September 12, 2014Amanda CunninghamKristina LopesMeredith Louko

NutrinutBridging the gap between employee wellness and

Nutrition

Objectives

Review Southcoast Employee Wellness: Virgin Pulse What it is Who’s eligible How it works

Statistics on weight loss and comorbidities Nutrinut The role of a Media Dietitian Cost Analysis SWOT How this affects Southcoast?

Let’s Set the Scene

In 2013 approx. 4,500 employees were

apart of the Southcoast Health Plan. Of

those 4,500:4% were classified as morbidly

obese25% were classified as obese33% were classified as overweight

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Employee Wellness:

Creating a healthy work environment for employees to prosper and increase employee wellbeing: Increases productivity Decreases absenteeism Reduces overtime use for covering absent employees Decreased training costs for new staff to replace old Decreases health care costs ***

What is Virgin Pulse?

A rewards program that works like a frequent flier program, only you don't get rewarded for flying. You simply get rewarded from the healthier decisions you make and the more HealthMiles points you earn!

Get Healthy by Tracking:● Physical activity – Max Activity Tracker ● Sleep● Nutrition

At Southcoast Health

Virgin Pulse On-The-Go

Who’s Eligibile at Southcoast??

Reference: Southcoast Info Sheet Virgin Pulse 2015 PDF

w to earn points

Reference: How to Earn HealthMiles Points PDF

Reference: How to Earn HealthMiles Points PDF

Southcoast Virgin Pulse App:

Uses Max Activity Tracker to track: Calories expended Activities Active minutes Sleeping patterns

Challenges you and others to take part in your own online challenges

But is lacking one important piece…….

Obesity is not the only concern

among Health Plan members

Top 3 comorbidities among Health Plan members:

Apart from BMI● High blood glucose levels● High blood pressure● High cholesterol

What we know:

Excess weight is related to an increase risk in comorbidities.

In 2010, 35.7% of Americans were obese2013, 25.8 million Americans (8.3%) have

diabetes2013, 77.9 million, 1 in 3 Americans have

high blood pressure 4

Why do we care about weight?

● According to the CDC approx. 112,000 deaths are associated with obesity each year in the United States 5

● Per year, obese individuals spend an average of $1850 more in health care costs than non-obese individuals 8

● Morbidly obese people spend up to $5500 per year more in health care costs 8

Benefits of weight loss:

Studies show that even a 5-10% decrease in weight significantly improves:

Lipoproteins Hypertension DM/insulin resistance Risk for osteoarthritis Risk of certain cancers and other chronic diseases

To achieve/maintain a healthy weight, two major factors are involved:

● Nutritious diet● Physical activity

Currently, Southcoast has partnered up with Virgin Pulse to challenge employees to get active and get moving. By incorporating a nutrition aspect into the program we can get employees even further on the right track.

Nutrition Stats

In a 2011 study, researchers proved that diet alone was more successful in weight loss than exclusive exercise 5

However, the combination of diet and exercise provided the most significant results

Demonstrating that in order to maximize weight loss, nutrition is a key component to Virgin Pulse

It’s All About Balance

Nutrinut

● Provides employees with nutrition expertise through a licensed and credentialed Media RD to establish:

● Personalized experience● Expert advice● Individualized recommendations

● Virgin Pulse provides businesses with resources such as MyFitnessPal for an additional cost

Media RD:Promotes employee wellness through food and

nutritionBridges the gap between Virgin Pulse and

Nutrition24 hour, part-time positionEmployee will be able to access the Virgin Pulse

account on Southcoast Intranet through a provided laptop

Will be able to work from home or at an on-campus site.

RD Key Functions/Responsibilities

Establish the nutrition component to Virgin Pulse: Web design of Nutrition page Works closely with IT to implement behind the scenes tech

support Attends proper training classes for Web Design

RD Key Functions/Responsibilities

In charge of all nutrition initiatives on Southcoast Virgin Pulse Website

Mandates weekly nutrition group discussion boards and provide written feedback at the end of each week.

