Testing the provision of comprehensive worksite wellness services in micro-businesses

Carol Zimmerman

Anne Marie Snell

The Healthy Small Business Project

Business Demographics

Program Goals

Program Overview

The Results

Organizational Changes

Individual Changes

Employee Satisfaction

Return on Investment

Current Projects

A grant from the New York State Department of Health and Health Research, Inc.

Test pilot a business model for providing affordable comprehensive worksite wellness programs to small businesses (75 or less employees).

Total of 283 employees (nine businesses)

Follow industry best practices

Use online technology

Cost of $15/employee (estimated value of $150/employee)

Signed MOU for participation

1 full year of programming

Industry Sectors: (1) Agriculture/Mining, (2) Local Governments, (3) Service, (2) Wholesale/Retail/Sales, (1)Health Care

Unionized: The two local governments employ a unionized population of 26-50% each

Full Time Employment: 80.48%

Female: 42.47%

Caucasian: 95.89%

Under Age of 40: 60.27%

Wage range from $17,160 to $45,000 year

Average Wage: $28,557

Healthy Small

Business Wellness

Committee

Blevins Auto Group

Hoose, Knight &

Associates

Hospice and Palliative

Care

Mapleview Dairy Farm

Pepsi Cola Ogdensburg

Bottlers Potsdam Building

Blocks Day Care

Potsdam Food

Cooperative

Town of Madrid

Town of Waddington

By June 30, 2012, at least 25% of employees completing an HRA will reduce at least one chronic risk factor.

By May 15, 2012, the micro business model will show a positive return on investment.

By March 31, 2012, the project will validate the proposed price per employee ($150) to provide comprehensive worksite wellness services to micro employers.

Healthy Small

Business Wellness

Committee

Blevins Auto Group

Hoose, Knight &

Associates

Hospice and Palliative

Care

Mapleview Dairy Farm

Pepsi Cola Ogdensburg

Bottlers Potsdam Building

Blocks Day Care

Potsdam Food

Cooperative

Town of Madrid

Town of Waddington

Senior Level Involvement

Well Workplace Checklist

Wellness Team

Policy Development and Environmental Changes

Contemplate Consumer Driven Health Plans

Evaluation

Educational Programs

Incentive Campaigns

CSA Availability

Farmer Market Availability

Community Garden Space

Interest Surveys

Health Risk Assessments

Health Screening

Referral Services

Utilization of Community Health Programs

One on One Wellness Coaching

Articles in local media highlighting importance of worksite wellness

Communication with state and county legislators highlighting importance of worksite wellness

Press Releases in local media highlighting business and personal success stories

One Educational Presentation for Chamber members and service organizations

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

Senior LevelSupport

Wellness Teams Data Collection Operating Plan Programming SupportiveEnvironments

Evaluation

Average Score 2011 Average Score 2012

Needs Improving

72%

Good 14%

Very Good 14%

Excellent 0%

Environmental Approaches to Nutrition and Weight - 2011

Needs Attention

0%

Good 86%

Very Good

0%

Excellent 14%

Environmental Approaches to Nutrition and Weight - 2012

Needs Attention

71%

Good 29%

Very Good 0%

Excellent 0%

Environmental Approaches to Physical Activity - 2011

Needs Attention

14%

Good 86%

Very Good 0%

Excellent 0%

Environmental Approaches to Physical Activity - 2012

I am encouraged to lead healthy lifestyle

A strong wellness program is in place

Leaders model good health

Healthy lifestyles are rewarded

Healthy lifestyles publicly recognized

People support others

Low-fat/healthy food options available

Smoke-free environment promoted

Wellness Team in place

Exercise is normal during workday

Healthy Foods normal during workday

Saftey belt use normal

29.41%

80.27%

31.72%

87.78%

59.61%

25.83%

76.33%

2.19%

254.10%

37.70%

52.38%

9.12%

Culture Assessment Results

Percent Change in Employee Agreement

GOAL RESULT

25%

50%

Percent of Employees Decreasing High Risk Factors

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

0 1 2 3 4 5 or more

Percent of Employees with High Risk Factors

2011

2012

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

50.00%

BMI Underweight BMI Normal BMI Overweight BMI Obese

Body Mass Index

2011

2012

38.00% 40.00% 42.00% 44.00% 46.00% 48.00% 50.00%

Post

Pre

1 or less sick days

0-1

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

50.00%

Normal Pre-Hypertensive Hypertensive

Change in Blood Pressure

2011

2012

21.50%

22.00%

22.50%

23.00%

23.50%

24.00%

24.50%

25.00%

25.50%

26.00%

26.50%

2011 2012

Uses Tobacco

Low Cancer risk

Good Nutrition Status

Good Fitness Status

Good Coping and Stress Status

Good Substance Use Status

Nonsmoker, avoids tobacco

Good Aerobic Exercise Score

Happy and Content

Doing well overall wellness

109.58%

61.00%

54.50%

8.38%

10.58%

4.60%

68.12%

4.12%

99.15%

Health Risk Assessment Progress

Percent increase in good to excellent rating

The program has helped me improve my overall health

The program has helped me feel more confident about makingdecisions about my health

The program has helped me become more ready to make positivehealth behavior changes

I have made at least one significant health behavior change sinceparticipating in the program

The program has helped me to be more productive at work

The program has helped me improve my attitude toward myemployer

The program has helped improve the amount and kind of support Iget from my coworkers

The program should be expanded to spouses and family members ofemployees

The program contributes to better employee morale

If the program is offered next year, I plan on participating

My supervisor/business owner was supportive of me participating inthe program

54.84%

59.68%

61.29%

58.06%

29.03%

32.26%

30.65%

35.48%

40.32%

61.29%

67.74%

Employee Satisfaction Survey

Community rated

Paid Time Off vs. Sick Time

Pregnancies

Directly associating any savings with the program

58% 27%

7% 6% 1% 1%

Sources of Employers' Health Related Costs

Presenteeism

Medical

Absenteeism

Short-TermDisability

Source: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D. Chenoweth, SHRM 2012

Risk Condition Absenteeism Presenteeism Total %

Depression 2.61% 14.51% 23.20%

Overweight/Obesity 1.40% 8.30% 9.7%

Cigarette Smoking 2.84% 4.78% 7.62%

High Blood Pressure 0.37% 5.70% 6.07%

Physical Inactivity .28% 4.59% 4.87%

Source: Promoting Well-Being, Wellness Strategies to Improve Health, Performance and the Bottom Line, D. Chenoweth, SHRM 2012

When comparing the peer-reviewed research costs associated with risks and presenteeism costs to the Healthy Small Business population, the following savings were shown:

Fewer Smokers: $22,336

Reduced Obesity: $10,009

Total: $32,345

Cost of the Program: $26,437

Cost estimated for non grouping employers was $160-$540 per employee per year for businesses employing 10-72 employees.

Cost estimated for grouping employers was $150 per employee per year.

Preliminary results show actual costs for grouping employers to be $137.62 per employee per year.

Current Contracts

(4) Returning Businesses

Project Dissemination

Mentorship

Technical Assistance to NYS Contractors

NYSACHO

HP Live Webinar

Alternative Funding Sources

Contact Information Carol Zimmerman (315)261-4760 ext 223 carol@gethealthyslc.org Ann Marie Snell (315)261-4760 ext 222 anne@gethealthyslc.org