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This site is an archive of our Well Written Blog posts until April 2020. For the most up-to-date content visit NWIJournal.com.

The opinions and thoughts expressed here those of the authors and do not necessarily correlate with those of the National Wellness Institute. Read more.


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Being Doctors of Ourselves Is the Real Future of Healthcare

Posted By Mark Pettus, MD, Monday, March 16, 2020

As concerns swirl around the future of healthcare coverage in this country, there’s a tendency to think that our personal health revolves largely around doctor’s appointments, runs to the pharmacy, and an occasional trip to the hospital.  But the truth is, the single most critical factor in staying healthy is – and always has been – our own self-care.  That’s more important now than ever. We’re doctors of ourselves, and we need to view and plan our lives accordingly.

Some suggestions on how to approach this responsibility: 

Envision Your Personal Health Future

Take a few mindful moments to focus on what truly matters to you. Close your eyes and picture yourself three months, a year, five years, or 10 years from now.  Who do you see? What are you doing to stay alive and thrive? Write down the three to five things that are most important to your future health. Your list might include things as basic as “lose weight” or “stop smoking”, or as deep reaching as “stay alive to have fun with my grandchildren.” This type of personal visioning and priority setting makes an enormous difference in the success of a self-care program.

Set Very Specific, yet Achievable Goals

Once you know your priorities, it’s time to set specific goals around achieving them. Be realistic.You want goals ambitious enough to improve your health, but not so far reaching that you set yourself up for failure. If lowering your weight and reaching a healthy body mass index is your priority, a goal of losing 25 pounds over the next three months may be too much of a stretch; maybe five or 10 pounds is more realistic. Rather than promise yourself you’ll work out at the gym three days a week for an hour each time, a better starting point would be a brisk 10-minute walk around the neighborhood four days a week. The key here is gaining traction and setting a foundation on which to build.

Enlist Others to Join You on Your Personal Quest for Better Health

There’s no need to go it alone. All evidence suggests that when you partner with others, your odds of success increase exponentially.  If you’re taking those Saturday morning hikes alone, chances are you’ll come up with many excuses to lounge at home instead. But if you know your best friend will show up at your door at 9 a.m., ready to go, you’re not going to disappoint her.  Other partners on this journey might include your spouse, a bicycling buddy from work, or even the family pet. It doesn’t always have to involve exercise. Maybe you and a friend or family member spend Sunday afternoons making healthy meals for the week ahead. Adding a social dimension to your self-care plan makes it more fun and achievable.

Create or Change Your Environment to Increase Your Likelihood of Success

We all know the power of temptation and how it can devour our best intentions. That ice cream in the freezer or those cookies on the counter are calling us.  Clearly, the foods we buy are part of the environment we create around us. By consciously controlling our purchase impulses and making better food choices, we create a home environment far more conducive to success. In a similar way, if you’re trying to quit smoking, avoiding places (and even people) that trigger that habit becomes an important environmental strategy.

Be Ready to Course-Correct as Time Goes on

As important as it is stay accountable to your goals, the reality is you may not always have flawless success. If you have setbacks, you’ve got two choices: beat yourself up or pick yourself up and start over.  Punishing yourself only weakens your resolve and delays your “recovery.” Here’s where you return to the first step (see above) of this continuous improvement cycle. Revisit your original priorities. Reset the clock on your life-long journey of self-care.

Mark Pettus, MD, is Director of Medical Education and Medical Director of Wellness and Population Health at Berkshire Health Systems.


Tags:  Healthcare  Mark Pettus  Self Care 

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Wellness Trends - June 2019

Posted By NWI, Wednesday, June 26, 2019
Updated: Thursday, June 20, 2019

Social & Emotional Wellness Are Critical Factors to Success

Social Determinants of Health Definitions 

We hear a lot more these days about social determinants of health (SDOH), but what are they? The World Health Organization provides a definition of SDOH.  

Further, the Centers for Disease Control and Prevention provides additional definitions that should be considered in addition to SDOH. 


Transamerica Health Care Studies

Special thanks to Hector De La Torre of the Transamerica Center for Health Studies for providing this insightful data 

Wellness TrendsTransamerica Center for Health Studies® (TCHS) – a division of the Transamerica Institute® – is focused on empowering consumers and employers to achieve the best value and protection from their health coverage. TCHS engages with the American public through national surveys, its website, research findings and consumer guidance. 


