Submitted by:

Mia Smart Report for

Your Organization

Employer Recognition Program Report

2015

2

1

About The State of Wellness Inc. recognition program is based on the CDC Health Scorecard. The CDC Worksite Health Scorecard (HSC) is a tool designed to help employers assess whether they have implemented evidence-based health promotion interventions or strategies in their worksites to prevent heart disease, stroke, and related conditions such as hypertension, diabetes, and obesity. The tool was developed by the CDC Division for Heart Disease and Stroke Prevention in collaboration with the Emory University Institute for Health and Productivity Studies (IHPS), the Research Triangle Institute, the CDC National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) Workplace Workgroup, and an expert panel of federal, state, academic, and private sector. To ensure the validity and reliability of the tool, a validation study was conducted by Emory University’s IHPS on the tool’s original 12 modules. This study involved a national sample of 93 employers of variable size who agreed to pilot test the survey and provide feedback on the survey’s content and structure (Department of Health and Human Services; 2014).

Good - Better - Best All of the strategies included in this tool foster an environment that supports and promotes employee health. The “best” strategies have a very large impact on health behaviors or outcomes and a strong evidence base to support that impact. As you plan the development of your worksite health promotion program, the CDC recommends that you prioritize strategies that have a high impact level, a strong evidence base, and address the specific needs of your employees. This report provides you a summary of your current evidence-based practices and recommendations to include more evidence-based strategies particularly those listed as “high” Priority to increase your effectiveness in the areas included in your application for the Kentucky Louisville Mayor’s Healthy Hometown Conference and Awards. This report was completed for you by State of Wellness. State of Wellness is a national non-profit organization dedicated to increasing the number of evidence-based comprehensive worksite wellness programs thereby enhancing the health and wellness of individuals and organizations.

3

2

Table of Contents Areas

About Your Wellness Program 1. Organizational Supports 2. Tobacco Control 3. Nutrition 4. Physical Activity 5. Stress

Based on the CDC Health ScoreCard

The CDC Health ScoreCard (HSC) is used to assess your worksite health promotion programs, identify gaps, and prioritize high-impact strategies to prevent heart disease, stroke, and related conditions. CDC believes worksite health promotion and wellness programs are essential to maintaining a healthy workforce. Citation Centers for Disease Control and Prevention. The CDC Worksite Health ScoreCard: An Assessment Tool for Employers to Prevent Heart Disease, Stroke, and Related Health Conditions. Atlanta: U.S.

4

3

Your Program

Program Age: less than 1 year Active Participation: 25%

Program Impact/Success Example Our 2014 goal for our My Health in Motion wellness program is to begin to change our culture as we want to be a role model for healthy living in the communities in which we serve. We want to help improve the physical, mental and spiritual health of all employees working for our Organization. We now have a Wellness Coordinator working in conjunction with our Employee Wellness Steering Committee and Wellness Ambassadors. Our emphasis is on participation, based initiatives with an emphasis on nutrition and physical activity as we seek to enhance awareness of workplace wellness. Since implementing our plan we have offered free biometric screening for our employees with immediate coaching and follow up coaching for those at high risk. We have 80 employees currently enrolled in weight management classes, a monthly physical activity campaign with incentives offered for the remainder of the year, and Wellness Wednesday healthy living presentations held on a bi-monthly basis. We also launched a My Health in Motion website as our go to source for wellness programming, tools, and resources and motivation for employees- highlighting employee success stories and wellness pictures of the week. Excitement is building among employees and we are receiving positive feedback regarding the many new options provided for employees to improve their health.

Logo and or photos submitted by the

applicant

5

4

Organizational Supports The most effective worksite wellness program consists of a strong infrastructure, strategic plan, senior management support and incorporates a comprehensive model. Creating a worksite culture that promotes and supports employee health involves creating a strategic wellness program that consists of program infrastructure elements such as management support, establishing a wellness committee, conducting assessments, establishing goals and objectives, program budget, identifying a wellness leader, and evaluation.      Good - A place to start ü Conduct an employee needs and interests assessment for planning health promotion

activities. For example, your organization administers focus groups or employee satisfaction surveys to assess your employee health promotion program(s). This does not refer to your organization’s general surveys that do not assess your employee health promotion program(s).

ü Promote and market health promotion programs to employees. For example, your worksite’s health promotion program has a brand name or logo, uses multiple channels of communication, or sends frequent messages.

ü Use examples of employee role modeling appropriate health behaviors or employee health-related “success stories” in the marketing materials.

ü Include references to improving or maintaining employee health in the business objectives or organizational mission statement. If your organization’s business objectives or mission statement only reference occupational health and safety, without reference to improving the workforce’s health.

ü Make any health promotion programs available to family members.

