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Resolution 2021-31855RESOLUTION NO:, 2021-31855 A RESOLUTION OF'THE MAYOR AND::CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, ACCEPTING 'THE RECOMMENDATION OF THE. LAND USE AND SUSTAINABILITY COMMITTEE, IN .PART, TO HOST AN INITIAL FREE PUBLIC MEETING TO GAUGE INTEREST IN A PARTNERSHIP WITH BLUE ;ZONES, LLC, AND TO _DISCUSS. BLUE ZONES' APPROACHES TO IMPROVING THE OVERALL WELLBEING OF OUR COMMUNITY THROUGH SYSTEMATIC ENVIRONMENTAL INITIATIVES, 'IN PARTNERSHIP WITH COMMUNITY LEADERS; AND,. PROVIDED THAT THE, CITY'S COMMUNITY LEADERS INDICATE_ SUPPORT FOR THESE INITIATIVES, AUTHORIZING THE CITY ADMINISTRATION 'TO HOST' A SECOND COMMUNITY MEETING, SUBJECT TO FUNDING APPROVAL FOR THE COSTS ASSOCIATED WITH' THE EVENT. WHEREAS, at ahe May 12, .2021 City Commission meeting,: Vice -Mayor Michael Gongora referred a :discussion item to, the Land Use and Sustainability Committee regarding the City of Miami Beach (the "City") joining the Blue Zones Project (the "Project'), a community -wide well-being,improvement initiative designed to make healthy .choices easier, and WHEREAS, the:. Blue. Zones Project encourages sustainable changes in the existing environment,, building environments and social networks; and often supports locally riven 'policy changes throughout a community, including; such. places as worksites, .schools, restaurants, grocery stores, 'faith based communities, -convenience stores; and neighborhoods; and WHEREAS, the Project, is based on principles identified'.during' an ongoing twenty- year worldwide longevity study commissioned bythe National Geographic, and detailed in detailed_ in the New York Times',best=seller., The: Blue. Zones: Lessons for Living Longer from the People Who've Lived the Longest, and The 'Blue Zones Solution by Dan Buettner, and WHEREAS, Blue Zones 'Project has already partnered with 6.1 cities, :impacting 4:5 million citizens, and focuses, on collaboration to leverage what is already working well Within a community, and building and igniting further momentum and community engagement; and WHEREAS, the Project team begins by meeting with stakeholder groups to better understand:efforts already underway; typically, existing programs that do similar work see their efforts visibly enhanced, and leaders and organizations already doing similar work typically participate on Blue Zones Project committees and help lead these efforts, building their brand recognition; and 1 WHEREAS, because the Project is usually` funded by multiple sponsors contributing to yearly investments in their community's health,. there is no cost to individual citizens, organizations, or the City, and projects generally last three to five years; and WHEREAS, at the September 14, 2021 Land Use and Sustainability meeting, the Committee made a motion recommending the Mayor and City Commission to support a free community conversation to gauge interest in partnership with Blue Zones, and to consider hosting a community event in the future if community leadership was interested in this'initiative. NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA that the Mayor and City Commission hereby accept the recommendation of the "Land Use and Sustainability Committee, in part-, to host an initial free public meeting to gauge interest in a partnership with Blue Zones, LLC, and to discuss Blue Zones' approaches to improving the overall wellbeing. of our community through systematic environmental initiatives, in partnership. with community leaders; and, provided that the City's community leaders indicate support for these initiatives, authorize the City Administration to host a second community meeting, subject to funding approval for the costs associated with the event. PASSED AND ADOPTED. this 11 day of September; 2021. ATTEST: SEP 12 2021 Rafael E. Granado, .City Clerk Dan Gelber, � INCORP ORATED= �� (Sponsored ,by Commissioner Michael Gongora), 2 APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION r-� City Attorney� —! S'- Z, care Agenda Item 6-7 Y Date -�7--2� MIAMIREACH COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Alina T. Hudak, City Manager DATE: September 17, 2021 SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, ACCEPTING THE RECOMMENDATION OF THE LAND USEAND SUSTAINBILITY COMMITTEE, IN PART, TO HOSTAN INITIAL FREE PUBLIC MEETING TO GAUGE INTEREST IN A PARTNERSHIP WITH BLUE ZONES, LLC, TO DISCUSS BLUE ZONES' APPROACHES TO IMPROVING THE OVERALL WELLBEING OF OUR COMMUNITY THROUGH SYSTEMATIC ENVIRONMENTAL INITIATIVES, IN PARTNERSHIP WITH COMMUNITY LEADERS ; AND, PROVIDED THAT THE CITY'S COMMUNITY LEADERS INDICATE SUPPORT FOR THESE INITIATIVES, AUTHORIZING THE CITY ADMINISTRATION TO HOST A SECOND COMMUNITY MEETING, SUBJECT TO FUNDING APPROVAL FOR THE COSTS ASSOCIATED WITH THE EVENT. RECOMMENDATION Accept the recommendation of the Land Use and Sustainability Committee in part to host an initial free public meeting to gauge interest in a partnership with Blue Zones, LLC, to discuss Blue Zones' approaches to improving the overall well-being of our community through systematic environmental initiatives. Administration is recommending