September 12, 2014 Amanda Cunningham Kristina Lopes Meredith Louko September 12, 2014 Amanda...
-
Upload
willa-bell -
Category
Documents
-
view
219 -
download
2
Transcript of September 12, 2014 Amanda Cunningham Kristina Lopes Meredith Louko September 12, 2014 Amanda...
September 12, 2014Amanda CunninghamKristina LopesMeredith Louko
NutrinutBridging the gap between employee wellness and
Nutrition
Objectives
Review Southcoast Employee Wellness: Virgin Pulse What it is Who’s eligible How it works
Statistics on weight loss and comorbidities Nutrinut The role of a Media Dietitian Cost Analysis SWOT How this affects Southcoast?
Let’s Set the Scene
In 2013 approx. 4,500 employees were
apart of the Southcoast Health Plan. Of
those 4,500:4% were classified as morbidly
obese25% were classified as obese33% were classified as overweight
10
Employee Wellness:
Creating a healthy work environment for employees to prosper and increase employee wellbeing: Increases productivity Decreases absenteeism Reduces overtime use for covering absent employees Decreased training costs for new staff to replace old Decreases health care costs ***
What is Virgin Pulse?
A rewards program that works like a frequent flier program, only you don't get rewarded for flying. You simply get rewarded from the healthier decisions you make and the more HealthMiles points you earn!
Get Healthy by Tracking:● Physical activity – Max Activity Tracker ● Sleep● Nutrition
Southcoast Virgin Pulse App:
Uses Max Activity Tracker to track: Calories expended Activities Active minutes Sleeping patterns
Challenges you and others to take part in your own online challenges
But is lacking one important piece…….
Top 3 comorbidities among Health Plan members:
Apart from BMI● High blood glucose levels● High blood pressure● High cholesterol
What we know:
Excess weight is related to an increase risk in comorbidities.
In 2010, 35.7% of Americans were obese2013, 25.8 million Americans (8.3%) have
diabetes2013, 77.9 million, 1 in 3 Americans have
high blood pressure 4
Why do we care about weight?
● According to the CDC approx. 112,000 deaths are associated with obesity each year in the United States 5
● Per year, obese individuals spend an average of $1850 more in health care costs than non-obese individuals 8
● Morbidly obese people spend up to $5500 per year more in health care costs 8
Benefits of weight loss:
Studies show that even a 5-10% decrease in weight significantly improves:
Lipoproteins Hypertension DM/insulin resistance Risk for osteoarthritis Risk of certain cancers and other chronic diseases
To achieve/maintain a healthy weight, two major factors are involved:
● Nutritious diet● Physical activity
Currently, Southcoast has partnered up with Virgin Pulse to challenge employees to get active and get moving. By incorporating a nutrition aspect into the program we can get employees even further on the right track.
Nutrition Stats
In a 2011 study, researchers proved that diet alone was more successful in weight loss than exclusive exercise 5
However, the combination of diet and exercise provided the most significant results
Demonstrating that in order to maximize weight loss, nutrition is a key component to Virgin Pulse
Nutrinut
● Provides employees with nutrition expertise through a licensed and credentialed Media RD to establish:
● Personalized experience● Expert advice● Individualized recommendations
● Virgin Pulse provides businesses with resources such as MyFitnessPal for an additional cost
Media RD:Promotes employee wellness through food and
nutritionBridges the gap between Virgin Pulse and
Nutrition24 hour, part-time positionEmployee will be able to access the Virgin Pulse
account on Southcoast Intranet through a provided laptop
Will be able to work from home or at an on-campus site.
RD Key Functions/Responsibilities
Establish the nutrition component to Virgin Pulse: Web design of Nutrition page Works closely with IT to implement behind the scenes tech
support Attends proper training classes for Web Design
RD Key Functions/Responsibilities
In charge of all nutrition initiatives on Southcoast Virgin Pulse Website
Mandates weekly nutrition group discussion boards and provide written feedback at the end of each week.
Create bi-weekly webinars and quizzes available on the website. Answer any daily nutrition-related questions through email
RD Key Functions/Responsibilities
Establish nutrition alerts for Virgin Pulse app through:
Mobile Device Southcoast Email Southcoast Health Stations
Create Marketing Material for Nutrinut throughout hospital via:
Posters Visual displays for cafeteria TVs Computer Screen Saver: Nutrition Tips
RD Key Functions/Responsibilities
Refer employees to outpatient RD services: Develop easy-access to Outpatient RD services on Virgin Pulse
Website and App for employees to learn more about available resources
Diabetes Management Program Weight Management Program Bariatric Program CHF Clinic
RD Key Functions/Responsibilities
Design and implement monthly wellness topics
Write monthly newsletter for Nutrition Topic of the Month
Displayed on homepage of intranet Develop bulletin board that is related to monthly
wellness topic Select two Wellness meals each month to be sold in
cafeterias that relate to Nutrition Topic of the Month Provide recipe recommendations for wellness topics
each month
RD Key Functions/Responsibilities
Establish Wellness Wednesdays at Southcoast Facilities:
Wellness topic promoted every Wednesday, alternating at each Southcoast site.
Provide nutrition information on tri-fold poster board, handouts and interactive activities based on the monthly topic. Create Wellness Wednesday meals that will be placed on cafeteria
menu. Provide and hand out free samples for employees to try as they
walk into the cafeteria.
Ways to earn reward points!
Employees can check in and scan barcode to reward them with points.
