Kick-off meeting Workplace wellness project May 13th, 2014 AGENDA • Welcome • Introductions • Leadership support and fundamental elements • Policy, systems and environmental practices for healthy foods, physical activity, tobacco reduction and breastfeeding support • Review of project schedule and tips for success • Community Guest – Ellen Haefner will talk about “Parenting Matters” sponsored by Southern Minnesota Initiative Foundation • Capture feedback on meeting 2 WELCOME Welcome to the workplace wellness project! Goal of the project o To provide guidance and tools to enable participants to lead the development of a sustainable comprehensive workplace wellness initiatives within their organizations 3 PROJECT MODEL Phase I: Assessment & Education 1. Assessment of current state 4. Measurement of progress & sustainability • Data collection and review • Best practices • Current State report Phase II: Planning & goal setting 2. Planning / Goal setting • Identify specific goals • Set dates for goals/tasks Phase III: Implementation 3. Implementation • Work plan • Tracking Phase IV: Benchmark plan/goals progress (Continue implementation, and sustain networking) 4 INTRODUCTIONS Whole group back together • Introductions o Name o Organization name, and location(s) in Minnesota o Brief background on workplace wellness activities at your organization o What you hope to get out of this project 5 WHY WE ARE HERE – DATA 6 EMPLOYER CONCERNS • Obesity and overweight • 63 percent of Minnesotans are overweight or obese1 • 79 percent of Minnesotans don’t get enough physical activity (aerobic and strength activity)1 • 17.6 percent of Minnesota adults did not participate in any physical activity in the past month1 • 78 percent of Minnesotans don’t eat enough fruits and vegetables1 • annual health care costs of obesity in the U.S. have doubled in less than a decade2 1 CDC: BRFSS (2009-2010) 2. Finkelstein EA, Trogdon JG, Cohen JW, et al. Annual medical spending attributable to obesity: payer- and server-specific estimates. Health Aff 2009; 28(5) w822-w831. 7 EMPLOYER CONCERNS CONTINUED • 16 percent of Minnesotans smoke1 • From 2007 to 2010: • smokeless tobacco use in Minnesota doubled from 4.4 percent to 9.6 percent1 • exposure to secondhand smoke decreased from 55 percent to 44 percent1 1 Minnesota Adult Tobacco Survey, 2010 8 EMPLOYER CONCERNS CONTINUED • Studies associate poor health with reduced employee performance, safety and morale.1 • The organizational costs of employees in poor health, and those with behavioral risk factors, include: • higher health care (medical and pharmacy), disability and workers’ compensation expenses1 • 3 in 10 Americans entering workforce will become disabled before they retire2 • decreased productivity at work1 • elevated absenteeism1 • elevated employee turnover1 1. Goetzel RZ, and Ozminkowski RJ. (2008). The Health and Cost Benefits of Work Site Health-Promotion Programs. Annual Review of Public Health. 29:303-23. 2. Social Security Administration Fact Sheet, March 2011 9 CONCERNS OVER DIRECT COSTS? … WHAT ABOUT INDIRECT COSTS? 24 INDIRECT MEDICAL COSTS DIRECT MEDICAL COSTS Medical and pharmaceutical (D) Presenteeism (I) Absenteeism (I) Short term disability (I) Long-term disability & workers' comp. (I) 10 CULTURE IN THE WORKPLACE We’ve looked at some data and studies. Let’s ask ourselves … Q: Why does culture within the workplace matter? A: No matter what their business, employers must be in the business of developing talent — including providing opportunities for employees to be at their best. 11 EMPLOYEE OBSTACLES … … can be a sedentary job, presence of unhealthy foods, tobacco use on grounds, lack of support for breastfeeding, and more … 12 LET’S CHANGE OUR THINKING 13 BENEFITS OF CREATING A CULTURE OF HEALTH Traditional focus Culture of health: Focus to achieve sustainability and long-term results Individual / Employee Where one works Where one lives A culture of health increases organization’s visibility as an advocate of health • makes healthy choices easier • reaches ALL employees 14 OVERWEIGHT PEOPLE UNDERSTAND Overweight Overweight Obese Obese • want to lose weight • are attempting to lose weight • recognize the health risk • know that healthy eating is important 15 SOCIAL CONSTRUCTS September 2009 New York Times Magazine article: “Are your friends making you fat?” • Framingham Heart Study: Individuals at work are socially connected • co-workers can influence negative and positive behaviors • create an environment that encourages positive behaviors Source: http://www.nytimes.com/2009/09/13/magazine/13contagion-t.html?pagewanted=all&_r=0 16 RETURNS Studies indicate savings in absenteeism1 • average $3.27 per dollar invested Studies indicate reduction in medical costs1 • average $2.73 per dollar invested Clinical trial -- type 2 diabetes risk2 • lifestyle intervention = 58 percent risk reduction • pharmaceutical intervention = 31 percent risk reduction 1 Baicker K, Cutler D, Song Z. Workplace Wellness Programs Can Generate Savings. HEALTH AFFAIRS 29, NO. 2 (2010): 304-311. 2 Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM; Diabetes Prevention Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002;346:393-403. 17 WORKPLACE WELLNESS: FUNDAMENTAL ELEMENTS 18 LEADERSHIP SUPPORT • It is no secret that the key to all of this is leadership support! • Knows that people (employees) are the core of their business, and understands the value of having healthier employees. • Is eager to learn more about the positive impact a culture of health can have on employees. • Lack of solid leadership support … • equals a challenge for you/wellness team to create a stronger, more sustainable workplace wellness initiative. 