the City Commission discuss the interest in allocating up to $10,000 for the City to host a future community event if there is support from the community to support this initiative. The $10,000 is not currently budgeted. BACKGROUNDIHISTORY At the May 12, 2021 Commission meeting, Vice -Mayor Michael Gongora referred a discussion item to the Land Use and Sustainability Committee regarding Miami Beach joining the Blue Zone Project- The Blue Zone Project is a community -wide well-being improvement initiative designed to make healthy choices easier. This is accomplished by encouraging sustainable changes in the built environment, building environments and social networks, often supporting locally -driven policy changes throughout a community including such places as worksites, schools, restaurants, grocery stores, faith based communities, convenience stores and neighborhoods. The program is based on principles identified during an ongoing twenty-year worldwide longevity study commissioned by National Geographic, and Page 4 of 30 detailed in the New York Times best-seller, The Blue Zones: Lessons for Living Longer from the People Who've Lived the Longest, and TheBlue Zones Solution by Dan Buettner. At the September 14, 2021, Land Use and Sustainability meeting, a motion was made to support a free community conversation to gauge interest in partnership with Blue Zones and to consider hosting a community event in the future if community leadership were interested in this initiative. The Blue Zones Project is based on research about the regions of the world with the highest concentrations of centenarians (people who live to be 100 years or older). There are five original blue zones regions: Loma Linda, California; Okinawa, Japan; Nicoya, Costa Rica; Sardinia, Italy; and Ikaria, Greece. These areas share nine common traits that contribute to people's longevity, called the Power 9®, and you can learn more about them in National Geographic Magazine and the New York Times best-selling books, The Blue Zones: Lessons for Living Longer from the People Who've Lived the Longest and The Blue Zones Solution. What are the goals of the Blue Zones project? The Project seeks to improve the overall well-being of an entire community's residents. Well- being is a measure of a person's overall physical, social, and emotional health. Higher well- being leads to lower healthcare costs, higher productivity and increased economic vitality, and offers benefits for everybody. Outcome goals include: Improving well-being, as measured by the Community Well -Being Index Generating significant medical cost savings and productivity improvement Lowering the obesity rate Lowering smoking rates Increasing produce consumption Improving access to healthy foods Increasing daily physical activity levels Drive significant media attention to your community Hire and train community coalitions to lead and sustain this work Leverage this inclusive and systematic approach to secure grants, gifts, and funding for communities How does the Blue Zones Project approach differ from other health initiatives? Many traditional health initiatives offer mainly diet and exercise programs that are right-minded, but rarely sustainable over time. Additionally, they are often narrowly focused on physical health and are often put into practice without consideration for existing community engagement programs. Blue Zones Project looks to knock down siloed efforts through an inclusive and comprehensive approach to population health. The Project focuses instead on comprehensively changing a community's environments so that healthy choices are easier for individuals to make. The Blue Zones Project is unique because it takes a systematic environmental approach to improving well-being through policy, programs, building design, social networks, and the built environment. Is the Blue Zones Project meant to replace existing programs or efforts? Blue Zones Project's work is focused on collaboration and leveraging what is already working well within a community, and building and igniting momentum and community engagement. The Project looks to broaden and accelerate current efforts. When the Blue Zones Project team begins its collaborative work in a community, the first several months include meetings with stakeholder groups to better understand efforts already underway. It is understandable that when a new approach is introduced it can trigger concerns. Typically, existing programs that do similar work see their efforts visibility enhanced. Leaders and organizations already doing similar work typically sit on Blue Zones Project committees and help lead these efforts, and build their Page 5 of 30 brand recognition. How does Blue Zones Project work as a community -lead initiative? Full-time teams, hired locally, are trained/certified as specialists by the Blue Zones Project central team to lead the day-to-day execution of a unique Community Blueprint. A local Steering Committee will guide the formation of Blue Zones Project. In addition, a Community Blueprint Advisory Committee—including community leaders and volunteers across all sectors and supported by Blue Zones Project