Changes that Work The Healthy Worksite Initiative HWI Outcomes Conference Kathy Reims, MD September 23, 2009
Feb 08, 2016
Changes that Work
The Healthy Worksite Initiative
HWI Outcomes ConferenceKathy Reims, MDSeptember 23, 2009
Aim
Develop and refine interventions that influence health behaviors and lifestyle choices, resulting in improved employee health status and eventually positively impacting the rising health care cost trend
Legislated Measures
Reduction in % of population that is overweight or obese (HRA and biometrics)
Reduction in risk factors related diabetes (biometrics)
Reduction in high cholesterol (biometrics) Reduction in high blood pressure (biometrics) Reduction in risk factors related to
absenteeism HRA and WLQ) Reduction in tobacco consumption (HRA and
claims) Increase in appropriate use of preventive
health services (claims)
Measures
Identify agency policy, environment and “culture” changes that contribute to improved employee health status
“What can the agency do?”
Increase percentage of employees who are in the low risk category (0-2 risks from HRA)
“Is the population getting healthier?”
Program Components
Onsite biometric screening and health risk assessment every six months
Individual, environment, and policy interventions
Focus on changes that the agency can make to improve employee health
Guiding Change
IHI Breakthrough Series Expert Panel Change Package Results-oriented approach
HWI Change Package
Participation
38% of the eligible population screened at least once. (Range 23 – 76%)
Identified Risks: 3898 screenings
Demographics
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Context to Consider Weight Trends
National statistics show that weight gain during adulthood has increased by > 50% in the past 30 years.
Weight gain in young adults 18 – 30 averages about 1 kg/year.
Overweight or Obese
31 % lost 6 or more pounds in one year!
Diabetes Risk Factors (Physical inactivity, Overweight, Hypertension, Lipid, FBG>100)
3 2 1 005
101520253035
Modifiable Diabetes Risks
June-08June-09
Number of Risk Factors
Perc
en
tag
e
Cholesterol(Total, HDL, LDL, Triglycerides)
3 2 1 00
10
20
30
40
Lipid Risk Factors
June-08June-09
Risk Factors
Perc
en
tag
e
High Blood Pressure
Systolic >120 and/or Diastolic > 80 decreased from 68% to 63%
Physical Activity
Those who were inactive decreased from 54% to 46%
Overall Risks(BP > 120/80, lipid, inactive, BMI>25, FBG > 100)
9% Decrease
Employees took Action
Affirmation of the Effort
69% agreed that “HWI provided new information about myself.”
Take Home Points
High level of risk identified Early data encouraging that risks
can be diminished Employees took action to improve
their health and felt supported by agencies