Wellness Wellness at at

Work Work

Lorain CountyLorain County

HHeart eart EEducation, ducation, AAwareness, and wareness, and RResource esource TTeameamConducted through the Lorain County General Health DistrictConducted through the Lorain County General Health District

Why Worksite Wellness? Why Worksite Wellness?

Well-designed worksite health Well-designed worksite health promotion interventions can have promotion interventions can have an enormous impact on disease an enormous impact on disease prevention and control, which can prevention and control, which can result in significant savings in result in significant savings in healthcare spending. healthcare spending.

Approximately 82% of the US Approximately 82% of the US population is employed, a population is employed, a dependent, or a retiree; and, dependent, or a retiree; and, employers provide health care employers provide health care coverage to roughly 70% of coverage to roughly 70% of employees.employees.

Chapman, L. 2002 Proof PositiveChapman, L. 2002 Proof Positive

Overall, $1.4 trillion is spent Overall, $1.4 trillion is spent annually on health care in annually on health care in the U.S. - that's $3.8 billion the U.S. - that's $3.8 billion a day.a day.

David Hunnicutt, CEO, Wellness Councils of America David Hunnicutt, CEO, Wellness Councils of America

The Bottom LineThe Bottom Line

Unhealthybehaviors

Health risks

Chronicdisease

Health carecosts

Health promotion programs help to:Health promotion programs help to:

prevent chronic diseases, prevent chronic diseases, reduce sickness-related absenteeism, reduce sickness-related absenteeism, and increase employee productivity, and increase employee productivity, with the long-term potential of reducing with the long-term potential of reducing

overall health care costs. overall health care costs.

Reasons employers give forReasons employers give forinstituting health promotion programsinstituting health promotion programs

Improve employee morale (77%) Improve employee morale (77%)

Retain good workers (75%)Retain good workers (75%)

Attract good employees (67%)Attract good employees (67%)

Improve productivity (64%)Improve productivity (64%)

Attracting superlative workers in a competitive global Attracting superlative workers in a competitive global marketplacemarketplace

Reducing absenteeism/lost timeReducing absenteeism/lost time Improving on-the-job decision-making and time utilization Improving on-the-job decision-making and time utilization

(reduced “presenteeism”)(reduced “presenteeism”) Improving employee morale and fostering stronger Improving employee morale and fostering stronger

organizational commitmentsorganizational commitments Reducing organizational conflict by building a reservoir of Reducing organizational conflict by building a reservoir of

good-will toward management; good-will toward management; Reducing employee turnoverReducing employee turnover

Chapman LS. Chapman LS. Proof Positive: An Analyses of the Cost-Effectiveness of Worksite WellnessProof Positive: An Analyses of the Cost-Effectiveness of Worksite Wellness . 4th ed. . 4th ed. Seattle, WA: Summex Corporation; 1999. Seattle, WA: Summex Corporation; 1999.

Benefits to EmployerBenefits to Employer

Benefits to EmployeeBenefits to Employee

Improving their physical strength, stamina, Improving their physical strength, stamina, and general wellbeing and general wellbeing

Improving their focus at workImproving their focus at work Increasing job satisfaction and fostering a Increasing job satisfaction and fostering a

positive outlook on life positive outlook on life Bettering relations with co-workers and Bettering relations with co-workers and

supervisorssupervisors

Chapman LSM. Clearing Up the Productivity “Fog”. Chapman LSM. Clearing Up the Productivity “Fog”. The Art of Health Promotion The Art of Health Promotion 1999; 1999; 3 (5): 3 (5): 1-121-12..

Return On InvestmentReturn On Investment

““The data supporting the claim that health The data supporting the claim that health promotion programs can reduce medical promotion programs can reduce medical care costs and reduce absenteeism is of care costs and reduce absenteeism is of higher quality than the data most higher quality than the data most businesses have to support other businesses have to support other investments of similar cost.”investments of similar cost.”

Michael O’Donnell, Editor in Chief & President, Michael O’Donnell, Editor in Chief & President, American Journal of Health PromotionAmerican Journal of Health Promotion

Evidence of financial ROIEvidence of financial ROI

The indirect costs (e.g., absenteeism, The indirect costs (e.g., absenteeism, presenteeism) of poor health can be presenteeism) of poor health can be two to three times the direct medical two to three times the direct medical costs.costs.