Grocery Store Bills Can Determine Diabetes Rates by Neighborhood

Dietary habits are notoriously difficult to monitor. Now data scientists have analyzed sales figures from London’s biggest grocer to link eating patterns with local rates of high blood pressure, high cholesterol, and high blood sugar.  Read more at MIT Technology Review

Tags:  Diabetes  Emotional Wellness  Health Care  Healthcare  SDOH  Social Determinants of Health  Social Wellness  Trends  Wellness Trends 

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Burnout Syndrome in Secretaries of Healthcare Clinics

Posted By Cecilia Negrini, Monday, July 2, 2018
Updated: Tuesday, May 7, 2019

Cecilia Negrini - Founder and CEO of the company Cecilia Negrini (Brazil)

They take care of patients and health professionals, generate spreadsheets, manage conflicts, and input data into systems. They care about the cleanliness of the work environment and more. But who cares for them?

Burnout Syndrome in physicians and other health professionals is well researched. However their secretaries report feeling as exhausted as the health professionals themselves, yet there is little research to support this.

In 1974 the American researcher and psychoanalyst Dr. Freudenberger, after observing oscillation of humor and disinterest in the work among some of his collaborators of the health area, diagnosed for the first time the Burnout syndrome.

The main symptom of Burnout Syndrome common in people dedicated to work is the total loss of interest at work, placing unrealistic demands on themselves and others, and a mania of perfection. Often, these professionals become frustrated by not being recognized in the workplace or not receiving the attention they deserve. Although Burnout Syndrome can manifest itself in any professional, it is more common in professionals whose role it is to take care of other people or who have very close interpersonal contact, such as doctors, nurses, firemen, police officers, teachers, and psychoanalysts, among others. Therefore, in these circumstances it is also known as Professional Burnout Syndrome.

Burnout Syndrome is a form of emotional exhaustion, a state of depression, apathy, loss of self-esteem, and a lack of interest in work—even if you devote yourself to it. It is as if you did it mechanically, without emotion or commitment, generated by a feeling of frustration for lack of recognition of your competence and dedication to work.

Brazil is approaching the mark of half a million doctors and has the largest number of dentists in the world with more than 240 thousand professionals. Add other health specialties such as physiotherapists, psychologists, and nutritionists, among others, and it can be seen that the number of health professionals in Brazil is approximately one million. Considering that these professionals need secretaries to provide the necessary support to such health professionals, we can deduce their expressiveness in the population and the impact they have directly and indirectly on society.

In Brazil, the average salary of a health secretary ranges from around USD$5000 to USD$6000 a year, working 8 hours a day. A large number come home to domestic chores such as taking care of the children, washing and ironing, making food, and other housework.

According to Andrey Orloski, 30% of Brazilians suffer from Burnout Syndrome and 93% of these people feel exhausted, 86% feel irritated, 82% are inattentive, and 74% of these people have difficulty relating in the workplace.

Considering the lack of research data and information in this sector, many secretaries have already suffered or suffer from this syndrome and do not know it. 

Constantly giving and caring at home and being in constant contact with customers, suppliers, doctors, and patients at the workplace, the problems related to frustrations, anxieties, charges, and expectations manifest. And often the secretary becomes a confidant, a support and even plays the role of psychologist when someone wants to vent their own frustrations and anger. Patients, providers, customers in general often say things to secretaries that they do not have the heart to tell doctors. The patients perceive that the secretaries are closer to their way of life and as such by relating their woes to them they will understand better than the health professional they have come to see.

We cannot forget that the secretary also has her own personal and family problems, goals, dreams, and frustrations and that the performance of the hospital, clinic, or office, as well as the work team, directly or indirectly affect their goals and mood. Their function is to help solve the problems of all who are there. However, we have to remember that it doesn’t matter how professional and prepared the secretary is, they still need care and attention as does any human being. They are always there, at the front of reception, willing to solve various conflicts and hiding their insecurities, conflicts, and frailties, and because they rarely have someone to speak to and expose their anguish and problems, so suffocate feelings that fester over time.