team members—will work to develop a community's custom Blueprint for Blue Zones Project. That Blueprint, approved by the Steering Committee, is a strategic and tactical action plan that will guide the community as it works to achieve Blue Zones Community® certification. To launch the Project, a Foundation Period allows residents to provide input on the direction of the Blue Zones Project Blueprint through focus groups, workshops and priority -setting sessions. Following the Foundation Period, local Blue Zones Implementation Committees will begin to execute the Blueprint across six engagement sectors with the help of community leaders, volunteers and the Blue Zones Project team over three -five years. How does Blue Zones Project address the needs of diverse populations? Diversity and inclusion is a key component of Blue Zones Project. Because Blue Zones Project focuses on semi-permanent and permanent change to communities' infrastructure and policies, it focuses on making healthy choices easier for all. I nformed by community input and driven by a local Steering Committee, the community defines the specific focus areas and scope. Priorities brought forth by the community will be driven through policy change that affects diverse populations the most. The Project efforts are tailored to address the needs of each individual community and reach all segments of the population. Of course, Blue Zones Project, or any one initiative, cannot do that alone. Blue Zones Project works closely with local leaders and other community organizations to ensure they are reaching every segment of the population. The City will select objectives and strategies that will address areas of greatest need and potential impact to improve health and well-being. This could mean built environment strategies that improve neighborhood safety and walkability, or access to parks and green space. It could also mean improving access to affordable fresh fruits and vegetables at local comer stores or through mobile markets. For example, in Fort Worth, the community has focused on addressing a food desert in the Stop Six neighborhood as part of broad revitalization initiative. Blue Zones Project supported collaboration between Fort Worth Independent School District, the city, the county, a non-profit, neighborhoods, police, and many others. In December 2017, using Blue Zones Project programming and focused volunteer efforts, Ramey Market held a grand re -opening as the first healthy corner store in Fort Worth. Blue Zones Project support included: • Engaged local high school art students to create new mural for the building's exterior that included produce • Eliminated in-store tobacco signage • Added produce stand and healthy grab -and -go cooler near register • Added signage throughout store promoting healthy food choices and large produce merchandiser is set close to store entrance • Added healthy options to the store's freezer section • Healthy recipe cards are available for customers ANALYSIS Blue Zones Project utilizes many strategies for improving well-being although not all will be Page 6 of 30 necessary or applicable in every community. Strategies will be chosen based on the Blue Zones Project team's community assessment in collaboration with community leaders and the Blueprint planning done by a core leadership team made up of citizens and leaders from the community. Employers (public, private, and not-for-profit) are offered no -cost tools and consulting to improve employee productivity and well-being. Individuals will have access to free tools that will help them create healthier surroundings for themselves, their families and the community. These include checklists for setting up a home to improve well-being, an online quiz to project longevity and a coaching tool to improve your well-being, and workshops to deepen a sense of purpose, make new friends, and explore healthier eating. Civic leaders play a key role by adopting and implementing best practices in policies and programs to improve the built environment, food environment, and smoke-free environment. Restaurants, schools, grocery stores, faith -based communities and other organizations can participate by making changes that will create healthier environments for customers, students, members and residents. Local media outlets help spread the word about Blue Zones Project and encourage participation. Some of the typical implementations a community can expect: • Walking school buses that provide students with at least a mile of walking each day • Partnerships with local grocery stores and convenience stores to promote healthy foods • Planning for walking and biking paths that promote human -powered transportation • Establishment of walking, healthy eating and purpose groups that encourage social engagement • Helping local restaurants enhance menus to include more appealing, healthier choices that can also help them grow their customer base and revenue • Targeted solutions for harder to reach populations • Creation of healthier worksites making healthier choices easier for colleagues • Adding healthy foods and increasing physical activity in schools Are community members