  Edington DW, Burton WN. Health and productivity. In: McCunney, RJ: A Practical Approach to Occupational and Environmental Medicine. Edington DW, Burton WN. Health and productivity. In: McCunney, RJ: A Practical Approach to Occupational and Environmental Medicine. Philadelphia: Lippincott Williams & Wilkins. 3rd ed. 2003:140-152;Philadelphia: Lippincott Williams & Wilkins. 3rd ed. 2003:140-152;

Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW. The association of medical conditions and presenteeism. J Occup Environ Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW. The association of medical conditions and presenteeism. J Occup Environ Med. 2004;46(6) suppl:S38-S45: Med. 2004;46(6) suppl:S38-S45:

Pelletier B, Boles M, Lynch W. Change in health risks and work productivity over time. J Occup Environ Med.   2004;46(7):746-754: Pelletier B, Boles M, Lynch W. Change in health risks and work productivity over time. J Occup Environ Med.   2004;46(7):746-754:

Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and  presenteeism cost estimates of Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and  presenteeism cost estimates of certain physical and mental health conditions affecting U.S. Employers. J Occup Environ Med. 2004;46(4):398-412;certain physical and mental health conditions affecting U.S. Employers. J Occup Environ Med. 2004;46(4):398-412;

Productivity losses related to personal Productivity losses related to personal and family health problems cost U.S. and family health problems cost U.S. employers $1,685 per employee per employers $1,685 per employee per year, or $225.8 billion annually.year, or $225.8 billion annually.

Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the United States: results from the American productivity audit. J Occup Environ conditions in the United States: results from the American productivity audit. J Occup Environ

Med. 2003;45(12):1234-124Med. 2003;45(12):1234-124; ;    

A meta-review of 42 published studies of worksite A meta-review of 42 published studies of worksite health promotion programs shows:health promotion programs shows:

Average 28% reduction in sick leave Average 28% reduction in sick leave absenteeism absenteeism

Average 26% reduction in health costs Average 26% reduction in health costs Average 30% reduction in workers' Average 30% reduction in workers'

compensation and disability management claims compensation and disability management claims costs costs

Average $5.93-to-$1 savings-to-cost ratioAverage $5.93-to-$1 savings-to-cost ratio

Chapman LS. Meta-evaluation of worksite health promotion economic return Chapman LS. Meta-evaluation of worksite health promotion economic return studies. The Art of Health Promotion. 2003;6(6):1-16.studies. The Art of Health Promotion. 2003;6(6):1-16.

Healthy Workforce 2010Healthy Workforce 2010

A review of 73 published studies A review of 73 published studies of worksite health promotion of worksite health promotion programs shows an average programs shows an average $3.50-to-$1 savings-to-cost ratio $3.50-to-$1 savings-to-cost ratio in reduced absenteeism and in reduced absenteeism and health care cost.health care cost.

Aldana SG. Financial impact of healthAldana SG. Financial impact of health promotion programs: a promotion programs: a

comprehensive review of the literature. American Journal of Health comprehensive review of the literature. American Journal of Health Promotion. 2001;15(5):296-320; Promotion. 2001;15(5):296-320; www.prevent.orgwww.prevent.org

How do you determine ROIHow do you determine ROI

Presenteeism cost = 1.8 × annual health Presenteeism cost = 1.8 × annual health care costcare cost

Absenteeism cost = .2 × annual health Absenteeism cost = .2 × annual health care costcare cost

The WellSteps ROI calculator can tell you The WellSteps ROI calculator can tell you how much your organization is spending how much your organization is spending on each of these costs. on each of these costs.