I know of a very dynamic and competent secretary, who although she is still young, is nicknamed “the mother" of the clinic because she cares for everybody who passes through her reception with all the care, zeal, and concern of a mother. She organises the schedules of four professionals, welcomes all of their patients, receives financial payments, enters data in the systems, cleans the clinic's working environment, makes payment of clinic expenses, controls bank statements, and manages different conflicts that appear in daily life. In addition to all the workload, she is married with two small children and prepares the family's food, helps the children at school, does the housework, and supports her husband at his work. When I visited the clinic recently she was very depressed, discouraged, and had symptoms of influenza. Talking to her a little, she reported that she had been working overtime for three days and that she felt unsupported and under-appreciated.

This scenario is constantly repeated and is almost always unnoticed even by the secretaries themselves. In addition to the psychological effects such as internal emptiness, depression, and feelings of incompleteness, there are also physical symptoms such as nausea, dizziness, tremors, change in appetite, sleep disturbances, headaches, shortness of breath, palpitations, mood swings, difficulty in concentration, and digestive problems, among others. Such symptoms are termed psychosomatic diseases.

To avoid Burnout syndrome, here are some tips for the secretaries of health professionals:

1. Plan and organize your activities.
Reorganization of activities will have the effect of decreasing significantly the feeling of unfinished tasks and incompetence; 

Establish WhatsApp conference times, emails, and social media.
This practice reduces anxiety and does not compromise the smooth running of daily activity planning;

3. Prioritize what is really important
Because of ‘who they are’, secretaries will often take on more activities and take them really seriously which later will result in work overload and a sense of inefficiency. Saying "At this moment I cannot, but by 12:00 I can" can bring many benefits without having to say no to requests;

4. Do regular physical activity.
Secretaries usually sit for long periods and do not do much physical activity. We know that physical activity releases important hormones for well-being;

5. Good night of sleep. Sleeping well is a key when you have great intellectual and emotional wear and tear. Eight hours of sleep are recommended for good physical and emotional health;

6. Healthy Eating. Many secretaries, because they don’t bring lunch to work end up eating nothing, fast food or snacks during the day and at night when they get home they eat a lot because they are without proper food throughout the day;

7. Drink water. 
Being constantly busy secretaries often forget to drink water during the day. We know the importance of drinking at least 2 liters of water for the proper metabolic functioning and consequently physical well-being;

8. Maintain social life.
The outcome of going out with friends, family and colleagues is a change in our emotions and our thoughts, issues and problems. We manage for a few hours to distract from the routine;

9. Good communication.
The verbal expression of feelings and opinions will assist the secretary not to reserve so many problems for herself. Whenever something seems wrong or needs adjustment, schedule a meeting with your superiors and communicate assertively and gently. You will certainly be recognized as a secretary who collaborates to develop best practices and receive more respect;

10. Have dreams. 
The reality of a hospital, clinic can be very harsh, so it is important to clearly see a future where something very good can be achieved. Set goals and plans to achieve that dream. When we have a beautiful horizon on the way even the arduous becomes easier.

11. Take an Interest in the subject. 
Extend your awareness and talk to doctors, psychologists or research more, as many people mistake it for depression. Be alert to the causes, symptoms and treatments.

Secretaries are very important, not only for the professionals, but fundamental for everyone in a hospital, clinic, medical center or office. As such they deserve all our care and attention. Whenever you interact with one, be kind, smile and find the human being behind all the many tasks and responsibilities.

Cecilia NegriniCecilia Negriniis business Consultant, businesswoman, coach and speaker. She is founder and owner of the company Cecilia Negrini – Consulting and Advice for the Health Area. She had more than 10 years of experience in assisting health professionals. A personal coach by SLAC – Sociedade Latino Americana de Coaching and she is affiliated in Institute of Coaching by Harvard and affiliated in National Wellness Institute – USA. She is specialist in Linguistics from UNESP – UniversidadeEstadualPaulista and she did MBA in Marketing for Health and MBA in Business Management from FGV – FundaçãoGetúlio Vargas. She works like facilitor in training about servant leadearshi by FórmulaTreinamentos and James Hunter – author of the book The Servant and others.