and organizations forced to participate? Blue Zones Project is a series of improvement initiatives that communities choose from to help turn the tide of chronic disease and poor health. The work of the Project isn't a mandate; it's a resource system that works to create and sustain environments where healthy eating and active living are accessible to everyone. The problem is dire: The National Institutes of Health reports that more than two in three U.S. adults are overweight or obese. (Obesity -related conditions such as heart disease, stroke, type 2 diabetes and certain cancers are some of the top causes of preventable death.) Blue Zones Project partners with communities and individuals to reverse that trend, by making healthy choices easier. And choice is the operative word: every restaurant, grocer, school, employer, and individual choosing to participate in this initiative is given a list of evidence -based practices, gleaned from areas of the world where people live longer lives with less chronic disease. These principles and environmental changes are all optional and are designed to enhance longevity. When enough of these practices are implemented, healthy choices become easier to make in a community. On an individual level, people can join the Blue Zones Project movement by deciding which of the best practices are the best fit for them or for their families and attend a variety of free events hosted across the community. How is Blue Zones Project funded? Blue Zones Project is a well-being initiative that is brought to each community through the support of community sponsors. The value is improved well-being through healthier choices offered where people live, work, and play such as worksites, schools, grocery stores and restaurants. Because sponsors fund the project, there is no cost to individual citizens, organizations or the city. Projects are generally three to five years and are funded by multiple sponsors contributing to yearly investments in their community's health. Blue Zones Project has Page 7 of 30 a unique relationship with each community, and funding models vary from state to state and community to community. SUPPORTING SURVEY DATA 79.3% of residents are satisfied or very satisfied with the City of Miami Beach as a place to live FINANCIAL INFORMATION FY 22 $10,000 (not budgeted) Applicable Area Not Applicable Is this a "Residents Right Does this item utilize G.O. to Know" item, pursuant to Bond Funds? City Code Section 2-14? No No Strategic Connection Mobility - Improve the walking and biking experience. Legislative Tracking Organizational Development Performance Initiatives Sponsor Commissioner Michael Gongora ATTACHMENTS: Description ❑ Community BZP Brochure ❑ NATL Factsheet ❑ Blue Zones Project Process ❑ Developing Planning Teams 2021 Page 8 of 30 �� E� T YC O� ^�- � -� E a Hoy HELP PUT YOUR COMMUNITY BACK IN CONTROL OF HEALTH AND WELL-BEING. TRANSFORMATION IS POSSIBLE What do Ikaria, Greece; Loma Linda, California; Sardinia, Italy; Okinawa, Japan; and Nicoya, Costa Rica have in common? Their citizens lead vibrant, healthy, and amazingly long lives. These places are known as "blue zones", where people live measurably longer, with lower incidences of chronic disease and a higher quality of life. Blue Zones Project" provides a holistic and comprehensive solution that addresses the key drivers of behaviors in all the places we live, work, learn, and play. We put entire communities in better control of their health and well-being, and deliver measurable change in population health. Blii Zones So�uutton 'MDWG i _`� � I HAPPINESS THE �' Lillie Zo es i iR NrJIiI��I�F.n ltR�de —Y Dui Bucttuer DAN B _ NER MAKE YOUR COMMUNITY A BLUE ZONE Scientists identified five blue zones areas around the world, and National Geographic explorer Dan Buettner documented these findings in his New York Times bestselling book, "The Blue Zones—Lessons for Living Longer From the People Who've Lived the Longest." This research, coupled with a twenty-year longevity study, has been leveraged to develop a community transformation program, Blue Zones Project, which delivers proven tools and resources to create new Blue Zones Communities° across the U.S. Page 11 of 30 THE BLUE ZONES PROJECT DIFFERENCE Blue Zones Project takes a unique, systematic approach to improving well-being—focusing on our "life radius" By optimizing the settings where we routinely spend our time, we make healthy choices easier—and naturally adopt healthier behaviors together as a community. Page 12 of 30 PEOPLE We engage people to optimize their homes and social environments with the Personal Pledge; provide opportunities to discover their purpose; facilitate volunteer experiences to connect with community, and offer programs that deliver support through healthy social networks. PLACES We orchestrate a critical mass of worksites, schools, restaurants, grocery stores, and faith -based organizations across the community to optimize environments toward healthy living. By working together to make permanent or semi-permanent changes, healthy choices become the easy choices to make in all the places people live, work, learn, and play. POLICY