BJC HFYH Employee Health Promotion

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Help for Your Health
BJC’s Employee
Wellness Program
*for standard presentations / Updated 9/2012*
1
What is Help for Your Health?
Help for Your Health is BJC HealthCare’s employee wellness program.
What are the elements of Help for Your Health?
o Premium medical discounts for qualified employees
o Free on-site health screenings for Blood Pressure, Cholesterol, Diabetes
and Body Mass Index (BMI) assessment
o Free smoking cessation programs
o Weight management programs and partnership with Weight Watchers of
North America
o Free health promotion campaigns for breast, colon, stroke prevention and
prostate health
o Cafeteria programs and discounts
o Numerous community partnerships and sponsorships
2
Other Elements of Help for Your Health
o
o
o
o
o
o
Primary Care Doctors
Occupational Health
BJC Call Center
OASIS (age 50+)
BJC Employee Assistance Program
Volunteer for Health
3
Primary Tools for Information
www.bjchealth.org
(website)
314-747-7234
(health line)
myHealthFolders.com
(electronic medical storage)
4
Strategic Partnerships
•
•
•
•
•
•
•
•
•
•
•
St. Louis Blues - PSA Campaign
St. Louis Cardinals – “Health Hall of Fame” recognition program
Schnucks Markets – Coupons for fruits/vegetables, Weight Watchers meals,
bottled water, aspirin and nicotine prevention products
St. Louis Science Center – Discounts for exhibits
St. Louis Sports Commission – Youth Sports Programs
Health Literacy Missouri – Health Literacy Materials
Morrison HealthCare – Healthier options at hospital cafeterias
Face & Body Day Spa For Men and Women – Breast Health Campaign
Fitness Experts – Colon Cancer Prevention Campaign and Stroke Prevention
Campaign
Subway Sandwiches – Low-Fat sandwiches at health fairs and coupon programs
Dynamic Vending – Healthy food and beverage items in vending machines
5
Strategic Partnerships (cont’d)
•
•
•
•
•
•
•
•
•
•
•
•
Weight Watchers of North America – Online, at home, at work and community
programs
Build-A-Bear Workshop – “March-Through-March” Campaign “FAB 5”
Big Shark Bicycle Co. & Trailnet – National “Bike to Work Day”
Trek Bikes – Bikes and accessories at a discount
New Balance – Shoe and exercise apparel at a discount
24 Hour Fitness
Center of Clayton
Curves
Fitness Discounts for BJC Employees
Farmington Civic Center
Gold’s Gym
Jewish Community Center
YMCA
6
The State of Health in Our Community
Missourians have a higher-than-average incidence
of major diseases due to the prevalence of high-risk health behaviors
such as smoking, sedentary lifestyle, substance abuse and poor nutrition.
The following chart demonstrates Missouri's disappointing health statistics
compared to the U.S. national average:
7.1
Asthma
7.2
2.4
Strokes
Type of health problem
2.5
5.9
US National Avg
Diabetes
Missouri
6.1
4.1
Coronary artery disease
4.6
4.5
Heart Attacks
5.2
0
1
2
3
4
5
6
7
8
Percent of occurrence
7
Help for Your Health Advisory Committee
• Dr. Sherry Shuman, Medical Advisor
• June Fowler, Vice President Corporate & Public Communications,
Committee Chair
• 50 Committee Members representing:
o BJC Hospitals
o BJC Business Units (Finance, Legal, Communications and Marketing,
Call Center)
o Employee Support Services (Human Resources, Occupational Health,
BJC Employee Assistance, Behavioral Health, WellAware)
o Key Partners (OASIS, Morrison Health Care, Health Literacy Services,
Pharmacy, WUSM, BJC School Outreach, BJC Medical Group)
8
BJC Help For Your Health
Goals:
• Improve the health of BJC employees by reducing lifestyle-related risk
factors through evidence-based interventions designed to impact these
five key indicators of health:
o
o
o
o
o
Blood Pressure
Cholesterol
Blood Sugar
Body Mass Index
Tobacco Risk
• Connect all employees to a primary care physician.
• Build trust with all employees.
