dcboh ppt ah md 7-25-16 10 am

Professor Michael Dalmatand

Clayton State University Master in Health Administration StudentsAfua HarrisTeam Lead

Ayrton Azcue Sharlanda Gunn Michelle Robinson

Louetta Cody Thythyanna Heard Kade Smith

Lakeshia Duffie Ciaran Lane Iina Valtonen

Chelsie Duncan Olamide Osunro Elexander Williams

Sierra Finnie Siddhant Patel

Employee Wellness Project

THANK YOUFOR YOUR COLLABRATION AND SUPPORT

Dr. FordDr. Richmond

Health Assessment and PromotionHuman Resources

Employee Wellness Committee

Purpose of the ProjectSource: Scope of Work signed January 28, 2016

“To develop a framework for the further development of an effective and sustainable employee worksite wellness program for employees of the DeKalb County Board of Health.”

Wellness

“Health is a state of complete physical, mental and social well-being and not

merely the absence of disease or infirmity.”

Source:

Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.

We used the CDC Worksite Health ScoreCard for guidance

Benefits of Employee Wellness Programs

• Fewer sick days.• Higher productivity when working: individuals, teams.• Higher morale.• Lower turnover / longer retention.• Reduced health insurance premiums.• Reduced worker’s compensation insurance premiums paid.• Positive branding: recruitment, retention, partners, public.• Return on investment from $1 to $6 for every dollar spent within

3 to 5 years.

Source:Berry LL, Mirabito AM, Baun WB. What’s the Hard Return on Employee Wellness Programs. Harvard Business Review. December 2010: https://hbr.org/2010/12/whats-the-hard-return-on-employee-wellness-programs. Retrieved 2-15-16.

https://hbr.org/2010/12/whats-the-hard-return-on-employee-wellness-programs

Overview of Methods

Employee♥ Demographics♥ Zip Codes

Employer

♥ Business environment♥ Health plan benefits♥ Organization of the EWP

Employee♥ Health conditions♥ Commitment to wellness activities♥ Preferred location♥ Willingness to $

Community Resources

Recommendationsfor Employer

♥ Practical / feasible♥ Sustainable♥ Accepted formally

RecommendationsAccepted / Rejected

Steps in the Project

1. Employee demographics to identify cohorts.2. Used OASIS mortality data to identify possible health conditions for

these cohorts.3. Incorporated these possible health conditions in the Qualtrics Survey.4. Conducted survey.5. Reviewed current Employee Wellness activities identified by DCBOH.6. Conducted 7 Key Informant Interviews with members of the

Employee Wellness Committee.7. Analyzed the Survey and Key Informant Interview data.8. Used the information to identify recommendations.9. Identified community resources and potential partners.10. Developed and presenting the Report to DCBOH leadership.

DCBOH Full Time Employee (315) Demographics Spring 2016The Cohorts We Focused on Represent 96.8% of DCBOH FT Employees

Source: DCBOH Human Resources

Age Groups

Women Men BOTHGENDERS

African American

#

White#

Hispanic#

Asian#

Other#

TOTAL African American

#

White#

Asian#

TOTAL # %

# % # %

20-24 1 1 2 0.63 1 1 0.3 3 1.025-29 24 2 1 27 8.6 3 1 4 1.3 31 9.830-34 25 3 1 3 32 10.2 3 1 1 5 1.6 37 11.835-39 33 2 3 1 39 12.4 4 1 5 1.6 44 14.040-44 27 1 2 30 9.5 3 2 5 1.6 35 11.145-49 26 1 1 2 30 9.5 8 2 10 3.2 40 12.750-54 42 1 4 1 48 15.2 3 3 1.0 51 16.255-59 27 4 2 3 1 37 11.8 4 3 7 2.2 44 14.060-64 14 4 18 5.7 4 1 5 1.6 23 7.365-69 5 5 1.6 2 2 0.6 7 2.2

Number 223 18 12 9 6 268 85.1 35 11 1 47 14.9 315 100.0

Top 10 Causes of Death in Georgia, 2010-2014, Women and Men 25-64 (All Races/Ethnicities ~ 96.6% of DCBOH FT Employees)

Age-adjusted per 100,000 Population Source: OASIS, https://oasis.state.ga.us

RANK of Disease

% of FT DCBOH Employees by Cohort

25-34 (21.6%) 35-44 (25.1%) 45-54 (28.9%) 55-64 (21.30%)