We work with city leaders to suggest evidence -based best practices to impact food policy, tobacco policy, and the built environment. By improving community infrastructure and public policies, we maximize residents' abilities to move naturally, connect socially, access healthy food, and improve quality of life. Page 13 of 30 Communities choose from more than two hundred evidence - based interventions that make healthy choices easier in homes, schools, worksites, restaurants, grocery stores, and faith -based communities. Communities select from three evidence -based policy bundles to impact built environment, food policy, and tobacco policy. THE POWER 9 .PRINCIPLES Central to Blue Zones Project are the Power V principles, identified as shared lifestyle traits across all five blue zones areas. The Power 9 principles can be grouped into four categories, which are described below: y Move Naturally: Homes, . ® Eat Wisely: In most cases, fad communities, and workplaces diets do not provide sustainable are designed to nudge people results. Individuals and families into physical activity. Focus can use time-honored strategies should be given to favorite for healthier eating habits, activities, as individuals are more including: Using verbal reminders likely to practice them regularly. or smaller plates to eat less at For example: gardening, walking meals; Eating a predominantly or biking to run errands, and plant -based diet; Drinking a glass playing with one's family are of wine each day (for adults with a great ways to incorporate natural healthy relationship with.alcohol) movement into the day. Right Outlook: Individuals Belong: Research indicates it know and are able to articulate is exceedingly important that their sense of purpose. They people surround themselves with also take time to downshift, the "right" people—those who ensuring their day is punctuated make them happy and support with periods of calm. healthy behaviors. Put loved ones first by spending quality time with family and participating in a faith based community. Page 14 of 30 REAL LIFE IMPACT Influenced by the environmental changes all around her, Arnette Travis of Redondo Beach, California adopted Power 9 principles and transformed her life. She gained a newfound sense of purpose by volunteering at local events. This led her to connect with people who supported a healthy lifestyle and helped her kick a 40 -year tobacco habit. AM You can't put a dollar sign beside everything or everyone. This is nowhere truer than in the universe of volunteerism. As a volunteer, I know my time is valued, appreciated, and more than anything, warranted." - Arnette Travis, Redondo Beach, CA At age 82, Theresa started a garden to grow her own fruits and vegetables, joined a Walking Moai to begin to move naturally, and attended a Purpose Workshop to find more meaning in her life. In less than a year, she lost more than 40 pounds and stopped diabetes in its tracks. She even motivated her family to join her journey, and as a result her son lost 35 pounds and her husband lost 19. I'm a twin and my sister died at 59 years of age. I wish she were still alive. But I have completely changed my way of living. This is the best thing that has ever happened to me. - Theresa Zendejas, East Hawaii Page 15 of 30 A PARTNERSHIP THAT PAYS OFF Measurably increase well-being was quantified by The Boston Uni- versity School of Public Health: The Community Well -Being Index isIthe gold standard. of population health. This project aims to mjeasure and statistically improve well-being, annually reporting that well-being to stakeholders and media. Lower healthcare costs: B e Zones Project measurably lowers smoking rates and average BMJ/w/hile increasing physical alctity and healthy eating, which results in lower healthcare and C71a-im- s�1 costs. Improve productivity: —P_eo.p_I.e with higher well-being cost fess and perform better. Blue Zones Project works with �ei ployers, organizations, and worksites to make tangible and _measurable changes to their `'_envi onment, thus supporting and improving well-being. Position your company as an innovator and leader in pre ntive health: B/llue Zones Project has a strong reputation for generating local and national press for marshaling innov at n, creating healthier environments, and attracting visitors and businesses to communities. Attract grants: :lue Zones Project work meets criteria for dozens of national, state, and local grants. Our demonstration communities have been extremely successful in attracting grants for healthier schools, built environments, food policy, active living, and other community development opportunities. Improve the living environment fo�the long run: With a focus on sustainable enviironmental and social change, u�r programs draw from more than two hundred evidence- - b he interventions designed to break down silos, maximize collective impact, and yield benefits long after our tenure in the community. Boost economic vitality: B e Zones Project has helped many communities attract new b/usinesses and stimulate the local economy by positioning J/the community as a place that supports a healthy workforce. Page 16 of 