Transcript Wellness at Work - Lorain County General Health District

Wellness
at
Work
Lorain County
Heart Education, Awareness, and Resource Team
Conducted through the Lorain County General Health District
Why Worksite Wellness?
 Well-designed
worksite health
promotion interventions can have
an enormous impact on disease
prevention and control, which can
result in significant savings in
healthcare spending.
 Approximately
82% of the US
population is employed, a
dependent, or a retiree; and,
employers provide health care
coverage to roughly 70% of
employees.

Chapman, L. 2002 Proof Positive
Overall,
$1.4 trillion is spent
annually on health care in
the U.S. - that's $3.8 billion
a day.
 David Hunnicutt, CEO, Wellness Councils of America
The Bottom Line
Unhealthy Health
behaviors
risks
Chronic
disease
Health care
costs
Health promotion programs help to:
 prevent
chronic diseases,
 reduce sickness-related absenteeism,
 and increase employee productivity,
 with the long-term potential of reducing
overall health care costs.
Reasons employers give for
instituting health promotion programs
 Improve
employee morale (77%)
 Retain
good workers (75%)
 Attract
good employees (67%)
 Improve
productivity (64%)
Benefits to Employer

Attracting superlative workers in a competitive global
marketplace

Reducing absenteeism/lost time

Improving on-the-job decision-making and time utilization
(reduced “presenteeism”)

Improving employee morale and fostering stronger
organizational commitments

Reducing organizational conflict by building a reservoir
of good-will toward management;

Reducing employee turnover
Chapman LS. Proof Positive: An Analyses of the Cost-Effectiveness of Worksite Wellness. 4th ed.
Seattle, WA: Summex Corporation; 1999.
Benefits to Employee
 Improving
their physical strength, stamina,
and general wellbeing
 Improving their focus at work
 Increasing job satisfaction and fostering a
positive outlook on life
 Bettering relations with co-workers and
supervisors

.
Chapman LSM. Clearing Up the Productivity “Fog”. The Art of Health Promotion 1999; 3 (5): 1-12
Return On Investment
 “The
data supporting the claim that health
promotion programs can reduce medical
care costs and reduce absenteeism is of
higher quality than the data most
businesses have to support other
investments of similar cost.”

Michael O’Donnell, Editor in Chief & President, American Journal of Health Promotion
Evidence of financial ROI
 The
indirect costs (e.g., absenteeism,
presenteeism) of poor health can be
two to three times the direct medical
costs.

Edington DW, Burton WN. Health and productivity. In: McCunney, RJ: A Practical Approach to Occupational and Environmental
Medicine. Philadelphia: Lippincott Williams & Wilkins. 3rd ed. 2003:140-152;

Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW. The association of medical
Med. 2004;46(6) suppl:S38-S45:

Pelletier B, Boles M, Lynch W. Change in health risks and work productivity over time. J Occup Environ Med. 2004;46(7):746-754:

Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of
certain physical and mental health conditions affecting U.S. Employers. J Occup Environ Med. 2004;46(4):398-412;
conditions and presenteeism. J Occup Environ
 Productivity
losses related to personal
and family health problems cost U.S.
employers $1,685 per employee per
year, or $225.8 billion annually.

Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health
conditions in the United States: results from the American productivity audit. J Occup Environ
Med. 2003;45(12):1234-124
;
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 management claims
costs
 Average $5.93-to-$1 savings-to-cost ratio

Chapman LS. Meta-evaluation of worksite health promotion economic
return studies. The Art of Health Promotion. 2003;6(6):1-16.
Healthy Workforce 2010
 A review
of 73 published studies
of worksite health promotion
programs shows an average
$3.50-to-$1 savings-to-cost ratio
in reduced absenteeism and
health care cost.

Aldana SG. Financial impact of health promotion programs: a
comprehensive review of the literature. American Journal of Health
Promotion. 2001;15(5):296-320; www.prevent.org
How do you determine ROI
 Presenteeism
cost = 1.8 × annual health
care cost
 Absenteeism cost = .2 × annual health
care cost
 The
WellSteps ROI calculator can tell you
how much your organization is spending
on each of these costs.
 To
use the ROI calculator click on the
“Tools” link at www.wellsteps.com
 www.cdc.gov/nccdphp/dnpa/hwi/program_
design/cost_calculators.htm
Cost Calculators
Common
Characteristics
of Successful Programs
Seven Benchmarks to Worksite Wellness
 Establishing
senior level support
 Building wellness teams
 Collecting data
 Writing an operating plan
 Choosing interventions
 Creating supportive environments
 Evaluating outcomes
Small Business
1. Capturing CEO Support
2. Designating a Company Wellness Leader
3. Conducting an Employee Health Interest Survey
4. Providing an Opportunity for Health Screening
5. Administering an Annual Physical Activity Campaign
6. Holding a Healthy Eating In-service/Lunch ‘n Learn
7. Establishing an In-house Wellness Library
8. Disseminating a Quarterly Health Newsletter
9. Implementing Healthy Policies and Procedures
10. Supporting Community Health Efforts
Chronic Disease: The Data
Actual underlying causes of death in 2000
were:
 tobacco use
 poor diet
 physical inactivity
 high alcohol consumption
(CDC Fact Sheet: Actual Causes of Death in the US, 2000)
Health promotion interventions…



increase awareness & knowledge,
change behavior,
influence environmental and policy changes
…to improve employee health.
Awareness
Education
Health
Behavioral
Interventions
Environmental
Policy
Mapped
Education
walking paths
Physical Activity

Employee survey

Wellness index

Nutrition Messages

Nutritional labeling
Lorain County Walks
Enhancement
Nutrition
Snackwise
Smoking
Cessation
Ohio Quit-line
Live Healthy Lorain
County Web-site


Healthy Ohio
Worksite Award

Stairwell
Resources
Health screenings
Classes
Workplace
Policies:
Food
Smoke-free
Seat belt
Breast feeding
Emergency
Preparedness
Sources

New York City Department of Health and Mental
Hygiene – Wellness at Work - www.nyc.gov
 Wellness Councils of America - www.welcoa.org
 Center For Disease Control and PreventionHealthier Worksite Initiative – Cost Calculators
www.cdc.gov/nccdphp/resources/calculator.htm
 Partnership for Prevention - www.prevent.org
Healthy Workforce 2010
Wellsteps – www.wellsteps.com
 Healthy Ohio - www.healthyohioprogram.org

 Find
this information on …
www.livehealthyloraincounty.com
www.loraincountyhealth.com
Alliance for the Healthiest Nation
 www.healthiestnation.org