1 Motor Vehicle Crashes1,023

Accidental Poisoning/ Exposure to Noxious Substances - 1,112

Ischemic Heart & VascularDisease - 3,353

Ischemic Heart & VascularDisease - 6,559

2Accidental Poisoning/ Exposure to Noxious

Substances - 966Suicide - 982 Cancer of the Trachea,

Bronchus, and Lung – 1,929Cancer of the Trachea,

Bronchus, and Lung – 5,257

3 Suicide - 929Ischemic Heart & Vascular

Disease - 884Hypertension & Hypertensive

Renal & Heart Disease – 1,504Hypertension & Hypertensive

Renal & Heart Disease – 2,659

4 Homicide - 823Motor Vehicle Crashes

861Accidental Poisoning/ Exposure to Noxious Substances - 1.358

COPD except Asthma2,555

5 HIV - 266Hypertension &

Hypertensive Renal & Heart Disease – 567

Suicide – 1,283 Cerebrovascular Disease2,210

6 Other Diseases of theNervous System - 195 Homicide - 494 Cerebrovascular Disease

1,159 Diabetes Mellitus – 2,068

7 Ischemic Heart & Vascular Disease - 185 HIV - 467 Diabetes Mellitus – 1,107 Cancer of the Colon, Rectum,

and Anus - 1,634

8Hypertension &


Cerebrovascular Disease411 Breast Cancer – 1,003 Breast Cancer – 1,498

9 Diabetes Mellitus - 132 Breast Cancer - 382 Motor Vehicle Crashes - 918 Septicemia – 1,218

10Other Endocrine,

Nutrition, & Metabolic Diseases - 132

Diabetes Mellitus - 379 Cancer of the Colon, Rectum, and Anus - 918

Nephritis, Nephrosis, etc. – 1,123

https://oasis.state.ga.us/

Top 10 Causes of Death in Georgia, 2010-2014, Women and Men 25-64(African Americans ~ 81.9% of FT Employees)

Age-adjusted per 100,000 Population Source: OASIS, https://oasis.state.ga.us

RANK of Disease

% of FT DCBOH Employees by Cohort

25-34 (17.5%) 35-44 (.1.4%) 45-54 (25.1%) 55-64 (15.6%)

1 Homicide619 HIV- 373 Ischemic Heart & Vascular

Disease – 1,155Ischemic Heart & Vascular

Disease – 2,122

2Motor Vehicle Crashes

332Ischemic Heart & Vascular

Disease - 367Hypertension & Hypertensive Renal & Heart Disease – 816

Cancer of the Trachea, Bronchus, and Lung – 1,489

3 HIV - 229Homicide - 333 Cerebrovascular Disease

612Hypertension & Hypertensive

Renal & Heart Disease – 1,409

4 Homicide - 823Hypertension &


Cancer of the Trachea, Bronchus, and Lung – 562

Cerebrovascular Disease1,036

5Accidental Poisoning & Exp0sure to Noxious

Substances - 106

Motor Vehicle Crashes299 Diabetes Mellitus - 522 Diabetes Mellitus - 961

6 Ischemic Heart & Vascular Disease - 91

Cerebrovascular Disease239

HIV512 Cancer of the Breast - 607

7 Other Diseases of the Nervous System - 85 Cancer of the Breast - 204 Cancer of the Breast - 451 Cancer of the Colon, Rectum,

and Anus - 602

8Hypertension &


Diabetes Mellitus - 192 Cancer of the Colon, Rectum, and Anus - 393

Nephritis, Nephrosis, etc.591

9 Diabetes Mellitus - 73 Suicide - 155 Motor Vehicle Crashes - 292 Septicemia – 483

10Other Endocrine,

Nutrition, & Metabolic Diseases - 65

Accidental Poisoning & Exp0sure to Noxious

Substances - 143

Nephritis, Nephrosis, etc. – 289 COPD Except Asthma425

https://oasis.state.ga.us/

About the Qualtrics Survey• Qualtrics randomly assigns a randomized identification number to

each respondent which provides anonymity and confidentiality.• To further protect anonymity and confidentiality, we did not do 3-

way analyses with age, gender, and race/ethnicity.• We were told that the Qualtrics Survey was distributed to 315 Full

Time DCBOH employees—as it turns out, some part time employees also completed the Survey.

• The response rate was approximately 44%.• A $75 incentive was offered to the unit with the highest response

rate above 80%--we were not able to identify if any single unit achieved 80+%.

• Instead, we are gifting $150 to the Employee Wellness Committee in support of the Program.

• We will present information about areas of:• LOW CONCERN• HIGH CONCERN

Where DCBOH Employees Live and Work

T

Please select your age range (n=141)

43 (30.5%)

48 (34.0%) 49 (34.8%)

1 (<1%)

25-34 years of age

35-49 years of age

50-64 years of age

60 or more years of age

Please select your gender(n=140)

132 = 94%

8 = 6%

Female Male

How Would You Rate Your Health?

