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Workplace Health Programs

Workplace Health Programs. -. -. Non. Participant. Health Status = Expenses. High Risk. Med Risk. Low Risk. Edington. AJHP. 15(5):341-349, 2001. 20%. 25%. 4%. 1%. 50%. Complex & Intensive Care. Well Members. Moderate Risk. Low Risk. High Risk. 10%. 25%. 30%. 25%. 10%.

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Workplace Health Programs

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  1. Workplace Health Programs

  2. - - Non Participant Health Status = Expenses High Risk Med Risk Low Risk Edington. AJHP. 15(5):341-349, 2001

  3. 20% 25% 4% 1% 50% Complex & Intensive Care Well Members Moderate Risk Low Risk High Risk 10% 25% 30% 25% 10% OPTIMAL HEALTH CHRONIC ILLNESS $2.3 Trillion

  4. Healthy Behavior Big Picture Physical Spiritual Occupational Emotional Intellectual Social

  5. To improve the health and well-being of employees through participation in a comprehensive worksite wellness program. We hypothesize that employee productivity will increase, and health risk factors will decrease, after participating in this program The Mission

  6. Health and Productivity Big Picture Presenteeism Employee Assistance Health Care Benefits Productivity Turnover Absenteeism Disability Worker’s Compensation

  7. The Multi Level Model Source: Dr J Crutcher, OU Physicians health @ Work, Tulsa 2007

  8. Five Key Components for Wellness Initiatives Assessment Outcomes Targeted Enrollment Tracking Interventions

  9. Assessment Tools Management – Survey/consultation with HR - Level of Support for Wellness Employee - Personal Wellness Profile (PWP) - (Individual/ Group report) Wellness Screen*: - Blood pressure / Height /weight (BMI) / Waist and hip circumference /Total cholesterol / HDL cholesterol and LDL cholesterol / Triglycerides / Glucose (*12 hour fast required)  Includes 30 min follow-up session with Wellness Nurse

  10. Targeted Enrollment (e.g. Heart Disease)

  11. Individual Reports

  12. Interventions Primary Care – A Medical Home On-site providers Acute care and disease management MyHealthAccess On site physicals New insurance models

  13. Individual Wellness Session 30 min voluntary wellness nurse/trainer interactions Identify employee concerns and answer questions Review of PWP report and Biometrics Record - Height /weight (BMI) Waist and hip circumference Personal Wellness Binder

  14. Wellness Nurse Session • Wellness Scores • Clinical Test Results • Health Information (History) • Coronary Risk Factors • Cancer Risk Factors • Physical Activity • Eating Practices • Alcohol/smoking/Drugs • Stress and Coping • Social Health Concerns • Stage of Change Profile • Health Status (HSQ) Sources : Wellsource, Inc Portland, Oregon, (1993-2008)

  15. Other Interventions Worksite Programs (employee determined) Individual Programs Fitness Classes Walking/running/cycling club Health club memberships Lunch and learns (Annual program) Web based health promotion tools Non web-based health promotion tools

  16. Health Tracking Physical activity (self reported or sensor tracking) Health event attendance Weight, blood pressure etc. retest (3,6,12 months) Wellness challenges Health Activity Tracker (HAT) software - on-line exercise logging system - incentive system administration On-line wellness center

  17. Health Outcomes Participation rates Lifestyle changes (# persons with high risks) Biometric changes (# persons with high cholesterol) Health care cost containment, productivity measures Ways to improve program

  18. Thank You!

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