Kathryn George Bayless: Asst. Dean & Exec. Director, Campus Rec Sports
Linda F. Brown: Health Psychology, Mindfulness-Based Therapies and Clinical
Psychologist in Private Practice
Jenny Rebecca Fleetwood: Work-Life Balance Coordinator, Human Resources
James M. Gladden: Dean, IU School of Physical Education & Tourism Mgmt.
Elin Christine Grimes: Registered Dietitian and Nutrition Counselor
Tracy L. James: Senior News & Media Specialist, IU Communications
Carol Kennedy-Armbruster : Sr. Lecturer, Kinesiology, School of Public
Health
Marilyn H. Kuhn: Chief Operating Officer, Lilly Family School of
Philanthropy
MaryFrances McCourt: Senior Vice President & Chief Financial Officer
Sara Elaine Peterson: Director - Human Resources & Employee Development,
Campus Facility Services
Daniel U. Rives : Associate Vice President for University Human Resources
Lisa K Staten: Associate Professor, Director, Social and Behavioral Sciences
Department
Richard A. Strong: Director, Environmental Health & Safety
John Paul Tweedie : Senior Director of Administration & Finance
Stephen F. Wintermeyer: Assoc. Professor of Clinical Medicine, Adjunct
Assoc. Professor of Public Health
Philemon Kiprono Yebei: Director, Budget Administration, IUK
Patricia W. Hollingsworth: Director, Healthy IU
P r o g r e s s To D a t e - E d u c a t i o n a l
P r o g r a m s F Y 1 3 & 1 4
•
Health Screenings - 10,165 participants screened in both years saw a 15% improvement in risk reduction .
1 293
2 038
• Learn Over Lunch Awareness Building
Programs
– (Workstation Workout,
Ergonomics, Stress Management ) -
1,765 participants
1 767
• Long Term Behavior Change programs
(Diabetes Prevention Program, Mindful
Way to Stress Reduction, Nutritional
Counseling) – 1,293 participants
• Walking Challenges with Pedometer -
2038 participants
•
Fairbanks School of Public Health
Workplace Wellness Survey – 5523 participants
5 523
Health Screenings
University Wide Survey- IUPUI Public Health
Healthy Change Awareness Learn Over Lunch
Long Term Behavior Change Programs
Walking Challenges
10 165
P r o g r e s s To D a t e
“I did the Mindful Meditation series also, and it was extremely invaluable to my health and well-being! I am grateful for the opportunities and look forward to using the Fitbit and keeping the progress going in this very positive direction! Thanks!”
E n v i r o n m e n t a l C h a n g e s
• Blood Pressure Machines
Installed
– 26,394 BPs taken
•
Departmental Bikes Used in
Facilities Service
•
Departmental scales
•
Increased re-fillable water stations
• Marked indoor walking routes
•
Provided 264 movement trackers to focus groups in across several administrative departments
I m p a c t o f E m p l o y e e We l l - b e i n g
Implications for Employees at High to
Moderate Risk
•
Greater probability of chronic health condition(s)
•
Higher out-of-pocket medical and pharmaceutical costs
• Greater pain and suffering
•
Lower quality of life
• Lower personal effectiveness on and off the job
Implication for Employees at Low Risk
•
More independence/health
• Lower medical costs
• Greater energy and vitality
•
Increased life and job satisfaction
R e : s c r e e n i n g :
“ T h a t w a s t h e w a k e - u p c a l l , I t h o u g h t , I n e e d t o d o s o m e t h i n g a b o u t t h i s . I d i d n ’ t c a r e u n t i l t h e n ” - Akash Shah
I m p a c t o f E m p l o y e e We l l - b e i n g
• Higher prevalence of chronic health conditions
•
Higher direct medical costs
•
Higher absenteeism
• Higher disability and workers’ compensation costs
• Lower productivity due to higher presenteeism
•
Healthier, productive workforce
•
Lower direct and indirect health-related costs
“I was one of those kids in high school who hated gym, but when the Diabetes Prevention Program introduced exercise in week five and we learned how to incorporate being active into our everyday lives, it made sense. "Now
I walk at work and make a point of finding other ways to not be so sedentary
.” - Rob Aspy
F a i r b a n k s S c h o o l o f P u b l i c H e a l t h F i n d i n g s
S p r i n g , 2 0 1 3
•
33% (5523) of full time faculty and staff completed the survey
•
Statistical adjustment was applied to ensure results were representative of all fulltime employees
• Survey similar to CDC
Behavior Risk Factor
Surveillance System
• Survey was anonymous and confidential
•
Reassessment planned for
Spring 2015 to measure risk migration
24%
Medium Risk
(3-4 Risks)
S t r e n g t h s
• IU is supportive of their health
•
Management believes health and safety are important
•
Coworkers are supportive of efforts to be healthy
• Workplaces are perceived to be safe
• They make healthy food choices when those options are available
100%
80%
60%
40%
20%
0%
90%
80%
83%
88%
84%
74%
77%
84%
86%
77%
81%
92%
Good or Excellent Health Get Physical Activity Receive Routine Checkups
IU Indiana U.S.
