North Dakota State of Wellness

Healthy North Dakota Worksite Wellness Melissa J. Olson, LRD Healthy North Dakota Director Pete Seljevold, MS, MM HND Worksite Wellness Director

Welcome to North Dakota!North Dakota Tourism/Dawn Charging

Healthy North Dakota Vision & Mission• Vision: Healthy North Dakota – Healthy People, Healthy Communities• Mission: Inspire and support North Dakotans to improve physical, mental and emotional health for all by building innovative statewide partnerships.

Why do we need aHealthy North Dakota ?

Out of 25 North Dakotans….. Adult Worksite High School• 1 Diabetes • 5 Smoke• 2 Asthma • 6 Overweight/obese• 4 High Blood Pressure • 7 Binge Drink• 5 Smoke • 14 No regular exercise• 6 Binge Drink • 21 Inadequate fruits/veggies• 7 No Dentist in Past year• 7 High Cholesterol• 10 No seatbelt• 16 Overweight/Obese• 18 No regular exercise 7

How do we build a Healthy North Dakota ?“If you want to go fast, go alone. If you want to go far, go together.” ~Author Unknown

Building a Healthy North Dakota Risk Factors Special PopulationsDiseases Channels Agencies, Organizations, Stakeholders and Individuals

Healthy North Dakota Agencies, Organizations,Stakeholders and Individuals

Healthy North Dakota’s Role•Identify and fill gaps in prevention efforts•Facilitate integration among prevention groups•Communicate prevention messaging•Coordinate emerging health partners

Participating Organizations• Healthy North Dakota (convener)• Blue Cross/Blue Shield of North Dakota• N.D. Chamber• N.D. Healthcare Association• N.D. Long Term Care Association• N.D. Public Employees Retirement System• N.D. Medical Association• N.D. Department of Health• Office of the Governor of North Dakota• Community HealthCare Association of the Dakotas• Native American MCH Program and Spirit Lake Health Tracks• UND School of Medicine and Health Sciences• Altru Health System• Bethel Lutheran Home• Golden Heart EMS• Investors Real Estate Trust• Medcenter One Health System• Meritcare Health System• Mid Dakota Clinic• Local Public Health Units - Upper Missouri District Health Unit• West River Regional Medical Center

Vision 2020: North Dakotans will be the Healthiest Americans

Vision 2020: North Dakotans are the Healthiest Americans North Dakota Healthcare Delivery System Strategic Map: 2007 – 2011 Implement Key Strategies to Improve Health OutcomesImplement Selected Increase Ownership Build Future Secure Implement Align Financial Prevention and and Personal Health Services the Required Appropriate Resources withWellness Initiatives Responsibility Infrastructure Human Resources Medical Technology Health Outcomes Reduce the Promote Implementation Create Effective, Provide Competitive Implement Critical Secure Adequate Prevalence of and of Worksite Sustainable Models for Compensation to Health Information Government Funding to Increase in Obesity Wellness Programs Rural Service Delivery Gain Recruiting Parity Technology (HIT) Eliminate Cost Shifting Reduce Implement Targeted Implement Consistent Strengthen Workforce Develop Plan for Implement Individual Tobacco Use Programs Focused on Statewide EMS Education to Meet Appropriate Deployment Cost-Sharing Incentives in North Dakota Individual Behaviors Response System Critical Needs of Medical Technology and DisincentivesReduce North Dakota’s Implement Targeted Develop Strategies Create and Implement Implement Accessible, Ensure Sustainability Leading Causes School-based for Sustainable Incentives for Portable Personal of Employer-Based of Trauma/Injury Initiatives Long-term Care Physician Retention Health Record (PHR) Health Insurance Reduce Implement Targeted Strengthen Coordination Cross-Train Physicians Implement Digital Alcohol and Community-Based Between Public Health & in Public Management of Substance Abuse Initiatives the Medical Community Health Practices Imaging TechnologyFoster Comprehensive ImplementApproaches to Chronic Comprehensive Public Disease Management Education Campaign Address Special Populations/Geographic/Demographic Issues Strengthen Innovation/Collaboration Implement Outcomes Analysis and Measures to Assess Quality of Care and Effectiveness of Resource Allocation

