Promoting Fitness within Organizations Programs for Healthy Employees and Healthy Businesses A Call to Action We are under exercised as a nation. We look instead of play. We ride instead of walk. Our existence deprives us of the minimum of physical activity essential for healthy living. John F. Kennedy December 5, 1961 Promoting Fitness at Work The goal of worksite wellness program is to reduce the number of lifestyle diseases adding to employer and employee healthcare costs. • Management viewpoint Promoting Fitness at Work The goal of worksite wellness program is to encourage employees to adopt healthy lifestyle behaviors to achieve and/or maintain a high quality of life. • Health Professional viewpoint Promoting Fitness at Work The goal of worksite wellness program is for my employer to help me learn healthy habits and new activities that can help me and my family live a healthier life. • Employee viewpoint Promoting Fitness at Work Happy, healthy and having a great time! Promoting Fitness at Work The goal of worksite wellness program is to make me humiliate myself by dancing in the break room, get sweaty in my work clothes, discuss my weight with my coworkers, make me lie about what I really ate for dinner last night and ultimately to remove all of the “good stuff” from of the vending machines. • Viewpoint of many – you know who you are. Promoting Fitness at Work You took the Snickers out of the vending machine?! Welcome to Wellness! Go eat an apple. What Works? Healthy Environment Support from the top down Commitment What are the Basic Needs? A designated staff person or team Program appropriate resources Financial resources Patience and enthusiasm Commitment from management I’m an IT technician. How did I get put in charge of wellness? Not so basic needs: Health Promotion Management Needs Interventions Health Risks Policy Changes Injury risk Education Chronic Illness Environmental Support Absenteeism Incentives Medical Costs Administrative Changes Productivity Work Culture Changes Programs to Choose Two main types of fitness promotion programs for the workplace: • Participation Only • Results Based Participation Based Programs No goals or results are required Incentives offered to participate In some cases, there are disincentives for not participating Results Based Programs Incentives offered for attaining a specific goal An outcome must be achieved, this makes RBP’s more heavily regulated. Fitness Promotion Programs Employee Health Promotion Program Offered Participation Based Results Based Program concludes or reaches a target date Outcome not considered Outcome measured Incentives given to employees in program Based on participation Based on outcome Program Differences PARTICIPATION BASED RESULTS BASED Very accessible Reasonably accessible depending on program goal Minimal data to track Data must be collected and managed Fun and generally good for staff moral Fun and generally good for staff moral Fairly inexpensive Program goal determines cost Good for all businesses - especially those just getting started Good for businesses with strong management support Good for gathering employee input Good for gather input and data Employee Data The Health Risk Assessment • A health risk assessment is an assessment • tool or questionnaire designed to identify health risks and outline information to assist people in making healthful changes that impact their health and prevent chronic disease. Popular tool for both participation and results based programs. Health Risk Assessments HRA’s gather valuable information about employees: data must be held in strict confidence. Employers must also ensure that HRA’s are compliant with all regulations. Legal Notes Laws governing wellness programs: • Health Insurance Portability and Accountability Act (HIPAA) • • Americans with Disabilities Act (ADA) California Fair Employment and Housing Act (FEHA) • Genetic Information Nondiscrimination Act (GINA) Conduct a Worksite Wellness or Health & Fitness Audit What are we doing well? What can we do better? • Policies/Handbooks • Health insurance • Newsletters • Vending machines • Flexible schedules • Healthier celebrations • What in our work environment supports health Survey Employees What do employee’s want? • • • Onsite fitness classes? Subsidized gym memberships? Lunchtime classes on nutrition and healthy lifestyle? • • • Pleasant and inviting break areas? Company softball team? What do they perceived as barriers? Review the Literature A meta-review of 42 published studies of worksite health promotion programs shows: Average 28% reduction in sick leave absenteeism. Average 26% reduction in health costs. Average 30% reduction in workers' compensation and disability claims costs. Average $5.93-to-$1 savings-to-cost ratio. Partnership for Prevention http://www.prevent.org Grow An Advisory Board Get administration involved. Recruit managers and staff members who are motivated and will serve as role models. Evaluate employee survey responses and brainstorm. Determine goals. Assign tasks. Assess Your Resources Discuss what can your employees contribute? What local resources may meet your needs? Do any online or social media programs meet your needs? Choose Your Path Champion your program Be open to input Be prepared to roll with the punches There is no wrong way Assess Your Efforts Give your employees real, personal data. Give your management usable data. Celebrate positive trends Use data to plan next steps Fitness Promotion Contributes to Healthy Communities Healthy worksites contribute to a healthy community culture. Healthy lessons learned at work get shared at home. One or both parents work = opportunity Choose Your Program “Pick battles big enough to matter, small enough to win.” ~Jonathan Kozol, On Being a Teacher