State of Wellness: Wisconsin

WisconsinWorksite Wellness Resource Kit HELLO My name is: Jon Morgan 1

Who Am I? Jon Morgan, MS Physical Activity Coordinator Division of Public Health Voice: (608) 266-9781 Fax: (608) 266-3125jonathon.morgan@wisconsin.gov 2

Why the worksite…Waking Hours in Various Settings (17 total hours possible) HealthCare 10 seconds In Transit 1 Work or Community School or 3 Childcare Family/ 8 Home 5 3

“Evolution” ??? 4

Parallel Path of Healthcare Costs & Obesity Rates (Annual cost per person & % obese population) The Timing is Right! Obesity Rate $1 26% $1 $5711 Cost/Obesity Rate $1 Healthcare Cost Rate 11% $1 $0 $2752 Two-thirds of the increase in health care spending is due to increased prevalence of treating chronic $0 disease.Source: CDC BRFSSdataSource: Organization $0for Economic Co- 03 01 02 98 99 00 97 94 95 96 90 91 92 93 20 20 20 19 19 19 19 20 19 19 19 19 19 19operation andDevelopment. OECDHealth Data 2006 Years 5

Why try andimprove wellness in the worksite? Or ….If it doesn’t make cents, it doesn’t make sense! 6

Return on InvestmentMost studies show a return on investment (ROI) of $2 to $5 for every $1 invested.ROI usually includes: Absenteeism Medical & Pharmacy costs Presenteeism Worker’s Comp and disability time 7

Initial Consideration – What’s Your Role?Which comes 1st? Or1) Identify what you can do so you have visibility, credibility and a role.2) Figure out who are the partners and facilitators are that you need and that might need you.3) Figure out what they need and whether you can provide it. 8

Our Role vs. Partner Role Resources/ Direct Education / General Outreach, Awareness Technical TA, Assistance Consulting1) You need to provide them with something (Awareness is not enough –What can give them that they don’t already have that will help make it happen?)2) You may only get 1 shot – so be ready before you “launch”! 9

Worksite Wellness TimelineNPA Program Established 2004State Plan - Business subcomm #1= kit 2006Worksite Survey Spring 2006Completed by 581 WMC membersResource Kit Completed - 8,000+ downloads August 2006Produced by NPA program & committee. Version 1Comprehensive Cancer Grants 2006-20076 mini-grants to test look/feel of the Kit in 16 sitesNGA Grants - $100K 2006-20071) Gov Summit2) Plan for state employee wellness3) 11 mini-grants ($4K each) to test effectiveness in17 worksitesVersion 2 of Resource Kit Completed Fall 2007Governor’s Worksite Award Winter 2007Regional & Targeted Trainings 2008, ‘09 & ‘10Toolkit – Version #3 Fall 2010 10

Resource Kit Development Based on WorksiteSurvey Results (N=581) &Pilot Testing (33 sites) 11

Survey QuestionsAsked Questions in Four Areas:1. General info Size & type of Company2. Companies without a program Why not? Stage of consideration for a program What would influence starting a program Ranking of key program components 12

Survey Questions (cont)3. Companies with a Program Reason why? Funding/staff Participation rates List of key program components Communication methods On-site resources Policies4. Needs Kit components? How-to pieces for what areas? Format? 13

Worksite Wellness Pilot ProjectsHealthy Lifestyles Project (#1) June 2006 -June 2007: tested look/feelHealthy Wisconsin Worksite Project (#2) December 2006-September 2007: tested effectiveness 14

Objectives1st Pilot: Support 6 coalitions to partner with 1-5 worksites to implement worksite wellness programs (with Cancer program) Pilot test the Wisconsin Worksite Wellness Resource Kit2nd Pilot: Support 11 coalitions to partner with 1-5 worksites to implement worksite wellness programs Using evidence-based strategies Use the Wisconsin Worksite Wellness Resource Kit Pre-post assessment checklist

Coalitions FundedFit City MadisonHealthy People Wood County 1st PilotCoulee Region Childhood Obesity CoalitionBurnett County Nutrition CoalitionHealthy Eating, Active Living of Marathon CountySheboygan County Coalition for Kids’ Activity & NutritionHealthy Hearts Project Oconto CountyRock County Healthy Living CoalitionBrown County Healthy Weight Coalition for YouthWaupaca County NuAct CoalitionWaukesha Wellness Advocates 2nd PilotGreen Lake Area Health & Wellness CoalitionHealthiest Manitowoc County 2010University of Wisconsin – River Falls Health and WellnessCoalitionMerrill Area Healthy Lifestyle NetworkAltoona on the GoPolk County Nutrition & Physical Activity Coalition