30 ELEVATING OUTCOMES Blue Zones Project elevates public perception toward participating communities and their sponsoring organizations, using PR and media to drive awareness and engagement, increase civic pride, and boost economic development. Blue Zones Project designation is a badge and brand with national credibility that draws national attention. Being recognized as an official Blue Zones Community° generates heightened interest and increased media attention for the community, participating parties, and sponsors. OPRAH MAGAZINE Article highlights Cedar Falls, IA, and multiple other Blue Zones Project demonstration communities, May 2014: "In Cedar Falls, not only have residents collectively lost weight, but there has also been a nearly 4% drop in the number of people with high cholesterol and a 10% decline in the number of smokers." Vic Xcwflo* Elm u NAL GEOGRAPHIC TEDMED SCIENTIFIC AMERICA eat �4�r:�� FOX TODAY W©R©D JOURNAL R1 Page 17 of 30 Blue Zones and its brand have attracted global recognition, with more than 3 billion media impressions to date. Since its launch in 2008, Blue Zones Project has been heralded for innovative approaches to population health management in such publications as The New York Times, National Geographic, Scientific America, and Oprah Magazine. The Blue Zones TED Talk has been viewed over 2 million times, and Dan has appeared on shows like CNN, NPR, Good Morning America, ABC World News Tonight, and CBS's The Early Show. THE PROOF IS IN THE ZONES Bring the benefits to your community Blue Zones Project Value Dashboard reports on three levels of measurement: • Community Well -Being Index • Community -reported metrics • Media value WELL-BEING INDEX COMMUNITY MEDIA Secured funds to create a more walkable, bikeable Decrease in risk factors to residents' Q health from 2010 to 2017. U 25% drop in overweight adults Cities for bike paths and infrastructure 36% drop in smoking W 4% drop in daily stress • City of Hermosa Beach Living Streets Policy Diabetes low at 5% U Increase in residents' healthy -F lifestyle habits from 2010 to 2017. U 8% increase in exercise Q 6% increase in produce consumption LLj 4% increase in people who M are "thriving" COMMUNITY MEDIA Secured funds to create a more walkable, bikeable Featured in nearly 1,500 and connected community. news stories. • $8.1 million in grants awarded in the Beach collective impact across the city. Cities for bike paths and infrastructure 1.34 billion media reach improvements between 2010 and 2016. • City of Hermosa Beach Living Streets Policy School infrastructure around eight schools ranked among best in the nation by National Nearly $2.7 million in Complete Streets Coalition media value secured. Created change that will impact generations Featured stories include: to come. Forbes • Students walked 423,000 miles the past school CNN year on 37 Walking School Bus routes LA Times • 64% reduction in childhood obesity from 2007 Parade Magazine to 2016 in Redondo Beach Elementary Schools 0 QIncrease Decrease in risk factors to residents' Strong public-private partnerships led to true habits from 2014 to 2016. 14% increase in produce consumption health from 2017 to 2019. collective impact across the city. • 31% drop in smoking $6.2 million awarded for Safe Routes to X 11% drop in high cholesterol School infrastructure around eight schools X 7% drop in high blood pressure A 2018 bond election allocated $8 million 85% community awareness of for West 7th Street improvements = Increase in residents' healthy More than $4 million in funding approved F- lifestyle habits from 2014 to 2019. for five new electric buses, the first of their r 40% increase in exercise kind for the Trinity Metro fleet 0 3% increase in produce consumption New tobacco policies eliminated smoking in • Overall well-being score up 3.7 points city parks and ensure smoke-free • Fort Worth's metro area equivalent environments for all Fort Worth employees f— ranking moved up to 58th from 185th out of approximately 190 metro areas Local employers report a healthier, less 0 costly workforce. LL Fort Worth embraces Blue Zones Project. DFW Airport's healthcare cost increase rate is • More than 88,000 residents running 40% below the national trend participated in Project programs In just one year, Mother Parkers Tea & Coffee • 14% increase in residents who saw a 16% drop in paid medical claims and a are "thriving" 26% decrease in paid pharmacy claims • 8.8% increase in civic pride Decrease in risk factors to residents' Walkable community design led to downtown health. revitalization and vibrancy. • 35% drop in smoking from 2010-2016 10+ miles of new sidewalks and bike lanes • 12% drop in high cholesterol from 38% increase in trail usage 2014 to 2016 15% average annual increase in lodging taxes 4% drop in high blood pressure from from 2012 to 2014 z 2014 to 2016 12 new businesses open on expanded Main St. QIncrease in residents' healthy lifestyle LU J habits from 2014 to 2016. 