6

5

Better - Next steps ü Demonstrate  organizational  commitment  and  support  of  worksite  

health  promotion  at  all  levels  of  management.    For  example,  all  levels  of  management  participate  in  activities,  communications  are  sent  to  employees  from  senior  leaders,  the  worksite  supports  performance  objectives  related  to  healthy  workforce,  or  program  ownership  is  shared  with  all  staff  levels.  

ü Use  and  combine  incentives  with  other  strategies  to  increase  participation  in  health  promotion  programs.  For  example,  your  organization  offers  incentives  such  as  gift  certificates,  cash,  paid  time  off,  product  or  service  discounts,  reduced  health  insurance  premiums,  employee  recognition,  or  prizes.    

ü Use  competitions  when  combined  with  additional  interventions  to  support  employees  making  behavior  changes  If  for  example,  your  organization  offers  walking  or  weight  loss  competitions  

ü Have  an  active  health  promotion  committee.  Your  health  promotion  committee  exists  and  has  been  involved  in  planning  and  implementing  programs.)  

ü Have  a  paid  health  promotion  coordinator  whose  job  (either  part-­‐time  or  full-­‐time)  is  to  implement  a  worksite  health  promotion  program.  If  implementing  the  employee  health  promotion  program(s)  at  your  worksite  is  included  in  a  paid  staff  member’s  job  description  or  performance  expectations.    

ü Have  a  champion(s)  who  is  a  strong  advocate  for  the  health  promotion  program.  If  there  is  someone  at  your  worksite  who  actively  promotes  programs  to  improve  worksite  health  promotion.    

ü Have  an  annual  budget  or  receive  dedicated  funding  for  health  promotion  programs.  

ü Set  annual  organizational  objectives  for  health  promotion.  

ü Conduct  ongoing  evaluations  of  health  promotion  programming  that  use  multiple  data  sources.    For  example,  your  organization  collects  data  on  employee  health  risks,  medical  claims,  employee  satisfaction,  or  organizational  climate  surveys.    

ü Engage  in  other  health  initiatives  throughout  the  community  and  support  employee  participation  and  volunteer  efforts.  For  example,  your  organization  supports  participation  in  community  events  and  school-­‐based  efforts,  such  as  corporate  walks,  collaborate  with  state  and  local  advocacy  groups,  health  and  regulatory  organizations,  and  coalitions.    

 Best  -­‐  Program  Priority      ü Conduct  employee  health  risk  appraisals/assessments  through  vendors,  on-­‐site  staff,  or  health  plans  and  provide  

individual  feedback  plus  health  education.  For  example,  your  organization  provides  individual  feedback  through  written  reports,  letters,  or  one-­‐on-­‐one  counseling.    

Opportunities    Provide  flexible  work  scheduling  policies.  For  example,  policies  allow  for  flextime  schedules  and  work  at  home.      Tailor  some  health  promotion  programs  and  education  materials  to  the  language,  literacy  levels,  culture,  or  readiness  to  change  of  various  segments  of  the  workforce.  

7

6

Tobacco  Control  Nationally between 2000–2004, the economic costs related to tobacco use was estimated at $192.8 billion per year including $96 billion per year in direct medical costs and $96.8 billion per year in lost productivity (CDC HSC).

Tobacco use

affects the health and economic wellbeing of the citizens in state of Kentucky. The tobacco use rate for adults in Kentucky is 29% (CDC) with a healthcare cost of $3,767,220,000 (American Lung Association).

Among all

adults, the percentage who reported being exposed to secondhand smoke within the past 7 days was higher in Kentucky than in the nation overall. In 2009–2010, overall exposure to secondhand smoke in Kentucky was 51.4%, ranking 43rd among the states. Adults were exposed to secondhand smoke in various locations with 30 % of Kentucky adults reporting any exposure at the worksite, Kentucky ranks 51st among all the states. All the strategies are evidence-based and recommended to be included in your worksite wellness program. Some strategies have more research evidence than others and are listed as Good, Better, and Best. Strategies with the most evidence (Best) are considered HIGH Priority and are strongly recommended for tobacco use control at the worksite.  

8

7

 Good  -­‐  A  place  to  start  ü Actively  enforce  a  written  policy  banning  tobacco  use.  For  

example,  your  worksite  posts  signs,  does  not  have  ashtrays,  or  communicates  this  written  policy  banning  tobacco  use  through  various  channels  at  your  worksite.    

ü Display  signs  (including  ‘no  smoking’  signs)  with  information  about  your  tobacco-­‐use  policy.  

ü Do  not  allow  sale  of  tobacco  products  on  company  property.  For  example,  your  worksite  does  not  sell  tobacco  products  on  company  property  in  vending  machines  or  through  on-­‐site  vendors.    