Best
4%
24%
20%
11%
Smoking Prevalence
O p p o r t u n i t i e s
50%
40%
30%
20%
10%
0%
• 40% have high cholesterol
• 26% have hypertension
• An additional 11% have pre-hypertension
•
29% are obese
•
An additional 32% are overweight
• 6% have diabetes
• An additional 6% have pre-diabetes
40% 39% 38%
34%
26%
33%
31%
23%
29%
31%
28%
21%
6%
11%
10%
7%
IU Indiana U.S. Median Best
60%
40%
20%
0%
O p p o r t u n i t i e s
Stress & Mental Health
43%
39%
36%
28%
22%
20% 18%
12%
40%
20% 19%
14%
Had Poor Mental Health
Days in Past Month
History of Depressive
Disorder
IU Indiana U.S.
Best
Inadequate Social &
Emotional Support
80%
60%
40%
20%
0%
60%
43%
Ergonomics EAP
O p p o r t u n i t i e s
Employee Interests Indicated on Survey
80%
60%
40%
20%
0%
70%
66%
51%
Fresh fruits & vegetables
Healthy food in cafeteria
Healthy options in vending machines
80%
60%
40%
20%
0%
73% 71%
48%
46%
Exercise facility
Walking program
Stress management
Weight management
S t e e r i n g C o m m i t t e e C o m p a s s f o r
R e c o m m e n d a t i o n s
• Quality through
& campus
in Health IU design, delivery & evaluation
for personal health & well-being
& optimal use of resources
to foster learning for all
• Environments, systems and policies
• Fairbanks School of Public Health Workplace Wellness Survey
• CDC Scorecard
• Ensure information meaningful, comprehensive and evidenced based
P r o g r a m C o m p o n e n t s
Timing Impact
New or
Expansion Mental Well-being
Establish a university wide ad-hoc committee to create a comprehensive plan to address organizational issues surrounding stress and the impact on the university. Organizational issues to address include: flexible work schedule policy implementation, participatory decision making; scope of control; supportive environments; evaluation process and leadership communication.
Address Awareness of Mental Well-being during health screenings with links to self-assessment and resources.
Promote EAP mental health screenings and services
Ensure various modalities of ongoing "drop-in" or relaxation at your desk breaks on all campuses (example: mid-day mindfulness, tai chi, chair yoga, 5 min massage, walking initiatives)
Provide stress management programs on all campuses
Cross promote mental well-being services through Organizational
Development/Healthy IU/Work-Life.
Expand existing work/life balance -life skills programs to all campuses
Raise manager/supervisor awareness about workplace stress related issues and depression. Ensure managers and supervisors are aware of services via awareness campaign.
Raise awareness about the importance of employee participation in organizational decisions regarding workplace issues that affect job stress.
