Working@Duke October, 2009 Issue

5 7HEALTH BENEFITSENROLLMENT Open Enrollment beginsOct. 19. Insurance premiumswill rise in 2010, but plans continue to offercomprehensive coverage.2

SUSTAINABLE DUKE Zipcar, the 24/7 carsharing service, has afollowing at Duke, wheresix fuel-efficient vehiclesare available for one-hour and daily loan.

This paper consists of 30% recycled

post-consumer fiber. Please recycle after reading.

2009, 2008, 2007 Gold Medal, Internal Periodical Staff Writing

2009, 2007 Bronze Medal, Print Internal Audience Tabloids/Newsletters

FIGHT THE FLU With flu season in fullswing, Dr. GeorgeJackson, director ofDuke EmployeeOccupational Healthand Wellness, offerstips for preventing flu.

Megan Wilson was nearly 80 poundsoverweight, but it didn’t worry her.

“I thought ‘obese’ was just another labelpeople put on me that I could ignore,” she said.

Until her regular physical two years ago.“I felt fabulous when I went in,” said Wilson,

a marketing specialist at the Duke Career Center.“I was running three miles a day, three days aweek and had just dropped my weight down 10 pounds to 226.”

Then the doctor told her she had diabetes.She needed to lose weight to reduce the risk ofcomplications such as blindness, kidney damage,amputation or diabetic coma.

“It was devastating,” Wilson said. “Suddenly,obesity wasn’t just a label. It was a medicalcondition.”

Wilson isn’t alone. According to data reportedby Duke employees on health risk assessments inthe last two years, obesity affects nearly one third of the Duke workforce.This figure mirrors the epidemic of obesity in the state and nation. NorthCarolina residents considered obese (roughly more than 30 pounds abovenormal weight) increased from 16.9 percent in 1995 to 29.5 percent in2008, according to the Centers for Disease Control and Prevention (CDC).

Extra weight drags down the health of Duke’s faculty and staff andpushes up costs. Three of the four illnesses costing Duke employees themost last year were exacerbated by excess weight: diabetes, heart disease andhigh blood pressure. To fight obesity, Duke has invested in health programsthat encourage employees to make lifestyle changes to lose – and keep off –extra weight, and employees are increasingly taking advantage of them.

“The data clearly shows that we, as a nation, have gotten bigger,” saidKyle Cavanaugh, vice president for Human Resources. “And although weightis often considered a private matter, the increasingly obvious link between

excessive weight and healthcare costs makes finding ways to manage weight a shared concern for us all.”

BURDEN OF EXCESS WEIGHT

Although scientists have yet to understand howobesity affects the body at the cellular level, data clearlyshow that excess weight puts people at risk for a variety ofdiseases. Many of these diseases require long-term use ofmedication and close monitoring to prevent them fromspiraling out of control.

For example, pharmacy spending on diabetes, the lifestyle-related disease that costs Duke health plans the mostto care for, was more than $1.2 million in 2008.Pharmacy costs for hypertension were about $610,000.

“Obesity is now the major cause for conditions such as hypertension, diabetes and abnormal cholesterol,all of which put patients at higher risk for heart disease,the leading killer of adults in the U.S.,” said LauraSvetkey, a Duke physician specializing in treating high

blood pressure. “Losing weight significantly reduces the impact of all ofthese conditions.”

Long-term studies reveal that overweight patients can lower their riskof diabetes by losing as little as five pounds, and drop their blood pressureby up to 10 points by losing 10 pounds.

A change to the waistline also helps the wallet. A paper in the July2009 issue of “Health Affairs” estimated people who are obese spend, onaverage, about $1,429 more on health care each year than normal weightcolleagues, largely because of chronic diseases.

With evidence weighing heavily against being overweight, why don’tmore people choose to lose?

“Because it is hard,” Svetkey said. “Our bodies are hardwired to resistlosing weight. Information alone is seldom sufficient to inspire people tolose weight. Support is vital.”

NEWS YOU CAN USE : : Vo l ume 4 , I s s u e 7 : : O c to b e r 2009

>> See FIGHTING OBESITY, PAGE 4

TO FIGHT OBESITY, DUKE OFFERS A MYRIAD OF EMPLOYEE HEALTH AND WELLNESS PROGRAMS

Battling the Bulge

It wasdevastating.

Suddenly, obesitywasn’t just a label.It was a medicalcondition.”

Meg WilsonMarketing SpecialistDuke Career Center

“

Meg Wilson, a Duke Career Center marketing specialist, battles obesity. She works out at Wilson Recreation Center on West Campus and has lost 61 pounds over two years.

Flu season is in full swing,and this year could pack a one-two punch with

the novel H1N1 flu virus.Dr. George Jackson,

director of Duke EmployeeOccupational Health andWellness, said the best defenseis protection:wash handsoften withsoap andwater; avoidtouchingfaces andavoid contactwith people who are sick. Andget a seasonal flu shot.

“There are lots of thingspeople can do to keepthemselves healthy – like notsmoking, eating a reasonable

diet, getting enough sleep and exercise on a regular basis,” Jackson said.“These are positive steps to enhance overall health, which will help ward off the flu and decrease complications if you get it.”