 

Better  Next  steps  ü Provide  or  promote  free  or  subsidized  tobacco  cessation  

counseling.    ü Inform  employees  about  health  insurance  coverage  or  programs  

that  include  tobacco  cessation  medication  and  counseling.    Best  -­‐  Program  Priority      ü Provide  health  insurance  coverage  with  no  or  low  out-­‐of-­‐pocket  costs  for  prescription  tobacco  cessation  medications  including  nicotine  replacement.  For  example,  your  organization  provides  coverage  for  inhalers,  nasal  sprays,  bupropion  (e.g.,  Zyban)  and  varenicline  (e.g.,  Chantix).  ü A  written  policy  banning  tobacco  use  at  your  worksite  Your  worksite  adheres  to  a  statewide,  countywide,  or  citywide  policy  banning  tobacco  use  in  the  workplace.    ü Tobacco  users  are  referred  to  a  state  or  other  tobacco  cessation  telephone  quit  line.  For  example,  your  worksite  refers  tobacco  users  to  1-­‐800-­‐QUIT  NOW  or  smokefree.gov    

Opportunities    Provide  health  insurance  coverage  with  no  or  low  out-­‐of-­‐pocket  costs  for  FDA-­‐approved  over-­‐the-­‐counter  nicotine  replacement  products.  For  example,  your  organization  provides  coverage  for  nicotine  replacement  gum,  patches,  or  lozenges.     Provide  incentives  for  being  a  current  nonuser  of  tobacco  and  for  current  tobacco  users  that  are  currently  involved  in  a  cessation  class  or  actively  quitting.  For  example,  your  organization  provides  discounts  on  health  insurance,  or  other  benefits  for  non-­‐smokers  and  tobacco  users  who  are  actively  trying  to  quit.

9

8

Nutrition Chronic diseases – such as heart disease, stroke, cancer, and diabetes – are among the most prevalent, costly, and preventable of all health problems. Leading a healthy lifestyle including eating well greatly reduces a person’s risk for developing chronic disease. Being overweight or obese greatly increases the risk of developing other chronic diseases and unwanted health conditions like diabetes, stroke, arthritis, sleep apnea, asthma, heart attack, and certain cancers. In 2013, Kentuckians with chronic conditions such as diabetes are estimated to spend close to $2,402,000 in medical costs linked to obesity. Experts project Kentucky health care costs attributable to obesity will be $6 million in 2018, or $1,836 a year per adult. With 66.2 % of the state’s adults overweight and 31.3% obese it is important to promote and support healthy eating habits in worksites. Only 24% of Kentucky adults consume fruits at the recommended level of 2 or more servings per day. Only 29.4% of adults consume 3 or more servings of vegetables per day. Nutrition is a key component to address at the worksite.

10

9

Good - A place to start Cafeteria or Snack Bar ü Have a written policy or formal communication that

makes healthier food and beverage choices available in cafeterias or snack bars. For example, the policy or formal communication makes vegetables, fruits, 100% fruit juices, whole grain items and trans fat-free or low-sodium snacks available in cafeterias or snack bar.

Best - Program Priority ü Make most (more than 50%) of the food and beverage

choices available in vending machines, cafeterias, snack bars, or other purchase points be healthier food items. Note: Healthy foods are items such as skim milk, 1% milk, water, non-dairy milk, unsweetened flavored water, diet drinks, 100% fruit juice, low-fat and low-sodium snacks, or fresh fruit. (See Dietary Guidelines for Americans, 2010 or GSA/HHS Health and Sustainability Guidelines for Federal Concessions and Vending Operations)

ü Signage Relating to Healthier Options Identify healthier food and beverage choices with signs or symbols. ♥ For example, your worksite puts a heart next to a healthy item near vending machines, cafeterias, snack bars, or other purchase points.

Opportunities Have a written policy or formal communication that makes healthier food and beverage choices available in vending machines. For example, the policy or formal communication makes vegetables, fruits, 100% fruit juices, whole-grain items and trans fat-free/low-sodium snacks available in vending machines. Signage Relating to Healthier Options provides nutritional information (beyond standard nutrition information on labels) on sodium, calories, trans fats, or saturated fats for foods and beverages sold in worksite cafeterias, snack bars, or other purchase points.

11

10

Physical Activity Only 46.8% of adults in Kentucky achieved the CDC’s recommendation of 150 minutes of aerobic activity a week and 26.3% of adults in Kentucky participated in muscle-strengthening activities more than 2 times per week. Leading a healthy lifestyle including getting the recommended amount of physical activity greatly reduces a person’s risk for developing chronic disease. With 66.2 % of the state’s adults overweight and 31.3% obese it is important to promote and support physical activity strategies as part of a comprehensive worksite wellness program. Good - A place to start ü Provide brochures, videos, posters, pamphlets,

newsletters, or other written or online information that address the benefits of physical activity Note: these health promotion materials need to address the benefits of physical activity as a single health topic or if the benefits of physical activity are included with other health topics.

