City of Killeen Wellness InitiativeJune 2009

Health Care Concerns

• Affordability and availability of care

• April 2009- Kaiser Health Tracking Poll: 6 in 10 Americans say that they or a member of their household have

delayed or skipped health care in the past year.

National Health Care

• Since 1999, employment-based health insurance premiums have increased 120 %, compared to cumulative inflation of 44%

• Health insurance expenses - fastest growing cost component for employers.

• Average out-of-pocket costs for employees for deductibles, co-payments for medications, and co-insurance for physician and hospital visits rose 115 % during the same period.

City of Killeen Employee Health Insurance

• Since 1999, health insurance premiums have increased 73. 9%, compared to national increase of 120%

• Average out-of-pocket costs for employees for deductibles & co-insurance for physician and hospital visits increased.– Co-pays increased from $15 - $20

Employer Provided Health Care

• Employer-sponsors provide health insurance to the vast majority of workers and their families.

• Increasing costs in health insurance premiums pose challenges for employers

• Challenge -deciding how to continue to provide employee coverage.

Increasing Health Care Costs

• Chronic diseases account for about 70% of all U.S. deaths

(Center for Preventive Medicine, 2009)

• Addressing health problems in the early stages, easier to treat & treatment is more effective.

• Preventive screenings, testing and follow-up are essential

Strategy

A healthy workforce is a

key ingredient in

controlling health care costs

Equation for Success

MindBody Spirit

HealthEmployee

Healthier employees + Fewer Health Risks =

Decreased Medical Costs

Healthy Balance

Wellness Initiative

• Improving the health of each individual.

• Designed to promote health, wellness and lifestyle changes among employees and family members.

• Strategic Approach - Comprehensive Program Design

Mission & Vision

MissionProviding comprehensive initiatives

that encourage employee health, well-being, safety and work-life

balance.

VisionEmployees successfully attain &

maintain a work ::life balance.

Focus Areas

• Access to Care• Disease Mgmt• Health Screening

– Vision & Hearing – Immunizations

• Mental Health • Morale/Motivation• Nutrition Education

• Prevention– Infectious Disease– Violence & Injury – Safety at Work

• Physical Activity/ Fitness• Stress Management• Substance Abuse• Tobacco Cessation

Objectives

I. Systematic approach Clearly articulated focus /strategy Mission /Vision/Objectives/Performance

measures

II. An organizational culture of wellness. Culture Shift Communication Education & Awareness

Objectives

III. Improved individual health Education & Awareness Prevention Manage Chronic Illnesses

IV. Partnerships with Employee Culture shift Lifestyle choices :: health care Personal responsibility

Implementation - Phase I

• Education & Awareness

• Encourage Physical Activity

• Health Assessment Survey

Phase I- Education & Awareness

• Introduce Initiative -“Kickoff “• City Beat / Email /Flyers

• Staff Meetings

• NEO / In Processing

• Contest - Name Program X (Logo)

Phase I - Encourage Physical Activity

• CDC recommends for adults at least:– 2 hours and 30 minutes (150 minutes) of

moderate-intensity aerobic activity (i.e., brisk walking) every week and muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest,  shoulders, and arms).

• Initiatives– Gym Membership Discounts– Corporate Challenge– Team Activities

• Walking, Softball, etc

Phase I - Health Assessments

• Baseline for City Workforce

• Identify Focus for Wellness Initiatives

• Employee ParticipationParticipants – Reduced premiums

Non Participants – Not eligible for reduction

Summary & Questions

MissionProviding comprehensive initiatives that encourage employee health, well-being, safety and work-life

balance.

VisionEmployees successfully attain & maintain a work ::life balance.