Transcript ENHANCED WELLNESS PROGRAMS

ENHANCED WELLNESS
PROGRAMS
Greendale School District
Erin Gauthier-Green
Director of Business Services
[email protected]
Health care system in US is
“disease care” NOT health care
How to convince unions and Boards
to do a lifestyle management/wellness
program??
The US: home of the Whopper
and Super Gulp
Two out
every three
Americans
are
overweight
OBESITY
• Adds 20 years of
aging comparable to
chronic disease
• Adds 30 years in terms
of quality of life
• 90% includes diabetes
10% of the population incurs
70% of the health care costs
In the US the major drivers of cost are:
• Depression
• Hypertension (blood pressure)
• Diabetes
• Heart disease
• Asthma
Major drivers of disease
Tobacco use
• Sedentary
lifestyle
• Poor nutrition
• Stress
•
“Negotiating changes in health
care benefits are not for the faint
of heart”
Get past the entitlement
mentality!
• Insurance committee- with union
• Statement of benefits and letters of
state of the health insurance world
• Stress the partnership – we’re in this
together!
Most staff have no idea what true
benefits cost !!
• At Greendale SD, health insurance up 50%
in 3 yrs
• Up 357% in ten years, from $306/mo to
$1400/mo family plan
• South east Wisconsin has highest health
costs in nation!
Labor smackdown will not be the
best strategy to solve health care
TRY THESE:
• Educate them that up to 70% of disease is
lifestyle- caused
• “Incent” staff into programs
• $3-$6 payback for every $1 invested in
worksite wellness
• Consumer driven plans with more upfront
cost (don’t cut out preventive care)
• Educate that programs will reduce sick
leave, worker comp, disability AND add
energy!
Most promising in addressing
health costs today:
• Individual followup- disease or care
management
• Health risk appraisals and screens
• Wellness communications
• Offer programs on site
• Weight loss offered on site with groups
• Offering incentives to those who DO IT
Don’t forget “mental health” !
• Important to educators
• Drugs to regulate
mood are in high use
among educators, such
as Prozac, Paxil, etc.
• Use EAP programs
• Offer speakers on
mental health topics
• Much overeating is
emotional based
Local manufacturer has a two
hour mandatory session for all
new staff that covers:
• Domestic
violence
• Depression
• Alcoholism
Health risk assessments show
Greendale’s major issues are:
• Weight
• Sedentary lifestyle
• Hypertension issues
GSD worksite wellness program
RX: Health!
Employee commits to:
• No tobacco use
• Exercise 3 x/week and log it with us
• Take on site blood/health screen for lipids,
weight, blood pressure and health risk asses.
• Take age appropriate health screens
• Follow-up disease management for chronic
diseases
Greendale’s program
• Teachers pay 12% of total health premium,
or about $2000/year
• If they join Rx: Health! they get a 1%
reduction, about $160/year savings
• 99% of teachers joined
Average employee contribution in US is
$4500/year
Rx: Health’s offerings
• Program adddresses mind/body/health
connection with offerings on site and
discounts negotiated with village (massage)
• Weight watchers on site
• Life issue sessions: caregiving, type 2
diabetes, depression, retirement,
women/men’s health issues
Rx:Health!
• Fitness center open for staff and many
park/rec offerings on site
• Ergonomic program and evaluations
• Pedometer’s available to staff for $10.50
• On-site health screens for blood lipid, blood
pressure, weight
• Negotiated discounts at local health clubs
• Food service dept is a PLAYER in health
District runs Park and Rec for
Village of Greendale
Added classes for staff at schools
after hours
Increased offerings
One year results= risk reduced !
• 7% less sick leave
used
• 690 pounds lost by
staff (300 insureds)
• 99% of staff signed on
to program with
incentive of 1%
($160/yr)
Why the success?
• Program started collaboratively with union
• Stated goal is to give staff “permission” to
take care of themselves-- TAKE TIME
• Easy access on site
• Cost has been $6000 for year one, including
pedometers, health screens, speakers
• Involved school nurse, park/rec, phy ed,
food service, worker comp coordinator
NEXT STEPS???
• Convene a group in southeast Wisc and in
Greendale community to partner with WEA
and Aurora on maximizing our resources
from these groups re WELLNESS!!
• Review baseline data from U. of Michigan
from Health Risk Assessment to drive
programming
• Look at hiring a (part time)nurse practioner
to deal with on-going disease monitoring
and education, and minor health issues