State of Wellness: Arkansas
-
Upload
hpcareernet-llc -
Category
Education
-
view
1.703 -
download
1
description
Transcript of State of Wellness: Arkansas
Worksite Wellness
in Arkansas
Presented by
Helen Weir (ADH) & Rhonda Hill (ACHI)
October 21, 2010
Economic Burden of Chronic Disease
• U.S. spends $2.2 trillion on health care annually
• .75 cents of every dollar is spent on managing chronic conditions
• One-third of the cost aloneis due to obesity
Economic Burden of Chronic Disease
Reported Cases in Arkansas, (projected 2009
and as % of population) Cancers (all): 149,896 5.2%
Diabetes: 146,964 5.1%
Heart Disease: 249,276 8.7%
Hypertension: 470,771 16.5%
Stroke: 33,491 1.2%
Emotional Disturbances: 305,331 10.7%
Pulmonary Conditions: 542,322 19.0%
Economic impact in Arkansas, projected 2009
(Annual Cost in Billions)
Treatment Expenditures: $3.65
Lost Productivity: $17.2
Total Costs: $20.85
Economic Burden of Chronic Disease
Social Ecological Model
Collaboration & Partnership
Arkansas Department of Health
Arkansas Center for Health Improvement
Arkansas Coalition for Obesity Prevention (ArCOP)
Arkansas Coalition for Obesity Prevention
• Grassroots, statewide collaboration that stemmed from 2007 Southern Regional Obesity Summit
• Identified that we were all working toward the same goal – yet separately
• Pooled resources, work plans, and overarching goals and objectives
• 200 + members with over 75 partnering entities
ArCOP
Mission: to improve the health of all Arkansas communities by increasing physical activity and healthy eating to reduce and prevent obesity.
Vision: all Arkansans value and practice healthy lifestyles through created and supported opportunities of increasing physical activity and healthy eating.
Goal: Increase the percentage of Arkansans of all ages who have access to healthy and affordable food and who engage in regular physical activity.
Coalition Partners
American Cancer Society American Heart Association Arkansas Academy of Pediatrics Arkansas Advocates for Children and Family Arkansas Blue Cross and Blue Shield Arkansas Center for Health Improvement Arkansas Children‟s Hospital Arkansas Community Foundation Arkansas Coordinated School Health Arkansas Department of Education Arkansas Department of Health Arkansas Department of Human Services Arkansas Foundation for Medical Care Arkansas Governor's Office Arkansas Head Start State Collaboration Office Arkansas Head Start TA Network Arkansas Hunger Alliance Arkansas Injury Prevention Center, Arkansas Minority Health Commission Arkansas Parks and Tourism Arkansas State Highway and Transportation Department
Arkansas State & Public School Employee Life & Health Insurance Plan
Arkansas State University Baptist Health Blue & You Foundation for a Healthier Arkansas Central Arkansas Transit AuthorityClinton School of Public Service ComMetrics Inc.
Community Health Centers of Arkansas Daughters of Charity Services of Arkansas - SE ARDelta AHEC Delta OPRU, ARS, USDA Evangelistic Ministries Frueauff Foundation Heifer InternationalHendrix University JB Hunt Transport Services Kutak Rock Firm LifeSynch Metroplan Midwest Dairy Council North Arkansas Partnership for Health Education North Little Rock First United Methodist Church PE4Life Academy (Rogers, AR) Pfizer Phoenix Youth and Family Services Pulaski Technical College Results Fitness 24/7 Robert Wood Johnson Foundation, Center to Prevent Childhood Obesity Safe Routes to School Program St. Francis House Community Clinic (Northwest AR) United States Department of Agriculture, ARS University of Arkansas Division of Agriculture University of Arkansas at Little Rock University of Arkansas for Medical Sciences University of Arkansas at Pine Bluff
Examples of Non-Traditional Partners
• Metroplan
• CATA
• JB Hunt Transportation Services
• NLR First United Methodist Church
• Evangelistic Ministries
• US Department of Agriculture
• AR Hwy and Transportation
• AR Parks and Tourism
• AR Game and Fish
• AARP
ArCOP Workgroups
WO
RK
GR
OU
PS
Access to Healthy Foods
Determine existing needs statewide and among
various sub-populations regarding access to healthy foods
Identify existing programs that support access to
healthy foods and determine additional programming and service needs
Identify programmatic barriers and determine
strategies and resources needed for successful implementation
Built Environment Collaborate with city and town planners to
promote physical activity by developing pedestrian and bicycle friendly neighborhoods that offer convenient, pleasant, and safe non-motorized links between residences, schools, shopping, and recreational facilities
Encourage active lifestyles by incorporating well
designed, mixed-use development that permits high quality of life with reduced need for
vehicles to conduct daily activities
Worksite Wellness Empower employers to combat obesity in the
workplace
Collaborate with local, state, and national
resources to identify best practices for workplace obesity intervention programs in an effort to decrease obesity and other chronic diseases across Arkansas
Health Care Engage with providers and insurers to improve
quality of life and reduce total long-term costs of health care due to obesity and related chronic disease
Collaborate with health care providers, employers
and other organizations who are purchasers of coverage and insurance companies or other
payers to ensure coverage for obesity
Early Childhood and Schools Collaborate with parents and communities to create a unified environment that promotes
healthy eating and physical activity
ArCOP Workgroups (cont.)