14% increase in produce consumption • 12% increase in community pride 11% increase in people who are "thriving" m Albert Lea embraces Blue Zones Project. Q 85% community awareness of the project • 55% believe Blue Zones Project has made a positive impact on the community • 40% of citizens report to be engaged in the project Boost in residents' healthy habits had significant economic impact. • $8.6 million projected savings in annual healthcare costs for Albert Lea employers due to decrease in smoking rates • Hy -Vee, a top -25 grocer nationwide, reports 12% increase in produce and health market sales, 35.3% increase in frozen fruit and vegetable sales, 52.3% increase in water sales in Albert Lea • Local energy employer Freeborn -Mower Cooperative Services reports 34% decrease in health insurance claims from 2012 to 2014 Page 19 of 30 Featured in more than 2,200 news stories. 2.9 billion media reach between 2015 and 2018. $6.5 million in media value secured. Featured stories include: • TODAY Show • The New York Times • Forbes • NBC Nightly News Featured in 783 news stories from 2013 to 2016, including stories in 39 national outlets. 589 million media reach between 2013 and 2016. $1.19 million in media value secured. Featured stories include: • ABC Good Morning America • Christian Science Monitor • USA Today • Newsweek SUPPORT EVERY STEP OF THE WAY Our proven community transformation model uses global research, national leaders, and local expertise to create meaningful well-being improvement and deliver results. Some of the services we provide include: • Local and National Experts—Blue Zones Project demonstration communities receive full support and guidance from our national team of experts and locally -hired staff focused on'. delivering training and support, and driving success. • Community Assessment—Our experts will assess demographic and health indicators in your community, conduct a leadership summit and community focus groups,'and assess built environment, food.policy, and tobacco policy. • Blue Zones Project. Model and Materials Demonstration.communitiesgain access to a suite of resources and materials including playbooks, best -practice guides, marketing collateral, policy bundles, and more—all available to participating organizations through a customized. resource portal. Customized Community Website—Your community will have your own website to increase connections and improve the flow of information about Blue Zones Project progress, plans, healthy activities, and events. Public Relations and Media=Dan Buettner serves as Blue Zones Project's spokesperson . and advocate in national. media. Our local and national teams will actively identify opportunities to leverage media to impact engagement, drive economic impact, and .share successes along the way. • Community -Wide Kickoff Event—We'll launch Blue Zones Project with a community wide kickoff event designed to inspire people to get involved and create momentum for the transformation. Community Engagement—A full -schedule of motivating, engaging, and informative events will be planned and executed by our team of experts, including Moais®, purpose workshops, volunteering, walking school buses, and more. • Organizational Pledges—Partnering with organizations across the community, we provide evidence -based interventions that make healthy choices easier for all residents. • Outcomes Reporting—Blue Zones Project provides reports using three levels of measurement—Community Well -Being Index, community reported metrics, and media value. • Sustainability Planning—We want your community to continue to grow and improve well-being after the initialtransformation phase ends. We work with local leaders to develop a sustainability plan to ensure your community has the tools and education to continue to build upon project successes. Page 20 of 36 "During Phase l of the Southwest Florida Blue Zones Proiect, awareness reached 44% .in. our city,and 33% in our region; Considering ,the substantial number, of messages that are competing for the attention oi`Ithe residents and visitors in our area, these :levels of awareness are excellent,and.have provided'an' added bonus of positive goodwill.toward our Healthcare system within Southwest Florida."' Debbie Curry, Director of Marketing' and Public Relations of NCH Healthcare System "We've completely enhanced our quality of life The impressive outcomes commas a direct result of Blue Zones Project resources and expertise coupled with local volunteers committed to sustaining our changes;" Chad Adams, City Manager Albert L;ea eml:�l.IAII■late] 9: oil 1rzyL.l0.1i9lrG7edOfeto 0 communities across North America are currently experiencing THE BLUE ZONES PROJECT DIFFERENCE Page 22 of 30 BDG X I ID. A {mmbv; otH..Mf.1d cU k Hearth Sppt . 