State of Wellness: NC

NC Healthy Worksites:Our past, present and future Meg van Staveren, MPH, RD Worksite Wellness Unit Manager Physical Activity and Nutrition Branch NC Division of Public Health, DHHS

North Carolina by the numbers 9.3 million Central/Piedmont 53,865 sq. miles West/Mountains East/Coastal10th most populated state 40% live in rural areas

North Carolina rankings 17th in adult inactivity 10th in adult obesity11th in child obesity 8th lowest in adult intake fruit/vegetable

Physical Activity & Nutrition Branch• Housed within the Chronic Disease and Injury Section, NC Division of Public Health, NC Department of Health and Human Services• Mission: Reverse the rising tide of obesity and chronic disease among North Carolinians by helping them to eat smart, move more and achieve a healthy weight.• Supported by federal, state and private grants/funds• Worksite Wellness is one of seven Branch Units

NC Worksites: Our Past 17 public universities36 state agencies 58 community 115 colleges local school systems

NC Worksites: Our PastAnnual contract with the NC State Health Plan – 2004/05: Developed NC HealthSmart Worksite Wellness Toolkit – 2005/06: Toolkit dissemination and training – 2006/07: Technical assistance program launched – 2007/09: Continued Toolkit training and technical assistance; developed and launched pilot program for school worksites

NC Worksites: Our PastWorksite Tools: http://EatSmartMoveMoreNC.com/Worksites.html

NC Worksites: Our Past• Distributed 1200 printed toolkits• Online toolkits available• Trained 600+ individuals• Technical activities included: – Bi-monthly newsletters – Site visits – Webinars/conference calls – Distributing sample policies and liability waivers – Creating additional resources such as turnkey programs• Conducted annual survey to identify successes/barriers and technical assistance needs

NC Worksites: Our Past• Changing scenery in early 2009 – NC State Health Plan and State budget shortfalls – New legislation April 2009 (Session Law 2009-16) • Health benefits for Plan members will be based upon their current tobacco use (July 1, 2010) and weight status (July 1, 2011)• New priorities – Statewide Wellness Coordinator within NC Office of State Personnel – Our scope of work shifted to focus on healthy weight

NC Worksites: Our PresentEat Smart, Move More, Weigh Less• Weight loss/maintenance curriculum based upon the theory of planned behavior, integrated with evidence-based strategies and social support• Developed for use in the worksite/community setting• Launched statewide in 2008 with 200+ trained instructors from local health departments and cooperative extension agents• Also piloted in state worksites www.ESMMWeighLess.com

NC Worksites: Our PresentEat Smart, Move More, Weigh Less for State Employees• Contract between NC State Health Plan and NC Agricultural Foundation, NC State University• Implemented by PAN Branch & NC Cooperative Extension• Addresses Session Law 2009-16• Current delivery method provides dedicated instructors in five counties with greatest number of state employees, cost and class size are controlled, evaluation is emphasized• 141 classes provided since August 2009• Testimonials are available

NC Worksites: Our PresentEat Smart, Move More, Weigh Less for State Employees• Contract amended in August 2010 to also include: – Developing and testing an online, real-time delivery method – Developing a self-directed weight maintenance curriculum

NC Worksites: Our PresentCPPW funding, February 2010 – January 2012• Utilized NC Institute of Medicine’s Prevention Action Plan to guide our application• Prevention Action Plan Recommendation 12.3: 1. Creation of a statewide collaborative that would offer technical assistance and certification for implementing comprehensive worksite wellness programs 2. Incentives in the absence of federal level policies

NC Worksites: Our PresentThree main elements in the funded application: 1. Formalizing the Worksite Wellness Collaborative which will develop recommendations, engage state- level decision makers and recommend an assessment tool to measure the impact of worksite wellness policy on employee health 2. Developing a mechanism to provide businesses with tools, resources and technical assistance to implement comprehensive worksite wellness programs 3. Provide local business and community leaders with educational opportunities, a media campaign and advocacy training

NC Worksites: Our PresentWhere we are to date:• Technical staff: 1. Dr. Laura Linnan, Professor, UNC-Chapel Hill Gillings School of Global Public Health 2. Dr. Joyce Young, Well Being Director, IBM 3. Dr. David Chenoweth, Director, Chenoweth & Associates• CDC expertise: Jason Lang, Team Lead for Worksite Health Promotion

NC Worksites: Our PresentWhere we are to date:• Initial Collaborative buy in: Office of the Governor, NC Department of Commerce, NC Chamber of Commerce, NC Office of State Personnel, NC Division of Public Health, NC State Health Plan, NC League of Municipalities, NC Health and Wellness Trust Fund, Kate B. Reynolds Charitable Trust, NC Prevention Partners and others• Completed a policy inventory and policy brief of existing state legislation

NC Worksites: Our PresentWhere we are to date:• Launched a statewide survey of NC businesses 1. Gage awareness and perception of worksite wellness terminology and concepts 2. Reveal current practices 3. Identify early adopters 4. Identify trusted resources for business information 5. Inform the development of media messages to support the Worksite Wellness Collaborative efforts

NC Worksites: Our FutureWhere we are heading:• Developing a branding campaign, WorkWell NC, and associated logo, graphics, and web landing pages• Develop a long-term sustainability plan for WorkWell NC to addresses marketing needs, fiscal planning, monitoring and evaluation, and selection of tools, resources, and service vendors• Develop a media messaging campaign to support WorkWell NC• Preparing for a statewide summit and six business education trainings

Contact:Meg van Staveren, MPH, RDWorksite Wellness ManagerWorksite Wellness UnitPhysical Activity and Nutrition BranchNC Division of Public Health, DHHS1915 Mail Service CenterRaleigh, NC 27699-1915Email: meg.vanstaveren@dhhs.nc.govPhone: 919.707.5219Fax: 919.870.4804www.NCPANBranch.com

State of Wellness: NC

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