E-mail: cecilia@cecilianegrini.com

Tags:  Brazil  burnout  Cecilia Negrini  health professionals  healthcare  International Wellness  secretaries 

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Let’s Start a Grassroots Effort: Demand Health Insurance Coverage for Mental Health Issues

Posted By NWI, Friday, May 1, 2015
Updated: Thursday, April 23, 2015

In reverence to National Mental Health Month, sponsored by the National Mental Health Association (www.nmha.org), Wellness News You Can Use is offering a call to action!

According to a recent report by the National Alliance on Mental Illness (NAMI), Health insurance plans are falling short in coverage of mental health and substance abuse conditions as compared to other health conditions. The report (http://www.nami.org/About-NAMI/Publications-Reports/Public-Policy-Reports/A-Long-Road-Ahead/2015-ALongRoadAhead.pdf) was released in early April, 2015.

The report surveyed 2,720 consumers, and 84 insurance plans in 15 states. While progress is being made after a 2008 law requiring some employer-sponsored plans to offer equal mental and physical coverage, there is still a great deal of work to do, according to Mary Giliberti, Executive Director of NAMI.

The report findings include the following:

  • More mental health providers in health insurance plans are needed.
  • Substance abuse treatment needs to be taken more seriously by insurance providers (Plans under the ACA actually had a higher rate denials).
  • Barriers to mental health medication coverage needs to be addressed.
  • The cost of drugs and co-pays needs to be addressed.
  • Consumers need better information related to mental health coverage.

What can you do as a consumer?

  • Look at mental health coverage before signing up for a plan under the ACA.
  • Ask your employer about all coverages under your health plan and question coverages that do not exist or that are not adequate.
  • If you have a claim that is denied, ask for clinical criteria used to approve or deny a claim.
  • If you think the 2008 parity law that required equal coverall of medical and mental claims for come employer plans has been violated, say something.
  • Ask for updated lists of mental health providers from your insurance company.

Write to your congressional representative and advocate for the U.S. Department of Health & Human Services to require all health plans to provide clear, accessible, and comparable information about benefits. In addition ask Congress and the Executive Branch to work together to decrease out-of-pocket costs under the ACA for low-income consumers.

Let’s all be well together!

Tags:  Emotional  Healthcare  Intellectual  May 2015  Mental Health  Social 

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Do You Have Equal Access to Healthcare?

Posted By NWI, Wednesday, April 1, 2015
Updated: Thursday, March 12, 2015

April is National Minority Health & Health Disparities Month sponsored by the U.S. Department of Health and Human Services Office of Minority Health Resource Center www.minorityhealth.hhs.gov.

There are documented health disparities in the U.S. For instance, according to the U.S. Office on Minority Health (above)

“In 2012, 50.4 percent of African-Americans in comparison to 74.4 percent of non-Hispanic Whites used private health insurance. Also in 2012, 40.6 percent of African-Americans in comparison to 29.3 percent of non-Hispanic Whites relied on Medicaid, public health insurance. Finally, 17.2 percent of African-Americans in comparison to 10.4 percent of non-Hispanic whites were uninsured.”


“In 2012, 47.5 percent of American Indians and Alaska Natives had private health insurance coverage. 38.1 percent of AI/ANs relied on Medicaid coverage, and 22.6 percent of AI/ANs had no health insurance coverage.”


“It is significant to note that Hispanics have the highest uninsured rates of any racial or ethnic group within the United States. In 2012 the Census Bureau reported that private insurance coverage among Hispanic subgroups varied as follows: 38.8 percent of Mexicans, 49.6 percent of Puerto Ricans, 48.4 percent of Cubans, 35.9 percent of Central Americans. Public health coverage varied among Hispanic subgroups: 33.2 percent of Mexicans, 42.7 percent of Puerto Ricans, 32.7 of Cubans, and 27.8 percent of Central Americans. Those without health insurance coverage varied among Hispanic subgroups: 31.6 percent of Mexicans, 14.1 percent of Puerto Ricans, 23.8 percent of Cubans and 38.8 percent of Central Americans. In 2012, 29 percent of the Hispanic population was not covered by health insurance, as compared to 10.4 percent of the non-Hispanic White population.”

The good news is that the U.S. government and many organizations recognize this disparity and are working to create resources to ensure that all people have access to good and affordable healthcare.