1KAMBIN health foundation Salinas Valley meniorzal ,Healthcare S�ste Health Districf hmsa �tIGHMARK.09 410*k# AHN SAINT VINCENT QD Texas Health Resources" AVEDIS 0 FOUNDATION 00 MONTAGE . Health NCH Healtfi[are System birl"Ashealth 0WHEALTHCARE HEALTHCARE Saint Anthony Medical Center LIEIC101, HEALTH UPMC CORRY MEMORIAL: HOSPITAL LIFE CHANGING MEDICINE BLUEZONES PROJECT by sharecare bluezonesprojoaxom bluezonesprojectu;sa@sharecareco:m 91, BIu'eZones.Project Copyright @ 2019 Blue Zones, LLC and Sherecare, Inc. All rights reserved. HMSA Is an Independent Licensee of the flue Cross and Blue Shield Association. Page` 2�U A community= wide approach. By encouraging better eating habits. Implementing tobacco -free policies, and Increasing physical activity, we create healthy habits for life. rl��® Sidewalks, community gardens, farmers' markets, and other community Infrastructures affect your ability to move naturally, connect socially, and access healthy food. By helping you provide easier access to healthful and tasty foods, you can better educate families on Improving nutrition. We help Inspire, encourage, and promote well-being, increasing connectivity and longevity among members. What is Blue Zones Project®? woR[tslTts. � =your your workers feel better and netted to their colleagues. so they're more productive, miss less work, and have lower healthcare costs. Z ,r We work with you to add healthier foods, so you can improve customer satisfaction and increase traffic From moving naturally more often to finding individual purpose in our lives, making small changes in daily routines can lead to living happier and healthier lives. What began as a New York Times bestseller by National Geographic Fellow Dan Buettner has evolved Into a global movement that's inspiring people to live longer more active lives. Blue Zones Project offers a unique opportunity for Individuals, organizations, and communities to make permanent changes to the environments where they live, work, and play to make healthy choices easier. 9O >>LIVE A LONGER, HEALTHIER LIFE BY APPLYING T INSPIRED BY THE PEOPLE WHO HAVE LIVED HE"LONG SIT.CIPLES POWER AM Purpose: Wake up with purpose each day and add up to seven years to your life. 0owm11ft Reverse disease by findmg a sows-rch-mg strategy that works for you. Belong: Belong to a faith -based community and attend services regularly to add up to 14 years to your life. Move Naturally: Find ways to Plant Slant: Put more fruits and Right Tribe: Surround yourself ® morel you'll bum calories vegetahles on your plate. with people who support positive without thinking about it. behaviors - and who support you. 80% Rule: Eat mindfully and Wlne@S: If you have a healthy Laved ones Firab. Invest time ® stop when a0% full. relationship with alcohol, enjoy a glass of wine with good friends with family - and add up to six years to your life. each day. Find.out morev l(D bluezonesproject.com� ' 4 ' 0- bluezonesprojectusa@sharecare.com 0 facebook com/bluezonesprojeet BLUE ZONES PROJECT Community Transformation Process • Collect and Analyze CWBI • Conduct Preliminary Community Assessment • Conduct Focus Groups and 1:1's • Present to Community and Stakeholders • Develop Community Assessment and Go Forward Options • Identify Sponsors and Provide ROI Analysis • Develop Outline of Foundation Plan SHARECARE, INC and BLUE ZONES, LLC I CONFIDENTIAL AND PROPRIETARY. • Conduct Community Input & Discovery • CWBI Oversample and Measurement Metrics • Build Coalitions and Identify Steering Committees • Train Staff, Leaders, Participants and Volunteers • Develop and Finalize Blueprint Including Financial Model • Strategic Plan for Community Page 26 of 30 • Implement Blueprint • Engage people and places • Impact policy to drive environmental change • KPIs reported on annual basis • Celebrate! • Create and implement sustainable blueprint • Continue impacting well-being in the community • Showcase outcomes using Community Well - Being Index • Continue Evolution and National Leadership BLUE ZONES PROJECT by aharecare Developing Planning Teams: Planning for Blue Zones Project community, even in the earliest stages, requires that there is a committed group of passionate committed stakeholders, or partners that are willing to work together to create shared goals, and see the process through. In the earliest stages, this often means bringing together a small team of visionaries with a goal for improved community wellbeing who are also recognized leaders in the community and have social capital they can leverage to convene other stakeholders. Examples of key stakeholders that are also natural partners to address health and wellbeing are listed below. This is not an exhaustive list but are examples stakeholders that have previously joined the Blue Zones Community planning processes. A "planning" team may be as small as 3 people, or as large as 7-10 people. As with any project, it is important to have at least one member that can support coordinating information, meetings, etc. Examples of planning team members: Coordinator: Someone with bandwidth to help plan key meetings, collect and share documents. Health systems representatives from: • Population / community health teams • Marketing communications team • Foundations Public Health Representatives: • Executive leaders • Program directors Large Employer Representatives: • CEO/CODs • HR Leaders • Employee wellness program managers Health Plans/ Payers: • Local or regional representatives from key health plans in the region Municipal Leaders • City planning office • Mayor or city manager support staff Chamber of Commerce • Chamber president • Chamber employer program coordinator Local Community Foundation(s) • Foundation Program manager/leader Page 27 of 30