Through mid-December, the seasonal flu shot is offered free toemployees across campus. The seasonal flu vaccine is also available 10 a.m.to 3 p.m. Oct. 20 during the employee Health Fair in the Searle Center.

When the 2009 H1N1 (swine) flu vaccine is available, it will bedistributed based on criteria defined by the Centers for Disease Control andPrevention. Healthcare and emergency medical services personnel are at thetop of the list. The seasonal flu vaccine will not protect against H1N1.

Working@Duke met with Dr. Jackson to learn more about the seasonaland H1N1 influenza infections.

What’s different about this novel H1N1 flu virus?The novel H1N1 flu virus, which was originally referred to as swine

flu, has enough different components that most people have no immunityagainst infection. Because of this, more people will get infected than theusual seasonal flu. There isn’t a significant difference in symptoms caused byH1N1 compared to seasonal influenza. But because more people will getinfected with H1N1, there will be much more illness in the communityand much more potential for spread.

Who is most at risk?Seasonal influenza is more serious among the old

and very young, however with H1N1, there is a differentpattern because fewer older individuals are gettinginfected. This could be because older people may have hadexperience with this strain of virus in the past. People atthe greatest risk of complications from H1N1 are the

same as those with seasonal influenza: pregnant women and people withchronic illnesses like respiratory problems.

How will Duke employees know they have the flu?It’s difficult to differentiate between the cold and influenza. The big

differential is fever. If there is a fever of 100 degrees or over, we encouragepeople to view themselves as having influenza. They should isolatethemselves from others. Leave work or school, and stay home.

Do people need more than one flu shot? It’s possible people may need three shots this year, but that could

change. The seasonal flu will be the usual one-time vaccination. Thegovernment expects to have a vaccine for H1N1 available between mid-October and November. Although it was initially indicated more than oneshot would be needed, new information encourages a single dose. When itbecomes available, it will be rationed and initially only be available foryouth and people with significant illnesses or conditions who are at highrisk if they get influenza.

— By Bryan RothWriter, Office of Communication Services

Dr. George Jackson, director of Duke Employee

Occupational Health and Wellness, washes his hands

throughout the day to avoid germs – and the flu.

Outdoor emergency sirens to be tested Oct. 21As part of a periodic test of the DukeALERT emergency notificationsystem, Duke will conduct a test of its various communication tools,which includes the outdoor sirens.

The test willbegin at 10 a.m.with the activationof the sirens andDukeALERTemergencywebsite. Soon after, Duke community members will receive a test e-mail – and text message, if they signed up for the text service.

Students and employees are encouraged to respond to an online survey to assess the effectiveness of the various DukeALERT communication methods. The survey will be athttp://emergency.duke.edu once the test begins.

Learn more about investmentsFaculty and staff can hear the latest about the forces affecting the stock market during the second in a series of Quarterly MarketUpdates, a pilot seminar sponsored by Duke Human Resources. Jeff Tackett from Fidelity Investment will lead the update noon to 1 p.m. Oct. 26 in Duke Hospital Room 2002. Brett Hammond, arepresentative from TIAA-CREF, will present noon to 1 p.m. Oct. 29 in the Breedlove Room of Perkins Library.

“We look forward to these professionals sharing their insightsinto how interest rates and other financial trends are affectinginvestment decisions,” said Sylvester Hackney, associate director of benefits at Duke.

Register at hr.duke.edu/news/2009/investment_fall.html.

Free seasonal flu shots (and more) at health fairThe Duke health fairs in October offer a one-stop shop for faculty and staff: seasonal flu shots, blood pressure, cholesterol, and bone-density screenings (for women at risk for osteoporosis) and more.

Health representatives will answer questions about nutrition,heart health, exercise, disease prevention and smoking cessationduring the free fair, which is hosted by LIVE FOR LIFE. Geneticcounselors will also be available to discuss family health histories.

“The Health Fair offers an outstanding range of health resourcesin one convenient location,” said Julie Joyner, director of LIVE FORLIFE, Duke’s employee wellness program. “Employees will want to takeadvantage of this opportunity to get information about the smallsteps they can take to make a big difference in their health.”

The health fair is 10 a.m. to 3 p.m. Oct. 20 in the Searle Center.Genetic counselors are available from 11:30 a.m. to 1:30 p.m.

New website offers guidance for global travelprograms A Duke student planning to study in Africa or a staff or facultymember working abroad has a host of practical issues to consider:What clothes should they pack? Which immunizations do they need?How can they check email abroad or use Duke’s travel insurance in anemergency?

A new Duke website answers these and many other questions.Launched in response to Duke’s expanding global operations, the site,www.global.duke.edu/admin, offers extensive advice about living,working and studying abroad.

“Until now, this information has been scattered across theuniversity,” said Christy Parrish Michels, the university’s manager ofglobal administrative support and leader of the team that developedthe site. “We’ve worked with people in every school and in dozens ofprograms to pull together information on everything fromreimbursement of travel expenses to federal export controls that may limit where you can bring your laptop.”