Answer % CountExcellent 8.00% 12Very good 32.67% 49Good 46.67% 70Fair 11.33% 17Poor 1.33% 2Total 100% 150

46.67% 70

11.33% 17

1.33% 2

Have You Been Told By A Medical Professional That You Have Any Of The Following Health Conditions

(n=103)

1%1%3%6%

14%14%16%20%

45%

61%

Overw

eight

/

Obese High

Bloo

d Pr

essu

re

Pre-

diabe

tes/

Diabet

es Other

High B

lood

Chole

stero

lAn

xiety

/Dep

ress

ion/

Emoti

onal

Cond

ition

s STI

Chro

nic re

spira

tory

cond

ition

s

Canc

erHea

rt Dise

ase/

Stro

ke

Do You Have a Family History of Any of these Health Conditions? (n=98)

69%

54%

17% 17%14%

10% 8% 7%

Emotional/ mental disorder

Cardio-vascular disease

Endocrine disease

Alcoholism OtherCancer Drug abuse

Blood disease

In The Last 12 Months, Have You and A Health Professional Discussed The Following Behavioral Risk Factors

(n=103)

Diet & Nutrition

Physical activity

Weight

Smoking

Substance abuse

Sleep

Stress

Anxiety/Depression

Alcohol consumption

Medication misuse

Acid reflux

Other

65%

68%

61%

6%2%

28%

46%21%

6%

1%1%

15%

9%

Thoughts of self-harm/suicide

No

Yes 59

80

Are you currently receiving treatment for any of these conditions by a physician or any other Health Care professional? (Specify condition you are being treated for)

High Blood Pressure

(28)

Diabetes(8)

DepressionAnxiety

PTSD(3)

Asthma(3)

High Cholesterol

(2)

HIV(2)

Glaucoma(2)

Polycystic Ovarian

Syndrome(2)

Multiple Sclerosis

(1)

STI(1)

Hypothyroid(1)

Vitamin D(1)

CURRENTLY RECEIVING MEDICAL TREATMENT FOR DIAGNOSIS

Do You Consider Yourself (n=140)

Right Weight

Overweight

Underweight

Obese

36.43%

51.43%

10.71%

1.43%

Are You Currently Trying To Lose Weight? (n=142)

Yes No Trying to gain weight

74.65%

21.83%

3.52%

What Is Your Energy Level Throughout The Day? (n=145)

High Moderate low

11.03%

76.55%

12.41%

Are you currently physically active? (n=141)

Yes No

63.25%

34.75%

Are you currently trying to lose weight?

Yes, trying to lose weight

No, not trying to lose

weightNo, trying to gain weight Total

Yes 67 48.20% 18 12.9% 5 3.59% 90Are you currently physically active? (Do you exercise?)

No37 26.61% 12 8.63% 0 49

Total 104 30 5 139

Employees who are trying to lose weight and are physically active (n = 139)

If You Are Not Currently Active, Why? (n=112)

Does not apply

Lack of time

Feel tired

Other

No convenient exercise facility

No sidewalks

Feel self conscious

Afraid of getting hurt

Not interested

37%

33%

28%

14%

4%

2%

3%

9%

7%

Lack of money

I have the time, but haven't

exercised

Exercise programs not geared to my

interest

No sitter

I have about given up

All kinds of excuses

Streets around my house are not safe for bike riding

I use my 15 minutes wellness time at work, I wish I could have more

Pain keeps me from walking as much as I would like

During The Last 7 Days, How Many Times Did You Do The Following Exercises (n=147)

Mean No. of Days (n=147)

4.86

0.44 0.43 0.42 0.39 0.28 0.270.06 0.01

swim

min

g

Stre

tchi

ng/

yoga

Wei

ght l

iftin

g

Stai

rmas

ter

Oth

er

Runn

ing

/jogg

ing

Grou

p ex

erci

se

Bicy

clin

g

Wal

king

Basketball Mountain Climbing

Yard Work/Gardening

Jump Rope Tai-Bo/ Zumba

Exercise DVD

Wii Game Dance Chasing Toddler

Mowing Lawn

Flag Football Boxing

Other Physical Activities

How Many 8 oz. Glasses Of Water Did You Drink Yesterday At Work? (n=140)

7.86%

45.00%

32.86%

14.29%

0 1 to 3 4 to 7 8 or more

Do You Utilize The Water Filter Systems That DCBOH Provides At Your Location? (n=146)

84.93%

15.07%

No Yes

How Many Half-cup Servings Of Fruits and Vegetables Did You Eat Yesterday? (n=145)

9.66%

20.69%

27.59%

20.69%

11.72%9.66%

0 servings 1 serving 2 servings 3 servings 4 servings 5 or more servings

How Many Times Did You Eat Fast Food In The Last Seven Days?(n=127)32.28%

28.35%30.71%

6.30%

2.36%

0 times Once 2 to 4 times 5 to 7 times 8 or more times

How Many Times A Week Do You Have A Home-prepared Lunch? (n=144)

11.11%9.03%

27.78%

32.64%

19.44%

0 days 1 day 2 to 3 days 4 to 5 days 6 to 7 days

How Many Times Did You Eat Yesterday? (Including Snacks.) (n=145)