Worksite Partners1st Pilot = 16 worksite partners Printing Company Healthcare Providers/Medical Center Manufacturing Technical College/University Dept. County Government School District Head Start2nd Pilot = 17 worksite partners County Government City Government Manufacturering Schools/Technical College/University Hospital/healthcare clinic Nursing Home Head Start

Strategies 18

Findings Pilot 1 Pilot 2# of employees reached = 3,527 10,092# policy changes made = 27 37# environmental changes = 45 56 Toolkit usefulness = all used the kit and found it somewhat useful to extremely useful Partnership Model was effective Sustainability listed by most

Policy ChangesHealth insurance discountsHealthy food at meetingsHRAsVending contracts Both PilotsBreastfeeding policiesWorksite wellness policyFlex scheduling for PA, breastfeedingHealth Club discountsHealthy lifestyle cash or gift incentivesPilot 1: Competitive pricingPilot 2: Time and space for breaks & lunchNutrition guidelines for cafeteria, vending 20

Environmental ChangesWalking routes/mapsBike racksPoint of decision prompts Both PilotsVending foods/beveragesCompetitive pricingLabelingCSA drop off / on-site gardeningFitness facility/equipmentNutrition educationMake water availableBreastfeeding room, refrigerator,breast pumpsPilot 2: Shower facilities 21

Resource Kit Pilot Sites – Lessons LearnedEffectiveness of the coalition-worksite partner modelFor coalitions: Increased their visibility in the community. The coalition strengthened existing partnerships or created new partnerships with partner worksites.For worksites: promoted networking among the partner worksites. Worksites received technical assistance 22

Lessons Learned:Implementation and effectiveness of evidence-based interventionsPolicy Policy changes are most easily implemented with wellness representatives in administrative roles. Policy changes should be realistic. Timing and persistence are crucial. May have to come back later to implement.Environment Most popular environmental changes = healthy foods at company functions. Point-of-decision prompts were also initiated by many worksites.Most Wellness Programs Gravitated to 23 Activities

Measuring Change Worksite assessment checklist of strategies = One of the suggested ways to measure success =Pick list for grant reporting measures =Criteria for Worksite Award Program 24

Delivering the Message/Resource: An Intermediary is Key Public Health Coalitions Human Resource Dept IndividualResource Occupational Worksites Kit Health Nurses Wellness Programs Health Provider or Insurers Chambers of Commerce 25

2008 6 Workshops April – July (350 Attendees) 2009Eau Claire 2 Trainer Stevens Point Workshops: Stevens Point Pittsville Green Bay St. Point - June 2 Madison - June 10 Appleton 2 General & LaCrosse West Bend 2 HR specific 2010 Madison Madison Waukesha Fall Workshops Madison 26

Worksite Wellness Resource Kit…Already doing outreach - What’s in it for me in working with clients? It’s a potential foot in the door Tool to add to your list of services Based on proven practices = Higher success rate It can easily be integrated into what you’re already doing, for example …. Just because….. it’s the right thing to do!And ………It’s FREE! 27

Worksite WellnessResource Kit 28

Who Is Already Using The Kit?The States of: Additional Users: Kentucky Well City Milwaukee Washington WellSteps.com Michigan Zywave Florida CDC Indiana (15) Victoria, Australia – we’ve Vermont gone International! West Virginia New Mexico Hawaii Colorado South Carolina Maryland Missouri Nebraska North Dakota 29

WI Worksite Wellness Resource KitWhat it’s designed to do ….. Step-by-step process for comprehensive worksite wellness General description of program components and links to best resources Focus is on chronic disease preventionWhat it doesn’t do ….. Detailed content on “programming” Focus on safety & injury prevention 30

Worksite Toolkit OutlineIntroductionStep 1: Why Worksite Health? Benefits of aProgramStep 2: How to get startedStep 3: Initial Assessment & Employee SurveyStep 4: Program Content for My WorksiteStep 5: Making Decisions on Where to FocusWorksite InitiativesStep 6: Evaluating My Wellness Program – Isit doing any good?Appendices: Additional resources 31

Worksite ToolkitStep 1: Why Worksite Health?6-Step High Level Introduction Why start a program Health benefits & cost Return on Investment (ROI) Key data 33

Worksite ToolkitStep 2: How to get started How-to Section Developing a wellness team Cost overview 35

Worksite Toolkit Step 3: Initial Assessment & Employee SurveyHow-to on conducting a worksite assessment1) (68 item tool*) - wellness assessment on current worksite: Policies Environment Activities2) Ask your audience (Sample employee survey)3) Other available data * 37

