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Thank you to the American Institute for Preventive Medicine for providing the 2014 calendars included in your packets

Program review

Jeff Butz – Wellness DirectorJanuary 9, 2014

Stayer Center-Marian University Arthur H. Sadoff Auditorium

2014 FABOH Wellness Conference

FABOH Wellness Steering Committee

Jackie Braatz - City of Fond du LacJoanne Schneider - Mid-States Aluminum

Krista Arnhoelter - Society InsuranceSusan Henderson - Hierl InsuranceLori Schrage - Moraine Park Technical

CollegeTanya Smith - Sadoff and RudoyKristine Kiesow – Fives Giddings & Lewis

AgendaSelf-Care Program UpdateWell City Fond du LacCommunity Physical Activity ChallengesFABOH Internship Program2014 Educational OpportunitiesLooking into the Future…Pre-Diabetes

Before we get started….

FABOH Self-Care Program

FABOH Self-Care ProgramWhat: A comprehensive Self-Care intervention offered

to FABOH Member companies Eligible: All FABOH Member companies Resources provided by FABOH include:

Self-Care booksCustomizable PowerPoint presentation to train

employees on how to use the book and the value it provides

Follow-up quizzes to ensure employee engagement Program evaluation materials (WELCOA Specific)WELCOA Personal Health Record document to

distribute to participantsPersonal support and assistance from FABOH

Wellness Director

Program StatisticsSince Last Year’s Conference:11 member companies participated2,229 Self-care books were distributed to

FABOH Members

Overall including FABOH Wellness Grants from previous years:14 member companies participated3,059 Self-Care books were distributed to

FABOH Members

Evaluation OutcomesIncludes data from 4 employers going back to surveys collected in March 2013: 179 surveys returned 55.8% reported referring to the book

Average of 3.43 times per 28 completed a Personal Health Record (Implemented in 2013) 95.3% satisfied or very satisfied with the program

60 doctor’s visits avoidedCost avoidance of $11,220 ($187 per visit)

10 emergency room visits avoidedCost avoidance of $11,260 ($1,126 per visit)

Total Cost Avoidance of $22,480

Key Take Away PointsThe shelf-life of these books is no less than

3 yearsTo date the program has nearly paid for

itself in cost avoidance based on the reporting of only 4 of the 14 employers

Economic return from these books will continue as long as promotion of the books continue and programming remains constant

This program meets the requirements for the Self-Care intervention needed to achieve Well Workplace designation

Well City Fond du Lac Update

Our progress since last year’s conference:

Well City is an initiative based around WELCOA’s (Wellness Council of America) Well- Workplace award designed to engage entire business communities in improving the health and well-being of their workforce

The Vision:To make Fond du Lac’s workforce one of the healthiest in America by developing and delivering results‐oriented, evidence‐based health promotion programs at the worksite

What is Well City?

The Goal of Well City Fond du Lac

To ensure that a minimum of 20 employers, who collectively employ 20% (~5,900 employees) of the area’s workforce, achieve Well-Work Place designation within a three year period

Committed Employers• Agnesian Health Care• Aurora Health Care• CitizensFirst Credit Union• City of Fond du Lac• FABOH• FCEDC• FDL Association of

Commerce• Fives Giddings & Lewis• Fond du Lac County• Fond du Lac School

District• Guaranty Service Group,

Inc.• Hierl Insurance

• Holiday Automotive• Horicon Bank• Jackson Kahl Insurance• Lutheran Homes and

Health Services• McClone Insurance• Mid-States Aluminum• Moraine Park Technical

College• North Fond du Lac School

District• Quality Packaging• Sadoff & Rudoy• Society Insurance• YMCA

2013 in Review…January Pre-application approved by the Wellness Council of Wisconsin April 1st Advisory board meeting – approval of Well City Fond du Lac logoMay Strategic Plan submitted to Wellness Council of WisconsinAugust Strategic Plan approved (Deadline to meet 20/20 requirement –

August 31, 2016) Marks the official launch of the Well City Fond du Lac initiativeSeptember Advisory board meeting Launching of committee structureOctober Well-Workplace University hosted in Fond du LacNovember Well City Fond du Lac Kick-Off CelebrationDecember First learning circle held FDL YMCA

Well City Fond du Lac Committees

Marketing and CommunicationsChair: Jen Walters, Aurora

Training and Resources Chair: Jayne Tettenborn, Agnesian Healthcare

RecruitmentChair: Aaron Sadoff, North Fond du Lac School District

Project Management and Mentoring Chair: Caitlin Buretta, IN Balance LLC.

