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Worksite Wellness Projects

Worksite Wellness Projects. Sara Palermo Allison Koonce. Mid-America Coalition on Health Care. 30 years of collaboration toward incremental, sustainable, and replicable change in health care.

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Worksite Wellness Projects

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  1. Worksite Wellness Projects Sara Palermo Allison Koonce

  2. Mid-America Coalition on Health Care 30 years of collaboration toward incremental, sustainable, and replicable change in health care 60 member bi-state, regional, non-profit organization operating since 1978 as the employer-driven health care Coalition in Kansas City. Mission • Improve the health of employees and their families • Promote employee and community wellness • Develop strategies for containing health care costs • Serve as a community resource in generating and communicating health care information

  3. Community Initiative on Cardiovascular Health and Disease Goals: • Improve Worksite CV wellness and secondary prevention outcomes for employees and their dependents. • Reduce health care and lost productivity costs. • Improve coordination of care for Acute Coronary Syndrome by focusing on Clinical efforts of providers, health plans and public health. • Improve Community awareness of CV risk factors and secondary prevention. 14 Employers; 368,000 lives firm-wide; 2005-2009

  4. CDC State Department’s of Public Health

  5. Purpose and Objectives • Early intervention improves employee health status and decreases employer costs by reducing modifiable health risk behaviors. Source: Goetzel, et. al., 1999 • Do employees understand modifiable risks? • Are employees receptive to work site interventions around behaviors?

  6. Survey • Heart Healthy Lifestyle Attitudinal Survey measured: • Employee knowledge of modifiable behavior and impact of behavior on health status • Employee receptivity to employer messaging and interventions

  7. Objectives of Survey Assess employee: • Knowledge of CV health • Attitudes on health improvement options • Work site health support • Willingness to act on health messages and programs • Perceptions / receptivity to employers role in supporting health • Receptivity to employers taking stronger action for risky behavior

  8. Findings of Survey Employees are: • Able to identify major signs and symptoms of heart attack (86%), stroke (76%), HD risk factors (87%) • Favorable to employer involvement in improving employee health (67% prefer “active participation”) • Less likely to perceive leadership, supervisors, co-workers as supportive of their health improvement efforts • Less likely to endorse activities viewed as mandatory or punitive • Favorable to receiving health information by e-mail but not by phone • Most likely to work on exercising more and losing weight to improve health

  9. Worksite Recommendations • Education in the work site • Importance of HRAs and screening • BP and cholesterol counts • CPR • Calling 9-1-1 • Stress reduction and nutritional facts • Other (i.e., benefit design, corporate culture, work site policies)

  10. CICV Clinical Interventions CDC State Department’s of Public Health

  11. CICV Clinical Interventions • Physician / Employer engagement around Patient / Employee • Medication adherence • Continuum of Care for MI victim – addressing the dozen points of handoff from 9-1-1 to return to work • www.machc.org/cv

  12. CICV Clinical Findings Delay in seeking treatment is a factor in low survival rates for CV events: • Low by-stander activation / response • Low use of CPR • Delay in calling 9-1-1 • Lack of access to AEDs; or low us if available Resources: • AHA Strategies for Reducing Delay • Act in Time

  13. What’s Next for the Worksites Clinical findings reinforce need to address Worksite replication: • Requires a systems change model • Adoption of HeartSafe Communities • Positioning employers / work sites as champions for the HeartSafe initiative • Great example of a public-private partnership to promote community health

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