Provost Lecture Series looks at digital archiving This year’s Provost Lecture series, “The Future of the Past, the Futureof the Present: The Historical Record in the Digital Age,” explores thedilemma that in the digital age, everything is saved yet little ispreserved.

On Oct. 13, Pulitzer Prize winning journalist Seymour Hersh willgive the first talk in the series from 5 p.m. to 6:30 p.m. in PageAuditorium. The second speaker is Professor Diana Taylor of the TischSchool of the Arts at NYU on Oct. 26. Her talk at 5 p.m. in the LoveAuditorium of Levine Science Research Center is about “ArchivingPerformance → Performing the Archive.”

For information, visit provost.duke.edu/speaker_series.

Newsbriefs

Letters to the Editor must include name and contact information. E-mail letters to [email protected] or mail them to Working@Duke Editor, Box 90496, Durham,NC 27708. Fax letters to (919) 681-7926. Please keep length to no more than 200 words.

LEANORA [email protected]

For the seasonal flu vaccine schedule, visit duke.edu/flu

2

Protect yourself against the flu

Working@Duke is brought to youby yours truly; designer PaulFiguerado; and writers Marsha

Green and Bryan Roth. It’s a team effortthat offers news you can use, and basedon the latest readership survey, you’remaking good use of the publication.

We sent the quarterly survey inAugust to 5,000 randomly selectedfaculty and staff. Nearly, 800responded. Among the results, 82percent read the publication everymonth; 87 percent enjoy it; and 82percent say it helps them understandDuke benefits.

We also got valuable feedback,including suggestions from some whosay we should save costs by puttingWorking@Duke online. Your copy, whichprovides a one-stop shop to learn aboutemployee benefits and resources, costsjust 32 cents per issue. The printpublication also serves a significantportion of the university workforce thatdoes not have computer access orspends little time at a desk.

One employee noted the benefit of “receiving a print version (I receiveso much electronically that I often donot have the time to read upon receiptand then the message gets forgotten).”

Perhaps Tara Daily, projectcoordinator for the Office of ResearchAdministration, summed it up best inher survey comments.

“I love the Working@Dukenewsletter because it makes me feelconnected to Duke in so many ways,even though I may not be physicallypresent at the events or directlyinvolved with the research, news, etc. …Each month that I read the newsletter, I walk away feeling proud to be a Duke employee.”

Please post the DukeALERTposter inside this publication in your office.

Editor’sNote

Duke football fans have another reason to cheer this season.Restrooms, concession areas and a new video screen on the

scoreboard have been added to Wallace Wade Stadium to enhance the game experience. The renovations were funded by donations throughDuke Athletics and are the first phase to make Wallace Wade an even morefan-friendly place to watch football.

“The concessions and bathrooms added a new level of comfort atWallace Wade that really heightens the fan experience,” said Bart Smith,director of marketing andpromotions for Duke Athletics.“With the addition of a state-of-the-art video board, we are ableto highlight game action betterand we can be more creative onhow we intensify the atmosphereand fun in Wallace WadeStadium.”

A big addition are new men’sand women’s restrooms on theeast and west side of the stadium.The eastside restrooms are nearthe president’s box. What was amen’s bathroom is now a 3,200square foot restroom facility forboth men and women. Amatching restroom is located onthe westside of the stadium, nearthe Finch-Yeager Building.

On west side of Wallace Wade, a new concession area has been added forBlue Devil concessions, which sell nachos, popcorn, chicken sandwiches andmore. Both stands are about 700 square feet and feature six cash registers.

During the season opener Sept. 5, fans were treated to upgraded pictureand audio on a new video board that stands 31 feet high and 67 feet long.The new screen replaced an old system with two separate areas – one side of light bulbs for statistics and the score and another for replays and videos.The new screen spans the scoreboard as one large area. Stats and live gameaction are shown in an area with more space.

Blair Hedges, the student leadership coordinator for Jewish Life atDuke, attended the season opener. She said the improvements remind her

of what it was like to attendgames at Ohio State University.

“I noticed an improvedatmosphere at Saturday’s gameand definitely think that thenew scoreboard had somethingto do with it,” she said. “I’mhoping that the enhancedenvironment will help to getmore people out to WallaceWade for each home game.”

— By Bryan RothWriter, Office of

Communication Services

New scoreboard, concession standsand restrooms at Wallace Wade

Mark Kinsella collects massive amounts of data, butsometimes finds it difficult to explain it to people.He also encounters a steep learning curve with

database programs that improve his reporting.“I tried using Access but found that my frustration

level was too high, and I put it down,” said Kinsella, ananalyst in the Central Scheduling Hub in the PatientRevenue Management Organization.

He found the solution in an Access class offered byLearning & Organization Development (L&OD), a unitwithin Duke Human Resources.

Kinsella works in a department with 65 employeeswho field about 3,500 phone calls daily from patientsrequesting appointments at 17 Duke clinics. Kinsella helpstrack the number of daily calls and how quickly they’reanswered, among other service indicators.

