A BETTER WAY · • “We have a wellness program are looking for better engagement.” •...

Creating a Sustainable School-based Culture of Health

Kay Zimmerli HealthWorks Consultant, Kaiser Permanente

Jess Lawrence Director, Cairn Guidance, Inc.

Travis Reeser, Arlington High School Principal

March 25, 2013

A BETTER WAY to build the future


Who’s in the room?

That’s me!

2 March 25, 2013 | © Kaiser Permanente 2013. All Rights Reserved.


You may have chosen this session…


• “We have a wellness program are looking for better engagement.”

• “We’re just starting a school wellness program I’m looking for tips on how to get started.”

• “My school is implementing a wellness program but we do a lot of things that aren’t healthy. We send inconsistent messages to our school community!”

• What else?



When you think of an organization or business that has a strong culture,

what comes to mind?


How do we define culture?


NOUN: – The totality of socially transmitted behavior patterns, arts, beliefs,

institutions, and all other products of human work and thought.

– These patterns, traits, and products considered as the expression of a particular period, class, community, or population: Edwardian culture; Japanese culture; the culture of poverty.

– These patterns, traits, and products considered with respect to a particular category, such as a field, subject, or mode of expression: religious culture in the Middle Ages; musical culture; oral culture.

– The predominating attitudes and behavior that characterize the functioning of a group or organization.

Houghton Mifflin: American Heritage Dictionary


Culture is … group-specific behavior acquired from social influences.


1. A new pattern of behavior is invented, or an existing one is modified.

2. The innovator transmits this pattern to others.

3. The form of the pattern is consistent within and across performers.

4. The one who acquires the pattern retains the ability to perform it long after having acquired it.

5. The pattern spreads across social units in a population.

6. The pattern endures.


Describe a Healthy School environment in 6 words or less!


Text message your response to KEYCODE: 22333 Begin text message with: ###### Followed by your 5 words

Example To: 22333 Message: ###### Chaotic, hierarchical, stifling, angry, and morbid


Why Focus on School Wellness?


Unhealthy behaviors

Health risks

Chronic disease

Employee- related expenses

Reason #1 – Financial

What can we do to prevent chronic disease and reduce health risks in our schools?

Health Care Statistics, PreventDisease.com


Why focus on wellness?


Health care premiums

Short term disability Long term disability

Absenteeism

Presenteeism

100

80

60

40

20

0

% total expenses Reason #2 – Increased Efficiency


Why focus on wellness?


71% 70%82%

91%

Cancers Stroke Heart disease Diabetes

Reason #3 – Support Employee Safety & Health

Cancers: National Cancer Institute Stroke: “Stroke Facts,” Stroke Association of Southern California. Heart disease: MJ Stampfer et al, July 2000. Diabetes: 2008 National Diabetes Association


A Healthy School environment is…



March 18, 2013 12 | © Kaiser Permanente 2013. All Rights Reserved.

Healthy Eating

Good health matters

Workers who eat healthy are 25% more likely to perform better on the job.*

Physical Activity

Regular physical activity and good nutrition help students earn higher grades.†

+ Better Performance* =

*Ray M. Merrill, PhD, MPH, et al., “Self-Rated Job Performance and Absenteeism According to Employee Engagement, Health Behaviors, and Physical Health,” Journal of Occupational and Environmental Medicine, January 2013. †“Physical Inactivity and Unhealthy Dietary Behaviors and Academic Achievement,” 2009 National Youth Risk Behavior Survey, U.S. Department of Health and Human Services/Centers for Disease Control and Prevention.


