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How to Build a Wellness Program

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Before/after stories in newsletters. Team competitions. Incentives. Extrinsic ... Participate in age appropriate screenings, PSA, colonoscopy, mammography, etc ... – PowerPoint PPT presentation

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Title: How to Build a Wellness Program


1
How to Build a Wellness Program
2
How to Build a Wellness Program(That really
works)
3
7 Steps
  • Get leadership support
  • Create a wellness team
  • Collect data to drive health efforts
  • Develop an operating plan
  • Choose programs that work
  • Change the environment
  • Evaluate

4
7 Steps
  • Get leadership support
  • Create a wellness team
  • Collect data to drive health efforts
  • Develop an operating plan
  • Choose programs that work
  • Change the environment
  • Evaluate

5
  • ROI Calculator
  • Inputs
  • Number of benefited employees
  • Total annual health care costs and cost increases
  • Obesity and smoking prevalence

6
2. Create a Wellness Team
7
  • Adds credibility and importance to your efforts
  • Provide program PR
  • Team lightens the load
  • Provides stability

8
Potential team members
  • senior and mid-level managers
  • front-line employees
  • benefits managers
  • union representatives
  • human resources personnel
  • marketing and communications directors
  • safety coordinators
  • information systems representatives
  • health care representatives

9
What does the team do?
  • Oversees the wellness efforts
  • Establishes the vision and operating plan
  • Decides on goals and outcomes to measure

10
3. Collect data to drive health efforts
11
YOUR COMPANY DATA(health care cost data)
12
YOUR COMPANY DATA(health care cost data)
13
ABSENTEEISM DATA
14
  • HRA
  • Free?
  • Vendor?
  • Biometric measures?
  • Data ownership?

15
  • HRA
  • Free?
  • Vendor?
  • Biometric measures?
  • Data ownership?

An HRA is NOT a wellness program!
16
4. Develop an operating plan
17
  • Mission statement, goals
  • Measurable objectives linked to strategic
    priorities
  • Timeline
  • Roles and responsibilities
  • Budget
  • Marketing and communication

18
How long will it take to get the program going?
  • The planning process can take from 3-7 months
  • Data collection, risk, health care costs,
    pharmaceuticals, behaviors
  • Look at worksite health culture
  • Understand the benefits package and how wellness
    fits in. What will the package look like with a
    wellness program?

19
Integration throughout the company
  • Work across departments
  • Safety
  • Medical
  • EAP
  • Facilities
  • Benefits, HR etc

20
How Do We Communicate with Employees?
  • Multi-site locations
  • Decentralized
  • English as a second language
  • No access to the web
  • Spouses, significant others, and dependents

21
Whats it going to cost?
  • Good programs can cost 100-150 per employee per
    year
  • What does your insurance company offer?
  • What does your health care provider offer?
  • What about vendors?
  • Can it be done for free?

22
Whos going to do this?
  • Time and resources requirements depends on number
    of employees, number of worksites, and scope of
    the program
  • Internal staff, interns, or a new hire
  • Vendors

23
Is Big Brother watching?
  • Secure, confidential data
  • How hard should you push healthy behaviors?
  • How far do you go to verify compliance?
  • No food police or fitness freaks allowed
  • What about unions?

24
5. Choose programs that work
25
Behavior ChangeThe Soul of Health Promotion
26
The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
27
Weight loss with and without lifestyle change
28
You would think . . .
  • that having had a heart attack would be enough to
    persuade a man to quit smoking, change his diet,
    exercise more, and take his medication

29
You would think . . .
  • that hangovers, damaged relationships, an auto
    crash, and memory blackouts would be enough to
    convince a woman to stop drinking

30
You would think . . .
  • that very real threats of blindness, amputations,
    and even early death would be enough to motivate
    diabetics to lose weight, exercise and eat better

31
You would think . . .
  • that time spent in prison would dissuade people
    from re-offending

32
  • What was the last major life change you
    implemented? (i.e. job, health, family)
  • Why did you do it?
  • What did you have to overcome?
  • What did you have to learn?
  • What motivated you?
  • Whos help did you have to enlist?
  • When did it become permanent?
  • Did you change your environment?