• Policy Development
• Social Marketing
• Evaluation
• Executive Team
Worksite Wellness Work Plan
Goal: Increase the percentage of Arkansans of all
ages who have access to healthy and affordable
food and who engage in regular physical activity.
Strategy: Improve worksite health environments.
Worksite Wellness Work Plan
Objectives:
• Establish an electronic clearinghouse for model
worksite wellness programs and resources.
• Double the size of the Arkansas worksite
stakeholder group.
• Hold 5 regional worksite health summits.
• Create healthy worksite award.
• Encourage development of policy/system
change to support healthy worksite
environments.
Regional Summits
• Five Regional Summits+ one
• Marketing
• Partner involvement
• Lessons learned
• Evaluation results
ArCOP – Growing Healthy Communities
Resources
• AHELP New web site for State of Arkansas workforce
http://ahelp.arkansas.gov
• Sister web site for state employees, businesses and departments at worksites interested in establishing or enriching the programs for the health of the workforce. Partnership participation in setting up resources ArCOP.
http://worksitewellness.arkansas.gov
Arkansas Healthy Employee Lifestyle Program
(AHELP)
Comprehensive worksite wellness programWeb-tracking behavioral intervention (points assigned)
Cardiovascular, aerobic physical activity
Fruits and veggies
No tobacco
Act 724 of 2005 granted up to three days off with satisfactory participation per calendar yearUNC Centers for Excellence features AHELP as an “Emerging Intervention for Obesity Prevention http://www.center-trt.org
HRA Response Rates Across 5 Years
*ASE only
$1
,62
5
$2
,39
4
$2,7
38
$3
,59
8
$4
,52
2
$6
,39
8
$1
,63
0
$2
,29
1
$3
,07
8
$3
,93
6 $
5,6
15
$8
,26
1
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74
Non-tobacco user
Tobacco user
Average Annual Total* Costs Linked to Any Tobacco Use
compared with Non-tobacco Use by Age Group
*Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
$1,863
(29%)
Average Annual Total* Costs Linked to 5+ days/wk of
physical activity compared with No weekly activity by Age
Group
$1
,57
8
$2
,04
5
$2
,63
1
$3
,33
6
$4
,38
9 $
7,2
43
$1
,08
6
$3
,12
7
$4
,10
6 $
6,8
38
$11,4
47
$1
2,7
89
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74
5+days/wk of physical activity
No weekly physical activity
*Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
$5,546
(77%)
Average Annual Total* Costs Linked to Normal Body Mass
Index compared to Obese BMI by Age Groups
*Includes medical (inpatient and outpatient) and pharmacy costs for state employees.
$1
,62
2
$2
,30
2
$2
,50
4
$3
,20
0 $
4,7
62
$5,9
71
$1
,60
5
$2
,52
2
$3
,47
0
$4
,45
0
$5
,68
5
$8
,14
3
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74
Normal Weight BMI
Obese BMI
$2,172
(36%)
ROI of Worksite Wellness Programs in
Economically Challenging Times
Top 5 Strategies
1.Tap into your insurance plan‟s willingness to pay for wellness.
2.Create a benefit design so wellness can be cost neutral.
3.Implement worksite policies & environmental changes that support healthy living.
4.Use the right wellness messages to enhance engagement & increase participation.
5.Make use of your free community resources.