“Viewing this mass of data in a spreadsheet madeseeing trends or making historical comparisons difficult,”Kinsella said.

The two-day class at L&OD gave Kinsella hands-onexperience in creating a database in Access. He entereddata he collected since last December from spreadsheetsinto the new database. “Now I have historical data at thetouch of my fingers,” he said. “I can report how many calls we get on Monday versus Tuesday, or how ourperformance has improved over time.”

He also created a database to track rescheduling ofpatients when doctors bump appointments because ofvacation, surgery or other time conflicts.

“The $189 paid for this class was well worthspending,” said Kinsella’s supervisor, Amy Pearce.

“Everyone in the officecan now update thedatabases using simpletemplates. Now we can measure ourperformance and giveinformation back to theclinics in a way that iseasily understandable.”

The Access class is one of more than 40 classes offered eachsemester by L&OD,which added 10 newcourses this fall. Theseinclude two-hour “powersessions” that focus onspecific functions such aspivot tables in Excel, running queries in Access ortransitioning from Microsoft Office 2003 to 2007.

Dates and descriptions for classes are on the L&ODwebsite, which includes links to other departments thatoffer workshops to enhance employee skills.

Kinsella said the L&OD class helped him learn newskills and left him wanting more.

“I learned a lot,” he said, “but I also learned that thereis more I don’t know. It whet my whistle to learn more.”

— By Marsha A. GreenWriter, Office of Communication Services

Low-cost, high value trainingavailable for employees

3

A list of training by department or topic is at hr.duke.edu/train

Mark Kinsella, an analyst in the

Patient Revenue Management

Organization, uses knowledge he

gained in a Learning &

Organization Development course

on creating databases to help his

department.

Get In the (Home) GameOct. 3 Virginia Tech

Oct. 24 Maryland

Nov. 14 Georgia Tech

Nov. 28 Wake Forest

Get tickets atgoduke.com

A new scoreboard was unveiled at the Duke football

home opener Sept. 5.

ProfessionalDevelopmentOn A Shoestring

4

For more information on health programs, visit hr.duke.edu/health

Fighting Obesity CONTINUED FROM PAGE 1

SUPPORT FOR SLIMMING

Duke supports employees through a variety ofprograms ranging from intensive one-on-one coachingthrough LIVE FOR LIFE and Duke Prospective Health to programs like the Run/Walk clubs and discount gymmemberships.

Andrea Clauden, a staff specialist in the Office ofInformation Technology, is one of the hundreds ofemployees using these offerings. Like many struggling withweight, Clauden once ate a few hundred more calories thanshe needed daily, resulting in slow but steady weight gainover the years.

“When the scale hit 330pounds, I knew it was time to get help,” she said.

In April 2008, Claudenjoined LIVE FOR LIFE’sPathways to Change program,an intensive 12-monthwellness program available to benefits-eligible employeescoping with high bloodpressure, diabetes,cardiovascular disease orobesity. The program’squarterly ‘weigh-ins,’ coupledwith frequent, one-on-oneguidance from a registered

dietitian, changed Clauden’s relationship with food, andpounds melted away.

“I had to keep a food journal, and that showed thatportion control was a big issue for me,” Clauden said. “Mydietitian, Kay Pratt, taught me to read the nutritioninformation on labels and got me to buy a calorie guide, so I knew how many calories I was eating.”

Clauden broiled, instead of frying, chicken. Shesnacked on fruit instead of fudge. She pushed aside mostsweets and meats. And blood pressure and weight dropped.

“I called Kay every time I reached my goal of losinganother 10 pounds,” Clauden said. “She kept memotivated.”

A year and a half later, Clauden is 50 pounds lighter,three dress sizes smaller, and her blood pressure is 20points lower.

Bruce Farley, a financial analyst for the Health System,has a similar success story.

He spends eight hours a day at his computer, but sinceJanuary, Farley has turned technology into a weight losstool with support from LIVE FOR LIFE, Duke’s employeewellness program.

Farley was considering losing some of his 300 poundslast fall when he looked at vacation photos and thought,“Wow, is that what I look like?” But the real incentivecame when his 42-year-old sister was diagnosed withdiabetes.

“Just like me, she’s been a little heavy for years,” hesaid. “I thought I’d better start taking care of myself, too.”

In January, Farley enrolled in the free, onlinechallenge “Eat Wise and Exercise” through LIVE FORLIFE to track his eating, exercise and weight. Initially, hewas skeptical about using the Internet to track progress,“but I found it easy to use. And having the weeklyaccountability of reporting my weight was really great.”

At the end of the 10-week challenge, Farley lost 37pounds and had more energy to keep up with his 4-yearold son, Wade. “It makes a big difference to have thissupport at work,” he said.

A WEIGHT LIFTED

For Wilson, the marketing specialist diagnosed withdiabetes, the convenience of using a Duke gym is key tomanaging weight.

A member at the Wilson Recreation Center on WestCampus for six years, Wilson’s daily 60-minute exerciseroutine helped control her diabetes and led to losing 45pounds. But after a year, her weight loss stalled. To getunstuck, she took advantage of a free fitness consult inMarch with Mary Ann Dobbins, a LIVE FOR LIFEexercise physiologist.

