p_workplace wellness. steps to create a successful wellness program

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    WORKPLACE WELLNESS 101:

    STEPS TO CREATE A SUCCESSFUL

    WELLNESS PROGRAM

    Jeanne Sherwood, RN., CWWS

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    Review key components of a wellness program

    Learn the value of a Wellness Scorecard

    Understand the weight of individual program

    components

    Understand what factors makes an effective

    program

    Objectives

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    Overarching Goals:

    Attain high-quality, longer lives free of preventable disease

    Achieve health equity; eliminate disparities

    Create social and physical environments that promote good

    health

    Promote quality of life, healthy development, healthy

    behaviors across life stages

    Healthy People 2020

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    Key Components of

    Wellness Program Success

    1. Organizational commitment/Leadershipsupport

    2. Operations/management support3. Effective screening and triage

    4. Easily Accessible/Variety of offerings

    5. Incentives/Rewards

    6. Communication within and with community

    Common thread when comparing published recommendations including Harvard Business Review, Edington,

    Goetzel, ODonnell

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    What Does a Scorecard Do?

    Centers for Disease Control and Prevention (CDC)

    The greatest value of the CDC Scorecard;

    Provides an assessment of health promotion programs

    Gives a weighted score for the effectiveness of each strategy

    Based on evidence and impact ratings on health behavior or

    outcomes

    Mercer: HERO Scorecard

    The greatest value of the HERO Scorecard;

    Provides and inventory of wellness program best practices forconsideration

    Scores provide an indication of where there are opportunities to

    enhance wellness program

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    Why Evaluate your Program?

    Comparative Benchmarking Tool

    Is wellness program in line with otherorganizations?

    Establish a baseline for current

    health promotion programs

    Identify areas where it would bebeneficial to add programs

    Measure Program Progress

    CDC

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    Why Evaluate Your Program?

    Program Inventory

    Use as a Guide for Strategic Planning

    Development of a Dashboard Measurement

    of Program Success

    Indicator of Program Success

    Comparative benchmarking tool

    HERO

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    Areas That Are Tested

    Organizational Supports

    Tobacco Control

    Nutrition

    Physical Activity

    Weight Management

    Stress Management

    Depression

    High Blood Pressure

    High Cholesterol

    Diabetes

    Signs and Symptoms of

    Heart Attach and Stroke

    Emergency Response to

    Heart Attack and Stroke

    CDC SCORECARD

    Organizational Supports

    Tobacco Control

    Nutrition

    Physical Activity

    Weight Management

    Stress Management

    Depression

    High Blood Pressure

    High Cholesterol

    Diabetes

    Signs and Symptoms ofHeart Attach and Stroke

    Emergency Response toHeart Attack and Stroke

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    CDC: Organizational Supports

    18 Questions directed at the basic design of the program

    Each item has an associated impact point value between 1

    and 3

    Point value reflectsOverall Impact (change elicited in a 1 year period) and;

    Program Strategy Impact on health outcomes and;

    Strength of scientific evidence supporting impact

    During development of a promotion program the CDC suggests

    prioritizing strategies that have a high impact level, strong evidence

    base and address the specific needs of employees.

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    Organizational Supports (continued)COMPONENT AND POINT VALUE COMPONENT AND POINT VALUE

    Survey 1 Paid Wellness Program Coordinator 2

    HRA with Feedback and Education 3 Champion Who is a Strong Advocate for

    the Program

    2

    Organizational Commitment (Senior

    Leadership Support)

    2 Budget With Dedicated Funding 2

    Incentive Strategy 2 Organizational Objectives That Include

    Health Promotion

    2

    Competitions and Interventions for

    Behavior Change

    2 Business Objectives/Mission Statement

    Referring to Employee Health

    1

    Promotion Program 1 Ongoing Program Analysis: Quality, Shifts

    in Health

    2

    Utilization of Success Stories in

    Promotion Programs

    1 Include Families and Dependents 1

    Address Literacy, Language, Culture

    and Readiness to Change

    3 Provide Flexible Work Scheduling 2

    Active Committee 2 Engage in Other Health InitiativesThroughout the Community

    2

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    CDC Scorecard

    Total Points Possible=34

    TOPIC

    Total

    Points

    Possible

    AVERAGE SCORES*

    Overall Very Small Small Medium Large

    OrganizationalSupports

    34 24 21 21 24 27

    * The CDC Worksite Health Scorecard uses the following worksite size categories: very small (10-99 employees,

    small (100-249, medium (250-749), Large (750+)

    -The entire average score table can be found on page 38 of the CDC Worksite Health Scorecard Manual

    The CDC Worksite Health Scorecard Manual can be found:www.cdc.gov/dhdsp/pubs/docs/HSC_Manual.pdf

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    Areas That Are Tested

    Strategic Planning

    Leadership Engagement

    Program Level Management

    Programs

    Engagement Methods

    Measurement and Evaluation

    Program Outcomes

    HERO SCORECARD

    Strategic Planning

    Leadership Engagement

    Program Level Management

    Programs

    Engagement Methods

    Measurement and Evaluation

    Program Outcomes

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    MERCER: Strategic Planning

    1. Has a Health Needs Assessment been conducted within thepast 2 years?

    2. What kind of assessment? Medical, Pharmaceutical health claims analysis?

    Biometric Screenings?

    Employee interest survey? Disability or behavioral health data?

    3. Is there a written strategic plan in place? (Long term, shortterm)

    4. If you have a plan does it include measureable objectives for

    any of the following; Participation Changes in health risks

    Improvements in clinical measures

    Productivity gains

    Financial outcomes-medical claims cost

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    MERCER: Strategic Planning (questions cont.)

    5. What percentage of the population have access to the

    key components of the program?

    6. Has it taken steps to make key components available to

    any of the hard to reach segments of the active

    employee population?

    7. Have they included retirees and employees on disability

    leave?

    8. Have they included spouses or dependents?

    9. Does your organization use a population approach

    addressing the needs of all employees including health

    and at risk?

    10. Overall Picture: How effective is your strategic planning?

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    MERCER Score Card

    Each of the 6 sections receives an overall score

    Scoring system is based on a maximum number of 200

    points

    Highest score attained when system was tested on a number of

    programs was 160 for a very advanced and widely acclaimed

    program.

    Mercer Score Card Can Be Found:

    www.the-Hero.org or www.mercer.org

    http://master%20health%20%26%20wellness%202013%20presentation.pptx/#-1,11,PowerPoint%20Presentation
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    Effectiveness

    In general:

    ProgramComponents

    (evidencebased on

    otherprograms)

    Need for thatparticular

    component inthe employee

    population

    Effectiveness

    http://master%20health%20%26%20wellness%202013%20presentation.pptx/#-1,11,PowerPoint%20Presentation
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