26.21%

54.48%

17.93%

1.38%

Once or twice

3 to 4 times 5 to 6 times 7 or more times

During the last month, how many times did you take off from work due to:

Question 1-2 days 3 or more days Total

Other 69.5% 16

30.4% 7 23

Your own illness

38 6 44

Illness in the family

32 5 37

Which of the following employee wellness offerings are available at your DCBOH location? (n=143)

74.13%

61.54%

45.45%

27.27%

9.09% 7.69% 6.99%

30 Min. Wellness

Break

Fitness ActivitiesClasses

PreventativeServices

Healthy Snack Club

In Break Room

Coping w/ stress ex.SupportGroup

None Other

Working in WIC we can't take advantage of

wellness breaks

I do not get wellness. Unfortunately, after my first year working here I was told that wellness was a privilege and that the supervisor had to confirm it. I was taken off

of wellness.

NONE. CSHC DOESNT OFFER FITNESS OR WELLNESS CLASSES LIKE THE OTHER CENTERS NOR DO WE HAVE THE PROPER EQUIPMENT OR SPACE . THERE ARE NO HEALTHY MEAL OPTIONS IN THE BUILIDING OR HEALTHY RESTURANTS TO GO TO IN THE AREA. SUPPORT FOR PERSONAL ISSUES ARE NOT OFFERED. "WELLNESS ACTIVITY BREAK" DOESNT EXISIT STAFF DOESNT HAVE TIME

I work part time. So, I don't know if

this is offered to me unlike the full time

employees

The 30 Minute Wellness is offered but unfortunately left up to the discretion

of the supervisors that do not allow the time to be taken

15 wellness time when clinic flow allow.

CLASSES ARE NOT OFFERED AT MY CENTER

Which Of The Following Employee Wellness Activities Have You Ever Participated In? (n=139)

52.52%

30.22%28.06% 28.06%

17.99%

4.32%2.16%

30 Min.Wellness

Policy Break


Fitness Activities/

Classes

None Healthy Snack Club

None OoOther

Which of the following employee wellness activities would you participate if they were offered? (n=128)

63%

6%

56%

47%

40%

34%

4%

30 Min.WellnessBreak

Fitness Activities/

Classes

Healthy SnackClub

Coping with

Stress


None Other

Did you get a flu vaccination this flu season? If not, please specify why. (n=138)

55.07%

44.93%

Yes

No

No health insurance

I don't want itMakes me sick

It's most important for the very young and very old - i am still young and healthy and have a

good immune system

Forgot to get one Allergic reaction

I do not see the point in getting the flu shot when it doesn't protect against

all strains of the flu

Did not need it.

Which of the following wellness activities would you commit to use on a regular basis at or near your home,

or at or near the office? Question At or near home At or near office

Walking 90.40% 113 63.20% 79

Yoga 74.19% 46 66.13% 41

Nutrition class 70.59% 48 77.94% 53

Cooking class 81.54% 53 75.38% 49

Weight management

83.54% 66 74.68% 59

Exercise classes

87.88% 87 69.70% 69

Smoking cessation

85.71% 6 71.43% 5

Stress reduction

76.12% 51 79.10% 53

Self-defense classes

79.31% 46 79.31% 46

Continued

Question At or near home

At or near office

Healthy snack room

47.76% 32 89.55% 60

Support group 61.11% 22 72.22% 26

Driver safety classes

74.07% 20 77.78% 21

If low-cost exercise and walking programs wereidentified and provided at your health center for your

participation, how much would you be willing to pay out of pocket monthly to attend these sessions? (n=137)

Answer % Count$0 dollars 27.74% 38$1 - $9 dollars 27.01% 37$10 - $14 dollars 21.90% 30$15 - $19 dollars 10.22% 14$20 - $24 dollars 8.76% 12$25 or more dollars 4.38% 6Total 100% 137

Are you covered by health insurance through DCBOH or another source of insurance?

n (health)=142n (dental)=136n (vision) =129

71%67%

56%

20%15%

13%9%

18%

30%

DCBOH Other No

Insurance Plan Coverage Comparisons for the Most Prevalent Employee Diseases

DISEASE(S) % BCBS GOLD BCBS SILVER BCBS BRONZE BCBS HMOCANCER .97%

HEART DISEASE/STROKE .97%

HIGH CHOLESTEROL 14.56%

DIABETES/PRE- DIABETES 20.39%

HIGH BLOOD PRESSURE/BORDERLINE HIGH BLOOD PRESSURE45.63%

CHRONIC RESPIRATORY DISEASE 2.01%

All diseases listed on this slide are covered under plans medical benefits



For all diseases listed on this slide:Office Visits and Physician Services: Primary Care Provider (PCP)/ Specialty Care Provider (SCP) $25 Co-payment | Outpatient Facility Services $25 Co-payment (Cardiac Rehabilitation Benefit Maximum 40 visits per Benefit Period)


