WorkWell Kansas: A Partnership for Worksite Health Promotion

WorkWell Kansas: A Partnership for Worksite Health Promotion Missty Lechner Worksite Wellness Specialist Kansas Department of Health and Environment

Presenters

• Missty Lechner ▫ Kansas Department of Health and Environment

• Dr. Elizabeth Ablah ▫ University of Kansas School of Medicine- Wichita

• Chad Clark ▫ McPherson Healthcare Foundation, Inc

Our Vision - Healthy Kansans living in safe and sustainable environments

Community Initiative on Cardiovascular Health and Disease

• 14 Employers - 400,000 lives - 2005-2009 • All Stakeholder Collaboration, including: ▫ Employers, Chamber of Commerce, IHPM, NBCH ▫ Public Health: CDC, States of Kansas and Missouri ▫ Providers, AAFP, AHA ▫ Regional and National Health Plans ▫ Pharmaceutical Industry

• Focus on Primary and Secondary Prevention ▫ Hypertension, Cholesterol, Smoking, Inactivity, Nutrition,

Metabolic Syndrome

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CICV Work Site Component:

Baseline Surveys (2006, re-measured 2011): ▫ Leadership Survey ▫ Heart Healthy Lifestyles Employee Attitudinal Survey ▫ Employer Worksite Wellness Environment Inventory ▫ Cardiovascular Health Plan Benefit Design Survey ▫ Productivity Measurements ▫ Available health risk Data “Connecting the Dots” Medical Claims Analysis Health Risk Appraisals Medical Screenings

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Planning Committee

• Employers • Local Health Departments • Business Coalitions • Payers • State Health Department • Healthcare • Academia


KDHE Assessment Tool

• Up to 72 questions • Organizational level assessment • Takes about 45 minutes to complete • Customized feedback given to worksites based

upon assessment results • Tested and piloted


Assessment Implementation

• Who champions this in communities? • How does word get out? • Is there a systematic way of providing education

to employers?


WorkWell: The Beginning

• Wichita Business Coalition on Health Care received private funding

• KDHE already had the assessment developed • Each partner had parallel missions, similar but

unique areas of expertise, and resources for worksite wellness


Questions

Missty Lechner Worksite Wellness Specialist Kansas Department of Health and Environment 785-296-1917 [email protected]


WorkWellKS

WorkWell Kansas Kansas Health Foundation is providing

three years of funding for groups to convene around this initiative.

Wichita Business Coalition on Health Care is leading the state-wide initiative.

Workshops in participating communities, built around an assessment tool.

WorkWell Kansas WorkWell Kansas was designed around

“evidence” in the literature and best practices.

Kansas Department of Health and Environment funded the development of the tool.

University of Kansas School of Medicine-Wichita, Department of Preventive Medicine and Public Health developed the curriculum.

Goal Increase the number of business and community leaders that are actively engaged in supporting, initiating, and implementing worksite wellness programs to facilitate the creation of workplace policies and/or incentives in these communities that make it easier for employees to adopt healthier behaviors.

WorkWell Kansas 3 years

30 communities (10 each year)

At least 1 champion per community

210 worksites

WorkWell Kansas Champions

Each year, 10 “champions” are recruited and trained.

Each champion is asked to recruit 7 worksites.

Task identified as an adaptive challenge.

WorkWell Kansas Worksites Can receive up to $1,000 in mini-grant funds after the worksite has:

1. completed the assessment (and received feedback)

2. completed the WorkWell Kansas workshop 3. an approved worksite wellness plan

Many tasks are identified as adaptive challenges.

Purpose Introduce a framework for worksites to use

in integrating holistic health promotion and wellness into complex cultures.

Enhance capacity and support worksites in creating a sustained culture of health.

Purpose Increase the number of community

leaders and businesses engaged in supporting comprehensive worksite wellness initiatives.

Facilitate the implementation of policies and environmental changes to make it easier for employees to be healthier, including eating healthfully and being physically active.

Purpose Expose participants to information, tools,

and strategies to develop and integrate a comprehensive wellness strategy into an organization’s long-term business strategy.

Provide resources and technical assistance for participants to develop and implement worksite wellness plans for their organizations.

Intent of Initiative So the healthy choice is the easy choice!

Is it Just Business? Is worksite wellness treated like any other business issue?

Good for culture? Fun? Reduce healthcare costs? Attract and retain employees? Important for health? Increase productivity? Increase profitability?

Traditional Worksite Wellness

Worksite wellness has historically centered on behavior change using a cognitive model.

Cognitive models center on education and the provision of information.

Cognitive approaches place the responsibility for change solely on the employee.

(Golaszewski, 2008)

Traditional Worksite Wellness Approach

Centered on a single issue (e.g. tobacco

cessation).

Illuminating risks about certain health behaviors.

Featured carrot or stick approach to wellness in behavioristic model.

Been largely ‘one-and-done’ type programs.

Traditional Worksite Wellness Examples* Some traditional worksite wellness programs have

been tied to national events (Great American Smoke Out) and are centered on raising awareness.

Other approaches have sought to capitalize on popular media and used programs similar to The Biggest Loser.

Some take a plug and play approach - a national program is implemented from management to employees.

Traditional Model

Relies on program development and delivery

Relies on information/education to prompt behavior change

Focuses on individual behavior change

Traditional Model Most traditional approaches lack in

duration and comprehensiveness.

Most traditional approaches are not based on best practices or “evidence”

How Do We Change? Behavior change is complex. Knowledge is necessary, but insufficient for

change.

How do we alter our behaviors?

Macro forces influence us; we are all parts of a greater whole.

Social Ecological Model

Paradigm Shift Employees will change behaviors as a

reflection of the changing characteristics of their worksites.

Create a healthy work environment.

Organizational health promotion.

Philosophy Change the culture of worksites.

Begin with the employer, not the employee.

Not “good” and “bad.” Not “right” and

“wrong.”

What are our goals, what does the literature suggest?

Strategic Framework Framework to guide development and

initial evaluation of worksite’s plans

Reasons to squeeze the

orange! • For every $1 spent on wellness, companies save $3.48 on health care and $5.82 in regards to absenteeism.

•The cost of health care has increased 274 times what it was in 1950 even though the average cost of all other goods and services increased only 8 times.

•Chronic diseases account for 75% of health care spending. •Source: Wellness Council of America

What is the Full Cost of Health?

Choose Wellness?

Employee Benefits

Weight reduction

Improved physical fitness

Increased stamina

Lower levels of stress

Improved self-image and self-esteem

Employer Benefits

Enhanced recruitment and retention

Reduced healthcare costs

Decreased rates of illness and injury

Reduced absenteeism

Increased productivity

Improved employee relations

Results

Reduced healthcare costs by 20% to 55%

Reduced short-term sick leave by 6% to 32%

Increased productivity by 2%-52%

Sourced by U.S. Dept. of Health and Human Service

Return on Investment

Hospital admissions declined by 62.5%

Disability costs reduced by 34.4%

Claims costs were reduced by 27.8%

Physician visits declined by 16.5 %

Sourced by Aurora Healthcare 2005

WorkWell Kansas: A Partnership for Worksite Health Promotion

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Transcript of WorkWell Kansas: A Partnership for Worksite Health Promotion