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Why Employee Wellness?

Why Employee Wellness?. Health Costs Challenge Business & Government. Source: CMS. > Spending Leads To > Premiums. Mid-1990s: premiums fell sharply 2001 – 2004: premiums grew at double digit rates. Source: KFF/HRET; Bureau of Labor Statistics; U.S. Consumer Price Index.

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Why Employee Wellness?

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  1. Why Employee Wellness?

  2. Health Costs Challenge Business & Government Source: CMS

  3. > Spending Leads To > Premiums • Mid-1990s: premiums fell sharply • 2001 – 2004: premiums grew at double digit rates Source: KFF/HRET; Bureau of Labor Statistics; U.S. Consumer Price Index

  4. Health Benefit Costs, Per Active Employee Source, Mercer HR Consulting, “Health Benefit Costs Slow for A Third Year ...”, Nov. 20, 2005

  5. Why Are Healthcare Premiums Increasing? Source: PricewaterhouseCoopers The Factors Fueling Rising Healthcare Costs 2006

  6. Reasons Why Utilization Is Increasing

  7. Increasing Prevalence of Chronic Disease Projected Number of People with Chronic Conditions (in millions) Source: Wu, Shin-Yi, and Green, Anthony, “Projection of Chronic Illness Prevalence and Cost Inflation,” RAND Corp., October 2000

  8. The Obesity Burden • 64%: Increase in diabetes patients, 1987-2002 • 1,000%: Increase in obesity-related costs, 1987-2002 • $1,244: Annual health care spending difference, normal weight v. obese adults. Source: Health Affairs, June 2005 % of U.S. Health Spending On Obesity-linked Conditions

  9. “Un-Wellness” Costs (in Billions) Source: Health Promotion Advocates, from CDC, NIH, National Institute of Diabetes and Digestive and Kidney Diseases, and Journal of Occupational Medicine.

  10. $5,520 $3,460 $3,039 $2,199 Edington, AJHP. 15(5):341-349, 2001 Excess Medical Costs Due to Excess Risks

  11. Excess On-The-Job Loss Due to Excess Risks 14.7% Burton, Chen, Conti, Schultz, Pransky, Edington. JOEM. 47(8):769-777. 2005

  12. HRA Participants Non-Participants (N=4,649) Low Risk 0-2 Risks (N=685) Medium Risk 3-4 Risks (N=520) High Risk 5+ Risks (N=366) WC Claims STD Claims Absence Record Disability Claim 25.4% 23.4% 49.9% 61.3% 30.2% 30.8% 63.1% 72.5% 30.2% 29.6% 41.0% 64.4% 38.0% 46.7% 69.7% 81.7% Percentage of Employees with a Disability Claim by Risk Status Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002

  13. What Can Schools Do? Create awareness of need Create a sense of urgency Empower with resources Build and support a culture of wellness • Policies • Environment • Include everyone

  14. What Can Schools Do?

  15. Devastating Consequences of Doing Nothing • Today’s generation of American children may be the first in modern history to live shorter lives than their parents U.S. Surgeon General Richard Carmona March 2, 2004

  16. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI 30, or about 30 lbs overweight for 5’4” person)

  17. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1986

  18. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1987

  19. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1988

  20. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1989

  21. No Data <10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1990

  22. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1991

  23. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1992

  24. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1993

  25. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1994

  26. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1995

  27. No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 1996

  28. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1997

  29. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1998

  30. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 1999

  31. No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. AdultsBRFSS, 2000

  32. Obesity Trends* Among U.S. AdultsBRFSS, 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  33. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI 30, or ~ 30 lbs overweight for 5’4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  34. Obesity* Trends Among U.S. AdultsBRFSS, 2003 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  35. Diabetes Trends* Among Adults in the U.S.(Includes Gestational Diabetes)BRFSS 1990 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  36. Diabetes Trends* Among Adults in the U.S.BRFSS 1991-92 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  37. Diabetes Trends* Among Adults in the U.S.BRFSS 1993-94 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  38. Diabetes Trends* Among Adults in the U.S.BRFSS 1995-96 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  39. Diabetes Trends* Among Adults in the U.S.BRFSS 1995 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  40. Diabetes Trends* Among Adults in the U.S.BRFSS 1997-98 Source: Mokdad et al., Diabetes Care 2000;23:1278-83.

  41. Diabetes Trends* Among Adults in the U.S.BRFSS 1999 Source: Mokdad et al., Diabetes Care 2001;24:412.

  42. Diabetes Trends* Among Adults in the U.S.BRFSS 2000 Source: Mokdad et al., J Am Med Assoc 2001;286:10.

  43. Diabetes Trends* Among Adults in the U.S.BRFSS 2001 Source: Mokdad et al., J Am Med Assoc 2001;286:10.

  44. 3 Keys to Success • Keep It Simple: Focus on a few key issues; aim for high participation rates • Communicate Effectively: Build infrastructure for future success • Reward Healthy Behaviors: Celebrate success

  45. Where to Begin • Know your needs • Set realistic goals and objectives • Evaluate your resources • Involve the “right” people • Develop a long-term strategy • It’s all in the execution – DO SOMETHING

  46. Know Your Population’s Needs Physical activity Healthy eating Weight management

  47. Set Realistic Goals and Objectives • GOALS • Faculty and staff will be more active • Faculty and staff will improve eating habits • OBJECTIVES • At least 40% of faculty and staff will complete 8-week physical activity challenge • Healthy food items will be labeled in cafeteria and vending machines

  48. Evaluate Your Resources • In Your School • Ways to communicate • Health teachers, physical education teachers, food service professionals, school nurses, others • Resources provided by Bower Foundation • In Your Community • Non-profit health agencies • Local hospitals • Home extension service

  49. Involve the “Right” People • People who want to be involved • Those with access to resources • Decision makers • Representative Committee • Meet monthly • Identify opportunities • Coordinate baby steps • Build infrastructure

  50. Develop a 3-Year Strategy • YEAR 1 • Start with small simple steps • Focus on participation, and measure it • Focus on FUN • YEAR 2 • Build on success • Focus on outcomes, and measure them • YEAR 3 • Continue to build on success • Tell your school’s story to others

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