33
Behavior Change Models
  • Social Marketing theory
  • Social Cognitive Theory/social learning theory
  • Stages of Change/transtheoretical model
  • Theory of Reasoned Action
  • Health Belief model
  • and many, many others

34
Does Anyone Use These Models?
35
Do they really help us change behaviors?
36
What Really Triggers Behavior Change?

37
Why is behavior change so hard?
  • Fix me up Doc mentality
  • Too much pressure to be unhealthy
  • Lack of education
  • Lack sufficient motivation
  • Dont know how
  • Barriers are too great to overcome
  • I-dont-care-itis

38
Our health behaviors
39
Individual
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16 oz
32 oz
44 oz
52 oz
64 oz
45
Individual
Family
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Individual
Family
Worksite
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Individual
Family
Worksite
Community
57
5-a-day 1 million
Food Marketing 25 Billion
58
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Texas Double Whopper
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Somewhere in Florida
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Nation/ world
Individual
Family
Worksite
Community
66
Percent of adults who are overweight or obese by
country
US 74
Russia 50
Percent
India 16
WHO, 2007
67
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69
Nation/ world
Individual
Family
Worksite
Community
70
  • Behavior Change Simplified

71
  • Educate
  • Motivate
  • Build skills
  • Change the environment

72
Educate
  • Create individual awareness
  • Create community and organizational awareness and
    support
  • Create buzz

73
  • Flyers
  • Posters
  • Email notifications
  • Television/video programs
  • Books
  • Payroll stuffers
  • Internet sites
  • Magazines
  • Lunch and learns
  • Special speakers
  • Newsletters

74
Motivate
  • Before/after stories in newsletters
  • Team competitions
  • Incentives
  • Extrinsic and intrinsic
  • Triggers
  • Emotional
  • Social
  • Physical/health

75
Impact of cash incentives
76
Health Reimbursement Account (HRA)
900
1,500
77
  • Participate in age appropriate screenings, PSA,
    colonoscopy, mammography, etc
  • THESE ARE FREE, no out of pocket
  • Participate in the wellness program

1,500
78
What about HIPAA?
  • Wellness program can discriminate based on health
    risk status provided.
  • The amount is
  • Program must promote health
  • Employees can try every year
  • Provide an alternative way to get the award
  • Disclose the award rules

79
Build Skills (How do I do this?)
  • How to overcome barriers
  • How to strategies
  • Goal setting, contracts
  • Healthy substitutions
  • Making healthy choices
  • How to make healthy foods
  • Finding inexpensive healthy foods

80
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82
Sample Programs..
  • Move It!
  • The Culprit and The Cure
  • TV Timeout
  • Random Acts of Kindness
  • The Fast Food Guide
  • Maintain Dont Gain
  • Food Makeover
  • Earth Wise
  • What's Your Pressure
  • Good to the Bone
  • Silver Buckle
  • Fall into Fitness
  • Drive Sober
  • Chopping Block
  • Finding Fiber
  • Fat Fighters

83
  • Low hanging fruit
  • Preventive screenings
  • Flu shots
  • Seat belts
  • High hanging fruit
  • Onsite fitness facility
  • One-on-one coaching/training

84
6. Change the Environment
  • Physical Environment
  • Policy
  • Culture

85
Supportive Environments
  • Physical environments
  • Healthy food in cafeteria
  • Freedom from media and advertising that peddle
    risky behaviors
  • Farmers market
  • Free from overly demanding work
  • Opportunities to be physically active
  • Walking paths
  • Bike paths
  • Recess and PE at schools

86
  • Smoke free air to breath at home
  • Safe place to exercise
  • Convenient access to healthy, inexpensive foods

87
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  • Policies
  • Medical coverage for preventive services
  • Absenteeism policy that supports being healthy
  • No smoking policies
  • Flex time
  • Time to be healthy
  • Free from overly demanding work

89
  • Culture
  • Health role models (champions)
  • Worksite culture
  • Peer support
  • Supportive friends
  • Church, community support

90
  • Policies
  • Medical coverage for preventive services
  • Absenteeism policy that supports being healthy
  • No smoking policies
  • Flex time
  • Time to be healthy
  • Free from overly stressful work

91
  • Culture changes
  • Take baby steps
  • Get leadership on board
  • Find the champions
  • Integrate with other departments

92
7. Evaluation
  • Participation and satisfaction
  • HRA data (behavior and biometric)

93
Fairview Health Services
-13
-2
15
N3,577
Source StayWell Health Management
94
Calories Consumed
95
BMI
96
Evaluation
  • Success stories

97
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Crains Chicago Business Feb 26, 2007
Kenneth Olson believes the cost of Horton Group's
rewards program will be offset by reduced medical
claims
99
Evaluation
  • Productivity
  • Widgets
  • Morale
  • Turnover
  • Recruitment
  • Worksite Culture
  • Absenteeism

100
Evaluation
  • Health Care Costs/ROI

101
10 annual increase in premium
102
Dreaming
103
10 annual increase in premium
104
7 annual increase in premium
105
Health Care Cost Caveats
  • Data is not normally distributed
  • Outliers (high cost cases)
  • Claims analysis is complex and expensive
  • No way of knowing if the improvement was due to
    your wellness program
  • Trend comparison is easier and still accurate

106
Evaluation
  • Calculate Return on Investment (ROI)

cost
benefit
107
Repeat Steps 5-7
  • Get leadership support
  • Create a wellness team
  • Collect data to drive health efforts
  • Develop an operating plan
  • Choose programs that work
  • Change the environment
  • Evaluate

108
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