“She explained how I needed to change things aroundto keep losing weight and helped me set up a new routine,”Wilson said. “It ratcheted things up another notch and gotme back to losing weight.”

According to Svetkey, the Duke physician, maintaininga healthy weight is critical to overall success.

“Have short term, realistic goals with concrete actionplans for reaching them, and don’t quit if things don’t goperfectly,” Svetkey said. “Most important: plan on makingchanges that you can stick with for a lifetime.”

Having lost 61 pounds over two years, Wilson has thatlong view in mind.

“I have five more pounds to lose to drop from theobese to the overweight category,” she said. “Once I makethat goal, I’ll keep losing until I get to my healthiest weight.I don’t care if it takes me 10 more years to get there. I justwant to make sure I don’t gain again, because I’ve learnedthat managing my weight is the key to good health.”

— By Marsha A. GreenWriter, Office of Communication Services

Free Duke Resources For Weight Management

LIVE FOR LIFEDuke’s employee health promotion program offers various wellnessservices like assessments; fitness activities; tobacco cessationresources; gym discounts; consultations with fitness specialists andregistered dietitians; and run/walk clubs. LIVE FOR LIFE organizes thefarmers and mobile markets and promotes education through programslike Pathways to Change and Steps to Health.Website: hr.duke.edu/eohs/livelife • Phone: (919) 684-3136

Duke Prospective HealthThis program is for employees in Duke Select or Duke Basic healthplans. It’s designed to identify risks for diseases and chronic conditionslike hypertension and diabetes. It helps employees create a plan foroptimal health and provides resources to achieve goals. ProspectiveHealth works closely with LIVE FOR LIFE.Website: dukeprospectivehealth.org • Phone: (888) 279-9445

Blue Extras ProgramsThis is for employees enrolled in Blue Care and Duke Options plans.Blue Cross Blue Shield offers a range of health management services,programs and incentives.Website: bcbsnc.com • Phone: (877) 224-3305

Andrea Clauden, right, visits with

LIVE FOR LIFE nutritionist Kay

Pratt, left. Clauden, a staff

specialist in the Office of

Information Technology, has lost

50 pounds by changing her

eating habits.

Bruce Farley, a financial

analyst for the Health

System, with son, Wade.

Farley uses Duke’s

online resources to lose

weight. This photo was

taken after Farley lost

about 37 pounds.

5

The annual enrollment forbenefits for faculty and staffopens Oct. 19 and ends Oct. 27.

Despite cost increases in healthcare driven by higher utilization andincreased cost of prescription drugs,Duke’s four medical insurance planswill continue to offer comprehensivecoverage for 2010.

“A significant amount of analysisand discussion have taken placeduring the last several months,” saidKyle Cavanaugh, vice president forHuman Resources. “The result of thiswork is that Duke’s premiumincreases will be only half of theaverage increase nationally, whilemaintaining the overall structure ofthe plan.”

Duke offers faculty and staff fourdifferent medical insurance plans thatenable individual choice for coveragebased on cost and unique needs,including a low-cost option thatoffers individual coverage starting at $23 a month.

Premium increases for 2010 willrange from $2.03 to $6.43 permonth for individual coverage andfrom $12.80 to $25.64 per monthfor family coverage, depending onthe plan selected (see chart below).

“We have been able to keep somekey co-pays flat for 2010, including

primary care and urgent care visits,generic drugs, and mental health visits,reflecting the importance of preventivecare and efficient use of resources,”Cavanaugh said. “However, in order tokeep the plan financially viable andavailable, other co-pays anddeductibles have been adjusted.”

Duke has made efforts to rein in prescription drug costs, a majordriver for increasing cost. While theco-pays for generic drugs will remainthe same, co-pays will increase forretail purchases of brand and non-formulary medications.

A new annual deductible of $100will apply for brand and non-formularydrugs purchased at retail pharmacies.That deductible is waived forprescriptions purchased through theMedco home delivery program. Inaddition, those who continue topurchase maintenance prescriptions at retail locations will have a co-pay of 50 percent of the cost of the drug afterthe first three months (subject to aminimum and maximum per month).

Faculty and staff can save onhealth expenses by signing up orrenewing reimbursement accountsduring open enrollment. Employeesare eligible to enroll in reimbursementaccounts whether or not they

participate in a Duke-sponsoredmedical insurance plan. Butreimbursement accounts do notautomatically renew each year; openenrollment is the only time to enroll and renew.

“All employees should considersigning up for a reimbursementaccount, which helps participants saveabout one-third on eligible health ordependent care expenses, including co-pays and deductibles,” Cavanaugh said.

Duke’s continued focus will be to encourage faculty and staff to takeadvantage of resources available tomanage and improve their health,which has a direct impact on healthbenefit costs, Cavanaugh said. Theseresources include wellness programsand information sessions throughLIVE FOR LIFE and DukeProspective Health.