WELCOA-2009
Small Business Interventions
10 Essential Things That Small Business Leaders Can Do To Promote Better Health
1.Issue letter of support to employees
2.Designate a company wellness leader
3.Conduct employee health interest survey
4.Provide Health Screenings/Health Risk Assessments opportunities
5.Physical activity campaign
WELCOA-2009
Small Business Interventions (cont‟d)
10 Essential Things That Small Business Leaders Can Do To Promote Better Health
6. Hold Lunch „n Learns
7. Establish an in-house library or electronic resource center
8. Disseminate a quarterly newsletter
9. Implement health promoting policies
10. Promote community health efforts
Small businesses: Steps toward increasing the health &
well-being of their most valuable asset………..
Their employees and their families
The Power of Prevention
Epidemic of Unparalleled Proportions
________substantiated by hard facts
• More than 1.7 million Americans die of a chronic disease each year
Five chronic diseases
•Heart Disease
•Cancer
•Stroke
•Chronic Lung Disease
•Diabetes CDC-Chronic Disease
Reasons for Prevention
Cancer- $171.6 billion, of this amount, $60.9 billion was due to direct medical costs and
$39.8 billion to lost productivity
Obesity- estimated $117 billion, of this amount, $61 billion due to direct medical costs and
$56 billion to lost productivity
CV Disease and Stroke- $351.8 billion , of this amount, $209.3 billion due to direct medical costs and $142.5 billion to lost productivity
CDC
Prevention
Chronic disease risk factors also place huge economic demands on our nation and state
Lost Productivity:
Smoking-more than $80 billion
Poor Nutrition- $ 9 billion related to heart disease, cancer, stroke, and diabetes
What did it cost your business?
CDC
Prevention
Three modifiable health-damaging behaviors
Tobacco Use
Lack of Physical Activity
Poor Eating Habits
33% of all U.S. deaths can be attributed to these behaviors
ArCOP – Worksite Wellness
• Strategy– Improve worksite health environments
• Objectives– Establish an electronic clearinghouse for
model worksite wellness programs and resources (12/31/09)
– Double the size of the Arkansas worksite/employer stakeholder group from 10 to 20 members (6/30/2010)
– Hold 5 regional worksite health summits (6/30/2010)
– Create healthy worksite award (12/31/2010)
– IN PROCESS/ONGOING Encourage development of policy/system change to support healthy worksite environments.
Healthy Workforce 2010, Partners
for Prevention (2001)
Healthy Workforce
The workplace is an ideal environment for cultivating a healthy life style
45% of a persons waking hours are spent in the
workplace
82% of the U.S. population is linked in someway to a
worksite
Worksites can be environments that promote health or
that create barriers to health
Arkansas Worksite Wellness
Healthy Arkansas Initiative 2004
Arkansas Department of Health and Arkansas Department of Human Services pilot intervention Healthy Employee Lifestyle Program (HELP)
Arkansas Law, Act 724 of 2005
Arkansas Workforce Wellness
Representative Linda Chesterfield sponsored
Act 724 of 2005 giving an incentive for healthy
behaviors and actions for State of Arkansas
employees
- Up to 3 days leave for satisfactory participation in the
AHELP web tracking program of physical activity, fruits
and vegetables, and no tobacco use.
- In addition, annual HRA and age-appropriate screenings
give points in the system.
