Why Workplace Health is as Important as PE, Recess and School …€¦ · Recess and School Lunch...
Transcript of Why Workplace Health is as Important as PE, Recess and School …€¦ · Recess and School Lunch...
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Why Workplace Health is as Important as PE,
Recess and School Lunch
Kristy Clark, MPHWellness Account Executive
Parker, Smith & FeekSeattle, Washington
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Agenda
• What schools and worksites have in common that contribute to public health?
• Compare influences to health• Policy Individual Choice
• What worksites can do– See what some employers have done to gain traction
in health promotion– What has the most influence on behavior
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What do schools and worksites have in common regarding public health?
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Social Ecological Model:
*Damis, Brian. A Holistic Approach to Environmental Public Health. National Environmental Health Promotion Network. // September 21, 2011
Use to enable employees and students to take an active role in their health, Targeting Behavior at the Organizational Level
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Worksite
• Americans work an average of 34.5 hours per week, spending 6.8-10 hours a day at their place of work.
• 55% of the population gets health insurance through their employer
• Employer pays 87% of cost• Costs are rising unsustainably• Influence prevalent social norms
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Schools
• Structured environment where students spend large amount time
• Eat meals• Opportunity for physical activity• Teachers and curriculum
influence knowledge• Create social norms
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Public Health Problem
• Obesity trends, Diabetes, Chronic stress
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Why it’s Important
Workplace SchoolsHealth and Safety Health and SafetyProductivity Build foundation for learningAccess to care Access to careAttraction and Retention RetentionEconomy
- Health care 19% of GDP Our Future
– Healthcare and Economy
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Organizational Development Theory
• System-wide process of applying behavioral science knowledge for:– Planned change and development of strategies– Design components– Processes driving organizational effectiveness
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Where to focus change:
• Meet people where they are: – If healthy, keep that
way. – If can lose weight, help
them.– If have chronic disease,
help with management.
Inner and Outer Determinants
Existence of Wellness
Plan
Intentionto
exercise
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Analyze Current State of WellnessStrategy How/Who IndicatorsUnderstand EmployeeClaim costs
Risk stratum • Quarterly healthcare expense report• Quarterly Rx utilization• High $ individual claims
Understand employeerisks
HRA • Aggregated results• Target problem areas
Understand existing environment
Policy and environmental assessment
Employee interest survey • Incentives to increase response rate
Understand Utilization of Existing wellness benefits
Increased Participation:• Smoking cessation programs• Enrollment at health clubs
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Develop Program to Address Environment, Benefits, Risks and Behaviors
Strategy How/Who Indicators
Align benefit structure with health objectives Expert input
Incentivize preventive
Review insurance plan for:Prevention Disease management
Develop new incentives Interest survey HRA, Achievement awards
% Participation
Plan for policy and environmental changes
Comprehensive Campus Wellness Committee
Showers, physical activity facilities, on-site food, bike racks, lighting
Ensure protection of vulnerable employees and security of data
Human Resources
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Evaluating the Program
• Data results from measurement• Participation rates• Satisfaction surveys• Policy/environmental change tracking • Overall healthcare claims spending• Determine measurement of quality
– Can you trust the data?
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Wellness Well-Being Engagement and Culture
Wellness Evolution
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More Comprehensive, new set of standards:1. Health2. Meaning3. Safety4. Connection5. Achievement6. Growth7. Resiliency
Implementing Changes/Focus Areas
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School Safety
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U.S. Education
• Young people faced with a variety of challenges on a daily basis. – Small changes can outsize difference
• Chronic stress—not left at the door– taken to work and school
• Schools are inconsistent with PE, recess and school lunch– Yet data indicates active students learn better
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What Some Schools are Doing
• Epiphany School—Seattle, Washington• Naperville High School—Illinois• Yale—Newtown, Connecticut
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Heart Adventure Course
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Results
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Exercise
• Beat Stress• Lift Mood• Sharpen Intellect• Function Better
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Establish Life Long Behaviors/Habits
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Naperville, Cardio Room
• 17 percent improvement for zero hour PE vs.10 % for those not.
• Schedule hardest classes after PE • Teaches:
– Fitness instead of sports– Lessons will serve for life– Skills– Sense of fun and awareness of how bodies work– Hooked on moving
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Naperville, Cardio Room
• Exercise stimulates neuro growth• Best in world on science test, ahead of
Singapore. • “Gym teachers create the brain cells,
teachers fill them.”• Virginia tech study did not improve test scores
after cutting gym.
