A Health Promotion Model for Small Businesses – The Healthy Small Business Pilot

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A Health Promotion Model for Small Businesses – The Healthy Small Business Pilot

  1. 1. Testing the provision of comprehensive worksite wellness services in micro-businesses
  2. 2. Carol Zimmerman Anne Marie Snell
  3. 3.  The Healthy Small Business Project  Business Demographics  Program Goals  Program Overview The Results  Organizational Changes  Individual Changes  Employee Satisfaction  Return on Investment Current Projects
  4. 4.  A grant from the New York State Department of Health and Health Research, Inc. Test pilot a business model for providing affordable comprehensive worksite wellness programs to small businesses (75 or less employees).
  5. 5.  Total of 283 employees (nine businesses) Follow industry best practices Use online technology Cost of $15/employee (estimated value of $150/employee) Signed MOU for participation 1 full year of programming
  6. 6. Industry Sectors: (1) Agriculture/Mining, (2) LocalGovernments, (3) Service, (2) Wholesale/Retail/Sales,(1)Health CareUnionized: The two local governments employ a unionizedpopulation of 26-50% eachFull Time Employment: 80.48%Female: 42.47%Caucasian: 95.89%Under Age of 40: 60.27%Wage range from $17,160 to $45,000 yearAverage Wage: $28,557
  7. 7. Pepsi Cola Ogdensburg Potsdam Mapleview Bottlers Building Dairy Farm Blocks Day Care Hospice and Potsdam Palliative Food Care Cooperative Hoose, Town of Knight & Madrid Associates Healthy SmallBlevins Auto Town of Group Business Waddington Wellness Committee
  8. 8.  By June 30, 2012, at least 25% of employees completing an HRA will reduce at least one chronic risk factor. By May 15, 2012, the micro business model will show a positive return on investment. By March 31, 2012, the project will validate the proposed price per employee ($150) to provide comprehensive worksite wellness services to micro employers.
  9. 9. Pepsi Cola Ogdensburg Potsdam Mapleview Bottlers Building Dairy Farm Blocks Day Care Hospice and Potsdam Palliative Food Care Cooperative Hoose, Town of Knight & Madrid Associates Healthy SmallBlevins Auto Town of Group Business Waddington Wellness Committee
  10. 10.  Senior Level Involvement Well Workplace Checklist Wellness Team Policy Development and Environmental Changes Contemplate Consumer Driven Health Plans Evaluation
  11. 11. Educational ProgramsIncentive CampaignsCSA AvailabilityFarmer Market AvailabilityCommunity Garden Space
  12. 12. Interest SurveysHealth Risk AssessmentsHealth ScreeningReferral ServicesUtilization of CommunityHealth ProgramsOne on One WellnessCoaching
  13. 13.  Articles in local media highlighting importance of worksite wellness Communication with state and county legislators highlighting importance of worksite wellness Press Releases in local media highlighting business and personal success stories One Educational Presentation for Chamber members and service organizations
  14. 14. 90.0080.0070.0060.0050.0040.0030.0020.0010.00 0.00 Senior Level Wellness Teams Data Collection Operating Plan Programming Supportive Evaluation Support Environments Average Score 2011 Average Score 2012
  15. 15. Environmental Approaches to Environmental Approaches to Physical Activity - 2011 Nutrition and Weight - 2011 Very Good Excellent Excellent Very Good 0% 0% 0% 14%Good Good14% 29% Needs Needs Improving Attention 72% 71%Environmental Approaches to Environmental Approaches to Nutrition and Weight - 2012 Physical Activity - 2012 Excellent Needs Needs Very Excellent Very Good 0% Attention Attention Good 14% 0% 14% 0% 0% Good 86% Good 86%