Worksite Wellness in North Dakota

ND Worksite Wellness Initiative 16

Why Worksite Wellness in North Dakota?• Second in the nation in the percentage of young children with both parents in the work force US Census Bureau 2008• 85 percent of businesses in North Dakota have fewer than 20 employees Small Business Association 2006• $2.1 billion loss in North Dakota due to lost workdays and decreased productivity Milken Institute 2007

Why Worksite Wellness in North Dakota?• Over 80% of North Dakota employers believe in the benefits of worksite wellness programs but want more support and guidance on worksite wellness North Dakota Department of Health Worksite Wellness Study 2002• Three-quarters of North Dakotans recognize that preventive care saves money in the long run Statewide Consumer Survey 2008

Why the Worksite?• Employees spend the majority of their waking hours at the worksite• Average U.S. worker spends 50.2 hrs per week at their job• Therefore employers can have a major impact on the health of their employees and families

Recent Trends…..• Unhealthy lifestyles are leading to rising rates of chronic disease, increased health care costs and reduced worker productivity.• Employee health benefits are the fastest growing cost component for employers• Annual health care costs have been rising dramatically for the past decade• Since 2000, the average employee contribution to company provided health insurance has increased more than 143%

Impact in North Dakota• $2.1 billion loss in ND due to lost workdays and decreased productivity • Milken Foundation 2007• Modifiable lifestyle choices cost North Dakotans over $550 million annually in medical expenditures • Milken Foundation 2008• Physically active people can save up to $500 per year in medical costs • Milken Foundation 2007

Physical inactivity is costing ND $980,448,191Medical care costs $136,902,191Workers comp costs $2,128,432 Lost productivity $841,418,191 If 5% of ND became more physically active could save an estimated $49,022,441 22

Healthy North Dakota’s Worksite Wellness Program• Coordination of statewide worksite wellness resources and best practices – Identification of quality indicators – Incubator for testing new concepts • Multi-business approach • Component Interventions – Visibility and Recognition Programs

Healthy North DakotaWorksite Wellness Partners• North Dakota Cancer Coalition• Dakota Diabetes Coalition• North Dakota Injury Coalition• Healthy North Dakota Early Childhood Alliance• Healthy North Dakota Breastfeeding Committee• Coordinated School Health Partners• ND Tobacco Quitline and Qutinet• North Dakota Oral Health Coalition• Heart Disease and Stroke Advisory Committee• Office for the Elimination of Health Disparities Workgroup• Healthy Eating and Physical Activity Partnership (HEPA)

Year One Key Projects• Statewide Survey• Web Based Resource Guide• Toolkit• Statewide Summit• Education

Statewide Survey • Partners – ND State Chamber – Local Chambers – Workforce Safety & Insurance – ND Department of Health – ND PERS 1100+ Respondents

Web Based Resourcewww.NDworksitewellness.org 27

Toolkit • Development Process • WELCOA Based • “Best of the Best” • Ease of use

Statewide Summit • Kick Off Event • 275 Attendees • 14 Vendors

Education • HND WW training curriculum – Cooper Institute – Community engagement principles – MPH credits – Annual Statewide Summit – Gearing Up training – Committee Training – Management Boot Camp

Companion Program

Component Programs

Comprehensive Worksite Wellness Approach Least Complex Most Complex Pre-contemplation Contemplation Preparation Action MaintenanceActivities Awareness Education/Motivation Intervention No visible change Change might occur Behavior change Larger Reach Medium Reach Smaller Reach (Least investment) (moderate investment) (higher investment) Posters Screenings Ongoing classes Paycheck stuffers Videos Recreational sports Email messages Seminars/classes (one time) High risk intervention Newsletters Challenges Case management Self-care book Health Coaching Injury preventionEvaluation Formative Process Outcome (Background) (Methods) (Impact) Interest surveys Cost/Program analysis Disease management HRAs Behavior change Risk reduction Claims Analysis

Comprehensive Worksite Wellness Program Results• 27% improvement in sick leave and absenteeism• 26% improvement in healthcare costs• 32% improvement in worker’s compensation and disability management claims The Art of Health Promotion Meta-evaluation, American Journal of Health Promotion, July/August 2005

www.ndworksitewellness.org pete.seljevold@hndww.org www.healthynd.org mjolson@nd.gov

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North Dakota State of Wellness

by HPCareer.Net, llc on Mar 17, 2011

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