“Not only do Duke employeeshave access to cutting edge medicalcare available through DukeUniversity Health System, they alsohave access to innovative programs,”Cavanaugh said. “These diseasemanagement and wellness programshave helped us slow down the risingcosts of medical care for theindividual and, in the long term, for everyone at Duke.”

OpenEnrollment

Tips� Review “My Health. My Life.” informationpackets being mailedhome

� Enroll and makechanges to medical,dental and visioncoverage – and enrolland renew dependentcare and health carereimbursement accounts– beginning Oct. 19

� Enroll and makeadjustments atDuke@Work –www.hr.duke.edu/selfservice - or call the Duke EnrollmentService Center at (919)684-5600 to speakwith a customer servicerepresentative. For callcenter hours, pleasecheck the informationpacket

2010 Health Plan Highlights

2010 Monthly Health Care Premiums

� No reductions in comprehensive coverage

� Increases in monthly premiums for medicalplans ranging from $2.03 to $6.43 forindividual coverage and from $12.80 to $25.64for family coverage

� No increase in co-pays for primary care, urgentcare, and mental health visits and no increase inco-pay for generic drugs

� Increase in co-pay for specialist visits, outpatientsurgery and most emergency and inpatientservices

� Unchanged vision insurance premiums

� Increased pharmacy co-pays for retail purchaseof non-formulary and brand medications;addition of a $100 deductible for brand andnon-formulary medications (waived if purchasedby mail order)

� Expanded coverage for mental health in-network services

� Inclusion of bariatric surgery for severely obesepatients who meet strict criteria

� Increase in dental insurance premiums for Plan A, which offers broader coverage

New FederalGuidelines for Race,EthnicityThe United States

government recentlyissued guidelines forchanges in reporting ofrace and ethnicity to

capture a more accuratepicture of diversity of theU.S. population. As a result,Duke updated its systems,and all employees are

encouraged to review andupdate their race and

ethnicity, as well as otherinformation, during openenrollment through the

Duke@Work self-service websitewww.hr.duke.edu/

selfserviceor by calling the openenrollment call center,(919) 684-5600.

Individual Family

2009 2010 2009 2010

Duke Basic $20.97 $23 $212.20 $225

Duke Select $56.19 $60 $334.87 $355

Blue Care $92.57 $99 $418.74 $444

Duke Options $89.24 $95 $412.36 $438

For more about Open Enrollment, visit hr.duke.edu/enroll

Health benefits openenrollment begins Oct. 19Premium increases half the national average

6

Today’s fast wirelessnetworks and ubiquitousmobile devices help keep

Duke staff and facultyconnected with e-mail and theWeb – anytime, anywhere. Butthey also pose an increasingrisk: those devices, which areeasily lost or stolen, may storepasswords to access the Dukenetwork and confidential data.

Duke is strengtheninginformation security with apilot data encryption projectthis fall for mobile devices usedby staff and faculty who haveaccess to personal health information. Encryption programsenable files to be encoded so they can only be read using aspecial “key.”

In addition, Duke’s IT Security Office is expanding itsmethods and tools, with frequent tests of network securityand user password strength. The Duke Health TechnologyServices Security Office performs similar tests for theSchool of Medicine and health system.

“There’s data at rest on a device and data in motion,which is the network,” said Paul Horner, the university’schief information security officer. “We have to protect both.The network truly is only as strong as its weakest link. If athreat can penetrate one machine, it can get behind ourdefenses, and we all live in fear of this.”

Efforts to strengthen security will be invisible for mostemployees, Horner said.

“Not everybody works with confidential data,” hesaid. “The technology is adaptable enough that we can

make most security and privacycontrols invisible to users, whilestill providing more securehandling of data that’s importantfor our students, patients andresearchers who may have alifetime’s worth of work wrappedup in their data.”

Horner and his counterpart inhealth technology services, RobertAdams, also are meeting withfaculty across Duke this fall toreview an updated computing andnetworking acceptable use policy –part of an overall effort to refineinformation security governance

at Duke, led by Duke’s Information Security SteeringCommittee.

“It’s more of a reminder of the common-sense practicesmany people already employ automatically,” he said.

As part of National Cyber Security Awareness Monthin October, analysts in Duke’s IT Security Office arereminding employees and students to do their part, too.Users should choose strong passwords, and change themregularly; install and update anti-virus software; and notclick on links in e-mails that ask for personal information.

“The threats are omnipresent,” Horner said. “A big partof our job is to think the ugly thoughts, to think like theperpetrators do, so we can give people the tools, theawareness and maybe the reminders to protect themselves.”

— By Cara BonnettManaging Editor, News & Information,

Office of Information Technology

By TheNumbers3 million

Threats detected (and thwarted)each month on Duke’s campus

network

57,000NetID passwords assessed

quarterly by Duke’s IT SecurityOffice for complexity/strength

1 to 2Phishing attempts reported by Duke users each week

Learn MoreLearn how to secure your

computer and data at a LearnIT@Lunch seminar Oct. 28. Thesession is noon to 1 p.m. in theRENCI conference room in theOIT Telecommunications Building. For details, visit oit.duke.edu and select

“IT Training” under “Get Help.”

