2013 webinar 1 worksite wellness overview 9 3

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%

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50%

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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