Better - Next Steps ü Provide a series of educational seminars,

workshops, or classes on physical activity. These sessions need to address physical activity as a single health topic or if physical activity is included with other health topics. These sessions can be provided in-person or online; on-site or off-site; in group or individual settings; through vendors, on-site staff, health insurance plans or programs, community groups, or other practitioners.

Best - Program Priority ü Subsidize or discount the cost of on-site or offsite

exercise facilities.

Opportunities Provide an exercise facility on-site. Provide environmental supports for recreation or physical activity For example, your worksite provides trails or a track for walking/jogging, maps of suitable walking routes, bicycle racks, a basketball court, open space designated for recreation or exercise, a shower and changing facility. Post signs at elevators, stairwell entrances or exits and other key locations that encourage employees to use the stairs if your worksite is more than one story. Provide organized individual or group physical activity programs for employees (other than the use of an exercise facility). For example, your worksite provides walking or stretching programs, group exercise, or weight training.

12

11

Stress The Gallup-Healthways Well-Being Index®, a leading well-being data source in the United States, ranked Kentucky as the 3rd most stressed state and ranks 49th in emotional health and life evaluation factors according to the Gallup poll. The Well-Being Index provides insights needed to improve health, increase productivity, and lower healthcare costs within any community. According to a landmark Health Enhancement Research Organization study on health risks and associated costs stress and depression are the costliest risk factors for employers. Those employees who reported being under constant stress with no methods for coping

were responsible for 7.9% of total health care costs. According to the American Psychological Association Practice Organization healthcare costs for employees with high levels of stress were 46% higher than those for employees who did not have high levels of stress. Addressing stress as a key component in a comprehensive worksite wellness program is critical to improving health, productivity, and managing health related costs.

13

Opportunities Provide stress management programs. These programs address stress management as a single health topic or if stress management is included with other health topics. These programs can be provided in-person or online; on-site or off-site; in group or individual settings; through vendors, on-site staff, health insurance plans or programs, community groups, or other practitioners. Provide work-life balance/ life-skills programs For example, your worksite provides elder care, child care, referrals, tuition reimbursement, or other programs that are offered through vendors, on-site staff, or employee assistance programs. Provide training for managers on identifying and reducing workplace stress-related issues. For example, your worksite provides training on performance reviews, communication, personnel management, assertiveness, time management, or conflict resolution. Provide opportunities for employee participation in organizational decisions regarding workplace issues that affect job stress

12

 Good - A place to start ü Provide dedicated space that is quiet where employees

can engage in relaxation activities, such as deep breathing exercises.

ü Sponsor or organize social events throughout the year. For example, your worksite sponsors or organizes team building events, company picnics, holiday parties, or employee sports teams.

14

Recommendations, Next Steps Based on your current program, infrastructure, needs and interests we offer the following evidence-based recommendations to ensure your comprehensive wellness program continues to build on your successes to date:

• A • B • C • D • E • F • G

15

Closing Thank you for applying for the 2014 Worksite Wellness Recognition Awards. Congratulations on all the wonderful work you’ve accomplished thus far. We look forward to working with you to help move your program forward in the coming year. Disclaimer: This report was generated manually in an effort to provide you more valuable feedback from a form submitted through the internet. The potential for errors and omissions exists. We apologize in advance for any inconvenience.

State of Wellness is a 501(c)3 nonprofit organization whose mission is to Identify and provide evidence-based resources and educational opportunities in worksite health promotion and wellness for individuals and businesses of all sizes. We begin with the evidence from resources such as the CDC Health Scorecard, the DPP, National Diabetes Prevention program, NIOSH Total Worker Health and others.

16

!

!!!!

!!!!!!!!!

!

Pre

sent

ed to

Fo

r tak

ing

an a

ctiv

e ro

le in

sup

porti

ng th

e he

alth

, wel

lnes

s an

d sa

fety

of t

heir

empl

oyee

s, fa

mili

es a

nd c

omm

unity

, in

colla

bora

tion

with

the

Loui

svill

e,

Ken

tuck

y M

ayor

’s H

ealth

y H

omet

own

Wor

ksite

Wel

lnes

s C

onfe

renc

e.

Aw

arde

d B

y Te

resa

Lov

ely

MS

CHES

B

usin

ess

Coo

rdin

ator

-Wor

ksite

Wel

lnes

s K

entu

cky

Dep

artm

ent f

or P

ublic

Hea

lth

Aw

arde

d B

y C

onni

e G

ayle

Whi

te, M

D, M

S, F

AC

OG

D

eput

y C

omm

issi

oner

for C

linic

al A

ffairs

K

entu

cky

Dep

artm

ent f

or P

ublic

Hea

lth

Jeff

Wyl

er T

oyota