Duke steps up efforts tosecure mobile devices

Paul Horner, the university’s chief information security officer.

“There’s data at rest on a device and data in motion, which is the

network,” he says. “We have to protect both.”

Department: The MURDOCK Study team, based in Kannapolis, N.C. Part of the Duke TranslationalMedicine Institute (Duke School of Medicine).

Years at Duke: Less than two.

Who they are: In late 2007, David H. Murdock, billionaire owner of Dole Foods, gave $35 million to Duketo support a massive, longitudinal health research project at the North Carolina Research Campus inKannapolis. Begun in 2008, the MURDOCK Study (Measurement to Understand the Reclassification ofDisease of Cabarrus/Kannapolis) is an effort to understand how disease occurs at the molecular level, andhow it varies from one person to the next.

What they’re known for: The MURDOCK Study team’s goal is to enroll 50,000 volunteers from in andaround the Kannapolis community to provide biological samples and health data. Researchers will use newtechniques to study the data and identify novel patterns and characteristics that will help predict risk of orresponses to therapy in cardiovascular disease, liver disease, osteoarthritis, obesity and other diseases overseveral decades. Since February 2009, when enrollment began, nearly 1,200 people have joined the study.

What they can do for you: Contribute to Duke’s reputation for innovative research into human health and wellness, andserve as liaisons to the resources on the N.C. Research Campus, and assist in establishing partnerships for Duke.

Number of employees: 16 staff members and many investigators.

Hidden department fact: They have a 170-pound mascot, Ylorek, a Great Pyrenees dog. His owner, Victoria Christian, is manager of the MURDOCK Study and chief operating officer of the Duke Translational Research Institute. Ylorekregularly comes to the office, greets visitors and patiently nibbles snacks during meetings.

Most significant achievement: Designed the protocols to start up one of the most ambitious clinical registries in history,while making the local community feel included in such a promising endeavor.

How they make a difference: “We explain biotechnology and the goals of the MURDOCK Study in terms that everyonecan understand, so that they can get involved,” said Ashley Dunham, community health project leader. “It is exciting howmuch people want to play a role in the N.C. Research Campus. They want to participate in something that is larger thanthem, larger than this community, even if they may not see any direct benefit.”

Big goal: To reclassify disease, transform the practice of medicine and rewrite the textbook of medicine. “By using genomictechnologies and a huge database of electronic health records,” said Christian, the manager of the MURDOCK Study, “wehope to find how genetics, geography and environment contribute to health and wellness.”

— Interview by Marsha A. Green, writer, Office of Communication Services

Rewriting thetextbook of medicine

The MURDOCK Study team, based

in Kannapolis, N.C., with 70-pound

mascot, Ylorek, a Great Pyrenees.

Learn more about the MURDOCK Study atmurdock-study.org

http://security.duke.edu

Y O U R S O U R C E F O R G R E E N N E W S A T D U K E

Sustainable uke

7

Stay informed about sustainablility at duke.edu/sustainability

When Debra Harding arrived at Duke to work at theDuke Clinical Research Institute four years ago, shethought she would have to own a car to get around

– until the Zipcar car-sharing program came to campus.The program fit Harding’s lifestyle so well that she

actually sold her Ford Escort last spring, and now walks towork and on most errands. She usesa Zipcar once a week for certaintasks, such as carrying home awatermelon or 10-pound bag of cat litter.

“I’m always looking for ways toreduce my carbon footprint,” saidHarding, an administrative assistantwho lived in New York City for 25years. “The world is in a crisis now,and we all need to be doing a littlebit more than we think we can.”

Harding joined Zipcar inFebruary and spends $120 a monthusing the 24/7 service – a fraction ofthe cost of a car payment, insurance, gas, maintenance andparking permits. She has reserved a car at least 35 times.

“I don’t really need a car that much. My life is prettysimple,” Harding said. “The Zipcar fills in the gaps ofneeding a car.”

Zipcar’s fleet at Duke expanded in August from four tosix cars: three each of the Toyota Matrix and Prius modelsparked on East and West campuses. Zipcar names its cars. The vehicles at Duke have names like Moisa and Peard.

Since the program began in January, more than 250employees and students have joined Zipcar, paying a $35annual membership fee. Users may rent from one-hour to

up to four days at $8 per hour or $66 a day, booking timethrough the company’s web site: zipcar.com/duke.

Zipcar, which was featured on the cover of Fortunemagazine, allows members to borrow a car without carryingcosts of ownership or commuting. There’s no cost for gas;members just have to leave a quarter of a tank for the next

user as a courtesy. The goal is alternativetransit to reduce traffic, parking demandand pollution.

“As the popularity of Zipcar grows, I think students and employees who use it will really become the ambassadors toget others to try it out,” said Tavey M.Capps, Duke’s environmentalsustainability director. “They see howeasy it is to reduce their environmentalfootprint and will encourage friends todo the same.”

Kate Johnson, who works at theNicholas Institute for EnvironmentalPolicy Solutions, walks to work and uses a

Zipcar three times a month to run errands, or to attend off-site meetings. Johnson first used a Zipcar as an undergrad atUNC-Chapel Hill, and was excited when Duke beganparticipating, too.