DISEASE(S) % UNITED HEALTHCARE HMO

UNITED HEALTHCARE HDHP

KAISER PERMANENTE HMO

CANCER .97%

HEART DISEASE/STROKE .97%

HIGH CHOLESTEROL 14.56%

DIABETES/PRE- DIABETES 20.39%

HIGH BLOOD PRESSURE/BORDERLINE HIGH BLOOD PRESSURE45.63%

CHRONIC RESPIRATORY DISEASE 2.01%

All diseases listed on this slide are covered at 80% after the annual deductible

All diseases listed on this slide are covered at 70% after annual deductible in network; out-of-network is not covered

All diseases listed on this slide are covered by plan.


SCREENING & OTHER BENEFITS

BCBS GOLD BCBS SILVER BCBS BRONZE BCBS HMO

NUTRITIONAL COUNSELING PCP & SPECIALISTS

________________NUTRITIONALCOUNSELINGBENEFIT MAXIMUM

________________BREAST CANCER SCREENING

0% Co-insurance No Deductible (In-network & out-of-network)_________________Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime by a Registered Dietitian_________________Covered under the medical benefits of the health plan & under Preventative Care services.

0% Co-insurance No Deductible (In-network & out-of-network)________________Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime by a Registered Dietitian________________Covered under the medical benefits of the health plan & under Preventative Care services.

0% Co-insurance No Deductible (In-network & out-of-network)_________________Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime by a Registered Dietitian_________________Covered under the medical benefits of the health plan & under Preventative Care services.

0% Co-insurance No Deductible

_________________Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime by a Registered Dietitian_________________Covered under the medical benefits of the health plan & under Preventative Care services.



UNITED HEALTHCARE HMO



NUTRITIONAL COUNSELING PCP & SPECIALISTS

________________BREAST CANCER SCREENING

100% after the annual deductible in-network and out-of-network covered.

_________________Included in preventative care 100%

100% after the annual deductible in-network and out-of-network covered.

________________Included in preventative care 100%

Office visits for the medical treatment of morbid obesity/ Nutritional assessment and counseling. Behavioral assessment and counseling/Very low calorie diets or meal-replacement plans provided by plan

_________________Covered by plan




STD SCREENING Covered under the medical benefits of the health plan.

Covered under the medical benefits of the health plan.


0% Deductible, or Coinsurance, No Co-payment| 0% Deductible or Co-insurance No Co-payment | Preventive Care is given during an office visit or as an outpatient. Screenings and other services are covered for adults and children with no current symptoms or history of a health problem If you or another covered family member have diabetes, the Personal Health Coach can help you better manage your health and follow your doctor’s care plan




COLONOSCOPY SCREENING

DIABETES SCREENING

Covered under Preventative Care Benefits

Offered through the Wellbeing Program





0% Deductible, or Coinsurance, No Co-payment. 0% Deductible or Co-insurance No Co-payment. Preventive Care is given during an office visit or as an outpatient. Screenings and other services are covered for adults and children with no current symptoms or history of a health problem. If you or another covered family member have diabetes, the Personal Health Coach can help you better manage your health and follow your doctor’s care plan




NUTRITIONAL COUNSELING

Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime




NUTRITIONAL COUNSELING-BENEFIT MAXIMUM

Nutritional Counseling Benefit Maximum: 3 visits per medical condition per lifetime by a registered dietitian.



n/a

MENTAL HEALTH & SUBSTANCE ABUSE SERVICES

15% Co-insurance after deductible






UNITED HEALTHCARE HMO



STD SCREENING Covered under the medical benefits of the health plan.



COLONOSCOPY SCREENING

100% under Physician’s office services

100% coverage Covered under the medical benefits of the health plan.

DIABETES SCREENING

100% under Physician’s office services

100% coverage Covered under the medical benefits of the health plan.

NUTRITIONAL COUNSELING

100% after the annual deductible in-network and out-of-network

100% after the annual deductible in-network and out-of-network

Office visits for the medical treatment of morbid obesity. Nutritional assessment and counseling. Behavioral assessment and counseling. Very low calorie diets or meal-replacement plans included in benefits

MENTAL HEALTH & SUBSTANCE ABUSE SERVICES



Outpatient coverageMental Behavioral -15% Individual$7 Group, Substance Abuse $15 Individual, $5 GroupInpatient covered -100%

Total Hours Worked In A Week (n=150)

How many total hours do you workin a week (for this joband all other jobs...