  16. 16. Culture Assessment Results Percent Change in Employee Agreement Saftey belt use normal 9.12% Healthy Foods normal during workday 52.38% Exercise is normal during workday 37.70% Wellness Team in place 254.10% Smoke-free environment promoted 2.19% Low-fat/healthy food options available 76.33% People support others 25.83% Healthy lifestyles publicly recognized 59.61% Healthy lifestyles are rewarded 87.78% Leaders model good health 31.72% A strong wellness program is in place 80.27%I am encouraged to lead healthy lifestyle 29.41%
  17. 17. Percent of Employees Decreasing High Risk Factors 50% 25% GOAL RESULT
  18. 18. Percent of Employees with High Risk Factors25.00%20.00%15.00% 2011 201210.00%5.00%0.00% 0 1 2 3 4 5 or more
  19. 19. Body Mass Index50.00%45.00%40.00%35.00%30.00% 201125.00% 201220.00%15.00%10.00%5.00%0.00% BMI Underweight BMI Normal BMI Overweight BMI Obese
  20. 20. 1 or less sick daysPre 0-1Post 38.00% 40.00% 42.00% 44.00% 46.00% 48.00% 50.00%
  21. 21. Change in Blood Pressure50.00%45.00%40.00%35.00%30.00% 201125.00% 201220.00%15.00%10.00%5.00%0.00% Normal Pre-Hypertensive Hypertensive
  22. 22. Uses Tobacco26.50%26.00%25.50%25.00%24.50%24.00%23.50%23.00%22.50%22.00%21.50% 2011 2012
  23. 23. Health Risk Assessment Progress Percent increase in good to excellent rating Doing well overall wellness 99.15% Happy and Content 4.12% Good Aerobic Exercise Score 68.12% Nonsmoker, avoids tobacco 4.60% Good Substance Use Status 10.58%Good Coping and Stress Status 8.38% Good Fitness Status 54.50% Good Nutrition Status 61.00% Low Cancer risk 109.58%
  24. 24. Employee Satisfaction SurveyMy supervisor/business owner was supportive of me participating in 67.74% the program If the program is offered next year, I plan on participating 61.29% The program contributes to better employee morale 40.32%The program should be expanded to spouses and family members of 35.48% employees The program has helped improve the amount and kind of support I 30.65% get from my coworkers The program has helped me improve my attitude toward my 32.26% employer The program has helped me to be more productive at work 29.03% I have made at least one significant health behavior change since 58.06% participating in the program The program has helped me become more ready to make positive 61.29% health behavior changes The program has helped me feel more confident about making 59.68% decisions about my health The program has helped me improve my overall health 54.84%
  25. 25. Community ratedPaid Time Off vs. Sick TimePregnanciesDirectly associating any savings with the program
  26. 26. Sources of Employers Health Related Costs 6% 1% 1% 7% Presenteeism Medical 27% 58% Absenteeism Short-Term DisabilitySource: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D.Chenoweth, SHRM 2012
  27. 27. Risk Condition Absenteeism Presenteeism Total % Depression 2.61% 14.51% 23.20%Overweight/Obesity 1.40% 8.30% 9.7%Cigarette Smoking 2.84% 4.78% 7.62%High Blood Pressure 0.37% 5.70% 6.07% Physical Inactivity .28% 4.59% 4.87%Source: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D.Chenoweth, SHRM 2012
  28. 28. When comparing the peer-reviewed researchcosts associated with risks and presenteeism coststo the Healthy Small Business population, thefollowing savings were shown:Fewer Smokers: $22,336Reduced Obesity: $10,009Total: $32,345Cost of the Program: $26,437
  29. 29.  Cost estimated for non grouping employers was $160-$540 per employee per year for businesses employing 10-72 employees. Cost estimated for grouping employers was $150 per employee per year. Preliminary results show actual costs for grouping employers to be $137.62 per employee per year.
  30. 30.  Current Contracts  (4) Returning Businesses Project Dissemination  Mentorship  Technical Assistance to NYS Contractors  NYSACHO  HP Live Webinar Alternative Funding Sources
  31. 31. Contact InformationCarol Zimmerman(315)261-4760 ext 223carol@gethealthyslc.orgAnn Marie Snell(315)261-4760 ext 222anne@gethealthyslc.org

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