Fundraising and SponsorshipCo-Chairs:

Gary Thorpe, Lutheran Homes and Health Services Marian Sheridan, Fond du Lac School District

Event CoordinationChair: TBD - First meeting scheduled for 1/28/14

Well City Fond du Lac Evaluation

Vendor: Data Mining Research Consultants LLC.

Methodology: Tracking of Low, Medium, and High risk prevalence for each biometric measure below using standard cut points from baseline measurement to project completionMeasurement Low Risk

Title/RangeModerate Risk

Title/RangeHigh Risk

Title/Range

Systolic Blood Pressure NormalLess than 120

Prehypertension120-139

High Blood Pressure140+

Diastolic Blood Pressure

NormalLess than 80

Prehypertension80-89

High Blood Pressure90+

HDL Cholesterol Optimal60+

Mid-Range40-59

LowLess than 40

LDL Cholesterol OptimalLess than 100

Moderate risk100-129

Borderline high/High130+

Glucose Normal74-99

Pre-diabetes100-125

Diabetes126+

BMI Normal18.5-24.9

Overweight25-29.9

Obese30+

2013 Community Wide Physical Activity Challenges

National Employee Health & Fitness Day Employer ChallengeWhat: A one week physical activity and healthy behavior challenge offered to Fond du Lac County Employers

A turn-key toolkit was available for all site leaders to help maximize participation

All participants in the program received a 1-week free trial membership at participating fitness centers within the area

Participants tracked their minutes of strength, cardiovascular and stretching exercises as well as their completion of bonus point activities

Employers logging the most minutes per participant and highest participation percentage within their division were recognized

National Employee Health & Fitness Day Employer ChallengeWinners Point per Participant:Guaranty Title ServicesEP Direct Moraine Park Technical CollegeFond du Lac County Winners Participation:FABOHEP DirectFives Giddings and LewisFond du Lac School District

2013 Get Up & Go Employer Challenge

What?A 3-month exercise incentive program/Community Challenge (9/9 – 11/22)

Who was eligible to participate?All employers in Fond du Lac County

How the challenge worked?Participating employers used the comprehensive toolkit provided to

customize a program layout and incentive strategy which fit their specific objectives and budget

Similar sized employers competed against each other to earn public recognition, a trophy, and most importantly bragging rights until next year’s challenge

Participants logged minutes using the FABOH Exercise Tracker to minimize the resources needed to implement

** Program design and evaluation materials met the requirements needed for the Exercise intervention within both the WELCOA Small Business and Well Workplace applications**

Program Stats:14 employers participated694 participantsAverage participation percentage of - 20%~370,000 points logged

Participating Companies

300+ Division 50-299 Division 1-49 Division

• Fond du Lac School District

• Fond du Lac County• Moraine Park

Technical College• Ripon Printers

• Fond du Lac YMCA• Lutheran Homes and

Health Services• Mid-States Aluminum• Sadoff Iron and Metal

• EP Direct• Fond du Lac Library• Guaranty Service

Group• Guaranty Title• INFO-PRO Mortgage• Jackson Kahl

Insurance

2013 Employer Challenge Winners

Ripon Printers – Winners of the 300+ Division

Nikki Willner – Site LeaderLori Welch

Sadoff Iron and Metal – Winners of the 50-299 Division

Tanya Smith- Site Leader

EP Direct – Winners of the 1-49 Division

Sheri Amidon-Site Leader

FABOH Internship Program

2013 Wellness Intern: Anna LinkeMay – August 2013UW-Stevens Point - Health Promotion

Anna’s Accomplishments: FABOH

Created Get Up & Go Challenge and all materials Developed multiple promotional and educational flyers for member

companies to use Quality Packaging

Developed and implemented two turn-key wellness incentive programs including all educational and promotional materials