Percentage

Less than 10 hours 4.00%

10 to 20 hours 4.00%

21 to 40 hours 52.00%

41 to 60 hours 36.67%

More than 61 hours 3.33%

Total 100.00%

Employees Working More Than 1 Job(n=146)

14.4%

85.6%

yes

no

How would you rate your-work related stress? (n=142)

29.5%

49.3%

21.1%

Low Moderate High

How does the stress you experience at work affect you?(n=135)

A little and does not disrupt my personal life

Little and disrupts some of my personal life

A lot and is a major disruption of my personal life

58%

34%

8%

Have you experienced any of the following for 2 weeks or more? (n=106)

54%

39% 38%38% 36% 35%32%

27%21%

17% 16%

DecreasedEnergy

Insomnia Headaches Tension Lack of Motivation

Anxiety Worry DifficultyConcentrating

ShortTempered

Oversleeping

HopeLessness

During the last week, how many days did you get 6 or fewer hours of sleep?(n=138)

20%

15%

34%

30%

0 Days 1 Day 2 to 3 Days 4 or more Days

Do you currently smoke? (If yes, how many years have you been a smoker?)

Answer % Count

Yes 0.00% 0

No 98.56% 137

I am quitting 1.44% 2

Total 100% 139

How many times per week do you consume 4 or more alcoholic beverages in a 2-hour period?Answer % Count

0 times 92.86% 130

1 to 2 times 6.43% 9

3 or more times 0.71% 1

Total 100% 140

If low-cost exercise and walking programs were identified and provided at your health center for your participation, how would you prefer to pay?Answer % Count

Automatic deduction from paycheck

31.36% 37

Cash donations 68.64% 81

Total 100% 118

If you are a student, please indicate full or part time.

Answer % Count

Full-time 5.93% 8

Part-time 5.19% 7

Not a student 88.89% 120

Total 100% 135

Are you interested in planning, promoting, organizing, and coordinating a DCBOH Employee Wellness Program activity or service at your location?

Answer % Count

Yes 41.61% 57No 58.39% 80

Total 100% 137

Would you like the DCBOH to expand the Employee Wellness Program services and activities, including at your facility?

(n=109)

21%

79%Yes

No

Employee Suggestions for Wellness Program

CompetitionsHave annual wellness competitions between the different health centers, such as a weight loss competition, a steps competition (who walks the most steps), etc.

Discounts

DCBOH should pay for 5K walk registration fees

Subsidies/discount to community YMCA for Employees.

Provide a membership discount to the new LA Fitness close to Richardson


Exercise ProgramsTeam building activities such as dodge ball team, softball team etc.

A fitness center at each location.

Exercise groups, Yoga classes, Zumba

Provide additional lunch time options (like Yoga) for working mothers who may not have time to exercise when they get home. include pay-as-you-go options to increase flexibility of schedule instead of all-or-nothing approach.

Train Dance/Zumba/Fitness/Yoga instructors in each facility so that these sessions can be conducted for free or very low cost.

A television with work-out videos at each location.

Teach chair exercises to do at desk


Healthy EatingHealthy vending snacks and drinks

Nutrition classes/cooking classes/class on putting together healthy meals/meal prep class

Healthy snack club in break room

Weight Watchers at Work

Mobile Farmer's Market weekly or bi-weekly site visit

Blender, juicer, ninja in breakrooms for employees

Different Health lunch vendors

Employee Suggestions for Wellness ProgramStress Management

Offer more stress reduction activities such as Tai Chi, or chair massages onsite once or twice a month.

Zen/meditation room

Support groups for single parent households

More appreciation and recognition of a job well done by leadership

Email healthy motivational tips and advice to employees.

I would also like to see other activities/hobbies that can help with stress management. Maybe a sewing club or book club. Or sewing classes, knitting, crotchet, painting, etc.

Fill vacant positions more quickly to reduce unrealistic work loads on those left to pick up the slack


Miscellaneous

Block scheduling for clinical staff to participate in wellness breaks

Management to log wellness participation and give incentives

paintings and artwork in stairwells to encourage use

Wellness section on quarterly newsletter

Working showers which are accessible to employees if they need them after working out during lunch or wellness breaks.

Self defense classes

Do not allow smoking (ideally make campus smoke free, or at least designate smoking areas); i don't like to go outside by the tables because it's where employees take their smoke breaks.