Staff Development

An uncoordinated school health system Absentee

Rate

Community Based Organizations

Parent Involvement

Psychological Services

Nutrition Education

Graduation Rate

Colleges & Universities

Student & Family

Drop Out Rate

Social Services

Academic Intervention

Assessment Results

Health Services

Community Leadership

School Board Leadership

Student Achievement

School

After School Programs

Physical Education



Coordinated school health

http://www.cdc.gov/HealthyYouth/CSHP/



15

Primary Goal • Improved health,

productivity, academic achievement, schools census as co-benefits

Focus Areas • Healthy Eating • Active Living • School Climate

Targets • Students • Staff and teachers • School environment

Key Strategies

Peer-to-peer learning

Youth empowerment

Parent & community

engagement

Staff as wellness

champions

District Leadership engagement

Thriving Schools – Scope and Design



Winning strategies for success


1. Start at the top 2. Paint a picture 3. Tell everyone 4. Support each other 5. Make it fun

What could possibly go wrong?

A. Lack of leadership support B. Employee buy-in/trust C. Limited participation


Many factors shape health


Medical Care 10% Personal

Behaviors 40%

Environmental and Social

Factors 20%

Family History and Genetics

30%

Source: McGinnis et al, Health Affairs, 2002


School Employee Wellness Planning Guide Assess current state Get leadership endorsement Review and collect data to determine

areas to target

18

STEP 2

Plan

STEP 1

Assess

STEP 3

Engage

STEP 4

Measure

1

2 Develop a strategic plan Form a wellness committee Set goals and agree on metrics Determine incentives Develop a calendar

4 Measure, and celebrate success! Evaluate your program Share the results

Engage your workforce Implement your workforce health program Keep employees engaged through ongoing

communication

3

March 25, 2013 | © Kaiser Permanente 2013. All Rights Reserved.


Thrive Break!



Why Wellness?


A Case Study: Arlington School District Travis Reeser, High School Principal 541-454-2632 [email protected]


Our goals


•Increase activity level of staff

•Increase nutritional awareness of staff

•Provide an outlet and support system for staff

Change the attitude of staff Change school and community culture


Our process


•Engaging Administrators -data to support program -Minimal to no cost -No added work to them •Designated Key Staff Members -Staff Survey •Designate and secure funds -district funds -grant dollars

•Secure Facilities -School -Church •Schedule classes and activities •Design incentives •Design tool for tracking activity


Survey


•Limited response (culture issue)

•Many responses “I don’t know” or “It doesn’t matter”

•Took specifics and my own ideas and ran with them


Key learnings


•Target the right people initially

•Provide incentives that are meaningful

•Make parts of it competitive (but be careful)

•Listen to their ideas


Overall impact


•Slight Culture Shift -Baby steps -Unity -Trust •Increase in staff energy – in and out of the class •Improved community relationships

Impact on Sick Leave

21% savings year one 53% savings in year two

$8,380 Total savings in two years

Days/Per Per/Empl Total

Sick Days Empl Cost Cost Savings

2010-2011 46 5.75 $1437.5 $11500 $0

2011-2012 36.5 4.56 $1140 $9120 $2380

2012-2013 22 2.75 $687.5 $5500 $6000


Considerations


•Your approach – Don’t start too fast and furious

•Ease into it

•Avoid making people feel “fat” •Contests/challenges •Base them around activity – not fat loss •Make them fun – something that everyone can participate in (pedometer challenge)


Look for synergy


Crosswalk: Aligning current school health initiatives with

SEW efforts/ideas


Create your own work plan



Take the next step…



Foundations for a successful program


Frame the information to make it compelling

Shape the environment

Break the change into bite-size pieces

Leverage the power of the social network

Make it personal and meaningful

Build mastery and self-efficacy

Recognize and celebrate success


School employee health planning guide Assess current state Get leadership endorsement Review and collect data to determine

areas to target

31

STEP 2

Plan

STEP 1

Assess

STEP 3

Engage

STEP 4

Measure

1

2 Develop a strategic plan Form a wellness committee Set goals and agree on metrics Determine incentives Develop a calendar

4 Measure, and celebrate success! Evaluate your program Share the results

Engage your workforce Implement your workforce health program Keep employees engaged through ongoing

communication

3



Workforce health and student-focused changes

32

Improving school lunches

Healthier vending machine choices

Increasing physical activity


A BETTER WAY · • “We have a wellness program are looking for better engagement.” •...

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