Arkansas Healthy Employee Lifestyle Program
(AHELP) Roll-Out to all state agencies, boards,
and commissions
Arkansas Workforce WellnessArkansas Worksite Wellness
• AHELP goals:
• Reduce the number of employees who use tobacco
• Improve the nutritional choices available to employees
• Increase the number of employees getting age-
appropriate health screenings
• Increase the number of employees who participate in
physical activity
• Increase the number of employees who are at healthy
weight
Arkansas Workforce WellnessArkansas Worksite Wellness
• Based on Health Risk Assessments (HRAs) completed between February 2005 and March 2006*:
• Cholesterol - 12% increase in percent of participating
employees in the lowest risk category
• Physical Activity/Exercise - 12% decrease in percent of
participating employees in the “high risk” or “borderline risk”
category
• Nutrition - 26% increase in percent of participating employees
in the lowest risk group
* Arkansas Department of Health and Human Services
Arkansas Workforce WellnessArkansas Worksite Wellness
• As of June 2008, there were 2427 registered participants in AHELP
• Since AHELP‟s inception in April 2005:
• 648 participants have earned and redeemed the
incentive of 1-hour off in time from work
• 39 participants earned 1-day leave
• 40 participants earned 2-days leave
• 108 additional participants earned 3-days leave
• 6 available passes for 2-days at an Arkansas
State Parks Lodge earned
• In 2006 alone, over 440 other prizes redeemed
Arkansas Workforce Wellness
Resources will be available soon on the New Website for Lifestage Health Branch
Adults in Worksites:
www.AHELP.arkansas.gov
Contact: Helen Weir, Administrator
Arkansas Tools for a
Healthy Workforce
Arkansas Department of Health with their multiple partnerships and collaborations
Other state partnerships through the guidance of Center for Disease Control and Prevention (CDC)
Proven strategies, promising strategies and expert opinion strategies
Healthy Workforce 2010; Partners
for Prevention (2001)
Tools
CDC Evidence-Based Focus Areas:
Increase fruit & vegetable consumption
Decrease sweetened beverage consumption
Decrease food portion size (portion control)
Increase physical activity
Increase Breastfeeding
Increase smoking cessation in adults
Increase the proportion of worksites with formal No-Smoking policies
www.5Aday.gov
Healthy Habits
Nutrition
Eat for Color: Green, Orange/yellow, Red, Blue/purple, and White
Eat 5 to 9 servings of fruits and vegetables every
day
May lower your risk of certain cancers, heart
disease, and stroke.
Helps manage your weight
cdc.gov/nccdphp/dnpa/physical
Healthy Habits for Arkansas
Physical Activity
Adults:
Moderate PA for at least 30 minutes on 5 or more days of the week or
Vigorous PA 3 or more days per week for 20 minutes or more each time
New Guidelines 2008
cdc.gov/dnpa
Physical Activity
Why is PA important?
Reduces your risk of:
Heart disease and stroke, cancer, diabetes and high
blood pressure
Helps control weight
Keeps bones, muscles and joints healthy
Reduces falls in older adults
reduces symptoms of anxiety & depression
Arkansas Department of Health
SOS Facts
Healthy Habits
Tobacco:
Don‟t Smoke, Chew, or Dip
There is no safe tobacco.• If you use tobacco QUIT
• If you don‟t….. don‟t start
QUIT NOW !
Call it quits
1-866-NOW-QUIT
Tobacco
Arkansas Statewide Tobacco Programs and Services (AR Stops)
SOS Quitline
SOS Works- Fax-back Referral Program
Arkansas Tobacco Cessation Network
www.cdc.gov/CVH
Resources
Heart-Healthy and Stroke-Free Worksites
Successful Business Strategies to Prevent Heart
Disease and Stroke
Reducing the Risk of Heart Disease and Stroke: A
six-step Guide for Employers
Arkansas Department of Health-
• Heart and Stroke Prevention Program
• Diabetes Program
Arkansas Department of Health
Lifestage Health Branch &
Heart Disease and Stroke Prevention Section
Adults in Worksites
Helen Weir, RN, BSN
Magnolia
+ Community response is increasing
+ Increase in individuals attending GHC Coalition meetings
+ Mayor and representatives for the Chamber of Commerce are participating
− GHC is a BIG project
− Keeping people engaged and enthusiastic
Suggestion: Look beyond traditional partners -youth groups and organizations, faith-based groups mission programs, 4-H programs, Future Farmers, etc.
Batesville
+ Water bottles are now included in park vending machines
+ White River Community Garden has been established and individuals are decorating plots
+ All plots were rented shortly after grand opening
+ Mayor was asked to participate in the national 2010 Obesity Conference (ATL)
− Keeping people involved and showing up for events
Suggestions: Look beyond traditional partners. Share in tasks.
Little Rock – Arkansas Baptist College
+ Menu policy has been developed for use in the Arkansas Baptist College (ABC) cafeteria to offer healthier options
+ A Fresh Market is scheduled to open in July
+ Partnering with AR Children‟s Hospital to implement a community garden
+ Hired a full-time gardener
− Getting community Health Advisory Board recruited and engaged. They have already enlisted some community members to serve on the board.
Harrison
+ City sponsored a community garden plot of land centrally located
+ Public declaration by Mayor
+ City will provide water to the site
+ Storage building was purchased to store our
tillers, gardening materials, etc.
+ Community champion identified
− Slow everyone down enough to establish and adopt policies and procedures that will help sustain the concept
− Find a long-term entity to take “ownership”