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Evaluating Your Workplace Health Programmes. Dr Chng Shih Kiat Deputy Medical Director Raffles Medical Group. The Programme Planning Cycle in WHP. Needs Assessment. Evaluate. Select Interventions. Market & Implement. Programme Plan. Why Evaluate?. Understand what works and what doesn’t
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Evaluating Your Workplace Health Programmes Dr Chng Shih Kiat Deputy Medical Director Raffles Medical Group
The Programme Planning Cycle in WHP Needs Assessment Evaluate Select Interventions Market & Implement Programme Plan
Why Evaluate? • Understand what works and what doesn’t • Justify worth of programme • Improve programme performance • Reduce wastage • Contribute to body of evidence • Refocusing direction of the Workplace Health Programmes
What to Evaluate? 2 main evaluations • Quantitative improvement of data • Qualitative assessment of interventions
What to Compare with? Setting standards • Previous data of the company • Industry standards • National standards • Ideal standards
Previous Data • Data from needs assessment • Company health screening results, lifestyle survey results • Eg percentage of people who have high cholesterol, percentage of people who do exercise 3 times a week for 30 minutes • To evaluate after intervention, need to repeat assessment and compare
Industry Standards • Compare your set of data with what can be obtained from companies in the same industry • Have to ensure almost similar staff demographic • Difficult to administer due to confidentiality issues
National Standards • National Health Survey results published by Ministry of Health • NHS 2007 results will be out this year • Comparing data with NHS results • Understanding of where the company stand in the big picture of Singapore
Ideal Standards • Does being consistent with NHS results, means that you are OK? • Some issues should have an ideal standard • Eg Smoking rate should be zero Exercise rate should be based on 5 times a week for 30 minutes each occasion • Have to be realistic and evidence based • Eg Having no staff with high cholesterol is not realistic
Important Data to Evaluate Individual • Health related • Health promotion related (lifestyle modification) • Psychological health related Facility
Health Related • Disease risk factors • Cholesterol • High blood pressure • Obesity • Diabetes • Important as lowering will lead to less health care cost (Primary Prevention) • Evaluate whether intervention leads to decrease disease risk factors
Leading Causes of Death in Singapore Cancer Ischaemic Heart Disease Pneumonia Stroke Other Heart Diseases 19.2% 14.5% 9.7% 5.6% Ministry of Health Annual Report 2004
Health Promotion Related • Focus on lifestyle and behaviour modification • Percentage of staff who • Exercise regularly • Eat 2 or more servings of fruits and vegetables a day • Don’t smoke • Trim fat from meat before eating etc • Evaluate whether intervention is able to change mindsets and behaviours
Health Promotion Related • Other than evaluating percentages can also evaluate function improvements • Eg Conduct fitness testing to assess function • Can also evaluate improvements in health promotion knowledge of staff
Psychological Health Related • STRESS levels • Evaluate company culture, work life balance, staff morale etc
Facility Evaluation • Is there a change in food provided by the canteen? • Has there been more water coolers? • Healthier items in snack dispensing machines? • Implementing designated smoking areas? • Evaluate management support and you as a sales person
Qualitative Evaluation of Interventions • Evaluate your marketing skills, perception of your intervention by your targeted participants • Eg • Participation rate • Satisfaction of participants • Drop out rate etc • Provide immediate directions as to where you may have gone wrong • Poor marketing, planning and organisation • Poor matching with staff expectation • Knowledge gap about importance of intervention
Stakeholder Interest The BIG picture • Reduced health care cost • Reduced staff turnover and manpower cost • Improving staff morale and productivity • Work with HR to generate data from year to year • Evaluating your WHP goal in the long run
Food for Thought Protect your health. Without it you face a serious handicap for success and happiness. - Harry F. Banks So many people spend their health gaining wealth, and then have to spend their wealth to regain their health. ~ A.J. Reb Materi, Our Family ~