1. health and fitness

Well, well, well: How to create a
healthier workforce!
Holy Family Memorial
Judy Check
Terri Hollen
Becky Schleis
October 31, 2013
hfmhealth.org
Copyright © 2013 Holy Family Memorial. All rights reserved.
Worksite Wellness Programs
hfmhealth.org
They Just Make Sense!
• Approximately 150 million people in the United
States receive their health care coverage
through employer-sponsored group health
plans
• Average Annual Health Insurance Premiums for
Family Coverage in 2013 is $16,351, with the
employer covering $11, 786, or 72%, and the
worker contributing $4,565
2
Worksite Wellness Programs
hfmhealth.org
They Just Make Sense!
• Most people spend the majority of their day at
work
• Worksite factors can support individuals in
changing health behaviors
• Family members can be reached
3
Employee Health is Key!
hfmhealth.org
Improvements
• Employee productivity
• Healthier workforce
• Employee Morale
Reduced
• Health Care Costs
• Disability
• Absenteeism
4
HFM’s Wellness Journey
hfmhealth.org
• Journey began in the summer of 2011
• Efforts are closely tied with the Healthiest
Manitowoc County 2020 initiative
5
Healthiest Manitowoc County (HMC)
hfmhealth.org
• Community- based initiative,
– To improve the health of all people in Manitowoc
County
• Most of the HMC efforts are carried out by
volunteers who represent all sectors of the
community
6
4 Core Initiatives
Physical
Activity and Nutrition
Substance Abuse prevention
Injury Prevention
Mental Wellness
hfmhealth.org
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hfmhealth.org
• Well workplace programs fall under the
Physical Activity and Nutrition Health Initiative
• Along with goals to get Manitowoc County
eating better and moving, they would like to
achieve WELCOA Well County status by 2020
8
Well County Requirements
hfmhealth.org
• 20 businesses/organizations must commit to
following the process of becoming a Well
Workplace
• The 20 businesses must represent 20% of the
worker population in the county
• Commit to submitting for an award in 36
months
9
WELCOA
hfmhealth.org
Wellness Councils of America
• WELCOA is dedicated to improving the health
and well-being of all working Americans
• Membership in excess of 3200 organizations
• One of the most respected resources for
workplace wellness in America
10
WELCOA’s Ties to Healthy People
hfmhealth.org
“Founded on the principles of Healthy People,
…,using the workforce as the foundation,
WELCOA has built a framework that allows
American employees to live healthier, more
productive lives.”
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Well Workplace Process
hfmhealth.org
Seven Benchmarks
Secure Senior Level Support
Assemble a Wellness Team
Collect Organizational Data
Write an Operational Plan
Implement Interventions
Foster a Supportive Environment
Evaluate Outcomes
12
Benefits of WELCOA Membership
hfmhealth.org
• http://welcoa.org/member/benefits.php
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The WELCOA Journey
hfmhealth.org
$365 fee single member
Attend the Well Workplace University
Complete the Well Workplace Checklist
Implement the Well Workplace Model
Complete the application process
Application review by WELCOA
Celebrate your award!
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SUCCESS!
hfmhealth.org
WELCOA Gold Award
15
hfmhealth.org
“If I would have known I was going
to live so long,
I would have taken better care of myself”
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Right Care Approach
hfmhealth.org
•The most effective evidence based approach possible
•The most cost effective, safest, highest quality and greatest value
•Achieve the greatest long term benefit to the patient and society while minimizing physical and financial risk
17
Wellness History
hfmhealth.org
• Wellness efforts started in 2001 with increased
focus in 2007
• It’s the right thing to do for employees
• It’s important to keeping health plan costs
down
18
HFM’s Wellness Initiatives
hfmhealth.org
• HFM has a wide variety of initiatives that have
evolved over the years
• We’ll go through the initiatives as well as the
outcomes
• Bring ideas back to your own organization
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Health Risk Assessments (HRA)
hfmhealth.org
Cornerstone to our wellness efforts since 2001
• Includes both a blood draw and a paper
questionnaire
• Confidential – HFM gets aggregate results only
• Employee gets an individual, customized report
with year-to-year comparison
• Free coaching to extreme risk (<50 points)
employees
20
HRA Participation Incentives
hfmhealth.org
Free to employees and spouses
Health plan premium discount for participating since 2008
Future – focus on outcomes based incentives
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HRA Results
hfmhealth.org
• Our scores have been trending upward in spite of our aging
employee population
• Per Healics, each 1 point improvement in HRA score equates a
1.8% decrease in costs
No health plan premium increases for 5 years!