To find more information including statistics, research, and local and community resources, individuals can call the U.S. Department of Health and Human Services, Office of Minority Health at:

1-800-444-6472 (English and Spanish)
TDD: 301-251-1432
E-mail: info@minorityhealth.hhs.gov

 Depending on the difficulty of the request, searches may take up to five business days to complete. An Information Specialist will work with you to make sure you receive the most accurate resources for your program.

Tags:  April 2015  Disparities  Healthcare  Social 

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High-deductible Health Plans often Equal Less Preventive Care: A not-so-fun-fact! (April 2011)

Posted By National Wellness Institute, Friday, April 1, 2011
Updated: Thursday, December 27, 2012

The largest-ever assessment of high-deductible health plans finds that while such plans significantly cut health spending, they also prompt patients to cut back on preventive health care, according to a new RAND Corporation study. Studying more than 800,000 families from across the United States, researchers found that when people shifted into health insurance plans with deductibles of at least $1,000 per person, their health spending dropped an average of 14 percent when compared to families in health plans with lower deductibles.

Health care spending also was lower among families enrolled in high-deductible plans that had moderate health savings accounts sponsored by employers. But when employer contributions to such savings accounts accounted for more than half of an individual's deductible, savings decreased among families enrolled in these so-called consumer-directed health plans. However, over the same period, families that shifted to high-deductible plans significantly cut back on preventive health care such as childhood immunizations, cancer screenings and routine tests for diabetes.

"We discovered that costs go down dramatically during the first year people are enrolled in high-deductible health plans, as long as the deductible is at least $1,000 per person," said Amelia M. Haviland, a study co-author and a statistician at RAND, a nonprofit research organization. "But we also found concerning reductions in use of preventive care. This suggests people are cutting both necessary and unnecessary care."

Researchers examined the experiences of families insured during 2004 and 2005 through one of 53 large employers, with about half of the employers offering a high-deductible or "consumer-directed" health plan. Previous studies have tracked the impact of high deductibles, but the evidence has been limited to the experience of a few plans and employers.

High-deductible and consumer-directed health plans have been gaining favor as one way to help control health care costs. By 2009, about 20 percent of Americans with employer-sponsored health coverage were enrolled in such plans. A 2010 survey found that more than 54 percent of large employers offered at least one high-deductible health plan to their employees. Health care reform is expected to further encourage enrollment in high-deductible health plans as such plans are expected to be a key offering in the insurance exchanges being set up in many states to help the uninsured find health coverage.

The RAND study found that overall, health costs grew for people enrolled in both high-deductible and traditional plans. However, they grew more slowly in the high-deductible group. Among those with high-deductible health plans, spending was lower on both inpatient and outpatient medical services, as well as prescription drugs. Spending for emergency care did not differ. Researchers found that individual deductibles must be rather high to achieve meaningful cost savings. Cost growth for families covered in plans with moderate deductibles-from $500 to $999 per person-did not differ significantly from those in traditional plans. Cost savings only became significant when deductibles exceeded $1,000 per person.

But as families reduced their medical spending, they eliminated some care that is clearly beneficial, researchers observed. While childhood vaccination rates increased among families in traditional health plans, they fell among families in high-deductible health plans. Rates of mammography, cervical cancer screening, colorectal cancer screening and routine blood tests among those with diabetes also fell among those with high-deductible health plans relative to those in other plans. The drop in preventive care happened even though the high-deductible plans in the study waived the need to pay a deductible when receiving such care. This suggests that enrollees in high-deductible plans either did not understand this part of their policy or some other factor discouraged them from getting preventive care, Haviland said.

The finding about preventive care has implications for adoption of national health care reform in the United States. Under the federal Patient Protection and Affordable Care Act, health plan deductibles must be waived for preventive treatments. Researchers said the new study suggests that this fact must be clearly communicated to the public to meet the goal of increasing the level of preventive care received by Americans.

Support for the study was provided by the California HealthCare Foundation and the Robert Wood Johnson Foundation. Other authors are Melinda Beeuwkes Buntin of RAND, Roland McDevitt of Towers Watson, and Neeraj Sood of RAND and the University of Southern California.