Create bi-weekly webinars and quizzes available on the website. Answer any daily nutrition-related questions through email

RD Key Functions/Responsibilities

Establish nutrition alerts for Virgin Pulse app through:

Mobile Device Southcoast Email Southcoast Health Stations

Create Marketing Material for Nutrinut throughout hospital via:

Posters Visual displays for cafeteria TVs Computer Screen Saver: Nutrition Tips

RD Key Functions/Responsibilities

Refer employees to outpatient RD services: Develop easy-access to Outpatient RD services on Virgin Pulse

Website and App for employees to learn more about available resources

Diabetes Management Program Weight Management Program Bariatric Program CHF Clinic

RD Key Functions/Responsibilities

Design and implement monthly wellness topics

Write monthly newsletter for Nutrition Topic of the Month

Displayed on homepage of intranet Develop bulletin board that is related to monthly

wellness topic Select two Wellness meals each month to be sold in

cafeterias that relate to Nutrition Topic of the Month Provide recipe recommendations for wellness topics

each month

RD Key Functions/Responsibilities

Establish Wellness Wednesdays at Southcoast Facilities:

Wellness topic promoted every Wednesday, alternating at each Southcoast site.

Provide nutrition information on tri-fold poster board, handouts and interactive activities based on the monthly topic. Create Wellness Wednesday meals that will be placed on cafeteria

menu. Provide and hand out free samples for employees to try as they

walk into the cafeteria.

Ways to earn reward points!

Employees can check in and scan barcode to reward them with points.

Check-in Booth once a month - 100 points Wellness Wednesday Booth - 50 points Signing up for bi-weekly online webinars - 10

points each webinar Completing weekly quizzes - 8 points each quiz Weekly check-in at Health Station - 5 points

Local Competition

Virgin Pulse- Nutrition component More money for Southcoast No RD provided

Weight Watchers Extra cost to employees No affiliation with worksite wellness

Nutrisystem Additional cost to use No RD visit provided

A Healthy Balance Added cost for employees Too far to drive for RD services

Start-up costs:Wellness displays, check-in booths, activities and food

samples: $1020 Part time Media RD yearly salary - $36,000.00 @ $30/hrBarcode system for employee points - $255.00Travel Expense- $200.00 Business laptop with traveling case and business cell phone

- $1,200.00Advertisement: Free through social media, intranetNutrition Care Manual - $0.00 Webinars and online cooking demos - $0.00 In-person cooking demos - $ 120.00 per demoFood models - $0.00Business cards - $20

One Year Cost Projection

Operating ExpensesPart- time salary RD $36,000.00Supplies Expense $2,655.00Travel Expense $200.00

Total Expenses $37,535.00

Funding:

Southcoast Health PlanWellness grants

As previously stated:

Of the 4,500 Southcoast Employees on the Health Plan:

4% were classified as morbidly obese 180 employees

25% were classified as obese 1125 employees

33% were classified as overweight 1485 employees

How does this affect Southcoast Funding?

Given that the average difference in health care cost between an obese individual and a non obese person is $1850 and the cost of Nutrinut is $37,535.00;X = # of Employee Y = cost of obesity = $1850/person

If Southcoast Health pay ⅔ health care premium, Total company health care cost = X x ⅔ (employee premium)When employees lose weight through nutrition counseling, SH savings = ⅔ ($1850)

savings = $1233

Return on Investment:

In order for SH to break even on their investment, Nutrinut would have to generate a savings of $37,535.00

Breakeven= $37,535/ $1233 = 31 Employees with weight

loss % Nutrinut involvement = 31 Employees / 1125 Employees classified as obese

= 2.7% involvement

Plan of Action:

To ensure the Health Plan has a return on investment: Nutrinut will target 30% of the employees classified

as obese to get involved This will generate a guaranteed savings from the

2.7% obese employees Overall, leading to a cost savings for Southcoast

Health

SWOT Analysis

SWOT: Strengths

App friendly, easy-to-use Helps Southcoast Employees

~62% of employees apart of the Health Plan 4% morbid obesity, 25% obesity, 33% overweight

Already contracted with Virgin Pulse - majority of the program is already developed

Known target audience - Southcoast Employees participating in the Health Plan and Virgin Pulse

No additional cost to the employee Potential cost deduction to Health Plan RD - nutrition expert and provider to monthly wellness education

SWOT: Weakness

- No available space - onsite location - Minimal funding available

- Poor employee engagement - Past Health Quest Initiatives

- Hiring externally - time needed to establish rapport- Lack of productivity due to travel time

- Additional time needed to educate and inform employees

SWOT: Opportunities

- Ability to expand - RD counseling provided under Southcoast Employee Health

Plan- Initiative to help decrease employee weight-related

comorbidities- Franchising abilities- Possible connections to Weight Management and Bariatric

Team- Grants

and more importantly…. it creates community wellness!

SWOT: Threats- Southcoast facility no longer has an account with

Virgin Pulse- Attraction to other weight loss solutions

(Nutrisystem, Weight Watchers)- Other “nutritionists” available on social media with

no license or credential

Let’s wrap things up:

% Obesity

Objectives

Review Southcoast Employee Wellness: Virgin Pulse What it is Who’s eligible How it works

Statistics on weight loss and comorbidities Nutrinut The role of a Media Dietitian Cost Analysis SWOT How this affects Southcoast?

Conclusion

Obesity is an increasing concernThrough nutrition and fitness, greater

weight loss is achievedNutrinut will be the link for Southcoast to

cut health care costs and increase employee wellness

References 1. Academy of Nutrition and Dietetics. Treat and Reduce Obesity Act H.R. 2415 S. 1184, 2014. Chicago, IL. Accessed

March 30, 2014. 2. Carmona, R. The Obesity Crisis in America. Surgeon General’s Testimony before the Subcommittee on Education

Reform, Committee on Education and the Workforce, United States House of Representatives. www.surgeongeneral.gov/news/testimony/obesity07162003.htm. Published July 16, 2003. Accessed August 15, 2014.

3. Chang SH, Pollack LM, Colditz GA. Life years lost associated with obesity-related diseases for U.S. non-smoking adults. [June 18, 2013]. PLosOne. 2013. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688902/pdf/pone.0066550.pdf . Accessed August 25, 2014.

4. Facts and Statistics. President’s Council on Fitness, Sports, and Nutrition website. http://www.fitness.gov/resource-center/facts-and-statistics/ .Accessed August 25, 2014.

5. Foster-Schubert KE et al. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese post-menopausal women. Published online ahead of print August 2012, Obesity. 2012. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406229/ . Accessed August 26, 2014.

6. Hensrud D. Weight Loss: Which is better for weight loss-- cutting calories or increasing exercise. Mayo Clinic Website. http://www.mayoclinic.org/healthy-living/weight-loss/expert-answers/weight-loss/faq-20058292. Published March 14, 2014. Accessed August 25, 2014.

7. Lahiri S, Faghri PD. Cost-effectiveness of a workplace-based incentivized weight loss program. [March 2012]. JOEM. 2012. http://www.medworkohio.com/pdfs/Cost-Effectiveness%20of%20Workplace-Based%20Incentivized%20Weight%20Loss%20Program%20JOEM%203-12.pdf . Accessed August 25, 2014.

8. Lifestyle Management of Adult Obesity. School of Health Professions University of Missouri-Columbia Website. http://shp.missouri.edu/vhct/case2500/benefits.htm . Published March 6, 2013. Accessed August 26th, 2014.

9. Obesity. Cleveland Clinic website. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/obesity/ . Accessed August 25 2014.

10. Southcoast Annual Health Plan Performance Report. New York, NY. Cammack Health LLC. 2014