“It’s just such a smart and easy program,” Johnson said.“It’s a major perk.”

There are a few reclaimed benefits, for Harding at least.The two-mile walk to work and back slows her down afterbusy days that buzz by.

“You can see what’s going on in the world,” she said.“Stop and see what’s blooming.”

— By Samiha KhannaWorking@Duke Correspondent

Sharing WheelsTwo cars added to campus car-sharing service

Want tobecome aZipster?

Go to

zipcar.com/duke

ComingSoon

There's a ZipcariPhone app right

around thecorner. Checkzipcar.com/iphone fordetails.

Debra Harding, an administrative assistant at the Duke Clinical Research Institute, has reserved a Zipcar at least 35 times.

“I’m alwayslooking for ways

to reduce my carbonfootprint. ... we all need tobe doing a little bit morethan we think we can.”

— Debra HardingAdministrative Assistant

Duke Clinical Research Institute

“

DUK E TODAY For daily news and information, visitduke.edu/today

I’m a member of the Duke Fitness Club through LIVE FOR LIFE, so I get adiscounted membership to Millennium Sports Club in Durham. I pretty much work

out there religiously, at least three times a week. I don’t want to get a big, old belly, and it’s justsomething I enjoy doing. I also coach in a youth football league, so that keeps me busy.”Rocky TaylorOperations manager, Duke Postal18 years at Duke

“

“How do you stay fit and healthy?”

I mainly go the gym. I try to go at least three times a week,but I also row, which is what I love. I love being outdoors

on the water, and it’s a good full-body workout. It’s also a groupactivity, so others are relying on you to be there, which is moreincentive.”Mary SchrotSenior advisor to international students and scholars Duke Visa Services4 years at Duke

I walk in the Duke Forest twice each weekend for aboutan hour each time. I walk the whole three miles around.

I think it’s a good way to keep in shape, and I like the forestbecause there’s lots of things to look at, and the air is fresh. I also eat an Asian diet, which is pretty healthy. It’s high invegetables, and I usually don’t use butter.”Xinnian DongProfessor, Department of Biology17 years at Duke

dialogue@DukeHOW TO REACH US

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(919) 681-4533

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Assistant Vice President:

Paul S. Grantham

(919) 681-4534

[email protected]

Graphic Design & Layout:

Paul Figuerado

Photography: Bryan Roth and Marsha

Green, Office of Communication

Services; and Duke University

Photography.

Working@Duke is published monthly

by Duke’s Office of Communication

Services. We invite your

feedback and suggestions for

future story topics.

Please write us at

[email protected] or

Working@Duke, Box 90496,

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WORKING@DUKE

— By Bryan RothWriter, Office of Communication Services

“Got astoryidea?

[email protected]

or Call681-4533

PERQS

Natina Harris has several tips for Duke employees taking in ashow at the Durham Performing

Arts Center.

The first is to use PERQS, the Dukeemployee discount, to save on tickets.

“I keep telling my friends to be sure toorder tickets through Duke’s site,because it saves 10 percent,” saidHarris, a neurodiagnostic technologistat Duke’s Sleep Center. “That’s too goodto miss.”

Another tip is to buy what Harrisconsiders the best seats in the house:the Grand Tier, just below the firstbalcony.

“I sat there for The Color Purple andfelt like I was right on stage,” she said.

Despite tough economic times, Harrisattends shows at the performing artscenter frequently, often with her 16-year old daughter, Alecxis. “To me,spending money wisely on a show thatcan take your mind off your troubles iswell worth it,” said Harris, who saves

about $10 each time sheuses the discount.

Having grown up enjoyingthe lively arts scene inPhiladelphia, Harris isdelighted to have theperforming arts centerenlivening her adoptedhometown of Durham.

“When I went to my firstshow, I was amazed at thebuilding,” she said. “I was so happy thatthey put together something so modernand beautiful.”

The performing arts center, whichopened last November and sits next tothe Durham Bulls Athletic Park, offersBroadway musicals, concerts and livecomedy. Upcoming shows includemagician David Copperfield (Oct. 21),and musicals, The Phantom of theOpera (Nov. 26 - Dec. 20) and MammaMia! (Jan. 26-31, 2010).

While the standard employee discountis 10 percent, Duke employees can saveup to 20 percent with lower online fees.

To get the discount, employees mustorder tickets online through the PERQSwebsite, which links to the performingarts center’s website with full detailsabout dates, times and seating.

That’s where a final tip from Harriscomes in handy:

“Always get an end seat. That way, ifsomeone has to get out, you can letthem by easily and not miss a momentof the show.”

— By Marsha A. GreenWriter, Office of

Communication Services

For a complete list of DukePERQS discounts visithr.duke.edu/discounts

Durham PerformingArts Center

123 Vivian St., Durham

www.dpacnc.com

Join the Facebook fan page for Working@Duke athr.duke.edu/workingatduke

Save on shows at theDurham Performing Arts Center

EMPLOYEE DISCOUNTS

Durham Performing Arts Center