Society Insurance Updated the existing interest survey and cultural audit to meet the

requirements of the WELCOA Well-Workplace designation City of Fond du Lac

Developed a simplified user guide for the Know and Go software Updated program materials for the Healthy Habits program

Mid States Aluminum Provided newsletter articles on a variety of wellness related topics Created tobacco cessation resource materials

Fives Giddings and Lewis Updated Don’t Gain, Maintain program materials

Healthy Fond du Lac County 2020 Developed a blog posting for website

2014 Internship Program FABOH will again be recruiting a wellness

intern to assist and support member companies with their wellness programming

If you are interested in taking advantage of this value added service, be sure to keep your eyes peeled for communications regarding this opportunity coming in the next few weeks

If you know of a qualified intern candidate who may be interested in applying for this position, please email me at jbutz@faboh.com

2014 Educational OpportunitiesMark Your Calendars…

Well City Fond du Lac - Learning Circle Schedule:Q1 2014

Date: 3/20/14Time: 7:30-8:30 A.M.Topic: “How to” Developing a wellness operating planLocation: Moraine Park Technical College

Q2 2014Date: 6/19/14Time: 7:30-8:30 A.M.Topic: Well Workplace Award application

Operating Plan Review Workshop, 8:30-10:00 a.m. Location: Lutheran Homes and Health Services

2014 Educational Opportunities

Q3 2014Date: 9/18/14Time: 7:30-8:30 A.M.Topic: Interventions - TentativeLocation: Aurora-Fond du Lac

Q4 2014Date: 12/11/14Time: 7:30-8:30 A.M.Topic: Wellness budget/incentives - TentativeLocation: Agnesian Healthcare

2014 Educational Opportunities

Well Workplace University:One day comprehensive training centered

around implementing WELCOA’s 7-C model at your worksite

Fall 2014 – Date TBD

Our Next Opportunity…Pre-Diabetes

Pre-DiabetesDefining Pre-diabetes:Pre-diabetes is a serious health condition

that increases the risk of developing type 2 diabetes, heart disease, and stroke

Those with pre-diabetes - have blood sugar levels that are higher than normal, but not high enough for a diagnosis of diabetes

Without lifestyle changes to improve their health, 15% to 30% of people with pre-diabetes will develop type 2 diabetes within 5 years

Pre-DiabetesThe Magnitude:Nationwide- 79 million Americans – 35% of

those aged 20 or older have pre-diabetesStatewide- 1.46 million aged 20 or older

have pre-diabetesIt is estimated that Fond du Lac County has

26,040 pre-diabetics. (2011 Burden of Diabetes in Fond du Lac County)

An estimated 21.5% of FABOH members are in the pre-diabetic range (Averaged from HRA results of 9 members)

Pre-DiabetesThe Cost of Diabetes:Nationwide (2012 data):

$176 billion for medical costs$69 billion productivity costs (indirect)Total Cost: $245 billion

Statewide (2009 data): $4.07 billion in direct costs$2.04 billion in indirect costsTotal Cost: $6.1 billion

Fond du Lac County (2009 data):$79.3 million in direct costs$39.7 million in indirect costsTotal Cost: $119 million

Creating a Successful Strategy at Your Worksite:

1. Raise awareness of pre-diabetes amongst employees Just 7% of people with pre-diabetes are aware they condition (CDC)

Provide biometric screenings including glucose with HRA’s Send targeted letters to those with pre-diabetic glucose levels Launch an educational campaign on the dangers of pre-diabetes

2. Identify successful intervention options Research shows that modest weight loss (5-7% of body weight) and

regular physical activity can help prevent or delay type 2 diabetes by up to 58 percent in people with pre-diabetes (CDC)

Getting at least 150 minutes each week of physical activity, such as brisk walking, also is important (CDC)

The National Diabetes Prevention Program led by the CDC Health Coaching Intervention from health care providers

3. Develop incentives to drive engagement

4. Implement and evaluate

Questions