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

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Primary Tools for Information www.bjchealth.org

(website)

314-747-7234

(health line)

myHealthFolders.com

(electronic medical storage)

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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 Farmington Civic Center Gold’s Gym Jewish Community Center YMCA Fitness Discounts for BJC Employees

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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:

Asthma 7.1

7.2

Strokes 2.4

2.5

Diabetes 5.9

6.1

Coronary artery disease 4.1

4.6

Heart Attacks 0 1 4.5

5.2

2 3 4 5

Percent of occurrence

6 7 8 US National Avg Missouri 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

Blood Pressure

o o o o

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 Alton Memorial Barnes-Jewish BJC BJ St. Peters BJ West County Boone Hospital Ctr* Christian NE-NW BJC Behavioral Health Corporate Health Home Care Services Missouri Baptist MB- Sullivan Medical Group Parkland Health Ctr Progress West St. Louis Children's 2011 SCREENINGS through 12/31/2011 Blood Pressure Total Cholesterol BMI % of Em ployees Screened 33.7% 37.3% 42.8% 47.4% 51.4% 41.8% 59.6% 69.4% 36.4% 39.9% 50.0% 30.9% 21.5% 44.0% 80.1% 57.1% Mod Risk 49% 53% 28% 50% 49% 51% 32% 54% 33% 59% 29% 45% 42% 51% 46% 42% High Risk 1% 4% 46% 2% 3% 27% 49% 2% 15% 5% 52% 6% 1% 2% 3% 25% Mod Risk 25% 28% 28% 26% 25% 22% 25% 22% 24% 28% 28% 17% 22% 26% 27% 20% High Risk 4% 10% 10% 7% 6% 6% 7% 4% 0% 14% 9% 4% 7% 10% 9% 5% Mod Risk 27% 31% 36% 32% 26% 29% 29% 31% 21% 31% 36% 26% 33% 36% 33% 30% High Risk 38% 34% 35% 27% 30% 33% 39% 40% 29% 40% 30% 40% 35% 35% 26% 29% Diabetes HEALTH RISK ASSESSMENT

(Employees and Spouses)

High Risk 0% 2% 33% 1% 4% 23% 35% 3% 0% 2% 37% 3% 1% 4% 3% 25% Mod Risk 7% 8% 9% 8% 10% 11% 7% 4% 0% 9% 7% 7% 3% 9% 6% 6% # 6,881 1,224 1,326 1,429 2,012 2,016 Blood Pressure 6% 9% 12% 6% 6% 8% 8% 8% 8% 7% 9% 7% 6% 10% 4% 8% % AT RISK Chol.

5% 7% 8% 5% 5% 6% 4% 6% 2% 8% 7% 8% 5% 8% 6% 5% BMI 42% 35% 34% 34% 33% 35% 40% 37% 37% 42% 31% 43% 34% 42% 33% 32% ASSISTANCE PROGRAM Diabetes 7% 4% 5% 2% 3% 3% 3% 5% 0% 5% 4% 3% 3% 4% 3% 3% 2011 Participation at Screenings # of Em ployees Referred by Health Fair 36 15 87 189 54 57 106 TOTAL BJC** Prior Year Total 44.4% 48.0% 44.6% 40.2% 15.2% 13.3% 24.5% 26.1% 2011 HEALTH RISK ASSESSMENT - AT RISK DEFINITIONS

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

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.

6.9% 30.3% 9.0% 29.8% 33.8% 6.9% 34.0% 10.1% 11.1% 2.6% 9% 9% 6% 6% 35% 35% 4% 4% 2010 HEALTH RISK ASSESSMENT - AT RISK DEFINITIONS

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.

