smoked cigarettes but stopped, mark the length of time since you quit. Weeks Months Years 7. Have you ever tried to quit smoking completely? YES NO 8. Have you quit smoking at one point in time, YES NO but have resumed smoking? 9. Would you like to quit smoking? YES NO 10. If the County offered programs and information to help you stop smoking, would you be interested? YES NO 11. What type of smoking cessation program would you prefer? (Check all that apply. ) On-site smoking cessation programs conducted at various worksite locations. Information on smoking cessation programs available at local hospitals and non-profit organizations such as the American Cancer Society. Self-help materials such as videos, work booklets, audio cassette tapes, pamphlets, etc. Information on medical intervention such as nicotine patches, nicorette gum, medical counseling, etc. 12. If you would be interested in an on-site smoking cessation program, when would be the best time for you to attend? (Please mark in ' order of preference. ) Before Work Lunch After Work 13. Additional Comments: 14. Name (Optional) : Department: Worksite Address: Please return to the Employee Wellness Program, 627 Ferry Street, Martinez, by January 22, 1993. Thank you. Attachment B COMMUNITY RESOURCES FOR SMOKING CESSATION. PROGRAMS ORGANIZATION COST 1. American Cancer Society $20.00 Suggested Donation 474 North Wiget Lane Walnut Creek, CA 94598 (510) 934-7640 This is a 6-week/8 session program with once a month support group. Classes focus on education, group support and behavior modification. Classes are held at various locations throughout the County. 2. American Lung Association Cost varies according to health 105 Astrid Drive insurance coverage. Pleasant Hill, CA 94523 (510) 935-0472 The "Freedom From Smoking" program is a 6-week/7 session program. Classes focus on education, group support and behavior modification. Classes are held at various locations: Brookside Hospital; Kaiser - Fairfield; and Kaiser - Vallejo. 3. Kaiser Permanente Medical Center $ 24.00 - Kaiser Health Plan 200 Muir Road Member Martinez, CA 94553 (510) 372-1024 $108.00 - Non-Kaiser Member This is a 5-week/8 session program with a follow-up maintenance program. 4. John Muir Medical Center $275.00 1601 Ygnacio Valley Road Walnut Creek, CA 94598 (510) 947-5291 The "Kick The Habit". program combines several smoking cessation techniques as well as utilizing nicotine patches and gum in a medically supervised program. Follow-up and support group session are available. 5. Mt. Diablo Medical Center $180.00 2540 East Street Concord, CA 94520 (510) 825-9355 The "Smoke Stoppers" program is designed to help participants stop smoking in five days. Free introductory sessions are offered routinely at Mt. Diablo Medical Center. 6. "Smoke-A-Non" $50.00 3921 Nichandros Street Castro Valley, CA 94546 (510) 886-0825 This is a 3-week/6 session program with follow-up programs available.