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1 RiversideCA.gov1
RiversideCA.gov
BLUE ZONES PROGRAM RESOLUTION OF SUPPORT AND CITY SPONSORSHIPCity CouncilAugust 6, 2024Office of SustainabilityCommunity & Economic Development RiversideCA.gov2
June 21,2022 – City Council approved an assessment to determine the City ofRiverside’s eligibility in a Blue Zones program. This was done at no cost to the Citywith Riverside University Health System (County of Riverside) funding theassessment.November 2023 – Inland Empire Health Plan announced it was sponsoring 50% ofthe Blue Zones project in the City of Riverside.December 12, 2023 – City Council directed staff draft a Resolution supporting theCity of Riverside Blue Zone project with a 1% sponsorship contribution.May and June 2024 – Two additional sponsorships were approved totaling 35% ofthe Blue Zones cost for the City of Riverside Blue Zones project.BACKGROUND1 2 7/25/2024
2 Blue Zones brings over 20 years of research, exploration, and solutions from the world’s most extraordinary cultures—the blue zones—where people have lived better and longer than anyone else on the planet.
Partnered with and trusted by leading organizations:
PURPOSET o empower everyone, everywhere to live better, longer.PROMISEMore good years.BLUE ZONES RiversideCA.gov4
Blue ZonesLONGEVITY HOT SPOTSBLUE ZONE LONGEVITY HOT SPOTS3 4 7/25/2024
3 THE CHALLENGE
Riverside County Healthy Places Index = 39.3
County Health Rankings and Roadmaps. Robert Wood Johnson Foundation. https://www.countyhealthrankings.org/explore-health-rankings/california?year=2023&tab=0&measure=Health+Factors. Accessed February 1st, 2024. The California Healthy Places Index. Public Health Alliance of Southern California. https://map.healthyplacesindex.org/. Accessed March 24th, 2024. | 2023 | PAGE 17THE CHALLENGE
In the State of California, out of 58 counties, Riverside County is ranked #36 (Health Factors) and #27 (Health Outcomes) 5 6
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4 Without different intervention, simulated total costs increase by5.36%per yearThe Cost of Doing Nothing…Differently$1.6 BillionAnnual Increase City of Riverside Adult Population 247,079
RiversideCA.gov8
Ten Year ImpactCITY OF RIVERSIDEMedicalProductivity Regional Economic$164.7 Million$228.9 Million $75.2 Million~ $72 Million Cumulative7 8 7/25/2024
5 | 2023 | PAGE 17
QUINTILE RANKINGFirst Second Third Fourth Fifth*2017-2018 element rankings based among the 50 states for California and 157 largest MSA’s for Riverside+1.0-0.1 PurposeFinancialPhysical
Social
Community
California22nd 23rd10th 50th27th 115th39th 151st9th 46thCity of Riverside14thof 50 States80thof 157 MSA’sWell-Being ElementsCITY OF RIVERSIDEWELL BEING ELEMENTS Resource AllocationKey Features: Blue Zones Assumes 25% Risk; Annual Gallop Measurement; Locally hired staffResource AllocationCumulative $20.83MLocal Hire FTE Mix AVG1Executive Director3People3Places2Policy1PM Coordination2Events & Marketing1Innovation13TotalLocal FTE MIX
45.0%7.2%5.3% 4.9%5.2%8.5%4.0%4.6%15.2%Local TeamNational Experts MarketingG&A, Technology MeasurementIP/LicensingNon-Executive Overhead InnovationContract Margin10RESOURCE ALLOCATION9 10 7/25/2024
6 Resource Allocation85% OF FUNDRAISING SECURED – HIT THRESHOLD TO LAUNCH45.0%5.2%8.5%4.0%4.6%15.2%CONFIDFUNDRAISINGTotal RaisedAmountBlue Zones Sponsors50%50% $10,415,000No. 1: Inland Empire Health Plan60%10%$2,083,000No. 2: To Be Announced85%25%$5,207,500No. 3: To Be Announced86%1%$208,300No. 4: City of Riverside(14%)14%$2,916,200Additional NeedTODAY Blue Zones ProjectDEVELOPMENT TIMELINE AND MILESTONES – 5 YEARS FROM LAUNCH TO COMPLETION20222023JUL- SEP OCT - DEC JAN - FEB APRMARMA YJUN - AUGKick-off Planning & ResearchSteering Committee #1Press Release1:1 MeetingsKeynote(s) & Focus Groups –Banning, Coachella1:1 MeetingsVirtual Policy Focus Groups – Built Environment, Food Systems, Tobacco, AlcoholKeynote(s) & Focus Groups – Riverside, Corona, French Valley, Mead ValleySteering Committee #2Well-Being Driver AnalysisSteering Committee Report Delivery -OverviewSponsorship MeetingsBZ Support & CollateralCEO RoundTableSeptemberGo/No-GoDecision(s)Community ReadoutBegin ContractingSteering Committee Proposal ReviewNOV - AUGLaunchContractingFinal DecisionReadout, Proposal & Focused MeetingsFocused MeetingsAnalysisCommunity Leadership Event(s)Community Leadership Event(s)Planning & ResearchContract ExecutionValue Proposition PresentationKeynote(s) & Focus Groups –Palm SpringsBLUE ZONE PROJECT2024 11 12 7/25/2024