To use the ROI calculator click on the To use the ROI calculator click on the “Tools” link at “Tools” link at www.wellsteps.comwww.wellsteps.com

www.cdc.gov/nccdphp/dnpa/hwi/www.cdc.gov/nccdphp/dnpa/hwi/program_design/cost_calculators.htmprogram_design/cost_calculators.htm

Cost Calculators

Common Characteristics Common Characteristics

of Successfulof Successful ProgramsPrograms

Seven Benchmarks to Worksite WellnessSeven Benchmarks to Worksite Wellness

Establishing senior level supportEstablishing senior level support Building wellness teamsBuilding wellness teams Collecting data Collecting data Writing an operating planWriting an operating plan Choosing interventionsChoosing interventions Creating supportive environmentsCreating supportive environments Evaluating outcomes Evaluating outcomes

Small BusinessSmall Business

1. Capturing CEO Support1. Capturing CEO Support2. Designating a Company Wellness Leader2. Designating a Company Wellness Leader3. Conducting an Employee Health Interest Survey3. Conducting an Employee Health Interest Survey4. Providing an Opportunity for Health Screening4. Providing an Opportunity for Health Screening5. Administering an Annual Physical Activity Campaign5. Administering an Annual Physical Activity Campaign6. Holding a Healthy Eating In-service/Lunch ‘n Learn6. Holding a Healthy Eating In-service/Lunch ‘n Learn7. Establishing an In-house Wellness Library7. Establishing an In-house Wellness Library8. Disseminating a Quarterly Health Newsletter8. Disseminating a Quarterly Health Newsletter9. Implementing Healthy Policies and Procedures9. Implementing Healthy Policies and Procedures10. Supporting Community Health Efforts10. Supporting Community Health Efforts

Chronic Disease: The DataChronic Disease: The Data

Actual underlying causes of death in 2000 Actual underlying causes of death in 2000 were:were:

tobacco use tobacco use poor dietpoor diet physical inactivityphysical inactivity high alcohol consumption high alcohol consumption

(CDC Fact Sheet: Actual Causes of Death in the US, 2000)(CDC Fact Sheet: Actual Causes of Death in the US, 2000)

Health promotion interventions…Health promotion interventions…

increase awareness & knowledge,increase awareness & knowledge, change behavior,change behavior, influence environmental and policy changes influence environmental and policy changes

… …to improve employee health. to improve employee health.

AwarenessAwarenessEducationEducation

BehavioralBehavioralInterventionsInterventions

EnvironmentalEnvironmentalPolicyPolicy

Health EducationHealth Education

Employee surveyEmployee survey

Wellness index Wellness index

Nutrition Messages Nutrition Messages

Nutritional labelingNutritional labeling

Live Healthy Lorain Live Healthy Lorain County Web-siteCounty Web-site

Healthy Ohio Healthy Ohio Worksite AwardWorksite Award

Physical Activity Physical Activity

Lorain County WalksLorain County Walks

Nutrition Nutrition

Snackwise Snackwise

Smoking Cessation Smoking Cessation

Ohio Quit-line Ohio Quit-line

ResourcesResources

Health screeningsHealth screenings

ClassesClasses

Mapped walking pathsMapped walking paths

Stairwell Stairwell Enhancement Enhancement

Workplace Policies: Workplace Policies:

FoodFood

Smoke-freeSmoke-free

Seat beltSeat belt

Breast feeding Breast feeding

Emergency Emergency Preparedness Preparedness

Sources Sources

New York City Department of Health and Mental New York City Department of Health and Mental Hygiene – Wellness at Work - www.nyc.govHygiene – Wellness at Work - www.nyc.gov

Wellness Councils of America - www.welcoa.orgWellness Councils of America - www.welcoa.org Center For Disease Control and Prevention- Center For Disease Control and Prevention-

Healthier Worksite InitiativeHealthier Worksite Initiative – – Cost CalculatorsCost Calculators www.cdc.gov/nccdphp/resources/calculator.htmwww.cdc.gov/nccdphp/resources/calculator.htm

Partnership for Prevention -Partnership for Prevention - www.prevent.orgwww.prevent.org Healthy Workforce 2010Healthy Workforce 2010 Wellsteps – www.wellsteps.comWellsteps – www.wellsteps.com Healthy Ohio - www.healthyohioprogram.orgHealthy Ohio - www.healthyohioprogram.org

Find this information on …Find this information on …

www.livehealthyloraincounty.comwww.livehealthyloraincounty.com

www.loraincountyhealth.comwww.loraincountyhealth.com

Alliance for the Healthiest Nation

www.healthiestnation.orgwww.healthiestnation.org