Changes that Work The Healthy Worksite Initiative
description
Transcript of Changes that Work The Healthy Worksite Initiative
![Page 1: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/1.jpg)
Changes that Work
The Healthy Worksite Initiative
HWI Outcomes ConferenceKathy Reims, MDSeptember 23, 2009
![Page 2: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/2.jpg)
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
![Page 3: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/3.jpg)
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)
![Page 4: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/4.jpg)
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?”
![Page 5: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/5.jpg)
![Page 6: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/6.jpg)
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
![Page 7: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/7.jpg)
Guiding Change
IHI Breakthrough Series Expert Panel Change Package Results-oriented approach
![Page 8: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/8.jpg)
HWI Change Package
![Page 9: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/9.jpg)
Participation
38% of the eligible population screened at least once. (Range 23 – 76%)
![Page 10: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/10.jpg)
Identified Risks: 3898 screenings
![Page 11: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/11.jpg)
Demographics
![Page 12: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/12.jpg)
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%
![Page 13: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/13.jpg)
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.
![Page 14: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/14.jpg)
Overweight or Obese
31 % lost 6 or more pounds in one year!
![Page 15: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/15.jpg)
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
![Page 16: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/16.jpg)
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
![Page 17: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/17.jpg)
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%
![Page 18: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/18.jpg)
Overall Risks(BP > 120/80, lipid, inactive, BMI>25, FBG > 100)
9% Decrease
![Page 19: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/19.jpg)
Employees took Action
![Page 20: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/20.jpg)
Affirmation of the Effort
69% agreed that “HWI provided new information about myself.”
![Page 21: Changes that Work The Healthy Worksite Initiative](https://reader035.fdocuments.net/reader035/viewer/2022062410/56815b48550346895dc926e8/html5/thumbnails/21.jpg)
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