7 RiversideCA.gov13
Strategic Priority No. 2—Community Well-BeingGoal 2.2: Strengthening neighborhood identifies and improving community health and the physical environment through amenities and programs that foster an increased senses of community and enhanced feelings of pride and belonging citywideCross-Cutting Threads
STRATEGIC PLAN ALIGNMENT
RiversideCA.gov14
1. Adopt the attached Resolution supporting the Blue Zones CertificationInitiative; and2. Approve the City sponsorship portion of the Blue Zones CertificationInitiative in the amount of $208,300, or 1% of the total Blue ZonesCertification program costs.RECOMMENDATIONS13 14 7/25/2024
8 RiversideCA.gov15
REFERENCE SLIDES
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Value Impact Analysis -City of Riverside
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9 Healthy Design Yields Triple Bottom Line
Healthy Economy
Healthy Environment
Healthy People
HEALTHY DESIGN YIELDS TRIPLE BOTTOM LINE
RiversideCA.gov18
Lifestyles of all blue zones centenarians sharedNINE COMMONALITIESWe call these characteristics the Power 9. 17 18
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10 Blue Zones Project works to improve what we call the Life Radius, the 20-mile area around a person’s home where they spend 90% of their time.Life Radius •Preliminarycommunityassessment•Focus groups, 1:1’s•Presentations•Sponsor identification and Value, Impact and, ROI analysis•Community Input & Discovery•Well-Being Measurement•Coalition Building•Training•Blueprint Development•Volunteer Mobilization•Implement Blueprint•Engage people and places•Impact policy to drive environmentalchange•KPIs reported on annual basis•Celebrate!•Create and implement sustainable blueprint•Continue impacting well-being in the community•Share outcomes data using Well-Being Index andCommunity Selected MetricsTransformation Model ProcessAssessmentFoundation & PlanningTransformationCertification/ Sustainability19 20 7/25/2024
11 Foundation Period
FoundationHiring and Training of the Core TeamEstablishment of Committee Structure and TrainingEstablishment of Volunteer Base and TrainingGlobal Expert SummitsGallup Community Oversample: BaselineBaseline Metrics and Annual Targets - DashboardPR Media and Marketing/ Engagement OutreachWeb and Social Media Engagement with T oolsCommunity Engagement EventsMaster Blueprint: All Sectors & Marquee Projects DetailCentral T eam Implementation and Project Management Oversight Blue Zones Certification CriteriaAwareness & Engagement of leadership, citizens and organizationsImprovement in Key Components and/or Overall Well-Being Reduction in Population Health and Well-Being Risks Evidence of change deployed to people, places and policy Improvement in key community self-reported metrics7CONFIDENTIAL | 2021 | PAGE 21 22
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12 CONFIDENTIAL – COPYRIGHT 2023
BLUE ZONES HAS DEPLOYED TO6.5M+LIVES IN OVER90TRANSFORMATION PROJECTSACROSS17STATESOVER THE COURSE OF13YEARS TO IMPROVE HEALTH AND WELL-BEINGBLUE ZONES TRANSFORMATIONS•Community Transformation•Worksite / Campus Transformation•In Development RiversideCA.gov24
> 5% Sustained Improvement in Well-BeingCONFIDENTIAL | 2023 | PAGE 9Measurable Results Small CommunityAlbert Lea, Minnesota 13 Years•49% decrease in medical claims costfor city workers.•2.9 years addedto life spanswithin one year of participating in the Blue Zones Project.•48% increase in tourismsince2012.•Jump to 34thplacein Minnesota County Health Rankings (previously 68 out of 87 counties) Mid-Size CommunityBeach Cities, California 10 Years•55% drop in childhood obesityrates at Redondo Beach K-5 schools.•15% drop in overweight/obeseadults.•10% increasein exercise.•17% dropin smoking.•12% risein Life Evaluation.•$72M in medical cost and lost productivity savings.