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College
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Parker Smith & Feek
• Parker Smith & Feek• Koop Award Winners• Cleveland Clinic
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Wellness Components at PSF
1. Medical Outcomes
Earn Dollars for 2019Medical HRA/HSA Accounts
2.Activity-basedprograms
Earn Gift Card and Days Off in 2019
3. Tobacco$25 Surcharge for tobacco useon Medical Premiums 2018
2018
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Introduced New Vendor
What we liked:• Broad panel blood draw (no finger stick)
– Can take to your physician; do not have to repeat– Expanded panel to include PSA, A1C
• Easily understood Health score 0-100 scale • 2019 Incentives will reward progress, not perfection • Personalized reporting • Challenges - fewer, different • Earn points and rewards• Will manage Reasonable Alternative (appeals) process
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Objective, Easy to Understand Scoring
• Developed and reviewed by a panel of physicians
• Designed to reward health improvement across all risk levels
• Detailed, personalized report highlighting risk level
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Activity Incentives
Wellness Portal• Provides the ability to
plan, track, and manage participation:– Individual and Team Challenges– Lifestyle Rewards– Volunteering– Participation in Fitness Events– Device Integration
• Pair your activity tracker
Intention for these challenges to promote health or culture
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Claims Results
Costs have remained relatively flat,Wellness participation rates have ranged from 60-78%
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What Some Workplaces are Doing
• Parker Smith & Feek• Koop Award Winners• Cleveland Clinic
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Charles Everett Koop Award
• American Pediatric Surgeon and Public Health Administrator
• 13th Surgeon General of United States, served under Ronald Reagan
• Honored by award in his name promoting employer achievement in improving population health cost effectively
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• Reduce need and demand for medical services• Share objectives of Healthy People’s workplace
health promotion targets• Prove net health care and/or productivity cost
reductions as a result of improving population health.
Koop Award Criteria
BEHAVIOR CHANGE + RISK REDUCTION + COST SAVINGS= KOOP NATIONAL HEALTH AWARD
JOEM. Volume 58, Number 1 // January 2016, Ron Z. Goetzel, Raymond Fabius, et al.
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Koop Award Industries
Health careIndustrialFinancialTechnologyUtillitiesMaterialsEnergyConsumer
JOEM. Volume 58, Number 1 // January 2016, Ron Z. Goetzel, Raymond Fabius, et al.
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C. Everett Koop National Health Awards
• 1-4 winners a year• Initially invested $10,000 equally among 15
companies• Programs in place for at least 3 years• If acquired, removed from portfolio
JOEM. Volume 58, Number 1 // January 2016, Ron Z. Goetzel, Raymond Fabius, et al.
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Value
• Koop Award winners outpaced S&P 500– Tracked 14 year period (2000-2014)– S&P Results
325% appreciation (compared to market 105%) 2.35/1.0
– Many companies are realizing that workers health extends beyond individual choices. Polices, programs, and practices at organizations can influence health.
JOEM. Volume 58, Number 1 // January 2016, Ron Z. Goetzel, Raymond Fabius, et al.
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What Some Workplaces are Doing
• Cleveland Clinic– Cleveland, Ohio
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Components of Clinic Program
• Cost and travel barriers removed with convenient and free access to fitness centers
• Premium Incentive
• Sign up deadlines and participation requirements
Employee Premium Level DiscountGOLD – Meet the health goals 30%SILVER – Participate, but do not meet goals 15% Bronze – Choose not to take part None
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Categories to Earn Premium Incentive
– Shape Up and GoHealthy Coordinated Care
– Hypertension – Diabetes – Hyperlipidemia – Asthma– Weight Management – Current Tobacco Use
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Current Status
• Participation: 16,621 Bronze,5,600 Silver, 11,000 Gold
• Of employees identified with chronic conditions, 57% enrolled in Coordinated Care Programs
• 2012 cost avoidance Employee Health Plan of $15 million • Costs leveling or decreasing for those enrolled in Healthy
Choice, rest of participants continue to increase• Spouses eligible to enroll in 2014, increasing impact
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Lessons Learned
• Clinic uniquely poised as provider and payer • Workplace wellness proved effective at
improving outcomes • Quality Measurement helped focus on specifics
to change• Even with reduced barriers, incentives and
efficient processes, Ultimately behavior change is up to the individual.
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What has the most influence on behavior?
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Influencers for Behavior Change
• If you can’t go “all in” with wellness, provide some of these features (AMSO)
Michael O’Donnell, Health Promotion in the Workplace 5th Edition, 2017
Awareness
Motivation
Skills
Opportunity 40%
30%
5%
25%
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Outcomes
Short-term results Increased knowledge and awareness
Intermediate results
Revised attitudes, perceptions, and beliefs
Long-term results Changed behaviors, actions and norms
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2018 Employer Priorities
First year that reducing health care costs is not #1 in employer priority 1. Increase employee
engagement2. Increase employee retention3. Reducing healthcare costs
Source: 2017 Virgin Pulse survey
Individual Results
Business Results
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Quality of life improvesHealth care utilization is reduced
Wellbeing behaviors
Outcomes
Benefits Impact and Performance
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Key Takeaways
• Implications of providing health literacy and a culture of health at work and school
• Understanding the landscape of workplaces in targeting behavior and accessing health care
• Learn some practical places to start; You do not need to be “all in” with wellness to impact lives
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Thank You
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