Check-in Booth once a month - 100 points Wellness Wednesday Booth - 50 points Signing up for bi-weekly online webinars - 10
points each webinar Completing weekly quizzes - 8 points each quiz Weekly check-in at Health Station - 5 points
Local Competition
Virgin Pulse- Nutrition component More money for Southcoast No RD provided
Weight Watchers Extra cost to employees No affiliation with worksite wellness
Nutrisystem Additional cost to use No RD visit provided
A Healthy Balance Added cost for employees Too far to drive for RD services
Start-up costs:Wellness displays, check-in booths, activities and food
samples: $1020 Part time Media RD yearly salary - $36,000.00 @ $30/hrBarcode system for employee points - $255.00Travel Expense- $200.00 Business laptop with traveling case and business cell phone
- $1,200.00Advertisement: Free through social media, intranetNutrition Care Manual - $0.00 Webinars and online cooking demos - $0.00 In-person cooking demos - $ 120.00 per demoFood models - $0.00Business cards - $20
One Year Cost Projection
Operating ExpensesPart- time salary RD $36,000.00Supplies Expense $2,655.00Travel Expense $200.00
Total Expenses $37,535.00
As previously stated:
Of the 4,500 Southcoast Employees on the Health Plan:
4% were classified as morbidly obese 180 employees
25% were classified as obese 1125 employees
33% were classified as overweight 1485 employees
How does this affect Southcoast Funding?
Given that the average difference in health care cost between an obese individual and a non obese person is $1850 and the cost of Nutrinut is $37,535.00;X = # of Employee Y = cost of obesity = $1850/person
If Southcoast Health pay ⅔ health care premium, Total company health care cost = X x ⅔ (employee premium)When employees lose weight through nutrition counseling, SH savings = ⅔ ($1850)
savings = $1233
Return on Investment:
In order for SH to break even on their investment, Nutrinut would have to generate a savings of $37,535.00
Breakeven= $37,535/ $1233 = 31 Employees with weight
loss % Nutrinut involvement = 31 Employees / 1125 Employees classified as obese
= 2.7% involvement
Plan of Action:
To ensure the Health Plan has a return on investment: Nutrinut will target 30% of the employees classified
as obese to get involved This will generate a guaranteed savings from the
2.7% obese employees Overall, leading to a cost savings for Southcoast
Health
SWOT: Strengths
App friendly, easy-to-use Helps Southcoast Employees
~62% of employees apart of the Health Plan 4% morbid obesity, 25% obesity, 33% overweight
Already contracted with Virgin Pulse - majority of the program is already developed
Known target audience - Southcoast Employees participating in the Health Plan and Virgin Pulse
No additional cost to the employee Potential cost deduction to Health Plan RD - nutrition expert and provider to monthly wellness education
SWOT: Weakness
- No available space - onsite location - Minimal funding available
- Poor employee engagement - Past Health Quest Initiatives
- Hiring externally - time needed to establish rapport- Lack of productivity due to travel time
- Additional time needed to educate and inform employees
SWOT: Opportunities
- Ability to expand - RD counseling provided under Southcoast Employee Health
Plan- Initiative to help decrease employee weight-related
comorbidities- Franchising abilities- Possible connections to Weight Management and Bariatric
Team- Grants
and more importantly…. it creates community wellness!
SWOT: Threats- Southcoast facility no longer has an account with
Virgin Pulse- Attraction to other weight loss solutions
(Nutrisystem, Weight Watchers)- Other “nutritionists” available on social media with
no license or credential
Objectives
Review Southcoast Employee Wellness: Virgin Pulse What it is Who’s eligible How it works
Statistics on weight loss and comorbidities Nutrinut The role of a Media Dietitian Cost Analysis SWOT How this affects Southcoast?
Conclusion
Obesity is an increasing concernThrough nutrition and fitness, greater
weight loss is achievedNutrinut will be the link for Southcoast to
cut health care costs and increase employee wellness
References 1. Academy of Nutrition and Dietetics. Treat and Reduce Obesity Act H.R. 2415 S. 1184, 2014. Chicago, IL. Accessed
March 30, 2014. 2. Carmona, R. The Obesity Crisis in America. Surgeon General’s Testimony before the Subcommittee on Education
Reform, Committee on Education and the Workforce, United States House of Representatives. www.surgeongeneral.gov/news/testimony/obesity07162003.htm. Published July 16, 2003. Accessed August 15, 2014.
3. Chang SH, Pollack LM, Colditz GA. Life years lost associated with obesity-related diseases for U.S. non-smoking adults. [June 18, 2013]. PLosOne. 2013. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688902/pdf/pone.0066550.pdf . Accessed August 25, 2014.
4. Facts and Statistics. President’s Council on Fitness, Sports, and Nutrition website. http://www.fitness.gov/resource-center/facts-and-statistics/ .Accessed August 25, 2014.
5. Foster-Schubert KE et al. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese post-menopausal women. Published online ahead of print August 2012, Obesity. 2012. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406229/ . Accessed August 26, 2014.
6. Hensrud D. Weight Loss: Which is better for weight loss-- cutting calories or increasing exercise. Mayo Clinic Website. http://www.mayoclinic.org/healthy-living/weight-loss/expert-answers/weight-loss/faq-20058292. Published March 14, 2014. Accessed August 25, 2014.
7. Lahiri S, Faghri PD. Cost-effectiveness of a workplace-based incentivized weight loss program. [March 2012]. JOEM. 2012. http://www.medworkohio.com/pdfs/Cost-Effectiveness%20of%20Workplace-Based%20Incentivized%20Weight%20Loss%20Program%20JOEM%203-12.pdf . Accessed August 25, 2014.
8. Lifestyle Management of Adult Obesity. School of Health Professions University of Missouri-Columbia Website. http://shp.missouri.edu/vhct/case2500/benefits.htm . Published March 6, 2013. Accessed August 26th, 2014.
9. Obesity. Cleveland Clinic website. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/obesity/ . Accessed August 25 2014.
10. Southcoast Annual Health Plan Performance Report. New York, NY. Cammack Health LLC. 2014