HRA Score
Healics
National
Average
is 70.6
76
75
74
73
72
71
70
Avg Age
47
Avg Age 47
Avg Age 48
Avg Age 48
Avg Age 49
Avg Age 50
2008
2009
2010
2011
2012
2013
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Tobacco Use
hfmhealth.org
• What percentage of Manitowoc County residents are
tobacco users?
– Answer: 19% Source: Manitowoc County
Community Health Survey 2013
• What percentage of HFM employees are tobacco
users?
– Answer: 9.2% Source: HRA results
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Tobacco Free Campus Since 2005
hfmhealth.org
• 108 employees took advantage of free
counseling between 2005 and 2006 with a 80%
initial quit rate
• Current employees receive 100%
reimbursement after completing Tobacco
Independence Program
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Fitness
hfmhealth.org
• 50% reimbursement of Wellness Center dues
with 24+ visits per quarter
• Free use of Cardiac Rehab equipment after
hours
25
Keys to Health
hfmhealth.org
• Comprehensive wellness initiative introduced in
2008
• Employees earn “keys” for completing wellness
activities – exercise, preventive care, education,
etc.
• Utilizes a web-based tracking program from
Wellsource
• Accumulating 600 keys earns $100, 1200 keys
earns $250, with a requirement of 300 keys
pertaining to physical activity
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Keys to Health
hfmhealth.org
Number of employees earning $250 has almost doubled
since 2008
Employees earning $250 Keys to Health Award 350
300
250
200
150
100
50
0
2008
2009
2010
2011
2012
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Disease Management
hfmhealth.org
• Created a pilot Accountable Care Organization
(ACO) in July 2011
• Invited employees and spouses on our health
plan with diagnoses of diabetes, high blood
pressure or high cholesterol
• The goal is to better manage chronic illness to
avoid acute care
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Disease Management Results
hfmhealth.org
The percent of participants at goal for their condition has
improved after two years in the program
ACO Participants at Goal
100%
80%
80%
64%
53%
60%
40%
74%
47%
41%
20%
0%
Diabetes
Blood Pressure
Initially at Goal
Currently at Goal
Cholesterol
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The Future
hfmhealth.org
Continue to invite new members
Add obesity and tobacco use
Increase accountability for members to improve their health
30
Weight Watchers at Work
hfmhealth.org
• Offered in 2013
• 40 employees participate and have lost a total
of 760 pounds
• Employees with Extreme Risk HRA scores
receive 50% reimbursement
• ACO participants can receive 100%
reimbursement for successful weight loss
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Wellness Initiatives
hfmhealth.org
• An ongoing, evolving process
• No “one size fits all” program
• Do what fits best for your employees and your
culture
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Worksite Wellness
hfmhealth.org
• Ideal Status
– Everyone participates
– Everyone reduces risks and improves health
• Realistic Status
– 12 to 18% of workforce are actively doing wellness
and taking care of themselves
– 20% don’t care or won’t make changes
Source: My Inertia
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Why Do Wellness?
•
•
•
•
hfmhealth.org
Make workforce aware of risks
Encourage lifestyle change
Keep the well population well
Create an environment:
– supports the lucky healthy
– supports the ones that don’t care
– manages the at risk population
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Create the Culture of Wellness
hfmhealth.org
• Simple things to implement
– Company meetings/events have heart healthy
snacks, foods, and beverages
– Vending machines with healthier choices
– Provide fruits and veggies
– Encourage getting away for lunch
– Support local activity events, ie: Carol Rose Wester
run/walk, HFM Marathon
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Create the Culture of Wellness
hfmhealth.org
• More difficult things to implement
– Tobacco free campus
– Policies that embrace wellness
• Gym membership reimbursement
• Team sponsorship for sports leagues
– On-site fitness center or walking trail with work time
to exercise
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Dimensions of Wellness
UWSP Model
S
• Social
P
• Physical
E
• Emotional
C
• Career
I
• Intellectual
E
• Environmental
S
• Spiritual
hfmhealth.org
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Wellness Defined
hfmhealth.org
• Wellness is the dynamic process of becoming
aware of and making conscious choices toward
a more balanced and healthy lifestyle
• Let’s work together to make Manitowoc County
a Well County
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Thank you. Questions?
October 31, 2013
hfmhealth.org
Copyright © 2013 Holy Family Memorial. All rights reserved.