Long
Short Medium New
Short High Expanded
Mid
Short High Expanded
Short Medium Expanded
Mid
Mid Medium New
Mid
High
Low Expanded
High Expanded
High
New
New
P r o g r a m C o m p o n e n t s
Timing Impact New or Expansion Organizational Support
Continue the Steering Committee with rolling membership and recruit new members to ensure all campuses have at least one representative .
The committee purpose is to provide guidance to the Healthy IU initiative including quality, evaluation, standards of care, communication, organizational support and technical support in the areas that impact the well-being of IU employees
To mark change in employee health and well-being, reassess health/wellbeing of IU employees using the Fairbanks Study in spring
2015.
Clarify employee wellness participation time allowance parameters. (on work time, on personal time, on work and personal time, supervisor permission.)
Ensure strategic planning committees at the campus and university wide level address employee well-being and/or quality of life .
Ensure all communications are provided at a 6 th to 8th grade reading level.
Modify message to engage unique constituents where possible.
Evaluate the impact of environmental changes via a Health Impact
Assessment or literature review to avail data/ strategies for future buildings and facility expansions.
Establish a policy that considers impact on the well being of employees and students in new and renovated building
Promote the benefits of healthy employees with supervisor and managers. And provide flexible work schedule policy awareness, education and utilization support.
Promote spouse inclusion in wellness marketing and communications.
Encourage health initiatives with mutually beneficial community partners that utilize best practice through campus coalitions.
Short High
Short High
Mid Medium
Short Medium
Short High
Long Medium
Long Medium
Mid Medium
Mid Low
Long Medium
Expanded
Expanded
New
New
New
New
New
New
Expanded
New
P r o g r a m C o m p o n e n t s
Weight Management & Diabetes Prevention
Expand Diabetes Prevention Program (DPP) to offer a class on each campus . Work to improve the effectiveness of the DPP curriculum by making recommendations for additional program components based on participant feedback and outcomes. An example: providing activity tracking devices as an ongoing incentive to track healthy behaviors
Provide a flexible, easily accessible weight management program that can provide a group and online programs for all campuses.
High Blood Pressure & Cholesterol
Continue health screening and expand the screening incentive program to include options that encourage positive lifestyle choices like: recreation memberships, weight watchers and fitbits.
Update screening staff on new cardiovascular risk guidelines.
Expand health screening resource materials (packet) to include information and resources on signs and symptoms of mental illness, stroke, heart attack, BP, cholesterol, PA, glucose, work/life, nutrition.
Provide American Heart Association health risk assessment link in post screening e-mail.
Create a map of BP machine locations and post on web & screening resource booklet.
Pilot Chronic Disease Self-Management.
Timing Impact New or Expansion
Short
Mid
Mid
Short
Short
Short
Short
Mid
High
High
High
High
Low
High
Low
High
Expanded
Expanded
New
Expanded
Expanded
Expanded
Expanded
New
Pilot Pharmacy Brown Bag checks or promote existing community services Long Medium New
P r o g r a m C o m p o n e n t
Nutrition
Establish a common healthy foods definition for all university campuses, we recommend : “A healthy food is a plant or animal product that provides essential nutrients and energy to sustain growth, health, and life while satiating hunger.”
Establish University wide contracts with vending machine and other food vendors to provide healthy food and beverage choices using the guidelines from Reach Healthy Communities and Dietary Guidelines 2010. The initial goal is to provide at least 50% healthy food options in vending machines and ensure there are nutrient dense food options in cafeterias, snack bars, and other purchase points.
Identify and publicize healthy food and beverages at all purchase points with university-wide symbol.
Develop “healthy meetings guidelines” for foods and physical activity based on Reach Healthy Communities program Healthy Meeting Guidelines
Promote healthy foods definition, symbol, meeting guidelines, etc. through online and print media.
Promote university wide nutrition counseling and education services.
Timing Impact
Short
Long
Mid
Mid
Mid
Short
High
High
Low
High
Medium
New or
Expansion
New
New
Expanded
New
New
New
P r o g r a m C o m p o n e n t s
Heart Attack and Emergency Response
Install AEDs and directional signs so that each building has at least 1 available every IU building where people work, live and play.
