2013 webinar 1 worksite wellness overview 9 3
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Worksite WellnessOverview
Teresa Lovely MS CHESBusiness Coordinator- Worksite Wellness
Kentucky Department for Public Health
Why the Worksite ?
• Majority of adults spend most of their day at work
• Demands and hectic schedules
• Allows some wellness activity during day
• Employer has stake in individuals’ well-being
What is Worksite Wellness?
Worksite wellness refers to the education, activities, and environmental support that a
worksite may do to promote healthy lifestyles to employees and their families.
The Bottom Line
Unhealthybehaviors
Health risks
Chronicdisease
Health carecosts
Health Care Costs Due to Chronic Disease
CDC 2009. Chronic Diseases. The Power to Prevent, The Call to Control WellSteps
Individual Health Care Costs:High vs. Lower-Risk Employees
70.2%
46.3%34.8%
21.4% 19.7% 14.5% 11.7% 10.4%
-50%
-25%
0%
25%
50%
75%
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Individuals at high risk for depression have 70.2% higher costs than those at lower risk
Source: Goetzel et al., 1998
At least 25% (Up to 70%) of health care costs are potentially preventable through a healthier lifestyle and a reduction in health risks.
(Source: Anderson,D., Whitmer W. Goetzel, (2000) Sept/Oct., The Relationship Between Modifiable Health Risks and Group Levels of Health Care Expenditures. AJHP 15 (1) 45-52
Can a Wellness Program Work?
Return on Investment (ROI)
$1.00
$3.48
$1.00
$5.82
$0.00
$1.00
$2.00
$3.00
$4.00
$5.00
$6.00
Health Care Costs Absenteeism
costsavings
32 studies 14 studiesSource: WellSteps
Meta-review of 42 published studies shows an average:
28% reduction in sick leave absenteeism
Average 26% reduction in health costs
Average 30% reduction in workers’ compensation and disability management claims costs
And an average $5.93-to-$1 savings-to-cost ratio
Chapman, L. (2005). Meta-Evaluation of Worksite wellness Promotion economic return studies: 2005 Update. The Art of health Promotion. July/August
Kentucky ExamplesKentucky ChamberFarmers Rural Electric Kentucky Department for Public Health
49
79 85 8393 99.6 99 97
0102030405060708090
100
'97 '98 '99 '00 '01 '02 '03 '04
% Completed
Health Risk Assessment ParticipationHealth ImprovedCosts downnearly$1 million in one year
Kentucky Company Example
1098 56
147
609680
798 803 853
-5050
150250350450550650750850950
'97 '98 '99 '00 '01 '02 '03 '04 '05
Individuals
Team Health Goals Met
Comprehensive program Definition Screening program Health education for employees Supportive social and physical environments Integration of the program into the organization’s
structure Linkage to related programs such as EAP. Follow up interventions in place to support behavior
change Evaluation and improvement process to enhance
program’s effectiveness*
Source: Healthy People 2010/Partnership for Prevention
Wellness Program Includes:
• Health Risk Assessment Questionnaire (HRA)
• Weight control• Nutrition• Exercise• Tobacco cessation (KY Quit Line)• Stress management• Other specific health topics• Supportive environment and policies
What Makes it Work?Strategic
Process oriented
Evidence-based programs
Tailored to organization
Environmental and cultural supports
Achieving Results
Design and implementation will determine success and impact (Strategic process)
Results oriented NOT activity oriented
Must impact the utilization of health care
Environment, policies, and culture
Participation is key.(Source: Larry Chapman, ROI Presentation, WELCOA)
Getting StartedOr Refreshed
“What kinds of things should we do?”
Wellness Program Strategic Process
Step 1: Gain management support
Step 2: Form a committee Step 3: Assessment Step 4: Program plan Step 5: Evaluation
CDC Worksite Health ScoreCard
The CDC Worksite Health ScoreCard: An Assessment Tool
• Organizational Supports (18 questions) Tobacco Control (10 questions) Nutrition (13 questions) Physical Activity (9 questions) Weight Management (5 questions) Stress Management (6 questions) Depression (7 questions) High Blood Pressure (7 questions) High Cholesterol (6 questions) Diabetes (6 questions) Signs and Symptoms of Heart Attack and Stroke (4 questions) Emergency Response to Heart Attack and Stroke (9 questions)Kentucky added: Cancer and COPD
Organizational SupportsInfrastructure
Organizational commitment and support at all levels of management Have a Health Promotion Coordinator Have a champion(s) who is a strong advocate for the health
promotion program Have an active health promotion committee Conduct an employee needs and interests assessment Conduct employee health risk appraisals and provide individual
feedback plus health education Set annual organizational objectives for health promotion Include maintaining employee health in the business objectives or
organizational mission statement Have an annual budget or receive dedicated funding for health
promotion programs Conduct ongoing evaluations of health promotion programming that
use multiple data sources
Organizational Supports Programming Use and combine incentives with other strategies to increase
participation in health promotion programs Use competitions and challenges combined with additional
interventions to support employees making behavior changes Promote and market health promotion programs to employee Use examples of employees role modeling appropriate health
behaviors or employee health-related “success stories” in the marketing materials
Tailor some health promotion programs and education materials to the language, literacy levels, culture, or readiness to change of various segments of the workforce
Make any health promotion programs available to family members
Provide flexible work scheduling policies Engage in other health initiatives throughout the community and
support employee participation and volunteer efforts
SummaryTalk with managementForm a committeeComplete the assessment
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