A Few Examples of DCBOH Wellness Activities

Walking Clubs (North, East, Richardson)Weight Loss Challenge (North)Gym discounts at 9 Round and Pinnacle Fitness CenterZumba Classes (Richardson)2016 HAP Stairwell Challenge (Richardson)

DeKalb County resources available to you, your family, your co-workers and DCBOH

DeKalb Recreation Centers – 10 LocationsFree Use of Gyms for DeKalb Residents

Browns Mill Recreation Center 5101 Browns Mill Rd, Lithonia 30038 Phone: (770) 492-5453Exchange Recreation Center 2771 Columbia Drive, Decatur 30034 Phone: (404) 687-3430Gresham Recreation Center 3113 Gresham Rd, Atlanta 30316 Phone: (404) 244-4890Hamilton Recreation Center 3263 Chapel St, Scottdale 30079 Phone: (404) 508-7565Lucious Sanders Recreation Center 2484 Bruce Street, Lithonia 30058 Phone: (770) 482-0408Mason Mill Recreation Center 1340-B McConnell Dr, Decatur 30033 Phone: (404) 679-1349Midway Recreation Center 3181 Midway Rd, Decatur 30032 Phone: (404) 294-3150N. H. Scott Recreation Center 2230 Tilson Rd, Decatur 30032 Phone: (404) 687-4071Redan Recreation Center 1839 Phillips Road, Lithonia 30058 Phone: (770) 492-5434Tobie Grant Recreation Center 644 Parkdale Dr, Scottdale 30079 Phone: (404) 508-7594Tucker Recreation Center 4898 LaVista Rd, Tucker 30084 Phone: (770) 270-6226

http://www.mapquest.com/maps?city=Lithonia&state=GA&address=5101+Browns+Mill+Rd&zipcode=30038-2709&country=US&latitude=33.6718&longitude=-84.18086&geocode=ADDRESS

http://www.mapquest.com/maps?address=2771+Columbia+Dr&city=Decatur&state=GA&zipcode=30034&geocode=ADDRESS

http://www.mapquest.com/maps?city=Atlanta&state=GA&address=3113+Gresham+Rd+SE&zipcode=30316-4309&country=US&latitude=33.697841&longitude=-84.303813&geocode=ADDRESS

http://www.mapquest.com/maps?city=Scottdale&state=GA&address=3263+Chapel+St&zipcode=30079-1709&country=US&latitude=33.78657&longitude=-84.256329&geocode=ADDRESS



http://www.mapquest.com/maps?city=Lithonia&state=GA&address=2484+Bruce+St&zipcode=30058-7380&country=US&latitude=33.71479&longitude=-84.09898&geocode=ADDRESS

http://www.mapquest.com/maps?city=Decatur&state=GA&address=1340+McConnell+Dr+Ste+B&zipcode=30033-3540&country=US&latitude=33.807317&longitude=-84.307173&geocode=ADDRESS



http://www.mapquest.com/maps?city=Decatur&state=GA&address=3181+Midway+Rd&zipcode=30032-2815&country=US&latitude=33.75492&longitude=-84.26154&geocode=ADDRESS

http://www.mapquest.com/maps?city=Decatur&state=GA&address=2230+Tilson+Rd&zipcode=30032-6234&country=US&latitude=33.719527&longitude=-84.2988&geocode=ADDRESS



http://www.mapquest.com/maps?address=1839+Phillips+Road&city=lithonia&state=ga&zipcode=30058&country=US

http://www.mapquest.com/maps?city=Scottdale&state=GA&address=644+Parkdale+Dr&zipcode=30079-1411&country=US&latitude=33.79553&longitude=-84.25591&geocode=ADDRESS





http://www.mapquest.com/maps?city=Tucker&state=GA&address=4898+Lavista+Rd&zipcode=30084-4460&country=US&latitude=33.85472&longitude=-84.22115&geocode=ADDRESS



Davidson-Arabia Mountain Nature Preserve and Park – Hiking, Walking, Picnicking

3787 Klondike RoadLithonia, GA 30038

Phone: (770) 484-3060

DeKalb County PoolsPOOLS: Tuesdays- Saturdays Noon - 6pmKittredge 2535 N. Druid Hills Rd., Atlanta GA 30329 (404-679-5925) Gresham 3113 Gresham Rd., Atlanta, GA 30316 (404-244-4937) Lithonia 2501 Park Dr., Lithonia, GA 30058 (770-484-3051) Tobie Grant 644 Parkdale Dr., Scottdale, GA 30079 (404-508-7616)Browns Mill Family Aquatic Center, 4929 Browns Mill Road, Lithonia, GA 30038(770) 323-4179

DAILY ADMISSION and ANNUAL FAMILY FEES (see brochure)

Conclusions WHATLow concerns for your Employees overall:

1. Smoking2. Alcohol consumption

High concerns for your Employees overall:

3. Emotional health—stress, anxiety, sleep, emotional support

4. Weight management--Overweight and obesity, nutrition, physical activity

5. Chronic conditions--hypertension, cholesterol, diabetes, heart disease

RecommendationsHOW1. Make available, and let employees know that they can use DCBOH mental

health and nutritionist services (or the services of their own County if not DeKalb) to help employees cope with stress, anxiety, sleeplessness, support issues, or diet, or refer them to private providers if covered by their insurance plan.

2. Provide training for supervisors about employee stress, anxiety, and poor sleep, and how they can (a) be supportive of their staff and (b) refer staff members for help.

3. Promote and provide incentives to increase vaccination rates, as well as the use of other preventive services (ex., screenings).