Worksite Assessment 38

Worksite Assessment - ResultsAfter 1 Year Evaluation 29 18 21 39

Employee Survey 40

What is Worksite Wellness? ….……Depends on who you ask.A three pronged complete program = Health Fairs Lunch & Learns Payroll Stuffers They don’t know what or they don’t Program Activities know Policy Change Environmental Change 42

Things (environment, et.al.) Have Changed …high tech digital recreation 43

-Offer incentive-based exercise campaigns (President’s Challenge). -Offer physical activity-focused coaching. Social-Ecological Model Physical Activity -Offer flexible work hours to allow-Provide showers onsite. for physical activity during the day.-Provide a room where group fitness Supervisors must support this asclasses can take place. standard work practice.-Post maps of onsite trails or nearby -Promote walk-and-talk meetingswalking routes. when appropriate 44

Worksite Toolkit Step 4: Programming for My Worksite2-3 page summaries of key strategies & resources General Wellness Components Health Risk Appraisal / Health Screening * o Healthcare provider or insurer, on-line Physical Activity / Active Living o Local YMCA, fitness clubs Nutrition / Healthy Eating Mental Health * Tobacco Use o Healthcare provider or insurer, WI Quit line 45

Strategies 46

Resources 47

Worksite ToolkitChapter 5: Where to Focus Your Efforts Programming options for greatest impact o Campaigns vs. Policy & Environment changes o Levels of change o Employee readiness Recommendation worksheet * Action plan worksheet Maintaining Interest & Motivation o Incentives 49

Levels of Chance for Maximum Impact 50

“Scoring” Recommendations for Possible Implementation 1 5 scale with higher as better 51

Action Plan 52

Worksite ToolkitChapter 6: Evaluating My Wellness Program – Is it doing any good? Types of evaluation objectives o Process (with samples) o Outcome (with samples) Sample pre & post evaluation measures 54

Sample Evaluation MeasuresProcess Measures are: Participation rates (Number of staff enrolled and participating). Web site hits Observation or counts (ex. track number walking at noon) Participant satisfaction (via survey, focus groups, etc.) Policy or environmental changes/tracking (compare Worksite Wellness Assessment Checklist at 1 year)Outcome Evaluation is more difficult & takes longer to show up in your data. Pre/Post test surveys – Measure changes in attitude, knowledge and current wellness habits over a specified time period Quizzes Vending items being chosen (arrange with vendor to track selections) Cafeteria menu options Health Indicators / reduced risk factors. Comparison of company aggregate screening measures such as blood pressure, cholesterol, body weight, BMI, etc. before and after a specified program or campaign. 55 Corporate costs and return on investment.

Evaluation Samples 56

Worksite Toolkit Appendices: Additional resourcesDisease Management (1-2 page overview) Arthritis Cancer Diabetes Heart Disease & Stroke Mental Health *Samples of Blank Documents Worksite assessment * Employee pre-survey Worksite worksheet of priorities Worksite action planAdditional Resources/Tips Pages Wellness at home * Sample policies * Coordinator’s guide * 57

What Are We Currently Working on & Next StepsToolkit Version #3Expand Regional Trainer ListIncrease “Favorites” listingPromote Governor’s Worksite AwardFall Workshops targeted to Trainers 58

Version 3New & Improved 59

Regional Trainers 60

Regional Trainers Until …. we control the State! Ha, Ha, Ha 61

Resources: NPA Web Site 62

“Favorites Program” An Opportunity to ShareDefine type of program Policy Environmental change Behavior changeWhat is the focus? HRA Physical activity Nutrition Mental health Tobacco useWhat went well, what didn’t go well?How did you get good participation? 63

Program Favorites-Page 1 64

Worksite Award 65

So What?Evaluation:• 3200 hard copies of the kit distributed• 30,000 downloads kit• over 250,000 hits• 15 workshops, 700+ participants;• Percent of workshop participants who rated the workshop as either good or excellent = 92%• Number of winners of Governor’s Worksite Wellness Award (2008-10 = 59)• Annual survey of kit users (N=157 response subset from email list of 700+): • 1264 worksites reached: 133 own worksites + 1131 outreach worksites• 204,813 employees reached based on number of worksites and their employees using the kit (117,088) plus number of employees served by outreach agents using the kit (87,725). • 76% rated kit content as “very useful” or “extremely useful” 66

“Wisconsin Worksite Wellness Resource Kit” – How Can I Get A Copy?On the Web at: http://dhfs.wisconsin.gov/health/physic alactivity/Sites/Worksitekit.htm Or you can Google “WI Physical Activity”Via hard copy Fill Out Online Order Form 67

That’s All Folks 68

Questions? 69

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State of Wellness: Wisconsin

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State of Wellness: Wisconsin — Presentation Transcript