Employee Wellness Summary - 2011
Health Literacy Scorecard - YTD as of December 2011
2010 OPEN ENROLLMENT
HEALTH RISK ASSESSMENT
2011 SCREENINGS
through 12/31/2011
Blood Pressure
Total
Cholesterol
% of
Em ployees
Screened
Mod
Risk
High
Risk
Mod
Risk
Alton Memorial
33.7%
49%
1%
Barnes-Jewish
37.3%
53%
4%
BJC
42.8%
28%
BJ St. Peters
47.4%
50%
BJ West County
51.4%
Boone Hospital Ctr*
2011 EMPLOYEE
ASSISTANCE PROGRAM
(Employees and Spouses)
BMI
Diabetes
High
Risk
Mod
Risk
High
Risk
Mod
Risk
High
Risk
25%
4%
27%
38%
7%
0%
28%
10%
31%
34%
8%
2%
46%
28%
10%
36%
35%
9%
33%
2%
26%
7%
32%
27%
8%
1%
49%
3%
25%
6%
26%
30%
10%
4%
41.8%
51%
27%
22%
6%
29%
33%
11%
Christian NE-NW
59.6%
32%
49%
25%
7%
29%
39%
BJC Behavioral Health
69.4%
54%
2%
22%
4%
31%
Corporate Health
36.4%
33%
15%
24%
0%
21%
Home Care Services
39.9%
59%
5%
28%
14%
Missouri Baptist
50.0%
29%
52%
28%
9%
MB- Sullivan
30.9%
45%
6%
17%
Medical Group
21.5%
42%
1%
Parkland Health Ctr
44.0%
51%
Progress West
80.1%
St. Louis Children's
57.1%
TOTAL BJC**
44.4%
44.6% 15.2% 24.5%
6.9% 30.3%
33.8%
Prior Year Total
48.0%
40.2% 13.3% 26.1%
9.0% 29.8%
% AT RISK
2011 Participation at
Screenings
# of Em ployees
Referred by
Health Fair
Blood
Pressure
Chol.
BMI
Diabetes
559
6%
5%
42%
7%
36
24
6,881
9%
7%
35%
4%
467
189
1,224
12%
8%
34%
5%
15
54
493
6%
5%
34%
2%
87
33
334
6%
5%
33%
3%
23%
1,326
8%
6%
35%
3%
-
7%
35%
1,429
8%
4%
40%
3%
53
40%
4%
3%
347
8%
6%
37%
5%
-
29%
0%
0%
67
8%
2%
37%
0%
29
31%
40%
9%
2%
23
36%
30%
7%
37%
4%
26%
40%
7%
22%
7%
33%
35%
2%
26%
10%
36%
46%
3%
27%
9%
42%
25%
20%
5%
#
503
7%
8%
42%
5%
2,012
9%
7%
31%
4%
3%
272
7%
8%
43%
3%
3%
1%
624
6%
5%
34%
3%
19
35%
9%
4%
404
10%
8%
42%
4%
32
33%
26%
6%
3%
212
4%
6%
33%
3%
26
30%
29%
6%
25%
2,016
8%
5%
32%
3%
106
6.9% 11.1%
18,703
9%
6%
35%
4%
662
704
34.0% 10.1% 2.6%
17,587
9%
6%
35%
4%
2,095
214
2011 HEALTH RISK ASSESSMENT - AT RISK DEFINITIONS
2010 HEALTH RISK ASSESSMENT - AT RISK DEFINITIONS
Blood Pressure = BP>=160/100 and BP (140-159/90-99) or on HTN meds
Blood Pressure = BP>=160/100 and BP (140-159/90-99) or on HTN meds
Cholesterol = Total cholesterol >=240
Body Mass Index = BMI >=30
Diabetes includes already diabetic and High Risk. Glucose >140
Factors that increase the risk include increasing age, lack of physical
activity, being overweight, family history, and for women, having given
birth to a baby weighing more than 9 pounds.
2009/2011 Screenings - High Risk
Cholesterol = Total cholesterol >=240
Body Mass Index = BMI >=30
Diabetes includes already diabetic and High Risk. Glucose >140
Factors that increase the risk include increasing age, lack of physical
activity, being overweight, family history, and for women, having given
birth to a baby weighing more than 9 pounds.
Blood Pressure = Hypertension ≥ 140/90
Total Cholesterol = ≥ 240
Body Mass Index = Obese ≥ 30.0
Diabetes = Provisional Diabetes ≥ 126
* Boone exluded from EAP. Cannot differentiate referrals.