Long term, install an adequate number of AED units such that a person can be reached within 3–5 minutes of collapse.
Create communication campaign raising awareness of signs and symptoms of heart attack and stroke, location of AED and CPR classes.
Tobacco
Enhance the tobacco free culture with expanded awareness, education and counseling by: a. Expanding the IUB parking lot intervention program which utilizes nicotine gum and cessation information to all campuses.
b. Include face to face tobacco cessation counseling and 12 week group program currently provided at IUB and IUPUI as options for the tobacco benefit subsidy.
d. Raise awareness about the inclusion of e-cigarettes in the tobacco free policy via web, print and news articles
Encourage recruitment, admissions and student services to raise awareness about the tobacco free campus by: a. Noting on all student applications (including international students), acceptance letters and in orientation: “IU cares about your health and is a tobacco free campus”. Suggest: “if you currently utilize tobacco, we suggest you consider a tobacco cessation program before you arrive on campus” b. Provide tobacco cessation table with campus cessation resources at international and freshman orientation c. Provide a Tobacco Free Awareness Campaign at the beginning of every semester on all campuses. Ensure that all forms of tobacco use are addressed including e-cigarettes.
Timing Impact
Mid High
Long
Short
Short
Short
Mid
Short
Short
High
Low
Medium
Medium
New or
Expansion
Expanded
Expanded
Expanded
Expanded
Expanded
New
New
P r o g r a m C o m p o n e n t s
Physical Activity
Implement and continue to seek enhancements to the built environment which both promote and remove barriers related to physical activity a. Stairway signage and elevator skins b. Mark 1, 3 and 5 mile routes with way finders on each campus c. Mark indoor walking routes d. Continue to examine built environment for other opportunities
Create infrastructure to support sustainable culture related to physical activity promotion a. Hire Healthy IU coordinator to develop and oversee implementation of area wellness programs
Create free or subsidized self-directed physical activity opportunities a. Coordinate the use of individualized tracker tools in conjunction with long-term behavior change modification programs b. Create social networks around activities and stages of change
Integrate Healthy IU physical activity efforts into academic efforts a. Adapt existing Kinesiology efforts to include movement coaching, service learning, and workplace wellness education and delivery b. Evaluate all interventions for effectiveness on a regular basis c. Develop criteria for identifying and supporting effective physical activity programs
Augment existing biometric screenings with movement screenings a. Provide segmented opportunities for education, programming, and subsidized physical activity opportunities based on results of movement screening
Timing Impact
Short/Mid High
Short
Short
Medium
High
Short/Mid High
Long High
New or Expansion
New
New
Expanded
Expanded
Expanded
P r o g r a m C o m p o n e n t s
Marketing & Communications
Create a visual identity that represents the intention of Healthy IU.
Refresh the Healthy IU website with the new visual identity designed by
IU Communications.
Hire a communications specialist to craft and implement a communication plan, maintain website, maintain social media accounts and ensure the visual identity is implemented throughout communications. Create a communication toolkit to help apply branding and the Healthy IU visual identity consistently across campuses in communication material, including websites, printed material and physical and electronic signs.
Establish an ambassador program, which would be a crucial grassroots component of effective communications. Peer ambassadors would share
Healthy IU information with their schools or workplaces and provide a conduit for feedback concerning employee needs.
Create branded social media accounts and strategy for maintaining them, targeting audiences and collaborating with other social media specialists across the campuses.
Create a communication plan that can be consistently implemented across the campuses using a task force drawn from the Healthy IU steering committee and subcommittees.
Redesign the Healthy IU website to make it mobile friendly and so that it can better feature videos and other multimedia.
Distribute branded items to ID role models (T-shirts, water bottles, buttons). This can be done by ambassadors, the communication specialist, wellness committees and service providers.
Timing Impact New or Expansion
Short High Expanded
Short High Expanded
Short
Mid
Short
Mid
Mid
Short
High
High
High
Medium
Medium
Low
New
New
Expanded
New
Expanded
Expanded
H i g h P r i o r i t y O b j e c t i v e s t o b e I m p l e m e n t e d b y A u g u s t 2 0 1 5
1.