4. Reinforce that ALL Centers/Units have the authority to plan, promote, organize, implement, and evaluate their own EWP activities / offerings.

5. Each Center/Unit should have an EWP Team comprised of 2-5 persons who will have responsibility for assessing priorities based on staff input, and planning, organizing, promoting, and orchestrating specific agreed upon EWP activities. One member of the Team will represent the Team as the member of the DCBOH Employee Wellness Committee.

RecommendationsHOW (continued)6. Emphasize “team” activities as these provide the emotional support

sought by employees.

7. Center/Unit and Employee Wellness Committee should promote friendly competitions within and between Centers/Units, including DCBOH-wide recognition for “winners”, “high achievers”, and those “making substantial progress” as Teams and individuals. Incentives and prizes are also valued.

8. The Employee Wellness Committee should arrange for or provide Leadership Training and Assistance in support of Centers’/Units’ EWP Team efforts as requested: assessment of needs and priorities, and the planning, promotion, organization, coordination, & evaluation of activities.

9. Human Resources should provide “EWP Orientation” for all new employees no sooner than 2 months and no later than 3 months after they start working with the DCBOH. This should be customized to review Wellness activities and services covered by their insurance plan.

10.Human Resources should provide an formal “EWP Update” each year before the “Insurance Policy Open Period” to each Center/Unit for existing staff to let them know what is available from the DCBOH and community partners, and what is covered by each insurance policy.

Recommendations

HOW (continued)

11. DCBOH employees who provide WIC services should be able to access Wellness Break time and activities. Try block scheduling so that a block of time can be reserved for Wellness activities on a daily basis.

12.A Wellness Break Policy for part time employees needs to be communicate to all supervisors and employees. Example: persons working 4 hours per day can take a 15-minute Wellness Break.

13.At least 75% or more of all Wellness Break Requests should be approved by all supervisors. To this end, HR should develop an electronic Wellness Break Request System that (a) employees use to request approval from their supervisor for two 15-minute or 1-30 minute break, and that (b) supervisors use to approve/disapprove requests. This metric should be included in the Annual Review of supervisors.

14.Seek State of Georgia financial support and donations from non-profit and for-profit organizations in support of the EWP Program.

Which of these recommendations do you want to consider implementing?

Thank you for the opportunity to work with your wonderful staff in support of

DCBOH Employee Wellness!!!

Questions and Discussion followed by Refreshments and Networking

How many total hours do you work in a week (for this job and all other jobs combined)?

Less than 10 hours

10 to 20 hours

21 to 40 hours

41 to 60 hours

More than 61 hours

Total

Have you been told by a doctor, nurse,

or other health professional that

you had any of the follow...

Borderline high blood pressure or hypertension

1 1 20 24 1 47Overweight / Obese 1 2 26 32 2 63

Diabetes, pre-diabetes or borderline diabetes 1 1 10 7 2 21

High blood cholesterol 1 1 6 6 1 15Cancer 0 0 1 0 0 1

Heart disease / Stroke 0 0 0 1 0 1Sexually Transmitted

Infection 0 0 2 5 0 7

Liver / Kidney conditions 0 0 0 0 0 0Chronic respiratory

conditions 0 0 1 2 0 3Sickle Cell 0 0 0 0 0 0

Anxiety, depression, or other emotional or mental

condition 0 0 6 8 1 15Other 0 0 10 6 1 17

Total 3 2 50 44 4 103

Q6 - Are youcurrently receiving treatment foranyof these conditions by a physician or any other Health Care professional? (Specify condition you are being treated for)

Answer % Count

Yes 42.45% 59

No 57.55% 80

Total 100% 139

In The Last 12 Months, Have You And A Health Professional Discussed The Following Behavioral Risk Factors

(n=103)

68%65%

61%

46%

28%21%

15%8%

6% 6%2% 1% 1%

Phys

ical

activ

ityDiet

&

nutri

tion

Weig

htSt

ress

Sleep

Depre

ssion

Other

Acid

reflu

x

Smok

ing

Alco

hol

cons

umpti

on

Subs

tanc

e abu

se

Depre

ssion

M

isuse

of

med

icatio

n

How would you rate your-work related stress?

How does the stress you experience at work affect you?

Low Moderate High TotalThe stress affects me a

little and does not disrupt my personal life 34 40 4 78

The stress affects me a little and disrupts some of

my personal life 4 27 15 46The stress affects me a lot and is a major disruption

of my personal life 0 0 11 11Total 38 67 30 135

What is your energy level throughout the day?

High Moderate Low Total

Yes 14 9.9% 72 51.0% 6 4.25% 92

Are you currently physically active? (Do

you exercise?)No 2 1.41% 35 24.8% 12 8.51% 49

Total 16 107 18 141

dcboh ppt ah md 7-25-16 10 am

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