19 FOUNDATION FOR A “CULTURE OF HEALTH” Beyond senior leadership support … a few other critical pieces of a solid foundation include • • • • • • workplace wellness vision statement worksite assessment measurable goals and objectives wellness brand (gives your initiative its own identity) wellness committee tracking/measurement 20 WORKPLACE WELLNESS VISION STATEMENT • A concise statement that summarizes the purpose and goals of your organization’s commitment to creating a culture of health • provides focus and a consistent direction for your strategies • reminds leaders and employees of the link between employee health and the organization’s ability to achieve its overall mission 21 ORGANIZATIONAL ASSESSMENT • The Organizational Assessment benchmarks your organization’s current workplace wellness efforts as they relate to SHIP supported practices • By virtue of completing the assessment, your leadership/ human resources/wellness team know how you’re doing • ACTION: Complete the Organizational Assessment by the June 10th meeting. I will send out a link to electronic version with minutes from today’s meeting. 22 MEASURABLE GOALS • Data-driven, written, measurable goals that are based on • best practices • results of the worksite assessment • employee interest surveys • better management of health care spending • health assessment aggregate results 23 WELLNESS BRAND • A brand gives your initiative an identity • Give recognition to the “culture of health” that is being created at the workplace • Employees identify the importance of your initiatives • Use in all promotions and in wellness Intranet page 24 WELLNESS COMMITTEE • Represents all areas/locations of the organization. • Selected by senior leadership and/or employee’s self-select. • Defined roles and responsibilities • attends meetings • represents their peer group/voice of support • helps establish vision, goals and brand • helps develop communication strategies • helps with implementation • A member of leadership is an active member. • A communications/marketing person is an active member. • Committee reports progress annually. 25 TRACKING / MEASUREMENT • As part of this project, we’ll provide a format for tracking your progress • The organizational assessment will be completed again toward the end of the project 26 BREAK – 10 minutes 27 LET’S LOOK TO MAKE THE HEALTHY CHOICE THE EASY CHOICE 28 CREATE A CULTURE OF HEALTH THROUGH … Leadership support Healthy eating Physical activity Tobacco use & exposure Breastfeeding support Measurement / Evaluation … Places (environment), polices, practices (systems), social support, and promotion to help employees eat better, be more active, Fundamental elements quit/reduce tobacco use and support new moms to breastfeed. Communications 29 HEALTHY EATING E Vending Healthy snack station creation Cafeteria improvements Meetings and events P Policy that sustains the improvements S RFP services for vending Quality assurance practices for vending Catering guide Management of healthy snack station Labeling and signage Managers are trained on how to support all elements SS Taste testing Employee survey Lunch and learns 30 PHYSICAL ACTIVITY E Walking meetings, mapped walking routes Bike racks / showers / lockers Physical activity room/space P Employees can combine breaks for physical activity time Dress code Walking meetings Work accommodations that support physical activity S Trainings for managers to develop flexible schedules to accommodate PA at work Walking meetings framework, active transportation SS Walking clubs Stretch breaks Exercise classes Employee survey 31 TOBACCO USE & EXPOSURE E Completely tobacco-free worksite P Tobacco-free worksite policy Free quit medications S SS Pharmacy benefit fully covers over-the-counter (OTC) quit medications and prescription quit meds with no (or minimal) copay or deductible Managers are trained on how to support policy and promote quit resources Tailored tobacco-cessation program Through health plan or QUITPLAN® Services (uninsured and underinsured Minnesotans) 32 BREASTFEEDING SUPPORT E Lactation room: Locks from inside, chair, table, breast pump, electrical outlet, clean, near water source, place to store milk P Breastfeeding support policy (includes lactation room) FMLA leave considerations Flexibility for time needed to express milk Management role in supporting new mom S Training for management staff is developed and implemented SS Ongoing nursing mother’s support group 33 WORKPLACE WELLNESS BEST PRACTICES MODEL 34 SUMMARY A “culture of health” is built from leadership support that allows for the creation of fundamental elements and places, practices, programs and policies to help employees eat better, be active, quit/reduce tobacco use, and supports nursing moms • • • • • healthy foods are available at the workplace time and places for physical activity exist at the workplace the entire workplace is tobacco-free a place and time for nursing moms and more … 35 PROJECT MODEL Phase I: Assessment & Education 1. Assessment of current state 4. Measurement of progress & sustainability • Data collection and review • Best practices • Current State report Phase II: Planning & goal setting 2. Planning / Goal setting • Identify specific goals • Set dates for goals/tasks Phase III: Implementation 3. Implementation • Work plan • Tracking Phase IV: Benchmark plan/goals progress (Continue implementation, and sustain networking) 36 BEST PRACTICES: CLOSING • Review materials to understand best practices. • Complete the Organization Assessment and based on your answers, identify the opportunities for workplace wellness. • Have a conversation with leadership to receive preliminary support to make improvements in foundational, environmental, and policy changes. • Begin to form a planning team to discuss your “findings”; think about the goals you’d like to set. 37 REVIEW PROJECT SCHEDULE HOUSEKEEPING ITEMS HOW DID WE DO? FACILITATOR CONTACT(S) • Bonnie Story, Healthy Rice County Coordinator • Rice County Public Health • bstory@co.rice.mn.us • 507-332-5930 • Susan Pokorney, Member Experience Advisor • Northfield Area Family YMCA • susan@northfieldymca.org • 507-663-0259 41 NEXT MEETING Vision and Brand your Wellness Program -review of goal setting documents • Tuesday, June 10th • Presenter: Andy Berndt Director of Social Marketing and Health Promotion at Community Blueprint • 9:00-11:00am • Location TBD – any volunteers? 42 FINAL Q&A / DISCUSSION 43 THANK YOU! This PowerPoint is based upon, and contains, copyrighted content provided by Blue Cross and Blue Shield of Minnesota, made available for use within Minnesota under license agreement with the Minnesota Department of Health. Updated 041414