Expand the Diabetes Prevention Program to all campuses
2.
Implement enhancements to the built environment which both promote and remove barriers related to physical activity a.
Mark 1, 3 and 5 mile routes with way finders on each campus b. Install signage to encourage stair use
3.
Expand healthier food & beverage options on all campuses
4.
Continue Steering Committee with special attention toward mental well-being.
5.
Expand Marketing & Communications
A d d i t i o n a l O b j e c t i v e s t o b e
I m p l e m e n t e d b y A u g u s t , 2 0 1 5
Impact
New or Expansion of existing Short or Mid Term Program Components
Cross promote mental well-being services through Organizational
Development/Healthy IU/Work-Life.
Address Awareness of Mental Well-being during health screenings with links to self-assessment and resources.
Promote EAP mental health screenings and services
Provide stress management programs on all campuses
Integrate Healthy IU physical activity efforts into academic efforts
Create free or subsidized self-directed physical activity opportunities
Update screening staff on new cardiovascular risk guidelines
Medium
Medium
High
High
High
High
High
Expanded
New
Expanded
Expanded
Expanded
Expanded
Expanded
Expand health screening resource materials (packet) to include information and resources on signs and symptoms of mental illness, stroke, heart attack , BP, cholesterol, PA, glucose, work/life, nutrition.
Provide American Heart Association health risk assessment link in post screening e-mail.
Create a map of BP machine locations and post on web & screening resource booklet.
To mark change in employee health and well-being, reassess health/wellbeing of IU employees using the Fairbanks Study in spring
2015.
Ensure strategic planning committees at the campus and university wide level employee well-being and/or quality of life are addressed.
Ensure all communications are provided at a 6 th to-8th grade reading level. Modify message to engage unique constituents where possible.
Low
High
Low
High
Medium
High
Expanded
Expanded
Expanded
Expanded
New
New
A d d i t i o n a l O b j e c t i v e s t o b e
I m p l e m e n t e d b y A u g u s t , 2 0 1 5
Short or Mid Term Program Components Impact
Clarify employee wellness participation time allowance parameters. (on work time, on personal time, on work and personal time, supervisor permission.)
Medium
New or Expansion of existing
New
Promote the benefits of healthy employees with supervisor and managers. And provide flexible work schedule policy awareness, education and utilization support.
Medium
Develop “healthy meetings guidelines” for foods and physical activity based on
Reach Healthy Communities program Healthy Meeting Guidelines
Low
Establish an ambassador program, which would be a crucial grassroots component of effective communications.
Peer ambassadors would share Healthy IU information with their schools or workplaces and provide a conduit for feedback concerning employee needs.
Enhance the tobacco free culture with expanded awareness, education and counseling .
Encourage recruitment, admissions and student services to raise awareness about the tobacco free campus .
Establish a common healthy foods definition for all university campuses, we recommend: “A healthy food is a plant or animal product that provides essential nutrients and energy to sustain growth, health, and life while satiating hunger.”
High
High
Medium
Low
New
New
New
Expanded
New
New
P e r f o r m a n c e M e t r i c s
Workplace Wellness Follow-up Survey via Fairbanks School of Public Health
Program Specific Performance
Participation
Customer Service Survey
Measured Health Outcome
IU Bloomington Evaluation
Student Evaluation of pilot programs example: fit bit pilot through the IUB
School of Public Health
Benchmark and track Healthy IU progress using CDC Scorecard and similar tools such as Healthiest
Employers in Indiana or Indiana
Chambers’ Workplace Wellness assessments.
Compare participation rates and program scope with other Big Ten Universities.
“Participants typically improve their eating habits during and after the DPP program but have trouble staying active”, instructor
Gina Plummer said.
“The trackers motivated people dramatically,” she said. “Some continued to lose more weight as a result of using the trackers.
They called them the ‘silent
Ginas’ since they no longer had me with them during the weekly core program, but now they had the trackers.”