Read more about Healthy IU objectives in this PowerPoint.

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HEALTHY IU WILL EMPOWER, EDUCATE, AND OFFER

ENVIRONMENTAL TOOLS TO ENCOURAGE MEMBERS OF THE IU

COMMUNITY TO LIVE THEIR BEST LIFE .

Healthy IU Steering Committee

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

Implications for Employers with Employees at High and Moderate Risk

• Higher prevalence of chronic health conditions

Higher direct medical costs

Higher absenteeism

• Higher disability and workers’ compensation costs

• Lower productivity due to higher presenteeism

Implications for Employers with Employees at Low Risk

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

The majority of full-time employees report that

• 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

Perceived health, physical activity levels, preventive services use, and smoking rates are also encouraging.

100%

80%

60%

40%

20%

0%

IU Compared to Indiana, US, and Best State

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%

While some rates of chronic disease are more favorable than national rates, there is still opportunity for improvement and prevention

• 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

IU Compared to Indiana, US, and Best State

40% 39% 38%

34%

26%

33%

31%

23%

29%

31%

28%

21%

6%

11%

10%

7%

High Cholesterol Hypertension Obesity

IU Indiana U.S. Median Best

Diabetes prevalence

60%

40%

20%

0%

O p p o r t u n i t i e s

Stress & Mental Health

IU Compared to Indiana, US, and Best State

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%

Percent of Employees Who are Unaware of Resources

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%

Food Items of Interest to Employees

70%

66%

51%

Fresh fruits & vegetables

Healthy food in cafeteria

Healthy options in vending machines

80%

60%

40%

20%

0%

Resources of Interest to Employees

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

Healthy IU Values:

• Quality through

respect for the uniqueness of each individual

& campus

• Transparency

in Health IU design, delivery & evaluation

• Individual responsibility

for personal health & well-being

• Collaboration

& optimal use of resources

• Utilization of IU campus resources

to foster learning for all

• Environments, systems and policies

supportive of positive lifestyle

Data:

• 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

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Mid Medium New

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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.

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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

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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

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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

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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

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Medium

Low

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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.”

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