Large Community Fort Worth, Texas 8 Years•31% decrease in smoking,reducing smoking rate to 13.5%•Nine-point increasein residents who exercise at least 30 minutes three or more days of the week, now at 62%.•Overall 2018 Well-Being Index score rose to 62.5,a gain of3.7 points or 6%since 2014.
Large EmployerNCH Healthcare System 6 Years•A 4.9 pointjump in overall well-being among employees.•54% decrease in healthcare expendituresover six years.•$27 million reduction in self-insured medical claims.•Nearly 60%of all employees pledged participation.•40% declinein lost workdaysdue to injury.$40MFollow-On Grants+12%Life Evaluation$20BLifetime Reduced Smoking Value+7%Well-Being Improvement 23 24
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13 Business OutcomesPerformance Unplanned Absence TurnoverSafetyWhat We Know PurposeFinancialPhysical
Social
Community
Health OutcomesHealthcare Utilization Hospital Admissions Hospital Readmissions Disease BurdenCommunity OutcomesCrime RatesHigh School Graduation Rates Teen Pregnancy Rates Motor Vehicle DeathsMental Health OutcomesClinical Depression Daily Emotions Resilience AdaptabilityImprovement City of Riverside Population
317,300Total Population70,22122.1%Under 18212,64467.0%18-6434,43510.9%Over 64247,079Adult PopulationCity of Riverside Adult Population 247,079 25 26
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14 3 in 51 in 21 in 21 in 37 in 101 in 21 in 21 in 3Do not exercise at appropriate levelsDo not eat sufficient fruits and vegetables Have worried about money in the last week Do not feel safe and secureAre obese or overweightAre not proud of their communityDo not have a good perception of their health Have a poor current life evaluationVoice of the City of RiversideCity of Riverside Adult Population 247,079 Select BehaviorsCITY OF RIVERSIDE+39%↓+57%↓+30%↓+87%↓+74%↓↓+70%City of Riverside Adult Population 247,07927 28 7/25/2024
15 DiseaseCITY OF RIVERSIDE+16%↓↓+95%City of Riverside Adult Population 247,079+9%↓ Risk Behaviors and DiseaseCITY OF RIVERSIDECity of Riverside Adult Population 247,079 29 30
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16 Without different intervention, simulated total costs increase by5.36%per yearThe Cost of Doing Nothing…Differently$1.6 BillionAnnual Increase City of Riverside Adult Population 247,079
Annual Prevalence Rate ProjectionsCity of Riverside Adult Population 247,07931 32 7/25/2024
17 RiversideCA.gov33
Ten Year ImpactCITY OF RIVERSIDEMedicalProductivity Regional Economic$164.7 Million$228.9 Million $75.2 Million~ $72 Million Cumulative RISKSRisk % Yr1 Yr2 Yr3 Yr7 Yr8 Yr9 Yr10Stress38.5%3 36.2% 36.0% 35.8%35.5%Smoke15.5%1 % 13.6% 13.5% 13.4%13.3%Exercise55.2%5 % 50.0% 49.4% 48.8%48.2%Nutrition46.3%4 % 42.7% 42.3% 42.0%41.7%BMI35.1%38.2% 38.0% 37.6% 37.1% 36.6% 36.45.3% 15.0% 14.7% 14.3% 13.8% 13.74.6% 54.0% 53.2% 52.2% 51.1% 50.65.8% 45.4% 44.8% 44.1% 43.3% 43.04.6% 34.1% 33.5% 32.7% 31.7% 31.5% 31.3% 31.0% 30.8%30.5%BP23.4%23.0% %20.6%Standard of Living29.8%29.3% %26.3%Life Evaluation35.0%34.7% %31.8%Perception of Health54.5%54.2% %51.7%Worry32.8%32.6%21.9% 21.3% 21.2% 21.1% 20.9% 20.827.7% 26.9% 26.8% 26.7% 26.6% 26.433.5% 33.0% 32.8% 32.5% 32.3% 32.153.2% 52.7% 52.6% 52.4% 52.1% 51.931.6% 31.1% 30.9% 30.7% 30.5% 30.3%30.1%Purpose29.9%29.6%28.9% 28.4%34.4% 34.0%54.0% 53.6%32.3% 32.0%29.4% 29.0%28.6% 28.1% 28.0% 27.8% 27.6% 27.4%27.2%Yearly Prevalence Rate ProjectionsYr4 Yr5 Yr6%Annual Prevalence Rate ProjectionsInitial %247,079 Adults978,569 Well-Being Risks3.96 Risks / Adult22.8% 22.4%Blue Zones Impact96,614 Fewer Well-Being Risks3.57 Risks / AdultCity of Riverside Adult Population 247,07933 34