The document summarizes Indiana's efforts to promote wellness through the INShape Indiana initiative and small business programs. It discusses (1) high obesity and costs in Indiana, (2) INShape Indiana's work with employers and communities, and (3) the Small Employer Qualified Wellness Program Tax Credit program and small business workplace wellness toolkit pilot. The goal is to make healthy choices easier through environmental and policy supports.
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Indiana State of Wellness - Small Employer Qualified Wellness Program Tax Credit.
1. STATE OF WELLNESS –
INDIANA
Ellen Whitt, INShape Indiana
Ashley Peeples, Indiana State Department of Health
Jennifer Taylor, Indiana State Department of Health
January 20, 2011
2. About Indiana
Approximately 3 million adults
overweight or obese
1.8 million+ at-risk if we don’t do
something
“In an average year, Indiana residents
pay $1.6 billion in obesity-related
medical costs.”
(Source: Finkelstein, E.A., Fiebelkorn, I.C., & Wang, G. (2004). State-level estimates of
annual medical expenditures attributable to obesity. Obesity Research, 12, 18-24)
Indiana has more than 115,000 small
businesses, accounting for 97.6% of the
state's employers and 48.6% of its
private-sector employment.
(Source: U.S. Dept. of Commerce: Bureau of the Census.)
4. The Challenge
% of IN Adults who Self-Report Being at a Normal Weight, 1990-2008
100 36% of IN
90
53% of IN adults reported
80
adults report being a normal
70
being a normal weight in 2008
60
weight in 1990
50
%
40
30
20
10
0
Source: Indiana BRFSS Data, 1990-2008
8. History
INShape Indiana seeks to motivate, educate and connect
individuals to resources that help them eat better, move
more and avoid tobacco.
Established by Governor Daniels in 2005 as a web-
based initiative with statewide reach (inshape.in.gov)
Prior to launching, wellness policies put in place in each
of the state agencies and special outreach was made to
state employees
9. Development of worksite focus
Early efforts directed at state employee population
through SPD (benefit design, smoke free workplace,
secure bike parking, etc.)
2007 Summit in cooperation with Purdue University
focused on Worksite Wellness
2008 launching of the “Indiana Worksite Wellness
Partnership” with Anthem, Kroger and others
2010 partnership formed with Indiana Chamber of
Commerce and the Wellness Council of Indiana
10. Making the connection
CDC funding for state obesity prevention plan
Expanded staffing with worksite focus
Policy and environmental change in state
government buildings (IDOA and FSSA)
Efforts to reach unemployed population through
DWD/Work One Centers
Individuals as change agents within their
communities (including worksite settings)
13. 2007
History
House Bill 1678: Health Matters
Introduced in January 2007
Passed in May 2007
Took effect in July 2007; retroactive to January 1
August – September
Roundtable/Focus Group meetings
2 drafts of wellness program
1st draft - large, comprehensive, point system
2nd draft – much easier to manage, still comprehensive
14. 2007
Small Employer Qualified Wellness Program Requirements
Employee Appropriate Weight Loss
Assessments, Interventions/Education, Rewards Program,
Measurement Tool
Smoking Cessation
Assessments, Interventions/Education, Rewards Program,
Measurement Tool
Pursuit of Preventive Health Care Services
Assessments, Interventions/Education, Rewards Program,
Measurement Tool
15. 2007
Application/Certification steps determined
To Qualify:
RegisteredVendors
Small Employers
Advisory Board Chosen
Launch
INShape Indiana Health Summit. October 15, 2007
2007 tax year results
16. 2008
Website Established
www.wellnesstaxcredit.in.gov
October 2008
Registered Vendor status
2008 tax year results
17. 2009
No more Registered Vendors
2009 General Assembly
Report Due
Proposed amendment to cap the Small Employer
Qualified Wellness Program Tax Credit
Not acted upon
2009 tax year results
18. 2010
Cap Proposed
Small Employer Application Results:
Of 87 Small Employer Applicants…
57 have 50 or fewer full time employees
Areas of Success Areas for Improvement
78 Approved 14+ Multiple Attempts
77 Use vendor/provider 39 have tobacco policy
84 Conduct blood screenings 23 from northern region
58 from central region 6 from southern region
19. 2011
Improvements
Website
Application
Supporting Documents
Evaluation
Questions added to application
Report Due
December 2011
22. The Goal
Enhance the knowledge, skills and capacity for small
businesses to assess, identify and implement policy
and environmental supports at the worksite to
facilitate improved nutrition and physical activity
opportunities and behaviors.
23. The road traveled
Extensive review of current resources, available
tools, and recent research.
Interviewed 24 small businesses across the
state.
24. Worksite Toolkit
“The choices we make are driven by the choices we have…”
In the process of finalizing a resource for small
businesses to use to introduce policies and
environmental supports into the workplace.
25. Evaluation
Evaluation of the toolkit will look at the following
characteristics of each pilot site:
Workforce characteristics
Health programs and activities
Food environment
Physical activity opportunities
Policies
Incentives
Workplace health norms
26. Next Steps
Pilot of the resource kit to at least 25 small businesses in
Indiana.
Looking at a variety of settings/industries
Grain elevators Metal Manufacturing
Real Estate Agricultural Consultants
Insurance Agencies Brokers & Service Computer Software
Social Services & Welfare Private Investigation
Health Care Services Business Management Consultants
Decals Manufacturing Printing and Manufacturing
Chamber of Commerce Attorneys
Multimedia Automobile Dealers
Laboratories – Research and Development Counseling Services
27. Contact Us!
Ellen Whitt Ashley Peeples Jennifer Taylor
Director Small Employer Wellness Worksite Coordinator
Program Coordinator
INShape Indiana Indiana State Department of Indiana State Department of
Health Health
317-232-1200 317-234-7728 317-233-8204
ewhitt@isdh.in.gov apeeples@isdh.in.gov jentaylor@isdh.in.gov