** Reflects percentage of total active employess.
25
69
57
22
Employee Wellness Summary - 2011
Health Literacy Scorecard - YTD as of December 2011
2011 SMOKING CESSATION
2011 WEIGHT WATCHERS
PARTICIPATION
(Employees and Spouses)
Health
Coach
Class
# POUNDS
LOST
Total
Alton Memorial
21
Barnes-Jewish
At Work
194
194
50
50
BJ St. Peters
27
27
20
20
28
36
237
Christian NE-NW
52
52
396
BJC Behavioral Health
20
20
383
Boone Hospital Ctr
8
2011 LUNCH
TIME LECTURES
2011 ASPIRIN
INITIATIVE
Health Fitness
Centers
# POUNDS LOST
PARTICIPATION
PARTICIPATION
JOINED IN 2011
#
# Distributed
#
21 Moved to Com m unity Program
BJC
BJ West County
PARTICIPATION
Local
Meeting At Home On Line
Coupons
Kits
Services
2011 EXERCISE
INITIATIVES**
Corporate Health
1,038
2,560
939
126
247
1,050
183
345
335
915
635
2,120
33
33
-
Missouri Baptist
55
55
2,212
MB- Sullivan
26
26
Medical Group
26
26
Parkland Health Ctr
40
40
Progress West
21
21
144
St. Louis Children's*
41
41
1,885
654
662
Quit After Initial
Intervention
6
350
356
Quit At 6 Months
5
89
94
Prior Year Total
Quit After Initial
Intervention
41
774
815
22
298
320
8
35
43
Quit At 6 Months
*SLCH Weight Watcher's includes WUSM (1,139 lbs lost)
**Biggest Loser, 10K / Day Iniative
15
-
Home Care Services
8
33
-
0
TOTAL BJC
115
370
746
-
85
152
1,894
3,171
2,493
201
83
0
0
31
2,006
13,274
909
3,485
13,734
886
565
797
Employee Wellness Metrics
Health Literacy Metrics
2005 - 2011 Health Screenings
40.0
35.0
Percent of Employees at High Risk
30.0
25.0
20.0
15.0
10.0
5.0
0.0
2005
2006
2007
Blood Pressure
2008
2009
Total Cholesterol
BMI
2010
Diabetes
# of employees screened:
2005: 12,418
2006: 11,318
2007: 12,250
2008: 12,075
2009: 12,906
2010: 12,950
2011: 12,154
2011
Diabetes Initiative Summary - 2011
Year End
Percentage
Total
Id
Contact Second Third
Fourth No Permission Diagnosed At Contact % Second % Third No Permission
Screened At risk Made Contact Contact Contact to Contact
Diabetic Risk Made
Contact Contact
to Contact
Alton (AMH)
268
23
5
2
0
0
9
3
9% 21.7%
8.7%
0.0%
39.1%
Behavioral Health
309
16
9
6
4
0
4
2
5% 56.3%
37.5%
25.0%
25.0%
BJC Corporate Health
839
172
61
20
6
0
6
9
21% 35.5%
11.6%
3.5%
3.5%
Medical Group (BJCMG)
234
12
10
2
0
0
3
1
5% 83.3%
16.7%
0.0%
25.0%
(BJH) & Extended Care
3528
496
91
69
31
9
62
26
14% 18.3%
13.9%
6.3%
12.5%
BJ St. Peter's BJSPH)
422
46
5
1
0
0
4
1
11% 10.9%
2.2%
0.0%
8.7%
BJ West County BJWCH)
267
35
6
0
0
0
12
0
13% 17.1%
0.0%
0.0%
34.3%
Boone (BHC)
794
98
98
0
0
0
0
0
12% 100.0%
0.0%
0.0%
0.0%
Children's (SLCH)
1782
184
2
15
4
0
34
2
10% 1.1%
8.2%
2.2%
18.5%
CHNE
1194
133
56
11
6
0
15
10
11% 42.1%
8.3%
4.5%
11.3%
Home Health
286
38
8
5
1
0
1
2
13% 21.1%
13.2%
2.6%
2.6%
MBMC
1398
152
49
13
3
0
31
8
11% 32.2%
8.6%
2.0%
20.4%
Parkland (PHC)
252
43
23
10
1
1
8
3
17% 53.5%
23.3%
2.3%
18.6%
Progress West (PWHCC)
290
30
2
2
0
0
8
2
10% 6.7%
6.7%
0.0%
26.7%
Sullivan (MBSH)
127
18
10
7
3
0
3
1
14% 55.6%
38.9%
16.7%
16.7%
Corporate Health
39
2
2
0
0
0
0
0
5% 100.0%
0.0%
0.0%
0.0%
All Employees
12,029 1,498
437
163
59
10
200
70
12% 29.2%
10.9%
3.9%
13.4%
Site
Health Fair Participation and Cost of Program
2011 Health Fairs:
•
Conducted 76 health fairs at every hospital and business unit
– 44.4% Participation Rate
Cost of Overall Program:
•
Cost of program: approximately $24 per employee
How Do Employees Feel?
• Conducted Health Literacy focus groups and distributed surveys to
approximately 11,000 hospital and non-hospital employees
• Feedback:
o
o
o
o
o
o
o
o
Could identify with “Help for Your Health” vs. “Health Literacy”
Enjoyed employee health fairs - want more!
Concerned about the use of data - “Big Brother”
Like incentives, coupons and creative programs promoting health
Smokers voiced concern about privacy
Participated in the Health Risk Assessment for financial discount
Agreed that BJC should help promote health for employees
One third of employees do not have a primary care physician
15
What Does the Future Hold?
• Engage spouses and families in the program.
• Develop a strong mental health literacy program focused on depression,
anxiety and financial management.
• Promote myHealthFolders.com, an electronic storage tool for personal
health information.
• Transform cafeteria and food service – provide healthy options and
balanced choices.
• Transform vending services.
• Focus on Diabetes risk prevention and education.
• Health Coach program for employees offering a personal health coach
for 6-12 sessions.
• Develop opportunities for research and evaluation.
• Position BJC as an “employer of choice” and a national model for
employee wellness.
16
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