RAND Health, a division of the RAND Corporation, is the nation's largest independent health policy research program, with a broad research portfolio that focuses on health care costs, quality and public health preparedness, among other topics. For more information visit: http://www.rand.org/news/press/2011/03/25.html

Tags:  April 2011  Emotional  Healthcare  Occupational  Physical  Prevention 

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What You Need to Know About Health Insurance from an Insider (March 2011)

Posted By National Wellness Institute, Tuesday, March 1, 2011
Updated: Thursday, December 27, 2012

A recent interview published in the New York Times conducted by Walecia Konrad with a 20-year health insurance veteran, Wendell Potter, left readers with the following advice:

  • Ignore marketing materials when looking for affordable insurance. Don’t be persuaded by slick messages; instead, make sure you understand the coverage.
  • Read everything carefully, even if you are covered by your employer.
  • Be wary of mini-med or limited benefits plans. Many have very low-lifetime caps and others do not pay for hospitalization. The health law eliminates these plans in 2014, when no lifetime or annual caps on coverage will be allowed, but in the meantime these policies trouble me a great deal. And the insurance industry will lobby heavily for more flexibility to offer limited benefits even after 2014. So, be on guard.
  • Visit healthcare.gov to get straightforward information on plans. The industry must comply by supplying accurate information for this site.
  • High deductible plans have good and bad points. Consumers should do their best to know exactly what they can afford. If the out-of-pocket costs are going to be impossible for you, it may well make sense to pay more in premiums for more extensive coverage. For the most part, high deductibles make sense only for the young and healthy or wealthy.
  • Consumers have a right to appeal when coverage is denied. With the new law, all consumers will have access to two layers of review. That’s a significant victory.Most important, if you feel you have been denied something you should have and that your doctor has prescribed and approved, don’t accept the denial as the last word. Insurers count on people just giving up.

Source: http://www.nytimes.com/2011/02/19/health/19patient.html?pagewanted=2&_r=1&ref=health

Tags:  Emotional  Healthcare  Insurance  March 2011  Physical  Policy  Work 

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Health Care Reform and Health Promotion/Wellness (April 2010)

Posted By National Wellness Institute, Thursday, April 1, 2010
Updated: Friday, December 28, 2012

Whether you agree with Health Care Reform or not, the changes will take place over the next four years. It's important to understand how the new laws will affect your families, communities, and careers. The Patient Protection and Affordable Care Act (H.R. 3590) encompasses 906 pages that cover a vast range of health topics. Health promotion and disease prevention are covered in multiple sections of the bill. Here are some important changes you should be aware of:

  • The President is required to establish the National Prevention, Health Promotion, and Public Health Council. The purpose of the council is to develop a national prevention, health promotion, and public health strategy.
  • A Prevention and Public Health Fund will be established to provide for expanded and sustained national investment in prevention and public health programs to improve health and help slow the rate of growth in private and public sector health care costs.
  • The Preventive Services Task Force will meet to review scientific evidence related to the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services for the purpose of developing recommendations for the health care community.
  • The Secretary is required to provide planning and implementation of a national public-private partnership for a prevention and health promotion outreach and education campaign to raise public awareness of health improvement across the life span.
  • Medicaid will provide coverage for preventive services and vaccines.
  • Medicaid will cover smoking cessation resources for pregnant women.
  • Grants will be awarded to state and local governmental agencies and community-based organizations for the implementation, evaluation, and dissemination of evidence-based community preventive health activities in order to reduce chronic disease rates, prevent the development of secondary conditions, address health disparities, and develop a stronger evidence base of effective prevention programming.
  • Retail fast-food chains with 20 or more locations are required to place a sign that lists calories per serving adjacent to each food item offered.
  • The director of the CDC is required to provide employers with technical assistance, consultation, tools, and other resources in evaluating employer-based wellness programs and to conduct a national worksite health policies and programs survey to assess employer-based health policies and programs.
  • Funds will be allocated to carry out childhood obesity prevention projects.

This is only a brief outline of how wellness will be affected. To learn more go to www.thomas.gov. Do what is necessary to make sure your community or organization gets the funding needed to provide health promotion initiatives.

Tags:  April 2010  Emotional  Healthcare  Intellectual  Occupational  Physical  Policy 

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