662 2,095 704 214

Employee Wellness Summary - 2011

Health Literacy Scorecard - YTD as of December 2011 2011 SMOKING CESSATION 2011 WEIGHT WATCHERS 2011 EXERCISE INITIATIVES** 2011 LUNCH TIME LECTURES 2011 ASPIRIN INITIATIVE Health Fitness Centers Alton Memorial Barnes-Jewish BJC BJ St. Peters BJ West County Boone Hospital Ctr Christian NE-NW BJC Behavioral Health Corporate Health Home Care Services Missouri Baptist MB- Sullivan Medical Group Parkland Health Ctr Progress West St. Louis Children's* (Employees and Spouses) Class Health Coach 21 194 50 27 Total LOST At Work PARTICIPATION Local Meeting Coupons At Home Kits On Line Services 21 Moved to Com m unity Program 194 50 27 126 8 20 28 52 20 33 55 26 26 40 21 41 20 36 52 20 0 33 55 26 26 40 21 41 237 396 383 144 1,885 # POUNDS LOST PARTICIPATION PARTICIPATION # 1,038 2,560 939 247 1,050 # Distributed 115 183 345 335 915 635 2,120 33 15 2,212 370 746 85 152 201 1,894 JOINED IN 2011 # TOTAL BJC Quit After Initial Intervention 8 654 662 6 350 356 3,171 Quit At 6 Months Prior Year Total Quit After Initial Intervention Quit At 6 Months 5 89 41 774 22 298 8 35 *SLCH Weight Watcher's includes WUSM (1,139 lbs lost) **Biggest Loser, 10K / Day Iniative 94 815 320 43 2,493 0 0 83 2,006 13,274 909 31 3,485 13,734 886 565 797

Employee Wellness Metrics

Health Literacy Metrics 2005 - 2011 Health Screenings

40,0 35,0 30,0 25,0 20,0 15,0 10,0 5,0 0,0 2005 2006 2007 Blood Pressure 2008 Total Cholesterol

# of employees screened: 2005: 12,418 2006: 11,318 2008: 12,075 2009: 12,906

2009 BMI

2007: 12,250 2010: 12,950

2010 Diabetes

2011: 12,154

2011

Diabetes Initiative Summary - 2011

Site Alton (AMH) Behavioral Health BJC Corporate Health Medical Group (BJCMG) (BJH) & Extended Care BJ St. Peter's BJSPH) BJ West County BJWCH) Boone (BHC) Children's (SLCH) CHNE Home Health MBMC Parkland (PHC) Progress West (PWHCC) Sullivan (MBSH) Corporate Health All Employees Total Id Screened At risk 268 309 839 234 3528 422 267 794 1782 1194 286 1398 252 290 127 39 12,029 1,498 23 16 172 12 496 46 35 98 184 133 38 152 43 30 18 2 Year End Contact Second Made Third Fourth No Permission Diagnosed Contact Contact Contact to Contact Diabetic 8 49 23 2 10 2 5 9 61 10 91 5 6 98 2 56 437 2 6 20 2 69 1 0 0 15 11 5 13 10 2 7 0 163 0 4 6 0 31 0 0 0 4 6 1 3 1 0 3 0 59 0 0 0 0 9 0 0 0 0 0 0 0 1 0 0 0 10 9 4 6 3 62 4 12 0 34 15 1 31 8 8 3 0 200 70 2 8 3 2 1 0 3 2 9 1 26 1 0 0 2 10 At Risk Percentage Contact % Second % Third No Permission Made Contact Contact to Contact 9% 5% 21.7% 56.3% 21% 35.5% 5% 83.3% 14% 18.3% 11% 10.9% 13% 17.1% 12% 100.0% 10% 1.1% 11% 42.1% 13% 21.1% 11% 32.2% 17% 53.5% 10% 6.7% 14% 55.6% 5% 100.0% 12% 29.2% 8.7% 37.5% 11.6% 16.7% 13.9% 2.2% 0.0% 0.0% 8.2% 8.3% 13.2% 8.6% 23.3% 6.7% 38.9% 0.0% 10.9% 0.0% 25.0% 3.5% 0.0% 6.3% 0.0% 0.0% 0.0% 2.2% 4.5% 2.6% 2.0% 2.3% 0.0% 16.7% 0.0% 3.9% 39.1% 25.0% 3.5% 25.0% 12.5% 8.7% 34.3% 0.0% 18.5% 11.3% 2.6% 20.4% 18.6% 26.7% 16.7% 0.0% 13.4%

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 Could identify with “Help for Your Health” vs. “Health Literacy” o Enjoyed employee health fairs - want more!

o Concerned about the use of data - “Big Brother” o Like incentives, coupons and creative programs promoting health o Smokers voiced concern about privacy o Participated in the Health Risk Assessment for financial discount o Agreed that BJC should help promote health for employees o

One third of employees do not have a primary care physician

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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.

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